HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT
HDR 2008 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A4264  Intratubal occlusion 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A4336  Urethral 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A4360  Disposable ext urethral dev                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A4456  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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A4466  Elastic garment/covering                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A4566  Should sling/vest/abrestrain                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A4641  Radiopharm dx agent noc                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A4642  In111 satumomab                                   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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A6022  Collagen drsg>16<=48 sq in                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A6545  Grad comp non-elastic BK                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A7020  Interface, cough stim device                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A9273  Hot/cold h2obot/cap/col/wrap                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
A9274  Ext amb insulin delivery sys                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A9284  Non-electronic spirometer                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A9500  Tc99m sestamibi                                   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             33.9764 090 99      0.00   0.00   0.00
A9501  Technetium TC-99m teboroxime                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9502  Tc99m tetrofosmin                                 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             33.9764 090 99      0.00   0.00   0.00
A9503  Tc99m medronate                                   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             33.9764 090 99      0.00   0.00   0.00
A9504  Tc99m apcitide                                    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             33.9764 090 99      0.00   0.00   0.00
A9505  TL201 thallium                                    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             33.9764 090 99      0.00   0.00   0.00
A9507  In111 capromab                                    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             33.9764 090 99      0.00   0.00   0.00
A9508  I131 iodobenguate, dx                             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             33.9764 090 99      0.00   0.00   0.00
A9509  Iodine I-123 sod iodide mil                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9510  Tc99m disofenin                                   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             33.9764 090 99      0.00   0.00   0.00
A9512  Tc99m pertechnetate                               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             33.9764 090 99      0.00   0.00   0.00
A9516  Iodine I-123 sod iodide mic                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9517  I131 iodide cap, rx                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9521  Tc99m exametazime                                 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             33.9764 090 99      0.00   0.00   0.00
A9524  I131 serum albumin, dx                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9526  Nitrogen N-13 ammonia                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9527  Iodine I-125 sodium iodide                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9528  Iodine I-131 iodide cap, dx                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9529  I131 iodide sol, dx                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9530  I131 iodide sol, rx                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9531  I131 max 100uCi                                   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             33.9764 090 99      0.00   0.00   0.00
A9532  I125 serum albumin, dx                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9536  Tc99m depreotide                                  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             33.9764 090 99      0.00   0.00   0.00
A9537  Tc99m mebrofenin                                  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             33.9764 090 99      0.00   0.00   0.00
A9538  Tc99m pyrophosphate                               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             33.9764 090 99      0.00   0.00   0.00
A9539  Tc99m pentetate                                   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             33.9764 090 99      0.00   0.00   0.00
A9540  Tc99m MAA                                         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             33.9764 090 99      0.00   0.00   0.00
A9541  Tc99m sulfur colloid                              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             33.9764 090 99      0.00   0.00   0.00
A9542  In111 ibritumomab, dx                             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             33.9764 090 99      0.00   0.00   0.00
A9543  Y90 ibritumomab, rx                               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             33.9764 090 99      0.00   0.00   0.00
A9544  I131 tositumomab, dx                              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             33.9764 090 99      0.00   0.00   0.00
A9545  I131 tositumomab, rx                              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             33.9764 090 99      0.00   0.00   0.00
A9546  Co57/58                                           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             33.9764 090 99      0.00   0.00   0.00
A9547  In111 oxyquinoline                                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             33.9764 090 99      0.00   0.00   0.00
A9548  In111 pentetate                                   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             33.9764 090 99      0.00   0.00   0.00
A9550  Tc99m gluceptate                                  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             33.9764 090 99      0.00   0.00   0.00
A9551  Tc99m succimer                                    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             33.9764 090 99      0.00   0.00   0.00
A9552  F18 fdg                                           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             33.9764 090 99      0.00   0.00   0.00
A9553  Cr51 chromate                                     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             33.9764 090 99      0.00   0.00   0.00
A9554  I125 iothalamate, dx                              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             33.9764 090 99      0.00   0.00   0.00
A9555  Rb82 rubidium                                     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             33.9764 090 99      0.00   0.00   0.00
A9556  Ga67 gallium                                      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             33.9764 090 99      0.00   0.00   0.00
A9557  Tc99m bicisate                                    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             33.9764 090 99      0.00   0.00   0.00
A9558  Xe133 xenon 10mci                                 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             33.9764 090 99      0.00   0.00   0.00
A9559  Co57 cyano                                        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             33.9764 090 99      0.00   0.00   0.00
A9560  Tc99m labeled rbc                                 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             33.9764 090 99      0.00   0.00   0.00
A9561  Tc99m oxidronate                                  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             33.9764 090 99      0.00   0.00   0.00
A9562  Tc99m mertiatide                                  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             33.9764 090 99      0.00   0.00   0.00
A9563  P32 Na phosphate                                  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             33.9764 090 99      0.00   0.00   0.00
A9564  P32 chromic phosphate                             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             33.9764 090 99      0.00   0.00   0.00
A9566  Tc99m fanolesomab                                 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             33.9764 090 99      0.00   0.00   0.00
A9567  Technetium TC-99m aerosol                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9568  Technetium tc99m arcitumomab                      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             33.9764 090 99      0.00   0.00   0.00
A9569  Technetium TC-99m auto WBC                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9570  Indium In-111 auto WBC                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9571  Indium IN-111 auto platelet                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9572  Indium In-111 pentetreotide                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A9580  Sodium fluoride F-18                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
A9581  Gadoxetate disodium inj                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
A9582  Iodine I-123 iobenguane                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
A9583  Gadofosveset trisodium inj                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
A9600  Sr89 strontium                                    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             33.9764 090 99      0.00   0.00   0.00
A9604  Sm 153 lexidronam                                 X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
A9699  Radiopharm rx agent noc                           C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D0417  Collect & prep saliva sample                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
D0418  Analysis of saliva sample                         N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D0486  Access of transep cytol samp                      N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D1203  Topical app fluoride 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             33.9764 090 99      0.00   0.00   0.00
D1204  Topical app fluoride 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D1352  Prev resin rest, perm tooth                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D2940  Protective restoration                            N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D3222  Part pulp for apexogenesis                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D3310  End thxpy, anterior 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             33.9764 090 99      0.00   0.00   0.00
D3320  End thxpy, bicuspid 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             33.9764 090 99      0.00   0.00   0.00
D3330  End thxpy, 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D3354  Pulpal regeneration                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D5991  Topical medicament carrier                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
D5992  Adjust max prost 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             33.9764 090 99      0.00   0.00   0.00
D5993  Main/clean max 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D6254  Interim pontic                                    I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D6795  Interim retainer crown                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D7251  Coronectomy                                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D7295  Bone harvest,auto graft proc                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D7960  Frenulectomy/frenectomy                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
D9420  Hospital/ASC 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0101  CA screen;pelvic/breast exam                      A   0.45   0.60     0.61     0.32     0.32     0.03   1.08   1.09   0.80   0.80  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0102  Prostate ca screening; dre                        A   0.17   0.39     0.37     0.08     0.08     0.01   0.57   0.55   0.26   0.26  0XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0104  CA screen;flexi sigmoidscope                      A   0.96   2.95     2.92     0.76     0.79     0.14   4.05   4.02   1.86   1.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
G0105  Colorectal scrn; hi risk ind                      A   3.69   7.37     7.12     2.22     2.26     0.59  11.65  11.40   6.50   6.54  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
G010553Colorectal scrn; hi risk ind                      A   0.96   2.95     2.92     0.76     0.79     0.14   4.05   4.02   1.86   1.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
G0106  Colon CA screen;barium enema                      A   0.99   5.23     5.15     5.23NA   5.15 NA  0.04   6.26   6.18   6.26   6.18  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0106TCColon CA screen;barium enema                      A   0.00   4.82     4.78     4.82NA   4.78 NA  0.01   4.83   4.79   4.83   4.79  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
G010626Colon CA screen;barium enema                      A   0.99   0.41     0.37     0.41     0.37     0.03   1.43   1.39   1.43   1.39  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0108  Diab manage trn  per indiv                        A   0.90   0.66     0.55     0.66NA   0.55 NA  0.05   1.61   1.50   1.61   1.50  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0109  Diab manage trn ind/group                         A   0.25   0.29     0.15     0.29NA   0.15 NA  0.01   0.55   0.41   0.55   0.41  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0117  Glaucoma scrn hgh risk direc                      T   0.45   0.97     1.02     0.97NA   1.02 NA  0.03   1.45   1.50   1.45   1.50  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0118  Glaucoma scrn hgh risk direc                      T   0.17   0.82     0.86     0.82NA   0.86 NA  0.01   1.00   1.04   1.00   1.04  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0120  Colon ca scrn; barium enema                       A   0.99   5.23     5.15     5.23NA   5.15 NA  0.04   6.26   6.18   6.26   6.18  1XXX.00.00.0000000             33.9764 090 99      2.92   2.92   0.04
G0120TCColon ca scrn; barium enema                       A   0.00   4.82     4.78     4.82NA   4.78 NA  0.01   4.83   4.79   4.83   4.79  1XXX.00.00.0000000             33.9764 090 99      2.51   2.51   0.01
G012026Colon ca scrn; barium enema                       A   0.99   0.41     0.37     0.41     0.37     0.03   1.43   1.39   1.43   1.39  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0121  Colon ca scrn not hi rsk ind                      A   3.69   7.37     7.12     2.22     2.26     0.59  11.65  11.40   6.50   6.54  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
G012153Colon ca scrn not hi rsk ind                      A   0.96   2.95     2.92     0.76     0.79     0.14   4.05   4.02   1.86   1.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
G0122  Colon ca scrn; barium enema                       N+  0.99   6.87     7.14     6.87NA   7.14 NA  0.05   7.91   8.18   7.91   8.18  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0122TCColon ca scrn; barium enema                       N+  0.00   6.44     6.71     6.44NA   6.71 NA  0.01   6.45   6.72   6.45   6.72  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G012226Colon ca scrn; barium enema                       N+  0.99   0.43     0.43     0.43     0.43     0.04   1.46   1.46   1.46   1.46  1XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0124  Screen c/v thin layer by MD                       A   0.42   0.40     0.42     0.40     0.42     0.03   0.85   0.87   0.85   0.87  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0127  Trim nail(s)                                      R   0.17   0.45     0.47     0.06     0.05     0.01   0.63   0.65   0.24   0.23  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
G0128  CORF skilled nursing service                      R   0.08   0.19     0.20     0.19NA   0.20 NA  0.01   0.28   0.29   0.28   0.29  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0130  Single energy x-ray study                         A   0.22   0.74     0.72     0.74NA   0.72 NA  0.02   0.98   0.96   0.98   0.96  1XXX.00.00.0000000             33.9764 090 99      1.40   1.40   0.03
G0130TCSingle energy x-ray study                         A   0.00   0.65     0.62     0.65NA   0.62 NA  0.01   0.66   0.63   0.66   0.63  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
G013026Single energy x-ray study                         A   0.22   0.09     0.10     0.09     0.10     0.01   0.32   0.33   0.32   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0141  Scr c/v cyto,autosys and md                       A   0.42   0.40     0.42     0.40     0.42     0.03   0.85   0.87   0.85   0.87  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0157  HHC PT assistant ea 15                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0158  HHC OT assistant ea 15                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0159  HHC PT maint ea 15 min                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0160  HHC Occup Therapy ea 15                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0161  HHC SLP ea 15 min                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0162  HHC RN E&M plan svs, 15 min                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0163  HHC LPN/RN obs/asses ea 15                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0164  HHC lis nurse train ea 15                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0166  Extrnl counterpulse, per tx                       A   0.07   4.41     3.85     4.41NA   3.85 NA  0.03   4.51   3.95   4.51   3.95  0XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0168  Wound closure by adhesive                         A   0.45   2.06     2.13     0.28     0.30     0.03   2.54   2.61   0.76   0.78  0000.00.00.0020100             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0179  MD recertification HHA PT                         A   0.45   0.71     0.68     0.71NA   0.68 NA  0.03   1.19   1.16   1.19   1.16  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0180  MD certification HHA patient                      A   0.67   0.85     0.80     0.85NA   0.80 NA  0.04   1.56   1.51   1.56   1.51  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0181  Home health care supervision                      A   1.73   1.24     1.27     1.24NA   1.27 NA  0.10   3.07   3.10   3.07   3.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0182  Hospice care supervision                          A   1.73   1.28     1.28     1.28NA   1.28 NA  0.10   3.11   3.11   3.11   3.11  0XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0202  Screeningmammographydigital                       A   0.70   3.38     3.33     3.38NA   3.33 NA  0.05   4.13   4.08   4.13   4.08  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
G0202TCScreeningmammographydigital                       A   0.00   3.09     3.05     3.09NA   3.05 NA  0.01   3.10   3.06   3.10   3.06  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
G020226Screeningmammographydigital                       A   0.70   0.29     0.28     0.29     0.28     0.04   1.03   1.02   1.03   1.02  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
G0204  Diagnosticmammographydigital                      A   0.87   4.01     4.04     4.01NA   4.04 NA  0.06   4.94   4.97   4.94   4.97  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
G0204TCDiagnosticmammographydigital                      A   0.00   3.66     3.69     3.66NA   3.69 NA  0.01   3.67   3.70   3.67   3.70  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
G020426Diagnosticmammographydigital                      A   0.87   0.35     0.35     0.35     0.35     0.05   1.27   1.27   1.27   1.27  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
G0206  Diagnosticmammographydigital                      A   0.70   3.16     3.17     3.16NA   3.17 NA  0.05   3.91   3.92   3.91   3.92  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0206TCDiagnosticmammographydigital                      A   0.00   2.87     2.89     2.87NA   2.89 NA  0.01   2.88   2.90   2.88   2.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G020626Diagnosticmammographydigital                      A   0.70   0.29     0.28     0.29     0.28     0.04   1.03   1.02   1.03   1.02  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0237  Therapeutic procd strg endur                      A   0.00   0.29     0.25     0.29NA   0.25 NA  0.01   0.30   0.26   0.30   0.26  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0238  Oth resp proc, indiv                              A   0.00   0.31     0.26     0.31NA   0.26 NA  0.01   0.32   0.27   0.32   0.27  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0239  Oth resp proc, group                              A   0.00   0.34     0.31     0.34NA   0.31 NA  0.01   0.35   0.32   0.35   0.32  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0245  Initial foot exam pt lops                         R   0.88   1.09     1.16     0.44     0.49     0.05   2.02   2.09   1.37   1.42  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0246  Followup eval of foot pt lop                      R   0.45   0.70     0.72     0.22     0.24     0.03   1.18   1.20   0.70   0.72  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0247  Routine footcare pt w lops                        R   0.50   1.16     1.56     0.18     0.15     0.04   1.70   2.10   0.72   0.69  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0248  Demonstrate use home inr mon                      R   0.00   4.11     3.22     4.11NA   3.22 NA  0.01   4.12   3.23   4.12   3.23  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
G0249  Provide INR test mater/equip                      R   0.00   3.63     3.01     3.63NA   3.01 NA  0.01   3.64   3.02   3.64   3.02  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
G0250  MD INR test revie inter mgmt                      R   0.18   0.08     0.07     0.08NA   0.07 NA  0.01   0.27   0.26   0.27   0.26  2XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G025226PET imaging initial dx                            N+  1.50   0.70     0.66     0.70     0.66     0.10   2.30   2.26   2.30   2.26  1XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0268  Removal of impacted wax md                        A   0.61   0.86     0.91     0.31     0.36     0.03   1.50   1.55   0.95   1.00  0000.00.00.0022100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0270  MNT subs tx for change dx                         A   0.45   0.34     0.37     0.28     0.31     0.03   0.82   0.85   0.76   0.79  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0271  Group MNT 2 or more 30 mins                       A   0.25   0.15     0.18     0.15     0.17     0.01   0.41   0.44   0.41   0.43  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0275  Renal angio, cardiac cath                         A   0.25   0.13NA   0.10NA   0.13     0.10     0.01   0.39   0.36   0.39   0.36  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0278  Iliac art angio,cardiac cath                      A   0.25   0.13NA   0.10NA   0.13     0.10     0.01   0.39   0.36   0.39   0.36  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0281  Elec stim unattend for press                      A   0.18   0.18     0.20     0.18NA   0.20 NA  0.01   0.37   0.39   0.37   0.39  7XXX.00.00.0050000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0283  Elec stim other than wound                        A   0.18   0.18     0.20     0.18NA   0.20 NA  0.01   0.37   0.39   0.37   0.39  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
G0288  Recon, CTA for surg plan                          A   0.00   2.55     0.99     2.55NA   0.99 NA  0.01   2.56   1.00   2.56   1.00  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
G0289  Arthro, loose body + chondro                      A   1.48   0.85NA   0.88NA   0.85     0.88     0.29   2.62   2.65   2.62   2.65  0ZZZ.00.00.0001000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0329  Electromagntic tx for ulcers                      A   0.06   0.20     0.22     0.20NA   0.22 NA  0.01   0.27   0.29   0.27   0.29  7XXX.00.00.0050000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0337  Hospice evaluation preelecti                      X+  1.42   0.62     0.62     0.62     0.62     0.10   2.14   2.14   2.14   2.14  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0341  Percutaneous islet celltrans                      A   6.98  29.48    53.44     3.83     3.00     0.49  36.95  60.91  11.30  10.47  0000.00.00.0020010             33.9764 090 99      0.00   0.00   0.00
G0342  Laparoscopy islet cell trans                      A  11.92   7.14NA   7.83NA   7.14     7.83     0.84  19.90  20.59  19.90  20.59  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
G0343  Laparotomy islet cell transp                      A  19.85  12.09NA  13.28NA  12.09    13.28     1.40  33.34  34.53  33.34  34.53  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
G0364  Bone marrow aspirate &biopsy                      A   0.16   0.19     0.19     0.09     0.09     0.01   0.36   0.36   0.26   0.26  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0365  Vessel mapping hemo access                        A   0.25   5.90     5.87     5.90NA   5.87 NA  0.04   6.19   6.16   6.19   6.16  1XXX.00.00.0000000             33.9764 090 99      4.59   4.59   0.04
G0365TCVessel mapping hemo access                        A   0.00   5.81     5.78     5.81NA   5.78 NA  0.01   5.82   5.79   5.82   5.79  1XXX.00.00.0000000             33.9764 010 99      4.50   4.50   0.01
G036526Vessel mapping hemo access                        A   0.25   0.09     0.09     0.09     0.09     0.03   0.37   0.37   0.37   0.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0372  MD service required for PMD                       A   0.17   0.12     0.08     0.07     0.08     0.01   0.30   0.26   0.25   0.26  0XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G0379  Direct refer hospital observ                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0389  Ultrasound exam AAA screen                        A   0.58   2.68     2.45     2.68NA   2.45 NA  0.04   3.30   3.07   3.30   3.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0389TCUltrasound exam AAA screen                        A   0.00   2.43     2.23     2.43NA   2.23 NA  0.01   2.44   2.24   2.44   2.24  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
G038926Ultrasound exam AAA screen                        A   0.58   0.25     0.22     0.25     0.22     0.03   0.86   0.83   0.86   0.83  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0396  Alcohol/subs interv 15-30mn                       A   0.65   0.28     0.32     0.23     0.27     0.04   0.97   1.01   0.92   0.96  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0397  Alcohol/subs interv >30 min                       A   1.30   0.61     0.79     0.56     0.74     0.08   1.99   2.17   1.94   2.12  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0398  Home sleep test/type 2 Porta                      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             33.9764 090 99      0.00   0.00   0.00
G0398TCHome sleep test/type 2 Porta                      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             33.9764 090 99      0.00   0.00   0.00
G039826Home sleep test/type 2 Porta                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0399  Home sleep test/type 3 Porta                      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             33.9764 090 99      0.00   0.00   0.00
G0399TCHome sleep test/type 3 Porta                      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             33.9764 090 99      0.00   0.00   0.00
G039926Home sleep test/type 3 Porta                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0400  Home sleep test/type 4 Porta                      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             33.9764 090 99      0.00   0.00   0.00
G0400TCHome sleep test/type 4 Porta                      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             33.9764 090 99      0.00   0.00   0.00
G040026Home sleep test/type 4 Porta                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0402  Initial preventive exam                           A   2.43   1.80     2.19     1.15     1.15     0.12   4.35   4.74   3.70   3.70  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0403  EKG for initial prevent exam                      A   0.17   0.39     0.32     0.37NA   0.32 NA  0.02   0.58   0.51   0.56   0.51  4XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0404  EKG tracing for initial prev                      A   0.00   0.31     0.25     0.31NA   0.25 NA  0.01   0.32   0.26   0.32   0.26  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0405  EKG interpret & report preve                      A   0.17   0.08     0.07     0.06     0.07     0.01   0.26   0.25   0.24   0.25  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0406  Telhealth inpt consult 15min                      A   0.76   0.32NA   0.34NA   0.32     0.34     0.05   1.13   1.15   1.13   1.15  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0407  Telheath inpt consult 25min                       A   1.39   0.57NA   0.63NA   0.57     0.63     0.08   2.04   2.10   2.04   2.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0408  Telhealth inpt consult 35min                      A   2.00   0.81NA   0.90NA   0.81     0.90     0.12   2.93   3.02   2.93   3.02  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0409  CORF related serv 15 mins ea                      A   0.00   0.29     0.29     0.29NA   0.29 NA  0.01   0.30   0.30   0.30   0.30  9XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0410  Grp psych partial hosp 45-50                      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             33.9764 090 99      0.00   0.00   0.00
G0411  Inter active grp psych parti                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0412  Open tx iliac spine uni/bil                       A  10.45   8.73NA   9.22NA   8.73     9.22     2.04  21.22  21.71  21.22  21.71  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
G0413  Pelvic ring fracture uni/bil                      A  15.73  12.22NA  12.75NA  12.22    12.75     3.06  31.01  31.54  31.01  31.54  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
G0414  Pelvic ring fx treat int fix                      A  14.65  12.00NA  12.59NA  12.00    12.59     2.86  29.51  30.10  29.51  30.10  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
G0415  Open tx post pelvic fxcture                       A  20.93  15.34NA  16.35NA  15.34    16.35     4.21  40.48  41.49  40.48  41.49  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
G0416  Sat biopsy prostate 1-20 spc                      A   3.09  13.96    13.96    13.96NA  13.96 NA  0.12  17.17  17.17  17.17  17.17  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0416TCSat biopsy prostate 1-20 spc                      A   0.00  12.14    12.14    12.14NA  12.14 NA  0.01  12.15  12.15  12.15  12.15  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G041626Sat biopsy prostate 1-20 spc                      A   3.09   1.82     1.82     1.82     1.82     0.11   5.02   5.02   5.02   5.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0417  Sat biopsy prostate 21-40                         A   5.86  27.26    27.26    27.26NA  27.26 NA  0.25  33.37  33.37  33.37  33.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0417TCSat biopsy prostate 21-40                         A   0.00  23.71    23.71    23.71NA  23.71 NA  0.01  23.72  23.72  23.72  23.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G041726Sat biopsy prostate 21-40                         A   5.86   3.55     3.55     3.55     3.55     0.24   9.65   9.65   9.65   9.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0418  Sat biopsy prostate 41-60                         A  10.30  46.56    46.56    46.56NA  46.56 NA  0.42  57.28  57.28  57.28  57.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0418TCSat biopsy prostate 41-60                         A   0.00  40.50    40.50    40.50NA  40.50 NA  0.01  40.51  40.51  40.51  40.51  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G041826Sat biopsy prostate 41-60                         A  10.30   6.06     6.06     6.06     6.06     0.41  16.77  16.77  16.77  16.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0419  Sat biopsy prostate: >60                          A  11.61  55.86    55.86    55.86NA  55.86 NA  0.46  67.93  67.93  67.93  67.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0419TCSat biopsy prostate: >60                          A   0.00  48.60    48.60    48.60NA  48.60 NA  0.01  48.61  48.61  48.61  48.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G041926Sat biopsy prostate: >60                          A  11.61   7.26     7.26     7.26     7.26     0.45  19.32  19.32  19.32  19.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0420  Ed svc CKD ind per session                        A   2.12   1.02     1.02     1.02NA   1.02 NA  0.11   3.25   3.25   3.25   3.25  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0421  Ed svc CKD grp per session                        A   0.50   0.24     0.24     0.24NA   0.24 NA  0.03   0.77   0.77   0.77   0.77  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0422  Intens cardiac rehab w/exerc                      A   1.06   0.91     0.91     0.91     0.91     0.06   2.03   2.03   2.03   2.03  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0423  Intens cardiac rehab no exer                      A   1.06   0.91     0.91     0.91     0.91     0.06   2.03   2.03   2.03   2.03  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0424  Pulmonary rehab w exer                            A   0.28   0.59     0.59     0.12     0.12     0.03   0.90   0.90   0.43   0.43  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0425  Inpt telehealth consult 30m                       A   1.92   0.86NA   0.86NA   0.86     0.86     0.18   2.96   2.96   2.96   2.96  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0426  Inpt telehealth consult 50m                       A   2.61   1.20NA   1.20NA   1.20     1.20     0.22   4.03   4.03   4.03   4.03  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0427  Inpt telehealth con 70/>m                         A   3.86   1.77NA   1.77NA   1.77     1.77     0.29   5.92   5.92   5.92   5.92  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0428  Collagen Meniscus 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             33.9764 090 99      0.00   0.00   0.00
G0429  Dermal filler injection(s)                        A   1.19   1.19     1.19     0.56     0.56     0.24   2.62   2.62   1.99   1.99  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
G0431  Drug screen multip class                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0432  EIA HIV-1/HIV-2 screen                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0433  ELISA HIV-1/HIV-2 screen                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0434  Drug screen multi drug class                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0435  Oral HIV-1/HIV-2 screen                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G0436  Tobacco-use counsel 3-10 min                      A   0.24   0.16     0.16     0.10     0.10     0.01   0.41   0.41   0.35   0.35  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0437  Tobacco-use counsel>10min                         A   0.50   0.30     0.30     0.24     0.24     0.03   0.83   0.83   0.77   0.77  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0438  PPPS, initial visit                               A   2.43   2.19     2.19     2.19NA   2.19 NA  0.12   4.74   4.74   4.74   4.74  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0439  PPPS, subseq visit                                A   1.50   1.63     1.63     1.63NA   1.63 NA  0.03   3.16   3.16   3.16   3.16  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G0440  Skin/dermal subs init 25or<                       A   2.22   2.71     2.71     1.01     1.01     0.27   5.20   5.20   3.50   3.50  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
G0441  Skin/dermal subs each additi                      A   0.50   0.82     0.82     0.20     0.20     0.07   1.39   1.39   0.77   0.77  0000.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G8417  Calc BMI abv up param f/u                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8418  Calc BMI blw low param f/u                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8419  Calc BMI out nrm param nof/u                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8420  Calc BMI norm parameters                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G8427  Doc cur meds by prov                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8428  Cur meds not document                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G8431  Pos clin depres scrn f/u doc                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G8433  Pt inelig; scrn clin dep                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8440  Pain assess f/u pln 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G8447  Pt vis doc use EHR cer ATCB                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8448  Pt vis doc w/PQRI qual EHR                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G8485  Report, Diabetes measures                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8486  Report, Prev Care Measures                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8487  Report CKD Measures                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8489  CAD measures grp                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8490  RA measures grp                                   M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8491  HIV/AIDS measures grp                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8492  Periop Care measures grp                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8493  Back pain measures grp                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8494  DM meas qual act perform                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8495  CKD meas qual act perform                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8496  Prev Care MG qual act perfrm                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8497  CABG meas qual act perform                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8498  CAD meas qual act perform                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8499  RA meas qual act perform                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8500  HIV meas qual act perform                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8501  Perio meas qual act perform                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8502  Back Pain MG qual act perfrm                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8506  Pt rec 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             33.9764 090 99      0.00   0.00   0.00
G8508  Pt inelig; pain asses no f/u                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8509  Pain assess no f/u pln 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             33.9764 090 99      0.00   0.00   0.00
G8510  Pt inelig neg scrn depres                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8511  Clin depres scrn no f/u 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             33.9764 090 99      0.00   0.00   0.00
G8524  Patch closure conv CEA                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8525  No patch closure CEA                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8526  No patch closure conv CEA                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8530  Auto AV fistula recd                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8531  Pt inelig; 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             33.9764 090 99      0.00   0.00   0.00
G8532  No auto AV fistula; no 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             33.9764 090 99      0.00   0.00   0.00
G8534  Doc elder mal scrn f/u 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             33.9764 090 99      0.00   0.00   0.00
G8535  Pt inelig no eld mal scrn                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8536  No doc elder mal scrn                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8537  Pt inelig eldmal scrn no f/u                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8538  Eld mal scrn no f/u pln                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8539  Cur funct assess & care pln                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8540  Pt inelig funct 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             33.9764 090 99      0.00   0.00   0.00
G8541  No doc cur funct assess                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8542  Pt inelig func asses no pln                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8543  Cur funct asses; no care pln                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8544  CABG measures grp                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8545  HepC measures grp                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8546  CAP measures grp                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8547  IVD measures grp                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8548  HF measures grp                                   M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8549  HepC MG qual act perform                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8550  CAP MG qual act perform                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8551  HF MG qual act perform                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8552  IVD MG qual act perform                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8553  1 Rx via qualified eRx sys                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8556  Ref to doc otolog 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             33.9764 090 99      0.00   0.00   0.00
G8557  Pt inelig ref otolog 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             33.9764 090 99      0.00   0.00   0.00
G8558  No ref to doc otolog 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             33.9764 090 99      0.00   0.00   0.00
G8559  Pt ref doc oto 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             33.9764 090 99      0.00   0.00   0.00
G8560  Pt hx act drain prev 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             33.9764 090 99      0.00   0.00   0.00
G8561  Pt inelig for ref oto 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             33.9764 090 99      0.00   0.00   0.00
G8562  Pt no hx act drain 90 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             33.9764 090 99      0.00   0.00   0.00
G8563  Pt no ref oto reas no spec                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8564  Pt ref oto 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             33.9764 090 99      0.00   0.00   0.00
G8565  Ver doc hear loss                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8566  Pt inelig ref oto 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             33.9764 090 99      0.00   0.00   0.00
G8567  Pt no doc hear loss                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8568  Pt no ref otolo no spec                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8569  Prol intubation 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             33.9764 090 99      0.00   0.00   0.00
G8570  No prol intub req                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8571  Ster wd ifx 30 d postop                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8572  No ster wd ifx                                    M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8573  Stk/CVA 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             33.9764 090 99      0.00   0.00   0.00
G8574  No strk/CVA 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             33.9764 090 99      0.00   0.00   0.00
G8575  Postop ren insuf                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8576  No postop ren insuf                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8577  Reop req bld grft oth                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8578  No reop req bld grft oth                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8579  Antplt med disch                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8580  Antplt med contraind                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8581  no antplt med disch                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8582  Bblock disch                                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8583  Bblock contraind                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8584  No bblock disch                                   M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8585  Antilipid treat disch                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8586  Antlip disch contra                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8587  No antlipid treat disch                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8588  Sys BP <140                                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8589  Sys BP >= 140                                     M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8590  Dia BP < 90                                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8591  Dia BP >= 90                                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8592  No BP 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             33.9764 090 99      0.00   0.00   0.00
G8593  Lipid pn 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             33.9764 090 99      0.00   0.00   0.00
G8594  No lipid prof 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             33.9764 090 99      0.00   0.00   0.00
G8595  Ldl < 100                                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8596  No LDL 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             33.9764 090 99      0.00   0.00   0.00
G8597  Ldl >= 100                                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8598  Asp therp used                                    M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8599  No asp therp used                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8600  tPA initi w/in 3 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             33.9764 090 99      0.00   0.00   0.00
G8601  No elig tPA init w/in 3 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             33.9764 090 99      0.00   0.00   0.00
G8602  No tPA init w/in 3 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             33.9764 090 99      0.00   0.00   0.00
G8603  Spok lang comp score                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8604  No high score spok lang                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8605  No spok lang comp score                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8606  Attention score                                   M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8607  No high score attention                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8608  No attention score                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8609  Memory score                                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8610  No high score memory                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8611  No memory score                                   M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8612  Moto speech score                                 M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8613  No high score moto speech                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8614  No moto speech score                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8615  Reading score                                     M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8616  No high score reading                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8617  No reading score                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8618  Spok lang exp score                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8619  No high score spok lang exp                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8620  No spok lang exp score                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8621  Writing score                                     M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8622  No high score writing                             M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8623  No writing score                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8624  Swallowing score                                  M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8625  No high score swallowing                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8626  No swallowing score                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8627  Surg proc w/in 30 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             33.9764 090 99      0.00   0.00   0.00
G8628  No surg proc w/in 30 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             33.9764 090 99      0.00   0.00   0.00
G8629  Doc antibio order 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             33.9764 090 99      0.00   0.00   0.00
G8630  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             33.9764 090 99      0.00   0.00   0.00
G8631  Pt no elg 4 order antbi give                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8632  Doc no antibi order 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             33.9764 090 99      0.00   0.00   0.00
G8633  Pharm ther osteo rx                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8634  Pt no elg phar ther 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             33.9764 090 99      0.00   0.00   0.00
G8635  No pharm ther osteo rx                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8636  Flu immun admin/prev 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             33.9764 090 99      0.00   0.00   0.00
G8637  Pt no elg receiv flu immun                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8638  Flu immun no admin/prev 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             33.9764 090 99      0.00   0.00   0.00
G8639  Flu immun admin or prev 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             33.9764 090 99      0.00   0.00   0.00
G8640  Pt no elg rec flu immun                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8641  Flu immun not admin/pre 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             33.9764 090 99      0.00   0.00   0.00
G8642  Hrdshp rural w/o internet                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8643  Hrdshp w/o suff pharm w/eRx                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8644  EP no prescribe priv                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8645  Asthma measures grp                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8646  Asthma MG qual act perform                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8647  Fun stat score knee >= 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             33.9764 090 99      0.00   0.00   0.00
G8648  Fun stat score knee < 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             33.9764 090 99      0.00   0.00   0.00
G8649  Fun stat score knee pt noelg                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8650  Fun stat score knee not 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             33.9764 090 99      0.00   0.00   0.00
G8651  Fun stat score hip >= 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             33.9764 090 99      0.00   0.00   0.00
G8652  Fun stat score hip < 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             33.9764 090 99      0.00   0.00   0.00
G8653  Fun stat score hip pt no elg                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8654  Fun stat score hip not 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             33.9764 090 99      0.00   0.00   0.00
G8655  Fun stat score LE >= 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             33.9764 090 99      0.00   0.00   0.00
G8656  Fun stat score LE < 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             33.9764 090 99      0.00   0.00   0.00
G8657  Fun stat score LE pt no elg                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8658  Fun stat score LE not 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             33.9764 090 99      0.00   0.00   0.00
G8659  Fun stat score LS >= 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             33.9764 090 99      0.00   0.00   0.00
G8660  Fun stat score LS < 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             33.9764 090 99      0.00   0.00   0.00
G8661  Fun stat score LS pt no elg                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8662  Fun stat score LS not 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             33.9764 090 99      0.00   0.00   0.00
G8663  Fun stat score shdl >=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             33.9764 090 99      0.00   0.00   0.00
G8664  Fun stat score shdl < 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             33.9764 090 99      0.00   0.00   0.00
G8665  Fun stat score shdl pt no el                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8666  Fun stat score shdl not 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             33.9764 090 99      0.00   0.00   0.00
G8667  Fun stat score UE >=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             33.9764 090 99      0.00   0.00   0.00
G8668  Fun stat score UE < 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             33.9764 090 99      0.00   0.00   0.00
G8669  Fun stat score UE pt no elg                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8670  Fun stat score UE not 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             33.9764 090 99      0.00   0.00   0.00
G8671  Fun stat score neck/TS >=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             33.9764 090 99      0.00   0.00   0.00
G8672  Fun stat score neck/TS < 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             33.9764 090 99      0.00   0.00   0.00
G8673  Fun stat scor nek/TS pt no e                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8674  Fun stat scor nek/TS not don                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8675  BP Syst >= 140 mmHg                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8676  BP Diast >= 90 mmHg                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8677  BP Syst < 130 mmHg                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8678  BP Syst >=130 - 139 mmHg                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8679  BP Diast < 80 mmHg                                M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8680  BP Diast 80-89 mmHg                               M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8681  Pt hosp 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             33.9764 090 99      0.00   0.00   0.00
G8682  LVG 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             33.9764 090 99      0.00   0.00   0.00
G8683  Pt not elig for LVF test                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8684  Pt not hosp 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             33.9764 090 99      0.00   0.00   0.00
G8685  LVF test not 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             33.9764 090 99      0.00   0.00   0.00
G8686  Toba smkr curr or 2 hand exp                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8687  No tob smkr cur no 2 hnd exp                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8688  Smkls tob cur; no 2 hnd exp                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8689  Toba use 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             33.9764 090 99      0.00   0.00   0.00
G8690  Curr toba smkr or 2 hand exp                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8691  No cur tob smkr no 2 hnd exp                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8692  Curr smkls tob; no 2 hnd exp                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G8693  Tobacco no 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G9041  Low vision rehab occupationa                      A   0.69   0.28     0.28     0.28     0.28     0.04   1.01   1.01   1.01   1.01  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G9042  Low vision rehab orient/mobi                      A   0.25   0.25     0.25     0.25     0.25     0.01   0.51   0.51   0.51   0.51  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G9043  Low vision lowvision therapi                      A   0.25   0.25     0.25     0.25     0.25     0.01   0.51   0.51   0.51   0.51  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
G9044  Low vision rehabilate teache                      A   0.24   0.19     0.19     0.19     0.19     0.01   0.44   0.44   0.44   0.44  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
G9141  Influenza A H1N1,admin w cou                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G9142  Influenza A H1N1, 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             33.9764 090 99      0.00   0.00   0.00
G9143  Warfarin respon genetic test                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
G9147  Outpt IV insulin tx any mea                       N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0171  Adrenalin epinephrine 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0220  Alglucosidase 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0348  Anidulafungin injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0461  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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0558  PenG benzathine/procaine inj                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J0561  Penicillin g benzathine inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0585  Injection,onabotulinumtoxinA                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J0586  AbobotulinumtoxinA                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J0587  Inj, rimabotulinumtoxinB                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0597  C-1 esterase, berinert                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J0598  C-1 esterase, cinryze                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0638  Canakinumab injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0641  Levoleucovorin injection                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0718  Certolizumab pegol 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0775  Collagenase, clost hist inj                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J0833  Cosyntropin injection 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             33.9764 090 99      0.00   0.00   0.00
J0834  Cosyntropin cortrosyn 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1267  Doripenem injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1290  Ecallantide injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1453  Fosaprepitant injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1459  Inj IVIG privigen 500 mg                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1559  Hizentra injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1599  Ivig non-lyophilized, NOS                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1680  Human fibrinogen conc 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1750  Inj iron dextran                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1786  Imuglucerase injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1826  Interferon Beta-1A inj                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1930  Lanreotide injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J1953  Levetiracetam injection                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J2358  Olanzapine long-acting inj                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J2426  Paliperidone palmitate 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J2562  Plerixafor injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J2785  Regadenoson injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J2793  Rilonacept injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J2796  Romiplostim injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J3095  Televancin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J3101  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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J3262  Tocilizumab injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J3300  Triamcinolone A inj PRS-free                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J3301  Triamcinolone acet inj NOS                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J3357  Ustekinumab injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J3385  Velaglucerase alfa                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7184  Wilate injection                                  E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J7185  Xyntha 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             33.9764 090 99      0.00   0.00   0.00
J7186  Antihemophilic viii/vwf comp                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7192  Factor viii recombinant NOS                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7196  Antithrombin 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7307  Etonogestrel implant system                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7309  Methyl aminolevulinate, 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7312  Dexamethasone intra 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7325  Synvisc or Synvisc-One                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7335  Capsaicin 8% patch                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7606  Formoterol fumarate, inh                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7611  Albuterol non-comp con                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J7612  Levalbuterol non-comp con                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J7613  Albuterol non-comp unit                           E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J7614  Levalbuterol non-comp unit                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7639  Dornase alfa non-comp unit                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J7686  Treprostinil, non-comp unit                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J8562  Oral fludarabine phosphate                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J8705  Topotecan 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9000  Doxorubicin 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9015  Aldesleukin injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J9017  Arsenic trioxide injection                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9033  Bendamustine injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9050  Carmustine injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9098  Cytarabine 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9120  Dactinomycin injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9150  Daunorubicin injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J9151  Daunorubicin citrate 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             33.9764 090 99      0.00   0.00   0.00
J9155  Degarelix injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J9160  Denileukin diftitox 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9171  Docetaxel injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9181  Etoposide injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9201  Gemcitabine 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9207  Ixabepilone injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9212  Interferon alfacon-1 inj                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9266  Pegaspargase injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9300  Gemtuzumab ozogamicin 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             33.9764 090 99      0.00   0.00   0.00
J9302  Ofatumumab injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9307  Pralatrexate injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J9310  Rituximab injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J9315  Romidepsin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9328  Temozolomide injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J9330  Temsirolimus injection                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9351  Topotecan injection                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J9355  Trastuzumab injection                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
J9357  Valrubicin injection                              E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9390  Vinorelbine 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
J9600  Porfimer 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
M0064  Visit for drug monitoring                         A   0.37   0.99     1.07     0.09     0.08     0.01   1.37   1.45   0.47   0.46  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
P3001  Screening pap smear by phys                       A   0.42   0.40     0.42     0.40     0.42     0.03   0.85   0.87   0.85   0.87  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q0035  Cardiokymography                                  A   0.17   0.35     0.31     0.35NA   0.31 NA  0.02   0.54   0.50   0.54   0.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
Q0035TCCardiokymography                                  A   0.00   0.29     0.25     0.29NA   0.25 NA  0.01   0.30   0.26   0.30   0.26  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
Q003526Cardiokymography                                  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             33.9764 090 99      0.00   0.00   0.00
Q0091  Obtaining screen pap smear                        A   0.37   0.88     0.87     0.15     0.17     0.03   1.28   1.27   0.55   0.57  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
Q0092  Set up port xray equipment                        A   0.00   0.59     0.64     0.59     0.64     0.01   0.60   0.65   0.60   0.65  3XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q0138  Ferumoxytol, 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             33.9764 090 99      0.00   0.00   0.00
Q0139  Ferumoxytol, 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q0179  Ondansetron hcl 8 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q0478  Power adapter, combo vad                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q0479  Power module combo vad, rep                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q0506  Lith-ion batt elec/pneum VAD                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q2009  Fosphenytoin inj PE                               E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q2026  Radiesse injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q2027  Sculptra injection                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q2035  Afluria vacc, 3 yrs & >, im                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q2036  Flulaval vacc, 3 yrs & >, im                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q2037  Fluvirin vacc, 3 yrs & >, im                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q2038  Fluzone vacc, 3 yrs & >, im                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q2039  NOS flu vacc, 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q4074  Iloprost non-comp unit dose                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q4100  Skin substitute, 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             33.9764 090 99      0.00   0.00   0.00
Q4101  Apligraf                                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4102  Oasis wound matrix                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4103  Oasis burn matrix                                 E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4104  Integra BMWD                                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4105  Integra DRT                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4106  Dermagraft                                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4107  Graftjacket                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4108  Integra matrix                                    E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4110  Primatrix                                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4111  Gammagraft                                        E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4112  Cymetra 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             33.9764 090 99      0.00   0.00   0.00
Q4113  Graftjacket xpress                                E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4114  Integra flowable wound matri                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4115  Alloskin                                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4116  Alloderm                                          E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4117  Hyalomatrix                                       E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4118  Matristem micromatrix                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4119  Matristem wound matrix                            E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4120  Matristem burn matrix                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
Q4121  Theraskin                                         E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q5010  Hospice home care in hospice                      E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
Q9968  Visualization adjunct                             E   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S0148  Peg interferon alfa-2b/10                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S0169  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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S0270  Home std case rate 30 days                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S0271  Home hospice case 30 days                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S0272  Home episodic case 30 days                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S0273  MD home visit outside cap                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S0274  Nurse practr visit outs cap                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S0280  Medical home, initial plan                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S0281  Medical home, 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S2066  Breast GAP flap reconst                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S2067  Breast "stacked" DIEP/GAP                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S2118  Total hip resurfacing                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S2270  Insertion vaginal cylinder                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S3628  PAMG-1 rapid assay for ROM                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S3711  Circulating tumor cell 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             33.9764 090 99      0.00   0.00   0.00
S3713  KRAS mutation 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             33.9764 090 99      0.00   0.00   0.00
S3800  Genetic testing ALS                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S3829  Comp MSH2 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S3860  Genet test cardiac ion-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             33.9764 090 99      0.00   0.00   0.00
S3861  Genetic test brugada                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S3862  Genet test cardiac ion-spec                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S3865  Comp genet test hyp cardiomy                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S3866  Spec gene test hyp cardiomy                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
S3870  CGH test developmental delay                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S3905  Auto handheld diag nerv 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S9152  Speech therapy, re-eval                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
S9433  Medical food oral 100% nutr                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
T1503  Med admin, not oral/inject                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
T1505  Elec med comp dev, noc                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 010 99      0.00   0.00   0.00
0001F  Heart failure composite                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0005F  Osteoarthritis composite                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0012F  Cap bacterial 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0014F  Comp preop assess cat surg                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0015F  Melan follow-up complete                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
00210  Anesth cranial surg nos                           J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
00211  Anesth cran surg hemotoma                         J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0054T  Bone surgery using computer                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0055T  Bone surgery using computer                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
00561  Anesth heart surg < 1 yr                          J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
00562  Anesth hrt surg w/pmp age 1+                      J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
00567  Anesth cabg w/pump                                J   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0073T  Delivery comp imrt                                A   0.00  15.29    13.27    15.29NA  13.27 NA  0.01  15.30  13.28  15.30  13.28  3XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0085T  Breath test heart reject                          N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0182T  Hdr elect brachytherapy                           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             33.9764 090 99      0.00   0.00   0.00
0182TTCHdr elect brachytherapy                           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             33.9764 090 99      0.00   0.00   0.00
0182T26Hdr elect brachytherapy                           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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0188T  Videoconf crit care 74 min                        N   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0189T  Videoconf crit care addl 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             33.9764 090 99      0.00   0.00   0.00
0190T  Place intraoc radiation src                       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             33.9764 090 99      0.00   0.00   0.00
0191T  Insert ant segment drain int                      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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0192T  Insert ant segment drain ext                      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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0195T  Arthrod presac interbody                          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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0196T  Arthrod presac interbody eac                      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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0197T  Intrafraction track motion                        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             33.9764 090 99      0.00   0.00   0.00
0198T  Ocular blood flow measure                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0199T  Physiologic tremor record                         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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0200T  Perq sacral augmt unilat inj                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0201T  Perq sacral augmt bilat inj                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
0202T  Post vert arthrplst 1 lumbar                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0205T  Inirs each vessel 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             33.9764 090 99      0.00   0.00   0.00
0206T  Remote algorithm analys ecg                       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             33.9764 090 99      0.00   0.00   0.00
0207T  Clear eyelid gland w/heat                         C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0208T  Audiometry air only                               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             33.9764 090 99      0.00   0.00   0.00
0209T  Audiometry air & bone                             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             33.9764 090 99      0.00   0.00   0.00
0210T  Speech audiometry threshold                       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             33.9764 090 99      0.00   0.00   0.00
0211T  Speech audiom thresh & recog                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0212T  Compre audiometry evaluation                      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             33.9764 090 99      0.00   0.00   0.00
0213T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0214T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0215T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0216T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0217T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0218T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0219T  Plmt post facet implt cerv                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0220T  Plmt post facet implt thor                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0221T  Plmt post facet implt lumb                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0222T  Plmt post facet implt addl                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0223T  Acoustic 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  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0224T  Acoustic ecg 1+ 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             33.9764 090 99      0.00   0.00   0.00
0225T  Acoustic ecg analy & reprog                       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             33.9764 090 99      0.00   0.00   0.00
0226T  Anoscopy hra w/spec collect                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
0227T  Anoscopy hra w/biopsy                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
0228T  Njx tfrml eprl w/us cer/thor                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
0229T  Njx tfrml eprl w/us cer/thor                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
0230T  Njx tfrml eprl w/us lumb/sac                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
0231T  Njx tfrml eprl w/us lumb/sac                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
0232T  Njx platelet plasma                               C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
0233T  Skin glycation spectroscopy                       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             33.9764 090 99      0.00   0.00   0.00
0234T  Trluml perip athrc renal art                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0235T  Trluml perip athrc visceral                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0236T  Trluml perip athrc abd aorta                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0237T  Trluml perip athrc brchiocph                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0238T  Trluml perip athrc iliac art                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0239T  Bioimpedance spectroscopy                         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             33.9764 090 99      0.00   0.00   0.00
0240T  Esoph motility 3d topography                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0240TTCEsoph motility 3d topography                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0240T26Esoph motility 3d topography                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0241T  Esoph motility w/stim/perf                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0241TTCEsoph motility w/stim/perf                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0241T26Esoph motility w/stim/perf                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0242T  Gi tract transit & pres meas                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0242TTCGi tract transit & pres meas                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0242T26Gi tract transit & pres meas                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0243T  Intm msr bronchodil wheeze                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0243TTCIntm msr bronchodil wheeze                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0243T26Intm msr bronchodil wheeze                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0244T  Cont msr bronchodil wheeze                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0244TTCCont msr bronchodil wheeze                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0244T26Cont msr bronchodil wheeze                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0245T  Opn tx rib fx 1-2 ribs                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0246T  Opn tx rib fx 3-4 ribs                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0247T  Opn tx rib fx 5-6 ribs                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0248T  Opn tx rib fx 7+ ribs                             C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
0249T  Ligation hemorrhoid w/us                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0250T  Insert bronchial valve                            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             33.9764 090 99      0.00   0.00   0.00
0251T  Remov bronchial valve 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             33.9764 090 99      0.00   0.00   0.00
0252T  Bronchscpc rmvl bronch valve                      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             33.9764 090 99      0.00   0.00   0.00
0253T  Insert aqueous drain device                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0254T  Evasc rpr iliac art bifur                         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             33.9764 090 99      0.00   0.00   0.00
0255T  Evasc rpr iliac art bifr s&i                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0255TTCEvasc rpr iliac art bifr s&i                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0255T26Evasc rpr iliac art bifr s&i                      C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  1YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
0256T  Evasc aortic hrt valve                            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             33.9764 090 99      0.00   0.00   0.00
0257T  Opn tthrc aortic hrt valve                        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             33.9764 090 99      0.00   0.00   0.00
0258T  Aortic hrt valv w/o card byp                      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             33.9764 090 99      0.00   0.00   0.00
0259T  Aortic hrt valve w/card byp                       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             33.9764 090 99      0.00   0.00   0.00
0260T  Hypthrm bdy neonate 28d/<                         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             33.9764 090 99      0.00   0.00   0.00
0261T  Hypthrm head neonate 28d/<                        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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0501F  Prenatal flow sheet                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0502F  Subsequent prenatal 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             33.9764 090 99      0.00   0.00   0.00
0503F  Postpartum care 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0516F  Anemia plan of care docd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0519F  Pland chemo docd b/4 txmnt                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0520F  Rad dos limts b/4 3d rad                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
0525F  Initial visit for episode                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0526F  Subs visit for episode                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0528F  Rcmnd flw-up 10 yrs docd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0529F  Intrvl 3+yrs pts clnscp 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             33.9764 090 99      0.00   0.00   0.00
0535F  Dyspnea mngmnt plan docd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0540F  Gluco mngmnt plan docd                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0545F  Follow up care plan mdd docd                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
0575F  HIV rna plan 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             33.9764 090 99      0.00   0.00   0.00
1000F  Tobacco use assessed                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
10021  Fna w/o image                                     A   1.27   2.70     2.77     0.58     0.64     0.22   4.19   4.26   2.07   2.13  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
10022  Fna w/image                                       A   1.27   2.61     2.46     0.52     0.52     0.14   4.02   3.87   1.93   1.93  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
1003F  Level of activity assess                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1004F  Clin symp vol ovrld assess                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
10040  Acne surgery                                      A   1.21   1.59     1.64     1.22     1.28     0.18   2.98   3.03   2.61   2.67  0010.10.80.1020100             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
10060  Drainage of skin abscess                          A   1.22   1.86     1.99     1.37     1.46     0.12   3.20   3.33   2.71   2.80  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
10061  Drainage of skin abscess                          A   2.45   2.59     2.74     1.93     2.03     0.30   5.34   5.49   4.68   4.78  0010.10.80.1020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
1008F  Gi/renal risk assess                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
10080  Drainage of pilonidal cyst                        A   1.22   3.48     3.60     1.46     1.58     0.20   4.90   5.02   2.88   3.00  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
10081  Drainage of pilonidal cyst                        A   2.50   4.61     4.76     1.97     2.13     0.45   7.56   7.71   4.92   5.08  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
10120  Remove foreign body                               A   1.25   2.54     2.65     1.25     1.33     0.16   3.95   4.06   2.66   2.74  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
10121  Remove foreign body                               A   2.74   4.52     4.79     2.21     2.36     0.41   7.67   7.94   5.36   5.51  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
10140  Drainage of hematoma/fluid                        A   1.58   2.75     2.92     1.63     1.69     0.20   4.53   4.70   3.41   3.47  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
1015F  Copd symptoms 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             33.9764 090 99      0.00   0.00   0.00
10160  Puncture drainage of lesion                       A   1.25   2.26     2.35     1.36     1.40     0.16   3.67   3.76   2.77   2.81  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
1018F  Assess dyspnea not present                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
10180  Complex drainage wound                            A   2.30   4.11     4.33     2.38     2.49     0.48   6.89   7.11   5.16   5.27  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
1019F  Assess dyspnea present                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1022F  Pneumo imm status assess                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1026F  Co-morbid condition assess                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1030F  Influenza imm status assess                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1034F  Current tobacco smoker                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1035F  Smokeless tobacco user                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
1050F  History of mole changes                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1055F  Visual funct status assess                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1060F  Doc perm/cont/parox atr fib                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1061F  Doc lack perm+cont+parox fib                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1065F  Ischm stroke symp lt3 hrsb/4                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1066F  Ischm stroke symp ge3 hrsb/4                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1070F  Alarm symp assessed-absent                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1071F  Alarm symp assessed-1+ prsnt                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
11000  Debride infected skin                             A   0.60   0.88     0.92     0.22     0.21     0.05   1.53   1.57   0.87   0.86  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11001  Debride infected skin add-on                      A   0.30   0.29     0.29     0.11     0.10     0.03   0.62   0.62   0.44   0.43  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
11004  Debride genitalia & perineum                      A  10.80   4.53NA   4.70NA   4.53     4.70     1.89  17.22  17.39  17.22  17.39  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11005  Debride abdom wall                                A  14.24   5.87NA   6.30NA   5.87     6.30     2.97  23.08  23.51  23.08  23.51  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
11006  Debride genit/per/abdom wall                      A  13.10   5.57NA   5.82NA   5.57     5.82     2.34  21.01  21.26  21.01  21.26  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11008  Remove mesh from abd wall                         A   5.00   2.06NA   2.20NA   2.06     2.20     1.05   8.11   8.25   8.11   8.25  0ZZZ.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
11010  Debride skin at fx site                           A   4.19   8.91     9.41     3.27     3.48     0.76  13.86  14.36   8.22   8.43  0010.10.80.1022100             33.9764 090 99      0.00   0.00   0.00
11011  Debride skin musc at fx site                      A   4.94   9.29     9.58     2.91     3.10     0.98  15.21  15.50   8.83   9.02  0000.00.00.0022100             33.9764 090 99      0.00   0.00   0.00
11012  Deb skin bone at fx site                          A   6.87  12.23    12.44     4.44     4.66     1.31  20.41  20.62  12.62  12.84  0000.00.00.0022100             33.9764 090 99      0.00   0.00   0.00
11042  Deb subq tissue 20 sq cm/<                        A   0.80   1.65     2.12     0.49     0.61     0.10   2.55   3.02   1.39   1.51  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11043  Deb musc/fascia 20 sq cm/<                        A   2.00   3.28     3.28     1.27     1.27     0.33   5.61   5.61   3.60   3.60  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11044  Deb bone 20 sq cm/<                               A   3.60   4.33     4.33     2.02     2.02     0.63   8.56   8.56   6.25   6.25  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11045  Deb subq tissue add-on                            A   0.33   0.51     0.51     0.13     0.13     0.07   0.91   0.91   0.53   0.53  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
11046  Deb musc/fascia add-on                            A   0.70   0.76     0.76     0.30     0.30     0.12   1.58   1.58   1.12   1.12  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
11047  Deb bone add-on                                   A   1.20   1.18     1.18     0.53     0.53     0.22   2.60   2.60   1.95   1.95  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
11055  Trim skin lesion                                  R   0.43   0.95     1.00     0.14     0.13     0.03   1.41   1.46   0.60   0.59  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11056  Trim skin lesions 2 to 4                          R   0.61   1.04     1.09     0.20     0.18     0.04   1.69   1.74   0.85   0.83  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11057  Trim skin lesions over 4                          R   0.79   1.16     1.22     0.26     0.24     0.05   2.00   2.06   1.10   1.08  0000.00.00.0020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
11100  Biopsy skin lesion                                A   0.81   2.09     2.09     0.54     0.58     0.11   3.01   3.01   1.46   1.50  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11101  Biopsy skin add-on                                A   0.41   0.50     0.51     0.28     0.30     0.05   0.96   0.97   0.74   0.76  0ZZZ.00.00.0000100             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
1118F  GERD symps assessed 12 month                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
11200  Removal of skin tags                              A   0.82   1.53     1.60     1.14     1.21     0.11   2.46   2.53   2.07   2.14  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11201  Remove skin tags add-on                           A   0.29   0.22     0.24     0.16     0.18     0.04   0.55   0.57   0.49   0.51  0ZZZ.00.00.0000100             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
1130F  Bk pain + fxn 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             33.9764 090 99      0.00   0.00   0.00
11300  Shave skin lesion                                 A   0.51   1.41     1.44     0.30     0.33     0.07   1.99   2.02   0.88   0.91  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11301  Shave skin lesion                                 A   0.85   1.74     1.77     0.54     0.59     0.11   2.70   2.73   1.50   1.55  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11302  Shave skin lesion                                 A   1.05   2.04     2.07     0.68     0.74     0.14   3.23   3.26   1.87   1.93  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11303  Shave skin lesion                                 A   1.24   2.39     2.44     0.78     0.86     0.18   3.81   3.86   2.20   2.28  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11305  Shave skin lesion                                 A   0.67   1.27     1.32     0.27     0.26     0.05   1.99   2.04   0.99   0.98  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11306  Shave skin lesion                                 A   0.99   1.66     1.71     0.51     0.52     0.11   2.76   2.81   1.61   1.62  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11307  Shave skin lesion                                 A   1.14   1.99     2.03     0.65     0.68     0.14   3.27   3.31   1.93   1.96  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11308  Shave skin lesion                                 A   1.41   2.07     2.14     0.68     0.70     0.14   3.62   3.69   2.23   2.25  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11310  Shave skin lesion                                 A   0.73   1.63     1.66     0.45     0.49     0.10   2.46   2.49   1.28   1.32  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11311  Shave skin lesion                                 A   1.05   1.91     1.94     0.68     0.74     0.14   3.10   3.13   1.87   1.93  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11312  Shave skin lesion                                 A   1.20   2.23     2.26     0.79     0.86     0.18   3.61   3.64   2.17   2.24  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
11313  Shave skin lesion                                 A   1.62   2.62     2.68     1.04     1.14     0.24   4.48   4.54   2.90   3.00  0000.00.00.0029000             33.9764 090 99      0.00   0.00   0.00
1134F  Epsd bk pain for =< 6 wks                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1135F  Epsd bk pain for > 6 wks                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1136F  Epsd bk pain for <= 12 wks                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1137F  Epsd bk pain for > 12 wks                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
11400  Exc tr-ext b9+marg 0.5 < cm                       A   0.90   2.42     2.49     1.23     1.31     0.12   3.44   3.51   2.25   2.33  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11401  Exc tr-ext b9+marg 0.6-1 cm                       A   1.28   2.73     2.82     1.49     1.60     0.20   4.21   4.30   2.97   3.08  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11402  Exc tr-ext b9+marg 1.1-2 cm                       A   1.45   3.00     3.10     1.59     1.70     0.24   4.69   4.79   3.28   3.39  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11403  Exc tr-ext b9+marg 2.1-3 cm                       A   1.84   3.24     3.39     2.03     2.20     0.31   5.39   5.54   4.18   4.35  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11404  Exc tr-ext b9+marg 3.1-4 cm                       A   2.11   3.65     3.81     2.15     2.32     0.37   6.13   6.29   4.63   4.80  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11406  Exc tr-ext b9+marg > 4.0 cm                       A   3.52   4.55     4.88     2.79     3.09     0.67   8.74   9.07   6.98   7.28  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11420  Exc h-f-nk-sp b9+marg 0.5 <                       A   1.03   2.28     2.37     1.20     1.26     0.12   3.43   3.52   2.35   2.41  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11421  Exc h-f-nk-sp b9+marg 0.6-1                       A   1.47   2.77     2.88     1.52     1.61     0.22   4.46   4.57   3.21   3.30  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11422  Exc h-f-nk-sp b9+marg 1.1-2                       A   1.68   3.03     3.15     1.95     2.08     0.26   4.97   5.09   3.89   4.02  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11423  Exc h-f-nk-sp b9+marg 2.1-3                       A   2.06   3.37     3.50     2.14     2.29     0.33   5.76   5.89   4.53   4.68  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11424  Exc h-f-nk-sp b9+marg 3.1-4                       A   2.48   3.73     3.88     2.29     2.45     0.41   6.62   6.77   5.18   5.34  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11426  Exc h-f-nk-sp b9+marg > 4 cm                      A   4.09   4.67     4.93     3.10     3.36     0.71   9.47   9.73   7.90   8.16  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11440  Exc face-mm b9+marg 0.5 < cm                      A   1.05   2.58     2.65     1.71     1.81     0.16   3.79   3.86   2.92   3.02  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11441  Exc face-mm b9+marg 0.6-1 cm                      A   1.53   3.00     3.10     2.01     2.13     0.24   4.77   4.87   3.78   3.90  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11442  Exc face-mm b9+marg 1.1-2 cm                      A   1.77   3.32     3.43     2.15     2.28     0.29   5.38   5.49   4.21   4.34  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11443  Exc face-mm b9+marg 2.1-3 cm                      A   2.34   3.69     3.84     2.45     2.61     0.38   6.41   6.56   5.17   5.33  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11444  Exc face-mm b9+marg 3.1-4 cm                      A   3.19   4.35     4.56     2.88     3.11     0.52   8.06   8.27   6.59   6.82  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11446  Exc face-mm b9+marg > 4 cm                        A   4.80   5.50     5.93     3.80     4.19     0.80  11.10  11.53   9.40   9.79  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11450  Removal sweat gland lesion                        A   3.22   6.63     7.02     3.20     3.52     0.65  10.50  10.89   7.07   7.39  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
11451  Removal sweat gland lesion                        A   4.43   8.09     8.40     3.82     4.16     0.90  13.42  13.73   9.15   9.49  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
11462  Removal sweat gland lesion                        A   3.00   6.71     7.02     3.19     3.47     0.60  10.31  10.62   6.79   7.07  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
11463  Removal sweat gland lesion                        A   4.43   8.39     8.61     3.99     4.31     0.88  13.70  13.92   9.30   9.62  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
11470  Removal sweat gland lesion                        A   3.74   7.03     7.50     3.53     3.90     0.71  11.48  11.95   7.98   8.35  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
11471  Removal sweat gland lesion                        A   4.89   8.40     8.89     4.07     4.49     0.91  14.20  14.69   9.87  10.29  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
1150F  Doc pt rsk death w/in 1yr                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1151F  Doc no pt rsk death w/in 1yr                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1152F  Doc advncd dis comfort 1st                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1153F  Doc advncd dis cmfrt not 1st                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1157F  Advnc care plan in rcrd                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1158F  Advnc care plan tlk docd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1159F  Med list docd in rcrd                             I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
1160F  Rvw meds by rx/dr in rcrd                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
11600  Exc tr-ext mlg+marg 0.5 < cm                      A   1.63   3.47     3.64     1.52     1.68     0.26   5.36   5.53   3.41   3.57  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11601  Exc tr-ext mlg+marg 0.6-1 cm                      A   2.07   4.14     4.28     1.96     2.11     0.31   6.52   6.66   4.34   4.49  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11602  Exc tr-ext mlg+marg 1.1-2 cm                      A   2.27   4.52     4.64     2.17     2.34     0.34   7.13   7.25   4.78   4.95  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11603  Exc tr-ext mlg+marg 2.1-3 cm                      A   2.82   4.86     5.05     2.44     2.67     0.42   8.10   8.29   5.68   5.91  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11604  Exc tr-ext mlg+marg 3.1-4 cm                      A   3.17   5.29     5.51     2.56     2.81     0.52   8.98   9.20   6.25   6.50  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11606  Exc tr-ext mlg+marg > 4 cm                        A   5.02   6.82     7.29     3.34     3.76     0.88  12.72  13.19   9.24   9.66  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11620  Exc h-f-nk-sp mlg+marg 0.5 <                      A   1.64   3.56     3.71     1.57     1.73     0.26   5.46   5.61   3.47   3.63  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11621  Exc h-f-nk-sp mlg+marg 0.6-1                      A   2.08   4.18     4.32     1.99     2.14     0.31   6.57   6.71   4.38   4.53  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11622  Exc h-f-nk-sp mlg+marg 1.1-2                      A   2.41   4.62     4.74     2.27     2.43     0.37   7.40   7.52   5.05   5.21  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11623  Exc h-f-nk-sp mlg+marg 2.1-3                      A   3.11   5.05     5.25     2.61     2.85     0.49   8.65   8.85   6.21   6.45  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11624  Exc h-f-nk-sp mlg+marg 3.1-4                      A   3.62   5.50     5.75     2.81     3.07     0.60   9.72   9.97   7.03   7.29  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11626  Exc h-f-nk-sp mlg+mar > 4 cm                      A   4.61   6.33     6.64     3.26     3.54     0.80  11.74  12.05   8.67   8.95  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11640  Exc face-mm malig+marg 0.5 <                      A   1.67   3.74     3.88     1.69     1.83     0.26   5.67   5.81   3.62   3.76  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11641  Exc face-mm malig+marg 0.6-1                      A   2.17   4.36     4.46     2.12     2.25     0.33   6.86   6.96   4.62   4.75  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11642  Exc face-mm malig+marg 1.1-2                      A   2.62   4.85     4.96     2.43     2.59     0.39   7.86   7.97   5.44   5.60  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11643  Exc face-mm malig+marg 2.1-3                      A   3.42   5.30     5.49     2.84     3.07     0.54   9.26   9.45   6.80   7.03  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11644  Exc face-mm malig+marg 3.1-4                      A   4.34   6.36     6.62     3.38     3.66     0.71  11.41  11.67   8.43   8.71  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11646  Exc face-mm mlg+marg > 4 cm                       A   6.26   7.63     8.02     4.44     4.80     1.05  14.94  15.33  11.75  12.11  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
1170F  Fxnl status 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             33.9764 090 99      0.00   0.00   0.00
11719  Trim nail(s)                                      R   0.17   0.44     0.47     0.06     0.05     0.01   0.62   0.65   0.24   0.23  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11720  Debride nail 1-5                                  A   0.32   0.55     0.58     0.10     0.10     0.03   0.90   0.93   0.45   0.45  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
11721  Debride nail 6 or more                            A   0.54   0.65     0.67     0.18     0.16     0.04   1.23   1.25   0.76   0.74  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
11730  Removal of nail plate                             A   1.10   1.58     1.65     0.36     0.33     0.08   2.76   2.83   1.54   1.51  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11732  Remove nail plate add-on                          A   0.57   0.65     0.68     0.19     0.17     0.04   1.26   1.29   0.80   0.78  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
11740  Drain blood from under nail                       A   0.37   0.94     1.00     0.52     0.54     0.03   1.34   1.40   0.92   0.94  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11750  Removal of nail bed                               A   2.50   3.52     3.73     2.30     2.37     0.22   6.24   6.45   5.02   5.09  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11752  Remove nail bed/finger tip                        A   3.63   4.98     5.36     3.57     3.69     0.39   9.00   9.38   7.59   7.71  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11755  Biopsy nail unit                                  A   1.31   2.39     2.48     0.93     0.93     0.11   3.81   3.90   2.35   2.35  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11760  Repair of nail bed                                A   1.63   4.30     4.69     1.94     2.03     0.26   6.19   6.58   3.83   3.92  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11762  Reconstruction of nail bed                        A   2.94   4.54     4.86     2.24     2.22     0.31   7.79   8.11   5.49   5.47  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11765  Excision of nail fold toe                         A   0.74   3.14     3.36     1.20     1.27     0.05   3.93   4.15   1.99   2.06  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11770  Removal of pilonidal lesion                       A   2.66   4.49     4.75     2.06     2.25     0.52   7.67   7.93   5.24   5.43  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
11771  Removal of pilonidal lesion                       A   6.09   8.58     9.25     4.98     5.45     1.24  15.91  16.58  12.31  12.78  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
11772  Removal of pilonidal lesion                       A   7.35  10.25    10.88     7.24     7.80     1.47  19.07  19.70  16.06  16.62  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
1180F  Thromboemb risk assessed                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
11900  Injection into skin lesions                       A   0.52   1.04     1.04     0.34     0.38     0.07   1.63   1.63   0.93   0.97  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11901  Added skin lesions injection                      A   0.80   1.15     1.17     0.54     0.59     0.11   2.06   2.08   1.45   1.50  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11920  Correct skin color defects                        R   1.61   3.20     3.11     1.48     1.58     0.31   5.12   5.03   3.40   3.50  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11921  Correct skin color defects                        R   1.93   3.60     3.58     1.71     1.84     0.37   5.90   5.88   4.01   4.14  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11922  Correct skin color defects                        R   0.49   1.20     1.22     0.31     0.35     0.08   1.77   1.79   0.88   0.92  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
11950  Therapy for contour defects                       R   0.84   1.12     1.05     0.49     0.48     0.10   2.06   1.99   1.43   1.42  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11951  Therapy for contour defects                       R   1.19   1.50     1.50     0.69     0.74     0.24   2.93   2.93   2.12   2.17  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11952  Therapy for contour defects                       R   1.69   1.84     1.61     0.88     0.80     0.24   3.77   3.54   2.81   2.73  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11954  Therapy for contour defects                       R   1.85   2.49     2.55     1.23     1.38     0.35   4.69   4.75   3.43   3.58  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11960  Insert tissue expander(s)                         A  11.49  13.02NA  12.99NA  13.02    12.99     1.84  26.35  26.32  26.35  26.32  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
11970  Replace tissue expander                           A   8.01   8.32NA   9.01NA   8.32     9.01     1.57  17.90  18.59  17.90  18.59  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
11971  Remove tissue expander(s)                         A   3.41   9.44     9.46     5.08     5.35     0.64  13.49  13.51   9.13   9.40  0090.10.71.1921000             33.9764 090 99      0.00   0.00   0.00
11975  Insert contraceptive cap                          N+  1.48   2.11     2.13     0.64     0.65     0.10   3.69   3.71   2.22   2.23  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
11976  Removal of contraceptive cap                      R   1.78   2.16     2.13     0.75     0.83     0.30   4.24   4.21   2.83   2.91  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11977  Removal/reinsert contra cap                       N+  3.30   2.95     2.96     1.43     1.45     0.24   6.49   6.50   4.97   4.99  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
11980  Implant hormone pellet(s)                         A   1.48   1.33     1.36     0.68     0.73     0.23   3.04   3.07   2.39   2.44  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
11981  Insert drug implant device                        A   1.48   2.21     2.17     0.74     0.71     0.24   3.93   3.89   2.46   2.43  0XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11982  Remove drug implant device                        A   1.78   2.36     2.23     0.90     0.84     0.24   4.38   4.25   2.92   2.86  0XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
11983  Remove/insert drug implant                        A   3.30   2.86     2.54     1.55     1.35     0.35   6.51   6.19   5.20   5.00  0XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
1200F  Seizure type& frequ docd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
12001  Repair superficial wound(s)                       A   0.84   1.83     1.51     0.64     0.37     0.14   2.81   2.49   1.62   1.35  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12002  Repair superficial wound(s)                       A   1.14   1.97     1.71     0.75     0.46     0.19   3.30   3.04   2.08   1.79  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12004  Repair superficial wound(s)                       A   1.44   2.24     1.91     0.85     0.55     0.24   3.92   3.59   2.53   2.23  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12005  Repair superficial wound(s)                       A   1.97   2.75     2.38     1.03     0.72     0.33   5.05   4.68   3.33   3.02  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12006  Repair superficial wound(s)                       A   2.39   3.30     2.86     1.27     0.90     0.41   6.10   5.66   4.07   3.70  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12007  Repair superficial wound(s)                       A   2.90   3.71     3.19     1.49     1.07     0.50   7.11   6.59   4.89   4.47  0000.00.00.0020110             33.9764 090 99      0.00   0.00   0.00
12011  Repair superficial wound(s)                       A   1.07   2.11     1.86     0.68     0.43     0.19   3.37   3.12   1.94   1.69  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12013  Repair superficial wound(s)                       A   1.22   2.20     1.87     0.77     0.46     0.20   3.62   3.29   2.19   1.88  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12014  Repair superficial wound(s)                       A   1.57   2.46     2.07     0.89     0.57     0.26   4.29   3.90   2.72   2.40  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12015  Repair superficial wound(s)                       A   1.98   2.95     2.45     1.03     0.66     0.33   5.26   4.76   3.34   2.97  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12016  Repair superficial wound(s)                       A   2.68   3.44     2.91     1.29     0.91     0.46   6.58   6.05   4.43   4.05  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
12017  Repair superficial wound(s)                       A   3.18   1.34NA   0.76NA   1.34     0.76     0.56   5.08   4.50   5.08   4.50  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
12018  Repair superficial wound(s)                       A   3.61   1.77NA   0.85NA   1.77     0.85     0.64   6.02   5.10   6.02   5.10  0000.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
12020  Closure of split wound                            A   2.67   4.71     4.91     2.33     2.46     0.42   7.80   8.00   5.42   5.55  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12021  Closure of split wound                            A   1.89   2.44     2.62     1.80     1.93     0.31   4.64   4.82   4.00   4.13  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12031  Intmd wnd repair s/tr/ext                         A   2.20   4.51     4.74     2.19     2.40     0.35   7.06   7.29   4.74   4.95  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12032  Intmd wnd repair s/tr/ext                         A   2.52   5.99     6.04     2.83     2.97     0.38   8.89   8.94   5.73   5.87  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12034  Intmd wnd repair s/tr/ext                         A   2.97   5.40     5.63     2.51     2.71     0.50   8.87   9.10   5.98   6.18  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12035  Intmd wnd repair s/tr/ext                         A   3.47   6.65     6.87     2.81     2.97     0.64  10.76  10.98   6.92   7.08  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12036  Intmd wnd repair s/tr/ext                         A   4.09   6.89     7.21     3.05     3.24     0.78  11.76  12.08   7.92   8.11  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12037  Intmd wnd repair s/tr/ext                         A   4.71   7.57     7.87     3.57     3.77     0.90  13.18  13.48   9.18   9.38  0010.10.80.1020010             33.9764 090 99      0.00   0.00   0.00
12041  Intmd wnd repair n-hf/genit                       A   2.42   4.58     4.84     2.24     2.46     0.37   7.37   7.63   5.03   5.25  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12042  Intmd wnd repair n-hg/genit                       A   2.79   5.24     5.36     2.65     2.85     0.41   8.44   8.56   5.85   6.05  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12044  Intmd wnd repair n-hg/genit                       A   3.19   6.29     6.69     2.51     2.70     0.52  10.00  10.40   6.22   6.41  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12045  Intmd wnd repair n-hg/genit                       A   3.68   6.41     6.59     2.78     2.91     0.63  10.72  10.90   7.09   7.22  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12046  Intmd wnd repair n-hg/genit                       A   4.29   7.59     7.76     3.29     3.45     0.84  12.72  12.89   8.42   8.58  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
12047  Intmd wnd repair n-hg/genit                       A   4.69   8.21     8.56     3.47     3.50     0.91  13.81  14.16   9.07   9.10  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
1205F  EPI etiol synd rvwd and docd                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
12051  Intmd wnd repair face/mm                          A   2.52   4.89     5.02     2.44     2.62     0.39   7.80   7.93   5.35   5.53  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12052  Intmd wnd repair face/mm                          A   2.87   5.61     5.77     3.10     3.34     0.42   8.90   9.06   6.39   6.63  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12053  Intmd wnd repair face/mm                          A   3.17   6.16     6.43     2.68     2.88     0.50   9.83  10.10   6.35   6.55  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12054  Intmd wnd repair face/mm                          A   3.50   6.34     6.67     2.59     2.76     0.59  10.43  10.76   6.68   6.85  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12055  Intmd wnd repair face/mm                          A   4.47   7.32     7.80     2.79     2.97     0.73  12.52  13.00   7.99   8.17  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
12056  Intmd wnd repair face/mm                          A   5.28   8.99     9.94     4.12     4.85     0.67  14.94  15.89  10.07  10.80  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
12057  Intmd wnd repair face/mm                          A   6.00  10.28    11.61     4.39     4.77     0.76  17.04  18.37  11.15  11.53  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
1220F  Pt screened for depression                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
13100  Repair of wound or lesion                         A   3.17   5.44     5.50     3.23     3.36     0.50   9.11   9.17   6.90   7.03  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13101  Repair of wound or lesion                         A   3.96   7.01     7.11     3.84     4.03     0.61  11.58  11.68   8.41   8.60  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13102  Repair wound/lesion add-on                        A   1.24   1.68     1.76     0.76     0.83     0.23   3.15   3.23   2.23   2.30  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
13120  Repair of wound or lesion                         A   3.35   5.61     5.68     3.36     3.53     0.52   9.48   9.55   7.23   7.40  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13121  Repair of wound or lesion                         A   4.42   7.82     7.97     4.56     4.81     0.67  12.91  13.06   9.65   9.90  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13122  Repair wound/lesion add-on                        A   1.44   1.78     1.84     0.85     0.93     0.26   3.48   3.54   2.55   2.63  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
13131  Repair of wound or lesion                         A   3.83   6.05     6.14     3.73     3.90     0.59  10.47  10.56   8.15   8.32  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13132  Repair of wound or lesion                         A   6.58   9.40     9.67     6.34     6.68     0.98  16.96  17.23  13.90  14.24  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13133  Repair wound/lesion add-on                        A   2.19   2.39     2.49     1.41     1.53     0.34   4.92   5.02   3.94   4.06  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
13150  Repair of wound or lesion                         A   3.85   5.95     6.06     3.63     3.84     0.61  10.41  10.52   8.09   8.30  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13151  Repair of wound or lesion                         A   4.49   6.70     6.82     4.23     4.43     0.67  11.86  11.98   9.39   9.59  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13152  Repair of wound or lesion                         A   6.37   9.08     9.31     5.28     5.55     0.95  16.40  16.63  12.60  12.87  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
13153  Repair wound/lesion add-on                        A   2.38   2.64     2.78     1.48     1.62     0.38   5.40   5.54   4.24   4.38  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
13160  Late closure of wound                             A  12.04   9.41NA  10.00NA   9.41    10.00     2.23  23.68  24.27  23.68  24.27  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
1400F  Prkns diag rviewed                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
14000  Skin tissue rearrangement                         A   6.37  10.64    10.96     7.38     7.72     1.13  18.14  18.46  14.88  15.22  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
14001  Skin tissue rearrangement                         A   8.78  13.11    13.51     9.22     9.59     1.54  23.43  23.83  19.54  19.91  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
14020  Skin tissue rearrangement                         A   7.22  11.94    12.28     8.50     8.83     1.21  20.37  20.71  16.93  17.26  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
14021  Skin tissue rearrangement                         A   9.72  14.33    14.74    10.34    10.68     1.55  25.60  26.01  21.61  21.95  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
14040  Skin tissue rearrangement                         A   8.60  12.54    12.92     9.12     9.45     1.32  22.46  22.84  19.04  19.37  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
14041  Skin tissue rearrangement                         A  10.83  15.39    15.79    11.02    11.39     1.62  27.84  28.24  23.47  23.84  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
14060  Skin tissue rearrangement                         A   9.23  12.18    12.64     9.50     9.92     1.42  22.83  23.29  20.15  20.57  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
14061  Skin tissue rearrangement                         A  11.48  16.69    17.11    11.86    12.26     1.71  29.88  30.30  25.05  25.45  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
14301  Skin tissue rearrangement                         A  12.65  17.47    17.47    12.25    12.25     2.14  32.26  32.26  27.04  27.04  0090.10.71.1920200             33.9764 090 99      0.00   0.00   0.00
14302  Skin tissue rearrange add-on                      A   3.73   2.54     2.54     2.54     2.54     0.63   6.90   6.90   6.90   6.90  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
14350  Skin tissue rearrangement                         A  11.05   8.58NA   8.67NA   8.58     8.67     1.55  21.18  21.27  21.18  21.27  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15002  Wound prep trk/arm/leg                            A   3.65   5.48     5.83     2.36     2.59     0.65   9.78  10.13   6.66   6.89  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
15003  Wound prep addl 100 cm                            A   0.80   1.17     1.23     0.38     0.42     0.16   2.13   2.19   1.34   1.38  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
15004  Wound prep f/n/hf/g                               A   4.58   6.25     6.49     2.80     2.98     0.67  11.50  11.74   8.05   8.23  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
15005  Wnd prep f/n/hf/g addl cm                         A   1.60   1.62     1.73     0.76     0.85     0.31   3.53   3.64   2.67   2.76  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
15040  Harvest cultured skin graft                       A   2.00   4.99     5.03     1.37     1.46     0.37   7.36   7.40   3.74   3.83  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15050  Skin pinch graft                                  A   5.57   9.77    10.46     6.64     7.09     0.90  16.24  16.93  13.11  13.56  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15100  Skin splt grft trnk/arm/leg                       A   9.90  13.24    13.60     9.22     9.76     1.95  25.09  25.45  21.07  21.61  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15101  Skin splt grft t/a/l add-on                       A   1.72   3.36     3.33     1.22     1.28     0.34   5.42   5.39   3.28   3.34  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15110  Epidrm autogrft trnk/arm/leg                      A  10.97  11.63    12.14     8.48     9.08     2.15  24.75  25.26  21.60  22.20  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15111  Epidrm autogrft t/a/l add-on                      A   1.85   1.23     1.22     0.88     0.90     0.38   3.46   3.45   3.11   3.13  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15115  Epidrm a-grft face/nck/hf/g                       A  11.28  12.01    12.84     9.13     9.83     1.85  25.14  25.97  22.26  22.96  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15116  Epidrm a-grft f/n/hf/g addl                       A   2.50   1.98     2.23     1.54     1.80     0.49   4.97   5.22   4.53   4.79  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15120  Skn splt a-grft fac/nck/hf/g                      A  11.16  14.63    15.53    10.12    10.88     1.93  27.72  28.62  23.21  23.97  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15121  Skn splt a-grft f/n/hf/g add                      A   2.67   4.58     4.69     1.88     2.01     0.50   7.75   7.86   5.05   5.18  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15130  Derm autograft trnk/arm/leg                       A   7.53  10.62    10.99     7.53     8.00     1.48  19.63  20.00  16.54  17.01  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15131  Derm autograft t/a/l add-on                       A   1.50   1.16     1.30     0.90     1.08     0.31   2.97   3.11   2.71   2.89  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15135  Derm autograft face/nck/hf/g                      A  11.03  12.41    13.27     9.58    10.27     1.88  25.32  26.18  22.49  23.18  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15136  Derm autograft f/n/hf/g add                       A   1.50   0.98     1.17     0.80     1.00     0.10   2.58   2.77   2.40   2.60  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15150  Cult epiderm grft t/arm/leg                       A   9.39   8.81     8.93     7.14     7.29     1.99  20.19  20.31  18.52  18.67  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15151  Cult epiderm grft t/a/l addl                      A   2.00   1.45     1.66     1.17     1.40     0.42   3.87   4.08   3.59   3.82  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15152  Cult epiderm graft t/a/l +%                       A   2.50   1.56     1.37     1.26     1.12     0.49   4.55   4.36   4.25   4.11  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15155  Cult epiderm graft f/n/hf/g                       A  10.14   7.90     6.90     6.52     5.54     0.76  18.80  17.80  17.42  16.44  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15156  Cult epidrm grft f/n/hfg add                      A   2.75   1.62     1.46     1.34     1.20     0.59   4.96   4.80   4.68   4.54  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15157  Cult epiderm grft f/n/hfg +%                      A   3.00   1.60     1.20     1.24     0.89     0.22   4.82   4.42   4.46   4.11  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15170  Acell graft trunk/arms/legs                       A   5.99   5.56     6.07     3.80     4.26     1.09  12.64  13.15  10.88  11.34  0090.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
15171  Acell graft t/arm/leg add-on                      A   1.55   0.90     0.98     0.75     0.81     0.31   2.76   2.84   2.61   2.67  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15175  Acellular graft f/n/hf/g                          A   7.99   6.02     6.20     4.37     4.51     1.05  15.06  15.24  13.41  13.55  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15176  Acell graft f/n/hf/g add-on                       A   2.45   1.47     1.57     1.18     1.26     0.39   4.31   4.41   4.02   4.10  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15200  Skin full graft trunk                             A   9.15  13.04    13.84     8.81     9.57     1.65  23.84  24.64  19.61  20.37  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15201  Skin full graft trunk add-on                      A   1.32   2.74     2.80     0.80     0.90     0.26   4.32   4.38   2.38   2.48  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
15220  Skin full graft sclp/arm/leg                      A   8.09  12.96    13.46     8.79     9.25     1.39  22.44  22.94  18.27  18.73  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15221  Skin full graft add-on                            A   1.19   2.58     2.61     0.73     0.79     0.23   4.00   4.03   2.15   2.21  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15240  Skin full grft face/genit/hf                      A  10.41  15.02    15.76    11.53    12.25     1.70  27.13  27.87  23.64  24.36  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15241  Skin full graft add-on                            A   1.86   3.20     3.33     1.18     1.29     0.33   5.39   5.52   3.37   3.48  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15260  Skin full graft een & lips                        A  11.64  16.01    16.76    12.15    12.83     1.77  29.42  30.17  25.56  26.24  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15261  Skin full graft add-on                            A   2.23   3.69     3.83     1.66     1.77     0.37   6.29   6.43   4.26   4.37  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15300  Apply skinallogrft t/arm/lg                       A   4.65   4.62     5.03     3.05     3.35     0.86  10.13  10.54   8.56   8.86  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15301  Apply sknallogrft t/a/l addl                      A   1.00   0.64     0.68     0.48     0.51     0.20   1.84   1.88   1.68   1.71  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15320  Apply skin allogrft f/n/hf/g                      A   5.36   4.77     4.96     3.07     3.16     0.73  10.86  11.05   9.16   9.25  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15321  Aply sknallogrft f/n/hfg add                      A   1.50   0.96     1.03     0.75     0.81     0.30   2.76   2.83   2.55   2.61  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15330  Aply acell alogrft t/arm/leg                      A   3.99   4.67     5.09     3.06     3.36     0.76   9.42   9.84   7.81   8.11  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15331  Aply acell grft t/a/l add-on                      A   1.00   0.67     0.75     0.53     0.59     0.20   1.87   1.95   1.73   1.79  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15335  Apply acell graft f/n/hf/g                        A   4.50   4.25     4.43     2.70     2.78     0.50   9.25   9.43   7.70   7.78  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15336  Aply acell grft f/n/hf/g add                      A   1.43   1.06     1.33     0.80     1.03     0.10   2.59   2.86   2.33   2.56  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
15340  Apply cult skin substitute                        A   3.82   4.75     4.90     3.41     3.56     0.52   9.09   9.24   7.75   7.90  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
15341  Apply cult skin sub add-on                        A   0.50   0.79     0.82     0.20     0.20     0.07   1.36   1.39   0.77   0.77  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15360  Apply cult derm sub t/a/l                         A   4.02   5.75     5.84     4.21     4.33     0.60  10.37  10.46   8.83   8.95  0090.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
15361  Aply cult derm sub t/a/l add                      A   1.15   0.57     0.50     0.40     0.34     0.20   1.92   1.85   1.75   1.69  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15365  Apply cult derm sub f/n/hf/g                      A   4.30   5.20     5.31     3.80     3.90     0.41   9.91  10.02   8.51   8.61  0090.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
15366  Apply cult derm f/hf/g add                        A   1.45   0.76     0.75     0.54     0.53     0.16   2.37   2.36   2.15   2.14  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15400  Apply skin xenograft t/a/l                        A   4.47   6.59     7.09     5.22     5.50     0.69  11.75  12.25  10.38  10.66  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15401  Apply skn xenogrft t/a/l add                      A   1.00   1.43     1.36     0.47     0.51     0.22   2.65   2.58   1.69   1.73  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15420  Apply skin xgraft f/n/hf/g                        A   4.98   7.11     7.29     5.61     5.78     0.67  12.76  12.94  11.26  11.43  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15421  Apply skn xgrft f/n/hf/g add                      A   1.50   1.58     1.69     0.74     0.82     0.30   3.38   3.49   2.54   2.62  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15430  Apply acellular xenograft                         A   6.20   8.46     9.01     7.82     8.30     1.05  15.71  16.26  15.07  15.55  0090.10.71.1920100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
15570  Form skin pedicle flap                            A  10.21  13.72    14.38     8.96     9.63     2.07  26.00  26.66  21.24  21.91  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15572  Form skin pedicle flap                            A  10.12  13.40    14.34     9.69    10.60     1.82  25.34  26.28  21.63  22.54  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15574  Form skin pedicle flap                            A  10.70  13.98    14.79    10.07    10.84     1.82  26.50  27.31  22.59  23.36  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15576  Form skin pedicle flap                            A   9.37  12.63    13.26     8.97     9.63     1.54  23.54  24.17  19.88  20.54  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15600  Skin graft                                        A   2.01   7.04     6.96     3.61     3.76     0.38   9.43   9.35   6.00   6.15  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15610  Skin graft                                        A   2.52   6.93     7.35     4.05     4.23     0.45   9.90  10.32   7.02   7.20  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15620  Skin graft                                        A   3.75   8.37     8.47     5.09     5.39     0.61  12.73  12.83   9.45   9.75  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15630  Skin graft                                        A   4.08   8.73     8.85     5.51     5.75     0.65  13.46  13.58  10.24  10.48  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15650  Transfer skin pedicle flap                        A   4.77   9.33     9.37     5.86     6.05     0.78  14.88  14.92  11.41  11.60  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15731  Forehead flap w/vasc pedicle                      A  14.38  16.62    17.56    13.43    14.38     2.41  33.41  34.35  30.22  31.17  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15732  Muscle-skin graft head/neck                       A  19.90  20.55    21.83    15.91    17.49     3.54  43.99  45.27  39.35  40.93  0090.10.71.1920110             33.9764 090 99      0.00   0.00   0.00
15734  Muscle-skin graft trunk                           A  19.86  20.86    21.62    15.88    16.83     3.99  44.71  45.47  39.73  40.68  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15736  Muscle-skin graft arm                             A  17.04  18.94    19.62    13.81    14.86     3.36  39.34  40.02  34.21  35.26  0090.10.71.1920110             33.9764 090 99      0.00   0.00   0.00
15738  Muscle-skin graft leg                             A  19.04  19.03    19.68    14.25    15.19     3.81  41.88  42.53  37.10  38.04  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15740  Island pedicle flap graft                         A  11.80  16.41    17.05    12.12    12.77     1.77  29.98  30.62  25.69  26.34  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15750  Neurovascular pedicle graft                       A  12.96  11.71NA  12.47NA  11.71    12.47     2.29  26.96  27.72  26.96  27.72  0090.10.71.1920200             33.9764 090 99      0.00   0.00   0.00
15756  Free myo/skin flap microvasc                      A  36.94  26.52NA  28.89NA  26.52    28.89     6.36  69.82  72.19  69.82  72.19  0090.10.71.1920220             33.9764 090 99      0.00   0.00   0.00
15757  Free skin flap microvasc                          A  37.15  26.05NA  28.34NA  26.05    28.34     5.92  69.12  71.41  69.12  71.41  0090.10.71.1920220             33.9764 090 99      0.00   0.00   0.00
15758  Free fascial flap microvasc                       A  36.90  26.00NA  28.16NA  26.00    28.16     5.92  68.82  70.98  68.82  70.98  0090.10.71.1920220             33.9764 090 99      0.00   0.00   0.00
15760  Composite skin graft                              A   9.86  13.44    14.16     9.57    10.26     1.58  24.88  25.60  21.01  21.70  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15770  Derma-fat-fascia graft                            A   8.96   9.05NA   9.78NA   9.05     9.78     1.63  19.64  20.37  19.64  20.37  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15775  Hair transplant punch grafts                      R   3.95   4.16     3.83     1.97     1.99     0.29   8.40   8.07   6.21   6.23  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
15776  Hair transplant punch grafts                      R   5.53   6.39     6.61     3.15     3.36     0.38  12.30  12.52   9.06   9.27  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
15780  Abrasion treatment of skin                        A   8.73  14.03    14.13     8.61     8.59     1.20  23.96  24.06  18.54  18.52  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15781  Abrasion treatment of skin                        A   5.02  10.05    10.41     6.90     7.17     0.76  15.83  16.19  12.68  12.95  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15782  Abrasion treatment of skin                        A   4.44  11.04    10.78     6.58     6.37     0.63  16.11  15.85  11.65  11.44  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15783  Abrasion treatment of skin                        A   4.41   9.15     9.29     5.98     6.29     0.63  14.19  14.33  11.02  11.33  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15786  Abrasion lesion single                            A   2.08   4.62     4.70     1.67     1.74     0.33   7.03   7.11   4.08   4.15  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
15787  Abrasion lesions add-on                           A   0.33   1.02     1.00     0.15     0.16     0.04   1.39   1.37   0.52   0.53  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
15788  Chemical peel face epiderm                        R   2.09  10.58    11.08     4.77     5.05     0.35  13.02  13.52   7.21   7.49  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15789  Chemical peel face dermal                         R   4.91  10.75    10.71     6.91     7.11     0.68  16.34  16.30  12.50  12.70  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15792  Chemical peel nonfacial                           R   1.86  10.34    10.56     5.54     5.62     0.30  12.50  12.72   7.70   7.78  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15793  Chemical peel nonfacial                           A   3.96   9.62     9.95     6.17     6.49     0.56  14.14  14.47  10.69  11.01  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15819  Plastic surgery neck                              A  10.65   8.13NA   7.58NA   8.13     7.58     2.10  20.88  20.33  20.88  20.33  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15820  Revision of lower eyelid                          A   6.27   8.81     9.43     7.33     7.98     1.24  16.32  16.94  14.84  15.49  0090.10.71.1921000             33.9764 090 99      0.00   0.00   0.00
15821  Revision of lower eyelid                          A   6.84   9.24    10.02     7.59     8.37     1.33  17.41  18.19  15.76  16.54  0090.10.71.1921000             33.9764 090 99      0.00   0.00   0.00
15822  Revision of upper eyelid                          A   4.62   7.21     7.72     5.77     6.29     0.82  12.65  13.16  11.21  11.73  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
15823  Revision of upper eyelid                          A   6.81   9.75    10.11     8.13     8.45     1.27  17.83  18.19  16.21  16.53  0090.10.71.1921100             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
15830  Exc skin abd                                      R  17.11  13.76NA  15.07NA  13.76    15.07     3.39  34.26  35.57  34.26  35.57  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15832  Excise excessive skin tissue                      A  12.85  11.70NA  13.22NA  11.70    13.22     2.57  27.12  28.64  27.12  28.64  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15833  Excise excessive skin tissue                      A  11.90  11.24NA  12.54NA  11.24    12.54     2.33  25.47  26.77  25.47  26.77  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15834  Excise excessive skin tissue                      A  12.17  11.07NA  12.73NA  11.07    12.73     2.40  25.64  27.30  25.64  27.30  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15835  Excise excessive skin tissue                      A  12.99  11.58NA  13.30NA  11.58    13.30     2.56  27.13  28.85  27.13  28.85  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15836  Excise excessive skin tissue                      A  10.61   8.49NA   8.50NA   8.49     8.50     2.08  21.18  21.19  21.18  21.19  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15837  Excise excessive skin tissue                      A   9.55  12.61    14.45     8.91    10.00     2.01  24.17  26.01  20.47  21.56  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15838  Excise excessive skin tissue                      A   8.25   7.62NA   8.16NA   7.62     8.16     1.06  16.93  17.47  16.93  17.47  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15839  Excise excessive skin tissue                      A  10.50  12.71    13.44     8.88     9.49     1.93  25.14  25.87  21.31  21.92  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15840  Graft for face nerve palsy                        A  14.99  12.70NA  13.81NA  12.70    13.81     2.40  30.09  31.20  30.09  31.20  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15841  Graft for face nerve palsy                        A  25.99  20.34NA  22.80NA  20.34    22.80     3.36  49.69  52.15  49.69  52.15  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15842  Flap for face nerve palsy                         A  41.01  28.26NA  29.27NA  28.26    29.27     5.28  74.55  75.56  74.55  75.56  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15845  Skin and muscle repair face                       A  14.32  12.58NA  14.17NA  12.58    14.17     1.84  28.74  30.33  28.74  30.33  0090.10.71.1920200             33.9764 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.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
15850  Removal of sutures                                B+  0.78   1.68     1.61     0.34     0.34     0.05   2.51   2.44   1.17   1.17  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
15851  Removal of sutures                                A   0.86   1.77     1.84     0.37     0.42     0.12   2.75   2.82   1.35   1.40  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
15852  Dressing change not for burn                      A   0.86   0.38NA   0.41NA   0.38     0.41     0.14   1.38   1.41   1.38   1.41  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
15860  Test for blood flow in graft                      A   1.95   0.89NA   0.90NA   0.89     0.90     0.38   3.22   3.23   3.22   3.23  0000.00.00.0020000             33.9764 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             33.9764 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             33.9764 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  0000.00.00.0021000             33.9764 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  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
15920  Removal of tail bone ulcer                        A   8.29   7.54NA   8.19NA   7.54     8.19     1.71  17.54  18.19  17.54  18.19  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15922  Removal of tail bone ulcer                        A  10.38  10.18NA  11.51NA  10.18    11.51     2.03  22.59  23.92  22.59  23.92  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15931  Remove sacrum pressure sore                       A  10.07   7.49NA   8.04NA   7.49     8.04     2.07  19.63  20.18  19.63  20.18  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15933  Remove sacrum pressure sore                       A  11.77  10.14NA  10.89NA  10.14    10.89     2.41  24.32  25.07  24.32  25.07  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15934  Remove sacrum pressure sore                       A  13.68  10.57NA  11.51NA  10.57    11.51     2.78  27.03  27.97  27.03  27.97  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15935  Remove sacrum pressure sore                       A  15.78  13.04NA  13.93NA  13.04    13.93     3.18  32.00  32.89  32.00  32.89  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15936  Remove sacrum pressure sore                       A  13.16  10.26NA  11.10NA  10.26    11.10     2.67  26.09  26.93  26.09  26.93  0090.10.71.1920110             33.9764 090 99      0.00   0.00   0.00
15937  Remove sacrum pressure sore                       A  15.14  12.33NA  13.34NA  12.33    13.34     3.06  30.53  31.54  30.53  31.54  0090.10.71.1920110             33.9764 090 99      0.00   0.00   0.00
15940  Remove hip pressure sore                          A  10.20   7.96NA   8.63NA   7.96     8.63     2.07  20.23  20.90  20.23  20.90  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15941  Remove hip pressure sore                          A  12.41  11.34NA  12.07NA  11.34    12.07     2.48  26.23  26.96  26.23  26.96  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15944  Remove hip pressure sore                          A  12.44  11.15NA  12.13NA  11.15    12.13     2.50  26.09  27.07  26.09  27.07  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15945  Remove hip pressure sore                          A  13.75  12.47NA  13.57NA  12.47    13.57     2.74  28.96  30.06  28.96  30.06  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
15946  Remove hip pressure sore                          A  24.12  19.21NA  20.86NA  19.21    20.86     4.82  48.15  49.80  48.15  49.80  0090.10.71.1920110             33.9764 090 99      0.00   0.00   0.00
15950  Remove thigh pressure sore                        A   8.03   7.01NA   7.38NA   7.01     7.38     1.59  16.63  17.00  16.63  17.00  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
15951  Remove thigh pressure sore                        A  11.58  11.20NA  13.04NA  11.20    13.04     2.27  25.05  26.89  25.05  26.89  0090.10.71.1920010             33.9764 090 99      0.00   0.00   0.00
15952  Remove thigh pressure sore                        A  12.31   9.54NA   9.52NA   9.54     9.52     2.63  24.48  24.46  24.48  24.46  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
15953  Remove thigh pressure sore                        A  13.57  10.62NA  10.45NA  10.62    10.45     2.67  26.86  26.69  26.86  26.69  0090.10.71.1920110             33.9764 090 99      0.00   0.00   0.00
15956  Remove thigh pressure sore                        A  16.79  13.63NA  14.86NA  13.63    14.86     3.42  33.84  35.07  33.84  35.07  0090.10.71.1920110             33.9764 090 99      0.00   0.00   0.00
15958  Remove thigh pressure sore                        A  16.75  14.39NA  15.65NA  14.39    15.65     3.39  34.53  35.79  34.53  35.79  0090.10.71.1920110             33.9764 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             33.9764 090 99      0.00   0.00   0.00
16000  Initial treatment of burn(s)                      A   0.89   0.97     1.02     0.34     0.39     0.12   1.98   2.03   1.35   1.40  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
16020  Dress/debrid p-thick burn s                       A   0.80   1.48     1.56     0.75     0.82     0.11   2.39   2.47   1.66   1.73  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
16025  Dress/debrid p-thick burn m                       A   1.85   2.13     2.26     1.22     1.33     0.31   4.29   4.42   3.38   3.49  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
16030  Dress/debrid p-thick burn l                       A   2.08   2.71     2.86     1.40     1.52     0.37   5.16   5.31   3.85   3.97  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
16035  Incision of burn scab initi                       A   3.74   1.62NA   1.57NA   1.62     1.57     0.63   5.99   5.94   5.99   5.94  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
16036  Escharotomy addl incision                         A   1.50   0.65NA   0.67NA   0.65     0.67     0.27   2.42   2.44   2.42   2.44  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
17000  Destruct premalg lesion                           A   0.65   1.61     1.63     0.90     0.94     0.08   2.34   2.36   1.63   1.67  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17003  Destruct premalg les 2-14                         A   0.07   0.13     0.12     0.05     0.05     0.01   0.21   0.20   0.13   0.13  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
17004  Destroy premlg lesions 15+                        A   1.85   2.94     2.92     1.83     1.85     0.27   5.06   5.04   3.95   3.97  0010.10.80.1000100             33.9764 090 99      0.00   0.00   0.00
17106  Destruction of skin lesions                       A   3.69   5.76     5.85     3.92     4.02     0.53   9.98  10.07   8.14   8.24  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
17107  Destruction of skin lesions                       A   4.79   7.43     7.37     4.98     4.94     0.73  12.95  12.89  10.50  10.46  0090.10.71.1920100             33.9764 090 99      0.00   0.00   0.00
17108  Destruction of skin lesions                       A   7.49   9.70    10.06     6.65     6.85     1.31  18.50  18.86  15.45  15.65  0090.10.71.1920000             33.9764 090 99      0.00   0.00   0.00
17110  Destruct b9 lesion 1-14                           A   0.70   2.41     2.40     1.23     1.28     0.08   3.19   3.18   2.01   2.06  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17111  Destruct lesion 15 or more                        A   0.97   2.71     2.72     1.41     1.46     0.12   3.80   3.81   2.50   2.55  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17250  Chemical cautery tissue                           A   0.50   1.63     1.68     0.48     0.51     0.07   2.20   2.25   1.05   1.08  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
17260  Destruction of skin lesions                       A   0.96   1.68     1.69     0.92     0.97     0.12   2.76   2.77   2.00   2.05  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17261  Destruction of skin lesions                       A   1.22   2.77     2.79     1.32     1.38     0.18   4.17   4.19   2.72   2.78  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17262  Destruction of skin lesions                       A   1.63   3.20     3.22     1.60     1.69     0.23   5.06   5.08   3.46   3.55  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17263  Destruction of skin lesions                       A   1.84   3.47     3.50     1.73     1.83     0.26   5.57   5.60   3.83   3.93  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17264  Destruction of skin lesions                       A   1.99   3.69     3.73     1.81     1.91     0.29   5.97   6.01   4.09   4.19  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17266  Destruction of skin lesions                       A   2.39   4.04     4.09     2.03     2.17     0.34   6.77   6.82   4.76   4.90  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17270  Destruction of skin lesions                       A   1.37   2.78     2.83     1.38     1.46     0.20   4.35   4.40   2.95   3.03  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17271  Destruction of skin lesions                       A   1.54   3.01     3.04     1.54     1.62     0.23   4.78   4.81   3.31   3.39  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17272  Destruction of skin lesions                       A   1.82   3.37     3.41     1.73     1.83     0.26   5.45   5.49   3.81   3.91  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17273  Destruction of skin lesions                       A   2.10   3.67     3.72     1.90     2.02     0.30   6.07   6.12   4.30   4.42  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17274  Destruction of skin lesions                       A   2.64   4.15     4.21     2.24     2.36     0.37   7.16   7.22   5.25   5.37  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17276  Destruction of skin lesions                       A   3.25   4.56     4.66     2.56     2.72     0.48   8.29   8.39   6.29   6.45  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17280  Destruction of skin lesions                       A   1.22   2.68     2.71     1.29     1.36     0.18   4.08   4.11   2.69   2.76  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17281  Destruction of skin lesions                       A   1.77   3.14     3.18     1.69     1.78     0.26   5.17   5.21   3.72   3.81  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17282  Destruction of skin lesions                       A   2.09   3.60     3.65     1.91     2.02     0.30   5.99   6.04   4.30   4.41  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17283  Destruction of skin lesions                       A   2.69   4.13     4.21     2.29     2.43     0.38   7.20   7.28   5.36   5.50  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17284  Destruction of skin lesions                       A   3.26   4.64     4.73     2.64     2.80     0.45   8.35   8.44   6.35   6.51  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17286  Destruction of skin lesions                       A   4.48   5.42     5.60     3.36     3.56     0.67  10.57  10.75   8.51   8.71  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17311  Mohs 1 stage h/n/hf/g                             A   6.20  12.59    12.16     4.32     4.65     0.87  19.66  19.23  11.39  11.72  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
17312  Mohs addl stage                                   A   3.30   7.98     7.64     2.30     2.47     0.45  11.73  11.39   6.05   6.22  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
17313  Mohs 1 stage t/a/l                                A   5.56  11.59    11.18     3.88     4.17     0.78  17.93  17.52  10.22  10.51  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
17314  Mohs addl stage t/a/l                             A   3.06   7.40     7.08     2.13     2.29     0.42  10.88  10.56   5.61   5.77  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
17315  Mohs surg addl block                              A   0.87   1.38     1.36     0.61     0.65     0.11   2.36   2.34   1.59   1.63  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
17340  Cryotherapy of skin                               A   0.77   0.58     0.65     0.52     0.59     0.10   1.45   1.52   1.39   1.46  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
17360  Skin peel therapy                                 A   1.46   2.18     2.20     1.31     1.38     0.22   3.86   3.88   2.99   3.06  0010.10.80.1020100             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
19000  Drainage of breast lesion                         A   0.84   2.25     2.14     0.35     0.33     0.11   3.20   3.09   1.30   1.28  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
19001  Drain breast lesion add-on                        A   0.42   0.31     0.29     0.17     0.16     0.05   0.78   0.76   0.64   0.63  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
19020  Incision of breast lesion                         A   3.83   8.42     8.85     3.97     4.30     0.78  13.03  13.46   8.58   8.91  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19030  Injection for breast x-ray                        A   1.53   3.08     2.82     0.63     0.57     0.14   4.75   4.49   2.30   2.24  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
19100  Bx breast percut w/o image                        A   1.27   2.65     2.76     0.50     0.55     0.26   4.18   4.29   2.03   2.08  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
19101  Biopsy of breast open                             A   3.23   5.63     5.88     2.43     2.61     0.67   9.53   9.78   6.33   6.51  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
19102  Bx breast percut w/image                          A   2.00   4.04     3.72     0.82     0.76     0.22   6.26   5.94   3.04   2.98  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
19103  Bx breast percut w/device                         A   3.69  11.92    11.10     1.51     1.43     0.48  16.09  15.27   5.68   5.60  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
19105  Cryosurg ablate fa each                           A   3.69  55.82    49.17     1.60     1.61     0.39  59.90  53.25   5.68   5.69  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
19110  Nipple exploration                                A   4.44   8.16     8.71     4.28     4.68     0.93  13.53  14.08   9.65  10.05  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19112  Excise breast duct fistula                        A   3.81   8.09     8.58     4.13     4.50     0.80  12.70  13.19   8.74   9.11  0090.10.71.1921000             33.9764 090 99      0.00   0.00   0.00
19120  Removal of breast lesion                          A   5.92   6.62     7.14     4.54     4.96     1.25  13.79  14.31  11.71  12.13  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19125  Excision breast lesion                            A   6.69   7.20     7.80     4.91     5.39     1.42  15.31  15.91  13.02  13.50  0090.10.71.1921110             33.9764 090 99      0.00   0.00   0.00
19126  Excision addl breast lesion                       A   2.93   1.16NA   1.27NA   1.16     1.27     0.63   4.72   4.83   4.72   4.83  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
19260  Removal of chest wall lesion                      A  17.78  13.56NA  14.15NA  13.56    14.15     3.96  35.30  35.89  35.30  35.89  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
19271  Revision of chest wall                            A  22.19  20.64NA  20.89NA  20.64    20.89     5.05  47.88  48.13  47.88  48.13  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
19272  Extensive chest wall surgery                      A  25.17  21.89NA  22.01NA  21.89    22.01     5.96  53.02  53.14  53.02  53.14  0090.10.71.1920210             33.9764 090 99      0.00   0.00   0.00
19290  Place needle wire breast                          A   1.27   3.30     3.07     0.53     0.48     0.12   4.69   4.46   1.92   1.87  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
19291  Place needle wire breast                          A   0.63   1.31     1.21     0.26     0.24     0.05   1.99   1.89   0.94   0.92  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
19295  Place breast clip percut                          A   0.00   2.65     2.44     2.65NA   2.44 NA  0.01   2.66   2.45   2.66   2.45  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
19296  Place po breast cath for rad                      A   3.63 111.86   108.19     1.75     1.89     0.73 116.22 112.55   6.11   6.25  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
19297  Place breast cath for rad                         A   1.72   0.69NA   0.75NA   0.69     0.75     0.35   2.76   2.82   2.76   2.82  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
19298  Place breast rad tube/caths                       A   6.00  28.90    24.78     2.81     2.83     0.76  35.66  31.54   9.57   9.59  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
19300  Removal of breast tissue                          A   5.31   8.19     8.53     5.07     5.53     1.13  14.63  14.97  11.51  11.97  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19301  Partical mastectomy                               A  10.13   6.23NA   7.01NA   6.23     7.01     2.15  18.51  19.29  18.51  19.29  0090.10.71.1921000             33.9764 090 99      0.00   0.00   0.00
19302  P-mastectomy w/ln removal                         A  13.99   8.56NA   9.32NA   8.56     9.32     2.98  25.53  26.29  25.53  26.29  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19303  Mast simple complete                              A  15.85   9.43NA  10.66NA   9.43    10.66     3.38  28.66  29.89  28.66  29.89  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19304  Mast subq                                         A   7.95   6.68NA   7.31NA   6.68     7.31     1.67  16.30  16.93  16.30  16.93  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19305  Mast radical                                      A  17.46  11.19NA  12.28NA  11.19    12.28     3.73  32.38  33.47  32.38  33.47  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19306  Mast rad urban type                               A  18.13  12.11NA  13.42NA  12.11    13.42     3.87  34.11  35.42  34.11  35.42  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19307  Mast mod rad                                      A  18.23  12.02NA  13.22NA  12.02    13.22     3.87  34.12  35.32  34.12  35.32  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19316  Suspension of breast                              A  11.09   9.46NA  10.17NA   9.46    10.17     2.19  22.74  23.45  22.74  23.45  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19318  Reduction of large breast                         A  16.03  13.82NA  14.84NA  13.82    14.84     3.16  33.01  34.03  33.01  34.03  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19324  Enlarge breast                                    A   6.80   5.84NA   6.14NA   5.84     6.14     1.46  14.10  14.40  14.10  14.40  0090.10.71.1921000             33.9764 090 99      0.00   0.00   0.00
19325  Enlarge breast with implant                       A   8.64   8.71NA   9.41NA   8.71     9.41     1.69  19.04  19.74  19.04  19.74  0090.10.71.1921000             33.9764 090 99      0.00   0.00   0.00
19328  Removal of breast implant                         A   6.48   6.76NA   7.31NA   6.76     7.31     1.28  14.52  15.07  14.52  15.07  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19330  Removal of implant material                       A   8.54   8.35NA   9.06NA   8.35     9.06     1.66  18.55  19.26  18.55  19.26  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19340  Immediate breast prosthesis                       A  13.99   8.94NA  14.04NA   8.94    14.04     2.75  25.68  30.78  25.68  30.78  0090.10.71.1921110             33.9764 090 99      0.00   0.00   0.00
19342  Delayed breast prosthesis                         A  12.63  12.19NA  13.23NA  12.19    13.23     2.44  27.26  28.30  27.26  28.30  0090.10.71.1921010             33.9764 090 99      0.00   0.00   0.00
19350  Breast reconstruction                             A   9.11  13.55    13.79     9.02     9.68     1.78  24.44  24.68  19.91  20.57  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19355  Correct inverted nipple(s)                        A   8.52  10.10    10.09     6.21     6.49     1.82  20.44  20.43  16.55  16.83  0090.10.71.1921000             33.9764 090 99      0.00   0.00   0.00
19357  Breast reconstruction                             A  18.50  21.46NA  23.69NA  21.46    23.69     3.62  43.58  45.81  43.58  45.81  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19361  Breast reconstr w/lat flap                        A  23.36  21.92NA  24.33NA  21.92    24.33     4.60  49.88  52.29  49.88  52.29  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19364  Breast reconstruction                             A  42.58  31.56NA  34.42NA  31.56    34.42     8.25  82.39  85.25  82.39  85.25  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19366  Breast reconstruction                             A  21.84  14.35NA  15.66NA  14.35    15.66     4.46  40.65  41.96  40.65  41.96  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19367  Breast reconstruction                             A  26.80  21.40NA  23.19NA  21.40    23.19     5.27  53.47  55.26  53.47  55.26  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19368  Breast reconstruction                             A  33.90  25.53NA  28.01NA  25.53    28.01     6.67  66.10  68.58  66.10  68.58  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19369  Breast reconstruction                             A  31.31  23.56NA  26.14NA  23.56    26.14     6.15  61.02  63.60  61.02  63.60  0090.10.71.1921210             33.9764 090 99      0.00   0.00   0.00
19370  Surgery of breast capsule                         A   9.17   9.24NA  10.00NA   9.24    10.00     1.80  20.21  20.97  20.21  20.97  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19371  Removal of breast capsule                         A  10.62  10.47NA  11.33NA  10.47    11.33     2.07  23.16  24.02  23.16  24.02  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19380  Revise breast reconstruction                      A  10.41  10.33NA  11.17NA  10.33    11.17     2.03  22.77  23.61  22.77  23.61  0090.10.71.1921100             33.9764 090 99      0.00   0.00   0.00
19396  Design custom breast implant                      A   2.17   4.42     5.12     1.39     1.58     0.45   7.04   7.74   4.01   4.20  0000.00.00.0021000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
20005  I&d abscess subfascial                            A   3.58   4.53     4.62     2.61     2.65     0.59   8.70   8.79   6.78   6.82  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
2001F  Weight record                                     I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
2002F  Clin sign vol ovrld assess                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
2004F  Initial exam involved joints                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
20100  Explore wound neck                                A  10.38   5.13NA   5.73NA   5.13     5.73     1.96  17.47  18.07  17.47  18.07  0010.10.80.1021200             33.9764 090 99      0.00   0.00   0.00
20101  Explore wound chest                               A   3.23   7.71     7.88     1.97     2.03     0.69  11.63  11.80   5.89   5.95  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20102  Explore wound abdomen                             A   3.98   8.94     9.25     2.57     2.78     0.80  13.72  14.03   7.35   7.56  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20103  Explore wound extremity                           A   5.34  10.17    10.58     3.91     4.13     0.99  16.50  16.91  10.24  10.46  0010.10.80.1020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
20150  Excise epiphyseal bar                             A  14.75  11.25NA  12.53NA  11.25    12.53     2.93  28.93  30.21  28.93  30.21  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
2018F  Hydration status assess                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
2020F  Dilated fundus eval done                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
20200  Muscle biopsy                                     A   1.46   3.94     4.11     0.96     1.03     0.33   5.73   5.90   2.75   2.82  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20205  Deep muscle biopsy                                A   2.35   4.98     5.26     1.55     1.67     0.56   7.89   8.17   4.46   4.58  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20206  Needle biopsy muscle                              A   0.99   6.18     5.63     0.69     0.63     0.10   7.27   6.72   1.78   1.72  0000.00.00.0020100             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
20220  Bone biopsy trocar/needle                         A   1.27   3.40     2.93     0.82     0.74     0.11   4.78   4.31   2.20   2.12  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20225  Bone biopsy trocar/needle                         A   1.87  15.82    13.27     1.24     1.14     0.23  17.92  15.37   3.34   3.24  0000.00.00.0020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
20240  Bone biopsy excisional                            A   3.28   2.76NA   2.84NA   2.76     2.84     0.52   6.56   6.64   6.56   6.64  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20245  Bone biopsy excisional                            A   8.95   7.84NA   8.30NA   7.84     8.30     1.65  18.44  18.90  18.44  18.90  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20250  Open bone biopsy                                  A   5.19   4.68NA   4.96NA   4.68     4.96     1.22  11.09  11.37  11.09  11.37  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20251  Open bone biopsy                                  A   5.72   5.08NA   5.26NA   5.08     5.26     1.32  12.12  12.30  12.12  12.30  0010.10.80.1020200             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
2029F  Complete phys skin exam done                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
2030F  H2o stat docd normal                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
2031F  H2o stat docd dehydrated                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
2040F  Bk pn xm on init visit date                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
2044F  Doc mntl tst b/4 bk trxmnt                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
2050F  Wound char size etc docd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
20500  Injection of sinus tract                          A   1.28   1.79     1.66     1.20     1.10     0.12   3.19   3.06   2.60   2.50  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20501  Inject sinus tract for x-ray                      A   0.76   2.79     2.52     0.32     0.28     0.07   3.62   3.35   1.15   1.11  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20520  Removal of foreign body                           A   1.90   3.43     3.61     1.98     2.09     0.30   5.63   5.81   4.18   4.29  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20525  Removal of foreign body                           A   3.54   9.46     9.64     3.06     3.23     0.64  13.64  13.82   7.24   7.41  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20526  Ther injection carp tunnel                        A   0.94   1.09     1.13     0.59     0.62     0.14   2.17   2.21   1.67   1.70  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
20550  Inj tendon sheath/ligament                        A   0.75   0.82     0.85     0.37     0.40     0.08   1.65   1.68   1.20   1.23  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
20551  Inj tendon origin/insertion                       A   0.75   0.85     0.91     0.41     0.44     0.08   1.68   1.74   1.24   1.27  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20552  Inj trigger point 1/2 muscl                       A   0.66   0.81     0.86     0.35     0.40     0.07   1.54   1.59   1.08   1.13  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20553  Inject trigger points =/> 3                       A   0.75   0.92     1.00     0.39     0.45     0.07   1.74   1.82   1.21   1.27  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20555  Place ndl musc/tis for rt                         A   6.00   2.83NA   2.81NA   2.83     2.81     0.86   9.69   9.67   9.69   9.67  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
2060F  Pt talk eval hlthwkr re mdd                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
20600  Drain/inject joint/bursa                          A   0.66   0.83     0.86     0.41     0.42     0.07   1.56   1.59   1.14   1.15  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
20605  Drain/inject joint/bursa                          A   0.68   0.94     0.98     0.44     0.45     0.08   1.70   1.74   1.20   1.21  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
20610  Drain/inject joint/bursa                          A   0.79   1.35     1.43     0.55     0.58     0.12   2.26   2.34   1.46   1.49  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
20612  Aspirate/inj ganglion cyst                        A   0.70   0.91     0.96     0.44     0.46     0.08   1.69   1.74   1.22   1.24  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20615  Treatment of bone cyst                            A   2.33   3.68     3.76     1.99     2.07     0.29   6.30   6.38   4.61   4.69  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20650  Insert and remove bone pin                        A   2.28   3.13     3.30     1.88     1.95     0.29   5.70   5.87   4.45   4.52  0010.10.80.1020110             33.9764 090 99      0.00   0.00   0.00
20660  Apply rem fixation device                         A   4.00   2.09NA   2.22NA   2.09     2.22     1.10   7.19   7.32   7.19   7.32  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
20661  Application of head brace                         A   5.26   7.33NA   7.74NA   7.33     7.74     1.65  14.24  14.65  14.24  14.65  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
20662  Application of pelvis brace                       A   6.38   5.59NA   4.72NA   5.59     4.72     0.61  12.58  11.71  12.58  11.71  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
20663  Application of thigh brace                        A   5.74   6.43NA   6.96NA   6.43     6.96     1.14  13.31  13.84  13.31  13.84  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
20664  Application of halo                               A  10.06  10.12NA  10.58NA  10.12    10.58     3.61  23.79  24.25  23.79  24.25  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
20665  Removal of fixation device                        A   1.36   1.73     1.55     1.24     1.16     0.11   3.20   3.02   2.71   2.63  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
20670  Removal of support implant                        A   1.79   9.12     8.78     2.23     2.29     0.30  11.21  10.87   4.32   4.38  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
20680  Removal of support implant                        A   5.96  10.63    11.12     5.34     5.72     1.06  17.65  18.14  12.36  12.74  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
20690  Apply bone fixation device                        A   8.78   6.39NA   7.24NA   6.39     7.24     1.62  16.79  17.64  16.79  17.64  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
20692  Apply bone fixation device                        A  16.27  12.48NA  14.32NA  12.48    14.32     2.80  31.55  33.39  31.55  33.39  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20693  Adjust bone fixation device                       A   6.06   6.14NA   6.36NA   6.14     6.36     1.08  13.28  13.50  13.28  13.50  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
20694  Remove bone fixation device                       A   4.28   7.23     7.37     4.76     4.99     0.76  12.27  12.41   9.80  10.03  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
20696  Comp multiplane ext fixation                      A  17.56  12.64NA  15.44NA  12.64    15.44     1.25  31.45  34.25  31.45  34.25  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20697  Comp ext fixate strut change                      A   0.00  49.27    57.76    49.27NA  57.76 NA  0.01  49.28  57.77  49.28  57.77  0000.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
20802  Replantation arm complete                         A  42.62  22.04NA  23.00NA  22.04    23.00     3.05  67.71  68.67  67.71  68.67  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
20805  Replant forearm complete                          A  51.46  22.17NA  17.98NA  22.17    17.98    10.14  83.77  79.58  83.77  79.58  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
20808  Replantation hand complete                        A  63.09  47.03NA  50.11NA  47.03    50.11    12.43 122.55 125.63 122.55 125.63  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
20816  Replantation digit complete                       A  31.95  27.11NA  26.83NA  27.11    26.83     3.99  63.05  62.77  63.05  62.77  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20822  Replantation digit complete                       A  26.66  23.80NA  23.99NA  23.80    23.99     5.27  55.73  55.92  55.73  55.92  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20824  Replantation thumb complete                       A  31.95  25.52NA  24.04NA  25.52    24.04     6.29  63.76  62.28  63.76  62.28  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
20827  Replantation thumb complete                       A  27.48  24.97NA  24.59NA  24.97    24.59     5.42  57.87  57.49  57.87  57.49  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
20838  Replantation foot complete                        A  42.88  23.57NA  23.42NA  23.57    23.42     3.06  69.51  69.36  69.51  69.36  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
20900  Removal of bone for graft                         A   3.00   8.46     8.59     3.23     2.76     0.56  12.02  12.15   6.79   6.32  0000.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
20902  Removal of bone for graft                         A   4.58   4.15NA   3.73NA   4.15     3.73     0.87   9.60   9.18   9.60   9.18  0000.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
20910  Remove cartilage for graft                        A   5.53   6.13NA   6.28NA   6.13     6.28     0.71  12.37  12.52  12.37  12.52  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
20912  Remove cartilage for graft                        A   6.54   6.79NA   7.21NA   6.79     7.21     0.99  14.32  14.74  14.32  14.74  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
20920  Removal of fascia for graft                       A   5.51   5.58NA   5.86NA   5.58     5.86     0.69  11.78  12.06  11.78  12.06  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
20922  Removal of fascia for graft                       A   6.93   9.24     8.97     6.25     6.19     1.28  17.45  17.18  14.46  14.40  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20924  Removal of tendon for graft                       A   6.68   6.85NA   7.18NA   6.85     7.18     1.20  14.73  15.06  14.73  15.06  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20926  Removal of tissue for graft                       A   5.79   5.80NA   5.96NA   5.80     5.96     1.17  12.76  12.92  12.76  12.92  0090.10.69.2120100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
20931  Sp bone algrft struct add-on                      A   1.81   0.99NA   1.02NA   0.99     1.02     0.56   3.36   3.39   3.36   3.39  0ZZZ.00.00.0000110             33.9764 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             33.9764 090 99      0.00   0.00   0.00
20937  Sp bone agrft morsel add-on                       A   2.79   1.56NA   1.62NA   1.56     1.62     0.68   5.03   5.09   5.03   5.09  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
20938  Sp bone agrft struct add-on                       A   3.02   1.67NA   1.74NA   1.67     1.74     0.83   5.52   5.59   5.52   5.59  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
20950  Fluid pressure muscle                             A   1.26   5.65     5.58     1.16     1.21     0.23   7.14   7.07   2.65   2.70  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
20955  Fibula bone graft microvasc                       A  40.26  28.46NA  30.82NA  28.46    30.82     6.67  75.39  77.75  75.39  77.75  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20956  Iliac bone graft microvasc                        A  41.18  28.61NA  30.52NA  28.61    30.52     8.13  77.92  79.83  77.92  79.83  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20957  Mt bone graft microvasc                           A  42.61  24.83NA  28.51NA  24.83    28.51     8.41  75.85  79.53  75.85  79.53  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20962  Other bone graft microvasc                        A  39.21  30.31NA  33.05NA  30.31    33.05     7.73  77.25  79.99  77.25  79.99  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20969  Bone/skin graft microvasc                         A  45.43  31.04NA  33.65NA  31.04    33.65     6.67  83.14  85.75  83.14  85.75  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20970  Bone/skin graft iliac crest                       A  44.58  29.83NA  31.25NA  29.83    31.25     8.81  83.22  84.64  83.22  84.64  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20972  Bone/skin graft metatarsal                        A  44.51  19.65NA  17.67NA  19.65    17.67     3.43  67.59  65.61  67.59  65.61  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
20973  Bone/skin graft great toe                         A  47.27  28.38NA  34.47NA  28.38    34.47     3.38  79.03  85.12  79.03  85.12  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
20974  Electrical bone stimulation                       A   0.62   1.28     1.42     0.67     0.72     0.12   2.02   2.16   1.41   1.46  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
20975  Electrical bone stimulation                       A   2.60   2.01NA   2.09NA   2.01     2.09     0.59   5.20   5.28   5.20   5.28  0000.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
20979  Us bone stimulation                               A   0.62   0.82     0.84     0.29     0.29     0.08   1.52   1.54   0.99   0.99  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
20982  Ablate bone tumor(s) perq                         A   7.27  97.10    88.57     3.30     3.05     0.80 105.17  96.64  11.37  11.12  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
20985  Cptr-asst dir ms px                               A   2.50   1.39NA   1.49NA   1.39     1.49     0.49   4.38   4.48   4.38   4.48  0ZZZ.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
21010  Incision of jaw joint                             A  11.04   8.76NA   9.51NA   8.76     9.51     1.42  21.22  21.97  21.22  21.97  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
21011  Exc face les sc < 2 cm                            A   2.99   6.23     6.23     3.93     3.93     0.45   9.67   9.67   7.37   7.37  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21012  Exc face les sbq 2+ cm                            A   4.45   5.02NA   5.02NA   5.02     5.02     0.72  10.19  10.19  10.19  10.19  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21013  Exc face tum deep < 2 cm                          A   5.42   8.70     8.70     5.63     5.63     0.82  14.94  14.94  11.87  11.87  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21014  Exc face tum deep 2+ cm                           A   7.13   7.43NA   7.43NA   7.43     7.43     1.16  15.72  15.72  15.72  15.72  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21015  Resect face tum < 2 cm                            A   9.89   7.56NA   9.46NA   7.56     9.46     1.86  19.31  21.21  19.31  21.21  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21016  Resect face tum + cm                              A  15.26  13.01NA  13.01NA  13.01    13.01     2.91  31.18  31.18  31.18  31.18  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21025  Excision of bone lower jaw                        A  10.03  14.36    15.10    10.46    11.25     1.44  25.83  26.57  21.93  22.72  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21026  Excision of facial bone(s)                        A   5.70  11.09    11.70     7.90     8.38     0.83  17.62  18.23  14.43  14.91  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21029  Contour of face bone lesion                       A   8.39  12.43    13.15     8.88     9.52     1.65  22.47  23.19  18.92  19.56  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21030  Excise max/zygoma b9 tumor                        A   4.91   9.10     9.67     6.37     6.84     0.76  14.77  15.34  12.04  12.51  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21031  Remove exostosis mandible                         A   3.30   7.41     7.77     4.70     5.04     0.41  11.12  11.48   8.41   8.75  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21032  Remove exostosis maxilla                          A   3.34   7.55     7.92     4.57     4.92     0.42  11.31  11.68   8.33   8.68  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21034  Excise max/zygoma mlg tumor                       A  17.38  19.22    20.51    14.74    15.98     2.44  39.04  40.33  34.56  35.80  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21040  Excise mandible lesion                            A   4.91   9.22     9.80     6.37     6.92     0.75  14.88  15.46  12.03  12.58  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21044  Removal of jaw bone lesion                        A  12.80  11.42NA  12.31NA  11.42    12.31     1.78  26.00  26.89  26.00  26.89  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21045  Extensive jaw surgery                             A  18.37  15.34NA  16.65NA  15.34    16.65     2.52  36.23  37.54  36.23  37.54  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21046  Remove mandible cyst complex                      A  14.21  15.96NA  17.33NA  15.96    17.33     1.82  31.99  33.36  31.99  33.36  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
21047  Excise lwr jaw cyst w/repair                      A  20.07  15.59NA  17.15NA  15.59    17.15     2.59  38.25  39.81  38.25  39.81  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21048  Remove maxilla cyst complex                       A  14.71  16.11NA  17.74NA  16.11    17.74     1.89  32.71  34.34  32.71  34.34  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
21049  Excis uppr jaw cyst w/repair                      A  19.32  14.90NA  15.75NA  14.90    15.75     2.46  36.68  37.53  36.68  37.53  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21050  Removal of jaw joint                              A  11.76  11.75NA  12.40NA  11.75    12.40     2.30  25.81  26.46  25.81  26.46  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
21060  Remove jaw joint cartilage                        A  11.07  10.65NA  11.65NA  10.65    11.65     2.34  24.06  25.06  24.06  25.06  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
21070  Remove coronoid process                           A   8.62   8.62NA   9.08NA   8.62     9.08     1.10  18.34  18.80  18.34  18.80  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
21073  Mnpj of tmj w/anesth                              A   3.45   7.12     7.61     3.27     3.68     0.68  11.25  11.74   7.40   7.81  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
21076  Prepare face/oral prosthesis                      A  13.40  13.26    14.99     9.11    10.44     1.70  28.36  30.09  24.21  25.54  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
21077  Prepare face/oral prosthesis                      A  33.70  32.64    37.39    23.35    26.42     4.33  70.67  75.42  61.38  64.45  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
21079  Prepare face/oral prosthesis                      A  22.31  22.81    25.68    15.48    17.65     2.87  47.99  50.86  40.66  42.83  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21080  Prepare face/oral prosthesis                      A  25.06  25.90    28.92    17.21    19.55     3.23  54.19  57.21  45.50  47.84  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21081  Prepare face/oral prosthesis                      A  22.85  23.93    26.78    15.73    17.80     2.95  49.73  52.58  41.53  43.60  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21082  Prepare face/oral prosthesis                      A  20.84  23.14    26.20    15.23    17.50     2.67  46.65  49.71  38.74  41.01  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21083  Prepare face/oral prosthesis                      A  19.27  22.66    25.56    14.18    16.33     1.37  43.30  46.20  34.82  36.97  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21084  Prepare face/oral prosthesis                      A  22.48  25.71    28.68    16.45    18.72     2.90  51.09  54.06  41.83  44.10  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21085  Prepare face/oral prosthesis                      A   8.99  10.82    12.59     6.36     7.20     3.35  23.16  24.93  18.70  19.54  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
21086  Prepare face/oral prosthesis                      A  24.88  23.82    27.93    16.82    19.30     3.20  51.90  56.01  44.90  47.38  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
21087  Prepare face/oral prosthesis                      A  24.88  23.72    27.71    16.67    18.95     3.20  51.80  55.79  44.75  47.03  0090.10.69.2120000             33.9764 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             33.9764 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  0YYY.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
21100  Maxillofacial fixation                            A   4.73  13.63    11.81     5.45     4.69     0.64  19.00  17.18  10.82  10.06  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21110  Interdental fixation                              A   5.99  15.73    16.65    12.24    13.03     0.76  22.48  23.40  18.99  19.78  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21116  Injection jaw joint x-ray                         A   0.81   3.41     3.32     0.35     0.38     0.05   4.27   4.18   1.21   1.24  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
21120  Reconstruction of chin                            A   5.10  12.53    12.98     8.93     9.44     1.01  18.64  19.09  15.04  15.55  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
21121  Reconstruction of chin                            A   7.81  14.05    15.00    10.44    11.18     0.54  22.40  23.35  18.79  19.53  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21122  Reconstruction of chin                            A   8.71  11.12NA  11.73NA  11.12    11.73     0.61  20.44  21.05  20.44  21.05  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21123  Reconstruction of chin                            A  11.34  13.41NA  15.49NA  13.41    15.49     0.80  25.55  27.63  25.55  27.63  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21125  Augmentation lower jaw bone                       A  10.80  75.92    74.00    10.28    11.43     2.14  88.86  86.94  23.22  24.37  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21127  Augmentation lower jaw bone                       A  12.44  94.49    96.07    11.83    13.18     1.59 108.52 110.10  25.86  27.21  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21137  Reduction of forehead                             A  10.24   8.87NA   9.21NA   8.87     9.21     2.00  21.11  21.45  21.11  21.45  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21138  Reduction of forehead                             A  12.87  11.39NA  12.30NA  11.39    12.30     1.82  26.08  26.99  26.08  26.99  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21139  Reduction of forehead                             A  15.02  12.87NA  14.11NA  12.87    14.11     1.06  28.95  30.19  28.95  30.19  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21141  Reconstruct midface lefort                        A  19.57  17.01NA  18.17NA  17.01    18.17     3.85  40.43  41.59  40.43  41.59  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21142  Reconstruct midface lefort                        A  20.28  16.48NA  18.51NA  16.48    18.51     4.00  40.76  42.79  40.76  42.79  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21143  Reconstruct midface lefort                        A  21.05  17.66NA  19.67NA  17.66    19.67     4.49  43.20  45.21  43.20  45.21  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21145  Reconstruct midface lefort                        A  23.94  18.27NA  20.34NA  18.27    20.34     1.69  43.90  45.97  43.90  45.97  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21146  Reconstruct midface lefort                        A  24.87  20.64NA  23.12NA  20.64    23.12     4.90  50.41  52.89  50.41  52.89  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21147  Reconstruct midface lefort                        A  26.47  19.77NA  20.90NA  19.77    20.90     1.88  48.12  49.25  48.12  49.25  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21150  Reconstruct midface lefort                        A  25.96  20.40NA  22.65NA  20.40    22.65     1.84  48.20  50.45  48.20  50.45  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21151  Reconstruct midface lefort                        A  29.02  24.96NA  24.43NA  24.96    24.43     3.74  57.72  57.19  57.72  57.19  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21154  Reconstruct midface lefort                        A  31.29  27.25NA  31.19NA  27.25    31.19     4.01  62.55  66.49  62.55  66.49  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21155  Reconstruct midface lefort                        A  35.22  26.00NA  28.50NA  26.00    28.50     2.50  63.72  66.22  63.72  66.22  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21159  Reconstruct midface lefort                        A  43.14  33.69NA  39.72NA  33.69    39.72     5.53  82.36  88.39  82.36  88.39  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21160  Reconstruct midface lefort                        A  47.19  28.47NA  28.73NA  28.47    28.73     3.36  79.02  79.28  79.02  79.28  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21172  Reconstruct orbit/forehead                        A  28.20  20.75NA  23.86NA  20.75    23.86     3.62  52.57  55.68  52.57  55.68  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21175  Reconstruct orbit/forehead                        A  33.56  25.08NA  28.70NA  25.08    28.70    12.03  70.67  74.29  70.67  74.29  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21179  Reconstruct entire forehead                       A  22.65  17.84NA  20.10NA  17.84    20.10     4.46  44.95  47.21  44.95  47.21  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21180  Reconstruct entire forehead                       A  25.58  20.06NA  22.30NA  20.06    22.30     3.29  48.93  51.17  48.93  51.17  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21181  Contour cranial bone lesion                       A  10.28   9.35NA  10.54NA   9.35    10.54     1.31  20.94  22.13  20.94  22.13  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21182  Reconstruct cranial bone                          A  32.58  21.74NA  22.59NA  21.74    22.59     4.18  58.50  59.35  58.50  59.35  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21183  Reconstruct cranial bone                          A  35.70  23.80NA  24.42NA  23.80    24.42     7.02  66.52  67.14  66.52  67.14  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21184  Reconstruct cranial bone                          A  38.62  27.00NA  30.48NA  27.00    30.48     7.62  73.24  76.72  73.24  76.72  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21188  Reconstruction of midface                         A  23.15  21.32NA  22.12NA  21.32    22.12     2.98  47.45  48.25  47.45  48.25  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21193  Reconst lwr jaw w/o graft                         A  18.90  15.70NA  17.86NA  15.70    17.86     4.04  38.64  40.80  38.64  40.80  0090.10.69.2122210             33.9764 090 99      0.00   0.00   0.00
21194  Reconst lwr jaw w/graft                           A  21.82  16.51NA  17.50NA  16.51    17.50     2.80  41.13  42.12  41.13  42.12  0090.10.69.2122200             33.9764 090 99      0.00   0.00   0.00
21195  Reconst lwr jaw w/o fixation                      A  19.16  17.94NA  19.33NA  17.94    19.33     2.45  39.55  40.94  39.55  40.94  0090.10.69.2122200             33.9764 090 99      0.00   0.00   0.00
21196  Reconst lwr jaw w/fixation                        A  20.83  19.78NA  21.71NA  19.78    21.71     2.67  43.28  45.21  43.28  45.21  0090.10.69.2122210             33.9764 090 99      0.00   0.00   0.00
21198  Reconstr lwr jaw segment                          A  15.71  16.30NA  17.54NA  16.30    17.54     2.18  34.19  35.43  34.19  35.43  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21199  Reconstr lwr jaw w/advance                        A  16.73  11.25NA  12.27NA  11.25    12.27     2.15  30.13  31.15  30.13  31.15  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21206  Reconstruct upper jaw bone                        A  15.59  17.12NA  19.43NA  17.12    19.43     3.09  35.80  38.11  35.80  38.11  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21208  Augmentation of facial bones                      A  11.42  39.19    40.95    11.05    11.44     2.25  52.86  54.62  24.72  25.11  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21209  Reduction of facial bones                         A   7.82  15.11    15.66    10.03    10.65     1.54  24.47  25.02  19.39  20.01  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21210  Face bone graft                                   A  11.69  50.02    52.78    11.50    12.81     1.51  63.22  65.98  24.70  26.01  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21215  Lower jaw bone graft                              A  12.23  95.64   100.91    11.74    13.08     2.40 110.27 115.54  26.37  27.71  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
21230  Rib cartilage graft                               A  11.17   9.54NA  10.20NA   9.54    10.20     2.19  22.90  23.56  22.90  23.56  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21235  Ear cartilage graft                               A   7.50  12.81    13.27     8.26     8.75     1.10  21.41  21.87  16.86  17.35  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21240  Reconstruction of jaw joint                       A  16.07  14.19NA  15.56NA  14.19    15.56     2.04  32.30  33.67  32.30  33.67  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
21242  Reconstruction of jaw joint                       A  14.59  13.16NA  14.20NA  13.16    14.20     1.88  29.63  30.67  29.63  30.67  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
21243  Reconstruction of jaw joint                       A  24.53  21.08NA  23.17NA  21.08    23.17     3.16  48.77  50.86  48.77  50.86  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
21244  Reconstruction of lower jaw                       A  13.62  15.62NA  16.73NA  15.62    16.73     1.93  31.17  32.28  31.17  32.28  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21245  Reconstruction of jaw                             A  13.12  18.33    19.00    11.87    12.48     1.67  33.12  33.79  26.66  27.27  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21246  Reconstruction of jaw                             A  12.92  10.07NA  10.74NA  10.07    10.74     1.65  24.64  25.31  24.64  25.31  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21247  Reconstruct lower jaw bone                        A  24.37  18.76NA  19.67NA  18.76    19.67     4.82  47.95  48.86  47.95  48.86  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21248  Reconstruction of jaw                             A  12.74  17.16    18.55    11.56    12.86     1.63  31.53  32.92  25.93  27.23  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21249  Reconstruction of jaw                             A  18.77  22.21    24.30    15.61    17.84     2.40  43.38  45.47  36.78  39.01  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21255  Reconstruct lower jaw bone                        A  18.46  19.79NA  19.71NA  19.79    19.71     2.35  40.60  40.52  40.60  40.52  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21256  Reconstruction of orbit                           A  17.66  14.90NA  16.50NA  14.90    16.50     2.26  34.82  36.42  34.82  36.42  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21260  Revise eye sockets                                A  17.90  19.86NA  21.70NA  19.86    21.70     1.27  39.03  40.87  39.03  40.87  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21261  Revise eye sockets                                A  34.07  24.21NA  23.56NA  24.21    23.56     6.72  65.00  64.35  65.00  64.35  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21263  Revise eye sockets                                A  31.01  22.29NA  22.22NA  22.29    22.22     2.20  55.50  55.43  55.50  55.43  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21267  Revise eye sockets                                A  20.69  22.45NA  24.03NA  22.45    24.03     4.08  47.22  48.80  47.22  48.80  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21268  Revise eye sockets                                A  27.07  21.64NA  20.50NA  21.64    20.50     5.34  54.05  52.91  54.05  52.91  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21270  Augmentation cheek bone                           A  10.63  15.63    17.21     9.26    10.57     1.51  27.77  29.35  21.40  22.71  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21275  Revision orbitofacial bones                       A  11.76  10.58NA  11.79NA  10.58    11.79     2.30  24.64  25.85  24.64  25.85  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21280  Revision of eyelid                                A   7.13   8.00NA   8.86NA   8.00     8.86     1.40  16.53  17.39  16.53  17.39  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
21282  Revision of eyelid                                A   4.27   5.83NA   6.34NA   5.83     6.34     0.78  10.88  11.39  10.88  11.39  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
21295  Revision of jaw muscle/bone                       A   1.90   2.91NA   2.89NA   2.91     2.89     0.37   5.18   5.16   5.18   5.16  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21296  Revision of jaw muscle/bone                       A   4.78   6.37NA   5.91NA   6.37     5.91     0.61  11.76  11.30  11.76  11.30  0090.10.69.2120000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
21310  Treatment of nose fracture                        A   0.58   2.59     2.72     0.15     0.16     0.10   3.27   3.40   0.83   0.84  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
21315  Treatment of nose fracture                        A   1.83   5.77     6.01     2.32     2.44     0.29   7.89   8.13   4.44   4.56  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
21320  Treatment of nose fracture                        A   1.88   5.29     5.49     1.88     1.99     0.27   7.44   7.64   4.03   4.14  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
21325  Treatment of nose fracture                        A   4.18   9.02NA   9.11NA   9.02     9.11     0.67  13.87  13.96  13.87  13.96  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21330  Treatment of nose fracture                        A   5.79  10.22NA  10.49NA  10.22    10.49     0.73  16.74  17.01  16.74  17.01  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21335  Treatment of nose fracture                        A   9.02  11.34NA  11.81NA  11.34    11.81     1.22  21.58  22.05  21.58  22.05  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21336  Treat nasal septal fracture                       A   6.77  11.39NA  11.87NA  11.39    11.87     0.91  19.07  19.55  19.07  19.55  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21337  Treat nasal septal fracture                       A   3.39   7.78     8.08     4.69     4.99     0.52  11.69  11.99   8.60   8.90  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21338  Treat nasoethmoid fracture                        A   6.87  13.74NA  14.21NA  13.74    14.21     1.36  21.97  22.44  21.97  22.44  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21339  Treat nasoethmoid fracture                        A   8.50  13.51NA  13.36NA  13.51    13.36     1.66  23.67  23.52  23.67  23.52  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21340  Treatment of nose fracture                        A  11.49   9.93NA  10.10NA   9.93    10.10     1.48  22.90  23.07  22.90  23.07  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21343  Treatment of sinus fracture                       A  14.32  16.77NA  17.05NA  16.77    17.05     2.83  33.92  34.20  33.92  34.20  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21344  Treatment of sinus fracture                       A  21.57  19.88NA  22.00NA  19.88    22.00     7.74  49.19  51.31  49.19  51.31  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
21345  Treat nose/jaw fracture                           A   9.06  12.81    13.05     8.53     8.72     1.17  23.04  23.28  18.76  18.95  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21346  Treat nose/jaw fracture                           A  11.45  14.46NA  14.75NA  14.46    14.75     1.48  27.39  27.68  27.39  27.68  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
21347  Treat nose/jaw fracture                           A  13.53  17.21NA  18.39NA  17.21    18.39     1.71  32.45  33.63  32.45  33.63  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21348  Treat nose/jaw fracture                           A  17.52  14.40NA  16.50NA  14.40    16.50     2.25  34.17  36.27  34.17  36.27  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
21355  Treat cheek bone fracture                         A   4.45   8.01     8.45     4.71     5.14     0.56  13.02  13.46   9.72  10.15  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
21356  Treat cheek bone fracture                         A   4.83   8.93     9.27     5.51     5.83     0.71  14.47  14.81  11.05  11.37  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
21360  Treat cheek bone fracture                         A   7.19   7.50NA   8.12NA   7.50     8.12     0.91  15.60  16.22  15.60  16.22  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21365  Treat cheek bone fracture                         A  16.77  13.34NA  14.60NA  13.34    14.60     2.80  32.91  34.17  32.91  34.17  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21366  Treat cheek bone fracture                         A  18.60  15.07NA  17.29NA  15.07    17.29     3.67  37.34  39.56  37.34  39.56  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
21385  Treat eye socket fracture                         A   9.57   9.74NA  10.14NA   9.74    10.14     1.22  20.53  20.93  20.53  20.93  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21386  Treat eye socket fracture                         A   9.57   8.16NA   8.44NA   8.16     8.44     1.88  19.61  19.89  19.61  19.89  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21387  Treat eye socket fracture                         A  10.11   9.99NA  10.45NA   9.99    10.45     1.97  22.07  22.53  22.07  22.53  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21390  Treat eye socket fracture                         A  11.23  10.21NA  11.26NA  10.21    11.26     1.89  23.33  24.38  23.33  24.38  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21395  Treat eye socket fracture                         A  14.70  12.08NA  13.68NA  12.08    13.68     1.88  28.66  30.26  28.66  30.26  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21400  Treat eye socket fracture                         A   1.50   3.60     3.79     2.62     2.78     0.27   5.37   5.56   4.39   4.55  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21401  Treat eye socket fracture                         A   3.68   9.47     9.52     4.41     4.59     0.72  13.87  13.92   8.81   8.99  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21406  Treat eye socket fracture                         A   7.42   7.79NA   8.69NA   7.79     8.69     0.95  16.16  17.06  16.16  17.06  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21407  Treat eye socket fracture                         A   9.02   8.47NA   9.18NA   8.47     9.18     1.59  19.08  19.79  19.08  19.79  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21408  Treat eye socket fracture                         A  12.78  11.30NA  12.55NA  11.30    12.55     2.52  26.60  27.85  26.60  27.85  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
21421  Treat mouth roof fracture                         A   6.02  14.66    15.22    11.43    11.93     1.18  21.86  22.42  18.63  19.13  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21422  Treat mouth roof fracture                         A   8.73   9.63NA  10.25NA   9.63    10.25     1.13  19.49  20.11  19.49  20.11  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21423  Treat mouth roof fracture                         A  10.85  11.20NA  12.35NA  11.20    12.35     2.14  24.19  25.34  24.19  25.34  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
21431  Treat craniofacial fracture                       A   7.90  12.36NA  12.48NA  12.36    12.48     1.55  21.81  21.93  21.81  21.93  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21432  Treat craniofacial fracture                       A   8.82  10.12NA  11.29NA  10.12    11.29     1.71  20.65  21.82  20.65  21.82  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21433  Treat craniofacial fracture                       A  26.29  18.31NA  18.87NA  18.31    18.87     5.19  49.79  50.35  49.79  50.35  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21435  Treat craniofacial fracture                       A  20.26  15.53NA  16.14NA  15.53    16.14     2.60  38.39  39.00  38.39  39.00  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21436  Treat craniofacial fracture                       A  30.30  24.22NA  27.24NA  24.22    27.24     5.97  60.49  63.51  60.49  63.51  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
21440  Treat dental ridge fracture                       A   3.44  12.04    12.52     9.21     9.55     0.67  16.15  16.63  13.32  13.66  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21445  Treat dental ridge fracture                       A   6.26  14.99    15.50    11.03    11.49     0.80  22.05  22.56  18.09  18.55  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21450  Treat lower jaw fracture                          A   3.71  12.57    13.23     9.55     9.90     0.65  16.93  17.59  13.91  14.26  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21451  Treat lower jaw fracture                          A   5.65  15.59    16.56    12.03    12.67     0.72  21.96  22.93  18.40  19.04  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21452  Treat lower jaw fracture                          A   2.40  14.13    13.35     7.08     7.20     0.48  17.01  16.23   9.96  10.08  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21453  Treat lower jaw fracture                          A   6.64  17.96    19.09    14.71    15.44     1.05  25.65  26.78  22.40  23.13  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21454  Treat lower jaw fracture                          A   7.36   8.03NA   8.72NA   8.03     8.72     0.93  16.32  17.01  16.32  17.01  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
21461  Treat lower jaw fracture                          A   9.31  48.52    51.58    16.62    17.48     1.40  59.23  62.29  27.33  28.19  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
21462  Treat lower jaw fracture                          A  11.01  50.40    53.07    17.55    18.68     1.42  62.83  65.50  29.98  31.11  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21465  Treat lower jaw fracture                          A  13.12  12.26NA  13.70NA  12.26    13.70     2.59  27.97  29.41  27.97  29.41  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21470  Treat lower jaw fracture                          A  17.54  15.09NA  16.63NA  15.09    16.63     2.90  35.53  37.07  35.53  37.07  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21480  Reset dislocated jaw                              A   0.61   1.97     2.01     0.24     0.26     0.10   2.68   2.72   0.95   0.97  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
21485  Reset dislocated jaw                              A   4.77  14.36    15.22    11.28    11.91     0.61  19.74  20.60  16.66  17.29  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
21490  Repair dislocated jaw                             A  12.95  11.92NA  12.84NA  11.92    12.84     2.56  27.43  28.35  27.43  28.35  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
21495  Treat hyoid bone fracture                         A   6.79  12.98NA  13.77NA  12.98    13.77     0.86  20.63  21.42  20.63  21.42  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21497  Interdental wiring                                A   4.64  14.25    14.66    11.33    11.66     0.90  19.79  20.20  16.87  17.20  0090.10.69.2120000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
21501  Drain neck/chest lesion                           A   3.98   8.28     8.59     4.65     4.86     0.75  13.01  13.32   9.38   9.59  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21502  Drain chest lesion                                A   7.55   5.85NA   5.71NA   5.85     5.71     1.61  15.01  14.87  15.01  14.87  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21510  Drainage of bone lesion                           A   6.20   6.16NA   6.32NA   6.16     6.32     1.46  13.82  13.98  13.82  13.98  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21550  Biopsy of neck/chest                              A   2.11   5.09     5.19     2.23     2.29     0.30   7.50   7.60   4.64   4.70  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
21552  Exc neck les sc 3+ cm                             A   6.49   5.61NA   5.61NA   5.61     5.61     1.28  13.38  13.38  13.38  13.38  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21554  Exc neck tum deep 5+ cm                           A  11.13   8.75NA   8.75NA   8.75     8.75     2.08  21.96  21.96  21.96  21.96  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21555  Exc neck les sc < 3 cm                            A   3.96   7.22     7.42     4.27     4.36     0.78  11.96  12.16   9.01   9.10  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21556  Exc neck tum deep < 5 cm                          A   7.66   6.02NA   6.89NA   6.02     6.89     1.44  15.12  15.99  15.12  15.99  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21557  Resect neck tum < 5 cm                            A  14.75   8.69NA  11.35NA   8.69    11.35     2.79  26.23  28.89  26.23  28.89  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21558  Resect neck tum 5+ cm                             A  21.58  15.18NA  15.18NA  15.18    15.18     4.08  40.84  40.84  40.84  40.84  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21600  Partial removal of rib                            A   7.26   7.67NA   8.08NA   7.67     8.08     1.57  16.50  16.91  16.50  16.91  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21610  Partial removal of rib                            A  15.91  12.44NA  14.01NA  12.44    14.01     5.72  34.07  35.64  34.07  35.64  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21615  Removal of rib                                    A  10.45   6.64NA   6.49NA   6.64     6.49     2.46  19.55  19.40  19.55  19.40  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
21616  Removal of rib and nerves                         A  12.69   8.16NA   6.92NA   8.16     6.92     3.04  23.89  22.65  23.89  22.65  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
21620  Partial removal of sternum                        A   7.28   6.55NA   6.71NA   6.55     6.71     1.62  15.45  15.61  15.45  15.61  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21627  Sternal debridement                               A   7.30   7.24NA   7.33NA   7.24     7.33     1.65  16.19  16.28  16.19  16.28  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21630  Extensive sternum surgery                         A  19.18  14.23NA  14.84NA  14.23    14.84     4.04  37.45  38.06  37.45  38.06  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21632  Extensive sternum surgery                         A  19.68  12.65NA  12.81NA  12.65    12.81     4.94  37.27  37.43  37.27  37.43  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21685  Hyoid myotomy & suspension                        A  15.26  12.43NA  13.48NA  12.43    13.48     1.96  29.65  30.70  29.65  30.70  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
21700  Revision of neck muscle                           A   6.31   4.86NA   4.69NA   4.86     4.69     1.50  12.67  12.50  12.67  12.50  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21705  Revision of neck muscle/rib                       A   9.92   5.67NA   4.71NA   5.67     4.71     2.34  17.93  16.97  17.93  16.97  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21720  Revision of neck muscle                           A   5.80   5.30NA   5.84NA   5.30     5.84     2.07  13.17  13.71  13.17  13.71  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21725  Revision of neck muscle                           A   7.19   6.99NA   7.42NA   6.99     7.42     1.42  15.60  16.03  15.60  16.03  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21740  Reconstruction of sternum                         A  17.57   9.76NA   9.32NA   9.76     9.32     3.47  30.80  30.36  30.80  30.36  0090.10.69.2120210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
21750  Repair of sternum separation                      A  11.40   6.83NA   6.65NA   6.83     6.65     2.71  20.94  20.76  20.94  20.76  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
21800  Treatment of rib fracture                         A   1.01   1.78     1.91     1.85     2.00     0.18   2.97   3.10   3.04   3.19  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21805  Treatment of rib fracture                         A   2.88   4.14NA   4.21NA   4.14     4.21     0.67   7.69   7.76   7.69   7.76  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
21810  Treatment of rib fracture(s)                      A   7.03   6.62NA   7.23NA   6.62     7.23     1.63  15.28  15.89  15.28  15.89  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21820  Treat sternum fracture                            A   1.36   2.32     2.49     2.39     2.58     0.26   3.94   4.11   4.01   4.20  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21825  Treat sternum fracture                            A   7.76   7.07NA   7.10NA   7.07     7.10     1.82  16.65  16.68  16.65  16.68  0090.10.69.2120210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
21920  Biopsy soft tissue of back                        A   2.11   5.06     5.12     2.29     2.41     0.34   7.51   7.57   4.74   4.86  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
21925  Biopsy soft tissue of back                        A   4.63   6.94     7.34     4.48     4.82     0.93  12.50  12.90  10.04  10.38  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21930  Exc back les sc < 3 cm                            A   4.94   7.53     7.76     4.66     4.76     1.02  13.49  13.72  10.62  10.72  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
21931  Exc back les sc 3+ cm                             A   6.88   5.68NA   5.68NA   5.68     5.68     1.42  13.98  13.98  13.98  13.98  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21932  Exc back tum deep < 5 cm                          A   9.82   8.05NA   8.05NA   8.05     8.05     2.08  19.95  19.95  19.95  19.95  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21933  Exc back tum deep 5+ cm                           A  11.13   8.50NA   8.50NA   8.50     8.50     2.35  21.98  21.98  21.98  21.98  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
21935  Resect back tum < 5 cm                            A  15.72  11.36NA  11.67NA  11.36    11.67     3.21  30.29  30.60  30.29  30.60  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
21936  Resect back tum 5+ cm                             A  22.55  15.43NA  15.43NA  15.43    15.43     4.60  42.58  42.58  42.58  42.58  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22010  I&d p-spine c/t/cerv-thor                         A  12.75  11.31NA  11.97NA  11.31    11.97     3.29  27.35  28.01  27.35  28.01  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
22015  I&d p-spine l/s/ls                                A  12.64  11.20NA  11.74NA  11.20    11.74     3.08  26.92  27.46  26.92  27.46  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
22100  Remove part of neck vertebra                      A  11.00  10.57NA  11.28NA  10.57    11.28     3.96  25.53  26.24  25.53  26.24  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22101  Remove part thorax vertebra                       A  11.08   9.94NA  10.02NA   9.94    10.02     3.97  24.99  25.07  24.99  25.07  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22102  Remove part lumbar vertebra                       A  11.08  10.26NA  10.72NA  10.26    10.72     2.67  24.01  24.47  24.01  24.47  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22103  Remove extra spine segment                        A   2.34   1.31NA   1.36NA   1.31     1.36     0.64   4.29   4.34   4.29   4.34  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
22110  Remove part of neck vertebra                      A  14.00  12.36NA  13.05NA  12.36    13.05     5.04  31.40  32.09  31.40  32.09  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22112  Remove part thorax vertebra                       A  14.07  11.84NA  12.88NA  11.84    12.88     5.05  30.96  32.00  30.96  32.00  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22114  Remove part lumbar vertebra                       A  14.07  12.11NA  12.75NA  12.11    12.75     2.78  28.96  29.60  28.96  29.60  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22116  Remove extra spine segment                        A   2.32   1.27NA   1.32NA   1.27     1.32     0.60   4.19   4.24   4.19   4.24  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
22206  Cut spine 3 col thor                              A  37.18  24.60NA  26.32NA  24.60    26.32     7.32  69.10  70.82  69.10  70.82  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22207  Cut spine 3 col lumb                              A  36.68  24.34NA  26.02NA  24.34    26.02     9.20  70.22  71.90  70.22  71.90  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22208  Cut spine 3 col addl seg                          A   9.66   5.25NA   5.60NA   5.25     5.60     2.59  17.50  17.85  17.50  17.85  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
22210  Revision of neck spine                            A  25.38  19.65NA  20.66NA  19.65    20.66     6.75  51.78  52.79  51.78  52.79  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22212  Revision of thorax spine                          A  20.99  16.96NA  17.94NA  16.96    17.94     4.97  42.92  43.90  42.92  43.90  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
22214  Revision of lumbar spine                          A  21.02  17.06NA  17.90NA  17.06    17.90     5.12  43.20  44.04  43.20  44.04  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22216  Revise extra spine segment                        A   6.03   3.38NA   3.50NA   3.38     3.50     1.51  10.92  11.04  10.92  11.04  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
22220  Revision of neck spine                            A  22.94  17.77NA  18.96NA  17.77    18.96     6.42  47.13  48.32  47.13  48.32  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22222  Revision of thorax spine                          A  23.09  16.09NA  19.26NA  16.09    19.26     4.55  43.73  46.90  43.73  46.90  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
22224  Revision of lumbar spine                          A  23.09  17.71NA  18.80NA  17.71    18.80     5.38  46.18  47.27  46.18  47.27  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22226  Revise extra spine segment                        A   6.03   3.34NA   3.47NA   3.34     3.47     1.58  10.95  11.08  10.95  11.08  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
22305  Treat spine process fracture                      A   2.13   2.88     3.06     2.43     2.59     0.41   5.42   5.60   4.97   5.13  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
22310  Treat spine fracture                              A   3.89   4.01     4.35     3.40     3.70     0.78   8.68   9.02   8.07   8.37  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
22315  Treat spine fracture                              A  10.11  12.76    13.50     9.79    10.42     2.55  25.42  26.16  22.45  23.08  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
22318  Treat odontoid fx w/o graft                       A  22.72  17.36NA  18.20NA  17.36    18.20     7.68  47.76  48.60  47.76  48.60  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22319  Treat odontoid fx w/graft                         A  25.33  18.76NA  20.03NA  18.76    20.03     9.11  53.20  54.47  53.20  54.47  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22325  Treat spine fracture                              A  19.87  16.18NA  17.09NA  16.18    17.09     5.69  41.74  42.65  41.74  42.65  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22326  Treat neck spine fracture                         A  20.84  16.22NA  17.09NA  16.22    17.09     6.30  43.36  44.23  43.36  44.23  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22327  Treat thorax spine fracture                       A  20.77  16.67NA  17.81NA  16.67    17.81     5.62  43.06  44.20  43.06  44.20  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22328  Treat each add spine fx                           A   4.60   2.51NA   2.61NA   2.51     2.61     1.36   8.47   8.57   8.47   8.57  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
22505  Manipulation of spine                             A   1.87   1.30NA   1.42NA   1.30     1.42     0.29   3.46   3.58   3.46   3.58  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
22520  Percut vertebroplasty thor                        A   9.22  55.34    53.09     5.13     4.78     1.06  65.62  63.37  15.41  15.06  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
22521  Percut vertebroplasty lumb                        A   8.65  54.72    52.86     4.91     4.59     1.01  64.38  62.52  14.57  14.25  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
22522  Percut vertebroplasty addl                        A   4.30   1.96NA   1.88NA   1.96     1.88     0.54   6.80   6.72   6.80   6.72  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
22523  Percut kyphoplasty thor                           A   9.26   6.20NA   6.11NA   6.20     6.11     1.82  17.28  17.19  17.28  17.19  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
22524  Percut kyphoplasty lumbar                         A   8.86   6.01NA   5.94NA   6.01     5.94     1.74  16.61  16.54  16.61  16.54  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
22525  Percut kyphoplasty add-on                         A   4.47   2.34NA   2.32NA   2.34     2.32     0.95   7.76   7.74   7.76   7.74  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
22526  Idet single level                                 N+  6.10  54.88    58.74     2.92     3.48     0.54  61.52  65.38   9.56  10.12  9010.10.80.1099999             33.9764 090 99      0.00   0.00   0.00
22527  Idet 1 or more levels                             N+  3.03  46.21    50.43     1.02     1.33     0.24  49.48  53.70   4.29   4.60  9ZZZ.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
22532  Lat thorax spine fusion                           A  25.99  18.75NA  19.82NA  18.75    19.82     7.57  52.31  53.38  52.31  53.38  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22533  Lat lumbar spine fusion                           A  24.79  18.11NA  19.15NA  18.11    19.15     6.38  49.28  50.32  49.28  50.32  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22534  Lat thor/lumb addl seg                            A   5.99   3.30NA   3.41NA   3.30     3.41     1.59  10.88  10.99  10.88  10.99  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22548  Neck spine fusion                                 A  27.06  20.26NA  21.72NA  20.26    21.72     9.72  57.04  58.50  57.04  58.50  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22551  Neck spine fuse&remove addl                       A  25.00  18.57NA  18.57NA  18.57    18.57     7.57  51.14  51.14  51.14  51.14  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22552  Addl neck spine fusion                            A   6.50   3.64NA   3.64NA   3.64     3.64     1.78  11.92  11.92  11.92  11.92  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22554  Neck spine fusion                                 A  17.69  14.22NA  14.64NA  14.22    14.64     5.47  37.38  37.80  37.38  37.80  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22556  Thorax spine fusion                               A  24.70  17.70NA  18.56NA  17.70    18.56     6.63  49.03  49.89  49.03  49.89  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22558  Lumbar spine fusion                               A  23.53  16.12NA  17.08NA  16.12    17.08     5.66  45.31  46.27  45.31  46.27  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22585  Additional spinal fusion                          A   5.52   2.98NA   3.09NA   2.98     3.09     1.59  10.09  10.20  10.09  10.20  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22590  Spine & skull spinal fusion                       A  21.76  17.30NA  18.18NA  17.30    18.18     7.05  46.11  46.99  46.11  46.99  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22595  Neck spinal fusion                                A  20.64  16.62NA  17.48NA  16.62    17.48     6.57  43.83  44.69  43.83  44.69  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22600  Neck spine fusion                                 A  17.40  14.71NA  15.47NA  14.71    15.47     5.32  37.43  38.19  37.43  38.19  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22610  Thorax spine fusion                               A  17.28  14.53NA  15.28NA  14.53    15.28     4.86  36.67  37.42  36.67  37.42  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22612  Lumbar spine fusion                               A  23.53  17.15NA  17.97NA  17.15    17.97     6.23  46.91  47.73  46.91  47.73  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22614  Spine fusion extra segment                        A   6.43   3.56NA   3.67NA   3.56     3.67     1.77  11.76  11.87  11.76  11.87  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22630  Lumbar spine fusion                               A  22.09  16.84NA  17.60NA  16.84    17.60     6.27  45.20  45.96  45.20  45.96  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22632  Spine fusion extra segment                        A   5.22   2.87NA   2.97NA   2.87     2.97     1.50   9.59   9.69   9.59   9.69  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22800  Fusion of spine                                   A  19.50  15.30NA  15.99NA  15.30    15.99     4.90  39.70  40.39  39.70  40.39  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22802  Fusion of spine                                   A  32.11  22.55NA  23.55NA  22.55    23.55     7.51  62.17  63.17  62.17  63.17  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22804  Fusion of spine                                   A  37.50  25.63NA  26.80NA  25.63    26.80     8.53  71.66  72.83  71.66  72.83  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22808  Fusion of spine                                   A  27.51  19.27NA  20.13NA  19.27    20.13     7.27  54.05  54.91  54.05  54.91  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22810  Fusion of spine                                   A  31.50  20.69NA  21.62NA  20.69    21.62     7.93  60.12  61.05  60.12  61.05  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22812  Fusion of spine                                   A  34.25  23.99NA  25.73NA  23.99    25.73     6.75  64.99  66.73  64.99  66.73  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22818  Kyphectomy 1-2 segments                           A  34.33  23.17NA  24.74NA  23.17    24.74     6.76  64.26  65.83  64.26  65.83  0090.11.76.1320222             33.9764 090 99      0.00   0.00   0.00
22819  Kyphectomy 3 or more                              A  39.38  26.77NA  28.59NA  26.77    28.59    14.15  80.30  82.12  80.30  82.12  0090.11.76.1320222             33.9764 090 99      0.00   0.00   0.00
22830  Exploration of spinal fusion                      A  11.22   9.54NA   9.95NA   9.54     9.95     2.90  23.66  24.07  23.66  24.07  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22840  Insert spine fixation device                      A  12.52   6.91NA   7.14NA   6.91     7.14     3.48  22.91  23.14  22.91  23.14  0ZZZ.00.00.0000210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
22842  Insert spine fixation device                      A  12.56   6.95NA   7.18NA   6.95     7.18     3.44  22.95  23.18  22.95  23.18  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22843  Insert spine fixation device                      A  13.44   7.43NA   7.74NA   7.43     7.74     3.50  24.37  24.68  24.37  24.68  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22844  Insert spine fixation device                      A  16.42   9.31NA   9.58NA   9.31     9.58     3.69  29.42  29.69  29.42  29.69  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22845  Insert spine fixation device                      A  11.94   6.50NA   6.73NA   6.50     6.73     3.66  22.10  22.33  22.10  22.33  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22846  Insert spine fixation device                      A  12.40   6.76NA   6.99NA   6.76     6.99     3.77  22.93  23.16  22.93  23.16  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22847  Insert spine fixation device                      A  13.78   7.48NA   7.68NA   7.48     7.68     4.95  26.21  26.41  26.21  26.41  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22848  Insert pelv fixation device                       A   5.99   3.40NA   3.50NA   3.40     3.50     1.39  10.78  10.88  10.78  10.88  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22849  Reinsert spinal fixation                          A  19.17  13.99NA  14.59NA  13.99    14.59     5.14  38.30  38.90  38.30  38.90  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22850  Remove spine fixation device                      A   9.82   8.58NA   8.96NA   8.58     8.96     2.61  21.01  21.39  21.01  21.39  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22851  Apply spine prosth device                         A   6.70   3.67NA   3.81NA   3.67     3.81     1.89  12.26  12.40  12.26  12.40  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
22852  Remove spine fixation device                      A   9.37   8.30NA   8.69NA   8.30     8.69     2.41  20.08  20.47  20.08  20.47  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22855  Remove spine fixation device                      A  15.86  12.19NA  12.74NA  12.19    12.74     4.75  32.80  33.35  32.80  33.35  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22856  Cerv artific diskectomy                           A  24.05  17.40NA  18.08NA  17.40    18.08     7.28  48.73  49.41  48.73  49.41  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22857  Lumbar artif diskectomy                           R  27.13  16.47NA  16.12NA  16.47    16.12     5.78  49.38  49.03  49.38  49.03  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22861  Revise cerv artific disc                          A  33.36  16.97NA  17.36NA  16.97    17.36     9.12  59.45  59.84  59.45  59.84  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22862  Revise lumbar artif disc                          R  32.63  17.17NA  17.53NA  17.17    17.53     6.42  56.22  56.58  56.22  56.58  0090.10.71.1920222             33.9764 090 99      0.00   0.00   0.00
22864  Remove cerv artif disc                            A  29.40  18.37NA  21.67NA  18.37    21.67     8.04  55.81  59.11  55.81  59.11  0090.10.69.2120220             33.9764 090 99      0.00   0.00   0.00
22865  Remove lumb artif disc                            R  31.75  21.67NA  21.07NA  21.67    21.07     6.25  59.67  59.07  59.67  59.07  0090.10.71.1920222             33.9764 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             33.9764 090 99      0.00   0.00   0.00
22900  Exc back tum deep < 5 cm                          A   8.32   5.46NA   6.58NA   5.46     6.58     1.71  15.49  16.61  15.49  16.61  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22901  Exc back tum deep 5+ cm                           A  10.11   7.36NA   7.36NA   7.36     7.36     2.10  19.57  19.57  19.57  19.57  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22902  Exc abd les sc < 3 cm                             A   4.42   7.72     7.72     4.93     4.93     0.71  12.85  12.85  10.06  10.06  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22903  Exc abd les sc > 3 cm                             A   6.39   5.54NA   5.54NA   5.54     5.54     1.21  13.14  13.14  13.14  13.14  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
22904  Resect abd tum < 5 cm                             A  16.69  10.36NA  10.36NA  10.36    10.36     3.55  30.60  30.60  30.60  30.60  0090.09.81.1020211             33.9764 090 99      0.00   0.00   0.00
22905  Resect abd tum > 5 cm                             A  21.58  13.62NA  13.62NA  13.62    13.62     4.60  39.80  39.80  39.80  39.80  0090.09.81.1020211             33.9764 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             33.9764 090 99      0.00   0.00   0.00
23000  Removal of calcium deposits                       A   4.48  10.62    11.32     5.23     5.56     0.86  15.96  16.66  10.57  10.90  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
23020  Release shoulder joint                            A   9.36   8.83NA   9.21NA   8.83     9.21     1.80  19.99  20.37  19.99  20.37  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23030  Drain shoulder lesion                             A   3.47   8.27     8.55     3.30     3.45     0.68  12.42  12.70   7.45   7.60  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
23031  Drain shoulder bursa                              A   2.79   8.24     8.66     2.91     3.10     0.53  11.56  11.98   6.23   6.42  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
23035  Drain shoulder bone lesion                        A   9.16   8.88NA   9.17NA   8.88     9.17     1.80  19.84  20.13  19.84  20.13  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23040  Exploratory shoulder surgery                      A   9.75   9.25NA   9.70NA   9.25     9.70     1.91  20.91  21.36  20.91  21.36  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23044  Exploratory shoulder surgery                      A   7.59   7.49NA   7.79NA   7.49     7.79     1.50  16.58  16.88  16.58  16.88  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
23065  Biopsy shoulder tissues                           A   2.30   3.58     3.70     2.23     2.35     0.38   6.26   6.38   4.91   5.03  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
23066  Biopsy shoulder tissues                           A   4.30   9.94    10.45     4.85     5.13     0.84  15.08  15.59   9.99  10.27  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23071  Exc shoulder les sc > 3 cm                        A   5.91   5.34NA   5.34NA   5.34     5.34     1.21  12.46  12.46  12.46  12.46  0090.10.80.1021200             33.9764 090 99      0.00   0.00   0.00
23073  Exc shoulder tum deep > 5 cm                      A  10.13   8.47NA   8.47NA   8.47     8.47     2.04  20.64  20.64  20.64  20.64  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23075  Exc shoulder les sc < 3 cm                        A   4.21   6.51     8.46     3.35     4.51     0.86  11.58  13.53   8.42   9.58  0090.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
23076  Exc shoulder tum deep < 5 cm                      A   7.41   6.82NA   6.99NA   6.82     6.99     1.51  15.74  15.91  15.74  15.91  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23077  Resect shoulder tum < 5 cm                        A  17.66  12.66NA  13.10NA  12.66    13.10     3.59  33.91  34.35  33.91  34.35  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23078  Resect shoulder tum > 5 cm                        A  22.55  14.04NA  14.04NA  14.04    14.04     4.82  41.41  41.41  41.41  41.41  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23100  Biopsy of shoulder joint                          A   6.20   6.91NA   7.34NA   6.91     7.34     1.22  14.33  14.76  14.33  14.76  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23101  Shoulder joint surgery                            A   5.72   6.17NA   6.42NA   6.17     6.42     1.13  13.02  13.27  13.02  13.27  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
23105  Remove shoulder joint lining                      A   8.48   8.35NA   8.74NA   8.35     8.74     1.66  18.49  18.88  18.49  18.88  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23106  Incision of collarbone joint                      A   6.13   6.77NA   7.30NA   6.77     7.30     1.21  14.11  14.64  14.11  14.64  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
23107  Explore treat shoulder joint                      A   8.87   8.59NA   8.99NA   8.59     8.99     1.71  19.17  19.57  19.17  19.57  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23120  Partial removal collar bone                       A   7.39   7.98NA   8.41NA   7.98     8.41     1.46  16.83  17.26  16.83  17.26  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
23125  Removal of collar bone                            A   9.64   8.98NA   9.53NA   8.98     9.53     1.89  20.51  21.06  20.51  21.06  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23130  Remove shoulder bone part                         A   7.77   8.31NA   8.72NA   8.31     8.72     1.52  17.60  18.01  17.60  18.01  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
23140  Removal of bone lesion                            A   7.12   6.55NA   6.98NA   6.55     6.98     1.42  15.09  15.52  15.09  15.52  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23145  Removal of bone lesion                            A   9.40   8.91NA   9.39NA   8.91     9.39     1.85  20.16  20.64  20.16  20.64  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23146  Removal of bone lesion                            A   8.08   8.06NA   8.71NA   8.06     8.71     1.59  17.73  18.38  17.73  18.38  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
23150  Removal of humerus lesion                         A   8.91   8.46NA   8.87NA   8.46     8.87     1.71  19.08  19.49  19.08  19.49  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23155  Removal of humerus lesion                         A  10.86  10.04NA  10.59NA  10.04    10.59     2.14  23.04  23.59  23.04  23.59  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23156  Removal of humerus lesion                         A   9.11   8.73NA   9.22NA   8.73     9.22     1.80  19.64  20.13  19.64  20.13  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23170  Remove collar bone lesion                         A   7.21   7.21NA   7.94NA   7.21     7.94     1.42  15.84  16.57  15.84  16.57  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23172  Remove shoulder blade lesion                      A   7.31   7.43NA   8.00NA   7.43     8.00     1.46  16.20  16.77  16.20  16.77  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23174  Remove humerus lesion                             A  10.05   9.95NA  10.47NA   9.95    10.47     1.97  21.97  22.49  21.97  22.49  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23180  Remove collar bone lesion                         A   8.99   8.94NA   9.09NA   8.94     9.09     1.81  19.74  19.89  19.74  19.89  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
23182  Remove shoulder blade lesion                      A   8.61   8.99NA   9.36NA   8.99     9.36     1.69  19.29  19.66  19.29  19.66  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23184  Remove humerus lesion                             A   9.90   9.68NA   9.95NA   9.68     9.95     1.91  21.49  21.76  21.49  21.76  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23190  Partial removal of scapula                        A   7.47   7.46NA   7.99NA   7.46     7.99     1.48  16.41  16.94  16.41  16.94  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23195  Removal of head of humerus                        A  10.36   9.53NA  10.07NA   9.53    10.07     2.03  21.92  22.46  21.92  22.46  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23200  Resect clavicle tumor                             A  22.71  14.19NA  18.34NA  14.19    18.34     4.48  41.38  45.53  41.38  45.53  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23210  Resect scapula tumor                              A  27.21  15.85NA  21.02NA  15.85    21.02     5.36  48.42  53.59  48.42  53.59  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23220  Resect prox humerus tumor                         A  30.21  17.29NA  22.49NA  17.29    22.49     5.96  53.46  58.66  53.46  58.66  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23330  Remove shoulder foreign body                      A   1.90   4.36     4.52     2.09     2.17     0.35   6.61   6.77   4.34   4.42  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
23331  Remove shoulder foreign body                      A   7.63   7.98NA   8.36NA   7.98     8.36     1.50  17.11  17.49  17.11  17.49  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
23332  Remove shoulder foreign body                      A  12.37  10.96NA  11.47NA  10.96    11.47     2.40  25.73  26.24  25.73  26.24  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23350  Injection for shoulder x-ray                      A   1.00   3.26     2.97     0.42     0.40     0.10   4.36   4.07   1.52   1.50  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
23395  Muscle transfer shoulder/arm                      A  18.54  15.44NA  16.23NA  15.44    16.23     3.59  37.57  38.36  37.57  38.36  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
23397  Muscle transfers                                  A  16.76  13.42NA  14.10NA  13.42    14.10     3.31  33.49  34.17  33.49  34.17  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
23400  Fixation of shoulder blade                        A  13.87  11.82NA  12.38NA  11.82    12.38     2.74  28.43  28.99  28.43  28.99  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23405  Incision of tendon & muscle                       A   8.54   8.06NA   8.37NA   8.06     8.37     1.66  18.26  18.57  18.26  18.57  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
23406  Incise tendon(s) & muscle(s)                      A  11.01   9.58NA   9.97NA   9.58     9.97     2.16  22.75  23.14  22.75  23.14  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
23410  Repair rotator cuff acute                         A  11.39  10.42NA  10.82NA  10.42    10.82     2.22  24.03  24.43  24.03  24.43  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23412  Repair rotator cuff chronic                       A  11.93  10.76NA  11.14NA  10.76    11.14     2.31  25.00  25.38  25.00  25.38  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23415  Release of shoulder ligament                      A   9.23   9.17NA   9.60NA   9.17     9.60     1.81  20.21  20.64  20.21  20.64  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
23420  Repair of shoulder                                A  13.54  12.17NA  12.68NA  12.17    12.68     2.65  28.36  28.87  28.36  28.87  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23430  Repair biceps tendon                              A  10.17   9.47NA  10.03NA   9.47    10.03     1.97  21.61  22.17  21.61  22.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23440  Remove/transplant tendon                          A  10.64   9.35NA   9.75NA   9.35     9.75     2.07  22.06  22.46  22.06  22.46  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23450  Repair shoulder capsule                           A  13.70  11.32NA  11.87NA  11.32    11.87     2.71  27.73  28.28  27.73  28.28  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23455  Repair shoulder capsule                           A  14.67  11.93NA  12.47NA  11.93    12.47     2.86  29.46  30.00  29.46  30.00  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23460  Repair shoulder capsule                           A  15.82  13.05NA  13.65NA  13.05    13.65     3.13  32.00  32.60  32.00  32.60  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23462  Repair shoulder capsule                           A  15.72  12.61NA  13.27NA  12.61    13.27     3.12  31.45  32.11  31.45  32.11  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23465  Repair shoulder capsule                           A  16.30  13.21NA  13.86NA  13.21    13.86     3.21  32.72  33.37  32.72  33.37  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23466  Repair shoulder capsule                           A  15.80  13.76NA  14.45NA  13.76    14.45     3.12  32.68  33.37  32.68  33.37  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23470  Reconstruct shoulder joint                        A  17.89  14.12NA  14.75NA  14.12    14.75     3.51  35.52  36.15  35.52  36.15  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23472  Reconstruct shoulder joint                        A  22.65  16.94NA  17.76NA  16.94    17.76     4.42  44.01  44.83  44.01  44.83  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23480  Revision of collar bone                           A  11.54  10.13NA  10.66NA  10.13    10.66     2.26  23.93  24.46  23.93  24.46  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
23485  Revision of collar bone                           A  13.91  11.48NA  12.00NA  11.48    12.00     2.72  28.11  28.63  28.11  28.63  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23490  Reinforce clavicle                                A  12.16  10.93NA  12.09NA  10.93    12.09     2.40  25.49  26.65  25.49  26.65  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23491  Reinforce shoulder bones                          A  14.54  12.25NA  12.84NA  12.25    12.84     2.87  29.66  30.25  29.66  30.25  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23500  Treat clavicle fracture                           A   2.21   3.48     3.66     3.51     3.75     0.41   6.10   6.28   6.13   6.37  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23505  Treat clavicle fracture                           A   3.83   5.36     5.65     4.83     5.12     0.72   9.91  10.20   9.38   9.67  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23515  Treat clavicle fracture                           A   9.69   9.36NA  10.05NA   9.36    10.05     1.89  20.94  21.63  20.94  21.63  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23520  Treat clavicle dislocation                        A   2.29   3.68     3.97     3.75     4.06     0.44   6.41   6.70   6.48   6.79  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
23525  Treat clavicle dislocation                        A   3.79   5.98     6.89     5.13     5.83     0.73  10.50  11.41   9.65  10.35  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
23530  Treat clavicle dislocation                        A   7.48   7.19NA   7.99NA   7.19     7.99     1.48  16.15  16.95  16.15  16.95  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23532  Treat clavicle dislocation                        A   8.20   8.25NA   8.67NA   8.25     8.67     1.61  18.06  18.48  18.06  18.48  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
23540  Treat clavicle dislocation                        A   2.36   3.44     3.61     3.45     3.71     0.42   6.22   6.39   6.23   6.49  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23545  Treat clavicle dislocation                        A   3.43   5.08     5.40     4.31     4.58     0.60   9.11   9.43   8.34   8.61  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
23550  Treat clavicle dislocation                        A   7.59   7.52NA   7.85NA   7.52     7.85     1.47  16.58  16.91  16.58  16.91  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23552  Treat clavicle dislocation                        A   8.82   8.59NA   9.00NA   8.59     9.00     1.70  19.11  19.52  19.11  19.52  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23570  Treat shoulder blade fx                           A   2.36   3.69     3.89     3.83     4.08     0.44   6.49   6.69   6.63   6.88  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23575  Treat shoulder blade fx                           A   4.23   6.17     6.62     5.50     5.92     0.83  11.23  11.68  10.56  10.98  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
23585  Treat scapula fracture                            A  14.23  11.43NA  12.35NA  11.43    12.35     2.76  28.42  29.34  28.42  29.34  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23600  Treat humerus fracture                            A   3.11   5.40     5.65     4.77     5.09     0.60   9.11   9.36   8.48   8.80  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23605  Treat humerus fracture                            A   5.06   7.20     7.54     6.16     6.48     0.98  13.24  13.58  12.20  12.52  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23615  Treat humerus fracture                            A  12.30  11.03NA  11.67NA  11.03    11.67     2.40  25.73  26.37  25.73  26.37  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23616  Treat humerus fracture                            A  18.37  14.80NA  15.25NA  14.80    15.25     3.58  36.75  37.20  36.75  37.20  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
23620  Treat humerus fracture                            A   2.55   4.49     4.74     4.10     4.38     0.49   7.53   7.78   7.14   7.42  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23625  Treat humerus fracture                            A   4.10   5.89     6.19     5.20     5.48     0.78  10.77  11.07  10.08  10.36  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23630  Treat humerus fracture                            A  10.57   9.84NA  10.63NA   9.84    10.63     2.07  22.48  23.27  22.48  23.27  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23650  Treat shoulder dislocation                        A   3.53   4.34     4.56     3.65     3.92     0.61   8.48   8.70   7.79   8.06  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23655  Treat shoulder dislocation                        A   4.76   5.57NA   5.98NA   5.57     5.98     0.88  11.21  11.62  11.21  11.62  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23660  Treat shoulder dislocation                        A   7.66   7.72NA   8.12NA   7.72     8.12     1.50  16.88  17.28  16.88  17.28  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23665  Treat dislocation/fracture                        A   4.66   6.47     6.80     5.72     6.02     0.88  12.01  12.34  11.26  11.56  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23670  Treat dislocation/fracture                        A  12.28  10.53NA  11.40NA  10.53    11.40     2.40  25.21  26.08  25.21  26.08  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23675  Treat dislocation/fracture                        A   6.27   8.17     8.63     6.91     7.30     1.20  15.64  16.10  14.38  14.77  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
23680  Treat dislocation/fracture                        A  13.15  11.18NA  11.96NA  11.18    11.96     2.57  26.90  27.68  26.90  27.68  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23700  Fixation of shoulder                              A   2.57   2.57NA   2.69NA   2.57     2.69     0.49   5.63   5.75   5.63   5.75  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
23800  Fusion of shoulder joint                          A  14.73  12.36NA  13.00NA  12.36    13.00     2.93  30.02  30.66  30.02  30.66  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
23802  Fusion of shoulder joint                          A  18.42  15.08NA  16.33NA  15.08    16.33     3.62  37.12  38.37  37.12  38.37  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
23900  Amputation of arm & girdle                        A  20.72  14.96NA  16.83NA  14.96    16.83     4.10  39.78  41.65  39.78  41.65  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
23920  Amputation at shoulder joint                      A  16.23  12.87NA  14.27NA  12.87    14.27     3.20  32.30  33.70  32.30  33.70  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
23921  Amputation follow-up surgery                      A   5.72   5.73NA   6.94NA   5.73     6.94     1.36  12.81  14.02  12.81  14.02  0090.10.69.2120100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
23930  Drainage of arm lesion                            A   2.99   6.59     6.66     2.70     2.82     0.61  10.19  10.26   6.30   6.42  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
23931  Drainage of arm bursa                             A   1.84   5.88     6.00     2.40     2.51     0.34   8.06   8.18   4.58   4.69  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
23935  Drain arm/elbow bone lesion                       A   6.38   6.94NA   7.40NA   6.94     7.40     1.24  14.56  15.02  14.56  15.02  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
24000  Exploratory elbow surgery                         A   6.08   6.52NA   6.88NA   6.52     6.88     1.17  13.77  14.13  13.77  14.13  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
24006  Release elbow joint                               A   9.74   9.12NA   9.62NA   9.12     9.62     1.82  20.68  21.18  20.68  21.18  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
24065  Biopsy arm/elbow soft tissue                      A   2.13   4.91     5.03     2.44     2.56     0.34   7.38   7.50   4.91   5.03  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
24066  Biopsy arm/elbow soft tissue                      A   5.35  10.86    11.40     5.33     5.72     1.08  17.29  17.83  11.76  12.15  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24071  Exc arm/elbow les sc 3+ cm                        A   5.70   5.29NA   5.29NA   5.29     5.29     1.16  12.15  12.15  12.15  12.15  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24073  Ex arm/elbow tum deep > 5 cm                      A  10.13   8.57NA   8.57NA   8.57     8.57     2.01  20.71  20.71  20.71  20.71  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24075  Exc arm/elbow les sc < 3 cm                       A   4.24   8.96     9.11     4.37     4.64     0.84  14.04  14.19   9.45   9.72  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24076  Ex arm/elbow tum deep < 5 cm                      A   7.41   6.47NA   7.14NA   6.47     7.14     1.48  15.36  16.03  15.36  16.03  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24077  Resect arm/elbow tum < 5 cm                       A  15.72  10.47NA  12.10NA  10.47    12.10     3.18  29.37  31.00  29.37  31.00  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
24079  Resect arm/elbow tum > 5 cm                       A  20.61  13.20NA  13.20NA  13.20    13.20     4.38  38.19  38.19  38.19  38.19  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24100  Biopsy elbow joint lining                         A   5.07   5.81NA   6.23NA   5.81     6.23     1.01  11.89  12.31  11.89  12.31  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24101  Explore/treat elbow joint                         A   6.30   6.94NA   7.28NA   6.94     7.28     1.21  14.45  14.79  14.45  14.79  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24102  Remove elbow joint lining                         A   8.26   8.01NA   8.44NA   8.01     8.44     1.55  17.82  18.25  17.82  18.25  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24105  Removal of elbow bursa                            A   3.78   5.41NA   5.74NA   5.41     5.74     0.72   9.91  10.24   9.91  10.24  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24110  Remove humerus lesion                             A   7.58   7.88NA   8.30NA   7.88     8.30     1.50  16.96  17.38  16.96  17.38  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
24115  Remove/graft bone lesion                          A  10.12   9.24NA   9.82NA   9.24     9.82     1.99  21.35  21.93  21.35  21.93  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24116  Remove/graft bone lesion                          A  12.23  10.51NA  11.07NA  10.51    11.07     2.41  25.15  25.71  25.15  25.71  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24120  Remove elbow lesion                               A   6.82   7.10NA   7.53NA   7.10     7.53     1.29  15.21  15.64  15.21  15.64  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
24125  Remove/graft bone lesion                          A   8.14   8.10NA   8.64NA   8.10     8.64     1.59  17.83  18.37  17.83  18.37  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24126  Remove/graft bone lesion                          A   8.62   8.47NA   8.92NA   8.47     8.92     1.69  18.78  19.23  18.78  19.23  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24130  Removal of head of radius                         A   6.42   7.02NA   7.36NA   7.02     7.36     1.20  14.64  14.98  14.64  14.98  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
24134  Removal of arm bone lesion                        A  10.22   9.60NA   9.99NA   9.60     9.99     2.00  21.82  22.21  21.82  22.21  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24136  Remove radius bone lesion                         A   8.40   7.76NA   8.65NA   7.76     8.65     1.65  17.81  18.70  17.81  18.70  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24138  Remove elbow bone lesion                          A   8.50   9.25NA   9.76NA   9.25     9.76     1.66  19.41  19.92  19.41  19.92  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24140  Partial removal of arm bone                       A   9.55   9.32NA   9.59NA   9.32     9.59     1.78  20.65  20.92  20.65  20.92  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24145  Partial removal of radius                         A   7.81   8.02NA   8.19NA   8.02     8.19     1.54  17.37  17.54  17.37  17.54  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
24147  Partial removal of elbow                          A   7.84   8.81NA   9.09NA   8.81     9.09     1.51  18.16  18.44  18.16  18.44  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
24149  Radical resection of elbow                        A  16.22  14.84NA  15.86NA  14.84    15.86     2.98  34.04  35.06  34.04  35.06  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24150  Resect distal humerus tumor                       A  23.46  14.97NA  18.67NA  14.97    18.67     4.63  43.06  46.76  43.06  46.76  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24152  Resect radius tumor                               A  19.99  12.70NA  16.61NA  12.70    16.61     3.93  36.62  40.53  36.62  40.53  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24155  Removal of elbow joint                            A  12.09  10.36NA  10.98NA  10.36    10.98     2.38  24.83  25.45  24.83  25.45  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24160  Remove elbow joint implant                        A   8.00   8.07NA   8.51NA   8.07     8.51     1.50  17.57  18.01  17.57  18.01  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
24164  Remove radius head implant                        A   6.43   6.71NA   7.02NA   6.71     7.02     1.27  14.41  14.72  14.41  14.72  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
24200  Removal of arm foreign body                       A   1.81   3.67     3.84     1.88     2.02     0.31   5.79   5.96   4.00   4.14  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
24201  Removal of arm foreign body                       A   4.70  10.30    10.49     4.96     5.19     0.93  15.93  16.12  10.59  10.82  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24220  Injection for elbow x-ray                         A   1.31   3.31     2.99     0.59     0.57     0.12   4.74   4.42   2.02   2.00  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
24300  Manipulate elbow w/anesth                         A   4.04   6.84NA   7.20NA   6.84     7.20     0.72  11.60  11.96  11.60  11.96  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24301  Muscle/tendon transfer                            A  10.38   9.47NA   9.90NA   9.47     9.90     2.03  21.88  22.31  21.88  22.31  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
24305  Arm tendon lengthening                            A   7.62   7.81NA   8.23NA   7.81     8.23     1.36  16.79  17.21  16.79  17.21  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
24310  Revision of arm tendon                            A   6.12   6.49NA   6.81NA   6.49     6.81     1.18  13.79  14.11  13.79  14.11  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
24320  Repair of arm tendon                              A  10.86   9.67NA  10.25NA   9.67    10.25     2.14  22.67  23.25  22.67  23.25  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
24330  Revision of arm muscles                           A   9.79   9.15NA   9.61NA   9.15     9.61     1.92  20.86  21.32  20.86  21.32  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24331  Revision of arm muscles                           A  10.95  10.33NA  11.21NA  10.33    11.21     2.16  23.44  24.32  23.44  24.32  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24332  Tenolysis triceps                                 A   7.91   8.22NA   8.66NA   8.22     8.66     1.55  17.68  18.12  17.68  18.12  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24340  Repair of biceps tendon                           A   8.08   8.14NA   8.53NA   8.14     8.53     1.58  17.80  18.19  17.80  18.19  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24341  Repair arm tendon/muscle                          A   9.49  10.13NA  10.78NA  10.13    10.78     1.85  21.47  22.12  21.47  22.12  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24342  Repair of ruptured tendon                         A  10.86   9.78NA  10.24NA   9.78    10.24     2.07  22.71  23.17  22.71  23.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24343  Repr elbow lat ligmnt w/tiss                      A   9.16   9.58NA  10.05NA   9.58    10.05     1.67  20.41  20.88  20.41  20.88  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24344  Reconstruct elbow lat ligmnt                      A  15.21  13.73NA  14.51NA  13.73    14.51     3.01  31.95  32.73  31.95  32.73  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24345  Repr elbw med ligmnt w/tissu                      A   9.16   9.46NA   9.95NA   9.46     9.95     1.67  20.29  20.78  20.29  20.78  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24346  Reconstruct elbow med ligmnt                      A  15.21  13.78NA  14.51NA  13.78    14.51     3.01  32.00  32.73  32.00  32.73  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24357  Repair elbow perc                                 A   5.44   6.40NA   6.69NA   6.40     6.69     1.03  12.87  13.16  12.87  13.16  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
24358  Repair elbow w/deb open                           A   6.66   7.24NA   7.62NA   7.24     7.62     1.25  15.15  15.53  15.15  15.53  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
24359  Repair elbow deb/attch open                       A   8.98   8.41NA   9.01NA   8.41     9.01     1.67  19.06  19.66  19.06  19.66  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
24360  Reconstruct elbow joint                           A  12.67  11.11NA  11.65NA  11.11    11.65     2.48  26.26  26.80  26.26  26.80  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24361  Reconstruct elbow joint                           A  14.41  12.24NA  12.79NA  12.24    12.79     2.84  29.49  30.04  29.49  30.04  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24362  Reconstruct elbow joint                           A  15.32  12.68NA  13.33NA  12.68    13.33     3.04  31.04  31.69  31.04  31.69  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24363  Replace elbow joint                               A  22.65  17.03NA  18.11NA  17.03    18.11     4.21  43.89  44.97  43.89  44.97  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24365  Reconstruct head of radius                        A   8.62   8.28NA   8.65NA   8.28     8.65     1.69  18.59  18.96  18.59  18.96  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24366  Reconstruct head of radius                        A   9.36   8.73NA   9.16NA   8.73     9.16     1.77  19.86  20.29  19.86  20.29  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24400  Revision of humerus                               A  11.33  10.37NA  10.83NA  10.37    10.83     2.19  23.89  24.35  23.89  24.35  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24410  Revision of humerus                               A  15.11  12.62NA  13.48NA  12.62    13.48     2.99  30.72  31.58  30.72  31.58  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24420  Revision of humerus                               A  13.73  12.45NA  13.08NA  12.45    13.08     2.71  28.89  29.52  28.89  29.52  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24430  Repair of humerus                                 A  15.25  12.66NA  13.47NA  12.66    13.47     2.95  30.86  31.67  30.86  31.67  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24435  Repair humerus with graft                         A  14.99  13.47NA  14.27NA  13.47    14.27     2.93  31.39  32.19  31.39  32.19  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24470  Revision of elbow joint                           A   8.93   8.21NA   9.21NA   8.21     9.21     1.77  18.91  19.91  18.91  19.91  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24495  Decompression of forearm                          A   8.41   8.94NA   9.04NA   8.94     9.04     1.80  19.15  19.25  19.15  19.25  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
24498  Reinforce humerus                                 A  12.28  10.66NA  11.15NA  10.66    11.15     2.41  25.35  25.84  25.35  25.84  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24500  Treat humerus fracture                            A   3.41   5.89     6.20     5.00     5.34     0.64   9.94  10.25   9.05   9.39  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24505  Treat humerus fracture                            A   5.39   7.77     8.14     6.52     6.85     1.05  14.21  14.58  12.96  13.29  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24515  Treat humerus fracture                            A  12.12  11.07NA  11.62NA  11.07    11.62     2.34  25.53  26.08  25.53  26.08  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24516  Treat humerus fracture                            A  12.19  10.58NA  11.08NA  10.58    11.08     2.38  25.15  25.65  25.15  25.65  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
24530  Treat humerus fracture                            A   3.69   6.27     6.60     5.29     5.63     0.69  10.65  10.98   9.67  10.01  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24535  Treat humerus fracture                            A   7.11   9.16     9.58     7.90     8.30     1.37  17.64  18.06  16.38  16.78  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24538  Treat humerus fracture                            A   9.77   9.92NA  10.35NA   9.92    10.35     1.92  21.61  22.04  21.61  22.04  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24545  Treat humerus fracture                            A  13.15  11.27NA  12.04NA  11.27    12.04     2.56  26.98  27.75  26.98  27.75  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24546  Treat humerus fracture                            A  14.91  12.72NA  13.27NA  12.72    13.27     2.90  30.53  31.08  30.53  31.08  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
24560  Treat humerus fracture                            A   2.98   5.39     5.66     4.44     4.76     0.56   8.93   9.20   7.98   8.30  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24565  Treat humerus fracture                            A   5.78   7.99     8.64     6.83     7.44     1.14  14.91  15.56  13.75  14.36  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24566  Treat humerus fracture                            A   9.06   9.81NA  10.35NA   9.81    10.35     1.80  20.67  21.21  20.67  21.21  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24575  Treat humerus fracture                            A   9.71   9.70NA  10.15NA   9.70    10.15     1.88  21.29  21.74  21.29  21.74  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24576  Treat humerus fracture                            A   3.06   5.82     6.15     4.88     5.21     0.59   9.47   9.80   8.53   8.86  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24577  Treat humerus fracture                            A   6.01   8.24     8.84     7.01     7.58     1.18  15.43  16.03  14.20  14.77  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24579  Treat humerus fracture                            A  11.44  10.64NA  11.21NA  10.64    11.21     2.20  24.28  24.85  24.28  24.85  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24582  Treat humerus fracture                            A  10.14  11.03NA  11.75NA  11.03    11.75     1.99  23.16  23.88  23.16  23.88  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24586  Treat elbow fracture                              A  15.78  13.02NA  13.64NA  13.02    13.64     3.05  31.85  32.47  31.85  32.47  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24587  Treat elbow fracture                              A  15.79  13.07NA  13.78NA  13.07    13.78     2.93  31.79  32.50  31.79  32.50  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24600  Treat elbow dislocation                           A   4.37   5.08     5.24     4.22     4.46     0.76  10.21  10.37   9.35   9.59  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24605  Treat elbow dislocation                           A   5.64   6.63NA   7.02NA   6.63     7.02     1.09  13.36  13.75  13.36  13.75  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24615  Treat elbow dislocation                           A   9.83   9.07NA   9.50NA   9.07     9.50     1.84  20.74  21.17  20.74  21.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24620  Treat elbow fracture                              A   7.22   7.39NA   7.76NA   7.39     7.76     1.36  15.97  16.34  15.97  16.34  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
24635  Treat elbow fracture                              A   8.80   9.98NA   9.47NA   9.98     9.47     1.67  20.45  19.94  20.45  19.94  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24640  Treat elbow dislocation                           A   1.25   2.13     2.35     1.07     1.18     0.23   3.61   3.83   2.55   2.66  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
24650  Treat radius fracture                             A   2.31   4.53     4.76     3.90     4.18     0.42   7.26   7.49   6.63   6.91  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24655  Treat radius fracture                             A   4.62   6.83     7.09     5.80     6.08     0.86  12.31  12.57  11.28  11.56  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24665  Treat radius fracture                             A   8.36   8.90NA   9.37NA   8.90     9.37     1.59  18.85  19.32  18.85  19.32  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24666  Treat radius fracture                             A   9.86   9.56NA  10.04NA   9.56    10.04     1.86  21.28  21.76  21.28  21.76  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24670  Treat ulnar fracture                              A   2.69   4.93     5.17     4.13     4.40     0.50   8.12   8.36   7.32   7.59  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24675  Treat ulnar fracture                              A   4.91   7.13     7.45     6.08     6.38     0.93  12.97  13.29  11.92  12.22  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
24685  Treat ulnar fracture                              A   8.37   8.90NA   9.36NA   8.90     9.36     1.62  18.89  19.35  18.89  19.35  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24800  Fusion of elbow joint                             A  11.41  10.07NA  11.02NA  10.07    11.02     2.25  23.73  24.68  23.73  24.68  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24802  Fusion/graft of elbow joint                       A  14.32  12.08NA  12.75NA  12.08    12.75     2.83  29.23  29.90  29.23  29.90  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24900  Amputation of upper arm                           A  10.18   8.97NA   9.59NA   8.97     9.59     2.01  21.16  21.78  21.16  21.78  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24920  Amputation of upper arm                           A  10.13   8.93NA   9.67NA   8.93     9.67     1.99  21.05  21.79  21.05  21.79  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
24925  Amputation follow-up surgery                      A   7.30   7.57NA   7.99NA   7.57     7.99     1.44  16.31  16.73  16.31  16.73  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24930  Amputation follow-up surgery                      A  10.83   9.34NA  10.09NA   9.34    10.09     2.14  22.31  23.06  22.31  23.06  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24931  Amputate upper arm & implant                      A  13.44   8.14NA   8.38NA   8.14     8.38     0.95  22.53  22.77  22.53  22.77  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
24935  Revision of amputation                            A  16.45   8.53NA   7.55NA   8.53     7.55     3.24  28.22  27.24  28.22  27.24  0090.10.69.2121000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
25000  Incision of tendon sheath                         A   3.55   5.73NA   5.65NA   5.73     5.65     0.64   9.92   9.84   9.92   9.84  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25001  Incise flexor carpi radialis                      A   3.79   5.31NA   5.67NA   5.31     5.67     0.67   9.77  10.13   9.77  10.13  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25020  Decompress forearm 1 space                        A   6.06   9.56NA   9.85NA   9.56     9.85     1.06  16.68  16.97  16.68  16.97  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25023  Decompress forearm 1 space                        A  13.83  15.54NA  16.15NA  15.54    16.15     2.74  32.11  32.72  32.11  32.72  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25024  Decompress forearm 2 spaces                       A  10.79   9.72NA  10.23NA   9.72    10.23     2.12  22.63  23.14  22.63  23.14  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25025  Decompress forearm 2 spaces                       A  17.94  13.97NA  15.21NA  13.97    15.21     3.54  35.45  36.69  35.45  36.69  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25028  Drainage of forearm lesion                        A   5.39   8.54NA   8.78NA   8.54     8.78     1.03  14.96  15.20  14.96  15.20  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25031  Drainage of forearm bursa                         A   4.26   5.41NA   5.12NA   5.41     5.12     0.83  10.50  10.21  10.50  10.21  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25035  Treat forearm bone lesion                         A   7.65   8.76NA   8.16NA   8.76     8.16     1.48  17.89  17.29  17.89  17.29  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25040  Explore/treat wrist joint                         A   7.50   7.58NA   7.81NA   7.58     7.81     1.36  16.44  16.67  16.44  16.67  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25065  Biopsy forearm soft tissues                       A   2.04   4.98     5.09     2.48     2.57     0.33   7.35   7.46   4.85   4.94  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
25066  Biopsy forearm soft tissues                       A   4.27   5.59NA   5.46NA   5.59     5.46     0.80  10.66  10.53  10.66  10.53  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25071  Exc forearm les sc > 3 cm                         A   5.91   5.69NA   5.69NA   5.69     5.69     1.17  12.77  12.77  12.77  12.77  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25073  Exc forearm tum deep 3+ cm                        A   7.13   7.47NA   7.47NA   7.47     7.47     1.36  15.96  15.96  15.96  15.96  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25075  Exc forearm les sc < 3 cm                         A   3.96   9.16     9.16     4.75     4.64     0.76  13.88  13.88   9.47   9.36  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25076  Exc forearm tum deep < 3 cm                       A   6.74   7.01NA   7.25NA   7.01     7.25     1.28  15.03  15.27  15.03  15.27  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25077  Resect forearm/wrist tum<3cm                      A  12.93  10.20NA  10.88NA  10.20    10.88     2.61  25.74  26.42  25.74  26.42  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25078  Resect forearm/wrist tum3+cm                      A  17.69  11.93NA  11.93NA  11.93    11.93     3.78  33.40  33.40  33.40  33.40  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25085  Incision of wrist capsule                         A   5.64   6.55NA   6.59NA   6.55     6.59     1.10  13.29  13.33  13.29  13.33  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25100  Biopsy of wrist joint                             A   4.02   5.21NA   5.34NA   5.21     5.34     0.78  10.01  10.14  10.01  10.14  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25101  Explore/treat wrist joint                         A   4.83   6.01NA   6.18NA   6.01     6.18     0.90  11.74  11.91  11.74  11.91  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25105  Remove wrist joint lining                         A   6.02   7.02NA   7.15NA   7.02     7.15     1.10  14.14  14.27  14.14  14.27  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
25107  Remove wrist joint cartilage                      A   7.70   8.87NA   9.23NA   8.87     9.23     1.36  17.93  18.29  17.93  18.29  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25109  Excise tendon forearm/wrist                       A   6.94   7.25NA   7.80NA   7.25     7.80     1.24  15.43  15.98  15.43  15.98  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25110  Remove wrist tendon lesion                        A   4.04   5.36NA   5.20NA   5.36     5.20     0.75  10.15   9.99  10.15   9.99  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25111  Remove wrist tendon lesion                        A   3.53   4.99NA   5.17NA   4.99     5.17     0.67   9.19   9.37   9.19   9.37  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25112  Reremove wrist tendon lesion                      A   4.67   5.61NA   5.85NA   5.61     5.85     0.87  11.15  11.39  11.15  11.39  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25115  Remove wrist/forearm lesion                       A  10.09  10.99NA  10.78NA  10.99    10.78     1.80  22.88  22.67  22.88  22.67  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25116  Remove wrist/forearm lesion                       A   7.56   9.35NA   8.91NA   9.35     8.91     1.33  18.24  17.80  18.24  17.80  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
25118  Excise wrist tendon sheath                        A   4.51   5.78NA   5.95NA   5.78     5.95     0.80  11.09  11.26  11.09  11.26  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25119  Partial removal of ulna                           A   6.21   7.17NA   7.26NA   7.17     7.26     1.22  14.60  14.69  14.60  14.69  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25120  Removal of forearm lesion                         A   6.27   7.88NA   7.29NA   7.88     7.29     1.17  15.32  14.73  15.32  14.73  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
25125  Remove/graft forearm lesion                       A   7.67   8.91NA   8.36NA   8.91     8.36     1.51  18.09  17.54  18.09  17.54  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25126  Remove/graft forearm lesion                       A   7.74   8.90NA   8.40NA   8.90     8.40     1.52  18.16  17.66  18.16  17.66  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25130  Removal of wrist lesion                           A   5.43   6.64NA   6.85NA   6.64     6.85     0.99  13.06  13.27  13.06  13.27  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25135  Remove & graft wrist lesion                       A   7.08   7.80NA   8.00NA   7.80     8.00     1.39  16.27  16.47  16.27  16.47  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25136  Remove & graft wrist lesion                       A   6.14   6.98NA   7.19NA   6.98     7.19     1.21  14.33  14.54  14.33  14.54  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25145  Remove forearm bone lesion                        A   6.54   8.00NA   7.43NA   8.00     7.43     1.28  15.82  15.25  15.82  15.25  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25150  Partial removal of ulna                           A   7.38   7.88NA   8.00NA   7.88     8.00     1.36  16.62  16.74  16.62  16.74  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
25151  Partial removal of radius                         A   7.68   8.68NA   8.14NA   8.68     8.14     1.51  17.87  17.33  17.87  17.33  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25170  Resect radius/ulnar tumor                         A  22.21  14.83NA  17.82NA  14.83    17.82     4.37  41.41  44.40  41.41  44.40  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25210  Removal of wrist bone                             A   6.12   7.05NA   7.29NA   7.05     7.29     1.08  14.25  14.49  14.25  14.49  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
25215  Removal of wrist bones                            A   8.14   8.61NA   8.83NA   8.61     8.83     1.40  18.15  18.37  18.15  18.37  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
25230  Partial removal of radius                         A   5.37   6.29NA   6.49NA   6.29     6.49     0.90  12.56  12.76  12.56  12.76  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
25240  Partial removal of ulna                           A   5.31   6.37NA   6.43NA   6.37     6.43     0.91  12.59  12.65  12.59  12.65  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
25246  Injection for wrist x-ray                         A   1.45   3.23     2.93     0.62     0.59     0.14   4.82   4.52   2.21   2.18  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
25248  Remove forearm foreign body                       A   5.31   6.07NA   5.79NA   6.07     5.79     1.05  12.43  12.15  12.43  12.15  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25250  Removal of wrist prosthesis                       A   6.77   7.20NA   7.55NA   7.20     7.55     1.32  15.29  15.64  15.29  15.64  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25251  Removal of wrist prosthesis                       A   9.82   9.17NA   9.62NA   9.17     9.62     1.93  20.92  21.37  20.92  21.37  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
25259  Manipulate wrist w/anesthes                       A   4.04   6.91NA   7.28NA   6.91     7.28     0.72  11.67  12.04  11.67  12.04  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25260  Repair forearm tendon/muscle                      A   8.04   9.61NA   9.21NA   9.61     9.21     1.48  19.13  18.73  19.13  18.73  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
25263  Repair forearm tendon/muscle                      A   8.04   9.44NA   8.92NA   9.44     8.92     1.58  19.06  18.54  19.06  18.54  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
25265  Repair forearm tendon/muscle                      A  10.10  10.59NA  10.13NA  10.59    10.13     1.97  22.66  22.20  22.66  22.20  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
25270  Repair forearm tendon/muscle                      A   6.17   7.81NA   7.26NA   7.81     7.26     1.16  15.14  14.59  15.14  14.59  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
25272  Repair forearm tendon/muscle                      A   7.21   8.47NA   7.90NA   8.47     7.90     1.32  17.00  16.43  17.00  16.43  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
25274  Repair forearm tendon/muscle                      A   8.94   9.65NA   9.11NA   9.65     9.11     1.77  20.36  19.82  20.36  19.82  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
25275  Repair forearm tendon sheath                      A   8.96   8.89NA   9.28NA   8.89     9.28     1.77  19.62  20.01  19.62  20.01  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
25280  Revise wrist/forearm tendon                       A   7.39   8.57NA   8.06NA   8.57     8.06     1.28  17.24  16.73  17.24  16.73  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
25290  Incise wrist/forearm tendon                       A   5.43   7.64NA   6.50NA   7.64     6.50     0.98  14.05  12.91  14.05  12.91  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
25295  Release wrist/forearm tendon                      A   6.72   8.15NA   7.62NA   8.15     7.62     1.18  16.05  15.52  16.05  15.52  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
25300  Fusion of tendons at wrist                        A   9.02   9.17NA   9.48NA   9.17     9.48     1.78  19.97  20.28  19.97  20.28  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25301  Fusion of tendons at wrist                        A   8.59   8.65NA   8.97NA   8.65     8.97     1.57  18.81  19.13  18.81  19.13  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25310  Transplant forearm tendon                         A   8.08   9.32NA   8.90NA   9.32     8.90     1.39  18.79  18.37  18.79  18.37  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
25312  Transplant forearm tendon                         A   9.82  10.22NA   9.80NA  10.22     9.80     1.78  21.82  21.40  21.82  21.40  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
25315  Revise palsy hand tendon(s)                       A  10.68  10.65NA  10.14NA  10.65    10.14     2.10  23.43  22.92  23.43  22.92  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25316  Revise palsy hand tendon(s)                       A  12.90  12.05NA  11.80NA  12.05    11.80     1.61  26.56  26.31  26.56  26.31  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25320  Repair/revise wrist joint                         A  12.75  13.58NA  14.40NA  13.58    14.40     2.26  28.59  29.41  28.59  29.41  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25332  Revise wrist joint                                A  11.74  10.70NA  11.30NA  10.70    11.30     2.18  24.62  25.22  24.62  25.22  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25335  Realignment of hand                               A  13.39  10.00NA   8.58NA  10.00     8.58     0.95  24.34  22.92  24.34  22.92  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25337  Reconstruct ulna/radioulnar                       A  11.73  12.17NA  12.76NA  12.17    12.76     2.01  25.91  26.50  25.91  26.50  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25350  Revision of radius                                A   9.09   9.82NA   9.31NA   9.82     9.31     1.61  20.52  20.01  20.52  20.01  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25355  Revision of radius                                A  10.53  10.66NA  10.17NA  10.66    10.17     2.07  23.26  22.77  23.26  22.77  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25360  Revision of ulna                                  A   8.74   9.57NA   9.00NA   9.57     9.00     1.65  19.96  19.39  19.96  19.39  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25365  Revise radius & ulna                              A  12.91  12.08NA  11.81NA  12.08    11.81     2.55  27.54  27.27  27.54  27.27  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25370  Revise radius or ulna                             A  14.10  13.30NA  13.10NA  13.30    13.10     2.78  30.18  29.98  30.18  29.98  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25375  Revise radius & ulna                              A  13.55  12.60NA  12.19NA  12.60    12.19     0.95  27.10  26.69  27.10  26.69  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25390  Shorten radius or ulna                            A  10.70  10.77NA  10.37NA  10.77    10.37     1.88  23.35  22.95  23.35  22.95  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25391  Lengthen radius or ulna                           A  14.28  12.93NA  12.63NA  12.93    12.63     2.83  30.04  29.74  30.04  29.74  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25392  Shorten radius & ulna                             A  14.58  13.12NA  12.80NA  13.12    12.80     2.90  30.60  30.28  30.60  30.28  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25393  Lengthen radius & ulna                            A  16.56  14.99NA  15.42NA  14.99    15.42     3.28  34.83  35.26  34.83  35.26  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25394  Repair carpal bone shorten                        A  10.85   9.80NA  10.32NA   9.80    10.32     2.14  22.79  23.31  22.79  23.31  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25400  Repair radius or ulna                             A  11.28  11.08NA  10.61NA  11.08    10.61     2.07  24.43  23.96  24.43  23.96  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25405  Repair/graft radius or ulna                       A  15.01  13.52NA  13.20NA  13.52    13.20     2.74  31.27  30.95  31.27  30.95  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25415  Repair radius & ulna                              A  13.80  13.12NA  12.84NA  13.12    12.84     2.72  29.64  29.36  29.64  29.36  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25420  Repair/graft radius & ulna                        A  17.04  14.84NA  14.52NA  14.84    14.52     3.38  35.26  34.94  35.26  34.94  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25425  Repair/graft radius or ulna                       A  13.72  13.39NA  12.29NA  13.39    12.29     2.71  29.82  28.72  29.82  28.72  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25426  Repair/graft radius & ulna                        A  16.45  13.13NA  13.92NA  13.13    13.92     3.24  32.82  33.61  32.82  33.61  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25430  Vasc graft into carpal bone                       A   9.71   9.46NA  10.06NA   9.46    10.06     1.21  20.38  20.98  20.38  20.98  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25431  Repair nonunion carpal bone                       A  10.89   9.82NA  10.43NA   9.82    10.43     2.15  22.86  23.47  22.86  23.47  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25440  Repair/graft wrist bone                           A  10.68   9.89NA  10.26NA   9.89    10.26     1.89  22.46  22.83  22.46  22.83  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25441  Reconstruct wrist joint                           A  13.29  12.09NA  13.13NA  12.09    13.13     1.65  27.03  28.07  27.03  28.07  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25442  Reconstruct wrist joint                           A  11.12  10.46NA  11.04NA  10.46    11.04     1.39  22.97  23.55  22.97  23.55  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25443  Reconstruct wrist joint                           A  10.66  10.01NA  10.45NA  10.01    10.45     2.10  22.77  23.21  22.77  23.21  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25444  Reconstruct wrist joint                           A  11.42  10.88NA  11.82NA  10.88    11.82     0.80  23.10  24.04  23.10  24.04  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25445  Reconstruct wrist joint                           A   9.88   9.29NA   9.78NA   9.29     9.78     1.80  20.97  21.46  20.97  21.46  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
25446  Wrist replacement                                 A  17.30  14.04NA  14.88NA  14.04    14.88     2.95  34.29  35.13  34.29  35.13  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25447  Repair wrist joint(s)                             A  11.14  10.83NA  11.54NA  10.83    11.54     1.96  23.93  24.64  23.93  24.64  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25449  Remove wrist joint implant                        A  14.94  12.64NA  13.45NA  12.64    13.45     2.95  30.53  31.34  30.53  31.34  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25450  Revision of wrist joint                           A   8.06   6.80NA   6.03NA   6.80     6.03     1.58  16.44  15.67  16.44  15.67  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25455  Revision of wrist joint                           A   9.71   7.72NA   6.97NA   7.72     6.97     0.68  18.11  17.36  18.11  17.36  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25490  Reinforce radius                                  A   9.73   9.51NA   8.80NA   9.51     8.80     1.25  20.49  19.78  20.49  19.78  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25491  Reinforce ulna                                    A  10.15  10.35NA   9.84NA  10.35     9.84     1.99  22.49  21.98  22.49  21.98  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25492  Reinforce radius and ulna                         A  12.66  12.08NA  11.77NA  12.08    11.77     2.48  27.22  26.91  27.22  26.91  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25500  Treat fracture of radius                          A   2.60   4.43     4.73     3.80     4.13     0.45   7.48   7.78   6.85   7.18  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25505  Treat fracture of radius                          A   5.45   7.75     8.10     6.64     6.98     1.03  14.23  14.58  13.12  13.46  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25515  Treat fracture of radius                          A   8.80   8.88NA   9.33NA   8.88     9.33     1.67  19.35  19.80  19.35  19.80  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25520  Treat fracture of radius                          A   6.50   8.17     8.85     7.39     8.04     1.28  15.95  16.63  15.17  15.82  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25525  Treat fracture of radius                          A  10.55  10.41NA  10.72NA  10.41    10.72     2.01  22.97  23.28  22.97  23.28  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
25526  Treat fracture of radius                          A  13.15  12.55NA  12.66NA  12.55    12.66     2.60  28.30  28.41  28.30  28.41  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
25530  Treat fracture of ulna                            A   2.24   4.60     4.84     3.90     4.17     0.41   7.25   7.49   6.55   6.82  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25535  Treat fracture of ulna                            A   5.36   7.47     7.88     6.54     6.91     1.02  13.85  14.26  12.92  13.29  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25545  Treat fracture of ulna                            A   7.94   8.59NA   8.96NA   8.59     8.96     1.51  18.04  18.41  18.04  18.41  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25560  Treat fracture radius & ulna                      A   2.59   4.53     4.81     3.78     4.11     0.48   7.60   7.88   6.85   7.18  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25565  Treat fracture radius & ulna                      A   5.85   7.91     8.26     6.62     6.94     1.10  14.86  15.21  13.57  13.89  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25574  Treat fracture radius & ulna                      A   8.80   8.90NA   9.41NA   8.90     9.41     1.70  19.40  19.91  19.40  19.91  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
25575  Treat fracture radius/ulna                        A  12.29  11.47NA  12.08NA  11.47    12.08     2.34  26.10  26.71  26.10  26.71  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25600  Treat fracture radius/ulna                        A   2.78   4.88     5.12     4.14     4.44     0.52   8.18   8.42   7.44   7.74  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25605  Treat fracture radius/ulna                        A   7.25   9.10     9.62     8.14     8.64     1.39  17.74  18.26  16.78  17.28  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25606  Treat fx distal radial                            A   8.31   9.35NA   9.66NA   9.35     9.66     1.61  19.27  19.58  19.27  19.58  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25607  Treat fx rad extra-articul                        A   9.56   9.73NA  10.41NA   9.73    10.41     1.82  21.11  21.79  21.11  21.79  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25608  Treat fx rad intra-articul                        A  11.07  10.58NA  11.32NA  10.58    11.32     2.07  23.72  24.46  23.72  24.46  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25609  Treat fx radial 3+ frag                           A  14.38  13.18NA  14.14NA  13.18    14.14     2.69  30.25  31.21  30.25  31.21  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25622  Treat wrist bone fracture                         A   2.79   5.15     5.44     4.37     4.71     0.52   8.46   8.75   7.68   8.02  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25624  Treat wrist bone fracture                         A   4.77   7.42     7.69     6.28     6.57     0.88  13.07  13.34  11.93  12.22  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25628  Treat wrist bone fracture                         A   9.67   9.46NA   9.98NA   9.46     9.98     1.74  20.87  21.39  20.87  21.39  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25630  Treat wrist bone fracture                         A   3.03   4.98     5.23     4.23     4.56     0.56   8.57   8.82   7.82   8.15  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25635  Treat wrist bone fracture                         A   4.61   7.17     7.72     5.96     6.63     0.90  12.68  13.23  11.47  12.14  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25645  Treat wrist bone fracture                         A   7.42   7.57NA   7.95NA   7.57     7.95     1.47  16.46  16.84  16.46  16.84  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25650  Treat wrist bone fracture                         A   3.23   5.16     5.44     4.53     4.91     0.60   8.99   9.27   8.36   8.74  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25651  Pin ulnar styloid fracture                        A   5.82   6.97NA   7.42NA   6.97     7.42     1.10  13.89  14.34  13.89  14.34  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25652  Treat fracture ulnar styloid                      A   8.06   8.45NA   8.93NA   8.45     8.93     1.47  17.98  18.46  17.98  18.46  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
25660  Treat wrist dislocation                           A   4.98   5.67NA   5.90NA   5.67     5.90     0.90  11.55  11.78  11.55  11.78  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25670  Treat wrist dislocation                           A   8.09   7.97NA   8.30NA   7.97     8.30     1.50  17.56  17.89  17.56  17.89  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25671  Pin radioulnar dislocation                        A   6.46   7.51NA   7.97NA   7.51     7.97     1.27  15.24  15.70  15.24  15.70  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
25675  Treat wrist dislocation                           A   4.89   6.50     6.82     5.51     5.81     0.87  12.26  12.58  11.27  11.57  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25676  Treat wrist dislocation                           A   8.29   8.47NA   8.90NA   8.47     8.90     1.54  18.30  18.73  18.30  18.73  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25680  Treat wrist fracture                              A   6.23   5.96NA   6.34NA   5.96     6.34     1.08  13.27  13.65  13.27  13.65  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25685  Treat wrist fracture                              A  10.09   9.26NA   9.79NA   9.26     9.79     1.97  21.32  21.85  21.32  21.85  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25690  Treat wrist dislocation                           A   5.72   6.77NA   7.27NA   6.77     7.27     1.14  13.63  14.13  13.63  14.13  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25695  Treat wrist dislocation                           A   8.51   8.21NA   8.60NA   8.21     8.60     1.66  18.38  18.77  18.38  18.77  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25800  Fusion of wrist joint                             A  10.07   9.57NA   9.91NA   9.57     9.91     1.81  21.45  21.79  21.45  21.79  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25805  Fusion/graft of wrist joint                       A  11.73  10.79NA  11.10NA  10.79    11.10     2.30  24.82  25.13  24.82  25.13  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25810  Fusion/graft of wrist joint                       A  11.95  11.24NA  11.82NA  11.24    11.82     2.12  25.31  25.89  25.31  25.89  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25820  Fusion of hand bones                              A   7.64   8.76NA   9.16NA   8.76     9.16     1.37  17.77  18.17  17.77  18.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25825  Fuse hand bones with graft                        A   9.69  10.56NA  11.08NA  10.56    11.08     1.69  21.94  22.46  21.94  22.46  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25830  Fusion radioulnar jnt/ulna                        A  10.88  14.60NA  14.94NA  14.60    14.94     2.15  27.63  27.97  27.63  27.97  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
25900  Amputation of forearm                             A   9.61   9.92NA   9.72NA   9.92     9.72     1.82  21.35  21.15  21.35  21.15  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25905  Amputation of forearm                             A   9.59   9.56NA   9.36NA   9.56     9.36     1.89  21.04  20.84  21.04  20.84  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25907  Amputation follow-up surgery                      A   8.09   8.73NA   8.47NA   8.73     8.47     1.59  18.41  18.15  18.41  18.15  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25909  Amputation follow-up surgery                      A   9.31   9.45NA   9.19NA   9.45     9.19     1.84  20.60  20.34  20.60  20.34  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25915  Amputation of forearm                             A  17.52  12.55NA  10.13NA  12.55    10.13     3.10  33.17  30.75  33.17  30.75  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25920  Amputate hand at wrist                            A   9.03   9.30NA   9.80NA   9.30     9.80     1.78  20.11  20.61  20.11  20.61  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25922  Amputate hand at wrist                            A   7.65   6.81NA   6.20NA   6.81     6.20     0.53  14.99  14.38  14.99  14.38  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25924  Amputation follow-up surgery                      A   8.81   8.10NA   7.63NA   8.10     7.63     1.71  18.62  18.15  18.62  18.15  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25927  Amputation of hand                                A   9.09  12.25NA  12.86NA  12.25    12.86     1.80  23.14  23.75  23.14  23.75  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
25929  Amputation follow-up surgery                      A   7.82   7.79NA   8.90NA   7.79     8.90     1.54  17.15  18.26  17.15  18.26  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
25931  Amputation follow-up surgery                      A   8.04  10.43NA   9.96NA  10.43     9.96     1.70  20.17  19.70  20.17  19.70  0090.10.69.2121100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
26010  Drainage of finger abscess                        A   1.59   5.44     5.50     2.03     2.15     0.27   7.30   7.36   3.89   4.01  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
26011  Drainage of finger abscess                        A   2.24   8.43     8.47     2.69     2.83     0.39  11.06  11.10   5.32   5.46  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
26020  Drain hand tendon sheath                          A   5.08   6.44NA   6.82NA   6.44     6.82     0.93  12.45  12.83  12.45  12.83  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26025  Drainage of palm bursa                            A   5.08   6.09NA   6.45NA   6.09     6.45     0.91  12.08  12.44  12.08  12.44  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26030  Drainage of palm bursa(s)                         A   6.25   6.82NA   7.22NA   6.82     7.22     1.16  14.23  14.63  14.23  14.63  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26034  Treat hand bone lesion                            A   6.63   7.61NA   8.03NA   7.61     8.03     1.22  15.46  15.88  15.46  15.88  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26035  Decompress fingers/hand                           A  11.37  10.92NA  11.82NA  10.92    11.82     2.23  24.52  25.42  24.52  25.42  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26037  Decompress fingers/hand                           A   7.57   7.55NA   8.00NA   7.55     8.00     1.44  16.56  17.01  16.56  17.01  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26040  Release palm contracture                          A   3.46   4.86NA   5.14NA   4.86     5.14     0.56   8.88   9.16   8.88   9.16  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
26045  Release palm contracture                          A   5.73   6.64NA   6.97NA   6.64     6.97     1.09  13.46  13.79  13.46  13.79  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
26055  Incise finger tendon sheath                       A   3.11  12.42    12.26     5.07     5.39     0.56  16.09  15.93   8.74   9.06  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26060  Incision of finger tendon                         A   2.91   4.20NA   4.43NA   4.20     4.43     0.54   7.65   7.88   7.65   7.88  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26070  Explore/treat hand joint                          A   3.81   4.31NA   4.66NA   4.31     4.66     0.65   8.77   9.12   8.77   9.12  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
26075  Explore/treat finger joint                        A   3.91   4.63NA   4.93NA   4.63     4.93     0.67   9.21   9.51   9.21   9.51  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
26080  Explore/treat finger joint                        A   4.47   5.87NA   6.22NA   5.87     6.22     0.78  11.12  11.47  11.12  11.47  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26100  Biopsy hand joint lining                          A   3.79   4.93NA   5.27NA   4.93     5.27     0.73   9.45   9.79   9.45   9.79  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
26105  Biopsy finger joint lining                        A   3.83   5.01NA   5.29NA   5.01     5.29     0.75   9.59   9.87   9.59   9.87  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
26110  Biopsy finger joint lining                        A   3.65   4.89NA   5.18NA   4.89     5.18     0.64   9.18   9.47   9.18   9.47  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26111  Exc hand les sc > 1.5 cm                          A   5.42   6.06NA   6.06NA   6.06     6.06     0.99  12.47  12.47  12.47  12.47  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26113  Exc hand tum deep > 1.5 cm                        A   7.13   7.96NA   7.96NA   7.96     7.96     1.25  16.34  16.34  16.34  16.34  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26115  Exc hand les sc < 1.5 cm                          A   3.96  11.38     9.88     5.26     5.15     0.71  16.05  14.55   9.93   9.82  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26116  Exc hand tum deep < 1.5 cm                        A   6.74   7.26NA   7.72NA   7.26     7.72     1.20  15.20  15.66  15.20  15.66  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26117  Exc hand tum ra < 3 cm                            A  10.13   9.25NA  10.48NA   9.25    10.48     1.85  21.23  22.46  21.23  22.46  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26118  Exc hand tum ra > 3 cm                            A  14.81  14.22NA  14.22NA  14.22    14.22     2.94  31.97  31.97  31.97  31.97  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26121  Release palm contracture                          A   7.73   8.17NA   8.62NA   8.17     8.62     1.40  17.30  17.75  17.30  17.75  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
26123  Release palm contracture                          A  10.88  11.24NA  12.02NA  11.24    12.02     1.92  24.04  24.82  24.04  24.82  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
26125  Release palm contracture                          A   4.60   2.77NA   2.94NA   2.77     2.94     0.82   8.19   8.36   8.19   8.36  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
26130  Remove wrist joint lining                         A   5.59   6.59NA   7.02NA   6.59     7.02     1.06  13.24  13.67  13.24  13.67  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
26135  Revise finger joint each                          A   7.13   7.55NA   7.97NA   7.55     7.97     1.27  15.95  16.37  15.95  16.37  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26140  Revise finger joint each                          A   6.34   7.10NA   7.49NA   7.10     7.49     1.14  14.58  14.97  14.58  14.97  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26145  Tendon excision palm/finger                       A   6.49   7.13NA   7.52NA   7.13     7.52     1.18  14.80  15.19  14.80  15.19  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26160  Remove tendon sheath lesion                       A   3.57  12.10    12.22     5.25     5.58     0.65  16.32  16.44   9.47   9.80  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26170  Removal of palm tendon each                       A   4.91   5.92NA   6.24NA   5.92     6.24     0.86  11.69  12.01  11.69  12.01  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26180  Removal of finger tendon                          A   5.35   6.44NA   6.75NA   6.44     6.75     0.90  12.69  13.00  12.69  13.00  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26185  Remove finger bone                                A   6.52   7.87NA   8.38NA   7.87     8.38     1.28  15.67  16.18  15.67  16.18  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
26200  Remove hand bone lesion                           A   5.65   6.33NA   6.65NA   6.33     6.65     1.03  13.01  13.33  13.01  13.33  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26205  Remove/graft bone lesion                          A   7.93   7.98NA   8.33NA   7.98     8.33     1.57  17.48  17.83  17.48  17.83  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26210  Removal of finger lesion                          A   5.32   6.45NA   6.80NA   6.45     6.80     0.95  12.72  13.07  12.72  13.07  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26215  Remove/graft finger lesion                        A   7.27   7.52NA   7.93NA   7.52     7.93     1.44  16.23  16.64  16.23  16.64  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26230  Partial removal of hand bone                      A   6.47   6.85NA   7.20NA   6.85     7.20     1.13  14.45  14.80  14.45  14.80  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26235  Partial removal finger bone                       A   6.33   6.86NA   7.26NA   6.86     7.26     1.10  14.29  14.69  14.29  14.69  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26236  Partial removal finger bone                       A   5.46   6.28NA   6.61NA   6.28     6.61     0.98  12.72  13.05  12.72  13.05  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26250  Extensive hand surgery                            A  15.21  10.62NA  13.76NA  10.62    13.76     3.01  28.84  31.98  28.84  31.98  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26260  Resect prox finger tumor                          A  11.16   9.25NA  11.49NA   9.25    11.49     2.19  22.60  24.84  22.60  24.84  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26262  Resect distal finger tumor                        A   8.29   7.46NA   8.86NA   7.46     8.86     1.62  17.37  18.77  17.37  18.77  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26320  Removal of implant from hand                      A   4.10   5.16NA   5.45NA   5.16     5.45     0.71   9.97  10.26   9.97  10.26  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26340  Manipulate finger w/anesth                        A   2.80   6.05NA   6.40NA   6.05     6.40     0.52   9.37   9.72   9.37   9.72  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
26350  Repair finger/hand tendon                         A   6.21  13.12NA  13.07NA  13.12    13.07     1.13  20.46  20.41  20.46  20.41  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26352  Repair/graft hand tendon                          A   7.87  13.95NA  14.02NA  13.95    14.02     1.55  23.37  23.44  23.37  23.44  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26356  Repair finger/hand tendon                         A  10.62  18.68NA  19.12NA  18.68    19.12     1.92  31.22  31.66  31.22  31.66  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26357  Repair finger/hand tendon                         A   8.77  14.48NA  14.55NA  14.48    14.55     1.71  24.96  25.03  24.96  25.03  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26358  Repair/graft hand tendon                          A   9.36  15.45NA  15.74NA  15.45    15.74     1.85  26.66  26.95  26.66  26.95  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26370  Repair finger/hand tendon                         A   7.28  13.39NA  13.35NA  13.39    13.35     1.36  22.03  21.99  22.03  21.99  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26372  Repair/graft hand tendon                          A   9.01  14.74NA  14.70NA  14.74    14.70     1.78  25.53  25.49  25.53  25.49  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26373  Repair finger/hand tendon                         A   8.41  14.33NA  14.34NA  14.33    14.34     1.65  24.39  24.40  24.39  24.40  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26390  Revise hand/finger tendon                         A   9.43  12.71NA  12.96NA  12.71    12.96     1.86  24.00  24.25  24.00  24.25  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26392  Repair/graft hand tendon                          A  10.50  15.42NA  15.59NA  15.42    15.59     2.07  27.99  28.16  27.99  28.16  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26410  Repair hand tendon                                A   4.77  10.60NA  10.53NA  10.60    10.53     0.87  16.24  16.17  16.24  16.17  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26412  Repair/graft hand tendon                          A   6.48  12.05NA  12.07NA  12.05    12.07     1.16  19.69  19.71  19.69  19.71  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26415  Excision hand/finger tendon                       A   8.51  10.41NA  10.23NA  10.41    10.23     1.17  20.09  19.91  20.09  19.91  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26416  Graft hand or finger tendon                       A   9.56  12.69NA  14.31NA  12.69    14.31     1.88  24.13  25.75  24.13  25.75  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26418  Repair finger tendon                              A   4.47  11.19NA  11.17NA  11.19    11.17     0.82  16.48  16.46  16.48  16.46  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26420  Repair/graft finger tendon                        A   6.94  12.12NA  12.04NA  12.12    12.04     1.37  20.43  20.35  20.43  20.35  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26426  Repair finger/hand tendon                         A   6.32   8.12NA   7.39NA   8.12     7.39     1.14  15.58  14.85  15.58  14.85  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26428  Repair/graft finger tendon                        A   7.40  12.79NA  12.87NA  12.79    12.87     1.47  21.66  21.74  21.66  21.74  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26432  Repair finger tendon                              A   4.16   9.36NA   9.36NA   9.36     9.36     0.73  14.25  14.25  14.25  14.25  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26433  Repair finger tendon                              A   4.70   9.69NA   9.67NA   9.69     9.67     0.86  15.25  15.23  15.25  15.23  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26434  Repair/graft finger tendon                        A   6.26  10.95NA  11.07NA  10.95    11.07     1.24  18.45  18.57  18.45  18.57  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26437  Realignment of tendons                            A   5.99  10.81NA  10.91NA  10.81    10.91     1.03  17.83  17.93  17.83  17.93  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26440  Release palm/finger tendon                        A   5.16  11.80NA  11.68NA  11.80    11.68     0.90  17.86  17.74  17.86  17.74  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26442  Release palm & finger tendon                      A   9.75  16.12NA  16.49NA  16.12    16.49     1.74  27.61  27.98  27.61  27.98  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26445  Release hand/finger tendon                        A   4.45  11.38NA  11.25NA  11.38    11.25     0.78  16.61  16.48  16.61  16.48  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26449  Release forearm/hand tendon                       A   8.59  11.15NA  10.63NA  11.15    10.63     1.51  21.25  20.73  21.25  20.73  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26450  Incision of palm tendon                           A   3.79   7.10NA   7.19NA   7.10     7.19     0.68  11.57  11.66  11.57  11.66  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26455  Incision of finger tendon                         A   3.76   7.08NA   7.20NA   7.08     7.20     0.69  11.53  11.65  11.53  11.65  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26460  Incise hand/finger tendon                         A   3.58   7.01NA   7.14NA   7.01     7.14     0.63  11.22  11.35  11.22  11.35  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26471  Fusion of finger tendons                          A   5.90  10.69NA  10.83NA  10.69    10.83     1.03  17.62  17.76  17.62  17.76  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26474  Fusion of finger tendons                          A   5.49  10.62NA  10.83NA  10.62    10.83     1.08  17.19  17.40  17.19  17.40  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26476  Tendon lengthening                                A   5.35  10.42NA  10.73NA  10.42    10.73     1.06  16.83  17.14  16.83  17.14  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26477  Tendon shortening                                 A   5.32  10.36NA  10.46NA  10.36    10.46     1.02  16.70  16.80  16.70  16.80  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
26478  Lengthening of hand tendon                        A   5.97  10.86NA  10.86NA  10.86    10.86     1.09  17.92  17.92  17.92  17.92  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26479  Shortening of hand tendon                         A   5.91  10.79NA  10.86NA  10.79    10.86     1.17  17.87  17.94  17.87  17.94  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26480  Transplant hand tendon                            A   6.90  13.51NA  13.53NA  13.51    13.53     1.21  21.62  21.64  21.62  21.64  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26483  Transplant/graft hand tendon                      A   8.48  14.26NA  14.27NA  14.26    14.27     1.57  24.31  24.32  24.31  24.32  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26485  Transplant palm tendon                            A   7.89  13.99NA  13.99NA  13.99    13.99     1.40  23.28  23.28  23.28  23.28  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26489  Transplant/graft palm tendon                      A   9.86  14.35NA  15.20NA  14.35    15.20     1.93  26.14  26.99  26.14  26.99  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26490  Revise thumb tendon                               A   8.60  12.56NA  12.86NA  12.56    12.86     1.69  22.85  23.15  22.85  23.15  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26492  Tendon transfer with graft                        A   9.84  13.54NA  13.78NA  13.54    13.78     1.93  25.31  25.55  25.31  25.55  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26494  Hand tendon/muscle transfer                       A   8.66  12.58NA  12.75NA  12.58    12.75     1.69  22.93  23.10  22.93  23.10  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26496  Revise thumb tendon                               A   9.78  13.22NA  13.51NA  13.22    13.51     1.65  24.65  24.94  24.65  24.94  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26497  Finger tendon transfer                            A   9.76  13.20NA  13.40NA  13.20    13.40     1.92  24.88  25.08  24.88  25.08  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26498  Finger tendon transfer                            A  14.21  16.05NA  16.39NA  16.05    16.39     2.80  33.06  33.40  33.06  33.40  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26499  Revision of finger                                A   9.17  12.83NA  13.05NA  12.83    13.05     1.81  23.81  24.03  23.81  24.03  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26500  Hand tendon reconstruction                        A   6.13  10.75NA  10.87NA  10.75    10.87     1.14  18.02  18.14  18.02  18.14  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26502  Hand tendon reconstruction                        A   7.31  11.76NA  12.09NA  11.76    12.09     1.46  20.53  20.86  20.53  20.86  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26508  Release thumb contracture                         A   6.18  10.82NA  11.02NA  10.82    11.02     1.10  18.10  18.30  18.10  18.30  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26510  Thumb tendon transfer                             A   5.60  10.52NA  10.53NA  10.52    10.53     0.98  17.10  17.11  17.10  17.11  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26516  Fusion of knuckle joint                           A   7.32  11.51NA  11.64NA  11.51    11.64     1.29  20.12  20.25  20.12  20.25  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26517  Fusion of knuckle joints                          A   9.08  12.86NA  13.00NA  12.86    13.00     1.80  23.74  23.88  23.74  23.88  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26518  Fusion of knuckle joints                          A   9.27  13.06NA  13.34NA  13.06    13.34     1.82  24.15  24.43  24.15  24.43  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26520  Release knuckle contracture                       A   5.47  12.29NA  12.22NA  12.29    12.22     0.99  18.75  18.68  18.75  18.68  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26525  Release finger contracture                        A   5.50  12.31NA  12.22NA  12.31    12.22     0.95  18.76  18.67  18.76  18.67  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
26530  Revise knuckle joint                              A   6.88   7.39NA   7.81NA   7.39     7.81     1.22  15.49  15.91  15.49  15.91  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26531  Revise knuckle with implant                       A   8.13   8.51NA   9.02NA   8.51     9.02     1.39  18.03  18.54  18.03  18.54  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26535  Revise finger joint                               A   5.41   5.53NA   6.05NA   5.53     6.05     0.83  11.77  12.29  11.77  12.29  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26536  Revise/implant finger joint                       A   6.56  12.17NA  12.88NA  12.17    12.88     1.13  19.86  20.57  19.86  20.57  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26540  Repair hand joint                                 A   6.60  11.15NA  11.23NA  11.15    11.23     1.18  18.93  19.01  18.93  19.01  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
26541  Repair hand joint with graft                      A   8.81  12.65NA  12.77NA  12.65    12.77     1.52  22.98  23.10  22.98  23.10  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26542  Repair hand joint with graft                      A   6.95  11.39NA  11.50NA  11.39    11.50     1.25  19.59  19.70  19.59  19.70  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26545  Reconstruct finger joint                          A   7.11  11.63NA  11.83NA  11.63    11.83     1.27  20.01  20.21  20.01  20.21  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26546  Repair nonunion hand                              A  10.83  15.66NA  16.11NA  15.66    16.11     1.85  28.34  28.79  28.34  28.79  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
26548  Reconstruct finger joint                          A   8.22  12.27NA  12.48NA  12.27    12.48     1.50  21.99  22.20  21.99  22.20  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26550  Construct thumb replacement                       A  21.68  19.65NA  22.42NA  19.65    22.42     4.26  45.59  48.36  45.59  48.36  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26551  Great toe-hand transfer                           A  48.48  30.75NA  28.76NA  30.75    28.76     9.55  88.78  86.79  88.78  86.79  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26553  Single transfer toe-hand                          A  48.17  35.13NA  44.59NA  35.13    44.59     3.43  86.73  96.19  86.73  96.19  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26554  Double transfer toe-hand                          A  57.01  34.07NA  32.81NA  34.07    32.81     4.06  95.14  93.88  95.14  93.88  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26555  Positional change of finger                       A  17.08  19.23NA  19.68NA  19.23    19.68     3.38  39.69  40.14  39.69  40.14  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26556  Toe joint transfer                                A  49.75  29.36NA  32.40NA  29.36    32.40     3.96  83.07  86.11  83.07  86.11  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26560  Repair of web finger                              A   5.52  10.13NA  10.54NA  10.13    10.54     1.09  16.74  17.15  16.74  17.15  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26561  Repair of web finger                              A  11.10  13.86NA  14.96NA  13.86    14.96     2.35  27.31  28.41  27.31  28.41  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26562  Repair of web finger                              A  16.68  18.62NA  19.31NA  18.62    19.31     1.18  36.48  37.17  36.48  37.17  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26565  Correct metacarpal flaw                           A   6.91  11.25NA  11.35NA  11.25    11.35     1.36  19.52  19.62  19.52  19.62  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26567  Correct finger deformity                          A   6.99  11.31NA  11.39NA  11.31    11.39     1.24  19.54  19.62  19.54  19.62  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26568  Lengthen metacarpal/finger                        A   9.27  14.71NA  14.85NA  14.71    14.85     1.82  25.80  25.94  25.80  25.94  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26580  Repair hand deformity                             A  19.75  15.82NA  15.15NA  15.82    15.15     3.89  39.46  38.79  39.46  38.79  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26587  Reconstruct extra finger                          A  14.50  12.47NA  14.76NA  12.47    14.76     3.10  30.07  32.36  30.07  32.36  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26590  Repair finger deformity                           A  18.67  14.34NA  15.11NA  14.34    15.11     3.70  36.71  37.48  36.71  37.48  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26591  Repair muscles of hand                            A   3.38   8.54NA   8.45NA   8.54     8.45     0.61  12.53  12.44  12.53  12.44  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26593  Release muscles of hand                           A   5.50  10.71NA  10.82NA  10.71    10.82     0.93  17.14  17.25  17.14  17.25  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26596  Excision constricting tissue                      A   9.14  10.60NA  11.29NA  10.60    11.29     1.81  21.55  22.24  21.55  22.24  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26600  Treat metacarpal fracture                         A   2.60   4.99     5.35     4.46     4.89     0.48   8.07   8.43   7.54   7.97  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26605  Treat metacarpal fracture                         A   3.03   5.43     5.70     4.64     4.93     0.56   9.02   9.29   8.23   8.52  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26607  Treat metacarpal fracture                         A   5.48   6.35NA   6.93NA   6.35     6.93     1.06  12.89  13.47  12.89  13.47  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26608  Treat metacarpal fracture                         A   5.55   7.14NA   7.47NA   7.14     7.47     1.03  13.72  14.05  13.72  14.05  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26615  Treat metacarpal fracture                         A   7.07   8.00NA   8.71NA   8.00     8.71     1.29  16.36  17.07  16.36  17.07  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26641  Treat thumb dislocation                           A   4.13   5.33     5.42     4.50     4.64     0.72  10.18  10.27   9.35   9.49  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26645  Treat thumb fracture                              A   4.58   6.47     6.98     5.53     6.02     0.88  11.93  12.44  10.99  11.48  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26650  Treat thumb fracture                              A   5.35   7.37NA   7.68NA   7.37     7.68     1.02  13.74  14.05  13.74  14.05  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26665  Treat thumb fracture                              A   7.94   8.57NA   9.16NA   8.57     9.16     1.47  17.98  18.57  17.98  18.57  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
26670  Treat hand dislocation                            A   3.83   4.80     5.04     3.95     4.25     0.67   9.30   9.54   8.45   8.75  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26675  Treat hand dislocation                            A   4.83   6.92     7.46     5.94     6.46     0.95  12.70  13.24  11.72  12.24  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26676  Pin hand dislocation                              A   5.74   7.57NA   7.89NA   7.57     7.89     1.06  14.37  14.69  14.37  14.69  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26685  Treat hand dislocation                            A   7.07   8.07NA   8.62NA   8.07     8.62     1.39  16.53  17.08  16.53  17.08  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
26686  Treat hand dislocation                            A   8.17   8.24NA   8.67NA   8.24     8.67     1.61  18.02  18.45  18.02  18.45  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
26700  Treat knuckle dislocation                         A   3.83   4.41     4.66     3.86     4.17     0.65   8.89   9.14   8.34   8.65  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26705  Treat knuckle dislocation                         A   4.38   6.50     7.02     5.53     6.04     0.82  11.70  12.22  10.73  11.24  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26706  Pin knuckle dislocation                           A   5.31   6.32NA   6.77NA   6.32     6.77     0.95  12.58  13.03  12.58  13.03  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26715  Treat knuckle dislocation                         A   7.03   7.95NA   8.59NA   7.95     8.59     1.31  16.29  16.93  16.29  16.93  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26720  Treat finger fracture each                        A   1.76   3.38     3.56     2.96     3.19     0.33   5.47   5.65   5.05   5.28  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26725  Treat finger fracture each                        A   3.48   5.44     5.67     4.50     4.79     0.64   9.56   9.79   8.62   8.91  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26727  Treat finger fracture each                        A   5.42   7.10NA   7.43NA   7.10     7.43     0.99  13.51  13.84  13.51  13.84  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26735  Treat finger fracture each                        A   7.42   8.20NA   8.90NA   8.20     8.90     1.37  16.99  17.69  16.99  17.69  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26740  Treat finger fracture each                        A   2.07   3.94     4.19     3.55     3.81     0.35   6.36   6.61   5.97   6.23  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26742  Treat finger fracture each                        A   3.99   5.69     5.90     4.75     4.98     0.72  10.40  10.61   9.46   9.69  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26746  Treat finger fracture each                        A   9.80   9.51NA  10.50NA   9.51    10.50     1.78  21.09  22.08  21.09  22.08  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26750  Treat finger fracture each                        A   1.80   2.96     3.11     2.90     3.12     0.33   5.09   5.24   5.03   5.25  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26755  Treat finger fracture each                        A   3.23   4.98     5.18     3.88     4.11     0.59   8.80   9.00   7.70   7.93  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26756  Pin finger fracture each                          A   4.58   6.55NA   6.86NA   6.55     6.86     0.83  11.96  12.27  11.96  12.27  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26765  Treat finger fracture each                        A   5.86   7.16NA   7.88NA   7.16     7.88     1.09  14.11  14.83  14.11  14.83  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26770  Treat finger dislocation                          A   3.15   3.88     4.09     3.31     3.58     0.54   7.57   7.78   7.00   7.27  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26775  Treat finger dislocation                          A   3.90   6.16     6.46     5.12     5.47     0.69  10.75  11.05   9.71  10.06  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26776  Pin finger dislocation                            A   4.99   6.79NA   7.10NA   6.79     7.10     0.91  12.69  13.00  12.69  13.00  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26785  Treat finger dislocation                          A   6.60   7.58NA   8.38NA   7.58     8.38     1.21  15.39  16.19  15.39  16.19  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26820  Thumb fusion with graft                           A   8.45  12.51NA  12.62NA  12.51    12.62     1.66  22.62  22.73  22.62  22.73  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26841  Fusion of thumb                                   A   7.35  12.22NA  12.32NA  12.22    12.32     1.39  20.96  21.06  20.96  21.06  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
26842  Thumb fusion with graft                           A   8.49  12.58NA  12.67NA  12.58    12.67     1.66  22.73  22.82  22.73  22.82  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26843  Fusion of hand joint                              A   7.78  11.84NA  11.97NA  11.84    11.97     1.54  21.16  21.29  21.16  21.29  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26844  Fusion/graft of hand joint                        A   8.98  12.79NA  12.94NA  12.79    12.94     1.78  23.55  23.70  23.55  23.70  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26850  Fusion of knuckle                                 A   7.14  11.53NA  11.65NA  11.53    11.65     1.24  19.91  20.03  19.91  20.03  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26852  Fusion of knuckle with graft                      A   8.71  12.67NA  12.90NA  12.67    12.90     1.47  22.85  23.08  22.85  23.08  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26860  Fusion of finger joint                            A   4.88  10.39NA  10.45NA  10.39    10.45     0.84  16.11  16.17  16.11  16.17  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26861  Fusion of finger jnt add-on                       A   1.74   1.03NA   1.10NA   1.03     1.10     0.31   3.08   3.15   3.08   3.15  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
26862  Fusion/graft of finger joint                      A   7.56  11.96NA  12.15NA  11.96    12.15     1.31  20.83  21.02  20.83  21.02  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
26863  Fuse/graft added joint                            A   3.89   2.25NA   2.32NA   2.25     2.32     0.75   6.89   6.96   6.89   6.96  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
26910  Amputate metacarpal bone                          A   7.79  11.32NA  11.54NA  11.32    11.54     1.50  20.61  20.83  20.61  20.83  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26951  Amputation of finger/thumb                        A   6.04  11.21NA  11.62NA  11.21    11.62     1.14  18.39  18.80  18.39  18.80  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26952  Amputation of finger/thumb                        A   6.48  10.94NA  11.03NA  10.94    11.03     1.21  18.63  18.72  18.63  18.72  0090.10.69.2120100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
26990  Drainage of pelvis lesion                         A   7.95   8.49NA   8.91NA   8.49     8.91     1.58  18.02  18.44  18.02  18.44  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
26991  Drainage of pelvis bursa                          A   7.06  11.81    12.18     6.74     7.15     1.39  20.26  20.63  15.19  15.60  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
26992  Drainage of bone lesion                           A  13.48  11.88NA  12.48NA  11.88    12.48     2.67  28.03  28.63  28.03  28.63  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
27000  Incision of hip tendon                            A   5.74   5.93NA   6.04NA   5.93     6.04     1.08  12.75  12.86  12.75  12.86  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27001  Incision of hip tendon                            A   7.14   7.13NA   7.47NA   7.13     7.47     1.40  15.67  16.01  15.67  16.01  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27003  Incision of hip tendon                            A   7.81   7.81NA   8.30NA   7.81     8.30     1.54  17.16  17.65  17.16  17.65  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27005  Incision of hip tendon                            A  10.07   9.13NA   9.57NA   9.13     9.57     1.97  21.17  21.61  21.17  21.61  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27006  Incision of hip tendons                           A  10.11   9.38NA   9.86NA   9.38     9.86     1.96  21.45  21.93  21.45  21.93  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27025  Incision of hip/thigh fascia                      A  12.89  11.02NA  11.77NA  11.02    11.77     2.57  26.48  27.23  26.48  27.23  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
27027  Buttock fasciotomy                                A  13.04  10.35NA  11.40NA  10.35    11.40     0.91  24.30  25.35  24.30  25.35  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27030  Drainage of hip joint                             A  13.65  11.09NA  11.52NA  11.09    11.52     2.67  27.41  27.84  27.41  27.84  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27033  Exploration of hip joint                          A  14.11  11.64NA  12.19NA  11.64    12.19     2.78  28.53  29.08  28.53  29.08  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27035  Denervation of hip joint                          A  17.37  12.68NA  14.47NA  12.68    14.47     3.43  33.48  35.27  33.48  35.27  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27036  Excision of hip joint/muscle                      A  14.38  12.22NA  12.86NA  12.22    12.86     2.79  29.39  30.03  29.39  30.03  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27040  Biopsy of soft tissues                            A   2.92   6.39     6.35     2.43     2.44     0.48   9.79   9.75   5.83   5.84  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
27041  Biopsy of soft tissues                            A  10.18   7.78NA   7.96NA   7.78     7.96     1.81  19.77  19.95  19.77  19.95  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27043  Exc hip pelvis les sc > 3 cm                      A   6.88   5.68NA   5.68NA   5.68     5.68     1.42  13.98  13.98  13.98  13.98  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27045  Exc hip/pelv tum deep > 5 cm                      A  11.13   8.79NA   8.79NA   8.79     8.79     2.26  22.18  22.18  22.18  22.18  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27047  Exc hip/pelvis les sc < 3 cm                      A   4.94   8.16     7.70     5.20     4.76     1.02  14.12  13.66  11.16  10.72  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27048  Exc hip/pelv tum deep < 5 cm                      A   8.85   6.66NA   7.50NA   6.66     7.50     1.81  17.32  18.16  17.32  18.16  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27049  Resect hip/pelv tum < 5 cm                        A  21.55  12.62NA  14.88NA  12.62    14.88     4.33  38.50  40.76  38.50  40.76  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27050  Biopsy of sacroiliac joint                        A   4.74   5.27NA   6.14NA   5.27     6.14     0.93  10.94  11.81  10.94  11.81  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
27052  Biopsy of hip joint                               A   7.42   7.61NA   8.15NA   7.61     8.15     1.47  16.50  17.04  16.50  17.04  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27054  Removal of hip joint lining                       A   9.21   8.84NA   9.30NA   8.84     9.30     1.81  19.86  20.32  19.86  20.32  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27057  Buttock fasciotomy w/dbrdmt                       A  14.91  11.37NA  12.52NA  11.37    12.52     1.06  27.34  28.49  27.34  28.49  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27059  Resect hip/pelv tum > 5 cm                        A  29.35  19.17NA  19.17NA  19.17    19.17     5.78  54.30  54.30  54.30  54.30  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27060  Removal of ischial bursa                          A   5.87   6.01NA   6.70NA   6.01     6.70     1.17  13.05  13.74  13.05  13.74  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27062  Remove femur lesion/bursa                         A   5.75   6.27NA   6.62NA   6.27     6.62     1.13  13.15  13.50  13.15  13.50  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27065  Remove hip bone les super                         A   6.55   6.79NA   7.11NA   6.79     7.11     1.28  14.62  14.94  14.62  14.94  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27066  Remove hip bone les deep                          A  11.20  10.22NA  10.76NA  10.22    10.76     2.20  23.62  24.16  23.62  24.16  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27067  Remove/graft hip bone lesion                      A  14.72  12.61NA  13.25NA  12.61    13.25     2.91  30.24  30.88  30.24  30.88  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27070  Part remove hip bone super                        A  11.56  10.95NA  11.47NA  10.95    11.47     2.27  24.78  25.30  24.78  25.30  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27071  Part removal hip bone deep                        A  12.39  11.71NA  12.23NA  11.71    12.23     2.44  26.54  27.06  26.54  27.06  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27075  Resect hip tumor                                  A  32.71  22.51NA  23.19NA  22.51    23.19     6.44  61.66  62.34  61.66  62.34  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27076  Resect hip tum incl acetabul                      A  40.21  22.44NA  28.11NA  22.44    28.11     7.93  70.58  76.25  70.58  76.25  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27077  Resect hip tum w/innom bone                       A  45.21  28.61NA  31.64NA  28.61    31.64     8.91  82.73  85.76  82.73  85.76  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27078  Rsect hip tum incl femur                          A  32.21  17.82NA  23.89NA  17.82    23.89     6.34  56.37  62.44  56.37  62.44  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27080  Removal of tail bone                              A   6.89   6.36NA   6.83NA   6.36     6.83     1.42  14.67  15.14  14.67  15.14  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27086  Remove hip foreign body                           A   1.92   4.84     4.89     2.04     2.12     0.31   7.07   7.12   4.27   4.35  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
27087  Remove hip foreign body                           A   8.83   7.80NA   8.10NA   7.80     8.10     1.70  18.33  18.63  18.33  18.63  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27090  Removal of hip prosthesis                         A  11.69  10.25NA  10.75NA  10.25    10.75     2.29  24.23  24.73  24.23  24.73  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27091  Removal of hip prosthesis                         A  24.35  17.81NA  18.88NA  17.81    18.88     4.80  46.96  48.03  46.96  48.03  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27093  Injection for hip x-ray                           A   1.30   4.13     4.02     0.63     0.66     0.14   5.57   5.46   2.07   2.10  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
27095  Injection for hip x-ray                           A   1.50   5.14     5.05     0.73     0.78     0.18   6.82   6.73   2.41   2.46  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
27096  Inject sacroiliac joint                           A   1.40   3.91     4.14     0.56     0.68     0.12   5.43   5.66   2.08   2.20  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
27097  Revision of hip tendon                            A   9.27   8.51NA   9.16NA   8.51     9.16     1.82  19.60  20.25  19.60  20.25  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27098  Transfer tendon to pelvis                         A   9.32   8.21NA   9.44NA   8.21     9.44     1.84  19.37  20.60  19.37  20.60  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27100  Transfer of abdominal muscle                      A  11.35  10.42NA  10.98NA  10.42    10.98     2.23  24.00  24.56  24.00  24.56  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27105  Transfer of spinal muscle                         A  12.04  10.84NA  11.39NA  10.84    11.39     2.35  25.23  25.78  25.23  25.78  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27110  Transfer of iliopsoas muscle                      A  13.77  11.65NA  12.42NA  11.65    12.42     2.72  28.14  28.91  28.14  28.91  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27111  Transfer of iliopsoas muscle                      A  12.60  10.54NA  11.73NA  10.54    11.73     2.46  25.60  26.79  25.60  26.79  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27120  Reconstruction of hip socket                      A  19.25  14.91NA  15.93NA  14.91    15.93     3.80  37.96  38.98  37.96  38.98  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27122  Reconstruction of hip socket                      A  16.09  13.06NA  13.70NA  13.06    13.70     3.16  32.31  32.95  32.31  32.95  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27125  Partial hip replacement                           A  16.64  13.24NA  14.02NA  13.24    14.02     3.28  33.16  33.94  33.16  33.94  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27130  Total hip arthroplasty                            A  21.79  16.31NA  17.19NA  16.31    17.19     4.29  42.39  43.27  42.39  43.27  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27132  Total hip arthroplasty                            A  25.69  18.74NA  19.69NA  18.74    19.69     5.06  49.49  50.44  49.49  50.44  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27134  Revise hip joint replacement                      A  30.28  20.68NA  21.62NA  20.68    21.62     5.96  56.92  57.86  56.92  57.86  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27137  Revise hip joint replacement                      A  22.70  16.41NA  17.20NA  16.41    17.20     4.46  43.57  44.36  43.57  44.36  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27138  Revise hip joint replacement                      A  23.70  16.97NA  17.79NA  16.97    17.79     4.67  45.34  46.16  45.34  46.16  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27140  Transplant femur ridge                            A  12.78  10.89NA  11.35NA  10.89    11.35     2.52  26.19  26.65  26.19  26.65  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27146  Incision of hip bone                              A  18.92  14.77NA  15.86NA  14.77    15.86     3.74  37.43  38.52  37.43  38.52  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27147  Revision of hip bone                              A  22.07  16.75NA  17.74NA  16.75    17.74     4.34  43.16  44.15  43.16  44.15  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27151  Incision of hip bones                             A  24.12  16.93NA  18.96NA  16.93    18.96     4.76  45.81  47.84  45.81  47.84  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27156  Revision of hip bones                             A  26.23  18.98NA  20.22NA  18.98    20.22     5.16  50.37  51.61  50.37  51.61  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27158  Revision of pelvis                                A  21.04  15.69NA  16.90NA  15.69    16.90     4.15  40.88  42.09  40.88  42.09  0090.10.69.2122200             33.9764 090 99      0.00   0.00   0.00
27161  Incision of neck of femur                         A  17.89  14.27NA  14.94NA  14.27    14.94     3.51  35.67  36.34  35.67  36.34  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27165  Incision/fixation of femur                        A  20.29  15.99NA  16.92NA  15.99    16.92     3.99  40.27  41.20  40.27  41.20  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27170  Repair/graft femur head/neck                      A  17.61  13.53NA  14.22NA  13.53    14.22     3.47  34.61  35.30  34.61  35.30  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27175  Treat slipped epiphysis                           A   9.38   8.19NA   8.65NA   8.19     8.65     1.85  19.42  19.88  19.42  19.88  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27176  Treat slipped epiphysis                           A  12.92  11.25NA  11.92NA  11.25    11.92     2.56  26.73  27.40  26.73  27.40  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27177  Treat slipped epiphysis                           A  16.09  13.32NA  14.06NA  13.32    14.06     3.17  32.58  33.32  32.58  33.32  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27178  Treat slipped epiphysis                           A  12.92  11.16NA  11.92NA  11.16    11.92     2.56  26.64  27.40  26.64  27.40  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27179  Revise head/neck of femur                         A  13.97  11.78NA  12.43NA  11.78    12.43     2.75  28.50  29.15  28.50  29.15  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27181  Treat slipped epiphysis                           A  16.18  13.34NA  14.23NA  13.34    14.23     3.20  32.72  33.61  32.72  33.61  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27185  Revision of femur epiphysis                       A   9.79   7.05NA   6.78NA   7.05     6.78     0.69  17.53  17.26  17.53  17.26  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27187  Reinforce hip bones                               A  14.23  12.01NA  12.56NA  12.01    12.56     2.80  29.04  29.59  29.04  29.59  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27193  Treat pelvic ring fracture                        A   6.09   6.28     6.64     6.43     6.82     1.20  13.57  13.93  13.72  14.11  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
27194  Treat pelvic ring fracture                        A  10.20   8.34NA   8.52NA   8.34     8.52     1.66  20.20  20.38  20.20  20.38  0090.10.69.2120020             33.9764 090 99      0.00   0.00   0.00
27200  Treat tail bone fracture                          A   1.92   2.77     2.96     2.92     3.16     0.35   5.04   5.23   5.19   5.43  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
27202  Treat tail bone fracture                          A   7.31   8.75NA   7.82NA   8.75     7.82     1.46  17.52  16.59  17.52  16.59  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
27215  Treat pelvic fracture(s)                          I+ 10.45   7.37NA   6.55NA   7.37     6.55     0.73  18.55  17.73  18.55  17.73  9090.10.69.2199999             33.9764 090 99      0.00   0.00   0.00
27216  Treat pelvic ring fracture                        I+ 15.73  10.56NA   9.48NA  10.56     9.48     1.13  27.42  26.34  27.42  26.34  9090.10.69.2199999             33.9764 090 99      0.00   0.00   0.00
27217  Treat pelvic ring fracture                        I+ 14.65  10.18NA   9.01NA  10.18     9.01     1.05  25.88  24.71  25.88  24.71  9090.10.69.2199999             33.9764 090 99      0.00   0.00   0.00
27218  Treat pelvic ring fracture                        I+ 20.93  13.01NA  11.76NA  13.01    11.76     1.50  35.44  34.19  35.44  34.19  9090.10.69.2199999             33.9764 090 99      0.00   0.00   0.00
27220  Treat hip socket fracture                         A   6.83   7.11     7.52     6.99     7.39     1.33  15.27  15.68  15.15  15.55  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27222  Treat hip socket fracture                         A  14.11  11.68NA  12.22NA  11.68    12.22     2.76  28.55  29.09  28.55  29.09  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27226  Treat hip wall fracture                           A  15.57  12.08NA  13.13NA  12.08    13.13     3.08  30.73  31.78  30.73  31.78  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27227  Treat hip fracture(s)                             A  25.41  18.63NA  19.64NA  18.63    19.64     5.01  49.05  50.06  49.05  50.06  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27228  Treat hip fracture(s)                             A  29.33  20.89NA  21.92NA  20.89    21.92     5.78  56.00  57.03  56.00  57.03  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27230  Treat thigh fracture                              A   5.81   6.66     7.00     6.53     6.91     1.14  13.61  13.95  13.48  13.86  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27232  Treat thigh fracture                              A  11.72   8.46NA   8.85NA   8.46     8.85     2.25  22.43  22.82  22.43  22.82  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27235  Treat thigh fracture                              A  13.00  11.08NA  11.63NA  11.08    11.63     2.56  26.64  27.19  26.64  27.19  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27236  Treat thigh fracture                              A  17.61  13.95NA  14.78NA  13.95    14.78     3.47  35.03  35.86  35.03  35.86  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27238  Treat thigh fracture                              A   5.75   6.30NA   6.63NA   6.30     6.63     1.13  13.18  13.51  13.18  13.51  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27240  Treat thigh fracture                              A  13.81  11.41NA  12.00NA  11.41    12.00     2.69  27.91  28.50  27.91  28.50  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27244  Treat thigh fracture                              A  18.18  14.29NA  15.15NA  14.29    15.15     3.57  36.04  36.90  36.04  36.90  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27245  Treat thigh fracture                              A  18.18  14.68NA  15.17NA  14.68    15.17     3.57  36.43  36.92  36.43  36.92  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27246  Treat thigh fracture                              A   4.83   5.31     5.57     5.34     5.62     0.93  11.07  11.33  11.10  11.38  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27248  Treat thigh fracture                              A  10.78   8.97NA   9.30NA   8.97     9.30     2.12  21.87  22.20  21.87  22.20  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27250  Treat hip dislocation                             A   3.82   1.53NA   0.98NA   1.53     0.98     0.67   6.02   5.47   6.02   5.47  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
27252  Treat hip dislocation                             A  11.03   8.88NA   9.33NA   8.88     9.33     2.14  22.05  22.50  22.05  22.50  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27253  Treat hip dislocation                             A  13.58  11.34NA  11.87NA  11.34    11.87     2.67  27.59  28.12  27.59  28.12  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27254  Treat hip dislocation                             A  18.94  14.52NA  15.26NA  14.52    15.26     3.73  37.19  37.93  37.19  37.93  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27256  Treat hip dislocation                             A   4.28   3.42     3.52     1.85     1.78     0.75   8.45   8.55   6.88   6.81  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
27257  Treat hip dislocation                             A   5.38   3.39NA   3.57NA   3.39     3.57     0.98   9.75   9.93   9.75   9.93  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
27258  Treat hip dislocation                             A  16.18  13.11NA  13.86NA  13.11    13.86     3.20  32.49  33.24  32.49  33.24  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27259  Treat hip dislocation                             A  23.26  17.73NA  18.78NA  17.73    18.78     4.57  45.56  46.61  45.56  46.61  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27265  Treat hip dislocation                             A   5.24   5.14NA   5.28NA   5.14     5.28     0.93  11.31  11.45  11.31  11.45  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27266  Treat hip dislocation                             A   7.78   7.56NA   7.95NA   7.56     7.95     1.52  16.86  17.25  16.86  17.25  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27267  Cltx thigh fx                                     A   5.50   5.74NA   6.23NA   5.74     6.23     1.09  12.33  12.82  12.33  12.82  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27268  Cltx thigh fx w/mnpj                              A   7.12   6.75NA   7.44NA   6.75     7.44     1.40  15.27  15.96  15.27  15.96  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27269  Optx thigh fx                                     A  18.89  13.34NA  14.53NA  13.34    14.53     3.70  35.93  37.12  35.93  37.12  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27275  Manipulation of hip joint                         A   2.32   2.44NA   2.53NA   2.44     2.53     0.39   5.15   5.24   5.15   5.24  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
27280  Fusion of sacroiliac joint                        A  14.64  12.42NA  13.05NA  12.42    13.05     3.04  30.10  30.73  30.10  30.73  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27282  Fusion of pubic bones                             A  11.85  10.10NA  11.28NA  10.10    11.28     2.31  24.26  25.44  24.26  25.44  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27284  Fusion of hip joint                               A  25.06  16.60NA  18.77NA  16.60    18.77     4.95  46.61  48.78  46.61  48.78  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27286  Fusion of hip joint                               A  25.17  18.64NA  19.59NA  18.64    19.59     4.97  48.78  49.73  48.78  49.73  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27290  Amputation of leg at hip                          A  24.55  17.67NA  19.43NA  17.67    19.43     4.85  47.07  48.83  47.07  48.83  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27295  Amputation of leg at hip                          A  19.66  13.64NA  14.42NA  13.64    14.42     4.01  37.31  38.09  37.31  38.09  0090.10.69.2120210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
27301  Drain thigh/knee lesion                           A   6.78  11.03    11.38     6.35     6.71     1.37  19.18  19.53  14.50  14.86  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27303  Drainage of bone lesion                           A   8.63   8.25NA   8.66NA   8.25     8.66     1.69  18.57  18.98  18.57  18.98  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27305  Incise thigh tendon & fascia                      A   6.18   6.33NA   6.77NA   6.33     6.77     1.22  13.73  14.17  13.73  14.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27306  Incision of thigh tendon                          A   4.74   5.20NA   5.35NA   5.20     5.35     0.93  10.87  11.02  10.87  11.02  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27307  Incision of thigh tendons                         A   6.06   6.44NA   6.92NA   6.44     6.92     1.20  13.70  14.18  13.70  14.18  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
27310  Exploration of knee joint                         A  10.00   9.27NA   9.78NA   9.27     9.78     1.96  21.23  21.74  21.23  21.74  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27323  Biopsy thigh soft tissues                         A   2.33   5.06     5.21     2.49     2.59     0.41   7.80   7.95   5.23   5.33  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
27324  Biopsy thigh soft tissues                         A   5.04   5.20NA   5.52NA   5.20     5.52     1.05  11.29  11.61  11.29  11.61  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27325  Neurectomy hamstring                              A   7.20   7.15NA   7.86NA   7.15     7.86     1.42  15.77  16.48  15.77  16.48  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27326  Neurectomy popliteal                              A   6.47   6.77NA   7.43NA   6.77     7.43     1.27  14.51  15.17  14.51  15.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27327  Exc thigh/knee les sc < 3 cm                      A   3.96   7.92     8.45     4.45     4.42     0.80  12.68  13.21   9.21   9.18  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27328  Exc thigh/knee tum deep <5cm                      A   8.85   6.48NA   7.75NA   6.48     7.75     1.81  17.14  18.41  17.14  18.41  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27329  Resect thigh/knee tum < 5 cm                      A  15.72  11.56NA  12.26NA  11.56    12.26     3.18  30.46  31.16  30.46  31.16  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27330  Biopsy knee joint lining                          A   5.11   5.68NA   6.11NA   5.68     6.11     0.95  11.74  12.17  11.74  12.17  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27331  Explore/treat knee joint                          A   6.02   6.53NA   6.85NA   6.53     6.85     1.18  13.73  14.05  13.73  14.05  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27332  Removal of knee cartilage                         A   8.46   8.46NA   8.88NA   8.46     8.88     1.65  18.57  18.99  18.57  18.99  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27333  Removal of knee cartilage                         A   7.55   7.87NA   8.29NA   7.87     8.29     1.50  16.92  17.34  16.92  17.34  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27334  Remove knee joint lining                          A   9.19   8.82NA   9.31NA   8.82     9.31     1.81  19.82  20.31  19.82  20.31  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27335  Remove knee joint lining                          A  10.55   9.63NA  10.08NA   9.63    10.08     2.07  22.25  22.70  22.25  22.70  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27337  Exc thigh/knee les sc 3+ cm                       A   5.91   5.38NA   5.38NA   5.38     5.38     1.21  12.50  12.50  12.50  12.50  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27339  Exc thigh/knee tum deep 5+cm                      A  11.13   9.09NA   9.09NA   9.09     9.09     2.26  22.48  22.48  22.48  22.48  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27340  Removal of kneecap bursa                          A   4.32   5.47NA   5.76NA   5.47     5.76     0.84  10.63  10.92  10.63  10.92  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27345  Removal of knee cyst                              A   6.09   6.62NA   6.91NA   6.62     6.91     1.20  13.91  14.20  13.91  14.20  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27347  Remove knee cyst                                  A   6.73   7.12NA   7.57NA   7.12     7.57     1.32  15.17  15.62  15.17  15.62  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27350  Removal of kneecap                                A   8.66   8.56NA   8.98NA   8.56     8.98     1.69  18.91  19.33  18.91  19.33  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27355  Remove femur lesion                               A   8.00   7.92NA   8.28NA   7.92     8.28     1.58  17.50  17.86  17.50  17.86  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27356  Remove femur lesion/graft                         A  10.09   9.36NA   9.81NA   9.36     9.81     1.97  21.42  21.87  21.42  21.87  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27357  Remove femur lesion/graft                         A  11.16  10.33NA  10.86NA  10.33    10.86     2.20  23.69  24.22  23.69  24.22  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27358  Remove femur lesion/fixation                      A   4.73   2.72NA   2.82NA   2.72     2.82     0.91   8.36   8.46   8.36   8.46  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
27360  Partial removal leg bone(s)                       A  11.46  11.04NA  11.56NA  11.04    11.56     2.26  24.76  25.28  24.76  25.28  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27364  Resect thigh/knee tum 5+ cm                       A  24.49  17.23NA  17.23NA  17.23    17.23     4.97  46.69  46.69  46.69  46.69  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27365  Resect femur/knee tumor                           A  32.21  18.72NA  23.74NA  18.72    23.74     6.36  57.29  62.31  57.29  62.31  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27370  Injection for knee x-ray                          A   0.96   3.84     3.83     0.47     0.51     0.12   4.92   4.91   1.55   1.59  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
27372  Removal of foreign body                           A   5.21  11.06    11.37     5.51     5.77     1.03  17.30  17.61  11.75  12.01  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27380  Repair of kneecap tendon                          A   7.45   8.25NA   8.58NA   8.25     8.58     1.47  17.17  17.50  17.17  17.50  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27381  Repair/graft kneecap tendon                       A  10.76  10.37NA  10.79NA  10.37    10.79     2.12  23.25  23.67  23.25  23.67  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27385  Repair of thigh muscle                            A   8.11   8.65NA   9.00NA   8.65     9.00     1.59  18.35  18.70  18.35  18.70  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27386  Repair/graft of thigh muscle                      A  11.13  10.86NA  11.34NA  10.86    11.34     2.19  24.18  24.66  24.18  24.66  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27390  Incision of thigh tendon                          A   5.53   6.24NA   6.60NA   6.24     6.60     1.09  12.86  13.22  12.86  13.22  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
27391  Incision of thigh tendons                         A   7.49   7.69NA   8.10NA   7.69     8.10     1.48  16.66  17.07  16.66  17.07  0090.10.69.2120010             33.9764 090 99      0.00   0.00   0.00
27392  Incision of thigh tendons                         A   9.63   9.04NA   9.63NA   9.04     9.63     1.89  20.56  21.15  20.56  21.15  0090.10.69.2122210             33.9764 090 99      0.00   0.00   0.00
27393  Lengthening of thigh tendon                       A   6.59   6.78NA   7.06NA   6.78     7.06     1.29  14.66  14.94  14.66  14.94  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27394  Lengthening of thigh tendons                      A   8.79   8.38NA   8.73NA   8.38     8.73     1.70  18.87  19.22  18.87  19.22  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
27395  Lengthening of thigh tendons                      A  12.24  10.97NA  11.51NA  10.97    11.51     2.41  25.62  26.16  25.62  26.16  0090.10.69.2122210             33.9764 090 99      0.00   0.00   0.00
27396  Transplant of thigh tendon                        A   8.15   8.11NA   8.49NA   8.11     8.49     1.61  17.87  18.25  17.87  18.25  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27397  Transplants of thigh tendons                      A  12.66  11.45NA  12.13NA  11.45    12.13     2.48  26.59  27.27  26.59  27.27  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
27400  Revise thigh muscles/tendons                      A   9.33   8.95NA   9.45NA   8.95     9.45     1.84  20.12  20.62  20.12  20.62  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27403  Repair of knee cartilage                          A   8.62   8.32NA   8.70NA   8.32     8.70     1.67  18.61  18.99  18.61  18.99  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27405  Repair of knee ligament                           A   9.08   8.80NA   9.21NA   8.80     9.21     1.80  19.68  20.09  19.68  20.09  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27407  Repair of knee ligament                           A  10.85   9.77NA  10.57NA   9.77    10.57     2.14  22.76  23.56  22.76  23.56  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27409  Repair of knee ligaments                          A  13.71  11.77NA  12.39NA  11.77    12.39     2.71  28.19  28.81  28.19  28.81  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27412  Autochondrocyte implant knee                      A  24.74  18.79NA  19.87NA  18.79    19.87     4.89  48.42  49.50  48.42  49.50  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27415  Osteochondral knee allograft                      A  20.00  16.19NA  17.22NA  16.19    17.22     3.93  40.12  41.15  40.12  41.15  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27416  Osteochondral knee autograft                      A  14.16  11.50NA  12.36NA  11.50    12.36     2.79  28.45  29.31  28.45  29.31  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27418  Repair degenerated kneecap                        A  11.60  10.41NA  10.87NA  10.41    10.87     2.26  24.27  24.73  24.27  24.73  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27420  Revision of unstable kneecap                      A  10.26   9.47NA   9.91NA   9.47     9.91     2.00  21.73  22.17  21.73  22.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27422  Revision of unstable kneecap                      A  10.21   9.44NA   9.88NA   9.44     9.88     1.99  21.64  22.08  21.64  22.08  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27424  Revision/removal of kneecap                       A  10.24   9.43NA   9.82NA   9.43     9.82     2.00  21.67  22.06  21.67  22.06  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27425  Lat retinacular release open                      A   5.39   6.42NA   6.74NA   6.42     6.74     1.06  12.87  13.19  12.87  13.19  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27427  Reconstruction knee                               A   9.79   9.17NA   9.60NA   9.17     9.60     1.92  20.88  21.31  20.88  21.31  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27428  Reconstruction knee                               A  15.58  13.77NA  14.53NA  13.77    14.53     3.09  32.44  33.20  32.44  33.20  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27429  Reconstruction knee                               A  17.54  15.28NA  16.06NA  15.28    16.06     3.47  36.29  37.07  36.29  37.07  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27430  Revision of thigh muscles                         A  10.16   9.39NA   9.84NA   9.39     9.84     1.99  21.54  21.99  21.54  21.99  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27435  Incision of knee joint                            A  10.88  10.36NA  10.92NA  10.36    10.92     2.15  23.39  23.95  23.39  23.95  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27437  Revise kneecap                                    A   8.93   8.52NA   8.94NA   8.52     8.94     1.77  19.22  19.64  19.22  19.64  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27438  Revise kneecap with implant                       A  11.89  10.30NA  10.83NA  10.30    10.83     2.33  24.52  25.05  24.52  25.05  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27440  Revision of knee joint                            A  11.09   9.57NA  10.49NA   9.57    10.49     2.18  22.84  23.76  22.84  23.76  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27441  Revision of knee joint                            A  11.54   9.78NA  10.76NA   9.78    10.76     2.26  23.58  24.56  23.58  24.56  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27442  Revision of knee joint                            A  12.37  10.57NA  11.15NA  10.57    11.15     2.42  25.36  25.94  25.36  25.94  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27443  Revision of knee joint                            A  11.41  10.15NA  10.68NA  10.15    10.68     2.25  23.81  24.34  23.81  24.34  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27445  Revision of knee joint                            A  18.66  14.49NA  15.19NA  14.49    15.19     3.70  36.85  37.55  36.85  37.55  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27446  Revision of knee joint                            A  16.38  12.93NA  13.48NA  12.93    13.48     3.23  32.54  33.09  32.54  33.09  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27447  Total knee arthroplasty                           A  23.25  17.49NA  18.37NA  17.49    18.37     4.57  45.31  46.19  45.31  46.19  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27448  Incision of thigh                                 A  11.60  10.02NA  10.51NA  10.02    10.51     2.29  23.91  24.40  23.91  24.40  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27450  Incision of thigh                                 A  14.61  12.22NA  12.75NA  12.22    12.75     2.90  29.73  30.26  29.73  30.26  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27454  Realignment of thigh bone                         A  19.17  14.94NA  16.01NA  14.94    16.01     3.78  37.89  38.96  37.89  38.96  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27455  Realignment of knee                               A  13.36  11.54NA  12.13NA  11.54    12.13     2.63  27.53  28.12  27.53  28.12  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27457  Realignment of knee                               A  14.03  11.47NA  12.01NA  11.47    12.01     2.76  28.26  28.80  28.26  28.80  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27465  Shortening of thigh bone                          A  18.60  14.19NA  15.32NA  14.19    15.32     3.69  36.48  37.61  36.48  37.61  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27466  Lengthening of thigh bone                         A  17.28  13.87NA  14.47NA  13.87    14.47     3.42  34.57  35.17  34.57  35.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27468  Shorten/lengthen thighs                           A  19.97  15.39NA  16.37NA  15.39    16.37     3.93  39.29  40.27  39.29  40.27  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27470  Repair of thigh                                   A  17.14  14.05NA  14.75NA  14.05    14.75     3.39  34.58  35.28  34.58  35.28  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27472  Repair/graft of thigh                             A  18.72  14.79NA  15.45NA  14.79    15.45     3.70  37.21  37.87  37.21  37.87  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27475  Surgery to stop leg growth                        A   8.93   7.18NA   6.31NA   7.18     6.31     1.77  17.88  17.01  17.88  17.01  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27477  Surgery to stop leg growth                        A  10.14   9.21NA   9.68NA   9.21     9.68     1.99  21.34  21.81  21.34  21.81  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27479  Surgery to stop leg growth                        A  13.16  11.19NA  11.73NA  11.19    11.73     0.93  25.28  25.82  25.28  25.82  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27485  Surgery to stop leg growth                        A   9.13   8.59NA   9.00NA   8.59     9.00     1.81  19.53  19.94  19.53  19.94  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27486  Revise/replace knee joint                         A  21.12  16.16NA  16.98NA  16.16    16.98     4.15  41.43  42.25  41.43  42.25  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27487  Revise/replace knee joint                         A  27.11  19.56NA  20.50NA  19.56    20.50     5.34  52.01  52.95  52.01  52.95  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27488  Removal of knee prosthesis                        A  17.60  14.16NA  14.90NA  14.16    14.90     3.47  35.23  35.97  35.23  35.97  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27495  Reinforce thigh                                   A  16.54  13.34NA  13.96NA  13.34    13.96     3.25  33.13  33.75  33.13  33.75  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27496  Decompression of thigh/knee                       A   6.78   7.12NA   7.93NA   7.12     7.93     1.33  15.23  16.04  15.23  16.04  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27497  Decompression of thigh/knee                       A   7.79   7.09NA   7.95NA   7.09     7.95     1.54  16.42  17.28  16.42  17.28  0090.10.69.2121020             33.9764 090 99      0.00   0.00   0.00
27498  Decompression of thigh/knee                       A   8.66   7.84NA   9.05NA   7.84     9.05     1.69  18.19  19.40  18.19  19.40  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27499  Decompression of thigh/knee                       A   9.43   8.49NA   9.51NA   8.49     9.51     1.86  19.78  20.80  19.78  20.80  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27500  Treatment of thigh fracture                       A   6.30   7.33     7.73     6.28     6.67     1.22  14.85  15.25  13.80  14.19  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27501  Treatment of thigh fracture                       A   6.45   6.84     7.18     6.68     7.06     1.27  14.56  14.90  14.40  14.78  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27502  Treatment of thigh fracture                       A  11.36   9.27NA   9.65NA   9.27     9.65     2.19  22.82  23.20  22.82  23.20  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27503  Treatment of thigh fracture                       A  11.27   9.95NA  10.49NA   9.95    10.49     2.20  23.42  23.96  23.42  23.96  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27506  Treatment of thigh fracture                       A  19.65  15.71NA  16.59NA  15.71    16.59     3.87  39.23  40.11  39.23  40.11  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27507  Treatment of thigh fracture                       A  14.48  11.34NA  11.85NA  11.34    11.85     2.86  28.68  29.19  28.68  29.19  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27508  Treatment of thigh fracture                       A   6.20   7.62     7.98     6.77     7.14     1.20  15.02  15.38  14.17  14.54  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27509  Treatment of thigh fracture                       A   8.14   8.99NA   9.37NA   8.99     9.37     1.59  18.72  19.10  18.72  19.10  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27510  Treatment of thigh fracture                       A   9.80   8.51NA   8.80NA   8.51     8.80     1.88  20.19  20.48  20.19  20.48  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27511  Treatment of thigh fracture                       A  15.11  11.57NA  11.90NA  11.57    11.90     2.98  29.66  29.99  29.66  29.99  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27513  Treatment of thigh fracture                       A  19.25  14.02NA  14.35NA  14.02    14.35     3.80  37.07  37.40  37.07  37.40  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27514  Treatment of thigh fracture                       A  14.60  11.63NA  11.58NA  11.63    11.58     2.87  29.10  29.05  29.10  29.05  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27516  Treat thigh fx growth plate                       A   5.59   7.67     8.18     6.84     7.32     1.10  14.36  14.87  13.53  14.01  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27517  Treat thigh fx growth plate                       A   9.12   8.95NA   9.43NA   8.95     9.43     1.80  19.87  20.35  19.87  20.35  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27519  Treat thigh fx growth plate                       A  13.25  10.77NA  10.87NA  10.77    10.87     2.61  26.63  26.73  26.63  26.73  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27520  Treat kneecap fracture                            A   3.04   5.43     5.70     4.62     4.94     0.59   9.06   9.33   8.25   8.57  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27524  Treat kneecap fracture                            A  10.37   9.55NA  10.00NA   9.55    10.00     2.03  21.95  22.40  21.95  22.40  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27530  Treat knee fracture                               A   4.09   6.40     6.72     5.64     5.98     0.78  11.27  11.59  10.51  10.85  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27532  Treat knee fracture                               A   7.55   8.71     9.17     7.71     8.13     1.48  17.74  18.20  16.74  17.16  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27535  Treat knee fracture                               A  13.41  10.57NA  10.89NA  10.57    10.89     2.63  26.61  26.93  26.61  26.93  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27536  Treat knee fracture                               A  17.39  14.10NA  14.88NA  14.10    14.88     3.43  34.92  35.70  34.92  35.70  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27538  Treat knee fracture(s)                            A   5.09   7.36     7.73     6.53     6.91     0.99  13.44  13.81  12.61  12.99  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27540  Treat knee fracture                               A  11.30  10.36NA  10.72NA  10.36    10.72     2.22  23.88  24.24  23.88  24.24  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27550  Treat knee dislocation                            A   5.98   7.10     7.44     6.12     6.46     1.10  14.18  14.52  13.20  13.54  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27552  Treat knee dislocation                            A   8.18   8.33NA   8.79NA   8.33     8.79     1.61  18.12  18.58  18.12  18.58  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27556  Treat knee dislocation                            A  13.00  10.62NA  10.72NA  10.62    10.72     2.57  26.19  26.29  26.19  26.29  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27557  Treat knee dislocation                            A  15.90  12.31NA  12.45NA  12.31    12.45     3.14  31.35  31.49  31.35  31.49  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27558  Treat knee dislocation                            A  18.39  13.56NA  13.93NA  13.56    13.93     3.62  35.57  35.94  35.57  35.94  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27560  Treat kneecap dislocation                         A   3.99   5.95     6.34     5.10     5.62     0.76  10.70  11.09   9.85  10.37  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27562  Treat kneecap dislocation                         A   5.98   6.53NA   7.10NA   6.53     7.10     1.18  13.69  14.26  13.69  14.26  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27566  Treat kneecap dislocation                         A  12.71  10.85NA  11.36NA  10.85    11.36     2.50  26.06  26.57  26.06  26.57  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27570  Fixation of knee joint                            A   1.79   2.18NA   2.30NA   2.18     2.30     0.34   4.31   4.43   4.31   4.43  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
27580  Fusion of knee                                    A  21.10  17.04NA  17.83NA  17.04    17.83     4.15  42.29  43.08  42.29  43.08  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27590  Amputate leg at thigh                             A  13.47   8.08NA   8.41NA   8.08     8.41     2.95  24.50  24.83  24.50  24.83  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27591  Amputate leg at thigh                             A  13.94   9.91NA  10.13NA   9.91    10.13     2.91  26.76  26.98  26.76  26.98  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27592  Amputate leg at thigh                             A  10.98   7.48NA   7.79NA   7.48     7.79     2.34  20.80  21.11  20.80  21.11  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27594  Amputation follow-up surgery                      A   7.29   6.23NA   6.42NA   6.23     6.42     1.55  15.07  15.26  15.07  15.26  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27596  Amputation follow-up surgery                      A  11.29   8.04NA   8.33NA   8.04     8.33     2.40  21.73  22.02  21.73  22.02  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27598  Amputate lower leg at knee                        A  11.22   8.48NA   8.82NA   8.48     8.82     2.33  22.03  22.37  22.03  22.37  0090.10.69.2121210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
27600  Decompression of lower leg                        A   6.03   5.07NA   5.12NA   5.07     5.12     1.27  12.37  12.42  12.37  12.42  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27601  Decompression of lower leg                        A   6.05   5.76NA   5.98NA   5.76     5.98     1.27  13.08  13.30  13.08  13.30  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27602  Decompression of lower leg                        A   7.82   5.63NA   5.66NA   5.63     5.66     1.74  15.19  15.22  15.19  15.22  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27603  Drain lower leg lesion                            A   5.23   9.17     9.60     5.21     5.51     1.01  15.41  15.84  11.45  11.75  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27604  Drain lower leg bursa                             A   4.59   8.11     8.60     4.49     4.68     0.78  13.48  13.97   9.86  10.05  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27605  Incision of achilles tendon                       A   2.92   6.78     6.53     2.26     2.19     0.34  10.04   9.79   5.52   5.45  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
27606  Incision of achilles tendon                       A   4.18   3.58NA   3.66NA   3.58     3.66     0.72   8.48   8.56   8.48   8.56  0010.10.80.1021110             33.9764 090 99      0.00   0.00   0.00
27607  Treat lower leg bone lesion                       A   8.62   7.72NA   8.11NA   7.72     8.11     1.58  17.92  18.31  17.92  18.31  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27610  Explore/treat ankle joint                         A   9.13   8.32NA   8.71NA   8.32     8.71     1.63  19.08  19.47  19.08  19.47  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27612  Exploration of ankle joint                        A   8.15   7.07NA   7.34NA   7.07     7.34     1.16  16.38  16.65  16.38  16.65  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27613  Biopsy lower leg soft tissue                      A   2.22   4.75     4.90     2.30     2.38     0.31   7.28   7.43   4.83   4.91  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
27614  Biopsy lower leg soft tissue                      A   5.80   9.62    10.09     5.12     5.28     1.03  16.45  16.92  11.95  12.11  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27615  Resect leg/ankle tum < 5 cm                       A  15.72  10.98NA  12.21NA  10.98    12.21     3.14  29.84  31.07  29.84  31.07  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
27616  Resect leg/ankle tum 5+ cm                        A  19.63  14.60NA  14.60NA  14.60    14.60     3.91  38.14  38.14  38.14  38.14  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
27618  Exc leg/ankle tum < 3 cm                          A   3.96   8.04     8.32     4.57     4.38     0.73  12.73  13.01   9.26   9.07  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27619  Exc leg/ankle tum deep <5 cm                      A   6.91   6.49NA   6.31NA   6.49     6.31     1.22  14.62  14.44  14.62  14.44  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27620  Explore/treat ankle joint                         A   6.15   6.18NA   6.41NA   6.18     6.41     1.05  13.38  13.61  13.38  13.61  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27625  Remove ankle joint lining                         A   8.49   7.15NA   7.31NA   7.15     7.31     1.27  16.91  17.07  16.91  17.07  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27626  Remove ankle joint lining                         A   9.10   7.82NA   8.09NA   7.82     8.09     1.52  18.44  18.71  18.44  18.71  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27630  Removal of tendon lesion                          A   4.94  10.04    10.59     4.99     5.16     0.78  15.76  16.31  10.71  10.88  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27632  Exc leg/ankle les sc 3+ cm                        A   5.91   5.33NA   5.33NA   5.33     5.33     1.13  12.37  12.37  12.37  12.37  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27634  Exc leg/ankle tum deep 5+ cm                      A  10.13   8.13NA   8.13NA   8.13     8.13     1.80  20.06  20.06  20.06  20.06  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27635  Remove lower leg bone lesion                      A   8.03   7.78NA   8.13NA   7.78     8.13     1.50  17.31  17.66  17.31  17.66  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27637  Remove/graft leg bone lesion                      A  10.31   9.82NA  10.37NA   9.82    10.37     2.01  22.14  22.69  22.14  22.69  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27638  Remove/graft leg bone lesion                      A  10.99   9.56NA   9.89NA   9.56     9.89     2.16  22.71  23.04  22.71  23.04  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27640  Partial removal of tibia                          A  12.24  10.48NA  10.69NA  10.48    10.69     2.20  24.92  25.13  24.92  25.13  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27641  Partial removal of fibula                         A   9.84   8.34NA   8.45NA   8.34     8.45     1.67  19.85  19.96  19.85  19.96  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27645  Resect tibia tumor                                A  27.21  16.69NA  21.02NA  16.69    21.02     5.36  49.26  53.59  49.26  53.59  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27646  Resect fibula tumor                               A  23.21  14.73NA  18.64NA  14.73    18.64     4.57  42.51  46.42  42.51  46.42  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27647  Resect talus/calcaneus tum                        A  20.26   9.49NA  10.84NA   9.49    10.84     2.03  31.78  33.13  31.78  33.13  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27648  Injection for ankle x-ray                         A   0.96   3.64     3.62     0.46     0.49     0.12   4.72   4.70   1.54   1.57  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
27650  Repair achilles tendon                            A   9.21   8.80NA   9.15NA   8.80     9.15     1.51  19.52  19.87  19.52  19.87  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27652  Repair/graft achilles tendon                      A  10.78   8.50NA   8.57NA   8.50     8.57     1.51  20.79  20.86  20.79  20.86  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27654  Repair of achilles tendon                         A  10.53   8.78NA   9.15NA   8.78     9.15     1.51  20.82  21.19  20.82  21.19  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27656  Repair leg fascia defect                          A   4.71  11.28    12.62     5.29     6.04     0.91  16.90  18.24  10.91  11.66  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27658  Repair of leg tendon each                         A   5.12   5.13NA   5.28NA   5.13     5.28     0.78  11.03  11.18  11.03  11.18  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27659  Repair of leg tendon each                         A   7.10   6.23NA   6.42NA   6.23     6.42     0.99  14.32  14.51  14.32  14.51  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27664  Repair of leg tendon each                         A   4.73   5.15NA   5.37NA   5.15     5.37     0.75  10.63  10.85  10.63  10.85  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
27665  Repair of leg tendon each                         A   5.57   5.58NA   5.71NA   5.58     5.71     0.88  12.03  12.16  12.03  12.16  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
27675  Repair lower leg tendons                          A   7.35   6.08NA   6.16NA   6.08     6.16     1.02  14.45  14.53  14.45  14.53  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27676  Repair lower leg tendons                          A   8.73   7.80NA   8.10NA   7.80     8.10     1.70  18.23  18.53  18.23  18.53  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27680  Release of lower leg tendon                       A   5.88   5.77NA   6.04NA   5.77     6.04     0.98  12.63  12.90  12.63  12.90  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
27681  Release of lower leg tendons                      A   7.05   7.11NA   7.74NA   7.11     7.74     1.39  15.55  16.18  15.55  16.18  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
27685  Revision of lower leg tendon                      A   6.69  11.01    11.82     6.06     6.23     0.91  18.61  19.42  13.66  13.83  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27686  Revise lower leg tendons                          A   7.75   7.23NA   7.46NA   7.23     7.46     1.29  16.27  16.50  16.27  16.50  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27687  Revision of calf tendon                           A   6.41   5.98NA   6.19NA   5.98     6.19     0.99  13.38  13.59  13.38  13.59  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27690  Revise lower leg tendon                           A   9.17   8.08NA   8.52NA   8.08     8.52     1.32  18.57  19.01  18.57  19.01  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27691  Revise lower leg tendon                           A  10.49   9.66NA  10.15NA   9.66    10.15     1.82  21.97  22.46  21.97  22.46  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27692  Revise additional leg tendon                      A   1.87   1.01NA   1.05NA   1.01     1.05     0.34   3.22   3.26   3.22   3.26  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
27695  Repair of ankle ligament                          A   6.70   6.39NA   6.49NA   6.39     6.49     1.08  14.17  14.27  14.17  14.27  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27696  Repair of ankle ligaments                         A   8.58   6.88NA   7.00NA   6.88     7.00     1.16  16.62  16.74  16.62  16.74  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27698  Repair of ankle ligament                          A   9.61   7.83NA   8.08NA   7.83     8.08     1.51  18.95  19.20  18.95  19.20  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27700  Revision of ankle joint                           A   9.66   6.67NA   6.78NA   6.67     6.78     1.20  17.53  17.64  17.53  17.64  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27702  Reconstruct ankle joint                           A  14.42  11.77NA  12.13NA  11.77    12.13     2.65  28.84  29.20  28.84  29.20  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27703  Reconstruction ankle joint                        A  16.94  13.29NA  13.72NA  13.29    13.72     3.18  33.41  33.84  33.41  33.84  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27704  Removal of ankle implant                          A   7.81   7.49NA   7.97NA   7.49     7.97     1.42  16.72  17.20  16.72  17.20  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27705  Incision of tibia                                 A  10.86   9.47NA   9.91NA   9.47     9.91     2.01  22.34  22.78  22.34  22.78  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27707  Incision of fibula                                A   4.78   6.00NA   6.33NA   6.00     6.33     0.90  11.68  12.01  11.68  12.01  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27709  Incision of tibia & fibula                        A  17.48  13.27NA  14.60NA  13.27    14.60     3.38  34.13  35.46  34.13  35.46  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27712  Realignment of lower leg                          A  15.87  13.30NA  14.05NA  13.30    14.05     3.14  32.31  33.06  32.31  33.06  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27715  Revision of lower leg                             A  15.50  12.54NA  12.98NA  12.54    12.98     3.08  31.12  31.56  31.12  31.56  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27720  Repair of tibia                                   A  12.36  10.91NA  11.37NA  10.91    11.37     2.40  25.67  26.13  25.67  26.13  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27722  Repair/graft of tibia                             A  12.45  10.96NA  11.64NA  10.96    11.64     2.44  25.85  26.53  25.85  26.53  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27724  Repair/graft of tibia                             A  19.31  14.39NA  15.06NA  14.39    15.06     3.80  37.50  38.17  37.50  38.17  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27725  Repair of lower leg                               A  17.41  14.72NA  15.63NA  14.72    15.63     3.44  35.57  36.48  35.57  36.48  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27726  Repair fibula nonunion                            A  14.34  10.88NA  12.08NA  10.88    12.08     2.78  28.00  29.20  28.00  29.20  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27727  Repair of lower leg                               A  14.84  11.66NA  13.21NA  11.66    13.21     2.94  29.44  30.99  29.44  30.99  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27730  Repair of tibia epiphysis                         A   7.70   7.74NA   8.15NA   7.74     8.15     1.52  16.96  17.37  16.96  17.37  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27732  Repair of fibula epiphysis                        A   5.46   5.85NA   6.65NA   5.85     6.65     1.08  12.39  13.19  12.39  13.19  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27734  Repair lower leg epiphyses                        A   8.83   7.76NA   8.91NA   7.76     8.91     0.63  17.22  18.37  17.22  18.37  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27740  Repair of leg epiphyses                           A   9.61   7.08NA   6.73NA   7.08     6.73     1.89  18.58  18.23  18.58  18.23  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
27742  Repair of leg epiphyses                           A  10.63   8.07NA   8.98NA   8.07     8.98     2.08  20.78  21.69  20.78  21.69  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27745  Reinforce tibia                                   A  10.49   9.49NA   9.89NA   9.49     9.89     2.04  22.02  22.42  22.02  22.42  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27750  Treatment of tibia fracture                       A   3.37   5.72     6.01     4.93     5.23     0.64   9.73  10.02   8.94   9.24  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27752  Treatment of tibia fracture                       A   6.27   7.96     8.34     6.86     7.22     1.21  15.44  15.82  14.34  14.70  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27756  Treatment of tibia fracture                       A   7.45   7.73NA   8.12NA   7.73     8.12     1.46  16.64  17.03  16.64  17.03  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27758  Treatment of tibia fracture                       A  12.54  11.03NA  11.61NA  11.03    11.61     2.45  26.02  26.60  26.02  26.60  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27759  Treatment of tibia fracture                       A  14.45  12.03NA  12.60NA  12.03    12.60     2.84  29.32  29.89  29.32  29.89  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27760  Cltx medial ankle fx                              A   3.21   5.60     5.87     4.77     5.07     0.59   9.40   9.67   8.57   8.87  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27762  Cltx med ankle fx w/mnpj                          A   5.47   7.30     7.57     6.20     6.45     1.01  13.78  14.05  12.68  12.93  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27766  Optx medial ankle fx                              A   7.89   8.35NA   8.74NA   8.35     8.74     1.51  17.75  18.14  17.75  18.14  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27767  Cltx post ankle fx                                A   2.64   4.65     5.05     4.69     5.10     0.50   7.79   8.19   7.83   8.24  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27768  Cltx post ankle fx w/mnpj                         A   5.14   6.10NA   6.78NA   6.10     6.78     1.02  12.26  12.94  12.26  12.94  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27769  Optx post ankle fx                                A  10.14   8.80NA   9.81NA   8.80     9.81     1.99  20.93  21.94  20.93  21.94  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27780  Treatment of fibula fracture                      A   2.83   5.15     5.45     4.38     4.70     0.53   8.51   8.81   7.74   8.06  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27781  Treatment of fibula fracture                      A   4.59   6.61     6.95     5.78     6.11     0.87  12.07  12.41  11.24  11.57  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27784  Treatment of fibula fracture                      A   9.67   9.15NA   9.84NA   9.15     9.84     1.88  20.70  21.39  20.70  21.39  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27786  Treatment of ankle fracture                       A   3.02   5.33     5.59     4.48     4.77     0.54   8.89   9.15   8.04   8.33  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27788  Treatment of ankle fracture                       A   4.64   6.58     6.86     5.61     5.87     0.84  12.06  12.34  11.09  11.35  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27792  Treatment of ankle fracture                       A   9.71   9.16NA   9.75NA   9.16     9.75     1.84  20.71  21.30  20.71  21.30  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27808  Treatment of ankle fracture                       A   3.03   5.77     6.04     4.83     5.12     0.56   9.36   9.63   8.42   8.71  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27810  Treatment of ankle fracture                       A   5.32   7.16     7.41     6.04     6.26     1.01  13.49  13.74  12.37  12.59  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27814  Treatment of ankle fracture                       A  10.62   9.94NA  10.39NA   9.94    10.39     2.04  22.60  23.05  22.60  23.05  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27816  Treatment of ankle fracture                       A   3.07   5.28     5.60     4.39     4.70     0.54   8.89   9.21   8.00   8.31  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27818  Treatment of ankle fracture                       A   5.69   7.09     7.30     5.82     6.00     1.05  13.83  14.04  12.56  12.74  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27822  Treatment of ankle fracture                       A  11.21  11.36NA  11.71NA  11.36    11.71     2.16  24.73  25.08  24.73  25.08  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27823  Treatment of ankle fracture                       A  13.16  12.42NA  12.86NA  12.42    12.86     2.55  28.13  28.57  28.13  28.57  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27824  Treat lower leg fracture                          A   3.31   4.93     5.18     4.64     4.93     0.61   8.85   9.10   8.56   8.85  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27825  Treat lower leg fracture                          A   6.69   7.79     8.13     6.45     6.75     1.28  15.76  16.10  14.42  14.72  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27826  Treat lower leg fracture                          A  11.10  11.08NA  11.72NA  11.08    11.72     2.14  24.32  24.96  24.32  24.96  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27827  Treat lower leg fracture                          A  14.79  14.11NA  14.68NA  14.11    14.68     2.90  31.80  32.37  31.80  32.37  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27828  Treat lower leg fracture                          A  18.43  16.06NA  16.80NA  16.06    16.80     3.59  38.08  38.82  38.08  38.82  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27829  Treat lower leg joint                             A   8.80   9.24NA   9.84NA   9.24     9.84     1.69  19.73  20.33  19.73  20.33  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
27830  Treat lower leg dislocation                       A   3.96   5.83     6.37     5.14     5.65     0.76  10.55  11.09   9.86  10.37  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27831  Treat lower leg dislocation                       A   4.73   5.62NA   6.10NA   5.62     6.10     0.91  11.26  11.74  11.26  11.74  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27832  Treat lower leg dislocation                       A  10.17   9.37NA  10.31NA   9.37    10.31     1.99  21.53  22.47  21.53  22.47  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27840  Treat ankle dislocation                           A   4.77   4.68NA   4.94NA   4.68     4.94     0.83  10.28  10.54  10.28  10.54  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27842  Treat ankle dislocation                           A   6.46   6.58NA   7.04NA   6.58     7.04     1.21  14.25  14.71  14.25  14.71  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27846  Treat ankle dislocation                           A  10.28   9.26NA   9.63NA   9.26     9.63     1.95  21.49  21.86  21.49  21.86  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27848  Treat ankle dislocation                           A  11.68  10.24NA  10.50NA  10.24    10.50     2.25  24.17  24.43  24.17  24.43  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27860  Fixation of ankle joint                           A   2.39   2.32NA   2.36NA   2.32     2.36     0.39   5.10   5.14   5.10   5.14  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
27870  Fusion of ankle joint open                        A  15.41  12.40NA  12.92NA  12.40    12.92     2.80  30.61  31.13  30.61  31.13  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27871  Fusion of tibiofibular joint                      A   9.54   8.87NA   9.26NA   8.87     9.26     1.85  20.26  20.65  20.26  20.65  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27880  Amputation of lower leg                           A  15.37   9.03NA   9.50NA   9.03     9.50     3.32  27.72  28.19  27.72  28.19  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27881  Amputation of lower leg                           A  13.47   9.97NA  10.24NA   9.97    10.24     2.80  26.24  26.51  26.24  26.51  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27882  Amputation of lower leg                           A   9.79   6.63NA   6.68NA   6.63     6.68     2.15  18.57  18.62  18.57  18.62  0090.10.69.2121010             33.9764 090 99      0.00   0.00   0.00
27884  Amputation follow-up surgery                      A   8.76   6.77NA   7.00NA   6.77     7.00     1.86  17.39  17.62  17.39  17.62  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
27886  Amputation follow-up surgery                      A  10.02   7.66NA   7.90NA   7.66     7.90     2.14  19.82  20.06  19.82  20.06  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27888  Amputation of foot at ankle                       A  10.37   8.11NA   8.15NA   8.11     8.15     1.93  20.41  20.45  20.41  20.45  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
27889  Amputation of foot at ankle                       A  10.86   7.02NA   7.04NA   7.02     7.04     2.41  20.29  20.31  20.29  20.31  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
27892  Decompression of leg                              A   7.94   6.64NA   7.00NA   6.64     7.00     1.63  16.21  16.57  16.21  16.57  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27893  Decompression of leg                              A   7.90   7.58NA   8.60NA   7.58     8.60     1.67  17.15  18.17  17.15  18.17  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
27894  Decompression of leg                              A  12.67   9.97NA  10.44NA   9.97    10.44     2.67  25.31  25.78  25.31  25.78  0090.10.69.2121200             33.9764 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             33.9764 090 99      0.00   0.00   0.00
28001  Drainage of bursa of foot                         A   2.78   4.73     4.98     2.01     1.97     0.23   7.74   7.99   5.02   4.98  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
28002  Treatment of foot infection                       A   5.93   8.05     8.52     4.50     4.57     0.67  14.65  15.12  11.10  11.17  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
28003  Treatment of foot infection                       A   9.06   9.39     9.78     5.78     5.75     1.06  19.51  19.90  15.90  15.87  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28005  Treat foot bone lesion                            A   9.44   7.03NA   7.11NA   7.03     7.11     1.02  17.49  17.57  17.49  17.57  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28008  Incision of foot fascia                           A   4.59   7.24     7.62     3.66     3.67     0.41  12.24  12.62   8.66   8.67  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28010  Incision of toe tendon                            A   2.97   3.47     3.63     2.91     2.97     0.27   6.71   6.87   6.15   6.21  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28011  Incision of toe tendons                           A   4.28   4.77     5.05     3.92     4.04     0.49   9.54   9.82   8.69   8.81  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28020  Exploration of foot joint                         A   5.15   9.15     9.85     4.68     4.83     0.67  14.97  15.67  10.50  10.65  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28022  Exploration of foot joint                         A   4.81   8.25     8.72     4.18     4.17     0.49  13.55  14.02   9.48   9.47  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28024  Exploration of toe joint                          A   4.52   7.86     8.25     3.97     3.91     0.42  12.80  13.19   8.91   8.85  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28035  Decompression of tibia nerve                      A   5.23   8.96     9.46     4.59     4.63     0.65  14.84  15.34  10.47  10.51  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28039  Exc foot/toe tum sc > 1.5 cm                      A   5.42   8.34     8.34     4.04     4.04     0.54  14.30  14.30  10.00  10.00  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
28041  Exc foot/toe tum deep 1.5cm+                      A   7.13   5.27NA   5.27NA   5.27     5.27     0.73  13.13  13.13  13.13  13.13  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28043  Exc foot/toe tum sc < 1.5 cm                      A   3.96   6.49     7.50     3.48     3.52     0.39  10.84  11.85   7.83   7.87  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28045  Exc foot/toe tum deep <1.5cm                      A   5.45   8.42     8.86     4.30     4.53     0.56  14.43  14.87  10.31  10.54  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28046  Resect foot/toe tumor < 3 cm                      A  12.38   7.91NA   8.52NA   7.91     8.52     1.66  21.95  22.56  21.95  22.56  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28047  Resect foot/toe tumor > 3 cm                      A  17.45   8.52NA   8.52NA   8.52     8.52     1.33  27.30  27.30  27.30  27.30  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28050  Biopsy of foot joint lining                       A   4.39   7.69     7.69     3.81     3.55     0.39  12.47  12.47   8.59   8.33  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28052  Biopsy of foot joint lining                       A   4.06   7.57     8.03     3.65     3.66     0.49  12.12  12.58   8.20   8.21  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28054  Biopsy of toe joint lining                        A   3.57   7.05     7.11     3.31     3.11     0.27  10.89  10.95   7.15   6.95  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28055  Neurectomy foot                                   A   6.29   4.36NA   4.40NA   4.36     4.40     0.53  11.18  11.22  11.18  11.22  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28060  Partial removal foot fascia                       A   5.40   8.61     9.16     4.50     4.58     0.54  14.55  15.10  10.44  10.52  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28062  Removal of foot fascia                            A   6.69   9.48     9.92     4.76     4.80     0.60  16.77  17.21  12.05  12.09  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28070  Removal of foot joint lining                      A   5.24   8.99     9.87     4.55     4.77     0.56  14.79  15.67  10.35  10.57  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28072  Removal of foot joint lining                      A   4.72   9.16     9.77     4.66     4.67     0.64  14.52  15.13  10.02  10.03  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28080  Removal of foot lesion                            A   4.86   9.13     9.83     5.14     5.38     0.48  14.47  15.17  10.48  10.72  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28086  Excise foot tendon sheath                         A   4.92   9.77    10.22     4.91     5.01     0.72  15.41  15.86  10.55  10.65  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28088  Excise foot tendon sheath                         A   3.98   9.00     9.81     4.37     4.56     0.54  13.52  14.33   8.89   9.08  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28090  Removal of foot lesion                            A   4.55   8.17     8.70     4.01     4.08     0.48  13.20  13.73   9.04   9.11  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28092  Removal of toe lesions                            A   3.78   7.83     8.31     3.80     3.85     0.39  12.00  12.48   7.97   8.02  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28100  Removal of ankle/heel lesion                      A   5.83  10.32    10.80     5.29     5.41     0.76  16.91  17.39  11.88  12.00  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28102  Remove/graft foot lesion                          A   7.92   7.78NA   8.50NA   7.78     8.50     0.61  16.31  17.03  16.31  17.03  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
28103  Remove/graft foot lesion                          A   6.67   4.90NA   4.44NA   4.90     4.44     0.50  12.07  11.61  12.07  11.61  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
28104  Removal of foot lesion                            A   5.26   8.66     9.19     4.36     4.39     0.54  14.46  14.99  10.16  10.19  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28106  Remove/graft foot lesion                          A   7.35   5.05NA   4.81NA   5.05     4.81     0.56  12.96  12.72  12.96  12.72  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28107  Remove/graft foot lesion                          A   5.73   9.07     8.96     4.46     4.16     0.42  15.22  15.11  10.61  10.31  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
28108  Removal of toe lesions                            A   4.30   7.58     8.08     3.73     3.78     0.38  12.26  12.76   8.41   8.46  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28110  Part removal of metatarsal                        A   4.22   8.31     8.83     3.82     3.89     0.41  12.94  13.46   8.45   8.52  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28111  Part removal of metatarsal                        A   5.15   8.78     9.18     4.13     4.18     0.60  14.53  14.93   9.88   9.93  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28112  Part removal of metatarsal                        A   4.63   8.77     9.29     4.13     4.20     0.52  13.92  14.44   9.28   9.35  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28113  Part removal of metatarsal                        A   6.11  10.08    10.76     5.73     5.94     0.63  16.82  17.50  12.47  12.68  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28114  Removal of metatarsal heads                       A  12.00  16.85    17.97    10.73    11.25     1.65  30.50  31.62  24.38  24.90  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28116  Revision of foot                                  A   9.14  11.31    12.17     6.61     6.86     0.95  21.40  22.26  16.70  16.95  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28118  Removal of heel bone                              A   6.13   9.81    10.43     5.21     5.33     0.75  16.69  17.31  12.09  12.21  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28119  Removal of heel spur                              A   5.56   8.68     9.25     4.47     4.56     0.53  14.77  15.34  10.56  10.65  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28120  Part removal of ankle/heel                        A   8.27  10.79    12.06     5.97     6.94     1.14  20.20  21.47  15.38  16.35  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28122  Partial removal of foot bone                      A   7.72  10.21    10.67     6.06     6.13     0.82  18.75  19.21  14.60  14.67  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28124  Partial removal of toe                            A   5.00   8.06     8.53     4.29     4.33     0.42  13.48  13.95   9.71   9.75  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28126  Partial removal of toe                            A   3.64   7.09     7.55     3.34     3.35     0.34  11.07  11.53   7.32   7.33  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28130  Removal of ankle bone                             A   9.50   8.91NA  10.25NA   8.91    10.25     1.86  20.27  21.61  20.27  21.61  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28140  Removal of metatarsal                             A   7.14   9.56     9.84     5.23     5.22     0.90  17.60  17.88  13.27  13.26  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28150  Removal of toe                                    A   4.23   7.63     8.09     3.74     3.79     0.42  12.28  12.74   8.39   8.44  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28153  Partial removal of toe                            A   3.80   7.42     7.96     3.57     3.69     0.37  11.59  12.13   7.74   7.86  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28160  Partial removal of toe                            A   3.88   7.59     8.10     3.72     3.75     0.38  11.85  12.36   7.98   8.01  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28171  Resect tarsal tumor                               A  16.41   7.05NA   7.68NA   7.05     7.68     1.25  24.71  25.34  24.71  25.34  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
28173  Resect metatarsal tumor                           A  14.16   6.65NA   7.45NA   6.65     7.45     1.57  22.38  23.18  22.38  23.18  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28175  Resect phalanx of toe tumor                       A   8.29   5.00NA   5.56NA   5.00     5.56     0.80  14.09  14.65  14.09  14.65  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28190  Removal of foot foreign body                      A   2.01   4.92     5.20     1.71     1.75     0.20   7.13   7.41   3.92   3.96  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
28192  Removal of foot foreign body                      A   4.78   8.12     8.58     4.04     4.08     0.49  13.39  13.85   9.31   9.35  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28193  Removal of foot foreign body                      A   5.90   8.73     9.18     4.50     4.53     0.56  15.19  15.64  10.96  10.99  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28200  Repair of foot tendon                             A   4.74   8.24     8.77     4.06     4.09     0.45  13.43  13.96   9.25   9.28  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28202  Repair/graft of foot tendon                       A   7.07   9.34     9.48     4.85     4.73     0.64  17.05  17.19  12.56  12.44  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28208  Repair of foot tendon                             A   4.51   8.12     8.72     4.03     4.15     0.49  13.12  13.72   9.03   9.15  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28210  Repair/graft of foot tendon                       A   6.52   9.16     9.60     4.86     4.91     0.64  16.32  16.76  12.02  12.07  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
28220  Release of foot tendon                            A   4.67   7.60     8.05     3.82     3.82     0.41  12.68  13.13   8.90   8.90  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28222  Release of foot tendons                           A   5.76   8.26     8.74     4.22     4.18     0.50  14.52  15.00  10.48  10.44  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28225  Release of foot tendon                            A   3.78   7.06     7.54     3.33     3.37     0.35  11.19  11.67   7.46   7.50  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28226  Release of foot tendons                           A   4.67   8.31     8.89     4.17     4.19     0.35  13.33  13.91   9.19   9.21  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28230  Incision of foot tendon(s)                        A   4.36   7.44     7.85     3.64     3.57     0.39  12.19  12.60   8.39   8.32  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28232  Incision of toe tendon                            A   3.51   7.15     7.60     3.43     3.41     0.34  11.00  11.45   7.28   7.26  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28234  Incision of foot tendon                           A   3.54   7.65     8.18     3.90     3.97     0.35  11.54  12.07   7.79   7.86  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28238  Revision of foot tendon                           A   7.96  10.44    11.09     5.65     5.78     0.86  19.26  19.91  14.47  14.60  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28240  Release of big toe                                A   4.48   7.58     7.94     3.72     3.65     0.44  12.50  12.86   8.64   8.57  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28250  Revision of foot fascia                           A   6.06   9.37    10.08     4.99     5.13     0.76  16.19  16.90  11.81  11.95  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28260  Release of midfoot joint                          A   8.19  10.49    11.47     6.02     6.32     1.03  19.71  20.69  15.24  15.54  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28261  Revision of foot tendon                           A  13.11  13.22    14.07     8.22     8.35     1.28  27.61  28.46  22.61  22.74  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28262  Revision of foot and ankle                        A  17.21  19.62    21.00    12.92    13.47     3.01  39.84  41.22  33.14  33.69  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28264  Release of midfoot joint                          A  10.65  14.59    16.92     9.12    10.17     0.82  26.06  28.39  20.59  21.64  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
28270  Release of foot contracture                       A   4.93   8.39     9.04     4.39     4.49     0.50  13.82  14.47   9.82   9.92  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28272  Release of toe joint each                         A   3.92   6.87     7.27     3.26     3.27     0.31  11.10  11.50   7.49   7.50  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28280  Fusion of toes                                    A   5.33   8.90     9.31     4.56     4.50     0.60  14.83  15.24  10.49  10.43  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28285  Repair of hammertoe                               A   4.76   8.08     8.64     4.20     4.30     0.45  13.29  13.85   9.41   9.51  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28286  Repair of hammertoe                               A   4.70   7.78     8.28     3.80     3.85     0.39  12.87  13.37   8.89   8.94  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28288  Partial removal of foot bone                      A   6.02  10.40    11.29     5.96     6.19     0.67  17.09  17.98  12.65  12.88  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28289  Repair hallux rigidus                             A   8.31  11.66    12.41     6.84     7.06     1.01  20.98  21.73  16.16  16.38  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28290  Correction of bunion                              A   5.83  10.01    10.77     5.14     5.23     0.69  16.53  17.29  11.66  11.75  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28292  Correction of bunion                              A   9.05  12.49    13.35     7.62     7.94     0.87  22.41  23.27  17.54  17.86  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28293  Correction of bunion                              A  11.48  17.20    18.18     8.38     8.63     0.95  29.63  30.61  20.81  21.06  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28294  Correction of bunion                              A   8.75  11.20    11.60     5.79     5.77     0.93  20.88  21.28  15.47  15.45  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28296  Correction of bunion                              A   8.35  11.37    11.87     6.29     6.35     0.76  20.48  20.98  15.40  15.46  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28297  Correction of bunion                              A   9.43  12.89    13.59     6.88     6.94     1.18  23.50  24.20  17.49  17.55  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28298  Correction of bunion                              A   8.13  11.43    12.21     5.90     6.03     0.87  20.43  21.21  14.90  15.03  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28299  Correction of bunion                              A  11.57  12.99    13.70     7.29     7.42     1.14  25.70  26.41  20.00  20.13  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28300  Incision of heel bone                             A   9.73   8.12NA   8.42NA   8.12     8.42     1.61  19.46  19.76  19.46  19.76  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28302  Incision of ankle bone                            A   9.74   8.68NA   9.63NA   8.68     9.63     1.92  20.34  21.29  20.34  21.29  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28304  Incision of midfoot bones                         A   9.41  12.24    13.22     6.84     7.13     1.21  22.86  23.84  17.46  17.75  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28305  Incise/graft midfoot bones                        A  10.77   7.69NA   7.64NA   7.69     7.64     0.82  19.28  19.23  19.28  19.23  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28306  Incision of metatarsal                            A   6.00  10.59    11.36     5.12     5.31     0.83  17.42  18.19  11.95  12.14  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28307  Incision of metatarsal                            A   6.50  12.41    12.49     5.92     5.92     1.28  20.19  20.27  13.70  13.70  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28308  Incision of metatarsal                            A   5.48   9.67    10.39     4.84     5.03     0.61  15.76  16.48  10.93  11.12  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28309  Incision of metatarsals                           A  14.16   9.96NA  10.56NA   9.96    10.56     2.10  26.22  26.82  26.22  26.82  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28310  Revision of big toe                               A   5.57   9.16     9.78     4.31     4.42     0.54  15.27  15.89  10.42  10.53  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28312  Revision of toe                                   A   4.69   8.96     9.57     4.14     4.19     0.50  14.15  14.76   9.33   9.38  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28313  Repair deformity of toe                           A   5.15   9.10     9.77     4.91     4.88     0.69  14.94  15.61  10.75  10.72  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28315  Removal of sesamoid bone                          A   5.00   7.96     8.48     4.00     4.06     0.49  13.45  13.97   9.49   9.55  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28320  Repair of foot bones                              A   9.37   7.34NA   7.47NA   7.34     7.47     1.39  18.10  18.23  18.10  18.23  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28322  Repair of metatarsals                             A   8.53  12.51    13.35     7.13     7.40     1.31  22.35  23.19  16.97  17.24  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28340  Resect enlarged toe tissue                        A   7.15   9.17     9.34     4.72     4.58     0.54  16.86  17.03  12.41  12.27  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28341  Resect enlarged toe                               A   8.72  10.08    10.41     5.33     5.25     0.67  19.47  19.80  14.72  14.64  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28344  Repair extra toe(s)                               A   4.40   8.08     7.81     3.94     3.63     0.34  12.82  12.55   8.68   8.37  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28345  Repair webbed toe(s)                              A   6.09   8.89     8.79     4.64     4.27     0.45  15.43  15.33  11.18  10.81  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28360  Reconstruct cleft foot                            A  14.92  12.51NA  14.46NA  12.51    14.46     3.18  30.61  32.56  30.61  32.56  0090.10.69.2120200             33.9764 090 99      0.00   0.00   0.00
28400  Treatment of heel fracture                        A   2.31   4.34     4.53     3.76     3.94     0.37   7.02   7.21   6.44   6.62  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28405  Treatment of heel fracture                        A   4.74   5.82     6.20     4.94     5.17     0.65  11.21  11.59  10.33  10.56  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28406  Treatment of heel fracture                        A   6.56   7.54NA   7.81NA   7.54     7.81     1.17  15.27  15.54  15.27  15.54  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28415  Treat heel fracture                               A  16.19  13.98NA  14.37NA  13.98    14.37     2.83  33.00  33.39  33.00  33.39  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28420  Treat/graft heel fracture                         A  17.52  15.10NA  16.46NA  15.10    16.46     3.46  36.08  37.44  36.08  37.44  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28430  Treatment of ankle fracture                       A   2.22   4.04     4.25     3.31     3.53     0.35   6.61   6.82   5.88   6.10  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28435  Treatment of ankle fracture                       A   3.54   5.54     6.27     4.66     5.21     0.69   9.77  10.50   8.89   9.44  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28436  Treatment of ankle fracture                       A   4.90   6.84NA   7.30NA   6.84     7.30     0.98  12.72  13.18  12.72  13.18  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
28445  Treat ankle fracture                              A  15.76  12.62NA  13.08NA  12.62    13.08     2.78  31.16  31.62  31.16  31.62  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28446  Osteochondral talus autogrft                      A  17.71  14.26NA  15.45NA  14.26    15.45     3.50  35.47  36.66  35.47  36.66  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28450  Treat midfoot fracture each                       A   2.03   3.75     3.92     3.10     3.27     0.30   6.08   6.25   5.43   5.60  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28455  Treat midfoot fracture each                       A   3.24   4.68     4.97     3.98     4.13     0.44   8.36   8.65   7.66   7.81  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28456  Treat midfoot fracture                            A   2.86   5.32NA   6.08NA   5.32     6.08     0.56   8.74   9.50   8.74   9.50  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28465  Treat midfoot fracture each                       A   8.80   7.75NA   8.04NA   7.75     8.04     1.27  17.82  18.11  17.82  18.11  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28470  Treat metatarsal fracture                         A   2.03   3.65     3.80     3.06     3.22     0.33   6.01   6.16   5.42   5.58  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28475  Treat metatarsal fracture                         A   3.01   3.99     4.12     3.29     3.31     0.38   7.38   7.51   6.68   6.70  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28476  Treat metatarsal fracture                         A   3.60   5.80NA   6.04NA   5.80     6.04     0.53   9.93  10.17   9.93  10.17  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28485  Treat metatarsal fracture                         A   7.44   7.08NA   7.40NA   7.08     7.40     0.95  15.47  15.79  15.47  15.79  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28490  Treat big toe fracture                            A   1.17   2.66     2.82     2.14     2.26     0.16   3.99   4.15   3.47   3.59  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28495  Treat big toe fracture                            A   1.68   3.10     3.31     2.42     2.51     0.20   4.98   5.19   4.30   4.39  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28496  Treat big toe fracture                            A   2.48   9.43     9.83     3.83     4.01     0.35  12.26  12.66   6.66   6.84  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28505  Treat big toe fracture                            A   7.44  10.75    11.34     6.08     6.51     0.93  19.12  19.71  14.45  14.88  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28510  Treatment of toe fracture                         A   1.17   2.11     2.25     2.03     2.15     0.14   3.42   3.56   3.34   3.46  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28515  Treatment of toe fracture                         A   1.56   2.75     2.92     2.31     2.39     0.18   4.49   4.66   4.05   4.13  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28525  Treat toe fracture                                A   5.62   9.89    10.43     5.21     5.57     0.71  16.22  16.76  11.54  11.90  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28530  Treat sesamoid bone fracture                      A   1.11   2.03     2.17     1.72     1.79     0.11   3.25   3.39   2.94   3.01  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28531  Treat sesamoid bone fracture                      A   2.57   7.32     7.20     2.58     2.60     0.50  10.39  10.27   5.65   5.67  0090.10.69.2120120             33.9764 090 99      0.00   0.00   0.00
28540  Treat foot dislocation                            A   2.19   3.33     3.52     2.85     2.95     0.22   5.74   5.93   5.26   5.36  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28545  Treat foot dislocation                            A   2.60   4.70     5.48     3.95     4.54     0.50   7.80   8.58   7.05   7.64  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28546  Treat foot dislocation                            A   3.40  10.94    12.53     5.25     5.85     0.67  15.01  16.60   9.32   9.92  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28555  Repair foot dislocation                           A   9.65  13.84    14.60     8.18     8.65     1.61  25.10  25.86  19.44  19.91  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28570  Treat foot dislocation                            A   1.76   2.84     2.85     2.26     2.19     0.12   4.72   4.73   4.14   4.07  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28575  Treat foot dislocation                            A   3.49   5.84     6.46     5.03     5.48     0.68  10.01  10.63   9.20   9.65  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28576  Treat foot dislocation                            A   4.60   5.43NA   6.14NA   5.43     6.14     0.90  10.93  11.64  10.93  11.64  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28585  Repair foot dislocation                           A  11.13  13.66    14.46     8.51     8.73     1.65  26.44  27.24  21.29  21.51  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28600  Treat foot dislocation                            A   2.02   3.85     4.11     3.10     3.24     0.29   6.16   6.42   5.41   5.55  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28605  Treat foot dislocation                            A   2.89   4.61     4.96     3.97     4.19     0.56   8.06   8.41   7.42   7.64  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28606  Treat foot dislocation                            A   5.09   5.42NA   5.70NA   5.42     5.70     0.84  11.35  11.63  11.35  11.63  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28615  Repair foot dislocation                           A  10.70  10.50NA  11.03NA  10.50    11.03     1.77  22.97  23.50  22.97  23.50  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28630  Treat toe dislocation                             A   1.75   2.34     2.53     1.20     1.26     0.23   4.32   4.51   3.18   3.24  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
28635  Treat toe dislocation                             A   1.96   2.89     3.09     1.76     1.82     0.22   5.07   5.27   3.94   4.00  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
28636  Treat toe dislocation                             A   2.77   4.67     4.42     2.28     1.98     0.39   7.83   7.58   5.44   5.14  0010.10.80.1020120             33.9764 090 99      0.00   0.00   0.00
28645  Repair toe dislocation                            A   7.44   9.96    10.81     5.63     5.98     0.80  18.20  19.05  13.87  14.22  0090.10.69.2120110             33.9764 090 99      0.00   0.00   0.00
28660  Treat toe dislocation                             A   1.28   1.70     1.83     1.04     1.11     0.20   3.18   3.31   2.52   2.59  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
28665  Treat toe dislocation                             A   1.97   2.24     2.38     1.69     1.73     0.24   4.45   4.59   3.90   3.94  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
28666  Treat toe dislocation                             A   2.66   2.77NA   3.08NA   2.77     3.08     0.52   5.95   6.26   5.95   6.26  0010.10.80.1020120             33.9764 090 99      0.00   0.00   0.00
28675  Repair of toe dislocation                         A   5.62  10.21    10.64     5.48     5.77     0.75  16.58  17.01  11.85  12.14  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28705  Fusion of foot bones                              A  20.33  14.40NA  14.90NA  14.40    14.90     3.46  38.19  38.69  38.19  38.69  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28715  Fusion of foot bones                              A  14.60  11.48NA  11.96NA  11.48    11.96     2.48  28.56  29.04  28.56  29.04  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28725  Fusion of foot bones                              A  12.18   9.21NA   9.57NA   9.21     9.57     1.88  23.27  23.63  23.27  23.63  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28730  Fusion of foot bones                              A  12.42  10.35NA  10.86NA  10.35    10.86     1.92  24.69  25.20  24.69  25.20  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28735  Fusion of foot bones                              A  12.23   9.31NA   9.70NA   9.31     9.70     1.78  23.32  23.71  23.32  23.71  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28737  Revision of foot bones                            A  11.03   7.74NA   7.75NA   7.74     7.75     1.28  20.05  20.06  20.05  20.06  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28740  Fusion of foot bones                              A   9.29  13.90    14.62     7.83     8.17     1.36  24.55  25.27  18.48  18.82  0090.10.69.2120210             33.9764 090 99      0.00   0.00   0.00
28750  Fusion of big toe joint                           A   8.57  13.99    14.51     7.78     8.04     1.31  23.87  24.39  17.66  17.92  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28755  Fusion of big toe joint                           A   4.88   8.90     9.36     4.27     4.32     0.52  14.30  14.76   9.67   9.72  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
28760  Fusion of big toe joint                           A   9.14  12.43    13.36     6.89     7.18     1.05  22.62  23.55  17.08  17.37  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28800  Amputation of midfoot                             A   8.79   6.47NA   6.55NA   6.47     6.55     1.31  16.57  16.65  16.57  16.65  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
28805  Amputation thru metatarsal                        A  12.71   7.53NA   7.80NA   7.53     7.80     2.14  22.38  22.65  22.38  22.65  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
28810  Amputation toe & metatarsal                       A   6.64   5.24NA   5.36NA   5.24     5.36     1.18  13.06  13.18  13.06  13.18  0090.10.69.2120000             33.9764 090 99      0.00   0.00   0.00
28820  Amputation of toe                                 A   5.00   9.42     9.64     4.48     4.56     0.73  15.15  15.37  10.21  10.29  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28825  Partial amputation of toe                         A   6.01   9.86    10.29     5.09     5.33     0.84  16.71  17.14  11.94  12.18  0090.10.69.2120100             33.9764 090 99      0.00   0.00   0.00
28890  High energy eswt plantar f                        A   3.45   6.04     6.21     2.84     3.02     0.35   9.84  10.01   6.64   6.82  0090.10.69.2121110             33.9764 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             33.9764 090 99      0.00   0.00   0.00
29000  Application of body cast                          A   2.25   5.94     6.97     2.46     2.76     0.18   8.37   9.40   4.89   5.19  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29010  Application of body cast                          A   2.06   5.64     6.87     2.30     2.65     0.39   8.09   9.32   4.75   5.10  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29015  Application of body cast                          A   2.41   3.99     4.11     1.84     1.91     0.41   6.81   6.93   4.66   4.73  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29020  Application of body cast                          A   2.11   3.91     3.89     1.58     1.52     0.08   6.10   6.08   3.77   3.71  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29025  Application of body cast                          A   2.40   4.30     4.25     2.05     1.98     0.48   7.18   7.13   4.93   4.86  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29035  Application of body cast                          A   1.77   4.96     5.22     2.03     2.15     0.34   7.07   7.33   4.14   4.26  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29040  Application of body cast                          A   2.22   4.13     4.43     1.89     1.98     0.42   6.77   7.07   4.53   4.62  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29044  Application of body cast                          A   2.12   5.27     5.72     2.29     2.45     0.41   7.80   8.25   4.82   4.98  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29046  Application of body cast                          A   2.41   4.81     4.53     2.24     2.05     0.48   7.70   7.42   5.13   4.94  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29049  Application of figure eight                       A   0.89   1.58     1.80     0.85     1.01     0.18   2.65   2.87   1.92   2.08  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29055  Application of shoulder cast                      A   1.78   3.98     4.29     1.85     1.99     0.35   6.11   6.42   3.98   4.12  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29058  Application of shoulder cast                      A   1.31   1.38     1.23     0.80     0.79     0.23   2.92   2.77   2.34   2.33  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29065  Application of long arm cast                      A   0.87   1.66     1.74     0.94     0.99     0.16   2.69   2.77   1.97   2.02  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29075  Application of forearm cast                       A   0.77   1.60     1.68     0.88     0.93     0.14   2.51   2.59   1.79   1.84  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29085  Apply hand/wrist cast                             A   0.87   1.65     1.74     0.91     0.98     0.14   2.66   2.75   1.92   1.99  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29086  Apply finger cast                                 A   0.62   1.41     1.55     0.74     0.81     0.08   2.11   2.25   1.44   1.51  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29105  Apply long arm splint                             A   0.87   1.43     1.49     0.70     0.75     0.14   2.44   2.50   1.71   1.76  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29125  Apply forearm splint                              A   0.59   1.26     1.32     0.56     0.60     0.10   1.95   2.01   1.25   1.29  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29126  Apply forearm splint                              A   0.77   1.34     1.42     0.64     0.70     0.11   2.22   2.30   1.52   1.58  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29130  Application of finger splint                      A   0.50   0.58     0.61     0.26     0.28     0.07   1.15   1.18   0.83   0.85  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29131  Application of finger splint                      A   0.55   0.83     0.88     0.34     0.37     0.08   1.46   1.51   0.97   1.00  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29200  Strapping of chest                                A   0.65   0.81     0.86     0.45     0.49     0.05   1.51   1.56   1.15   1.19  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29240  Strapping of shoulder                             A   0.71   0.87     0.88     0.49     0.51     0.05   1.63   1.64   1.25   1.27  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29260  Strapping of elbow or wrist                       A   0.55   0.86     0.90     0.47     0.51     0.05   1.46   1.50   1.07   1.11  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29280  Strapping of hand or finger                       A   0.51   0.87     0.91     0.47     0.52     0.04   1.42   1.46   1.02   1.07  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29305  Application of hip cast                           A   2.03   4.41     4.71     2.18     2.30     0.39   6.83   7.13   4.60   4.72  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29325  Application of hip casts                          A   2.32   4.82     5.14     2.41     2.54     0.45   7.59   7.91   5.18   5.31  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29345  Application of long leg cast                      A   1.40   2.18     2.29     1.28     1.34     0.27   3.85   3.96   2.95   3.01  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29355  Application of long leg cast                      A   1.53   2.18     2.32     1.31     1.38     0.29   4.00   4.14   3.13   3.20  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29358  Apply long leg cast brace                         A   1.43   2.73     2.94     1.31     1.39     0.29   4.45   4.66   3.03   3.11  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29365  Application of long leg cast                      A   1.18   2.06     2.17     1.16     1.21     0.23   3.47   3.58   2.57   2.62  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29405  Apply short leg cast                              A   0.86   1.53     1.60     0.86     0.89     0.12   2.51   2.58   1.84   1.87  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29425  Apply short leg cast                              A   1.01   1.55     1.62     0.85     0.88     0.12   2.68   2.75   1.98   2.01  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29435  Apply short leg cast                              A   1.18   1.96     2.04     1.08     1.11     0.23   3.37   3.45   2.49   2.52  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29440  Addition of walker to cast                        A   0.57   0.73     0.66     0.28     0.25     0.08   1.38   1.31   0.93   0.90  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29445  Apply rigid leg cast                              A   1.78   2.02     2.07     1.15     1.19     0.24   4.04   4.09   3.17   3.21  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29450  Application of leg cast                           A   2.08   1.88     1.91     1.10     1.06     0.22   4.18   4.21   3.40   3.36  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29505  Application long leg splint                       A   0.69   1.39     1.46     0.59     0.63     0.11   2.19   2.26   1.39   1.43  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29515  Application lower leg splint                      A   0.73   1.21     1.29     0.60     0.63     0.10   2.04   2.12   1.43   1.46  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29520  Strapping of hip                                  A   0.54   0.83     0.85     0.46     0.47     0.04   1.41   1.43   1.04   1.05  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29530  Strapping of knee                                 A   0.57   0.86     0.90     0.46     0.50     0.05   1.48   1.52   1.08   1.12  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29540  Strapping of ankle and/or ft                      A   0.32   0.62     0.62     0.34     0.32     0.03   0.97   0.97   0.69   0.67  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29550  Strapping of toes                                 A   0.15   0.62     0.62     0.31     0.27     0.01   0.78   0.78   0.47   0.43  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29580  Application of paste boot                         A   0.55   0.88     0.92     0.43     0.44     0.07   1.50   1.54   1.05   1.06  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29581  Apply multlay comprs lwr leg                      A   0.60   2.03     2.03     0.27     0.27     0.07   2.70   2.70   0.94   0.94  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
29590  Application of foot splint                        A   0.76   0.71     0.74     0.32     0.31     0.05   1.52   1.55   1.13   1.12  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29700  Removal/revision of cast                          A   0.57   1.19     1.25     0.34     0.36     0.10   1.86   1.92   1.01   1.03  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29705  Removal/revision of cast                          A   0.76   1.02     1.07     0.50     0.53     0.12   1.90   1.95   1.38   1.41  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
29710  Removal/revision of cast                          A   1.34   1.86     2.02     0.85     0.92     0.27   3.47   3.63   2.46   2.53  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
29715  Removal/revision of cast                          A   0.94   1.38     1.31     0.53     0.53     0.12   2.44   2.37   1.59   1.59  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
29720  Repair of body cast                               A   0.68   1.51     1.61     0.48     0.51     0.12   2.31   2.41   1.28   1.31  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29730  Windowing of cast                                 A   0.75   0.98     1.03     0.46     0.49     0.11   1.84   1.89   1.32   1.35  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29740  Wedging of cast                                   A   1.12   1.29     1.30     0.59     0.59     0.18   2.59   2.60   1.89   1.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
29750  Wedging of clubfoot cast                          A   1.26   1.40     1.46     0.74     0.78     0.26   2.92   2.98   2.26   2.30  0000.00.00.0021000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
29800  Jaw arthroscopy/surgery                           A   6.84   7.09NA   7.45NA   7.09     7.45     1.33  15.26  15.62  15.26  15.62  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
29804  Jaw arthroscopy/surgery                           A   8.87   8.47NA   9.14NA   8.47     9.14     1.74  19.08  19.75  19.08  19.75  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
29805  Shoulder arthroscopy dx                           A   6.03   6.47NA   6.77NA   6.47     6.77     1.18  13.68  13.98  13.68  13.98  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
29806  Shoulder arthroscopy/surgery                      A  15.14  12.96NA  13.55NA  12.96    13.55     2.98  31.08  31.67  31.08  31.67  0090.10.69.2131110       29805 33.9764 090 99      0.00   0.00   0.00
29807  Shoulder arthroscopy/surgery                      A  14.67  12.79NA  13.42NA  12.79    13.42     2.87  30.33  30.96  30.33  30.96  0090.10.69.2131110       29805 33.9764 090 99      0.00   0.00   0.00
29819  Shoulder arthroscopy/surgery                      A   7.79   7.78NA   8.13NA   7.78     8.13     1.52  17.09  17.44  17.09  17.44  0090.10.69.2131110       29805 33.9764 090 99      0.00   0.00   0.00
29820  Shoulder arthroscopy/surgery                      A   7.21   7.12NA   7.42NA   7.12     7.42     1.40  15.73  16.03  15.73  16.03  0090.10.69.2131210       29805 33.9764 090 99      0.00   0.00   0.00
29821  Shoulder arthroscopy/surgery                      A   7.89   7.78NA   8.12NA   7.78     8.12     1.55  17.22  17.56  17.22  17.56  0090.10.69.2131210       29805 33.9764 090 99      0.00   0.00   0.00
29822  Shoulder arthroscopy/surgery                      A   7.60   7.64NA   7.96NA   7.64     7.96     1.50  16.74  17.06  16.74  17.06  0090.10.69.2131200       29805 33.9764 090 99      0.00   0.00   0.00
29823  Shoulder arthroscopy/surgery                      A   8.36   8.28NA   8.62NA   8.28     8.62     1.63  18.27  18.61  18.27  18.61  0090.10.69.2131210       29805 33.9764 090 99      0.00   0.00   0.00
29824  Shoulder arthroscopy/surgery                      A   8.98   8.90NA   9.31NA   8.90     9.31     1.77  19.65  20.06  19.65  20.06  0090.10.69.2131210       29805 33.9764 090 99      0.00   0.00   0.00
29825  Shoulder arthroscopy/surgery                      A   7.79   7.74NA   8.07NA   7.74     8.07     1.52  17.05  17.38  17.05  17.38  0090.10.69.2131210       29805 33.9764 090 99      0.00   0.00   0.00
29826  Shoulder arthroscopy/surgery                      A   9.16   8.52NA   8.87NA   8.52     8.87     1.80  19.48  19.83  19.48  19.83  0090.10.69.2131210       29805 33.9764 090 99      0.00   0.00   0.00
29827  Arthroscop rotator cuff repr                      A  15.59  12.98NA  13.50NA  12.98    13.50     3.08  31.65  32.17  31.65  32.17  0090.10.69.2131210       29805 33.9764 090 99      0.00   0.00   0.00
29828  Arthroscopy biceps tenodesis                      A  13.16  11.09NA  11.81NA  11.09    11.81     2.59  26.84  27.56  26.84  27.56  0090.10.69.2131210       29805 33.9764 090 99      0.00   0.00   0.00
29830  Elbow arthroscopy                                 A   5.88   6.16NA   6.45NA   6.16     6.45     1.17  13.21  13.50  13.21  13.50  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
29834  Elbow arthroscopy/surgery                         A   6.42   6.68NA   6.98NA   6.68     6.98     1.22  14.32  14.62  14.32  14.62  0090.10.69.2131210       29830 33.9764 090 99      0.00   0.00   0.00
29835  Elbow arthroscopy/surgery                         A   6.62   6.82NA   7.14NA   6.82     7.14     1.29  14.73  15.05  14.73  15.05  0090.10.69.2131210       29830 33.9764 090 99      0.00   0.00   0.00
29836  Elbow arthroscopy/surgery                         A   7.72   7.75NA   8.09NA   7.75     8.09     1.52  16.99  17.33  16.99  17.33  0090.10.69.2131210       29830 33.9764 090 99      0.00   0.00   0.00
29837  Elbow arthroscopy/surgery                         A   7.01   7.04NA   7.36NA   7.04     7.36     1.36  15.41  15.73  15.41  15.73  0090.10.69.2131210       29830 33.9764 090 99      0.00   0.00   0.00
29838  Elbow arthroscopy/surgery                         A   7.88   7.86NA   8.23NA   7.86     8.23     1.50  17.24  17.61  17.24  17.61  0090.10.69.2131000       29830 33.9764 090 99      0.00   0.00   0.00
29840  Wrist arthroscopy                                 A   5.68   6.28NA   6.58NA   6.28     6.58     1.13  13.09  13.39  13.09  13.39  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
29843  Wrist arthroscopy/surgery                         A   6.15   6.66NA   6.97NA   6.66     6.97     1.21  14.02  14.33  14.02  14.33  0090.10.69.2131210       29840 33.9764 090 99      0.00   0.00   0.00
29844  Wrist arthroscopy/surgery                         A   6.51   6.77NA   7.17NA   6.77     7.17     1.18  14.46  14.86  14.46  14.86  0090.10.69.2131200       29840 33.9764 090 99      0.00   0.00   0.00
29845  Wrist arthroscopy/surgery                         A   7.69   7.64NA   8.14NA   7.64     8.14     1.37  16.70  17.20  16.70  17.20  0090.10.69.2131210       29840 33.9764 090 99      0.00   0.00   0.00
29846  Wrist arthroscopy/surgery                         A   6.89   7.06NA   7.44NA   7.06     7.44     1.22  15.17  15.55  15.17  15.55  0090.10.69.2131000       29840 33.9764 090 99      0.00   0.00   0.00
29847  Wrist arthroscopy/surgery                         A   7.22   7.18NA   7.49NA   7.18     7.49     1.42  15.82  16.13  15.82  16.13  0090.10.69.2131200       29840 33.9764 090 99      0.00   0.00   0.00
29848  Wrist endoscopy/surgery                           A   6.39   7.16NA   7.64NA   7.16     7.64     1.17  14.72  15.20  14.72  15.20  0090.10.69.2121100             33.9764 090 99      0.00   0.00   0.00
29850  Knee arthroscopy/surgery                          A   8.27   7.55NA   8.64NA   7.55     8.64     1.62  17.44  18.53  17.44  18.53  0090.10.69.2121020             33.9764 090 99      0.00   0.00   0.00
29851  Knee arthroscopy/surgery                          A  13.26  11.42NA  11.99NA  11.42    11.99     2.61  27.29  27.86  27.29  27.86  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
29855  Tibial arthroscopy/surgery                        A  10.76  10.08NA  10.54NA  10.08    10.54     2.12  22.96  23.42  22.96  23.42  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
29856  Tibial arthroscopy/surgery                        A  14.28  12.15NA  12.71NA  12.15    12.71     2.83  29.26  29.82  29.26  29.82  0090.10.69.2121220             33.9764 090 99      0.00   0.00   0.00
29860  Hip arthroscopy dx                                A   9.00   8.49NA   9.07NA   8.49     9.07     1.78  19.27  19.85  19.27  19.85  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
29861  Hip arthro w/fb removal                           A  10.10   9.14NA   9.73NA   9.14     9.73     1.97  21.21  21.80  21.21  21.80  0090.10.69.2131210       29860 33.9764 090 99      0.00   0.00   0.00
29862  Hip arthr0 w/debridement                          A  11.17  10.44NA  11.04NA  10.44    11.04     2.19  23.80  24.40  23.80  24.40  0090.10.69.2131210       29860 33.9764 090 99      0.00   0.00   0.00
29863  Hip arthr0 w/synovectomy                          A  11.17  10.36NA  10.98NA  10.36    10.98     2.20  23.73  24.35  23.73  24.35  0090.10.69.2131210       29860 33.9764 090 99      0.00   0.00   0.00
29866  Autgrft implnt knee w/scope                       A  14.67  13.07NA  13.76NA  13.07    13.76     2.91  30.65  31.34  30.65  31.34  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
29867  Allgrft implnt knee w/scope                       A  18.39  15.30NA  16.26NA  15.30    16.26     3.62  37.31  38.27  37.31  38.27  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
29868  Meniscal trnspl knee w/scpe                       A  25.10  19.12NA  20.26NA  19.12    20.26     4.95  49.17  50.31  49.17  50.31  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
29870  Knee arthroscopy dx                               A   5.19  10.79    10.79     5.73     6.02     1.02  17.00  17.00  11.94  12.23  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
29871  Knee arthroscopy/drainage                         A   6.69   6.92NA   7.27NA   6.92     7.27     1.31  14.92  15.27  14.92  15.27  0090.10.69.2131100       29870 33.9764 090 99      0.00   0.00   0.00
29873  Knee arthroscopy/surgery                          A   6.24   7.64NA   8.02NA   7.64     8.02     1.22  15.10  15.48  15.10  15.48  0090.10.69.2131110       29870 33.9764 090 99      0.00   0.00   0.00
29874  Knee arthroscopy/surgery                          A   7.19   7.10NA   7.45NA   7.10     7.45     1.40  15.69  16.04  15.69  16.04  0090.10.69.2131000       29870 33.9764 090 99      0.00   0.00   0.00
29875  Knee arthroscopy/surgery                          A   6.45   6.70NA   7.01NA   6.70     7.01     1.27  14.42  14.73  14.42  14.73  0090.10.69.2131000       29870 33.9764 090 99      0.00   0.00   0.00
29876  Knee arthroscopy/surgery                          A   8.87   8.50NA   8.97NA   8.50     8.97     1.74  19.11  19.58  19.11  19.58  0090.10.69.2131100       29870 33.9764 090 99      0.00   0.00   0.00
29877  Knee arthroscopy/surgery                          A   8.30   8.18NA   8.63NA   8.18     8.63     1.62  18.10  18.55  18.10  18.55  0090.10.69.2131000       29870 33.9764 090 99      0.00   0.00   0.00
29879  Knee arthroscopy/surgery                          A   8.99   8.56NA   9.02NA   8.56     9.02     1.77  19.32  19.78  19.32  19.78  0090.10.69.2131000       29870 33.9764 090 99      0.00   0.00   0.00
29880  Knee arthroscopy/surgery                          A   9.45   8.84NA   9.31NA   8.84     9.31     1.85  20.14  20.61  20.14  20.61  0090.10.69.2131010       29870 33.9764 090 99      0.00   0.00   0.00
29881  Knee arthroscopy/surgery                          A   8.71   8.41NA   8.87NA   8.41     8.87     1.70  18.82  19.28  18.82  19.28  0090.10.69.2131000       29870 33.9764 090 99      0.00   0.00   0.00
29882  Knee arthroscopy/surgery                          A   9.60   8.86NA   9.37NA   8.86     9.37     1.89  20.35  20.86  20.35  20.86  0090.10.69.2131100       29870 33.9764 090 99      0.00   0.00   0.00
29883  Knee arthroscopy/surgery                          A  11.77  10.50NA  10.97NA  10.50    10.97     2.30  24.57  25.04  24.57  25.04  0090.10.69.2131000       29870 33.9764 090 99      0.00   0.00   0.00
29884  Knee arthroscopy/surgery                          A   8.28   8.15NA   8.60NA   8.15     8.60     1.62  18.05  18.50  18.05  18.50  0090.10.69.2131210       29870 33.9764 090 99      0.00   0.00   0.00
29885  Knee arthroscopy/surgery                          A  10.21   9.66NA  10.20NA   9.66    10.20     2.00  21.87  22.41  21.87  22.41  0090.10.69.2131210       29870 33.9764 090 99      0.00   0.00   0.00
29886  Knee arthroscopy/surgery                          A   8.49   8.31NA   8.77NA   8.31     8.77     1.66  18.46  18.92  18.46  18.92  0090.10.69.2131100       29870 33.9764 090 99      0.00   0.00   0.00
29887  Knee arthroscopy/surgery                          A  10.16   9.58NA  10.11NA   9.58    10.11     1.99  21.73  22.26  21.73  22.26  0090.10.69.2131210       29870 33.9764 090 99      0.00   0.00   0.00
29888  Knee arthroscopy/surgery                          A  14.30  11.90NA  12.47NA  11.90    12.47     2.80  29.00  29.57  29.00  29.57  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
29889  Knee arthroscopy/surgery                          A  17.41  14.86NA  15.61NA  14.86    15.61     3.42  35.69  36.44  35.69  36.44  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
29891  Ankle arthroscopy/surgery                         A   9.67   8.88NA   9.22NA   8.88     9.22     1.65  20.20  20.54  20.20  20.54  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
29892  Ankle arthroscopy/surgery                         A  10.27   7.18NA   6.15NA   7.18     6.15     2.01  19.46  18.43  19.46  18.43  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
29893  Scope plantar fasciotomy                          A   6.32  10.39    11.00     5.59     5.77     0.50  17.21  17.82  12.41  12.59  0090.10.69.2121110             33.9764 090 99      0.00   0.00   0.00
29894  Ankle arthroscopy/surgery                         A   7.35   6.50NA   6.86NA   6.50     6.86     1.22  15.07  15.43  15.07  15.43  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
29895  Ankle arthroscopy/surgery                         A   7.13   6.15NA   6.39NA   6.15     6.39     1.13  14.41  14.65  14.41  14.65  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
29897  Ankle arthroscopy/surgery                         A   7.32   6.54NA   6.72NA   6.54     6.72     1.24  15.10  15.28  15.10  15.28  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
29898  Ankle arthroscopy/surgery                         A   8.49   7.00NA   7.24NA   7.00     7.24     1.29  16.78  17.02  16.78  17.02  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
29899  Ankle arthroscopy/surgery                         A  15.41  12.42NA  12.93NA  12.42    12.93     2.87  30.70  31.21  30.70  31.21  0090.10.69.2121210             33.9764 090 99      0.00   0.00   0.00
29900  Mcp joint arthroscopy dx                          A   5.88   6.83NA   7.56NA   6.83     7.56     0.41  13.12  13.85  13.12  13.85  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
29901  Mcp joint arthroscopy surg                        A   6.59   7.17NA   7.87NA   7.17     7.87     1.29  15.05  15.75  15.05  15.75  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
29902  Mcp joint arthroscopy surg                        A   7.16   6.24NA   5.74NA   6.24     5.74     2.57  15.97  15.47  15.97  15.47  0090.10.69.2121000             33.9764 090 99      0.00   0.00   0.00
29904  Subtalar arthro w/fb rmvl                         A   8.65   8.05NA   8.64NA   8.05     8.64     1.69  18.39  18.98  18.39  18.98  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
29905  Subtalar arthro w/exc                             A   9.18   8.89NA   9.54NA   8.89     9.54     1.81  19.88  20.53  19.88  20.53  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
29906  Subtalar arthro w/deb                             A   9.65   9.38NA  10.06NA   9.38    10.06     1.89  20.92  21.60  20.92  21.60  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
29907  Subtalar arthro w/fusion                          A  12.18  10.79NA  11.57NA  10.79    11.57     2.40  25.37  26.15  25.37  26.15  0090.10.69.2121200             33.9764 090 99      0.00   0.00   0.00
29914  Hip arthro w/femoroplasty                         A  14.67  12.74NA  12.74NA  12.74    12.74     2.91  30.32  30.32  30.32  30.32  0090.10.69.2131210       29860 33.9764 090 99      0.00   0.00   0.00
29915  Hip arthro acetabuloplasty                        A  15.00  12.94NA  12.94NA  12.94    12.94     2.95  30.89  30.89  30.89  30.89  0090.10.69.2131210       29860 33.9764 090 99      0.00   0.00   0.00
29916  Hip arthro w/labral repair                        A  15.00  12.94NA  12.94NA  12.94    12.94     2.95  30.89  30.89  30.89  30.89  0090.10.69.2131210       29860 33.9764 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             33.9764 090 99      0.00   0.00   0.00
30000  Drainage of nose lesion                           A   1.48   5.04     5.13     1.80     1.90     0.22   6.74   6.83   3.50   3.60  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
30020  Drainage of nose lesion                           A   1.48   4.99     5.24     1.83     1.94     0.20   6.67   6.92   3.51   3.62  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
3006F  Cxr doc rev                                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3008F  Body mass index docd                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30100  Intranasal biopsy                                 A   0.94   3.06     3.17     0.99     1.02     0.11   4.11   4.22   2.04   2.07  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
3011F  Lipid panel doc rev                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30110  Removal of nose polyp(s)                          A   1.68   4.76     4.97     1.95     2.06     0.23   6.67   6.88   3.86   3.97  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
30115  Removal of nose polyp(s)                          A   4.44   7.62NA   7.97NA   7.62     7.97     0.56  12.62  12.97  12.62  12.97  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
30117  Removal of intranasal lesion                      A   3.26  21.25    22.07     6.19     6.46     0.41  24.92  25.74   9.86  10.13  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
30118  Removal of intranasal lesion                      A   9.92  11.38NA  11.99NA  11.38    11.99     1.31  22.61  23.22  22.61  23.22  0090.10.76.1420110             33.9764 090 99      0.00   0.00   0.00
30120  Revision of nose                                  A   5.39   8.97     9.28     6.85     6.99     0.84  15.20  15.51  13.08  13.22  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
30124  Removal of nose lesion                            A   3.20   4.41NA   4.66NA   4.41     4.66     0.41   8.02   8.27   8.02   8.27  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
30125  Removal of nose lesion                            A   7.30   9.75NA  10.18NA   9.75    10.18     0.93  17.98  18.41  17.98  18.41  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
30130  Excise inferior turbinate                         A   3.47   7.17NA   7.46NA   7.17     7.46     0.44  11.08  11.37  11.08  11.37  0090.10.76.1421100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30140  Resect inferior turbinate                         A   3.57   8.75NA   9.12NA   8.75     9.12     0.45  12.77  13.14  12.77  13.14  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
3015F  Cerv cancer screen docd                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30150  Partial removal of nose                           A   9.55  11.98NA  12.31NA  11.98    12.31     1.42  22.95  23.28  22.95  23.28  0090.10.76.1420110             33.9764 090 99      0.00   0.00   0.00
3016F  Pt scrnd unhlthy OH use                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30160  Removal of nose                                   A   9.99  11.75NA  12.22NA  11.75    12.22     1.28  23.02  23.49  23.02  23.49  0090.10.76.1420210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3018F  Pre-prxd rsk et al docd                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30200  Injection treatment of nose                       A   0.78   2.42     2.52     0.89     0.94     0.10   3.30   3.40   1.77   1.82  0000.00.00.0020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30210  Nasal sinus therapy                               A   1.13   3.08     3.21     1.66     1.74     0.14   4.35   4.48   2.93   3.01  0010.10.80.1020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30220  Insert nasal septal button                        A   1.59   6.89     7.20     1.91     2.01     0.22   8.70   9.01   3.72   3.82  0010.10.80.1020100             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30300  Remove nasal foreign body                         A   1.09   5.41     5.51     2.40     2.52     0.14   6.64   6.74   3.63   3.75  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
30310  Remove nasal foreign body                         A   2.01   3.75NA   3.89NA   3.75     3.89     0.26   6.02   6.16   6.02   6.16  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
30320  Remove nasal foreign body                         A   4.64   8.03NA   8.36NA   8.03     8.36     0.60  13.27  13.60  13.27  13.60  0090.10.76.1420000             33.9764 090 99      0.00   0.00   0.00
3035F  O2 saturation<=88% /pao<=55                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3037F  O2 saturation> 88% /pao>55                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3038F  Pulm fx w/in 12 mon 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             33.9764 090 99      0.00   0.00   0.00
3040F  Fev<40% predicted value                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30400  Reconstruction of nose                            R  10.86  17.84NA  18.13NA  17.84    18.13     1.39  30.09  30.38  30.09  30.38  0090.10.76.1420000             33.9764 090 99      0.00   0.00   0.00
30410  Reconstruction of nose                            R  14.00  19.59NA  19.98NA  19.59    19.98     1.80  35.39  35.78  35.39  35.78  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
3042F  Fev>=40% predicted value                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30420  Reconstruction of nose                            R  16.90  21.20NA  22.17NA  21.20    22.17     2.40  40.50  41.47  40.50  41.47  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
30430  Revision of nose                                  R   8.24  16.81NA  16.60NA  16.81    16.60     1.62  26.67  26.46  26.67  26.46  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
30435  Revision of nose                                  R  12.73  21.08NA  22.18NA  21.08    22.18     1.63  35.44  36.54  35.44  36.54  0090.10.76.1420200             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30450  Revision of nose                                  R  19.66  23.00NA  23.30NA  23.00    23.30     2.52  45.18  45.48  45.18  45.48  0090.10.76.1420200             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30460  Revision of nose                                  A  10.32  10.24NA  10.59NA  10.24    10.59     2.01  22.57  22.92  22.57  22.92  0090.10.76.1420220             33.9764 090 99      0.00   0.00   0.00
30462  Revision of nose                                  A  20.28  21.76NA  23.40NA  21.76    23.40     4.00  46.04  47.68  46.04  47.68  0090.10.76.1420220             33.9764 090 99      0.00   0.00   0.00
30465  Repair nasal stenosis                             A  12.36  14.83NA  15.66NA  14.83    15.66     1.74  28.93  29.76  28.93  29.76  0090.10.76.1420000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30520  Repair of nasal septum                            A   7.01  10.21NA  10.94NA  10.21    10.94     0.90  18.12  18.85  18.12  18.85  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
30540  Repair nasal defect                               A   7.92  11.05NA  11.84NA  11.05    11.84     1.02  19.99  20.78  19.99  20.78  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
30545  Repair nasal defect                               A  11.62  13.07NA  12.24NA  13.07    12.24     0.82  25.51  24.68  25.51  24.68  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
30560  Release of nasal adhesions                        A   1.31   6.39     6.53     2.59     2.67     0.18   7.88   8.02   4.08   4.16  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
30580  Repair upper jaw fistula                          A   6.88  10.69    11.40     6.90     7.54     0.87  18.44  19.15  14.65  15.29  0090.10.76.1420100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30600  Repair mouth/nose fistula                         A   6.16   9.89    10.31     5.84     6.15     0.78  16.83  17.25  12.78  13.09  0090.10.76.1420000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30620  Intranasal reconstruction                         A   6.16  11.17NA  11.59NA  11.17    11.59     0.88  18.21  18.63  18.21  18.63  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
30630  Repair nasal septum defect                        A   7.29  10.11NA  10.62NA  10.11    10.62     0.99  18.39  18.90  18.39  18.90  0090.10.76.1420000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3073F  Pre-surg eye measures docd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3077F  Syst bp >= 140 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30801  Ablate inf turbinate superf                       A   1.14   5.32     5.44     2.67     2.79     0.14   6.60   6.72   3.95   4.07  0010.10.80.1022100             33.9764 090 99      0.00   0.00   0.00
30802  Ablate inf turbinate submuc                       A   2.08   6.12     6.30     3.22     3.39     0.27   8.47   8.65   5.57   5.74  0010.10.80.1022100             33.9764 090 99      0.00   0.00   0.00
3082F  Kt/v <1.2                                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3083F  Kt/v > 1.2 <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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3088F  Mdd mild                                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3089F  Mdd moderate                                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3090F  Mdd severe w/o psych                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30901  Control of nosebleed                              A   1.10   1.56     1.54     0.43     0.46     0.16   2.82   2.80   1.69   1.72  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
30903  Control of nosebleed                              A   1.54   4.00     4.21     0.63     0.70     0.23   5.77   5.98   2.40   2.47  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
30905  Control of nosebleed                              A   1.97   4.89     5.13     0.78     0.83     0.30   7.16   7.40   3.05   3.10  0000.00.00.0022100             33.9764 090 99      0.00   0.00   0.00
30906  Repeat control of nosebleed                       A   2.45   5.33     5.55     1.21     1.30     0.33   8.11   8.33   3.99   4.08  0000.00.00.0022100             33.9764 090 99      0.00   0.00   0.00
3091F  Mdd severe w/psych                                I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30915  Ligation nasal sinus artery                       A   7.44   8.57NA   9.07NA   8.57     9.07     0.99  17.00  17.50  17.00  17.50  0090.10.76.1420100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
30920  Ligation upper jaw artery                         A  11.14  11.93NA  12.75NA  11.93    12.75     1.46  24.53  25.35  24.53  25.35  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
3093F  Doc new diag 1st/addl mdd                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
30930  Ther fx nasal inf turbinate                       A   1.31   2.12NA   2.24NA   2.12     2.24     0.18   3.61   3.73   3.61   3.73  0010.10.80.1021100             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
31000  Irrigation maxillary sinus                        A   1.20   3.91     4.03     1.74     1.81     0.14   5.25   5.37   3.08   3.15  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
31002  Irrigation sphenoid sinus                         A   1.96   3.67NA   3.76NA   3.67     3.76     0.26   5.89   5.98   5.89   5.98  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
31020  Exploration maxillary sinus                       A   3.07  10.60    10.77     6.92     7.17     0.39  14.06  14.23  10.38  10.63  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
31030  Exploration maxillary sinus                       A   6.01  13.39    13.68     8.51     8.96     0.75  20.15  20.44  15.27  15.72  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
31032  Explore sinus remove polyps                       A   6.69   9.20NA   9.69NA   9.20     9.69     0.87  16.76  17.25  16.76  17.25  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
31040  Exploration behind upper jaw                      A   9.77  10.87NA  11.50NA  10.87    11.50     1.39  22.03  22.66  22.03  22.66  0090.10.76.1420110             33.9764 090 99      0.00   0.00   0.00
31050  Exploration sphenoid sinus                        A   5.37   8.29NA   8.55NA   8.29     8.55     0.68  14.34  14.60  14.34  14.60  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
31051  Sphenoid sinus surgery                            A   7.25  10.76NA  11.29NA  10.76    11.29     0.91  18.92  19.45  18.92  19.45  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
31070  Exploration of frontal sinus                      A   4.40   7.86NA   8.21NA   7.86     8.21     0.59  12.85  13.20  12.85  13.20  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
31075  Exploration of frontal sinus                      A   9.51  12.31NA  12.92NA  12.31    12.92     1.22  23.04  23.65  23.04  23.65  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
31080  Removal of frontal sinus                          A  12.74  15.63NA  16.83NA  15.63    16.83     1.63  30.00  31.20  30.00  31.20  0090.10.76.1421200             33.9764 090 99      0.00   0.00   0.00
31081  Removal of frontal sinus                          A  14.19  21.30NA  24.08NA  21.30    24.08     5.09  40.58  43.36  40.58  43.36  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
31084  Removal of frontal sinus                          A  14.95  17.51NA  18.13NA  17.51    18.13     1.92  34.38  35.00  34.38  35.00  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
31085  Removal of frontal sinus                          A  15.64  18.10NA  18.53NA  18.10    18.53     5.62  39.36  39.79  39.36  39.79  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
31086  Removal of frontal sinus                          A  14.36  16.79NA  17.78NA  16.79    17.78     1.85  33.00  33.99  33.00  33.99  0090.10.76.1421200             33.9764 090 99      0.00   0.00   0.00
31087  Removal of frontal sinus                          A  14.57  15.66NA  16.43NA  15.66    16.43     1.86  32.09  32.86  32.09  32.86  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
31090  Exploration of sinuses                            A  11.17  17.20NA  18.19NA  17.20    18.19     1.47  29.84  30.83  29.84  30.83  0090.10.76.1421100             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3112F  Ct/mri brain done >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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
31200  Removal of ethmoid sinus                          A   5.14  10.15NA  10.57NA  10.15    10.57     0.73  16.02  16.44  16.02  16.44  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
31201  Removal of ethmoid sinus                          A   8.60  11.81NA  12.49NA  11.81    12.49     1.14  21.55  22.23  21.55  22.23  0090.10.76.1421100             33.9764 090 99      0.00   0.00   0.00
31205  Removal of ethmoid sinus                          A  10.58  13.61NA  14.55NA  13.61    14.55     1.59  25.78  26.72  25.78  26.72  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
31225  Removal of upper jaw                              A  26.70  24.55NA  26.67NA  24.55    26.67     3.55  54.80  56.92  54.80  56.92  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
31230  Removal of upper jaw                              A  30.82  26.37NA  28.72NA  26.37    28.72     3.96  61.15  63.50  61.15  63.50  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
31231  Nasal endoscopy dx                                A   1.10   4.37     4.46     1.06     1.12     0.12   5.59   5.68   2.28   2.34  0000.00.00.0022100             33.9764 090 99      0.00   0.00   0.00
31233  Nasal/sinus endoscopy dx                          A   2.18   5.34     5.47     1.64     1.75     0.29   7.81   7.94   4.11   4.22  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
31235  Nasal/sinus endoscopy dx                          A   2.64   5.88     5.97     1.87     1.99     0.33   8.85   8.94   4.84   4.96  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
31237  Nasal/sinus endoscopy surg                        A   2.98   6.22     6.37     2.07     2.23     0.38   9.58   9.73   5.43   5.59  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
31238  Nasal/sinus endoscopy surg                        A   3.26   6.19     6.34     2.23     2.39     0.41   9.86  10.01   5.90   6.06  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
31239  Nasal/sinus endoscopy surg                        A   9.33   9.33NA  10.07NA   9.33    10.07     1.24  19.90  20.64  19.90  20.64  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
31240  Nasal/sinus endoscopy surg                        A   2.61   1.88NA   2.01NA   1.88     2.01     0.34   4.83   4.96   4.83   4.96  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
31254  Revision of ethmoid sinus                         A   4.64   2.99NA   3.21NA   2.99     3.21     0.60   8.23   8.45   8.23   8.45  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
31255  Removal of ethmoid sinus                          A   6.95   4.23NA   4.56NA   4.23     4.56     0.88  12.06  12.39  12.06  12.39  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
31256  Exploration maxillary sinus                       A   3.29   2.25NA   2.41NA   2.25     2.41     0.41   5.95   6.11   5.95   6.11  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
31267  Endoscopy maxillary sinus                         A   5.45   3.42NA   3.68NA   3.42     3.68     0.69   9.56   9.82   9.56   9.82  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
31276  Sinus endoscopy surgical                          A   8.84   5.24NA   5.66NA   5.24     5.66     1.14  15.22  15.64  15.22  15.64  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
31287  Nasal/sinus endoscopy surg                        A   3.91   2.58NA   2.77NA   2.58     2.77     0.50   6.99   7.18   6.99   7.18  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
31288  Nasal/sinus endoscopy surg                        A   4.57   2.95NA   3.17NA   2.95     3.17     0.60   8.12   8.34   8.12   8.34  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
31290  Nasal/sinus endoscopy surg                        A  18.61  13.40NA  14.39NA  13.40    14.39     2.64  34.65  35.64  34.65  35.64  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
31291  Nasal/sinus endoscopy surg                        A  19.56  14.04NA  15.10NA  14.04    15.10     3.14  36.74  37.80  36.74  37.80  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
31292  Nasal/sinus endoscopy surg                        A  15.90  11.88NA  12.74NA  11.88    12.74     2.04  29.82  30.68  29.82  30.68  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
31293  Nasal/sinus endoscopy surg                        A  17.47  12.79NA  13.73NA  12.79    13.73     2.23  32.49  33.43  32.49  33.43  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
31294  Nasal/sinus endoscopy surg                        A  20.31  14.31NA  15.40NA  14.31    15.40     2.61  37.23  38.32  37.23  38.32  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
31295  Sinus endo w/balloon dil                          A   2.70  56.78    56.78     2.11     2.11     0.35  59.83  59.83   5.16   5.16  0000.00.00.0021200             33.9764 090 99      0.00   0.00   0.00
31296  Sinus endo w/balloon dil                          A   3.29 108.31   108.31     2.45     2.45     0.42 112.02 112.02   6.16   6.16  0000.00.00.0021200             33.9764 090 99      0.00   0.00   0.00
31297  Sinus endo w/balloon dil                          A   2.64 107.99   107.99     2.07     2.07     0.34 110.97 110.97   5.05   5.05  0000.00.00.0021000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3130F  Upper gi endoscopy performed                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
31300  Removal of larynx lesion                          A  15.91  19.36NA  20.47NA  19.36    20.47     2.03  37.30  38.41  37.30  38.41  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
3132F  Doc ref upper gi endoscopy                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
31320  Diagnostic incision larynx                        A   5.73  12.77NA  13.21NA  12.77    13.21     0.72  19.22  19.66  19.22  19.66  0090.10.76.1420000             33.9764 090 99      0.00   0.00   0.00
31360  Removal of larynx                                 A  29.91  26.91NA  29.73NA  26.91    29.73     3.92  60.74  63.56  60.74  63.56  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31365  Removal of larynx                                 A  38.81  31.53NA  34.91NA  31.53    34.91     5.08  75.42  78.80  75.42  78.80  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31367  Partial removal of larynx                         A  30.57  30.31NA  32.73NA  30.31    32.73     3.97  64.85  67.27  64.85  67.27  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31368  Partial removal of larynx                         A  34.19  33.45NA  36.00NA  33.45    36.00     4.38  72.02  74.57  72.02  74.57  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31370  Partial removal of larynx                         A  27.57  29.81NA  31.95NA  29.81    31.95     3.54  60.92  63.06  60.92  63.06  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31375  Partial removal of larynx                         A  26.07  28.33NA  30.43NA  28.33    30.43     3.36  57.76  59.86  57.76  59.86  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31380  Partial removal of larynx                         A  25.57  28.03NA  30.14NA  28.03    30.14     3.29  56.89  59.00  56.89  59.00  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31382  Partial removal of larynx                         A  28.57  30.17NA  32.54NA  30.17    32.54     3.69  62.43  64.80  62.43  64.80  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31390  Removal of larynx & pharynx                       A  42.51  35.48NA  38.78NA  35.48    38.78     5.84  83.83  87.13  83.83  87.13  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31395  Reconstruct larynx & pharynx                      A  43.80  39.07NA  42.53NA  39.07    42.53     5.63  88.50  91.96  88.50  91.96  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
3140F  Upper gi endo shows barrtts                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
31400  Revision of larynx                                A  11.60  16.47NA  17.10NA  16.47    17.10     1.50  29.57  30.20  29.57  30.20  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
3141F  Upper gi endo not barrtts                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3142F  Barium swallow test ordered                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
31420  Removal of epiglottis                             A  11.43  11.84NA  12.58NA  11.84    12.58     1.47  24.74  25.48  24.74  25.48  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
3150F  Forceps esoph biopsy done                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
31500  Insert emergency airway                           A   2.33   0.60NA   0.64NA   0.60     0.64     0.31   3.24   3.28   3.24   3.28  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
31502  Change of windpipe airway                         A   0.65   0.32NA   0.34NA   0.32     0.34     0.07   1.04   1.06   1.04   1.06  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31505  Diagnostic laryngoscopy                           A   0.61   1.76     1.78     0.77     0.80     0.07   2.44   2.46   1.45   1.48  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31510  Laryngoscopy with biopsy                          A   1.92   4.05     4.13     1.44     1.54     0.26   6.23   6.31   3.62   3.72  0000.00.00.0030000       31505 33.9764 090 99      0.00   0.00   0.00
31511  Remove foreign body larynx                        A   2.16   3.75     3.83     1.36     1.41     0.31   6.22   6.30   3.83   3.88  0000.00.00.0030100       31505 33.9764 090 99      0.00   0.00   0.00
31512  Removal of larynx lesion                          A   2.07   3.82     3.93     1.57     1.70     0.27   6.16   6.27   3.91   4.04  0000.00.00.0030000       31505 33.9764 090 99      0.00   0.00   0.00
31513  Injection into vocal cord                         A   2.10   1.60NA   1.71NA   1.60     1.71     0.27   3.97   4.08   3.97   4.08  0000.00.00.0030000       31505 33.9764 090 99      0.00   0.00   0.00
31515  Laryngoscopy for aspiration                       A   1.80   4.10     4.14     1.24     1.31     0.24   6.14   6.18   3.28   3.35  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31520  Dx laryngoscopy newborn                           A   2.56   1.79NA   1.98NA   1.79     1.98     0.33   4.68   4.87   4.68   4.87  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
31525  Dx laryngoscopy excl nb                           A   2.63   4.44     4.60     1.82     1.94     0.34   7.41   7.57   4.79   4.91  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31526  Dx laryngoscopy w/oper scope                      A   2.57   1.86NA   1.98NA   1.86     1.98     0.33   4.76   4.88   4.76   4.88  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31527  Laryngoscopy for treatment                        A   3.27   2.18NA   2.40NA   2.18     2.40     0.41   5.86   6.08   5.86   6.08  0000.00.00.0030000       31525 33.9764 090 99      0.00   0.00   0.00
31528  Laryngoscopy and dilation                         A   2.37   1.68NA   1.81NA   1.68     1.81     0.31   4.36   4.49   4.36   4.49  0000.00.00.0030000       31525 33.9764 090 99      0.00   0.00   0.00
31529  Laryngoscopy and dilation                         A   2.68   1.86NA   1.99NA   1.86     1.99     0.34   4.88   5.01   4.88   5.01  0000.00.00.0030000       31525 33.9764 090 99      0.00   0.00   0.00
31530  Laryngoscopy w/fb removal                         A   3.38   2.15NA   2.32NA   2.15     2.32     0.44   5.97   6.14   5.97   6.14  0000.00.00.0030100       31525 33.9764 090 99      0.00   0.00   0.00
31531  Laryngoscopy w/fb & op scope                      A   3.58   2.39NA   2.55NA   2.39     2.55     0.45   6.42   6.58   6.42   6.58  0000.00.00.0030000       31526 33.9764 090 99      0.00   0.00   0.00
31535  Laryngoscopy w/biopsy                             A   3.16   2.16NA   2.32NA   2.16     2.32     0.41   5.73   5.89   5.73   5.89  0000.00.00.0030100       31525 33.9764 090 99      0.00   0.00   0.00
31536  Laryngoscopy w/bx & op scope                      A   3.55   2.39NA   2.56NA   2.39     2.56     0.45   6.39   6.56   6.39   6.56  0000.00.00.0030100       31526 33.9764 090 99      0.00   0.00   0.00
31540  Laryngoscopy w/exc of tumor                       A   4.12   2.69NA   2.89NA   2.69     2.89     0.53   7.34   7.54   7.34   7.54  0000.00.00.0030100       31525 33.9764 090 99      0.00   0.00   0.00
31541  Larynscop w/tumr exc + scope                      A   4.52   2.91NA   3.13NA   2.91     3.13     0.59   8.02   8.24   8.02   8.24  0000.00.00.0030100       31526 33.9764 090 99      0.00   0.00   0.00
31545  Remove vc lesion w/scope                          A   6.30   3.87NA   4.20NA   3.87     4.20     0.80  10.97  11.30  10.97  11.30  0000.00.00.0031100       31526 33.9764 090 99      0.00   0.00   0.00
31546  Remove vc lesion scope/graft                      A   9.73   5.64NA   6.23NA   5.64     6.23     1.25  16.62  17.21  16.62  17.21  0000.00.00.0031100       31526 33.9764 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             33.9764 090 99      0.00   0.00   0.00
31560  Laryngoscop w/arytenoidectom                      A   5.45   3.36NA   3.64NA   3.36     3.64     0.69   9.50   9.78   9.50   9.78  0000.00.00.0030000       31525 33.9764 090 99      0.00   0.00   0.00
31561  Larynscop remve cart + scop                       A   5.99   3.64NA   3.94NA   3.64     3.94     0.76  10.39  10.69  10.39  10.69  0000.00.00.0030000       31526 33.9764 090 99      0.00   0.00   0.00
31570  Laryngoscope w/vc inj                             A   3.86   5.78     5.87     2.52     2.71     0.53  10.17  10.26   6.91   7.10  0000.00.00.0030100       31525 33.9764 090 99      0.00   0.00   0.00
31571  Laryngoscop w/vc inj + scope                      A   4.26   2.76NA   2.97NA   2.76     2.97     0.54   7.56   7.77   7.56   7.77  0000.00.00.0030100       31526 33.9764 090 99      0.00   0.00   0.00
31575  Diagnostic laryngoscopy                           A   1.10   2.17     2.20     1.05     1.11     0.12   3.39   3.42   2.27   2.33  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31576  Laryngoscopy with biopsy                          A   1.97   4.43     4.50     1.50     1.59     0.24   6.64   6.71   3.71   3.80  0000.00.00.0030100       31575 33.9764 090 99      0.00   0.00   0.00
31577  Remove foreign body larynx                        A   2.47   4.37     4.50     1.67     1.77     0.33   7.17   7.30   4.47   4.57  0000.00.00.0030000       31575 33.9764 090 99      0.00   0.00   0.00
31578  Removal of larynx lesion                          A   2.84   5.13     5.27     1.95     2.15     0.35   8.32   8.46   5.14   5.34  0000.00.00.0030000       31575 33.9764 090 99      0.00   0.00   0.00
31579  Diagnostic laryngoscopy                           A   2.26   3.81     3.83     1.68     1.80     0.30   6.37   6.39   4.24   4.36  0XXX.00.00.0030100       31575 33.9764 030 99      0.00   0.00   0.00
31580  Revision of larynx                                A  14.66  19.36NA  20.52NA  19.36    20.52     1.88  35.90  37.06  35.90  37.06  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31582  Revision of larynx                                A  23.22  30.12NA  31.32NA  30.12    31.32     2.99  56.33  57.53  56.33  57.53  0090.10.76.1420110             33.9764 090 99      0.00   0.00   0.00
31584  Treat larynx fracture                             A  20.47  21.64NA  22.91NA  21.64    22.91     2.63  44.74  46.01  44.74  46.01  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31587  Revision of larynx                                A  15.27  12.38NA  13.55NA  12.38    13.55     1.95  29.60  30.77  29.60  30.77  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31588  Revision of larynx                                A  14.99  16.86NA  17.86NA  16.86    17.86     1.93  33.78  34.78  33.78  34.78  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
31590  Reinnervate larynx                                A   7.85  17.46NA  17.85NA  17.46    17.85     1.02  26.33  26.72  26.33  26.72  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31595  Larynx nerve surgery                              A   8.84  12.65NA  13.16NA  12.65    13.16     1.14  22.63  23.14  22.63  23.14  0090.10.76.1420210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
31600  Incision of windpipe                              A   7.17   3.43NA   3.64NA   3.43     3.64     1.27  11.87  12.08  11.87  12.08  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31601  Incision of windpipe                              A   4.44   2.82NA   3.04NA   2.82     3.04     0.56   7.82   8.04   7.82   8.04  0000.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
31603  Incision of windpipe                              A   4.14   1.86NA   2.01NA   1.86     2.01     0.69   6.69   6.84   6.69   6.84  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31605  Incision of windpipe                              A   3.57   1.26NA   1.34NA   1.26     1.34     0.63   5.46   5.54   5.46   5.54  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31610  Incision of windpipe                              A   9.38  10.34NA  10.93NA  10.34    10.93     1.32  21.04  21.63  21.04  21.63  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
31611  Surgery/speech prosthesis                         A   6.00   9.12NA   9.55NA   9.12     9.55     0.76  15.88  16.31  15.88  16.31  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31612  Puncture/clear windpipe                           A   0.91   1.37     1.44     0.40     0.44     0.11   2.39   2.46   1.42   1.46  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
31613  Repair windpipe opening                           A   4.71   7.81NA   8.12NA   7.81     8.12     0.72  13.24  13.55  13.24  13.55  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
31614  Repair windpipe opening                           A   8.63  12.30NA  13.04NA  12.30    13.04     1.18  22.11  22.85  22.11  22.85  0090.10.76.1420100             33.9764 090 99      0.00   0.00   0.00
31615  Visualization of windpipe                         A   2.09   3.04     3.10     1.47     1.58     0.26   5.39   5.45   3.82   3.93  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31620  Endobronchial us add-on                           A   1.40   6.66     6.25     0.49     0.50     0.12   8.18   7.77   2.01   2.02  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
31622  Dx bronchoscope/wash                              A   2.78   6.12     5.82     1.22     1.26     0.34   9.24   8.94   4.34   4.38  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31623  Dx bronchoscope/brush                             A   2.88   6.77     6.26     1.20     1.24     0.26   9.91   9.40   4.34   4.38  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31624  Dx bronchoscope/lavage                            A   2.88   6.12     5.73     1.21     1.26     0.26   9.26   8.87   4.35   4.40  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31625  Bronchoscopy w/biopsy(s)                          A   3.36   6.28     5.89     1.37     1.42     0.31   9.95   9.56   5.04   5.09  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31626  Bronchoscopy w/markers                            A   4.16   8.56     8.56     1.72     1.72     0.31  13.03  13.03   6.19   6.19  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
31627  Navigational bronchoscopy                         A   2.00  35.28    35.28     0.88     0.88     0.14  37.42  37.42   3.02   3.02  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
31628  Bronchoscopy/lung bx each                         A   3.80   7.55     6.78     1.50     1.56     0.30  11.65  10.88   5.60   5.66  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31629  Bronchoscopy/needle bx each                       A   4.09  13.68    12.40     1.61     1.68     0.34  18.11  16.83   6.04   6.11  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31630  Bronchoscopy dilate/fx repr                       A   3.81   1.75NA   1.76NA   1.75     1.76     0.49   6.05   6.06   6.05   6.06  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31631  Bronchoscopy dilate w/stent                       A   4.36   1.94NA   1.97NA   1.94     1.97     0.60   6.90   6.93   6.90   6.93  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31632  Bronchoscopy/lung bx addl                         A   1.03   1.00     0.98     0.35     0.37     0.07   2.10   2.08   1.45   1.47  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
31633  Bronchoscopy/needle bx addl                       A   1.32   1.15     1.14     0.44     0.47     0.10   2.57   2.56   1.86   1.89  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
31634  Bronch w/balloon occlusion                        A   4.00  48.76    48.76     1.75     1.75     0.33  53.09  53.09   6.08   6.08  0000.00.00.0030200       31622 33.9764 090 99      0.00   0.00   0.00
31635  Bronchoscopy w/fb removal                         A   3.67   6.15     5.77     1.55     1.59     0.39  10.21   9.83   5.61   5.65  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31636  Bronchoscopy bronch stents                        A   4.30   1.82NA   1.82NA   1.82     1.82     0.56   6.68   6.68   6.68   6.68  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31637  Bronchoscopy stent add-on                         A   1.58   0.59NA   0.61NA   0.59     0.61     0.11   2.28   2.30   2.28   2.30  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
31638  Bronchoscopy revise stent                         A   4.88   2.11NA   2.14NA   2.11     2.14     0.65   7.64   7.67   7.64   7.67  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31640  Bronchoscopy w/tumor excise                       A   4.93   2.14NA   2.16NA   2.14     2.16     0.64   7.71   7.73   7.71   7.73  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31641  Bronchoscopy treat blockage                       A   5.02   2.08NA   2.17NA   2.08     2.17     0.59   7.69   7.78   7.69   7.78  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31643  Diag bronchoscope/catheter                        A   3.49   1.40NA   1.44NA   1.40     1.44     0.29   5.18   5.22   5.18   5.22  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31645  Bronchoscopy clear airways                        A   3.16   5.47     5.15     1.30     1.36     0.29   8.92   8.60   4.75   4.81  0000.00.00.0030100       31622 33.9764 090 99      0.00   0.00   0.00
31646  Bronchoscopy reclear airway                       A   2.72   5.15     4.85     1.15     1.19     0.26   8.13   7.83   4.13   4.17  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31656  Bronchoscopy inj for x-ray                        A   2.17   6.71     6.05     0.92     0.93     0.16   9.04   8.38   3.25   3.26  0000.00.00.0020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
31715  Injection for bronchus x-ray                      A   1.11   0.39NA   0.37NA   0.39     0.37     0.08   1.58   1.56   1.58   1.56  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
31717  Bronchial brush biopsy                            A   2.12   6.12     5.41     0.97     1.03     0.16   8.40   7.69   3.25   3.31  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31720  Clearance of airways                              A   1.06   0.38NA   0.41NA   0.38     0.41     0.08   1.52   1.55   1.52   1.55  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31725  Clearance of airways                              A   1.96   0.65NA   0.73NA   0.65     0.73     0.20   2.81   2.89   2.81   2.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31730  Intro windpipe wire/tube                          A   2.85  26.66    29.64     1.12     1.19     0.45  29.96  32.94   4.42   4.49  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
31750  Repair of windpipe                                A  15.39  22.58NA  23.62NA  22.58    23.62     2.27  40.24  41.28  40.24  41.28  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31755  Repair of windpipe                                A  17.54  31.06NA  32.25NA  31.06    32.25     2.25  50.85  52.04  50.85  52.04  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31760  Repair of windpipe                                A  23.48  12.74NA  12.32NA  12.74    12.32     5.48  41.70  41.28  41.70  41.28  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31766  Reconstruction of windpipe                        A  31.67  14.95NA  14.61NA  14.95    14.61     7.40  54.02  53.68  54.02  53.68  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31770  Repair/graft of bronchus                          A  23.54  11.40NA  11.15NA  11.40    11.15     5.50  40.44  40.19  40.44  40.19  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31775  Reconstruct bronchus                              A  24.59  11.06NA  10.45NA  11.06    10.45     5.76  41.41  40.80  41.41  40.80  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
31780  Reconstruct windpipe                              A  19.84  12.69NA  13.47NA  12.69    13.47     3.23  35.76  36.54  35.76  36.54  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31781  Reconstruct windpipe                              A  24.85  12.12NA  11.16NA  12.12    11.16     5.81  42.78  41.82  42.78  41.82  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31785  Remove windpipe lesion                            A  18.35  11.33NA  12.13NA  11.33    12.13     2.61  32.29  33.09  32.29  33.09  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31786  Remove windpipe lesion                            A  25.42  12.98NA  12.14NA  12.98    12.14     5.96  44.36  43.52  44.36  43.52  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31800  Repair of windpipe injury                         A   8.18  11.44NA  11.98NA  11.44    11.98     1.05  20.67  21.21  20.67  21.21  0090.10.76.1420000             33.9764 090 99      0.00   0.00   0.00
31805  Repair of windpipe injury                         A  13.42   8.15NA   7.91NA   8.15     7.91     3.16  24.73  24.49  24.73  24.49  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
31820  Closure of windpipe lesion                        A   4.64   7.49     7.85     4.46     4.74     0.67  12.80  13.16   9.77  10.05  0090.10.76.1420000             33.9764 090 99      0.00   0.00   0.00
31825  Repair of windpipe defect                         A   7.07   9.75    10.23     6.30     6.69     0.99  17.81  18.29  14.36  14.75  0090.10.76.1420000             33.9764 090 99      0.00   0.00   0.00
31830  Revise windpipe scar                              A   4.62   7.60     7.96     4.83     5.11     0.71  12.93  13.29  10.16  10.44  0090.10.76.1420000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3200F  Barium swallow test not req                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
32035  Exploration of chest                              A  11.29   7.78NA   7.97NA   7.78     7.97     2.57  21.64  21.83  21.64  21.83  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32036  Exploration of chest                              A  12.30   8.18NA   8.24NA   8.18     8.24     2.90  23.38  23.44  23.38  23.44  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32095  Biopsy through chest wall                         A  10.14   6.57NA   6.57NA   6.57     6.57     2.34  19.05  19.05  19.05  19.05  0090.10.76.1420210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32100  Exploration/biopsy of chest                       A  16.16   9.05NA   8.92NA   9.05     8.92     3.80  29.01  28.88  29.01  28.88  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32110  Explore/repair chest                              A  25.28  13.05NA  13.25NA  13.05    13.25     5.74  44.07  44.27  44.07  44.27  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32120  Re-exploration of chest                           A  14.39   8.67NA   8.61NA   8.67     8.61     3.40  26.46  26.40  26.46  26.40  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32124  Explore chest free adhesions                      A  15.45   8.97NA   8.99NA   8.97     8.99     3.67  28.09  28.11  28.09  28.11  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32140  Removal of lung lesion(s)                         A  16.66   9.39NA   9.34NA   9.39     9.34     3.89  29.94  29.89  29.94  29.89  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32141  Remove/treat lung lesions                         A  27.18  12.70NA  12.96NA  12.70    12.96     6.40  46.28  46.54  46.28  46.54  0090.10.76.1420210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32150  Removal of lung lesion(s)                         A  16.82   9.51NA   9.56NA   9.51     9.56     3.93  30.26  30.31  30.26  30.31  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32151  Remove lung foreign body                          A  16.94   9.70NA   9.40NA   9.70     9.40     3.97  30.61  30.31  30.61  30.31  0090.10.76.1420210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32160  Open chest heart massage                          A  13.10   7.36NA   7.50NA   7.36     7.50     2.99  23.45  23.59  23.45  23.59  0090.10.76.1420210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32200  Drain open lung lesion                            A  18.68  11.23NA  11.41NA  11.23    11.41     4.29  34.20  34.38  34.20  34.38  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32201  Drain percut lung lesion                          A   3.99  22.83    21.19     1.66     1.48     0.38  27.20  25.56   6.03   5.85  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
32215  Treat chest lining                                A  13.05   8.12NA   8.03NA   8.12     8.03     3.05  24.22  24.13  24.22  24.13  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32220  Release of lung                                   A  26.65  15.34NA  15.16NA  15.34    15.16     6.30  48.29  48.11  48.29  48.11  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32225  Partial release of lung                           A  16.75   9.51NA   9.48NA   9.51     9.48     3.92  30.18  30.15  30.18  30.15  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
3230F  Note hring tst w/in 6 mon                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
32310  Removal of chest lining                           A  15.28   8.87NA   8.79NA   8.87     8.79     3.62  27.77  27.69  27.77  27.69  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32320  Free/remove chest lining                          A  27.25  14.89NA  14.89NA  14.89    14.89     6.33  48.47  48.47  48.47  48.47  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32400  Needle biopsy chest lining                        A   1.76   2.48     2.30     0.69     0.65     0.18   4.42   4.24   2.63   2.59  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
32402  Open biopsy chest lining                          A   8.97   6.09NA   6.03NA   6.09     6.03     2.03  17.09  17.03  17.09  17.03  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32405  Biopsy lung or mediastinum                        A   1.93   0.81     0.71     0.80     0.71     0.18   2.92   2.82   2.91   2.82  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
32420  Puncture/clear lung                               A   2.18   0.87NA   0.82NA   0.87     0.82     0.24   3.29   3.24   3.29   3.24  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
32421  Thoracentesis for aspiration                      A   1.54   2.89     2.65     0.60     0.58     0.14   4.57   4.33   2.28   2.26  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
32422  Thoracentesis w/tube insert                       A   2.19   3.38     3.13     1.26     1.20     0.22   5.79   5.54   3.67   3.61  0000.00.00.0021110             33.9764 090 99      0.00   0.00   0.00
32440  Removal of lung                                   A  27.28  14.21NA  13.83NA  14.21    13.83     6.36  47.85  47.47  47.85  47.47  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32442  Sleeve pneumonectomy                              A  56.47  22.70NA  23.12NA  22.70    23.12     4.25  83.42  83.84  83.42  83.84  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32445  Removal of lung                                   A  63.84  27.27NA  28.12NA  27.27    28.12    14.94 106.05 106.90 106.05 106.90  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32480  Partial removal of lung                           A  25.82  13.39NA  13.11NA  13.39    13.11     6.06  45.27  44.99  45.27  44.99  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32482  Bilobectomy                                       A  27.44  14.53NA  14.26NA  14.53    14.26     6.42  48.39  48.12  48.39  48.12  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32484  Segmentectomy                                     A  25.38  12.59NA  12.34NA  12.59    12.34     5.91  43.88  43.63  43.88  43.63  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32486  Sleeve lobectomy                                  A  42.88  18.57NA  18.59NA  18.57    18.59    10.14  71.59  71.61  71.59  71.61  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32488  Completion pneumonectomy                          A  42.99  19.52NA  19.78NA  19.52    19.78    10.11  72.62  72.88  72.62  72.88  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32491  Lung volume reduction                             R  25.24  13.99NA  13.48NA  13.99    13.48     5.88  45.11  44.60  45.11  44.60  0090.10.76.1421210             33.9764 090 99      0.00   0.00   0.00
3250F  Nonprim loc anat bx site tum                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
32500  Partial removal of lung                           A  24.64  13.45NA  13.12NA  13.45    13.12     5.80  43.89  43.56  43.89  43.56  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32501  Repair bronchus add-on                            A   4.68   1.76NA   1.70NA   1.76     1.70     1.09   7.53   7.47   7.53   7.47  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
32503  Resect apical lung tumor                          A  31.74  15.93NA  15.55NA  15.93    15.55     7.50  55.17  54.79  55.17  54.79  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32504  Resect apical lung tum/chest                      A  36.54  17.67NA  16.81NA  17.67    16.81     8.52  62.73  61.87  62.73  61.87  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32540  Removal of lung lesion                            A  30.35  14.66NA  14.79NA  14.66    14.79     7.10  52.11  52.24  52.11  52.24  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32550  Insert pleural cath                               A   4.17  18.58    17.43     1.93     1.85     0.69  23.44  22.29   6.79   6.71  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
32551  Insertion of chest tube                           A   3.29   1.34NA   1.29NA   1.34     1.29     0.52   5.15   5.10   5.15   5.10  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
32552  Remove lung catheter                              A   2.53   2.42     2.42     1.75     1.75     0.60   5.55   5.55   4.88   4.88  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
32553  Ins mark thor for rt perq                         A   3.80  13.57    13.57     1.53     1.53     0.88  18.25  18.25   6.21   6.21  0000.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
32560  Treat pleurodesis w/agent                         A   1.54   5.86     5.19     0.68     0.57     0.27   7.67   7.00   2.49   2.38  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
32561  Lyse chest fibrin init day                        A   1.39   1.21     1.21     0.51     0.51     0.24   2.84   2.84   2.14   2.14  0000.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
32562  Lyse chest fibrin subq day                        A   1.24   1.07     1.07     0.46     0.46     0.23   2.54   2.54   1.93   1.93  0000.00.00.0020200             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32601  Thoracoscopy diagnostic                           A   5.45   2.69NA   2.63NA   2.69     2.63     1.27   9.41   9.35   9.41   9.35  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
32602  Thoracoscopy diagnostic                           A   5.95   2.88NA   2.82NA   2.88     2.82     1.36  10.19  10.13  10.19  10.13  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
32603  Thoracoscopy diagnostic                           A   7.80   3.55NA   3.42NA   3.55     3.42     1.95  13.30  13.17  13.30  13.17  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
32604  Thoracoscopy diagnostic                           A   8.77   3.95NA   3.76NA   3.95     3.76     2.04  14.76  14.57  14.76  14.57  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
32605  Thoracoscopy diagnostic                           A   6.92   3.19NA   3.11NA   3.19     3.11     1.62  11.73  11.65  11.73  11.65  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
32606  Thoracoscopy diagnostic                           A   8.39   3.82NA   3.71NA   3.82     3.71     1.93  14.14  14.03  14.14  14.03  0000.00.00.0020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32650  Thoracoscopy surgical                             A  10.83   6.94NA   6.78NA   6.94     6.78     2.48  20.25  20.09  20.25  20.09  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32651  Thoracoscopy surgical                             A  18.78   9.85NA  10.07NA   9.85    10.07     4.31  32.94  33.16  32.94  33.16  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32652  Thoracoscopy surgical                             A  29.13  14.17NA  14.37NA  14.17    14.37     6.72  50.02  50.22  50.02  50.22  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32653  Thoracoscopy surgical                             A  18.17   9.45NA   9.59NA   9.45     9.59     4.12  31.74  31.88  31.74  31.88  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32654  Thoracoscopy surgical                             A  20.52  10.27NA  10.42NA  10.27    10.42     4.65  35.44  35.59  35.44  35.59  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32655  Thoracoscopy surgical                             A  16.17   8.94NA   9.00NA   8.94     9.00     3.77  28.88  28.94  28.88  28.94  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32656  Thoracoscopy surgical                             A  13.26   7.97NA   7.80NA   7.97     7.80     3.01  24.24  24.07  24.24  24.07  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32657  Thoracoscopy surgical                             A  12.93   7.95NA   7.78NA   7.95     7.78     3.04  23.92  23.75  23.92  23.75  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32658  Thoracoscopy surgical                             A  11.71   7.32NA   6.99NA   7.32     6.99     2.75  21.78  21.45  21.78  21.45  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
32659  Thoracoscopy surgical                             A  11.94   7.58NA   7.34NA   7.58     7.34     2.80  22.32  22.08  22.32  22.08  0090.09.84.0720210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32660  Thoracoscopy surgical                             A  17.77   9.67NA   9.31NA   9.67     9.31     4.45  31.89  31.53  31.89  31.53  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
32661  Thoracoscopy surgical                             A  13.33   7.88NA   7.56NA   7.88     7.56     3.13  24.34  24.02  24.34  24.02  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
32662  Thoracoscopy surgical                             A  14.99   8.79NA   8.49NA   8.79     8.49     3.50  27.28  26.98  27.28  26.98  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
32663  Thoracoscopy surgical                             A  24.64  12.24NA  11.97NA  12.24    11.97     5.74  42.62  42.35  42.62  42.35  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
32664  Thoracoscopy surgical                             A  14.28   8.12NA   7.90NA   8.12     7.90     3.36  25.76  25.54  25.76  25.54  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
32665  Thoracoscopy surgical                             A  21.53  10.70NA  10.63NA  10.70    10.63     4.60  36.83  36.76  36.83  36.76  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
3268F  Psa/t/glsc docd b/4 txmnt                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32800  Repair lung hernia                                A  15.71   9.01NA   8.98NA   9.01     8.98     3.69  28.41  28.38  28.41  28.38  0090.10.76.1420210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32810  Close chest after drainage                        A  14.95   8.85NA   8.65NA   8.85     8.65     3.51  27.31  27.11  27.31  27.11  0090.10.76.1420200             33.9764 090 99      0.00   0.00   0.00
32815  Close bronchial fistula                           A  50.03  22.34NA  23.21NA  22.34    23.21    11.90  84.27  85.14  84.27  85.14  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32820  Reconstruct injured chest                         A  22.51  12.87NA  12.28NA  12.87    12.28     5.28  40.66  40.07  40.66  40.07  0090.10.76.1420210             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
32851  Lung transplant single                            A  41.61  27.23NA  26.20NA  27.23    26.20     9.80  78.64  77.61  78.64  77.61  0090.10.76.1420212             33.9764 090 99      0.00   0.00   0.00
32852  Lung transplant with bypass                       A  45.48  30.87NA  29.49NA  30.87    29.49    10.66  87.01  85.63  87.01  85.63  0090.10.76.1420212             33.9764 090 99      0.00   0.00   0.00
32853  Lung transplant double                            A  50.78  30.73NA  29.48NA  30.73    29.48    12.02  93.53  92.28  93.53  92.28  0090.10.76.1422212             33.9764 090 99      0.00   0.00   0.00
32854  Lung transplant with bypass                       A  54.74  34.68NA  33.30NA  34.68    33.30    12.90 102.32 100.94 102.32 100.94  0090.10.76.1422212             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3290F  Pt=D(Rh)- and unsensitized                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
32900  Removal of rib(s)                                 A  23.81  12.70NA  13.07NA  12.70    13.07     5.48  41.99  42.36  41.99  42.36  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32905  Revise & repair chest wall                        A  23.29  11.89NA  11.59NA  11.89    11.59     5.44  40.62  40.32  40.62  40.32  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32906  Revise & repair chest wall                        A  29.30  14.14NA  13.71NA  14.14    13.71     6.87  50.31  49.88  50.31  49.88  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
3291F  Pt=d(rh)+ or sensitized                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3292F  Hiv tstng asked/docd/revwd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3293F  Abo rh blood typing docd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3294F  Grp b strep screening docd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
32940  Revision of lung                                  A  21.34  11.09NA  10.99NA  11.09    10.99     5.01  37.44  37.34  37.44  37.34  0090.10.76.1420210             33.9764 090 99      0.00   0.00   0.00
32960  Therapeutic pneumothorax                          A   1.84   1.91     1.75     0.86     0.83     0.42   4.17   4.01   3.12   3.09  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
32997  Total lung lavage                                 A   7.31   2.35NA   2.42NA   2.35     2.42     0.91  10.57  10.64  10.57  10.64  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
32998  Perq rf ablate tx pul tumor                       A   5.68  78.71    74.08     2.54     2.21     0.60  84.99  80.36   8.82   8.49  0000.00.00.0020200             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
33010  Drainage of heart sac                             A   2.24   1.03NA   0.84NA   1.03     0.84     0.45   3.72   3.53   3.72   3.53  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
33011  Repeat drainage of heart sac                      A   2.24   0.99NA   0.87NA   0.99     0.87     0.49   3.72   3.60   3.72   3.60  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
33015  Incision of heart sac                             A   8.52   5.62NA   4.78NA   5.62     4.78     1.67  15.81  14.97  15.81  14.97  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33020  Incision of heart sac                             A  14.95   8.24NA   8.18NA   8.24     8.18     3.51  26.70  26.64  26.70  26.64  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33025  Incision of heart sac                             A  13.70   7.49NA   7.33NA   7.49     7.33     3.25  24.44  24.28  24.44  24.28  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33030  Partial removal of heart sac                      A  22.39  11.66NA  11.56NA  11.66    11.56     5.32  39.37  39.27  39.37  39.27  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33031  Partial removal of heart sac                      A  25.38  12.35NA  12.08NA  12.35    12.08     6.11  43.84  43.57  43.84  43.57  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33050  Removal of heart sac lesion                       A  16.97   9.60NA   9.62NA   9.60     9.62     3.97  30.54  30.56  30.54  30.56  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33120  Removal of heart lesion                           A  27.45  13.63NA  13.26NA  13.63    13.26     6.57  47.65  47.28  47.65  47.28  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33130  Removal of heart lesion                           A  24.17  12.22NA  11.90NA  12.22    11.90     6.04  42.43  42.11  42.43  42.11  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33140  Heart revascularize (tmr)                         A  28.34  13.39NA  13.01NA  13.39    13.01     7.08  48.81  48.43  48.81  48.43  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33141  Heart tmr w/other procedure                       A   2.54   1.09NA   0.93NA   1.09     0.93     0.61   4.24   4.08   4.24   4.08  0ZZZ.00.00.0000210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3317F  Path rpt malig cancer docd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3318F  Path rpt malig cancer docd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3319F  X-ray/ct/ultrsnd et al ord                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
33202  Insert epicard eltrd open                         A  13.20   7.40NA   7.08NA   7.40     7.08     3.16  23.76  23.44  23.76  23.44  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33203  Insert epicard eltrd endo                         A  13.97   7.68NA   6.97NA   7.68     6.97     3.28  24.93  24.22  24.93  24.22  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33206  Insertion of heart pacemaker                      A   7.39   5.20NA   4.34NA   5.20     4.34     1.62  14.21  13.35  14.21  13.35  0090.09.84.0720120             33.9764 090 99      0.00   0.00   0.00
33207  Insertion of heart pacemaker                      A   8.05   5.32NA   4.39NA   5.32     4.39     1.77  15.14  14.21  15.14  14.21  0090.09.84.0720120             33.9764 090 99      0.00   0.00   0.00
33208  Insertion of heart pacemaker                      A   8.77   5.66NA   4.66NA   5.66     4.66     1.92  16.35  15.35  16.35  15.35  0090.09.84.0720120             33.9764 090 99      0.00   0.00   0.00
3321F  AJCC cncr 0/IA melan docd                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33210  Insertion of heart electrode                      A   3.30   1.60NA   1.28NA   1.60     1.28     0.71   5.61   5.29   5.61   5.29  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
33211  Insertion of heart electrode                      A   3.39   1.56NA   1.30NA   1.56     1.30     0.75   5.70   5.44   5.70   5.44  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
33212  Insertion of pulse generator                      A   5.52   3.80NA   3.16NA   3.80     3.16     1.21  10.53   9.89  10.53   9.89  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33213  Insertion of pulse generator                      A   6.37   4.24NA   3.47NA   4.24     3.47     1.40  12.01  11.24  12.01  11.24  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33214  Upgrade of pacemaker system                       A   7.84   5.45NA   4.58NA   5.45     4.58     1.70  14.99  14.12  14.99  14.12  0090.09.84.0720020             33.9764 090 99      0.00   0.00   0.00
33215  Reposition pacing-defib lead                      A   4.92   3.51NA   2.88NA   3.51     2.88     1.08   9.51   8.88   9.51   8.88  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33216  Insert 1 electrode pm-defib                       A   5.87   4.59NA   3.74NA   4.59     3.74     1.28  11.74  10.89  11.74  10.89  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33217  Insert 2 electrode pm-defib                       A   5.84   4.55NA   3.75NA   4.55     3.75     1.28  11.67  10.87  11.67  10.87  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33218  Repair lead pace-defib one                        A   6.07   4.85NA   4.03NA   4.85     4.03     1.32  12.24  11.42  12.24  11.42  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
3322F  Melanoma>ajcc stage 0 or ia                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33220  Repair lead pace-defib dual                       A   6.15   4.86NA   4.03NA   4.86     4.03     1.33  12.34  11.51  12.34  11.51  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33222  Revise pocket pacemaker                           A   5.10   4.53NA   3.83NA   4.53     3.83     1.14  10.77  10.07  10.77  10.07  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33223  Revise pocket for defib                           A   6.55   4.92NA   4.00NA   4.92     4.00     1.46  12.93  12.01  12.93  12.01  0090.09.84.0720000             33.9764 090 99      0.00   0.00   0.00
33224  Insert pacing lead & connect                      A   9.04   4.81NA   3.86NA   4.81     3.86     1.99  15.84  14.89  15.84  14.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
33225  L ventric pacing lead add-on                      A   8.33   4.13NA   3.25NA   4.13     3.25     1.82  14.28  13.40  14.28  13.40  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
33226  Reposition l ventric lead                         A   8.68   4.66NA   3.75NA   4.66     3.75     1.91  15.25  14.34  15.25  14.34  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
3323F  Clin node stgng docdb/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             33.9764 090 99      0.00   0.00   0.00
33233  Removal of pacemaker system                       A   3.39   3.32NA   2.72NA   3.32     2.72     0.73   7.44   6.84   7.44   6.84  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33234  Removal of pacemaker system                       A   7.91   5.52NA   4.53NA   5.52     4.53     1.74  15.17  14.18  15.17  14.18  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33235  Removal pacemaker electrode                       A  10.15   7.40NA   6.12NA   7.40     6.12     2.25  19.80  18.52  19.80  18.52  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33236  Remove electrode/thoracotomy                      A  12.73   8.15NA   7.86NA   8.15     7.86     3.18  24.06  23.77  24.06  23.77  0090.09.84.0720020             33.9764 090 99      0.00   0.00   0.00
33237  Remove electrode/thoracotomy                      A  13.84   8.69NA   7.58NA   8.69     7.58     3.24  25.77  24.66  25.77  24.66  0090.09.84.0720020             33.9764 090 99      0.00   0.00   0.00
33238  Remove electrode/thoracotomy                      A  15.40   9.57NA   9.34NA   9.57     9.34     3.69  28.66  28.43  28.66  28.43  0090.09.84.0720020             33.9764 090 99      0.00   0.00   0.00
3324F  Mri ct scan ord rvwd rqstd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33240  Insert pulse generator                            A   7.64   5.15NA   4.11NA   5.15     4.11     1.66  14.45  13.41  14.45  13.41  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33241  Remove pulse generator                            A   3.29   3.01NA   2.42NA   3.01     2.42     0.71   7.01   6.42   7.01   6.42  0090.09.84.0720010             33.9764 090 99      0.00   0.00   0.00
33243  Remove eltrd/thoracotomy                          A  23.57  13.01NA  12.07NA  13.01    12.07     5.57  42.15  41.21  42.15  41.21  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33244  Remove eltrd transven                             A  13.99   9.57NA   7.77NA   9.57     7.77     3.10  26.66  24.86  26.66  24.86  0090.09.84.0720110             33.9764 090 99      0.00   0.00   0.00
33249  Eltrd/insert pace-defib                           A  15.17   9.84NA   7.91NA   9.84     7.91     3.32  28.33  26.40  28.33  26.40  0090.09.84.0720110             33.9764 090 99      0.00   0.00   0.00
3325F  Preop asses 4 cataract surg                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33250  Ablate heart dysrhythm focus                      A  25.90  12.91NA  12.51NA  12.91    12.51     6.46  45.27  44.87  45.27  44.87  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33251  Ablate heart dysrhythm focus                      A  28.92  14.27NA  14.11NA  14.27    14.11     7.01  50.20  50.04  50.20  50.04  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33254  Ablate atria lmtd                                 A  23.71  12.45NA  12.21NA  12.45    12.21     5.92  42.08  41.84  42.08  41.84  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33255  Ablate atria w/o bypass ext                       A  29.04  14.77NA  13.97NA  14.77    13.97     7.25  51.06  50.26  51.06  50.26  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33256  Ablate atria w/bypass exten                       A  34.90  17.04NA  16.09NA  17.04    16.09     8.75  60.69  59.74  60.69  59.74  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33257  Ablate atria lmtd add-on                          A   9.63   6.00NA   5.82NA   6.00     5.82     2.31  17.94  17.76  17.94  17.76  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33258  Ablate atria x10sv add-on                         A  11.00   6.55NA   6.34NA   6.55     6.34     2.63  20.18  19.97  20.18  19.97  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33259  Ablate atria w/bypass add-on                      A  14.14   8.49NA   8.21NA   8.49     8.21     3.43  26.06  25.78  26.06  25.78  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33261  Ablate heart dysrhythm focus                      A  28.92  13.85NA  13.43NA  13.85    13.43     7.23  50.00  49.58  50.00  49.58  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33265  Ablate atria lmtd endo                            A  23.71  12.22NA  11.84NA  12.22    11.84     5.65  41.58  41.20  41.58  41.20  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33266  Ablate atria x10sv endo                           A  33.04  15.83NA  15.23NA  15.83    15.23     7.98  56.85  56.25  56.85  56.25  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3328F  Prfrmnc docd 2 wks 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             33.9764 090 99      0.00   0.00   0.00
33282  Implant pat-active ht record                      A   4.80   4.24NA   3.43NA   4.24     3.43     1.05  10.09   9.28  10.09   9.28  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33284  Remove pat-active ht record                       A   3.14   3.44NA   2.79NA   3.44     2.79     0.68   7.26   6.61   7.26   6.61  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
3330F  Imaging study ordered (bkp)                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33300  Repair of heart wound                             A  44.97  18.53NA  19.17NA  18.53    19.17    10.74  74.24  74.88  74.24  74.88  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33305  Repair of heart wound                             A  76.93  29.49NA  30.48NA  29.49    30.48    18.43 124.85 125.84 124.85 125.84  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3331F  Bk imaging tst not ordered                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33310  Exploratory heart surgery                         A  20.34  10.73NA  10.44NA  10.73    10.44     4.49  35.56  35.27  35.56  35.27  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33315  Exploratory heart surgery                         A  26.17  13.14NA  12.69NA  13.14    12.69     6.29  45.60  45.15  45.60  45.15  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33320  Repair major blood vessel(s)                      A  18.54   9.78NA   9.52NA   9.78     9.52     4.30  32.62  32.36  32.62  32.36  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33321  Repair major vessel                               A  20.81  10.78NA  10.55NA  10.78    10.55     4.87  36.46  36.23  36.46  36.23  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33322  Repair major blood vessel(s)                      A  24.42  12.57NA  12.26NA  12.57    12.26     5.87  42.86  42.55  42.86  42.55  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33330  Insert major vessel graft                         A  25.29  12.22NA  12.17NA  12.22    12.17     6.33  43.84  43.79  43.84  43.79  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33332  Insert major vessel graft                         A  24.56  12.33NA  11.75NA  12.33    11.75     6.12  43.01  42.43  43.01  42.43  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33335  Insert major vessel graft                         A  33.91  15.96NA  15.58NA  15.96    15.58     8.18  58.05  57.67  58.05  57.67  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3340F  Mammo assess inc xray 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             33.9764 090 99      0.00   0.00   0.00
33400  Repair of aortic valve                            A  41.50  19.12NA  18.50NA  19.12    18.50     9.89  70.51  69.89  70.51  69.89  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33401  Valvuloplasty open                                A  24.63  14.14NA  12.33NA  14.14    12.33     5.38  44.15  42.34  44.15  42.34  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33403  Valvuloplasty w/cp bypass                         A  25.61  14.13NA  13.23NA  14.13    13.23     6.40  46.14  45.24  46.14  45.24  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33404  Prepare heart-aorta conduit                       A  31.37  15.48NA  14.69NA  15.48    14.69     7.34  54.19  53.40  54.19  53.40  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33405  Replacement of aortic valve                       A  41.32  19.65NA  18.83NA  19.65    18.83     9.92  70.89  70.07  70.89  70.07  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33406  Replacement of aortic valve                       A  52.68  23.36NA  22.65NA  23.36    22.65    12.77  88.81  88.10  88.81  88.10  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3341F  Mammo assess negative 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             33.9764 090 99      0.00   0.00   0.00
33410  Replacement of aortic valve                       A  46.41  21.04NA  20.63NA  21.04    20.63    11.15  78.60  78.19  78.60  78.19  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33411  Replacement of aortic valve                       A  62.07  26.47NA  26.26NA  26.47    26.26    14.93 103.47 103.26 103.47 103.26  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33412  Replacement of aortic valve                       A  43.94  21.28NA  20.13NA  21.28    20.13    11.00  76.22  75.07  76.22  75.07  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33413  Replacement of aortic valve                       A  59.87  25.98NA  24.98NA  25.98    24.98    14.02  99.87  98.87  99.87  98.87  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33414  Repair of aortic valve                            A  39.37  17.80NA  16.93NA  17.80    16.93     9.84  67.01  66.14  67.01  66.14  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33415  Revision subvalvular tissue                       A  37.27  16.37NA  16.29NA  16.37    16.29     8.52  62.16  62.08  62.16  62.08  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33416  Revise ventricle muscle                           A  36.56  17.20NA  17.07NA  17.20    17.07     8.81  62.57  62.44  62.57  62.44  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33417  Repair of aortic valve                            A  29.33  15.13NA  14.56NA  15.13    14.56     7.04  51.50  50.93  51.50  50.93  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3342F  Mammo assess bengn 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             33.9764 090 99      0.00   0.00   0.00
33420  Revision of mitral valve                          A  25.79  13.64NA  15.71NA  13.64    15.71     3.54  42.97  45.04  42.97  45.04  0090.09.84.0720110             33.9764 090 99      0.00   0.00   0.00
33422  Revision of mitral valve                          A  29.73  14.95NA  14.39NA  14.95    14.39     7.42  52.10  51.54  52.10  51.54  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33425  Repair of mitral valve                            A  49.96  21.63NA  21.93NA  21.63    21.93    11.99  83.58  83.88  83.58  83.88  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33426  Repair of mitral valve                            A  43.28  20.20NA  19.61NA  20.20    19.61    10.41  73.89  73.30  73.89  73.30  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33427  Repair of mitral valve                            A  44.83  20.46NA  19.50NA  20.46    19.50    10.78  76.07  75.11  76.07  75.11  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3343F  Mammo probably bengn 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             33.9764 090 99      0.00   0.00   0.00
33430  Replacement of mitral valve                       A  50.93  23.34NA  23.06NA  23.34    23.06    12.26  86.53  86.25  86.53  86.25  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3344F  Mammo assess susp 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             33.9764 090 99      0.00   0.00   0.00
3345F  Mammo assess hghlymalig 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             33.9764 090 99      0.00   0.00   0.00
33460  Revision of tricuspid valve                       A  44.70  18.54NA  18.33NA  18.54    18.33    11.17  74.41  74.20  74.41  74.20  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33463  Valvuloplasty tricuspid                           A  57.08  23.79NA  24.16NA  23.79    24.16    13.79  94.66  95.03  94.66  95.03  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33464  Valvuloplasty tricuspid                           A  44.62  19.86NA  19.99NA  19.86    19.99    10.74  75.22  75.35  75.22  75.35  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33465  Replace tricuspid valve                           A  50.72  21.54NA  21.76NA  21.54    21.76    12.29  84.55  84.77  84.55  84.77  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33468  Revision of tricuspid valve                       A  32.94  16.38NA  15.03NA  16.38    15.03     8.25  57.57  56.22  57.57  56.22  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33470  Revision of pulmonary valve                       A  21.54  12.11NA  12.45NA  12.11    12.45     5.05  38.70  39.04  38.70  39.04  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33471  Valvotomy pulmonary valve                         A  22.96  12.75NA  13.03NA  12.75    13.03     1.62  37.33  37.61  37.33  37.61  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33472  Revision of pulmonary valve                       A  23.06  11.84NA  11.04NA  11.84    11.04     1.63  36.53  35.73  36.53  35.73  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33474  Revision of pulmonary valve                       A  39.40  16.70NA  17.25NA  16.70    17.25     9.23  65.33  65.88  65.33  65.88  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33475  Replacement pulmonary valve                       A  42.40  19.12NA  18.71NA  19.12    18.71    10.60  72.12  71.71  72.12  71.71  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33476  Revision of heart chamber                         A  26.57  13.32NA  13.27NA  13.32    13.27     6.64  46.53  46.48  46.53  46.48  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33478  Revision of heart chamber                         A  27.54  14.02NA  13.47NA  14.02    13.47     6.89  48.45  47.90  48.45  47.90  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33496  Repair prosth valve clot                          A  29.84  14.62NA  14.15NA  14.62    14.15     6.98  51.44  50.97  51.44  50.97  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3350F  Mammo bx proven malig 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             33.9764 090 99      0.00   0.00   0.00
33500  Repair heart vessel fistula                       A  27.94  13.73NA  13.22NA  13.73    13.22     6.98  48.65  48.14  48.65  48.14  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33501  Repair heart vessel fistula                       A  19.51  10.11NA   9.87NA  10.11     9.87     4.89  34.51  34.27  34.51  34.27  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
33502  Coronary artery correction                        A  21.85  11.88NA  11.49NA  11.88    11.49     5.46  39.19  38.80  39.19  38.80  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33503  Coronary artery graft                             A  22.51  13.49NA  11.53NA  13.49    11.53     4.93  40.93  38.97  40.93  38.97  0090.09.84.0720010             33.9764 090 99      0.00   0.00   0.00
33504  Coronary artery graft                             A  25.46  13.09NA  12.79NA  13.09    12.79     6.36  44.91  44.61  44.91  44.61  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33505  Repair artery w/tunnel                            A  38.40  15.65NA  15.32NA  15.65    15.32     9.60  63.65  63.32  63.65  63.32  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33506  Repair artery translocation                       A  37.85  20.01NA  22.85NA  20.01    22.85     8.87  66.73  69.57  66.73  69.57  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33507  Repair art intramural                             A  31.40  14.26NA  13.42NA  14.26    13.42     7.35  53.01  52.17  53.01  52.17  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33508  Endoscopic vein harvest                           A   0.31   0.12NA   0.11NA   0.12     0.11     0.07   0.50   0.49   0.50   0.49  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
3351F  Neg scrn dep symp by deptool                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33510  Cabg vein single                                  A  34.98  16.97NA  16.23NA  16.97    16.23     8.41  60.36  59.62  60.36  59.62  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33511  Cabg vein two                                     A  38.45  18.43NA  17.68NA  18.43    17.68     9.25  66.13  65.38  66.13  65.38  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33512  Cabg vein three                                   A  43.98  20.43NA  19.73NA  20.43    19.73    10.60  75.01  74.31  75.01  74.31  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33513  Cabg vein four                                    A  45.37  20.53NA  20.10NA  20.53    20.10    10.97  76.87  76.44  76.87  76.44  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33514  Cabg vein five                                    A  48.08  21.75NA  20.98NA  21.75    20.98    11.54  81.37  80.60  81.37  80.60  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33516  Cabg vein six or more                             A  49.76  22.62NA  21.68NA  22.62    21.68    12.43  84.81  83.87  84.81  83.87  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33517  Cabg artery-vein single                           A   3.61   1.33NA   1.31NA   1.33     1.31     0.86   5.80   5.78   5.80   5.78  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33518  Cabg artery-vein two                              A   7.93   2.88NA   2.89NA   2.88     2.89     1.91  12.72  12.73  12.72  12.73  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33519  Cabg artery-vein three                            A  10.49   3.85NA   3.82NA   3.85     3.82     2.52  16.86  16.83  16.86  16.83  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
3352F  No sig dep symp by dep tool                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33521  Cabg artery-vein four                             A  12.59   4.67NA   4.60NA   4.67     4.60     3.05  20.31  20.24  20.31  20.24  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33522  Cabg artery-vein five                             A  14.14   5.30NA   5.17NA   5.30     5.17     3.43  22.87  22.74  22.87  22.74  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33523  Cabg art-vein six or more                         A  16.08   6.01NA   5.83NA   6.01     5.83     3.87  25.96  25.78  25.96  25.78  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
3353F  Mild-mod dep symp by deptool                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33530  Coronary artery bypass/reop                       A  10.13   3.65NA   3.68NA   3.65     3.68     2.42  16.20  16.23  16.20  16.23  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33533  Cabg arterial single                              A  33.75  16.52NA  15.61NA  16.52    15.61     8.13  58.40  57.49  58.40  57.49  0090.09.82.0920200             33.9764 090 99      0.00   0.00   0.00
33534  Cabg arterial two                                 A  39.88  19.06NA  18.18NA  19.06    18.18     9.58  68.52  67.64  68.52  67.64  0090.09.82.0920200             33.9764 090 99      0.00   0.00   0.00
33535  Cabg arterial three                               A  44.75  20.82NA  19.95NA  20.82    19.95    10.75  76.32  75.45  76.32  75.45  0090.09.82.0920200             33.9764 090 99      0.00   0.00   0.00
33536  Cabg arterial four or more                        A  48.43  21.96NA  21.34NA  21.96    21.34    11.70  82.09  81.47  82.09  81.47  0090.09.82.0920200             33.9764 090 99      0.00   0.00   0.00
3354F  Clin sig dep sym by dep tool                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
33542  Removal of heart lesion                           A  48.21  20.83NA  21.06NA  20.83    21.06    11.64  80.68  80.91  80.68  80.91  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33545  Repair of heart damage                            A  57.06  24.08NA  24.16NA  24.08    24.16    13.68  94.82  94.90  94.82  94.90  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33548  Restore/remodel ventricle                         A  54.14  24.76NA  23.96NA  24.76    23.96    13.11  92.01  91.21  92.01  91.21  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33572  Open coronary endarterectomy                      A   4.44   1.69NA   1.61NA   1.69     1.61     1.08   7.21   7.13   7.21   7.13  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
33600  Closure of valve                                  A  30.31  14.96NA  14.64NA  14.96    14.64     7.08  52.35  52.03  52.35  52.03  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33602  Closure of valve                                  A  29.34  14.31NA  14.29NA  14.31    14.29     6.25  49.90  49.88  49.90  49.88  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33606  Anastomosis/artery-aorta                          A  31.53  16.46NA  16.97NA  16.46    16.97     6.72  54.71  55.22  54.71  55.22  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33608  Repair anomaly w/conduit                          A  31.88  15.98NA  15.19NA  15.98    15.19     7.46  55.32  54.53  55.32  54.53  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33610  Repair by enlargement                             A  31.40  15.46NA  14.86NA  15.46    14.86     7.35  54.21  53.61  54.21  53.61  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33611  Repair double ventricle                           A  35.57  16.04NA  15.36NA  16.04    15.36     8.90  60.51  59.83  60.51  59.83  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33612  Repair double ventricle                           A  36.57  16.18NA  15.54NA  16.18    15.54     7.98  60.73  60.09  60.73  60.09  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33615  Repair modified fontan                            A  35.89  17.26NA  16.21NA  17.26    16.21     8.41  61.56  60.51  61.56  60.51  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33617  Repair single ventricle                           A  39.09  17.73NA  17.38NA  17.73    17.38     9.16  65.98  65.63  65.98  65.63  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33619  Repair single ventricle                           A  48.76  23.63NA  25.72NA  23.63    25.72    11.42  83.81  85.90  83.81  85.90  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33620  Apply r&l pulm art bands                          A  30.00  13.40NA  13.40NA  13.40    13.40     7.50  50.90  50.90  50.90  50.90  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33621  Transthor cath for stent                          A  16.18   7.39NA   7.39NA   7.39     7.39     3.76  27.33  27.33  27.33  27.33  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33622  Redo compl cardiac anomaly                        A  64.00  28.20NA  28.20NA  28.20    28.20    14.98 107.18 107.18 107.18 107.18  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33641  Repair heart septum defect                        A  29.58  13.70NA  13.76NA  13.70    13.76     7.12  50.40  50.46  50.40  50.46  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33645  Revision of heart veins                           A  28.10  13.73NA  13.19NA  13.73    13.19     7.02  48.85  48.31  48.85  48.31  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33647  Repair heart septum defects                       A  29.53  15.31NA  14.36NA  15.31    14.36     7.38  52.22  51.27  52.22  51.27  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33660  Repair of heart defects                           A  31.83  17.56NA  20.04NA  17.56    20.04     7.96  57.35  59.83  57.35  59.83  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33665  Repair of heart defects                           A  34.85  15.75NA  15.11NA  15.75    15.11     8.74  59.34  58.70  59.34  58.70  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33670  Repair of heart chambers                          A  36.63  15.45NA  14.78NA  15.45    14.78     9.17  61.25  60.58  61.25  60.58  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33675  Close mult vsd                                    A  35.95  16.00NA  15.37NA  16.00    15.37     8.98  60.93  60.30  60.93  60.30  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33676  Close mult vsd w/resection                        A  36.95  18.12NA  18.56NA  18.12    18.56     2.63  57.70  58.14  57.70  58.14  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33677  Cl mult vsd w/rem pul band                        A  38.45  15.78NA  13.36NA  15.78    13.36     2.74  56.97  54.55  56.97  54.55  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33681  Repair heart septum defect                        A  32.34  16.46NA  16.15NA  16.46    16.15     7.80  56.60  56.29  56.60  56.29  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33684  Repair heart septum defect                        A  34.37  15.57NA  14.94NA  15.57    14.94     8.60  58.54  57.91  58.54  57.91  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33688  Repair heart septum defect                        A  34.75  14.56NA  14.22NA  14.56    14.22     8.70  58.01  57.67  58.01  57.67  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33690  Reinforce pulmonary artery                        A  20.36  12.29NA  13.21NA  12.29    13.21     4.76  37.41  38.33  37.41  38.33  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33692  Repair of heart defects                           A  31.54  15.90NA  16.26NA  15.90    16.26     2.23  49.67  50.03  49.67  50.03  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33694  Repair of heart defects                           A  35.57  16.18NA  15.19NA  16.18    15.19     8.90  60.65  59.66  60.65  59.66  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33697  Repair of heart defects                           A  37.57  18.53NA  16.36NA  18.53    16.36     8.19  64.29  62.12  64.29  62.12  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3370F  AJCC brst cncr 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             33.9764 090 99      0.00   0.00   0.00
33702  Repair of heart defects                           A  27.24  13.52NA  13.21NA  13.52    13.21     6.81  47.57  47.26  47.57  47.26  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33710  Repair of heart defects                           A  30.41  17.03NA  14.17NA  17.03    14.17     7.12  54.56  51.70  54.56  51.70  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
3372F  Ajcc brst cncr stage 1 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             33.9764 090 99      0.00   0.00   0.00
33720  Repair of heart defect                            A  27.26  13.71NA  13.08NA  13.71    13.08     6.38  47.35  46.72  47.35  46.72  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33722  Repair of heart defect                            A  29.21  14.53NA  15.24NA  14.53    15.24     7.29  51.03  51.74  51.03  51.74  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33724  Repair venous anomaly                             A  27.63  13.49NA  12.54NA  13.49    12.54     6.45  47.57  46.62  47.57  46.62  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33726  Repair pul venous stenosis                        A  37.12  18.54NA  19.30NA  18.54    19.30     9.28  64.94  65.70  64.94  65.70  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33730  Repair heart-vein defect(s)                       A  36.14  15.93NA  16.05NA  15.93    16.05     9.05  61.12  61.24  61.12  61.24  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33732  Repair heart-vein defect                          A  28.96  14.68NA  14.16NA  14.68    14.16     7.24  50.88  50.36  50.88  50.36  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33735  Revision of heart chamber                         A  22.20  11.92NA  11.66NA  11.92    11.66     5.57  39.69  39.43  39.69  39.43  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33736  Revision of heart chamber                         A  24.32  12.86NA  12.40NA  12.86    12.40     6.07  43.25  42.79  43.25  42.79  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33737  Revision of heart chamber                         A  22.47  11.89NA  11.41NA  11.89    11.41     5.27  39.63  39.15  39.63  39.15  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3374F  Ajcc brst cncr stage 1 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             33.9764 090 99      0.00   0.00   0.00
33750  Major vessel shunt                                A  22.22  12.09NA   9.50NA  12.09     9.50     7.98  42.29  39.70  42.29  39.70  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33755  Major vessel shunt                                A  22.60  11.96NA  11.92NA  11.96    11.92     4.94  39.50  39.46  39.50  39.46  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3376F  AJCC brstcncr stage 2 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             33.9764 090 99      0.00   0.00   0.00
33762  Major vessel shunt                                A  22.60  12.19NA  12.35NA  12.19    12.35     1.61  36.40  36.56  36.40  36.56  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33764  Major vessel shunt & graft                        A  22.60  12.34NA  13.16NA  12.34    13.16     4.83  39.77  40.59  39.77  40.59  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33766  Major vessel shunt                                A  23.57  12.55NA  11.15NA  12.55    11.15     5.13  41.25  39.85  41.25  39.85  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33767  Major vessel shunt                                A  25.30  12.05NA  11.88NA  12.05    11.88     6.33  43.68  43.51  43.68  43.51  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33768  Cavopulmonary shunting                            A   8.00   3.40NA   3.51NA   3.40     3.51     0.56  11.96  12.07  11.96  12.07  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
33770  Repair great vessels defect                       A  39.07  16.78NA  15.94NA  16.78    15.94     9.16  65.01  64.17  65.01  64.17  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33771  Repair great vessels defect                       A  40.63  18.41NA  19.28NA  18.41    19.28     2.90  61.94  62.81  61.94  62.81  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33774  Repair great vessels defect                       A  31.73  15.89NA  15.18NA  15.89    15.18     7.93  55.55  54.84  55.55  54.84  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33775  Repair great vessels defect                       A  32.99  17.45NA  17.61NA  17.45    17.61     2.33  52.77  52.93  52.77  52.93  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33776  Repair great vessels defect                       A  34.75  18.53NA  18.72NA  18.53    18.72     2.45  55.73  55.92  55.73  55.92  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33777  Repair great vessels defect                       A  34.17  14.80NA  12.30NA  14.80    12.30     2.42  51.39  48.89  51.39  48.89  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33778  Repair great vessels defect                       A  42.75  21.14NA  21.61NA  21.14    21.61     3.05  66.94  67.41  66.94  67.41  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33779  Repair great vessels defect                       A  43.23  20.08NA  20.70NA  20.08    20.70     3.09  66.40  67.02  66.40  67.02  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3378F  AJCC brstcncr stage 3 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             33.9764 090 99      0.00   0.00   0.00
33780  Repair great vessels defect                       A  43.90  21.07NA  21.18NA  21.07    21.18     3.13  68.10  68.21  68.10  68.21  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33781  Repair great vessels defect                       A  43.21  19.52NA  20.41NA  19.52    20.41     3.09  65.82  66.71  65.82  66.71  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33782  Nikaidoh proc                                     A  60.08  24.03NA  24.03NA  24.03    24.03    14.07  98.18  98.18  98.18  98.18  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33783  Nikaidoh proc w/ostia implt                       A  65.08  25.79NA  25.79NA  25.79    25.79    15.24 106.11 106.11 106.11 106.11  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33786  Repair arterial trunk                             A  41.87  18.27NA  17.27NA  18.27    17.27     2.98  63.12  62.12  63.12  62.12  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33788  Revision of pulmonary artery                      A  27.42  13.26NA  12.49NA  13.26    12.49     1.93  42.61  41.84  42.61  41.84  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3380F  AJCC brstcncr stage 4 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             33.9764 090 99      0.00   0.00   0.00
33800  Aortic suspension                                 A  17.28   8.59NA   8.48NA   8.59     8.48     4.31  30.18  30.07  30.18  30.07  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
33802  Repair vessel defect                              A  18.37  11.01NA  11.96NA  11.01    11.96     4.60  33.98  34.93  33.98  34.93  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33803  Repair vessel defect                              A  20.31   9.78NA   9.68NA   9.78     9.68     5.08  35.17  35.07  35.17  35.07  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33813  Repair septal defect                              A  21.36  13.02NA  12.33NA  13.02    12.33     5.01  39.39  38.70  39.39  38.70  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33814  Repair septal defect                              A  26.57  13.72NA  13.18NA  13.72    13.18     6.64  46.93  46.39  46.93  46.39  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3382F  AJCC cln cncr 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             33.9764 090 99      0.00   0.00   0.00
33820  Revise major vessel                               A  16.69   9.16NA   8.71NA   9.16     8.71     4.18  30.03  29.58  30.03  29.58  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33822  Revise major vessel                               A  17.71  10.08NA  10.09NA  10.08    10.09     1.25  29.04  29.05  29.04  29.05  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33824  Revise major vessel                               A  20.23  11.56NA  11.80NA  11.56    11.80     4.74  36.53  36.77  36.53  36.77  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3384F  AJCC cln cncr stage 1 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             33.9764 090 99      0.00   0.00   0.00
33840  Remove aorta constriction                         A  21.34  12.10NA  13.25NA  12.10    13.25     5.34  38.78  39.93  38.78  39.93  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33845  Remove aorta constriction                         A  22.93  13.02NA  11.91NA  13.02    11.91     5.73  41.68  40.57  41.68  40.57  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33851  Remove aorta constriction                         A  21.98  15.11NA  18.42NA  15.11    18.42     5.48  42.57  45.88  42.57  45.88  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33852  Repair septal defect                              A  24.41  12.41NA  11.77NA  12.41    11.77     6.10  42.92  42.28  42.92  42.28  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33853  Repair septal defect                              A  32.51  16.71NA  15.25NA  16.71    15.25     8.14  57.36  55.90  57.36  55.90  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3386F  AJCC cln cncr stage 2 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             33.9764 090 99      0.00   0.00   0.00
33860  Ascending aortic graft                            A  59.46  25.06NA  24.99NA  25.06    24.99    14.25  98.77  98.70  98.77  98.70  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33863  Ascending aortic graft                            A  58.79  24.53NA  23.92NA  24.53    23.92    14.07  97.39  96.78  97.39  96.78  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33864  Ascending aortic graft                            A  60.08  25.30NA  24.32NA  25.30    24.32    14.32  99.70  98.72  99.70  98.72  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33870  Transverse aortic arch graft                      A  46.06  20.87NA  20.01NA  20.87    20.01    11.00  77.93  77.07  77.93  77.07  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33875  Thoracic aortic graft                             A  35.78  17.08NA  17.12NA  17.08    17.12     8.55  61.41  61.45  61.41  61.45  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33877  Thoracoabdominal graft                            A  69.03  26.18NA  26.54NA  26.18    26.54    16.35 111.56 111.92 111.56 111.92  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
3388F  AJCC cln cncr stage 3 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             33.9764 090 99      0.00   0.00   0.00
33880  Endovasc taa repr incl subcl                      A  34.58  14.32NA  13.59NA  14.32    13.59     7.72  56.62  55.89  56.62  55.89  0090.09.84.0722220             33.9764 090 99      0.00   0.00   0.00
33881  Endovasc taa repr w/o subcl                       A  29.58  12.53NA  11.96NA  12.53    11.96     6.60  48.71  48.14  48.71  48.14  0090.09.84.0722220             33.9764 090 99      0.00   0.00   0.00
33883  Insert endovasc prosth taa                        A  21.09   9.52NA   9.12NA   9.52     9.12     4.70  35.31  34.91  35.31  34.91  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
33884  Endovasc prosth taa add-on                        A   8.20   2.83NA   2.76NA   2.83     2.76     1.84  12.87  12.80  12.87  12.80  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
33886  Endovasc prosth delayed                           A  18.09   8.26NA   7.94NA   8.26     7.94     4.30  30.65  30.33  30.65  30.33  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
33889  Artery transpose/endovas taa                      A  15.92   5.49NA   5.46NA   5.49     5.46     3.78  25.19  25.16  25.19  25.16  0000.00.00.0021220             33.9764 090 99      0.00   0.00   0.00
33891  Car-car bp grft/endovas taa                       A  20.00   6.36NA   5.94NA   6.36     5.94     4.75  31.11  30.69  31.11  30.69  0000.00.00.0021220             33.9764 090 99      0.00   0.00   0.00
3390F  AJCC cln cncr stage 4 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             33.9764 090 99      0.00   0.00   0.00
33910  Remove lung artery emboli                         A  29.71  14.59NA  14.26NA  14.59    14.26     7.42  51.72  51.39  51.72  51.39  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33915  Remove lung artery emboli                         A  24.95  11.40NA  11.10NA  11.40    11.10     5.44  41.79  41.49  41.79  41.49  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33916  Surgery of great vessel                           A  28.42  14.93NA  13.26NA  14.93    13.26     7.10  50.45  48.78  50.45  48.78  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33917  Repair pulmonary artery                           A  25.30  14.10NA  12.87NA  14.10    12.87     5.92  45.32  44.09  45.32  44.09  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33920  Repair pulmonary atresia                          A  32.74  15.15NA  14.50NA  15.15    14.50     8.18  56.07  55.42  56.07  55.42  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33922  Transect pulmonary artery                         A  24.22  12.42NA  12.02NA  12.42    12.02     6.06  42.70  42.30  42.70  42.30  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33924  Remove pulmonary shunt                            A   5.49   1.99NA   1.91NA   1.99     1.91     1.28   8.76   8.68   8.76   8.68  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
33925  Rpr pul art unifocal w/o cpb                      A  31.30  14.60NA  13.54NA  14.60    13.54     7.32  53.22  52.16  53.22  52.16  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
33926  Repr pul art unifocal w/cpb                       A  44.73  21.91NA  26.73NA  21.91    26.73    11.17  77.81  82.63  77.81  82.63  0090.09.84.0720210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
33935  Transplantation heart/lung                        R  62.01  29.24NA  27.88NA  29.24    27.88    15.50 106.75 105.39 106.75 105.39  0090.09.84.0720212             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
33945  Transplantation of heart                          R  89.50  37.02NA  37.34NA  37.02    37.34    21.34 147.86 148.18 147.86 148.18  0090.09.84.0720212             33.9764 090 99      0.00   0.00   0.00
33960  External circulation assist                       A  19.33   7.08NA   7.10NA   7.08     7.10     3.82  30.23  30.25  30.23  30.25  0000.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
33961  External circulation assist                       A  10.91   4.13NA   4.00NA   4.13     4.00     1.66  16.70  16.57  16.70  16.57  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
33967  Insert ia percut device                           A   4.84   2.34NA   1.87NA   2.34     1.87     1.08   8.26   7.79   8.26   7.79  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
33968  Remove aortic assist device                       A   0.64   0.28NA   0.25NA   0.28     0.25     0.14   1.06   1.03   1.06   1.03  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
33970  Aortic circulation assist                         A   6.74   2.84NA   2.49NA   2.84     2.49     1.57  11.15  10.80  11.15  10.80  0000.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
33971  Aortic circulation assist                         A  11.99   7.20NA   6.70NA   7.20     6.70     2.80  21.99  21.49  21.99  21.49  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33973  Insert balloon device                             A   9.75   4.17NA   3.65NA   4.17     3.65     2.26  16.18  15.66  16.18  15.66  0000.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
33974  Remove intra-aortic balloon                       A  15.03   8.94NA   7.89NA   8.94     7.89     3.77  27.74  26.69  27.74  26.69  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
33975  Implant ventricular device                        A  20.97   7.99NA   7.62NA   7.99     7.62     4.99  33.95  33.58  33.95  33.58  0XXX.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
33976  Implant ventricular device                        A  22.97   8.96NA   8.11NA   8.96     8.11     5.74  37.67  36.82  37.67  36.82  0XXX.00.00.0022200             33.9764 090 99      0.00   0.00   0.00
33977  Remove ventricular device                         A  20.28  11.93NA  11.38NA  11.93    11.38     4.82  37.03  36.48  37.03  36.48  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33978  Remove ventricular device                         A  22.72  12.75NA  12.43NA  12.75    12.43     5.69  41.16  40.84  41.16  40.84  0090.09.84.0722200             33.9764 090 99      0.00   0.00   0.00
33979  Insert intracorporeal device                      A  45.93  17.31NA  16.41NA  17.31    16.41    11.00  74.24  73.34  74.24  73.34  0XXX.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
33980  Remove intracorporeal device                      A  65.20  30.57NA  29.72NA  30.57    29.72    15.73 111.50 110.65 111.50 110.65  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
33981  Replace vad pump ext                              C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
33982  Replace vad intra w/o bp                          C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
33983  Replace vad intra w/bp                            C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0XXX.00.00.0020200             33.9764 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             33.9764 090 99      0.00   0.00   0.00
34001  Removal of artery clot                            A  17.88   8.60NA   8.81NA   8.60     8.81     4.07  30.55  30.76  30.55  30.76  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34051  Removal of artery clot                            A  16.99   9.16NA   9.07NA   9.16     9.07     4.25  30.40  30.31  30.40  30.31  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34101  Removal of artery clot                            A  10.93   5.69NA   5.65NA   5.69     5.65     2.46  19.08  19.04  19.08  19.04  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34111  Removal of arm artery clot                        A  10.93   5.70NA   5.67NA   5.70     5.67     2.44  19.07  19.04  19.07  19.04  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34151  Removal of artery clot                            A  26.52  11.58NA  11.75NA  11.58    11.75     5.97  44.07  44.24  44.07  44.24  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34201  Removal of artery clot                            A  19.48   8.36NA   8.77NA   8.36     8.77     4.48  32.32  32.73  32.32  32.73  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34203  Removal of leg artery clot                        A  17.86   8.51NA   8.43NA   8.51     8.43     4.11  30.48  30.40  30.48  30.40  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34401  Removal of vein clot                              A  26.52  13.90NA  14.53NA  13.90    14.53     5.66  46.08  46.71  46.08  46.71  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34421  Removal of vein clot                              A  13.37   6.86NA   6.83NA   6.86     6.83     2.97  23.20  23.17  23.20  23.17  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34451  Removal of vein clot                              A  28.52  11.37NA  10.32NA  11.37    10.32     6.78  46.67  45.62  46.67  45.62  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34471  Removal of vein clot                              A  21.11  10.41NA  12.18NA  10.41    12.18     4.50  36.02  37.79  36.02  37.79  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
34490  Removal of vein clot                              A  10.91   5.95NA   6.03NA   5.95     6.03     2.42  19.28  19.36  19.28  19.36  0090.09.84.0721100             33.9764 090 99      0.00   0.00   0.00
3450F  Dyspnea scrnd no-mild dysp                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
34501  Repair valve femoral vein                         A  16.85   8.24NA   7.48NA   8.24     7.48     4.00  29.09  28.33  29.09  28.33  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34502  Reconstruct vena cava                             A  28.07  13.45NA  13.11NA  13.45    13.11     5.89  47.41  47.07  47.41  47.07  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
3451F  Dyspnea scrnd mod-high dysp                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
34510  Transposition of vein valve                       A  19.91  10.62NA  11.68NA  10.62    11.68     4.23  34.76  35.82  34.76  35.82  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3452F  Dyspnea not screened                              I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
34520  Cross-over vein graft                             A  19.18   8.35NA   7.66NA   8.35     7.66     4.55  32.08  31.39  32.08  31.39  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
34530  Leg vein fusion                                   A  17.93   8.30NA   7.59NA   8.30     7.59     3.82  30.05  29.34  30.05  29.34  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3455F  TB scrng done-interpd 6mon                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3470F  Ra disease activity low                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3471F  Ra disease activity mod                           M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3472F  Ra disease activity high                          M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3475F  Disease progn RA poor 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             33.9764 090 99      0.00   0.00   0.00
3476F  Disease progn RA good 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             33.9764 090 99      0.00   0.00   0.00
34800  Endovas aaa repr w/sm tube                        A  21.54   9.52NA   9.02NA   9.52     9.02     4.57  35.63  35.13  35.63  35.13  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
34802  Endovas aaa repr w/2-p part                       A  23.79  10.50NA  10.09NA  10.50    10.09     5.09  39.38  38.97  39.38  38.97  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
34803  Endovas aaa repr w/3-p part                       A  24.82  10.53NA  10.18NA  10.53    10.18     5.34  40.69  40.34  40.69  40.34  0090.09.84.0722220             33.9764 090 99      0.00   0.00   0.00
34804  Endovas aaa repr w/1-p part                       A  23.79  10.49NA  10.07NA  10.49    10.07     5.14  39.42  39.00  39.42  39.00  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
34805  Endovas aaa repr w/long tube                      A  22.67   9.77NA   9.58NA   9.77     9.58     5.04  37.48  37.29  37.48  37.29  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
34806  Aneurysm press sensor add-on                      A   2.06   0.74NA   0.69NA   0.74     0.69     0.45   3.25   3.20   3.25   3.20  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
34808  Endovas iliac a device addon                      A   4.12   1.44NA   1.42NA   1.44     1.42     0.90   6.46   6.44   6.46   6.44  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
34812  Xpose for endoprosth femorl                       A   6.74   2.33NA   2.33NA   2.33     2.33     1.55  10.62  10.62  10.62  10.62  0000.00.00.0021220             33.9764 090 99      0.00   0.00   0.00
34813  Femoral endovas graft add-on                      A   4.79   1.61NA   1.61NA   1.61     1.61     1.10   7.50   7.50   7.50   7.50  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
34820  Xpose for endoprosth iliac                        A   9.74   3.39NA   3.33NA   3.39     3.33     2.18  15.31  15.25  15.31  15.25  0000.00.00.0021220             33.9764 090 99      0.00   0.00   0.00
34825  Endovasc extend prosth init                       A  12.80   6.54NA   6.25NA   6.54     6.25     2.75  22.09  21.80  22.09  21.80  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
34826  Endovasc exten prosth addl                        A   4.12   1.48NA   1.43NA   1.48     1.43     0.88   6.48   6.43   6.48   6.43  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
34830  Open aortic tube prosth repr                      A  35.23  13.45NA  12.40NA  13.45    12.40     8.36  57.04  55.99  57.04  55.99  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
34831  Open aortoiliac prosth repr                       A  37.98  13.86NA  13.22NA  13.86    13.22     9.02  60.86  60.22  60.86  60.22  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
34832  Open aortofemor prosth repr                       A  37.98  14.33NA  13.22NA  14.33    13.22     9.02  61.33  60.22  61.33  60.22  0090.09.84.0720220             33.9764 090 99      0.00   0.00   0.00
34833  Xpose for endoprosth iliac                        A  11.98   4.48NA   4.38NA   4.48     4.38     2.79  19.25  19.15  19.25  19.15  0000.00.00.0021220             33.9764 090 99      0.00   0.00   0.00
34834  Xpose endoprosth brachial                         A   5.34   2.12NA   2.05NA   2.12     2.05     1.24   8.70   8.63   8.70   8.63  0000.00.00.0021220             33.9764 090 99      0.00   0.00   0.00
3490F  History aids-defining cond                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
34900  Endovasc iliac repr w/graft                       A  16.85   7.93NA   7.60NA   7.93     7.60     3.58  28.36  28.03  28.36  28.03  0090.09.84.0721220             33.9764 090 99      0.00   0.00   0.00
3491F  HIV unsure baby of HIV+moms                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3492F  History cd4+ cell count <350                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3493F  No hist cd4+ cell count<350                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3494F  CD4+cell count <200cells/mm3                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3495F  Cd4+cell cnt 200-499 cells                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3496F  Cd4+ cell count + 500 cells                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3497F  CD4+ cell percentage <15%                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3498F  Cd4+ cell % >=15% (hiv)                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
3500F  Cd4+cell cnt/% docd as 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             33.9764 090 99      0.00   0.00   0.00
35001  Repair defect of artery                           A  20.81  10.00NA   9.69NA  10.00     9.69     4.82  35.63  35.32  35.63  35.32  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35002  Repair artery rupture neck                        A  22.23   9.52NA   8.53NA   9.52     8.53     4.75  36.50  35.51  36.50  35.51  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35005  Repair defect of artery                           A  19.29  10.75NA  11.52NA  10.75    11.52     4.57  34.61  35.38  34.61  35.38  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35011  Repair defect of artery                           A  18.58   8.62NA   8.66NA   8.62     8.66     4.22  31.42  31.46  31.42  31.46  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35013  Repair artery rupture arm                         A  23.23  10.81NA  11.10NA  10.81    11.10     5.28  39.32  39.61  39.32  39.61  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3502F  HIV rna vrl ld <lmts quantif                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35021  Repair defect of artery                           A  22.17   9.93NA   8.74NA   9.93     8.74     5.20  37.30  36.11  37.30  36.11  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35022  Repair artery rupture chest                       A  25.70  11.99NA  12.10NA  11.99    12.10     6.02  43.71  43.82  43.71  43.82  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3503F  HIV rna vrl ldnot<lmts quntf                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35045  Repair defect of arm artery                       A  18.01   8.80NA   9.15NA   8.80     9.15     4.00  30.81  31.16  30.81  31.16  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35081  Repair defect of artery                           A  33.53  14.14NA  14.38NA  14.14    14.38     7.77  55.44  55.68  55.44  55.68  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35082  Repair artery rupture aorta                       A  42.09  17.39NA  17.66NA  17.39    17.66     9.66  69.14  69.41  69.14  69.41  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35091  Repair defect of artery                           A  35.35  13.62NA  13.33NA  13.62    13.33     8.19  57.16  56.87  57.16  56.87  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35092  Repair artery rupture aorta                       A  50.97  19.62NA  19.63NA  19.62    19.63    11.79  82.38  82.39  82.38  82.39  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3510F  Doc tb scrng-rslts interpd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35102  Repair defect of artery                           A  36.53  14.90NA  15.01NA  14.90    15.01     8.45  59.88  59.99  59.88  59.99  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35103  Repair artery rupture groin                       A  43.62  17.32NA  17.28NA  17.32    17.28     9.99  70.93  70.89  70.93  70.89  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3511F  Chlmyd/gonrh tsts 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             33.9764 090 99      0.00   0.00   0.00
35111  Repair defect of artery                           A  26.28  13.01NA  14.43NA  13.01    14.43     5.61  44.90  46.32  44.90  46.32  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35112  Repair artery rupture spleen                      A  32.57  15.60NA  17.32NA  15.60    17.32     6.94  55.11  56.83  55.11  56.83  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3512F  Syph scrng docd as 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             33.9764 090 99      0.00   0.00   0.00
35121  Repair defect of artery                           A  31.52  13.36NA  13.58NA  13.36    13.58     7.25  52.13  52.35  52.13  52.35  0090.09.84.0721200             33.9764 090 99      0.00   0.00   0.00
35122  Repair artery rupture belly                       A  37.89  14.50NA  13.19NA  14.50    13.19     8.08  60.47  59.16  60.47  59.16  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3513F  Hep B scrng docd as done                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35131  Repair defect of artery                           A  26.40  11.63NA  11.54NA  11.63    11.54     6.10  44.13  44.04  44.13  44.04  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35132  Repair artery rupture groin                       A  32.57  12.57NA  11.61NA  12.57    11.61     7.44  52.58  51.62  52.58  51.62  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3514F  Hep C scrng docd as done                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35141  Repair defect of artery                           A  20.91   9.35NA   9.30NA   9.35     9.30     4.83  35.09  35.04  35.09  35.04  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35142  Repair artery rupture thigh                       A  25.16  11.09NA  10.96NA  11.09    10.96     5.78  42.03  41.90  42.03  41.90  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3515F  Pt has docd immun to hep C                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35151  Repair defect of artery                           A  23.72  10.42NA  10.35NA  10.42    10.35     5.47  39.61  39.54  39.61  39.54  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35152  Repair artery rupture knee                        A  27.66  11.14NA  10.15NA  11.14    10.15     6.57  45.37  44.38  45.37  44.38  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35180  Repair blood vessel lesion                        A  15.10  10.08NA  11.34NA  10.08    11.34     3.58  28.76  30.02  28.76  30.02  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35182  Repair blood vessel lesion                        A  31.71  14.96NA  14.73NA  14.96    14.73     6.76  53.43  53.20  53.43  53.20  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35184  Repair blood vessel lesion                        A  18.82   9.07NA   9.29NA   9.07     9.29     4.01  31.90  32.12  31.90  32.12  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35188  Repair blood vessel lesion                        A  15.16   7.30NA   6.43NA   7.30     6.43     3.24  25.70  24.83  25.70  24.83  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35189  Repair blood vessel lesion                        A  29.98  14.69NA  16.19NA  14.69    16.19     7.50  52.17  53.67  52.17  53.67  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35190  Repair blood vessel lesion                        A  13.42   7.05NA   7.11NA   7.05     7.11     3.06  23.53  23.59  23.53  23.59  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35201  Repair blood vessel lesion                        A  16.93   8.66NA   8.76NA   8.66     8.76     3.76  29.35  29.45  29.35  29.45  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35206  Repair blood vessel lesion                        A  13.84   7.20NA   7.37NA   7.20     7.37     3.06  24.10  24.27  24.10  24.27  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35207  Repair blood vessel lesion                        A  10.94   9.19NA   9.85NA   9.19     9.85     1.93  22.06  22.72  22.06  22.72  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
35211  Repair blood vessel lesion                        A  24.58  12.26NA  12.00NA  12.26    12.00     5.91  42.75  42.49  42.75  42.49  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35216  Repair blood vessel lesion                        A  36.61  16.92NA  17.86NA  16.92    17.86     8.64  62.17  63.11  62.17  63.11  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35221  Repair blood vessel lesion                        A  26.62  11.72NA  12.22NA  11.72    12.22     5.83  44.17  44.67  44.17  44.67  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35226  Repair blood vessel lesion                        A  15.30   7.56NA   7.36NA   7.56     7.36     3.52  26.38  26.18  26.38  26.18  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35231  Repair blood vessel lesion                        A  21.16  11.15NA  11.47NA  11.15    11.47     4.16  36.47  36.79  36.47  36.79  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35236  Repair blood vessel lesion                        A  18.02   8.62NA   8.69NA   8.62     8.69     3.99  30.63  30.70  30.63  30.70  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35241  Repair blood vessel lesion                        A  25.58  13.13NA  13.22NA  13.13    13.22     6.30  45.01  45.10  45.01  45.10  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35246  Repair blood vessel lesion                        A  28.23  12.01NA  10.44NA  12.01    10.44     6.70  46.94  45.37  46.94  45.37  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35251  Repair blood vessel lesion                        A  31.91  13.41NA  13.92NA  13.41    13.92     7.00  52.32  52.83  52.32  52.83  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35256  Repair blood vessel lesion                        A  19.06   8.68NA   8.59NA   8.68     8.59     4.36  32.10  32.01  32.10  32.01  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35261  Repair blood vessel lesion                        A  18.96   9.40NA   9.51NA   9.40     9.51     4.64  33.00  33.11  33.00  33.11  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35266  Repair blood vessel lesion                        A  15.83   7.67NA   7.72NA   7.67     7.72     3.62  27.12  27.17  27.12  27.17  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35271  Repair blood vessel lesion                        A  24.58  12.24NA  12.01NA  12.24    12.01     6.14  42.96  42.73  42.96  42.73  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35276  Repair blood vessel lesion                        A  25.83  12.75NA  12.55NA  12.75    12.55     6.04  44.62  44.42  44.62  44.42  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35281  Repair blood vessel lesion                        A  30.06  13.29NA  13.68NA  13.29    13.68     6.79  50.14  50.53  50.14  50.53  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35286  Repair blood vessel lesion                        A  17.19   8.47NA   8.39NA   8.47     8.39     3.96  29.62  29.54  29.62  29.54  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35301  Rechanneling of artery                            A  19.61   9.05NA   9.03NA   9.05     9.03     4.56  33.22  33.20  33.22  33.20  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35302  Rechanneling of artery                            A  21.35   9.15NA   9.38NA   9.15     9.38     4.93  35.43  35.66  35.43  35.66  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35303  Rechanneling of artery                            A  23.60  10.05NA  10.40NA  10.05    10.40     5.43  39.08  39.43  39.08  39.43  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35304  Rechanneling of artery                            A  24.60  10.22NA  10.46NA  10.22    10.46     5.65  40.47  40.71  40.47  40.71  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35305  Rechanneling of artery                            A  23.60   9.96NA  10.27NA   9.96    10.27     5.43  38.99  39.30  38.99  39.30  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35306  Rechanneling of artery                            A   9.25   3.50NA   4.02NA   3.50     4.02     2.19  14.94  15.46  14.94  15.46  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
35311  Rechanneling of artery                            A  28.60  12.45NA  12.22NA  12.45    12.22     6.70  47.75  47.52  47.75  47.52  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35321  Rechanneling of artery                            A  16.59   7.84NA   7.83NA   7.84     7.83     3.77  28.20  28.19  28.20  28.19  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35331  Rechanneling of artery                            A  27.72  12.27NA  12.12NA  12.27    12.12     6.44  46.43  46.28  46.43  46.28  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35341  Rechanneling of artery                            A  26.21  11.14NA  10.89NA  11.14    10.89     6.06  43.41  43.16  43.41  43.16  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35351  Rechanneling of artery                            A  24.61  10.45NA  10.49NA  10.45    10.49     5.65  40.71  40.75  40.71  40.75  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35355  Rechanneling of artery                            A  19.86   8.60NA   8.54NA   8.60     8.54     4.56  33.02  32.96  33.02  32.96  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35361  Rechanneling of artery                            A  30.24  11.89NA  10.92NA  11.89    10.92     7.19  49.32  48.35  49.32  48.35  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35363  Rechanneling of artery                            A  32.35  14.57NA  14.26NA  14.57    14.26     7.57  54.49  54.18  54.49  54.18  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35371  Rechanneling of artery                            A  15.31   7.24NA   7.24NA   7.24     7.24     3.52  26.07  26.07  26.07  26.07  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35372  Rechanneling of artery                            A  18.58   8.32NA   8.26NA   8.32     8.26     4.26  31.16  31.10  31.16  31.10  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35390  Reoperation carotid add-on                        A   3.19   1.12NA   1.11NA   1.12     1.11     0.73   5.04   5.03   5.04   5.03  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
35400  Angioscopy                                        A   3.00   1.05NA   1.01NA   1.05     1.01     0.68   4.73   4.69   4.73   4.69  0ZZZ.00.00.0000010             33.9764 090 99      0.00   0.00   0.00
35450  Repair arterial blockage                          A  10.05   3.91NA   3.80NA   3.91     3.80     2.25  16.21  16.10  16.21  16.10  0000.00.00.0021210             33.9764 090 99      0.00   0.00   0.00
35452  Repair arterial blockage                          A   6.90   2.80NA   2.78NA   2.80     2.78     1.58  11.28  11.26  11.28  11.26  0000.00.00.0021210             33.9764 090 99      0.00   0.00   0.00
35458  Repair arterial blockage                          A   9.48   3.78NA   3.78NA   3.78     3.78     2.14  15.40  15.40  15.40  15.40  0000.00.00.0021210             33.9764 090 99      0.00   0.00   0.00
35460  Repair venous blockage                            A   6.03   2.47NA   2.53NA   2.47     2.53     1.32   9.82   9.88   9.82   9.88  0000.00.00.0021110             33.9764 090 99      0.00   0.00   0.00
35471  Repair arterial blockage                          A  10.05  74.92    60.97     4.78     3.97     1.99  86.96  73.01  16.82  16.01  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
35472  Repair arterial blockage                          A   6.90  54.63    47.54     3.09     2.78     1.44  62.97  55.88  11.43  11.12  0000.00.00.0021010             33.9764 090 99      0.00   0.00   0.00
35475  Repair arterial blockage                          R   9.48  57.34    53.95     4.08     3.76     1.52  68.34  64.95  15.08  14.76  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
35476  Repair venous blockage                            A   6.03  44.78    42.20     2.70     2.51     0.83  51.64  49.06   9.56   9.37  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
3550F  Low rsk thromboembolism                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35500  Harvest vein for bypass                           A   6.44   2.21NA   2.21NA   2.21     2.21     1.50  10.15  10.15  10.15  10.15  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
35501  Artery bypass graft                               A  29.09  13.89NA  14.22NA  13.89    14.22     6.70  49.68  50.01  49.68  50.01  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35506  Artery bypass graft                               A  25.33  11.00NA  10.69NA  11.00    10.69     6.02  42.35  42.04  42.35  42.04  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35508  Artery bypass graft                               A  26.09  12.11NA  12.28NA  12.11    12.28     6.52  44.72  44.89  44.72  44.89  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35509  Artery bypass graft                               A  28.09  12.42NA  11.98NA  12.42    11.98     6.67  47.18  46.74  47.18  46.74  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3551F  Intrmed rsk thromboembolism                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35510  Artery bypass graft                               A  24.39   9.82NA   8.92NA   9.82     8.92     5.78  39.99  39.09  39.99  39.09  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35511  Artery bypass graft                               A  22.20  11.62NA  12.92NA  11.62    12.92     5.28  39.10  40.40  39.10  40.40  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35512  Artery bypass graft                               A  23.89   9.53NA   8.77NA   9.53     8.77     5.68  39.10  38.34  39.10  38.34  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35515  Artery bypass graft                               A  26.09  10.13NA   9.93NA  10.13     9.93     6.19  42.41  42.21  42.41  42.21  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35516  Artery bypass graft                               A  24.21   9.03NA   8.83NA   9.03     8.83     5.74  38.98  38.78  38.98  38.78  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35518  Artery bypass graft                               A  22.65   9.29NA   8.27NA   9.29     8.27     5.38  37.32  36.30  37.32  36.30  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3552F  Hgh risk for thromboembolism                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35521  Artery bypass graft                               A  24.13  12.15NA  13.65NA  12.15    13.65     5.73  42.01  43.51  42.01  43.51  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35522  Artery bypass graft                               A  23.15  10.20NA  10.14NA  10.20    10.14     5.48  38.83  38.77  38.83  38.77  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35523  Artery bypass graft                               A  24.13  11.14NA  10.83NA  11.14    10.83     5.48  40.75  40.44  40.75  40.44  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35525  Artery bypass graft                               A  21.69   9.67NA   9.76NA   9.67     9.76     4.83  36.19  36.28  36.19  36.28  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35526  Artery bypass graft                               A  31.55  12.76NA  11.34NA  12.76    11.34     7.89  52.20  50.78  52.20  50.78  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35531  Artery bypass graft                               A  39.11  16.07NA  16.17NA  16.07    16.17     8.91  64.09  64.19  64.09  64.19  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35533  Artery bypass graft                               A  29.92  14.60NA  16.16NA  14.60    16.16     7.10  51.62  53.18  51.62  53.18  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35535  Artery bypass graft                               A  38.13  14.94NA  13.31NA  14.94    13.31     2.71  55.78  54.15  55.78  54.15  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35536  Artery bypass graft                               A  33.73  12.80NA  11.96NA  12.80    11.96     8.02  54.55  53.71  54.55  53.71  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35537  Artery bypass graft                               A  41.88  19.21NA  21.49NA  19.21    21.49     9.94  71.03  73.31  71.03  73.31  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35538  Artery bypass graft                               A  47.03  21.43NA  23.78NA  21.43    23.78    11.16  79.62  81.97  79.62  81.97  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35539  Artery bypass graft                               A  44.11  15.96NA  15.12NA  15.96    15.12    10.48  70.55  69.71  70.55  69.71  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35540  Artery bypass graft                               A  49.33  19.93NA  20.90NA  19.93    20.90    11.35  80.61  81.58  80.61  81.58  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
35548  Artery bypass graft                               A  22.68   9.47NA   8.67NA   9.47     8.67     5.39  37.54  36.74  37.54  36.74  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35549  Artery bypass graft                               A  24.45  13.75NA  16.06NA  13.75    16.06     5.21  43.41  45.72  43.41  45.72  0090.09.84.0722210             33.9764 090 99      0.00   0.00   0.00
3555F  Pt inr measurement performed                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35551  Artery bypass graft                               A  27.83  14.13NA  15.24NA  14.13    15.24     5.95  47.91  49.02  47.91  49.02  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35556  Artery bypass graft                               A  26.75  11.46NA  11.63NA  11.46    11.63     6.14  44.35  44.52  44.35  44.52  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35558  Artery bypass graft                               A  23.13  10.66NA  10.80NA  10.66    10.80     5.34  39.13  39.27  39.13  39.27  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35560  Artery bypass graft                               A  34.03  13.22NA  12.05NA  13.22    12.05     8.08  55.33  54.16  55.33  54.16  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35563  Artery bypass graft                               A  26.12  10.41NA   9.70NA  10.41     9.70     6.19  42.72  42.01  42.72  42.01  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35565  Artery bypass graft                               A  25.13  11.06NA  11.01NA  11.06    11.01     5.74  41.93  41.88  41.93  41.88  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35566  Artery bypass graft                               A  32.35  13.30NA  13.46NA  13.30    13.46     7.50  53.15  53.31  53.15  53.31  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35570  Artery bypass graft                               A  29.15  12.05NA  10.74NA  12.05    10.74     2.07  43.27  41.96  43.27  41.96  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35571  Artery bypass graft                               A  25.52  11.05NA  10.92NA  11.05    10.92     5.89  42.46  42.33  42.46  42.33  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35572  Harvest femoropopliteal vein                      A   6.81   2.54NA   2.47NA   2.54     2.47     1.59  10.94  10.87  10.94  10.87  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
35583  Vein bypass graft                                 A  27.75  11.76NA  11.99NA  11.76    11.99     6.36  45.87  46.10  45.87  46.10  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35585  Vein bypass graft                                 A  32.35  13.59NA  13.77NA  13.59    13.77     7.40  53.34  53.52  53.34  53.52  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35587  Vein bypass graft                                 A  26.21  11.67NA  11.66NA  11.67    11.66     6.04  43.92  43.91  43.92  43.91  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35600  Harvest art for cabg add-on                       A   4.94   1.92NA   1.84NA   1.92     1.84     1.20   8.06   7.98   8.06   7.98  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
35601  Artery bypass graft                               A  27.09  12.78NA  13.22NA  12.78    13.22     6.34  46.21  46.65  46.21  46.65  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35606  Artery bypass graft                               A  22.46   9.70NA   9.59NA   9.70     9.59     5.25  37.41  37.30  37.41  37.30  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35612  Artery bypass graft                               A  16.82   7.79NA   6.93NA   7.79     6.93     4.00  28.61  27.75  28.61  27.75  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35616  Artery bypass graft                               A  21.82  10.67NA  12.00NA  10.67    12.00     4.65  37.14  38.47  37.14  38.47  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35621  Artery bypass graft                               A  21.03   9.13NA   9.07NA   9.13     9.07     4.87  35.03  34.97  35.03  34.97  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35623  Bypass graft not vein                             A  25.92  12.88NA  14.42NA  12.88    14.42     6.14  44.94  46.48  44.94  46.48  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35626  Artery bypass graft                               A  29.14  13.20NA  12.85NA  13.20    12.85     6.98  49.32  48.97  49.32  48.97  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35631  Artery bypass graft                               A  36.03  14.29NA  14.10NA  14.29    14.10     8.42  58.74  58.55  58.74  58.55  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35632  Artery bypass graft                               A  36.13  14.27NA  12.72NA  14.27    12.72     2.57  52.97  51.42  52.97  51.42  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35633  Artery bypass graft                               A  39.11  15.99NA  15.01NA  15.99    15.01     2.78  57.88  56.90  57.88  56.90  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35634  Artery bypass graft                               A  35.33  14.54NA  13.53NA  14.54    13.53     2.50  52.37  51.36  52.37  51.36  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35636  Artery bypass graft                               A  31.75  15.22NA  16.96NA  15.22    16.96     7.54  54.51  56.25  54.51  56.25  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35637  Artery bypass graft                               A  33.05  13.73NA  13.98NA  13.73    13.98     7.65  54.43  54.68  54.43  54.68  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35638  Artery bypass graft                               A  33.60  14.21NA  14.43NA  14.21    14.43     7.83  55.64  55.86  55.64  55.86  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35642  Artery bypass graft                               A  18.94  10.88NA  11.89NA  10.88    11.89     4.49  34.31  35.32  34.31  35.32  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35645  Artery bypass graft                               A  18.43   9.68NA  10.87NA   9.68    10.87     4.61  32.72  33.91  32.72  33.91  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35646  Artery bypass graft                               A  32.98  13.98NA  13.87NA  13.98    13.87     7.59  54.55  54.44  54.55  54.44  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35647  Artery bypass graft                               A  29.73  12.91NA  12.91NA  12.91    12.91     6.90  49.54  49.54  49.54  49.54  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35650  Artery bypass graft                               A  20.16   9.16NA   9.25NA   9.16     9.25     4.60  33.92  34.01  33.92  34.01  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35651  Artery bypass graft                               A  26.08  10.77NA   9.68NA  10.77     9.68     5.58  42.43  41.34  42.43  41.34  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35654  Artery bypass graft                               A  26.28  11.33NA  11.31NA  11.33    11.31     6.07  43.68  43.66  43.68  43.66  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35656  Artery bypass graft                               A  20.47   9.23NA   9.23NA   9.23     9.23     4.71  34.41  34.41  34.41  34.41  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35661  Artery bypass graft                               A  20.35   9.51NA   9.48NA   9.51     9.48     4.70  34.56  34.53  34.56  34.53  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35663  Artery bypass graft                               A  23.93  10.44NA  10.23NA  10.44    10.23     5.47  39.84  39.63  39.84  39.63  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35665  Artery bypass graft                               A  22.35   9.91NA   9.82NA   9.91     9.82     5.12  37.38  37.29  37.38  37.29  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35666  Artery bypass graft                               A  23.66  11.32NA  11.24NA  11.32    11.24     5.44  40.42  40.34  40.42  40.34  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35671  Artery bypass graft                               A  20.77  10.06NA   9.96NA  10.06     9.96     4.78  35.61  35.51  35.61  35.51  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35681  Composite bypass graft                            A   1.60   0.56NA   0.56NA   0.56     0.56     0.37   2.53   2.53   2.53   2.53  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
35682  Composite bypass graft                            A   7.19   2.41NA   2.37NA   2.41     2.37     1.66  11.26  11.22  11.26  11.22  0ZZZ.00.00.0000010             33.9764 090 99      0.00   0.00   0.00
35683  Composite bypass graft                            A   8.49   2.70NA   2.52NA   2.70     2.52     2.00  13.19  13.01  13.19  13.01  0ZZZ.00.00.0000010             33.9764 090 99      0.00   0.00   0.00
35685  Bypass graft patency/patch                        A   4.04   1.37NA   1.37NA   1.37     1.37     0.93   6.34   6.34   6.34   6.34  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
35686  Bypass graft/av fist patency                      A   3.34   1.17NA   1.13NA   1.17     1.13     0.75   5.26   5.22   5.26   5.22  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
35691  Arterial transposition                            A  18.41   7.94NA   7.23NA   7.94     7.23     4.37  30.72  30.01  30.72  30.01  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35693  Arterial transposition                            A  15.73   7.75NA   7.01NA   7.75     7.01     3.74  27.22  26.48  27.22  26.48  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35694  Arterial transposition                            A  19.28   8.58NA   8.52NA   8.58     8.52     4.57  32.43  32.37  32.43  32.37  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35695  Arterial transposition                            A  20.06   8.39NA   7.72NA   8.39     7.72     4.76  33.21  32.54  33.21  32.54  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35697  Reimplant artery each                             A   3.00   1.03NA   1.02NA   1.03     1.02     0.69   4.72   4.71   4.72   4.71  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
3570F  Rprt bone scint xref w xray                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35700  Reoperation bypass graft                          A   3.08   1.07NA   1.06NA   1.07     1.06     0.71   4.86   4.85   4.86   4.85  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
35701  Exploration carotid artery                        A   9.19   6.15NA   6.54NA   6.15     6.54     1.80  17.14  17.53  17.14  17.53  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3572F  Pt consid poss risk fx                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35721  Exploration femoral artery                        A   7.72   4.82NA   4.72NA   4.82     4.72     1.74  14.28  14.18  14.28  14.18  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
3573F  Pt not consid poss risk fx                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
35741  Exploration popliteal artery                      A   8.69   5.21NA   5.30NA   5.21     5.30     1.93  15.83  15.92  15.83  15.92  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35761  Exploration of artery/vein                        A   5.93   4.65NA   4.81NA   4.65     4.81     1.29  11.87  12.03  11.87  12.03  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35800  Explore neck vessels                              A   8.07   5.38NA   5.57NA   5.38     5.57     1.70  15.15  15.34  15.15  15.34  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35820  Explore chest vessels                             A  36.89  15.46NA  15.96NA  15.46    15.96     8.83  61.18  61.68  61.18  61.68  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35840  Explore abdominal vessels                         A  10.96   6.46NA   6.75NA   6.46     6.75     2.35  19.77  20.06  19.77  20.06  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35860  Explore limb vessels                              A   6.80   4.43NA   4.43NA   4.43     4.43     1.55  12.78  12.78  12.78  12.78  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35870  Repair vessel graft defect                        A  24.50  12.26NA  13.79NA  12.26    13.79     5.81  42.57  44.10  42.57  44.10  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35875  Removal of clot in graft                          A  10.72   5.68NA   5.71NA   5.68     5.71     2.44  18.84  18.87  18.84  18.87  0090.09.84.0720110             33.9764 090 99      0.00   0.00   0.00
35876  Removal of clot in graft                          A  17.82   8.09NA   8.10NA   8.09     8.10     4.08  29.99  30.00  29.99  30.00  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35879  Revise graft w/vein                               A  17.41   8.05NA   8.04NA   8.05     8.04     4.01  29.47  29.46  29.47  29.46  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35881  Revise graft w/vein                               A  19.35   8.79NA   8.65NA   8.79     8.65     4.49  32.63  32.49  32.63  32.49  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35883  Revise graft w/nonauto graft                      A  23.15   9.71NA   9.99NA   9.71     9.99     5.34  38.20  38.48  38.20  38.48  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35884  Revise graft w/vein                               A  24.65   9.26NA   8.93NA   9.26     8.93     5.84  39.75  39.42  39.75  39.42  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
35901  Excision graft neck                               A   8.38   5.60NA   5.59NA   5.60     5.59     1.91  15.89  15.88  15.89  15.88  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35903  Excision graft extremity                          A   9.53   6.18NA   6.14NA   6.18     6.14     2.15  17.86  17.82  17.86  17.82  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35905  Excision graft thorax                             A  33.52  12.93NA  11.90NA  12.93    11.90     7.96  54.41  53.38  54.41  53.38  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
35907  Excision graft abdomen                            A  37.27  15.07NA  15.18NA  15.07    15.18     8.59  60.93  61.04  60.93  61.04  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36000  Place needle in vein                              A   0.18   0.53     0.48     0.08     0.08     0.03   0.74   0.69   0.29   0.29  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36002  Pseudoaneurysm injection trt                      A   1.96   2.70     2.44     1.04     0.95     0.30   4.96   4.70   3.30   3.21  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36005  Injection ext venography                          A   0.95   9.19     8.54     0.40     0.35     0.14  10.28   9.63   1.49   1.44  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
36010  Place catheter in vein                            A   2.43  13.93    11.95     0.95     0.88     0.35  16.71  14.73   3.73   3.66  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36011  Place catheter in vein                            A   3.14  23.82    21.52     1.25     1.17     0.44  27.40  25.10   4.83   4.75  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36012  Place catheter in vein                            A   3.51  22.54    21.16     1.44     1.29     0.52  26.57  25.19   5.47   5.32  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36013  Place catheter in artery                          A   2.52  21.22    19.50     1.01     0.94     0.45  24.19  22.47   3.98   3.91  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36014  Place catheter in artery                          A   3.02  22.01    20.49     1.27     1.12     0.33  25.36  23.84   4.62   4.47  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36015  Place catheter in artery                          A   3.51  23.68    21.82     1.46     1.29     0.37  27.56  25.70   5.34   5.17  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36100  Establish access to artery                        A   3.02  12.14    10.80     1.29     1.13     0.67  15.83  14.49   4.98   4.82  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36120  Establish access to artery                        A   2.01  11.10    10.39     0.75     0.71     0.33  13.44  12.73   3.09   3.05  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36140  Establish access to artery                        A   2.01  11.95    10.60     0.81     0.73     0.39  14.35  13.00   3.21   3.13  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36147  Access av dial grft for eval                      A   3.72  20.11    20.11     1.43     1.43     0.50  24.33  24.33   5.65   5.65  0XXX.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
36148  Access av dial grft for proc                      A   1.00   6.55     6.55     0.37     0.37     0.12   7.67   7.67   1.49   1.49  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
36160  Establish access to aorta                         A   2.52  12.64    11.11     1.06     0.90     0.38  15.54  14.01   3.96   3.80  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36200  Place catheter in aorta                           A   3.02  15.80    14.25     1.18     1.06     0.60  19.42  17.87   4.80   4.68  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36215  Place catheter in artery                          A   4.67  29.00    26.51     2.05     1.80     0.82  34.49  32.00   7.54   7.29  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36216  Place catheter in artery                          A   5.27  31.75    29.29     2.33     2.08     0.93  37.95  35.49   8.53   8.28  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36217  Place catheter in artery                          A   6.29  54.62    50.61     2.79     2.53     1.06  61.97  57.96  10.14   9.88  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36218  Place catheter in artery                          A   1.01   4.57     4.16     0.44     0.40     0.16   5.74   5.33   1.61   1.57  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36245  Place catheter in artery                          A   4.67  30.85    26.43     2.14     1.78     0.87  36.39  31.97   7.68   7.32  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36246  Place catheter in artery                          A   5.27  30.51    27.23     2.21     1.93     0.98  36.76  33.48   8.46   8.18  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36247  Place catheter in artery                          A   6.29  50.32    45.07     2.61     2.28     1.18  57.79  52.54  10.08   9.75  0XXX.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36248  Place catheter in artery                          A   1.01   3.65     3.20     0.42     0.36     0.16   4.82   4.37   1.59   1.53  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36260  Insertion of infusion pump                        A   9.91   6.52NA   7.17NA   6.52     7.17     2.12  18.55  19.20  18.55  19.20  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
36261  Revision of infusion pump                         A   5.63   4.59NA   4.99NA   4.59     4.99     1.33  11.55  11.95  11.55  11.95  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
36262  Removal of infusion pump                          A   4.11   3.73NA   4.05NA   3.73     4.05     0.87   8.71   9.03   8.71   9.03  0090.09.84.0720100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
36400  Bl draw < 3 yrs fem/jugular                       A   0.38   0.43     0.52     0.09     0.08     0.05   0.86   0.95   0.52   0.51  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36405  Bl draw < 3 yrs scalp vein                        A   0.31   0.35     0.35     0.12     0.13     0.05   0.71   0.71   0.48   0.49  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36406  Bl draw < 3 yrs other vein                        A   0.18   0.30     0.28     0.07     0.07     0.03   0.51   0.49   0.28   0.28  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36410  Non-routine bl draw > 3 yrs                       A   0.18   0.33     0.27     0.07     0.08     0.03   0.54   0.48   0.28   0.29  0XXX.00.00.0020100             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
36420  Vein access cutdown < 1 yr                        A   1.01   0.27NA   0.23NA   0.27     0.23     0.12   1.40   1.36   1.40   1.36  0XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
36425  Vein access cutdown > 1 yr                        A   0.76   0.31NA   0.34NA   0.31     0.34     0.11   1.18   1.21   1.18   1.21  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36430  Blood transfusion service                         A   0.00   1.02     0.90     1.02NA   0.90 NA  0.01   1.03   0.91   1.03   0.91  5XXX.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36440  Bl push transfuse 2 yr or <                       A   1.03   0.42NA   0.50NA   0.42     0.50     0.24   1.69   1.77   1.69   1.77  0XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
36450  Bl exchange/transfuse nb                          A   2.23   1.03NA   1.09NA   1.03     1.09     0.11   3.37   3.43   3.37   3.43  0XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
36455  Bl exchange/transfuse non-nb                      A   2.43   0.99NA   0.85NA   0.99     0.85     0.14   3.56   3.42   3.56   3.42  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36460  Transfusion service fetal                         A   6.58   2.71NA   3.06NA   2.71     3.06     1.40  10.69  11.04  10.69  11.04  0XXX.00.00.0020200             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
36470  Injection therapy of vein                         A   1.10   2.94     2.91     0.83     0.84     0.22   4.26   4.23   2.15   2.16  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
36471  Injection therapy of veins                        A   1.65   3.26     3.21     1.07     1.09     0.33   5.24   5.19   3.05   3.07  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
36475  Endovenous rf 1st vein                            A   6.72  46.32    43.76     2.73     2.77     1.42  54.46  51.90  10.87  10.91  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36476  Endovenous rf vein add-on                         A   3.38   7.80     7.57     1.22     1.23     0.72  11.90  11.67   5.32   5.33  0ZZZ.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
36478  Endovenous laser 1st vein                         A   6.72  35.01    31.30     2.76     2.72     1.32  43.05  39.34  10.80  10.76  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
36479  Endovenous laser vein addon                       A   3.38   8.22     7.78     1.26     1.28     0.65  12.25  11.81   5.29   5.31  0ZZZ.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
36481  Insertion of catheter vein                        A   6.98  29.48    53.44     3.00     3.00     0.88  37.34  61.30  10.86  10.86  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
3650F  Eeg ordered rvwd reqstd                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
36500  Insertion of catheter vein                        A   3.51   1.48NA   1.35NA   1.48     1.35     0.53   5.52   5.39   5.52   5.39  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36510  Insertion of catheter vein                        A   1.09   1.81     1.52     0.50     0.53     0.24   3.14   2.85   1.83   1.86  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
36511  Apheresis wbc                                     A   1.74   0.82NA   0.89NA   0.82     0.89     0.27   2.83   2.90   2.83   2.90  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36512  Apheresis rbc                                     A   1.74   0.84NA   0.87NA   0.84     0.87     0.16   2.74   2.77   2.74   2.77  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36513  Apheresis platelets                               A   1.74   0.91NA   0.98NA   0.91     0.98     0.34   2.99   3.06   2.99   3.06  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36514  Apheresis plasma                                  A   1.74  13.33    12.13     0.77     0.80     0.27  15.34  14.14   2.78   2.81  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36515  Apheresis adsorp/reinfuse                         A   1.74  55.17    50.11     0.78     0.88     0.24  57.15  52.09   2.76   2.86  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36516  Apheresis selective                               A   1.22  61.60    54.14     0.53     0.56     0.35  63.17  55.71   2.10   2.13  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36522  Photopheresis                                     A   1.67  38.36    34.80     1.19     1.20     0.16  40.19  36.63   3.02   3.03  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36555  Insert non-tunnel cv cath                         A   2.68   5.07     4.66     0.74     0.66     0.22   7.97   7.56   3.64   3.56  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36556  Insert non-tunnel cv cath                         A   2.50   4.13     3.92     0.80     0.84     0.31   6.94   6.73   3.61   3.65  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36557  Insert tunneled cv cath                           A   5.14  21.59    22.62     3.36     3.58     1.09  27.82  28.85   9.59   9.81  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
36558  Insert tunneled cv cath                           A   4.84  18.39    16.82     2.94     2.80     0.72  23.95  22.38   8.50   8.36  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
36560  Insert tunneled cv cath                           A   6.29  30.60    31.86     3.82     4.10     0.59  37.48  38.74  10.70  10.98  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
36561  Insert tunneled cv cath                           A   6.04  27.95    26.73     3.52     3.59     1.10  35.09  33.87  10.66  10.73  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
36563  Insert tunneled cv cath                           A   6.24  29.76    30.35     3.64     3.87     1.31  37.31  37.90  11.19  11.42  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36565  Insert tunneled cv cath                           A   6.04  22.48    21.50     3.31     3.33     1.29  29.81  28.83  10.64  10.66  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
36566  Insert tunneled cv cath                           A   6.54 124.76   140.45     3.58     3.70     1.27 132.57 148.26  11.39  11.51  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
36568  Insert picc cath                                  A   1.92   6.73     5.85     0.76     0.75     0.18   8.83   7.95   2.86   2.85  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36569  Insert picc cath                                  A   1.82   5.65     4.95     0.79     0.73     0.18   7.65   6.95   2.79   2.73  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36570  Insert picvad cath                                A   5.36  27.56    24.17     3.20     2.98     0.49  33.41  30.02   9.05   8.83  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
36571  Insert picvad cath                                A   5.34  31.38    30.28     3.25     3.34     1.02  37.74  36.64   9.61   9.70  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
36575  Repair tunneled cv cath                           A   0.67   4.04     3.85     0.30     0.30     0.10   4.81   4.62   1.07   1.07  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
36576  Repair tunneled cv cath                           A   3.24   7.32     7.11     2.06     2.05     0.56  11.12  10.91   5.86   5.85  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36578  Replace tunneled cv cath                          A   3.54  11.13    10.48     2.47     2.37     0.53  15.20  14.55   6.54   6.44  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36580  Replace cvad cath                                 A   1.31   5.16     4.57     0.55     0.54     0.16   6.63   6.04   2.02   2.01  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36581  Replace tunneled cv cath                          A   3.48  18.82    17.51     2.12     1.96     0.44  22.74  21.43   6.04   5.88  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36582  Replace tunneled cv cath                          A   5.24  26.57    25.46     3.17     3.11     0.88  32.69  31.58   9.29   9.23  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36583  Replace tunneled cv cath                          A   5.29  30.01    32.29     3.43     3.66     1.14  36.44  38.72   9.86  10.09  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36584  Replace picc cath                                 A   1.20   5.05     4.34     0.71     0.66     0.11   6.36   5.65   2.02   1.97  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36585  Replace picvad cath                               A   4.84  27.34    25.61     3.00     2.86     0.67  32.85  31.12   8.51   8.37  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36589  Removal tunneled cv cath                          A   2.28   2.35     2.27     1.57     1.54     0.37   5.00   4.92   4.22   4.19  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36590  Removal tunneled cv cath                          A   3.35   4.52     4.65     2.14     2.22     0.63   8.50   8.63   6.12   6.20  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
36591  Draw blood off venous device                      T   0.00   0.67     0.61     0.67NA   0.61 NA  0.01   0.68   0.62   0.68   0.62  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
36592  Collect blood from picc                           T   0.00   0.75     0.69     0.75NA   0.69 NA  0.01   0.76   0.70   0.76   0.70  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
36593  Declot vascular device                            A   0.00   0.84     0.82     0.84NA   0.82 NA  0.01   0.85   0.83   0.85   0.83  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
36595  Mech remov tunneled cv cath                       A   3.59  13.52    11.87     1.68     1.52     0.39  17.50  15.85   5.66   5.50  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36596  Mech remov tunneled cv cath                       A   0.75   3.18     2.88     0.52     0.48     0.10   4.03   3.73   1.37   1.33  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36597  Reposition venous catheter                        A   1.21   2.41     2.20     0.54     0.48     0.11   3.73   3.52   1.86   1.80  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36598  Inj w/fluor eval cv device                        T   0.74   2.55     2.31     0.67     0.27     0.07   3.36   3.12   1.48   1.08  9000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
36600  Withdrawal of arterial blood                      A   0.32   0.56     0.53     0.11     0.11     0.03   0.91   0.88   0.46   0.46  0XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36620  Insertion catheter artery                         A   1.15   0.25NA   0.29NA   0.25     0.29     0.10   1.50   1.54   1.50   1.54  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36625  Insertion catheter artery                         A   2.11   0.70NA   0.71NA   0.70     0.71     0.42   3.23   3.24   3.23   3.24  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
36640  Insertion catheter artery                         A   2.10   1.29NA   1.40NA   1.29     1.40     0.42   3.81   3.92   3.81   3.92  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36660  Insertion catheter artery                         A   1.40   0.53NA   0.68NA   0.53     0.68     0.34   2.27   2.42   2.27   2.42  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
36680  Insert needle bone cavity                         A   1.20   0.37NA   0.34NA   0.37     0.34     0.22   1.79   1.76   1.79   1.76  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
36800  Insertion of cannula                              A   2.43   2.00NA   2.01NA   2.00     2.01     0.42   4.85   4.86   4.85   4.86  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36810  Insertion of cannula                              A   3.96   1.74NA   1.80NA   1.74     1.80     0.73   6.43   6.49   6.43   6.49  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36815  Insertion of cannula                              A   2.62   1.42NA   1.46NA   1.42     1.46     0.56   4.60   4.64   4.60   4.64  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36818  Av fuse uppr arm cephalic                         A  11.89   6.26NA   6.34NA   6.26     6.34     2.65  20.80  20.88  20.80  20.88  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36819  Av fuse uppr arm basilic                          A  14.47   7.05NA   7.20NA   7.05     7.20     3.25  24.77  24.92  24.77  24.92  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36820  Av fusion/forearm vein                            A  14.47   7.24NA   7.49NA   7.24     7.49     3.24  24.95  25.20  24.95  25.20  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
36821  Av fusion direct any site                         A  12.11   6.43NA   6.77NA   6.43     6.77     2.71  21.25  21.59  21.25  21.59  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36822  Insertion of cannula(s)                           A   5.57   4.79NA   4.69NA   4.79     4.69     1.29  11.65  11.55  11.65  11.55  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
36823  Insertion of cannula(s)                           A  22.98  11.91NA  12.41NA  11.91    12.41     5.01  39.90  40.40  39.90  40.40  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
36825  Artery-vein autograft                             A  15.13   6.71NA   7.79NA   6.71     7.79     3.38  25.22  26.30  25.22  26.30  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36830  Artery-vein nonautograft                          A  12.03   5.68NA   5.78NA   5.68     5.78     2.71  20.42  20.52  20.42  20.52  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36831  Open thrombect av fistula                         A   8.04   4.34NA   4.43NA   4.34     4.43     1.80  14.18  14.27  14.18  14.27  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36832  Av fistula revision open                          A  10.53   5.15NA   5.26NA   5.15     5.26     2.34  18.02  18.13  18.02  18.13  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36833  Av fistula revision                               A  11.98   5.70NA   5.83NA   5.70     5.83     2.69  20.37  20.50  20.37  20.50  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
36835  Artery to vein shunt                              A   7.51   5.51NA   5.92NA   5.51     5.92     1.78  14.80  15.21  14.80  15.21  0090.09.84.0720100             33.9764 090 99      0.00   0.00   0.00
36838  Dist revas ligation hemo                          A  21.69   9.52NA   9.44NA   9.52     9.44     4.94  36.15  36.07  36.15  36.07  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
36860  External cannula declotting                       A   2.01   3.71     3.79     0.94     1.04     0.26   5.98   6.06   3.21   3.31  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36861  Cannula declotting                                A   2.52   1.62NA   1.61NA   1.62     1.61     0.48   4.62   4.61   4.62   4.61  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
36870  Percut thrombect av fistula                       A   5.20  49.76    46.24     3.35     3.10     0.68  55.64  52.12   9.23   8.98  0090.09.84.0721120             33.9764 090 99      0.00   0.00   0.00
3700F  Psych disorders assessed                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
37140  Revision of circulation                           A  25.23  12.88NA  14.11NA  12.88    14.11     5.38  43.49  44.72  43.49  44.72  0090.09.84.0720110             33.9764 090 99      0.00   0.00   0.00
37145  Revision of circulation                           A  26.24  13.67NA  14.45NA  13.67    14.45     5.72  45.63  46.41  45.63  46.41  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
37160  Revision of circulation                           A  23.24  11.99NA  13.24NA  11.99    13.24     4.97  40.20  41.45  40.20  41.45  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37180  Revision of circulation                           A  26.24  13.07NA  14.55NA  13.07    14.55     5.61  44.92  46.40  44.92  46.40  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37181  Splice spleen/kidney veins                        A  28.37  14.08NA  15.47NA  14.08    15.47     6.04  48.49  49.88  48.49  49.88  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37182  Insert hepatic shunt (tips)                       A  16.97   7.31NA   6.31NA   7.31     6.31     1.62  25.90  24.90  25.90  24.90  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
37183  Remove hepatic shunt (tips)                       A   7.99 151.60   151.60     3.52     2.99     0.73 160.32 160.32  12.24  11.71  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
37184  Prim art mech thrombectomy                        A   8.66  61.00    54.42     3.90     3.55     1.51  71.17  64.59  14.07  13.72  0000.00.00.0021120             33.9764 090 99      0.00   0.00   0.00
37185  Prim art m-thrombect add-on                       A   3.28  19.61    17.42     1.32     1.20     0.61  23.50  21.31   5.21   5.09  0ZZZ.00.00.0002120             33.9764 090 99      0.00   0.00   0.00
37186  Sec art m-thrombect add-on                        A   4.92  40.44    34.22     2.08     1.80     0.95  46.31  40.09   7.95   7.67  0ZZZ.00.00.0002120             33.9764 090 99      0.00   0.00   0.00
37187  Venous mech thrombectomy                          A   8.03  58.58    52.07     3.57     3.18     1.13  67.74  61.23  12.73  12.34  0000.00.00.0021120             33.9764 090 99      0.00   0.00   0.00
37188  Venous m-thrombectomy add-on                      A   5.71  50.73    44.73     2.69     2.38     0.69  57.13  51.13   9.09   8.78  0000.00.00.0021120             33.9764 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             33.9764 090 99      0.00   0.00   0.00
3720F  Cognit impairment assessed                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
37200  Transcatheter biopsy                              A   4.55   1.89NA   1.63NA   1.89     1.63     0.42   6.86   6.60   6.86   6.60  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
37201  Transcatheter therapy infuse                      A   4.99   2.75NA   2.48NA   2.75     2.48     0.76   8.50   8.23   8.50   8.23  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
37202  Transcatheter therapy infuse                      A   5.67   3.49NA   2.96NA   3.49     2.96     1.18  10.34   9.81  10.34   9.81  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
37203  Transcatheter retrieval                           A   5.02  34.36    31.49     2.36     2.08     0.68  40.06  37.19   8.06   7.78  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
37204  Transcatheter occlusion                           A  18.11   7.32NA   6.50NA   7.32     6.50     2.22  27.65  26.83  27.65  26.83  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
37205  Transcath iv stent percut                         A   8.27 118.17   107.98     3.63     3.04     1.57 128.01 117.82  13.47  12.88  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
37206  Transcath iv stent/perc addl                      A   4.12  72.04    65.64     1.70     1.48     0.82  76.98  70.58   6.64   6.42  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
37207  Transcath iv stent open                           A   8.27   3.26NA   3.22NA   3.26     3.22     1.86  13.39  13.35  13.39  13.35  0000.00.00.0021220             33.9764 090 99      0.00   0.00   0.00
37208  Transcath iv stent/open addl                      A   4.12   1.42NA   1.41NA   1.42     1.41     0.93   6.47   6.46   6.47   6.46  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
37209  Change iv cath at thromb tx                       A   2.27   0.89NA   0.80NA   0.89     0.80     0.33   3.49   3.40   3.49   3.40  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
37210  Embolization uterine fibroid                      A  10.60  94.83    88.25     4.66     3.99     1.02 106.45  99.87  16.28  15.61  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
37215  Transcath stent cca w/eps                         R  19.68  10.47NA   8.91NA  10.47     8.91     4.19  34.34  32.78  34.34  32.78  0090.09.84.0720000             33.9764 090 99      0.00   0.00   0.00
37216  Transcath stent cca w/o eps                       N+ 18.95  10.00NA  10.06NA  10.00    10.06     1.33  30.28  30.34  30.28  30.34  9090.09.84.0799999             33.9764 090 99      0.00   0.00   0.00
37220  Iliac revasc                                      A   8.15  83.53    83.53     3.02     3.02     1.67  93.35  93.35  12.84  12.84  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
37221  Iliac revasc w/stent                              A  10.00 126.04   126.04     3.73     3.73     1.89 137.93 137.93  15.62  15.62  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37222  Iliac revasc add-on                               A   3.73  22.43    22.43     1.34     1.34     0.76  26.92  26.92   5.83   5.83  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
37223  Iliac revasc w/stent add-on                       A   4.25  70.87    70.87     1.53     1.53     0.84  75.96  75.96   6.62   6.62  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
37224  Fem/popl revas w/tla                              A   9.00 101.34   101.34     3.33     3.33     1.81 112.15 112.15  14.14  14.14  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37225  Fem/popl revas w/ather                            A  12.00 302.09   302.09     4.53     4.53     2.52 316.61 316.61  19.05  19.05  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37226  Fem/popl revasc w/stent                           A  10.49 253.23   253.23     3.91     3.91     1.29 265.01 265.01  15.69  15.69  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37227  Fem/popl revasc stnt & ather                      A  14.50 410.48   410.48     5.46     5.46     3.05 428.03 428.03  23.01  23.01  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37228  Tib/per revasc w/tla                              A  11.00 146.38   146.38     4.02     4.02     2.26 159.64 159.64  17.28  17.28  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37229  Tib/per revasc w/ather                            A  14.05 296.88   296.88     5.28     5.28     2.98 313.91 313.91  22.31  22.31  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37230  Tib/per revasc w/stent                            A  13.80 230.22   230.22     5.11     5.11     2.61 246.63 246.63  21.52  21.52  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37231  Tib/per revasc stent & ather                      A  15.00 377.88   377.88     5.55     5.55     2.84 395.72 395.72  23.39  23.39  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
37232  Tib/per revasc add-on                             A   4.00  31.04    31.04     1.43     1.43     0.82  35.86  35.86   6.25   6.25  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
37233  Tibper revasc w/ather add-on                      A   6.50  35.96    35.96     2.40     2.40     1.37  43.83  43.83  10.27  10.27  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
37234  Revsc opn/prq tib/pero stent                      A   5.50 107.58   107.58     1.97     1.97     1.09 114.17 114.17   8.56   8.56  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
37235  Tib/per revasc stnt & ather                       A   7.80 112.63   112.63     2.80     2.80     1.55 121.98 121.98  12.15  12.15  0ZZZ.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
37250  Iv us first vessel add-on                         A   2.10   0.84NA   0.74NA   0.84     0.74     0.45   3.39   3.29   3.39   3.29  0ZZZ.00.00.0000010             33.9764 090 99      0.00   0.00   0.00
37251  Iv us each add vessel add-on                      A   1.60   0.58NA   0.53NA   0.58     0.53     0.35   2.53   2.48   2.53   2.48  0ZZZ.00.00.0000010             33.9764 090 99      0.00   0.00   0.00
37500  Endoscopy ligate perf veins                       A  11.67   7.15NA   7.12NA   7.15     7.12     2.63  21.45  21.42  21.45  21.42  0090.09.84.0721110             33.9764 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             33.9764 090 99      0.00   0.00   0.00
37565  Ligation of neck vein                             A  12.05   7.16NA   7.63NA   7.16     7.63     2.57  21.78  22.25  21.78  22.25  0090.09.84.0720010             33.9764 090 99      0.00   0.00   0.00
37600  Ligation of neck artery                           A  12.42   6.88NA   7.10NA   6.88     7.10     2.55  21.85  22.07  21.85  22.07  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37605  Ligation of neck artery                           A  14.28   7.36NA   7.51NA   7.36     7.51     3.39  25.03  25.18  25.03  25.18  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37606  Ligation of neck artery                           A   8.81   4.86NA   4.32NA   4.86     4.32     1.88  15.55  15.01  15.55  15.01  0090.09.84.0720200             33.9764 090 99      0.00   0.00   0.00
37607  Ligation of a-v fistula                           A   6.25   4.01NA   4.09NA   4.01     4.09     1.37  11.63  11.71  11.63  11.71  0090.09.84.0720110             33.9764 090 99      0.00   0.00   0.00
37609  Temporal artery procedure                         A   3.05   5.41     5.60     2.49     2.66     0.64   9.10   9.29   6.18   6.35  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
37615  Ligation of neck artery                           A   7.80   6.06NA   6.95NA   6.06     6.95     1.65  15.51  16.40  15.51  16.40  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37616  Ligation of chest artery                          A  18.97  10.26NA  10.36NA  10.26    10.36     4.06  33.29  33.39  33.29  33.39  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37617  Ligation of abdomen artery                        A  23.79  11.05NA  11.70NA  11.05    11.70     5.02  39.86  40.51  39.86  40.51  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37618  Ligation of extremity artery                      A   6.03   4.39NA   4.50NA   4.39     4.50     1.32  11.74  11.85  11.74  11.85  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37620  Revision of major vein                            A  11.57   6.52NA   5.99NA   6.52     5.99     1.70  19.79  19.26  19.79  19.26  0090.09.84.0720110             33.9764 090 99      0.00   0.00   0.00
37650  Revision of major vein                            A   8.49   4.72NA   4.07NA   4.72     4.07     1.88  15.09  14.44  15.09  14.44  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
37660  Revision of major vein                            A  22.28  11.10NA  12.20NA  11.10    12.20     4.75  38.13  39.23  38.13  39.23  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37700  Revise leg vein                                   A   3.82   3.11NA   3.14NA   3.11     3.14     0.84   7.77   7.80   7.77   7.80  0090.09.84.0721100             33.9764 090 99      0.00   0.00   0.00
37718  Ligate/strip short leg vein                       A   7.13   4.73NA   4.84NA   4.73     4.84     1.57  13.43  13.54  13.43  13.54  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
37722  Ligate/strip long leg vein                        A   8.16   4.98NA   5.11NA   4.98     5.11     1.81  14.95  15.08  14.95  15.08  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
37735  Removal of leg veins/lesion                       A  10.90   6.12NA   6.14NA   6.12     6.14     2.40  19.42  19.44  19.42  19.44  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
37760  Ligate leg veins radical                          A  10.78   6.71NA   7.44NA   6.71     7.44     2.29  19.78  20.51  19.78  20.51  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
37761  Ligate leg veins open                             A   9.13   6.18NA   6.18NA   6.18     6.18     1.96  17.27  17.27  17.27  17.27  0090.09.84.0721210             33.9764 090 99      0.00   0.00   0.00
37765  Stab phleb veins xtr 10-20                        A   7.71  10.64    10.64     4.73     4.66     1.57  19.92  19.92  14.01  13.94  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
37766  Phleb veins - extrem 20+                          A   9.66  12.06    12.06     5.49     5.42     2.01  23.73  23.73  17.16  17.09  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
37780  Revision of leg vein                              A   3.93   3.22NA   3.24NA   3.22     3.24     0.86   8.01   8.03   8.01   8.03  0090.09.84.0721110             33.9764 090 99      0.00   0.00   0.00
37785  Ligate/divide/excise vein                         A   3.93   6.01     5.96     3.24     3.26     0.86  10.80  10.75   8.03   8.05  0090.09.84.0721100             33.9764 090 99      0.00   0.00   0.00
37788  Revascularization penis                           A  23.33  13.68NA  12.80NA  13.68    12.80     4.98  41.99  41.11  41.99  41.11  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
37790  Penile venous occlusion                           A   8.43   5.26NA   4.99NA   5.26     4.99     0.82  14.51  14.24  14.51  14.24  0090.08.83.0920000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
38100  Removal of spleen total                           A  19.55   9.63NA  10.74NA   9.63    10.74     4.08  33.26  34.37  33.26  34.37  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38101  Removal of spleen partial                         A  19.55   9.81NA  11.02NA   9.81    11.02     4.16  33.52  34.73  33.52  34.73  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38102  Removal of spleen total                           A   4.79   1.91NA   2.08NA   1.91     2.08     0.99   7.69   7.86   7.69   7.86  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
38115  Repair of ruptured spleen                         A  21.88  10.55NA  11.78NA  10.55    11.78     4.29  36.72  37.95  36.72  37.95  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38120  Laparoscopy splenectomy                           A  17.07   9.78NA  10.70NA   9.78    10.70     3.61  30.46  31.38  30.46  31.38  0090.09.84.0720210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
38200  Injection for spleen x-ray                        A   2.64   1.17NA   1.15NA   1.17     1.15     0.63   4.44   4.42   4.44   4.42  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
38204  Bl donor search management                        B+  2.00   0.85NA   0.88NA   0.85     0.88     0.14   2.99   3.02   2.99   3.02  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38205  Harvest allogenic stem cells                      R   1.50   0.77NA   0.80NA   0.77     0.80     0.08   2.35   2.38   2.35   2.38  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
38206  Harvest auto stem cells                           R   1.50   0.77NA   0.81NA   0.77     0.81     0.11   2.38   2.42   2.38   2.42  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
38207  Cryopreserve stem cells                           I+  0.89   0.46NA   0.39NA   0.46     0.39     0.05   1.40   1.33   1.40   1.33  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38208  Thaw preserved stem cells                         I+  0.56   0.29NA   0.25NA   0.29     0.25     0.04   0.89   0.85   0.89   0.85  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38209  Wash harvest stem cells                           I+  0.24   0.13NA   0.11NA   0.13     0.11     0.01   0.38   0.36   0.38   0.36  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38210  T-cell depletion of harvest                       I+  1.57   0.82NA   0.69NA   0.82     0.69     0.10   2.49   2.36   2.49   2.36  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38211  Tumor cell deplete of harvst                      I+  1.42   0.74NA   0.62NA   0.74     0.62     0.10   2.26   2.14   2.26   2.14  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38212  Rbc depletion of harvest                          I+  0.94   0.49NA   0.41NA   0.49     0.41     0.05   1.48   1.40   1.48   1.40  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38213  Platelet deplete of harvest                       I+  0.24   0.13NA   0.11NA   0.13     0.11     0.01   0.38   0.36   0.38   0.36  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38214  Volume deplete of harvest                         I+  0.81   0.42NA   0.35NA   0.42     0.35     0.05   1.28   1.21   1.28   1.21  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38215  Harvest stem cell concentrte                      I+  0.94   0.49NA   0.41NA   0.49     0.41     0.05   1.48   1.40   1.48   1.40  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
38220  Bone marrow aspiration                            A   1.08   3.26     2.92     0.62     0.63     0.11   4.45   4.11   1.81   1.82  0XXX.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
38221  Bone marrow biopsy                                A   1.37   3.36     2.94     0.78     0.79     0.08   4.81   4.39   2.23   2.24  0XXX.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
38230  Bone marrow collection                            R   4.85   4.15NA   4.43NA   4.15     4.43     1.10  10.10  10.38  10.10  10.38  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
38240  Bone marrow/stem transplant                       R   2.24   1.29NA   1.35NA   1.29     1.35     0.16   3.69   3.75   3.69   3.75  0XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
38241  Bone marrow/stem transplant                       R   2.24   1.30NA   1.33NA   1.30     1.33     0.14   3.68   3.71   3.68   3.71  0XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
38242  Lymphocyte infuse transplant                      A   1.71   1.00NA   1.05NA   1.00     1.05     0.10   2.81   2.86   2.81   2.86  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
38300  Drainage lymph node lesion                        A   2.36   5.24     5.27     2.61     2.69     0.41   8.01   8.04   5.38   5.46  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
38305  Drainage lymph node lesion                        A   6.68   5.47NA   5.68NA   5.47     5.68     1.33  13.48  13.69  13.48  13.69  0090.11.73.1620100             33.9764 090 99      0.00   0.00   0.00
38308  Incision of lymph channels                        A   6.81   4.81NA   5.15NA   4.81     5.15     1.46  13.08  13.42  13.08  13.42  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38380  Thoracic duct procedure                           A   8.46   7.27NA   8.05NA   7.27     8.05     1.09  16.82  17.60  16.82  17.60  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38381  Thoracic duct procedure                           A  13.38   7.77NA   7.63NA   7.77     7.63     3.14  24.29  24.15  24.29  24.15  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38382  Thoracic duct procedure                           A  10.65   6.93NA   7.05NA   6.93     7.05     2.26  19.84  19.96  19.84  19.96  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38500  Biopsy/removal lymph nodes                        A   3.79   4.86     5.13     2.76     2.97     0.78   9.43   9.70   7.33   7.54  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
38505  Needle biopsy lymph nodes                         A   1.14   2.44     2.32     0.89     0.84     0.12   3.70   3.58   2.15   2.10  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
38510  Biopsy/removal lymph nodes                        A   6.74   7.16     7.59     4.40     4.78     1.21  15.11  15.54  12.35  12.73  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
38520  Biopsy/removal lymph nodes                        A   7.03   5.16NA   5.50NA   5.16     5.50     1.42  13.61  13.95  13.61  13.95  0090.11.73.1621100             33.9764 090 99      0.00   0.00   0.00
38525  Biopsy/removal lymph nodes                        A   6.43   4.69NA   5.10NA   4.69     5.10     1.36  12.48  12.89  12.48  12.89  0090.11.73.1621100             33.9764 090 99      0.00   0.00   0.00
38530  Biopsy/removal lymph nodes                        A   8.34   5.78NA   6.25NA   5.78     6.25     1.82  15.94  16.41  15.94  16.41  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38542  Explore deep node(s) neck                         A   7.95   6.00NA   6.49NA   6.00     6.49     1.33  15.28  15.77  15.28  15.77  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38550  Removal neck/armpit lesion                        A   7.11   5.78NA   6.36NA   5.78     6.36     1.52  14.41  14.99  14.41  14.99  0090.11.73.1620000             33.9764 090 99      0.00   0.00   0.00
38555  Removal neck/armpit lesion                        A  15.59  10.41NA  11.07NA  10.41    11.07     3.35  29.35  30.01  29.35  30.01  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38562  Removal pelvic lymph nodes                        A  11.06   7.44NA   7.63NA   7.44     7.63     1.96  20.46  20.65  20.46  20.65  0090.11.73.1622210             33.9764 090 99      0.00   0.00   0.00
38564  Removal abdomen lymph nodes                       A  11.38   6.92NA   7.32NA   6.92     7.32     2.25  20.55  20.95  20.55  20.95  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38570  Laparoscopy lymph node biop                       A   9.34   5.15NA   5.12NA   5.15     5.12     1.37  15.86  15.83  15.86  15.83  0010.10.80.1030220       49320 33.9764 090 99      0.00   0.00   0.00
38571  Laparoscopy lymphadenectomy                       A  14.76   7.77NA   7.04NA   7.77     7.04     1.48  24.01  23.28  24.01  23.28  0010.10.80.1022220             33.9764 090 99      0.00   0.00   0.00
38572  Laparoscopy lymphadenectomy                       A  16.94   8.42NA   8.88NA   8.42     8.88     2.40  27.76  28.22  27.76  28.22  0010.10.80.1022220             33.9764 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             33.9764 090 99      0.00   0.00   0.00
38700  Removal of lymph nodes neck                       A  12.81   9.14NA  10.13NA   9.14    10.13     1.77  23.72  24.71  23.72  24.71  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38720  Removal of lymph nodes neck                       A  21.95  14.28NA  15.87NA  14.28    15.87     3.39  39.62  41.21  39.62  41.21  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38724  Removal of lymph nodes neck                       A  23.95  15.58NA  17.57NA  15.58    17.57     3.35  42.88  44.87  42.88  44.87  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38740  Remove armpit lymph nodes                         A  10.70   6.91NA   7.52NA   6.91     7.52     2.26  19.87  20.48  19.87  20.48  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38745  Remove armpit lymph nodes                         A  13.87   8.42NA   9.21NA   8.42     9.21     2.95  25.24  26.03  25.24  26.03  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38746  Remove thoracic lymph nodes                       A   4.88   1.86NA   1.79NA   1.86     1.79     1.14   7.88   7.81   7.88   7.81  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
38747  Remove abdominal lymph nodes                      A   4.88   1.93NA   2.09NA   1.93     2.09     1.03   7.84   8.00   7.84   8.00  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
38760  Remove groin lymph nodes                          A  13.62   8.13NA   8.70NA   8.13     8.70     2.79  24.54  25.11  24.54  25.11  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38765  Remove groin lymph nodes                          A  21.91  11.59NA  12.29NA  11.59    12.29     4.23  37.73  38.43  37.73  38.43  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38770  Remove pelvis lymph nodes                         A  14.06   8.06NA   7.83NA   8.06     7.83     1.77  23.89  23.66  23.89  23.66  0090.11.73.1621210             33.9764 090 99      0.00   0.00   0.00
38780  Remove abdomen lymph nodes                        A  17.70  10.31NA  10.22NA  10.31    10.22     2.56  30.57  30.48  30.57  30.48  0090.11.73.1620210             33.9764 090 99      0.00   0.00   0.00
38790  Inject for lymphatic x-ray                        A   1.29   0.95NA   0.96NA   0.95     0.96     0.24   2.48   2.49   2.48   2.49  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
38792  Identify sentinel node                            A   0.52   0.59NA   0.59NA   0.59     0.59     0.08   1.19   1.19   1.19   1.19  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
38794  Access thoracic lymph duct                        A   4.62   3.78NA   3.42NA   3.78     3.42     0.42   8.82   8.46   8.82   8.46  0090.11.73.1620000             33.9764 090 99      0.00   0.00   0.00
38900  Io map of sent lymph node                         A   2.50   1.01     1.01     1.01     1.01     0.53   4.04   4.04   4.04   4.04  0ZZZ.00.00.0001210             33.9764 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.00.00.0020011             33.9764 090 99      0.00   0.00   0.00
39000  Exploration of chest                              A   7.57   5.67NA   5.78NA   5.67     5.78     1.67  14.91  15.02  14.91  15.02  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39010  Exploration of chest                              A  13.19   7.86NA   7.59NA   7.86     7.59     3.13  24.18  23.91  24.18  23.91  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39200  Removal chest lesion                              A  15.09   8.14NA   7.99NA   8.14     7.99     3.54  26.77  26.62  26.77  26.62  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39220  Removal chest lesion                              A  19.55  10.56NA  10.45NA  10.56    10.45     4.44  34.55  34.44  34.55  34.44  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39400  Visualization of chest                            A   8.05   5.39NA   5.32NA   5.39     5.32     1.88  15.32  15.25  15.32  15.25  0010.10.80.1020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
39501  Repair diaphragm laceration                       A  13.98   8.00NA   8.44NA   8.00     8.44     2.95  24.93  25.37  24.93  25.37  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39503  Repair of diaphragm hernia                        A 108.91  45.81NA  51.96NA  45.81    51.96    23.23 177.95 184.10 177.95 184.10  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39540  Repair of diaphragm hernia                        A  14.57   7.87NA   8.40NA   7.87     8.40     3.12  25.56  26.09  25.56  26.09  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39541  Repair of diaphragm hernia                        A  15.75   8.55NA   9.20NA   8.55     9.20     3.40  27.70  28.35  27.70  28.35  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39545  Revision of diaphragm                             A  14.67   8.82NA   8.75NA   8.82     8.75     3.42  26.91  26.84  26.91  26.84  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39560  Resect diaphragm simple                           A  13.06   7.53NA   7.85NA   7.53     7.85     2.79  23.38  23.70  23.38  23.70  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
39561  Resect diaphragm complex                          A  19.99  12.38NA  12.98NA  12.38    12.98     4.38  36.75  37.35  36.75  37.35  0090.09.84.0720210             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4004F  Pt tobacco screen rcvd tlk                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4014F  Written discharge instr prvd                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4016F  Anti-inflm/anlgsc agent rx                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4017F  Gi prophylaxis for nsaid rx                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4018F  Therapy exercise joint rx                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4019F  Doc recpt counsl vit d/calc+                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4030F  Oxygen therapy rx                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4033F  Pulmonary rehab rec                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4035F  Influenza imm rec                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4040F  Pneumoc vac/admin/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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
40490  Biopsy of lip                                     A   1.22   2.40     2.39     0.82     0.89     0.18   3.80   3.79   2.22   2.29  0000.00.00.0020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
40500  Partial excision of lip                           A   4.47   9.65    10.00     5.66     5.96     0.67  14.79  15.14  10.80  11.10  0090.09.81.1020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
40510  Partial excision of lip                           A   4.82   8.62     8.98     5.02     5.38     0.71  14.15  14.51  10.55  10.91  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
4052F  Hemodialysis via AV fistula                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
40520  Partial excision of lip                           A   4.79   8.92     9.18     5.13     5.46     0.75  14.46  14.72  10.67  11.00  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
40525  Reconstruct lip with flap                         A   7.72   7.50NA   7.95NA   7.50     7.95     1.27  16.49  16.94  16.49  16.94  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
40527  Reconstruct lip with flap                         A   9.32   8.35NA   8.62NA   8.35     8.62     1.20  18.87  19.14  18.87  19.14  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
4053F  Hemodialysis via AV graft                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
40530  Partial removal of lip                            A   5.54   9.56     9.85     5.67     5.99     0.86  15.96  16.25  12.07  12.39  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
4054F  Hemodialysis via catheter                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4055F  Pt rcvng periton dialysis                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4056F  Approp oral rehyd recommd                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4058F  Ped gastro ed given caregvr                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4060F  Psych svcs provided                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4062F  Pt referral psych docd                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4063F  Antidepres rxthxpy not rxd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4064F  Antidepressant rx                                 I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4065F  Antipsychotic rx                                  I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
40650  Repair lip                                        A   3.78   7.76     8.00     4.12     4.31     0.65  12.19  12.43   8.55   8.74  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
40652  Repair lip                                        A   4.43   9.02     9.24     5.23     5.50     0.76  14.21  14.43  10.42  10.69  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
40654  Repair lip                                        A   5.48  10.32    10.58     6.21     6.52     0.93  16.73  16.99  12.62  12.93  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
4066F  ECT provided                                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4067F  Pt referral for ect docd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
40700  Repair cleft lip/nasal                            A  14.17  12.51NA  14.32NA  12.51    14.32     1.82  28.50  30.31  28.50  30.31  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
40701  Repair cleft lip/nasal                            A  17.23  13.53NA  13.83NA  13.53    13.83     2.20  32.96  33.26  32.96  33.26  0090.09.81.1022200             33.9764 090 99      0.00   0.00   0.00
40702  Repair cleft lip/nasal                            A  14.27   9.15NA   9.10NA   9.15     9.10     1.02  24.44  24.39  24.44  24.39  0090.09.81.1022200             33.9764 090 99      0.00   0.00   0.00
40720  Repair cleft lip/nasal                            A  14.72  11.55NA  12.06NA  11.55    12.06     2.91  29.18  29.69  29.18  29.69  0090.09.81.1021000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
40761  Repair cleft lip/nasal                            A  15.84  13.47NA  14.86NA  13.47    14.86     3.13  32.44  33.83  32.44  33.83  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
4077F  Doc t-pa admin considered                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
40800  Drainage of mouth lesion                          A   1.23   4.59     4.77     2.40     2.53     0.18   6.00   6.18   3.81   3.94  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
40801  Drainage of mouth lesion                          A   2.63   6.06     6.36     3.51     3.74     0.37   9.06   9.36   6.51   6.74  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
40804  Removal foreign body mouth                        A   1.30   4.69     4.92     2.38     2.50     0.16   6.15   6.38   3.84   3.96  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
40805  Removal foreign body mouth                        A   2.79   6.26     6.53     3.51     3.71     0.35   9.40   9.67   6.65   6.85  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
40806  Incision of lip fold                              A   0.31   2.73     2.71     0.57     0.52     0.04   3.08   3.06   0.92   0.87  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
40808  Biopsy of mouth lesion                            A   1.01   4.24     4.39     2.04     2.13     0.12   5.37   5.52   3.17   3.26  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
40810  Excision of mouth lesion                          A   1.36   4.42     4.60     2.22     2.35     0.18   5.96   6.14   3.76   3.89  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
40812  Excise/repair mouth lesion                        A   2.37   5.60     5.89     3.10     3.32     0.31   8.28   8.57   5.78   6.00  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
40814  Excise/repair mouth lesion                        A   3.52   7.15     7.55     4.96     5.28     0.48  11.15  11.55   8.96   9.28  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
40816  Excision of mouth lesion                          A   3.77   7.44     7.83     5.08     5.40     0.52  11.73  12.12   9.37   9.69  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
40818  Excise oral mucosa for graft                      A   2.83   7.10     7.24     4.79     4.86     0.37  10.30  10.44   7.99   8.06  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
40819  Excise lip or cheek fold                          A   2.51   6.03     6.29     4.04     4.26     0.33   8.87   9.13   6.88   7.10  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
40820  Treatment of mouth lesion                         A   1.34   6.20     6.30     3.57     3.64     0.18   7.72   7.82   5.09   5.16  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
40830  Repair mouth laceration                           A   1.82   5.06     5.27     2.59     2.70     0.31   7.19   7.40   4.72   4.83  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
40831  Repair mouth laceration                           A   2.57   6.57     6.92     3.61     3.76     0.42   9.56   9.91   6.60   6.75  0010.10.80.1020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
40840  Reconstruction of mouth                           R   9.15  14.07    15.68     8.71     9.87     1.18  24.40  26.01  19.04  20.20  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
40842  Reconstruction of mouth                           R   9.15  13.06    14.06     8.27     9.42     1.18  23.39  24.39  18.60  19.75  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
40843  Reconstruction of mouth                           R  12.79  15.94    17.17     9.08    10.01     2.52  31.25  32.48  24.39  25.32  0090.09.81.1022200             33.9764 090 99      0.00   0.00   0.00
40844  Reconstruction of mouth                           R  16.80  20.94    22.30    14.35    15.99     3.32  41.06  42.42  34.47  36.11  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
40845  Reconstruction of mouth                           R  19.36  21.30    22.53    14.77    15.86     2.48  43.14  44.37  36.61  37.70  0090.09.81.1020000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41000  Drainage of mouth lesion                          A   1.35   3.18     3.31     1.77     1.88     0.18   4.71   4.84   3.30   3.41  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
41005  Drainage of mouth lesion                          A   1.31   5.04     5.08     2.30     2.40     0.16   6.51   6.55   3.77   3.87  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
41006  Drainage of mouth lesion                          A   3.34   6.74     7.06     3.96     4.32     0.42  10.50  10.82   7.72   8.08  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41007  Drainage of mouth lesion                          A   3.20   6.87     7.10     3.76     3.95     0.41  10.48  10.71   7.37   7.56  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41008  Drainage of mouth lesion                          A   3.46   6.95     7.35     3.99     4.30     0.44  10.85  11.25   7.89   8.20  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41009  Drainage of mouth lesion                          A   3.71   7.36     7.80     4.39     4.71     0.48  11.55  11.99   8.58   8.90  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41010  Incision of tongue fold                           A   1.11   4.75     4.88     2.01     2.09     0.14   6.00   6.13   3.26   3.34  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
41015  Drainage of mouth lesion                          A   4.08   8.07     8.76     5.42     5.91     0.52  12.67  13.36  10.02  10.51  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41016  Drainage of mouth lesion                          A   4.19   7.95     8.40     5.53     5.92     0.53  12.67  13.12  10.25  10.64  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41017  Drainage of mouth lesion                          A   4.19   8.06     8.51     5.57     5.95     0.53  12.78  13.23  10.29  10.67  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41018  Drainage of mouth lesion                          A   5.22   8.56     8.99     5.96     6.32     0.67  14.45  14.88  11.85  12.21  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41019  Place needles h&n for rt                          A   8.84   4.27NA   4.21NA   4.27     4.21     0.72  13.83  13.77  13.83  13.77  0000.00.00.0020011             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41100  Biopsy of tongue                                  A   1.42   3.32     3.44     1.62     1.71     0.20   4.94   5.06   3.24   3.33  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
41105  Biopsy of tongue                                  A   1.47   3.32     3.47     1.65     1.77     0.20   4.99   5.14   3.32   3.44  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
41108  Biopsy of floor of mouth                          A   1.10   3.06     3.20     1.44     1.53     0.14   4.30   4.44   2.68   2.77  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
41110  Excision of tongue lesion                         A   1.56   4.43     4.62     2.15     2.28     0.22   6.21   6.40   3.93   4.06  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
41112  Excision of tongue lesion                         A   2.83   6.51     6.83     4.25     4.51     0.37   9.71  10.03   7.45   7.71  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
41113  Excision of tongue lesion                         A   3.29   6.88     7.24     4.52     4.82     0.42  10.59  10.95   8.23   8.53  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
41114  Excision of tongue lesion                         A   8.82   8.90NA   9.60NA   8.90     9.60     1.17  18.89  19.59  18.89  19.59  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41115  Excision of tongue fold                           A   1.79   5.10     5.26     2.41     2.60     0.23   7.12   7.28   4.43   4.62  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
41116  Excision of mouth lesion                          A   2.52   6.74     7.08     3.66     3.88     0.34   9.60   9.94   6.52   6.74  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
41120  Partial removal of tongue                         A  11.14  18.61NA  19.24NA  18.61    19.24     1.48  31.23  31.86  31.23  31.86  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
41130  Partial removal of tongue                         A  15.74  20.82NA  21.95NA  20.82    21.95     2.08  38.64  39.77  38.64  39.77  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
41135  Tongue and neck surgery                           A  30.14  29.76NA  31.85NA  29.76    31.85     4.04  63.94  66.03  63.94  66.03  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
41140  Removal of tongue                                 A  29.15  32.25NA  34.01NA  32.25    34.01     3.76  65.16  66.92  65.16  66.92  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
41145  Tongue removal neck surgery                       A  37.93  39.24NA  41.92NA  39.24    41.92     4.87  82.04  84.72  82.04  84.72  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41150  Tongue mouth jaw surgery                          A  29.86  31.13NA  33.03NA  31.13    33.03     3.96  64.95  66.85  64.95  66.85  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
41153  Tongue mouth neck surgery                         A  33.59  32.58NA  34.94NA  32.58    34.94     4.41  70.58  72.94  70.58  72.94  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
41155  Tongue jaw & neck surgery                         A  44.30  37.99NA  41.46NA  37.99    41.46     5.92  88.21  91.68  88.21  91.68  0090.09.81.1020210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41250  Repair tongue laceration                          A   1.96   4.73     5.21     2.03     2.25     0.33   7.02   7.50   4.32   4.54  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
41251  Repair tongue laceration                          A   2.32   4.73     5.43     2.28     2.52     0.30   7.35   8.05   4.90   5.14  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
41252  Repair tongue laceration                          A   3.02   5.62     5.97     2.80     3.00     0.48   9.12   9.47   6.30   6.50  0010.10.80.1020000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4133F  Antihist/decong rx/recom                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4134F  No antihist/decong rx/recom                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4135F  Systemic corticosteroids rx                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4136F  Syst corticosteroids not rx                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4148F  Hep A vac injxn admin/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             33.9764 090 99      0.00   0.00   0.00
4149F  Hep B vac injxn admin/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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41500  Fixation of tongue                                A   3.80   9.04NA   9.36NA   9.04     9.36     0.49  13.33  13.65  13.33  13.65  0090.09.81.1020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41510  Tongue to lip surgery                             A   3.51   7.30NA   6.58NA   7.30     6.58     0.44  11.25  10.53  11.25  10.53  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41512  Tongue suspension                                 A   6.86  11.04NA  11.70NA  11.04    11.70     0.49  18.39  19.05  18.39  19.05  0090.10.76.1420000             33.9764 090 99      0.00   0.00   0.00
41520  Reconstruction tongue fold                        A   2.83   6.95     7.25     4.34     4.57     0.35  10.13  10.43   7.52   7.75  0090.09.81.1020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41530  Tongue base vol reduction                         A   4.51  90.03    90.54     7.21     7.58     0.31  94.85  95.36  12.03  12.40  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
4155F  Hep A vac series prev recvd                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4157F  Hep B vac series prev recvd                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4163F  Pt couns 4 txmnt opt prost                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4167F  Hd bed tilted 1st day vent                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4168F  Pt care icu&vent w/in 24hrs                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4169F  No pt care ICU/vent in 24hrs                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4174F  Couns potent glauc impct                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4176F  Talk re uv light pt/crgvr                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4178F  Antid glbln rcvd w/in 26wks                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4180F  Adjv thxpyrxd/rcvd 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             33.9764 090 99      0.00   0.00   0.00
41800  Drainage of gum lesion                            A   1.27   5.66     6.17     2.56     2.79     0.22   7.15   7.66   4.05   4.28  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
41805  Removal foreign body gum                          A   1.34   5.49     5.71     3.42     3.56     0.18   7.01   7.23   4.94   5.08  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
41806  Removal foreign body jawbone                      A   2.79   7.09     7.66     4.43     4.78     0.54  10.42  10.99   7.76   8.11  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
4181F  Conformal radn thxpy rcvd                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4182F  No conformal radn thxpy                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41822  Excision of gum lesion                            R   2.41   5.64     5.90     2.55     2.87     0.31   8.36   8.62   5.27   5.59  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
41823  Excision of gum lesion                            R   3.77   8.16     8.48     5.21     5.57     0.48  12.41  12.73   9.46   9.82  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41825  Excision of gum lesion                            A   1.41   4.47     4.62     2.08     2.10     0.20   6.08   6.23   3.69   3.71  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
41826  Excision of gum lesion                            A   2.41   6.00     6.56     3.39     3.71     0.31   8.72   9.28   6.11   6.43  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
41827  Excision of gum lesion                            A   3.83   8.30     8.75     4.69     5.06     0.49  12.62  13.07   9.01   9.38  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
41828  Excision of gum lesion                            R   3.14   5.27     5.64     2.75     3.03     0.39   8.80   9.17   6.28   6.56  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
41830  Removal of gum tissue                             R   3.45   7.38     7.79     4.36     4.74     0.44  11.27  11.68   8.25   8.63  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
4185F  Continuous ppi or h2ra rcvd                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4186F  No cont ppi or h2ra rcvd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
41872  Repair gum                                        R   3.01   7.16     7.37     4.30     4.51     0.60  10.77  10.98   7.91   8.12  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
41874  Repair tooth socket                               R   3.19   7.10     7.47     3.86     4.17     0.39  10.68  11.05   7.44   7.75  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
4188F  Approp ACE/ARB tstng done                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4189F  Approp digoxin tstng done                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4190F  Approp diuretic tstng done                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4191F  Approp anticonvuls tstng                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4192F  Pt not rcvng glucoco thxpy                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4193F  Pt rcvng<10mg daily predniso                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4194F  Pt rcvng>10mg daily predniso                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4195F  Pt rcvng anti-rheum thxpy RA                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4196F  Ptnot rcvng anti-rhm thxpyRA                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
42000  Drainage mouth roof lesion                        A   1.28   3.15     3.25     1.63     1.75     0.16   4.59   4.69   3.07   3.19  0010.10.80.1020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4210F  ACE/ARB thxpy for >= 6 mons                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42100  Biopsy roof of mouth                              A   1.36   2.85     2.98     1.70     1.81     0.18   4.39   4.52   3.24   3.35  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42104  Excision lesion mouth roof                        A   1.69   4.31     4.57     2.19     2.36     0.23   6.23   6.49   4.11   4.28  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42106  Excision lesion mouth roof                        A   2.15   5.39     5.71     2.85     3.01     0.29   7.83   8.15   5.29   5.45  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42107  Excision lesion mouth roof                        A   4.56   8.28     8.74     5.08     5.45     0.59  13.43  13.89  10.23  10.60  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
42120  Remove palate/lesion                              A  11.86  15.97NA  16.98NA  15.97    16.98     1.57  29.40  30.41  29.40  30.41  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42140  Excision of uvula                                 A   1.70   5.53     5.75     2.72     2.85     0.23   7.46   7.68   4.65   4.78  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
42145  Repair palate pharynx/uvula                       A   9.78  10.00NA  10.74NA  10.00    10.74     1.25  21.03  21.77  21.03  21.77  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
42160  Treatment mouth roof lesion                       A   1.85   4.85     4.91     2.37     2.43     0.24   6.94   7.00   4.46   4.52  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
42180  Repair palate                                     A   2.55   4.00     3.99     2.39     2.38     0.33   6.88   6.87   5.27   5.26  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
42182  Repair palate                                     A   3.87   5.21     5.48     3.41     3.59     0.49   9.57   9.84   7.77   7.95  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
4220F  Digoxin thxpy for >= 6 mons                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42200  Reconstruct cleft palate                          A  12.53  11.67NA  12.21NA  11.67    12.21     1.61  25.81  26.35  25.81  26.35  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42205  Reconstruct cleft palate                          A  13.66  12.84NA  14.40NA  12.84    14.40     1.77  28.27  29.83  28.27  29.83  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
4221F  Diuretic thxpy for >= 6 mons                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42210  Reconstruct cleft palate                          A  15.03  13.28NA  13.70NA  13.28    13.70     2.97  31.28  31.70  31.28  31.70  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42215  Reconstruct cleft palate                          A   8.99  10.57NA  11.47NA  10.57    11.47     1.78  21.34  22.24  21.34  22.24  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42220  Reconstruct cleft palate                          A   7.16   7.93NA   8.33NA   7.93     8.33     0.50  15.59  15.99  15.59  15.99  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42225  Reconstruct cleft palate                          A   9.77  16.11NA  15.88NA  16.11    15.88     1.25  27.13  26.90  27.13  26.90  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42226  Lengthening of palate                             A  10.35  15.52NA  15.73NA  15.52    15.73     1.32  27.19  27.40  27.19  27.40  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42227  Lengthening of palate                             A   9.90  14.80NA  14.55NA  14.80    14.55     1.27  25.97  25.72  25.97  25.72  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42235  Repair palate                                     A   8.01  12.97NA  13.44NA  12.97    13.44     1.03  22.01  22.48  22.01  22.48  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42260  Repair nose to lip fistula                        A  10.22  12.71    13.43     8.34     8.96     1.31  24.24  24.96  19.87  20.49  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42280  Preparation palate mold                           A   1.59   2.86     3.08     1.36     1.57     0.34   4.79   5.01   3.29   3.50  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
42281  Insertion palate prosthesis                       A   1.98   3.79     4.01     2.29     2.42     0.26   6.03   6.25   4.53   4.66  0010.10.80.1020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4230F  Anticonv thxpy for >= 6 mons                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42300  Drainage of salivary gland                        A   1.98   3.92     4.12     2.31     2.46     0.27   6.17   6.37   4.56   4.71  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42305  Drainage of salivary gland                        A   6.31   5.68NA   6.07NA   5.68     6.07     0.86  12.85  13.24  12.85  13.24  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42310  Drainage of salivary gland                        A   1.61   2.96     3.12     1.90     2.03     0.22   4.79   4.95   3.73   3.86  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
42320  Drainage of salivary gland                        A   2.40   4.68     4.93     2.57     2.73     0.31   7.39   7.64   5.28   5.44  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
42330  Removal of salivary stone                         A   2.26   4.30     4.50     2.37     2.54     0.30   6.86   7.06   4.93   5.10  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42335  Removal of salivary stone                         A   3.41   7.16     7.52     3.87     4.11     0.42  10.99  11.35   7.70   7.94  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
42340  Removal of salivary stone                         A   4.72   8.36     8.77     4.75     5.06     0.61  13.69  14.10  10.08  10.39  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
4240F  Instr xrcz 4bk pn >12 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             33.9764 090 99      0.00   0.00   0.00
42400  Biopsy of salivary gland                          A   0.78   2.31     2.32     0.82     0.82     0.08   3.17   3.18   1.68   1.68  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
42405  Biopsy of salivary gland                          A   3.34   5.07     5.24     2.98     3.16     0.42   8.83   9.00   6.74   6.92  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42408  Excision of salivary cyst                         A   4.66   8.18     8.64     4.55     4.91     0.60  13.44  13.90   9.81  10.17  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42409  Drainage of salivary cyst                         A   2.91   6.54     6.88     3.39     3.59     0.37   9.82  10.16   6.67   6.87  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42410  Excise parotid gland/lesion                       A   9.57   7.58NA   8.17NA   7.58     8.17     1.44  18.59  19.18  18.59  19.18  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42415  Excise parotid gland/lesion                       A  18.12  12.73NA  13.79NA  12.73    13.79     2.42  33.27  34.33  33.27  34.33  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
4242F  Sprvsd xrcz bk pn >12 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             33.9764 090 99      0.00   0.00   0.00
42420  Excise parotid gland/lesion                       A  21.00  14.28NA  15.51NA  14.28    15.51     2.83  38.11  39.34  38.11  39.34  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42425  Excise parotid gland/lesion                       A  13.42   9.89NA  10.61NA   9.89    10.61     1.84  25.15  25.87  25.15  25.87  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42426  Excise parotid gland/lesion                       A  22.66  14.89NA  16.10NA  14.89    16.10     3.12  40.67  41.88  40.67  41.88  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42440  Excise submaxillary gland                         A   7.13   5.88NA   6.34NA   5.88     6.34     0.95  13.96  14.42  13.96  14.42  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
4245F  Pt instr nrml lifest                              M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42450  Excise sublingual gland                           A   4.74   8.01     8.40     5.35     5.68     0.64  13.39  13.78  10.73  11.06  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
4248F  Pt instr no bd rest>= 4 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             33.9764 090 99      0.00   0.00   0.00
4250F  Wrmng 4 surg normothermia                         M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42500  Repair salivary duct                              A   4.42   7.77     8.15     5.20     5.51     0.60  12.79  13.17  10.22  10.53  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42505  Repair salivary duct                              A   6.32   9.32     9.80     6.44     6.85     0.80  16.44  16.92  13.56  13.97  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
42507  Parotid duct diversion                            A   6.25   8.33NA   8.74NA   8.33     8.74     0.80  15.38  15.79  15.38  15.79  0090.09.81.1022200             33.9764 090 99      0.00   0.00   0.00
42508  Parotid duct diversion                            A   9.33  10.55NA  10.70NA  10.55    10.70     1.20  21.08  21.23  21.08  21.23  0090.09.81.1022200             33.9764 090 99      0.00   0.00   0.00
42509  Parotid duct diversion                            A  11.76  10.44NA  10.13NA  10.44    10.13     2.30  24.50  24.19  24.50  24.19  0090.09.81.1022000             33.9764 090 99      0.00   0.00   0.00
42510  Parotid duct diversion                            A   8.35   9.43NA   9.97NA   9.43     9.97     1.08  18.86  19.40  18.86  19.40  0090.09.81.1022210             33.9764 090 99      0.00   0.00   0.00
4255F  Anesth 60+ min as docd                            M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42550  Injection for salivary x-ray                      A   1.25   2.74     2.42     0.52     0.47     0.11   4.10   3.78   1.88   1.83  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
4256F  Anesthe <60 min as 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             33.9764 090 99      0.00   0.00   0.00
4260F  Wound srfc culturetech used                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42600  Closure of salivary fistula                       A   4.94   8.72     9.08     4.94     5.21     0.64  14.30  14.66  10.52  10.79  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
4261F  Tech other than surfc cultr                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4265F  Wet-dry dressings rx recmd                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42650  Dilation of salivary duct                         A   0.77   1.59     1.67     0.89     0.94     0.10   2.46   2.54   1.76   1.81  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
4266F  No wet-dry drssings rx recmd                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42660  Dilation of salivary duct                         A   1.13   1.87     1.97     1.05     1.13     0.14   3.14   3.24   2.32   2.40  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
42665  Ligation of salivary duct                         A   2.63   6.27     6.59     3.24     3.42     0.34   9.24   9.56   6.21   6.39  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
4267F  Comprssion thxpy 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             33.9764 090 99      0.00   0.00   0.00
4268F  Pt ed re comp thxpy rcvd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4269F  Appropos mthd offloading Rxd                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4270F  Pt rcvng anti r-viral 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             33.9764 090 99      0.00   0.00   0.00
42700  Drainage of tonsil abscess                        A   1.67   3.69     3.84     2.17     2.27     0.23   5.59   5.74   4.07   4.17  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
4271F  Pt rcvng anti r-viral 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             33.9764 090 99      0.00   0.00   0.00
42720  Drainage of throat abscess                        A   6.31   6.40     6.84     4.65     5.04     0.83  13.54  13.98  11.79  12.18  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
42725  Drainage of throat abscess                        A  12.41  10.25NA  11.08NA  10.25    11.08     1.59  24.25  25.08  24.25  25.08  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
4274F  Flu immuno admind 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             33.9764 090 99      0.00   0.00   0.00
4275F  Hep b vac inj admin/rcvd                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4276F  Potent antivir 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             33.9764 090 99      0.00   0.00   0.00
4279F  PCP prophylaxis Rxd                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4280F  PCP prophylax Rxd 3mon low %                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42800  Biopsy of throat                                  A   1.44   3.06     3.20     1.73     1.83     0.20   4.70   4.84   3.37   3.47  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42802  Biopsy of throat                                  A   1.59   5.21     5.20     2.24     2.29     0.22   7.02   7.01   4.05   4.10  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42804  Biopsy of upper nose/throat                       A   1.29   4.46     4.50     1.98     2.04     0.16   5.91   5.95   3.43   3.49  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42806  Biopsy of upper nose/throat                       A   1.63   4.79     4.85     2.16     2.23     0.22   6.64   6.70   4.01   4.08  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42808  Excise pharynx lesion                             A   2.35   4.10     4.29     2.24     2.37     0.30   6.75   6.94   4.89   5.02  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42809  Remove pharynx foreign body                       A   1.86   2.91     3.04     1.77     1.90     0.27   5.04   5.17   3.90   4.03  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
42810  Excision of neck cyst                             A   3.38   7.69     8.02     4.80     5.10     0.42  11.49  11.82   8.60   8.90  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42815  Excision of neck cyst                             A   7.31   8.32NA   8.83NA   8.32     8.83     1.01  16.64  17.15  16.64  17.15  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42820  Remove tonsils and adenoids                       A   4.22   3.96NA   4.23NA   3.96     4.23     0.53   8.71   8.98   8.71   8.98  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42821  Remove tonsils and adenoids                       A   4.36   4.15NA   4.42NA   4.15     4.42     0.56   9.07   9.34   9.07   9.34  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42825  Removal of tonsils                                A   3.51   3.91NA   4.13NA   3.91     4.13     0.44   7.86   8.08   7.86   8.08  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42826  Removal of tonsils                                A   3.45   3.66NA   3.88NA   3.66     3.88     0.44   7.55   7.77   7.55   7.77  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
42830  Removal of adenoids                               A   2.65   3.22NA   3.41NA   3.22     3.41     0.34   6.21   6.40   6.21   6.40  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42831  Removal of adenoids                               A   2.81   3.53NA   3.72NA   3.53     3.72     0.35   6.69   6.88   6.69   6.88  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42835  Removal of adenoids                               A   2.38   2.66NA   2.58NA   2.66     2.58     0.30   5.34   5.26   5.34   5.26  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42836  Removal of adenoids                               A   3.26   3.57NA   3.76NA   3.57     3.76     0.41   7.24   7.43   7.24   7.43  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42842  Extensive surgery of throat                       A  12.23  15.65NA  16.75NA  15.65    16.75     1.58  29.46  30.56  29.46  30.56  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42844  Extensive surgery of throat                       A  17.78  20.73NA  21.98NA  20.73    21.98     2.27  40.78  42.03  40.78  42.03  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42845  Extensive surgery of throat                       A  32.56  29.54NA  31.77NA  29.54    31.77     4.18  66.28  68.51  66.28  68.51  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42860  Excision of tonsil tags                           A   2.30   3.04NA   3.20NA   3.04     3.20     0.30   5.64   5.80   5.64   5.80  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42870  Excision of lingual tonsil                        A   5.52  11.02NA  11.41NA  11.02    11.41     0.71  17.25  17.64  17.25  17.64  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
42890  Partial removal of pharynx                        A  19.13  20.24NA  21.85NA  20.24    21.85     2.52  41.89  43.50  41.89  43.50  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42892  Revision of pharyngeal walls                      A  26.03  25.83NA  28.30NA  25.83    28.30     3.42  55.28  57.75  55.28  57.75  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42894  Revision of pharyngeal walls                      A  33.92  31.75NA  34.51NA  31.75    34.51     4.42  70.09  72.85  70.09  72.85  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
4290F  Pt scrned for inj drug use                        M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42900  Repair throat wound                               A   5.29   4.24NA   4.56NA   4.24     4.56     0.68  10.21  10.53  10.21  10.53  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
4293F  Pt scrnd hgh-risk sex behav                       M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
42950  Reconstruction of throat                          A   8.27  14.28NA  14.73NA  14.28    14.73     1.14  23.69  24.14  23.69  24.14  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
42953  Repair throat esophagus                           A   9.45  18.03NA  18.18NA  18.03    18.18     1.31  28.79  28.94  28.79  28.94  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42955  Surgical opening of throat                        A   8.01  13.29NA  13.95NA  13.29    13.95     1.03  22.33  22.99  22.33  22.99  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42960  Control throat bleeding                           A   2.38   2.38NA   2.53NA   2.38     2.53     0.31   5.07   5.22   5.07   5.22  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
42961  Control throat bleeding                           A   5.77   6.10NA   6.49NA   6.10     6.49     0.73  12.60  12.99  12.60  12.99  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42962  Control throat bleeding                           A   7.40   7.19NA   7.65NA   7.19     7.65     0.95  15.54  16.00  15.54  16.00  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
42970  Control nose/throat bleeding                      A   5.82   5.13NA   5.56NA   5.13     5.56     0.84  11.79  12.22  11.79  12.22  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
42971  Control nose/throat bleeding                      A   6.60   6.27NA   6.72NA   6.27     6.72     0.84  13.71  14.16  13.71  14.16  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
42972  Control nose/throat bleeding                      A   7.59   6.78NA   7.31NA   6.78     7.31     0.98  15.35  15.88  15.35  15.88  0090.09.81.1020200             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4300F  Pt rcvng warf thxpy                               I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4301F  Pt not rcvng warf thxpy                           I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43020  Incision of esophagus                             A   8.23   6.60NA   7.45NA   6.60     7.45     1.06  15.89  16.74  15.89  16.74  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43030  Throat muscle surgery                             A   7.99   6.44NA   6.87NA   6.44     6.87     1.17  15.60  16.03  15.60  16.03  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43045  Incision of esophagus                             A  21.88  12.36NA  12.19NA  12.36    12.19     5.12  39.36  39.19  39.36  39.19  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
4305F  Pt ed re ft care inspct rcvd                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
4306F  Pt tlk psych & Rx opd addic                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43100  Excision of esophagus lesion                      A   9.66   7.78NA   8.55NA   7.78     8.55     1.24  18.68  19.45  18.68  19.45  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43101  Excision of esophagus lesion                      A  17.07   9.37NA   9.25NA   9.37     9.25     4.00  30.44  30.32  30.44  30.32  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43107  Removal of esophagus                              A  44.18  22.09NA  22.68NA  22.09    22.68     9.87  76.14  76.73  76.14  76.73  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43108  Removal of esophagus                              A  82.87  34.84NA  40.18NA  34.84    40.18    17.67 135.38 140.72 135.38 140.72  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43112  Removal of esophagus                              A  47.48  22.52NA  22.60NA  22.52    22.60    10.77  80.77  80.85  80.77  80.85  0090.09.81.1020220             33.9764 090 99      0.00   0.00   0.00
43113  Removal of esophagus                              A  80.06  36.45NA  40.33NA  36.45    40.33    17.08 133.59 137.47 133.59 137.47  0090.09.81.1020220             33.9764 090 99      0.00   0.00   0.00
43116  Partial removal of esophagus                      A  92.99  47.38NA  58.31NA  47.38    58.31    11.94 152.31 163.24 152.31 163.24  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43117  Partial removal of esophagus                      A  43.65  20.55NA  20.83NA  20.55    20.83     9.87  74.07  74.35  74.07  74.35  0090.09.81.1020220             33.9764 090 99      0.00   0.00   0.00
43118  Partial removal of esophagus                      A  67.07  29.22NA  33.31NA  29.22    33.31    14.30 110.59 114.68 110.59 114.68  0090.09.81.1020220             33.9764 090 99      0.00   0.00   0.00
43121  Partial removal of esophagus                      A  51.43  22.40NA  23.09NA  22.40    23.09    12.03  85.86  86.55  85.86  86.55  0090.09.81.1020220             33.9764 090 99      0.00   0.00   0.00
43122  Partial removal of esophagus                      A  44.18  21.55NA  22.65NA  21.55    22.65     9.64  75.37  76.47  75.37  76.47  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43123  Partial removal of esophagus                      A  83.12  35.76NA  41.66NA  35.76    41.66    17.71 136.59 142.49 136.59 142.49  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43124  Removal of esophagus                              A  69.09  32.16NA  36.43NA  32.16    36.43    16.18 117.43 121.70 117.43 121.70  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43130  Removal of esophagus pouch                        A  12.53   9.05NA   9.62NA   9.05     9.62     1.99  23.57  24.14  23.57  24.14  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43135  Removal of esophagus pouch                        A  26.17  12.63NA  13.16NA  12.63    13.16     5.97  44.77  45.30  44.77  45.30  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
4320F  Pt talk psychsoc&rx oh dpnd                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43200  Esophagus endoscopy                               A   1.59   4.57     4.53     1.31     1.38     0.23   6.39   6.35   3.13   3.20  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43201  Esoph scope w/submucous inj                       A   2.09   6.34     6.20     1.48     1.49     0.30   8.73   8.59   3.87   3.88  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43202  Esophagus endoscopy biopsy                        A   1.89   6.18     6.04     1.27     1.32     0.29   8.36   8.22   3.45   3.50  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43204  Esoph scope w/sclerosis inj                       A   3.76   2.32NA   2.28NA   2.32     2.28     0.59   6.67   6.63   6.67   6.63  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43205  Esophagus endoscopy/ligation                      A   3.78   2.39NA   2.40NA   2.39     2.40     0.56   6.73   6.74   6.73   6.74  0000.00.00.0030000       43200 33.9764 090 99      0.00   0.00   0.00
43215  Esophagus endoscopy                               A   2.60   1.62NA   1.67NA   1.62     1.67     0.41   4.63   4.68   4.63   4.68  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43216  Esophagus endoscopy/lesion                        A   2.40   3.38     3.65     1.55     1.59     0.35   6.13   6.40   4.30   4.34  0000.00.00.0030000       43200 33.9764 090 99      0.00   0.00   0.00
43217  Esophagus endoscopy                               A   2.90   7.80     7.64     1.74     1.81     0.49  11.19  11.03   5.13   5.20  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43219  Esophagus endoscopy                               A   2.80   1.87NA   1.87NA   1.87     1.87     0.48   5.15   5.15   5.15   5.15  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43220  Esoph endoscopy dilation                          A   2.10   1.40NA   1.44NA   1.40     1.44     0.31   3.81   3.85   3.81   3.85  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43226  Esoph endoscopy dilation                          A   2.34   1.54NA   1.55NA   1.54     1.55     0.37   4.25   4.26   4.25   4.26  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43227  Esoph endoscopy repair                            A   3.59   2.18NA   2.22NA   2.18     2.22     0.54   6.31   6.35   6.31   6.35  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43228  Esoph endoscopy ablation                          A   3.76   2.35NA   2.38NA   2.35     2.38     0.59   6.70   6.73   6.70   6.73  0000.00.00.0030100       43200 33.9764 090 99      0.00   0.00   0.00
43231  Esoph endoscopy w/us exam                         A   3.19   2.05NA   2.06NA   2.05     2.06     0.48   5.72   5.73   5.72   5.73  0000.00.00.0030020       43235 33.9764 090 99      0.00   0.00   0.00
43232  Esoph endoscopy w/us fn bx                        A   4.47   2.72NA   2.73NA   2.72     2.73     0.69   7.88   7.89   7.88   7.89  0000.00.00.0030020       43235 33.9764 090 99      0.00   0.00   0.00
43234  Upper gi endoscopy exam                           A   2.01   5.93     5.77     1.27     1.32     0.34   8.28   8.12   3.62   3.67  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43235  Uppr gi endoscopy diagnosis                       A   2.39   6.01     5.71     1.60     1.61     0.37   8.77   8.47   4.36   4.37  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43236  Uppr gi scope w/submuc inj                        A   2.92   7.53     7.11     1.93     1.92     0.42  10.87  10.45   5.27   5.26  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43237  Endoscopic us exam esoph                          A   3.98   2.50NA   2.49NA   2.50     2.49     0.60   7.08   7.07   7.08   7.07  0000.00.00.0030000       43235 33.9764 090 99      0.00   0.00   0.00
43238  Uppr gi endoscopy w/us fn bx                      A   5.02   3.06NA   3.03NA   3.06     3.03     0.75   8.83   8.80   8.83   8.80  0000.00.00.0030000       43235 33.9764 090 99      0.00   0.00   0.00
43239  Upper gi endoscopy biopsy                         A   2.87   6.87     6.57     1.85     1.87     0.42  10.16   9.86   5.14   5.16  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
4324F  Pt queried prkns complic                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43240  Esoph endoscope w/drain cyst                      A   6.85   4.04NA   4.07NA   4.04     4.07     1.03  11.92  11.95  11.92  11.95  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43241  Upper GI endoscopy with tube                      A   2.59   1.69NA   1.71NA   1.69     1.71     0.39   4.67   4.69   4.67   4.69  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43242  Uppr gi endoscopy w/us fn bx                      A   7.30   4.35NA   4.36NA   4.35     4.36     1.08  12.73  12.74  12.73  12.74  0000.00.00.0030000       43235 33.9764 090 99      0.00   0.00   0.00
43243  Upper gi endoscopy & inject                       A   4.56   2.80NA   2.80NA   2.80     2.80     0.68   8.04   8.04   8.04   8.04  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43244  Upper GI endoscopy/ligation                       A   5.04   3.11NA   3.11NA   3.11     3.11     0.73   8.88   8.88   8.88   8.88  0000.00.00.0030000       43235 33.9764 090 99      0.00   0.00   0.00
43245  Uppr gi scope dilate strictr                      A   3.18   1.97NA   2.00NA   1.97     2.00     0.50   5.65   5.68   5.65   5.68  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43246  Place gastrostomy tube                            A   4.32   2.55NA   2.58NA   2.55     2.58     0.69   7.56   7.59   7.56   7.59  0000.00.00.0030020       43235 33.9764 090 99      0.00   0.00   0.00
43247  Operative upper GI endoscopy                      A   3.38   2.12NA   2.14NA   2.12     2.14     0.52   6.02   6.04   6.02   6.04  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43248  Uppr gi endoscopy/guide wire                      A   3.15   2.06NA   2.06NA   2.06     2.06     0.45   5.66   5.66   5.66   5.66  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43249  Esoph endoscopy dilation                          A   2.90   1.90NA   1.90NA   1.90     1.90     0.42   5.22   5.22   5.22   5.22  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
4325F  Med txmnt options rvwd w/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             33.9764 090 99      0.00   0.00   0.00
43250  Upper GI endoscopy/tumor                          A   3.20   1.95NA   1.99NA   1.95     1.99     0.52   5.67   5.71   5.67   5.71  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43251  Operative upper GI endoscopy                      A   3.69   2.30NA   2.32NA   2.30     2.32     0.56   6.55   6.57   6.55   6.57  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43255  Operative upper GI endoscopy                      A   4.81   2.97NA   2.97NA   2.97     2.97     0.71   8.49   8.49   8.49   8.49  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43256  Uppr gi endoscopy w/stent                         A   4.34   2.64NA   2.63NA   2.64     2.63     0.68   7.66   7.65   7.66   7.65  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43257  Uppr gi scope w/thrml txmnt                       A   5.50   3.26NA   3.45NA   3.26     3.45     0.80   9.56   9.75   9.56   9.75  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43258  Operative upper GI endoscopy                      A   4.54   2.80NA   2.81NA   2.80     2.81     0.68   8.02   8.03   8.02   8.03  0000.00.00.0030100       43235 33.9764 090 99      0.00   0.00   0.00
43259  Endoscopic ultrasound exam                        A   5.19   3.19NA   3.19NA   3.19     3.19     0.75   9.13   9.13   9.13   9.13  0000.00.00.0030000       43235 33.9764 090 99      0.00   0.00   0.00
4326F  Pt asked re symp auto dysfxn                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43260  Endo cholangiopancreatograph                      A   5.95   3.60NA   3.60NA   3.60     3.60     0.87  10.42  10.42  10.42  10.42  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43261  Endo cholangiopancreatograph                      A   6.26   3.78NA   3.78NA   3.78     3.78     0.91  10.95  10.95  10.95  10.95  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43262  Endo cholangiopancreatograph                      A   7.38   4.40NA   4.40NA   4.40     4.40     1.09  12.87  12.87  12.87  12.87  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43263  Endo cholangiopancreatograph                      A   7.28   4.33NA   4.27NA   4.33     4.27     1.08  12.69  12.63  12.69  12.63  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43264  Endo cholangiopancreatograph                      A   8.89   5.25NA   5.24NA   5.25     5.24     1.31  15.45  15.44  15.45  15.44  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43265  Endo cholangiopancreatograph                      A  10.00   5.85NA   5.84NA   5.85     5.84     1.48  17.33  17.32  17.33  17.32  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43267  Endo cholangiopancreatograph                      A   7.38   4.35NA   4.35NA   4.35     4.35     1.09  12.82  12.82  12.82  12.82  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43268  Endo cholangiopancreatograph                      A   7.38   4.57NA   4.56NA   4.57     4.56     1.09  13.04  13.03  13.04  13.03  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43269  Endo cholangiopancreatograph                      A   8.20   4.85NA   4.85NA   4.85     4.85     1.21  14.26  14.26  14.26  14.26  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43271  Endo cholangiopancreatograph                      A   7.38   4.39NA   4.39NA   4.39     4.39     1.09  12.86  12.86  12.86  12.86  0000.00.00.0030100       43260 33.9764 090 99      0.00   0.00   0.00
43272  Endo cholangiopancreatograph                      A   7.38   4.40NA   4.43NA   4.40     4.43     1.09  12.87  12.90  12.87  12.90  0000.00.00.0030000       43260 33.9764 090 99      0.00   0.00   0.00
43273  Endoscopic pancreatoscopy                         A   2.24   1.28NA   1.24NA   1.28     1.24     0.33   3.85   3.81   3.85   3.81  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
43279  Lap myotomy heller                                A  22.10  10.96NA  12.01NA  10.96    12.01     4.71  37.77  38.82  37.77  38.82  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
4328F  Pt asked re sleep disturb                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43280  Laparoscopy fundoplasty                           A  18.10   9.52NA  10.40NA   9.52    10.40     3.85  31.47  32.35  31.47  32.35  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43281  Lap paraesophag hern repair                       A  26.60  14.10NA  14.10NA  14.10    14.10     5.66  46.36  46.36  46.36  46.36  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43282  Lap paraesoph her rpr w/mesh                      A  30.10  15.61NA  15.61NA  15.61    15.61     6.38  52.09  52.09  52.09  52.09  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43283  Lap esoph lengthening                             A   2.95   1.28NA   1.28NA   1.28     1.28     0.60   4.83   4.83   4.83   4.83  0ZZZ.00.00.0000210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4330F  Cnslng epi spec sfty issues                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43300  Repair of esophagus                               A   9.33   7.85NA   8.56NA   7.85     8.56     1.20  18.38  19.09  18.38  19.09  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43305  Repair esophagus and fistula                      A  18.10  12.42NA  13.55NA  12.42    13.55     2.31  32.83  33.96  32.83  33.96  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43310  Repair of esophagus                               A  26.26  12.78NA  12.44NA  12.78    12.44     6.14  45.18  44.84  45.18  44.84  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43312  Repair esophagus and fistula                      A  29.25  13.17NA  12.29NA  13.17    12.29     6.86  49.28  48.40  49.28  48.40  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43313  Esophagoplasty congenital                         A  48.45  23.58NA  26.00NA  23.58    26.00    11.35  83.38  85.80  83.38  85.80  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43314  Tracheo-esophagoplasty cong                       A  53.43  24.78NA  23.14NA  24.78    23.14     6.87  85.08  83.44  85.08  83.44  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43320  Fuse esophagus & stomach                          A  23.31  12.52NA  13.36NA  12.52    13.36     4.98  40.81  41.65  40.81  41.65  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43325  Revise esophagus & stomach                        A  22.60  11.55NA  12.35NA  11.55    12.35     4.83  38.98  39.78  38.98  39.78  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43327  Esoph fundoplasty lap                             A  13.35   8.12NA   8.12NA   8.12     8.12     2.84  24.31  24.31  24.31  24.31  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43328  Esoph fundoplasty thor                            A  19.91  10.82NA  10.82NA  10.82    10.82     4.98  35.71  35.71  35.71  35.71  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43330  Esophagomyotomy abdominal                         A  22.19  11.43NA  12.41NA  11.43    12.41     4.78  38.40  39.38  38.40  39.38  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43331  Esophagomyotomy thoracic                          A  23.06  12.36NA  12.26NA  12.36    12.26     5.40  40.82  40.72  40.82  40.72  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43332  Transab esoph hiat hern rpr                       A  19.62  11.02NA  11.02NA  11.02    11.02     4.18  34.82  34.82  34.82  34.82  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43333  Transab esoph hiat hern rpr                       A  21.46  11.80NA  11.80NA  11.80    11.80     4.55  37.81  37.81  37.81  37.81  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43334  Transthor diaphrag hern rpr                       A  22.12  11.39NA  11.39NA  11.39    11.39     4.71  38.22  38.22  38.22  38.22  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43335  Transthor diaphrag hern rpr                       A  23.97  12.13NA  12.13NA  12.13    12.13     5.08  41.18  41.18  41.18  41.18  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43336  Thorabd diaphr hern repair                        A  25.81  13.46NA  13.46NA  13.46    13.46     5.85  45.12  45.12  45.12  45.12  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43337  Thorabd diaphr hern repair                        A  27.65  15.33NA  15.33NA  15.33    15.33     6.27  49.25  49.25  49.25  49.25  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43338  Esoph lengthening                                 A   2.21   1.30NA   1.30NA   1.30     1.30     0.50   4.01   4.01   4.01   4.01  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
43340  Fuse esophagus & intestine                        A  22.99  12.17NA  13.22NA  12.17    13.22     4.90  40.06  41.11  40.06  41.11  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43341  Fuse esophagus & intestine                        A  24.23  14.11NA  14.80NA  14.11    14.80     5.68  44.02  44.71  44.02  44.71  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43350  Surgical opening esophagus                        A  19.49  12.38NA  14.42NA  12.38    14.42     4.15  36.02  38.06  36.02  38.06  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43351  Surgical opening esophagus                        A  22.05  12.18NA  11.96NA  12.18    11.96     5.16  39.39  39.17  39.39  39.17  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43352  Surgical opening esophagus                        A  17.81  10.27NA  10.15NA  10.27    10.15     4.16  32.24  32.12  32.24  32.12  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43360  Gastrointestinal repair                           A  40.11  18.95NA  18.71NA  18.95    18.71     9.40  68.46  68.22  68.46  68.22  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43361  Gastrointestinal repair                           A  45.68  20.83NA  20.54NA  20.83    20.54     9.74  76.25  75.96  76.25  75.96  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
4340F  Cnslng chldbrng women epi                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43400  Ligate esophagus veins                            A  25.60  15.61NA  14.35NA  15.61    14.35     3.77  44.98  43.72  44.98  43.72  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43401  Esophagus surgery for veins                       A  26.49  12.33NA  12.50NA  12.33    12.50     5.65  44.47  44.64  44.47  44.64  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43405  Ligate/staple esophagus                           A  24.73  14.52NA  15.88NA  14.52    15.88     5.28  44.53  45.89  44.53  45.89  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43410  Repair esophagus wound                            A  16.41  10.61NA  11.38NA  10.61    11.38     3.84  30.86  31.63  30.86  31.63  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43415  Repair esophagus wound                            A  28.91  15.65NA  16.29NA  15.65    16.29     6.60  51.16  51.80  51.16  51.80  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43420  Repair esophagus opening                          A  16.78  11.20NA  12.74NA  11.20    12.74     2.15  30.13  31.67  30.13  31.67  0090.09.81.1020010             33.9764 090 99      0.00   0.00   0.00
43425  Repair esophagus opening                          A  25.04  14.40NA  15.15NA  14.40    15.15     5.35  44.79  45.54  44.79  45.54  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43450  Dilate esophagus                                  A   1.38   3.04     2.89     1.08     1.07     0.22   4.64   4.49   2.68   2.67  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43453  Dilate esophagus                                  A   1.51   6.99     6.56     1.15     1.14     0.23   8.73   8.30   2.89   2.88  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43456  Dilate esophagus                                  A   2.57  14.72    13.78     1.70     1.72     0.38  17.67  16.73   4.65   4.67  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43458  Dilate esophagus                                  A   3.06   7.94     7.65     1.94     1.97     0.45  11.45  11.16   5.45   5.48  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43460  Pressure treatment esophagus                      A   3.79   2.31NA   2.43NA   2.31     2.43     0.54   6.64   6.76   6.64   6.76  0000.00.00.0020100             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
43500  Surgical opening of stomach                       A  12.79   7.22NA   7.91NA   7.22     7.91     2.71  22.72  23.41  22.72  23.41  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43501  Surgical repair of stomach                        A  22.60  11.55NA  12.76NA  11.55    12.76     4.78  38.93  40.14  38.93  40.14  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43502  Surgical repair of stomach                        A  25.69  12.92NA  14.34NA  12.92    14.34     5.47  44.08  45.50  44.08  45.50  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43510  Surgical opening of stomach                       A  15.14  10.29NA  11.35NA  10.29    11.35     2.22  27.65  28.71  27.65  28.71  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43520  Incision of pyloric muscle                        A  11.29   6.52NA   6.80NA   6.52     6.80     2.50  20.31  20.59  20.31  20.59  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43605  Biopsy of stomach                                 A  13.72   7.68NA   8.63NA   7.68     8.63     2.87  24.27  25.22  24.27  25.22  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43610  Excision of stomach lesion                        A  16.34   8.59NA   9.48NA   8.59     9.48     3.46  28.39  29.28  28.39  29.28  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43611  Excision of stomach lesion                        A  20.38  10.67NA  11.74NA  10.67    11.74     4.30  35.35  36.42  35.35  36.42  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43620  Removal of stomach                                A  34.04  15.97NA  17.55NA  15.97    17.55     7.25  57.26  58.84  57.26  58.84  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43621  Removal of stomach                                A  39.53  17.83NA  19.86NA  17.83    19.86     8.41  65.77  67.80  65.77  67.80  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43622  Removal of stomach                                A  40.03  18.12NA  20.28NA  18.12    20.28     8.55  66.70  68.86  66.70  68.86  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43631  Removal of stomach partial                        A  24.51  12.36NA  13.61NA  12.36    13.61     5.20  42.07  43.32  42.07  43.32  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43632  Removal of stomach partial                        A  35.14  15.96NA  18.15NA  15.96    18.15     7.42  58.52  60.71  58.52  60.71  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43633  Removal of stomach partial                        A  33.14  15.31NA  17.31NA  15.31    17.31     7.00  55.45  57.45  55.45  57.45  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43634  Removal of stomach partial                        A  36.64  16.89NA  19.10NA  16.89    19.10     7.81  61.34  63.55  61.34  63.55  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43635  Removal of stomach partial                        A   2.06   0.80NA   0.88NA   0.80     0.88     0.42   3.28   3.36   3.28   3.36  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
43640  Vagotomy & pylorus repair                         A  19.56  10.39NA  11.52NA  10.39    11.52     4.12  34.07  35.20  34.07  35.20  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43641  Vagotomy & pylorus repair                         A  19.81  10.53NA  11.78NA  10.53    11.78     4.22  34.56  35.81  34.56  35.81  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43644  Lap gastric bypass/roux-en-y                      A  29.40  14.69NA  16.12NA  14.69    16.12     6.22  50.31  51.74  50.31  51.74  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43645  Lap gastr bypass incl smll i                      A  31.53  15.51NA  17.07NA  15.51    17.07     6.74  53.78  55.34  53.78  55.34  0090.09.81.1020210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
43651  Laparoscopy vagus nerve                           A  10.13   6.53NA   7.14NA   6.53     7.14     2.16  18.82  19.43  18.82  19.43  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
43652  Laparoscopy vagus nerve                           A  12.13   7.30NA   8.01NA   7.30     8.01     2.59  22.02  22.73  22.02  22.73  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
43653  Laparoscopy gastrostomy                           A   8.48   6.06NA   6.63NA   6.06     6.63     1.81  16.35  16.92  16.35  16.92  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
43752  Nasal/orogastric w/stent                          A   0.81   0.33NA   0.32NA   0.33     0.32     0.08   1.22   1.21   1.22   1.21  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
43753  Tx gastro intub w/asp                             A   0.45   0.13NA   0.13NA   0.13     0.13     0.03   0.61   0.61   0.61   0.61  0000.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
43754  Dx gastr intub w/asp spec                         A   0.45   1.83     1.83     0.44     0.44     0.04   2.32   2.32   0.93   0.93  0000.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
43755  Dx gastr intub w/asp specs                        A   0.94   2.52     2.52     0.68     0.68     0.08   3.54   3.54   1.70   1.70  0000.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
43756  Dx duod intub w/asp spec                          A   0.77   5.60     5.60     0.71     0.71     0.05   6.42   6.42   1.53   1.53  0000.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
43757  Dx duod intub w/asp specs                         A   1.26   6.92     6.92     0.87     0.87     0.08   8.26   8.26   2.21   2.21  0000.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
43760  Change gastrostomy tube                           A   0.90  10.85    12.27     0.43     0.41     0.14  11.89  13.31   1.47   1.45  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43761  Reposition gastrostomy tube                       A   2.01   1.30     1.21     0.87     0.83     0.24   3.55   3.46   3.12   3.08  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
43770  Lap place gastr adj device                        A  18.00  10.49NA  11.50NA  10.49    11.50     3.81  32.30  33.31  32.30  33.31  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43771  Lap revise gastr adj device                       A  20.79  11.58NA  12.74NA  11.58    12.74     4.44  36.81  37.97  36.81  37.97  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
43772  Lap rmvl gastr adj device                         A  15.70   8.67NA   9.47NA   8.67     9.47     3.36  27.73  28.53  27.73  28.53  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43773  Lap replace gastr adj device                      A  20.79  11.58NA  12.72NA  11.58    12.72     4.44  36.81  37.95  36.81  37.95  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43774  Lap rmvl gastr adj all parts                      A  15.76   8.69NA   9.48NA   8.69     9.48     3.36  27.81  28.60  27.81  28.60  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
43775  Lap sleeve gastrectomy                            N+ 21.56  12.08NA  12.08NA  12.08    12.08     4.60  38.24  38.24  38.24  38.24  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
43800  Reconstruction of pylorus                         A  15.43   8.20NA   8.98NA   8.20     8.98     3.31  26.94  27.72  26.94  27.72  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43810  Fusion of stomach and bowel                       A  16.88   8.85NA   9.84NA   8.85     9.84     3.59  29.32  30.31  29.32  30.31  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43820  Fusion of stomach and bowel                       A  22.53  11.26NA  12.74NA  11.26    12.74     4.76  38.55  40.03  38.55  40.03  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43825  Fusion of stomach and bowel                       A  21.76  11.37NA  12.66NA  11.37    12.66     4.64  37.77  39.06  37.77  39.06  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43830  Place gastrostomy tube                            A  10.85   7.04NA   7.68NA   7.04     7.68     2.23  20.12  20.76  20.12  20.76  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43831  Place gastrostomy tube                            A   8.49   6.71NA   7.29NA   6.71     7.29     1.81  17.01  17.59  17.01  17.59  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43832  Place gastrostomy tube                            A  17.34   9.63NA  10.37NA   9.63    10.37     3.58  30.55  31.29  30.55  31.29  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43840  Repair of stomach lesion                          A  22.83  11.42NA  12.89NA  11.42    12.89     4.82  39.07  40.54  39.07  40.54  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43842  V-band gastroplasty                               N+ 21.03  11.21NA  11.62NA  11.21    11.62     1.50  33.74  34.15  33.74  34.15  9090.09.81.1099999             33.9764 090 99      0.00   0.00   0.00
43843  Gastroplasty w/o v-band                           A  21.21  11.14NA  12.44NA  11.14    12.44     4.52  36.87  38.17  36.87  38.17  0090.09.81.1020220             33.9764 090 99      0.00   0.00   0.00
43845  Gastroplasty duodenal switch                      A  33.30  16.35NA  18.30NA  16.35    18.30     7.06  56.71  58.66  56.71  58.66  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43846  Gastric bypass for obesity                        A  27.41  14.06NA  15.51NA  14.06    15.51     5.80  47.27  48.72  47.27  48.72  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43847  Gastric bypass incl small i                       A  30.28  15.17NA  17.05NA  15.17    17.05     6.45  51.90  53.78  51.90  53.78  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43848  Revision gastroplasty                             A  32.75  16.27NA  18.02NA  16.27    18.02     6.94  55.96  57.71  55.96  57.71  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43850  Revise stomach-bowel fusion                       A  27.58  13.54NA  15.16NA  13.54    15.16     5.88  47.00  48.62  47.00  48.62  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43855  Revise stomach-bowel fusion                       A  28.69  14.11NA  15.64NA  14.11    15.64     6.11  48.91  50.44  48.91  50.44  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43860  Revise stomach-bowel fusion                       A  27.89  13.64NA  15.02NA  13.64    15.02     5.88  47.41  48.79  47.41  48.79  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43865  Revise stomach-bowel fusion                       A  29.05  14.22NA  15.80NA  14.22    15.80     6.19  49.46  51.04  49.46  51.04  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43870  Repair stomach opening                            A  11.44   6.72NA   7.40NA   6.72     7.40     2.35  20.51  21.19  20.51  21.19  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
43880  Repair stomach-bowel fistula                      A  27.18  13.40NA  14.78NA  13.40    14.78     5.70  46.28  47.66  46.28  47.66  0090.09.81.1020210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
43886  Revise gastric port open                          A   4.64   4.61NA   5.04NA   4.61     5.04     0.99  10.24  10.67  10.24  10.67  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
43887  Remove gastric port open                          A   4.32   4.06NA   4.40NA   4.06     4.40     0.91   9.29   9.63   9.29   9.63  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
43888  Change gastric port open                          A   6.44   5.31NA   5.79NA   5.31     5.79     1.37  13.12  13.60  13.12  13.60  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
4400F  Rehab thxpy options w/pt                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
44005  Freeing of bowel adhesion                         A  18.46   9.39NA  10.36NA   9.39    10.36     3.84  31.69  32.66  31.69  32.66  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44010  Incision of small bowel                           A  14.26   7.79NA   8.58NA   7.79     8.58     3.01  25.06  25.85  25.06  25.85  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44015  Insert needle cath bowel                          A   2.62   1.03NA   1.10NA   1.03     1.10     0.56   4.21   4.28   4.21   4.28  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
44020  Explore small intestine                           A  16.22   8.52NA   9.43NA   8.52     9.43     3.40  28.14  29.05  28.14  29.05  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44021  Decompress small bowel                            A  16.31   8.69NA   9.55NA   8.69     9.55     3.44  28.44  29.30  28.44  29.30  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44025  Incision of large bowel                           A  16.51   8.65NA   9.56NA   8.65     9.56     3.43  28.59  29.50  28.59  29.50  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44050  Reduce bowel obstruction                          A  15.52   8.27NA   9.13NA   8.27     9.13     3.24  27.03  27.89  27.03  27.89  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44055  Correct malrotation of bowel                      A  25.63  12.29NA  13.63NA  12.29    13.63     5.42  43.34  44.68  43.34  44.68  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44100  Biopsy of bowel                                   A   2.01   1.09NA   1.08NA   1.09     1.08     0.31   3.41   3.40   3.41   3.40  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
44110  Excise intestine lesion(s)                        A  14.04   7.61NA   8.38NA   7.61     8.38     2.90  24.55  25.32  24.55  25.32  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44111  Excision of bowel lesion(s)                       A  16.52   8.56NA   9.45NA   8.56     9.45     3.44  28.52  29.41  28.52  29.41  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44120  Removal of small intestine                        A  20.82  10.25NA  11.39NA  10.25    11.39     4.33  35.40  36.54  35.40  36.54  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44121  Removal of small intestine                        A   4.44   1.75NA   1.92NA   1.75     1.92     0.90   7.09   7.26   7.09   7.26  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
44125  Removal of small intestine                        A  20.03  10.11NA  11.20NA  10.11    11.20     4.07  34.21  35.30  34.21  35.30  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44126  Enterectomy w/o taper cong                        A  42.23  20.01NA  22.46NA  20.01    22.46     9.00  71.24  73.69  71.24  73.69  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44127  Enterectomy w/taper cong                          A  49.30  22.71NA  25.44NA  22.71    25.44    10.51  82.52  85.25  82.52  85.25  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44128  Enterectomy cong add-on                           A   4.44   1.76NA   1.93NA   1.76     1.93     0.93   7.13   7.30   7.13   7.30  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
44130  Bowel to bowel fusion                             A  22.11  11.08NA  12.57NA  11.08    12.57     4.56  37.75  39.24  37.75  39.24  0090.09.81.1020210             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
44139  Mobilization of colon                             A   2.23   0.88NA   0.97NA   0.88     0.97     0.44   3.55   3.64   3.55   3.64  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
44140  Partial removal of colon                          A  22.59  11.64NA  12.83NA  11.64    12.83     4.64  38.87  40.06  38.87  40.06  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44141  Partial removal of colon                          A  29.91  16.41NA  18.40NA  16.41    18.40     6.18  52.50  54.49  52.50  54.49  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44143  Partial removal of colon                          A  27.79  14.70NA  16.23NA  14.70    16.23     5.74  48.23  49.76  48.23  49.76  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44144  Partial removal of colon                          A  29.91  15.04NA  16.86NA  15.04    16.86     6.18  51.13  52.95  51.13  52.95  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44145  Partial removal of colon                          A  28.58  13.98NA  15.44NA  13.98    15.44     5.66  48.22  49.68  48.22  49.68  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44146  Partial removal of colon                          A  35.30  18.96NA  21.14NA  18.96    21.14     6.87  61.13  63.31  61.13  63.31  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44147  Partial removal of colon                          A  33.69  15.45NA  17.71NA  15.45    17.71     6.78  55.92  58.18  55.92  58.18  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44150  Removal of colon                                  A  30.18  17.64NA  19.56NA  17.64    19.56     6.12  53.94  55.86  53.94  55.86  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44151  Removal of colon/ileostomy                        A  34.92  19.50NA  21.61NA  19.50    21.61     7.44  61.86  63.97  61.86  63.97  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44155  Removal of colon/ileostomy                        A  34.42  19.13NA  21.36NA  19.13    21.36     6.46  60.01  62.24  60.01  62.24  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44156  Removal of colon/ileostomy                        A  37.42  21.16NA  23.53NA  21.16    23.53     7.99  66.57  68.94  66.57  68.94  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44157  Colectomy w/ileoanal anast                        A  35.70  19.62NA  21.71NA  19.62    21.71     7.62  62.94  65.03  62.94  65.03  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44158  Colectomy w/neo-rectum pouch                      A  36.70  19.90NA  21.99NA  19.90    21.99     7.83  64.43  66.52  64.43  66.52  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44160  Removal of colon                                  A  20.89  10.80NA  11.98NA  10.80    11.98     4.26  35.95  37.13  35.95  37.13  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44180  Lap enterolysis                                   A  15.27   8.25NA   9.02NA   8.25     9.02     3.17  26.69  27.46  26.69  27.46  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44186  Lap jejunostomy                                   A  10.38   6.33NA   6.82NA   6.33     6.82     2.22  18.93  19.42  18.93  19.42  0090.09.84.0720210             33.9764 090 99      0.00   0.00   0.00
44187  Lap ileo/jejuno-stomy                             A  17.40  11.17NA  12.24NA  11.17    12.24     3.31  31.88  32.95  31.88  32.95  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44188  Lap colostomy                                     A  19.35  12.18NA  13.36NA  12.18    13.36     3.84  35.37  36.55  35.37  36.55  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44202  Lap enterectomy                                   A  23.39  11.99NA  13.23NA  11.99    13.23     4.85  40.23  41.47  40.23  41.47  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44203  Lap resect s/intestine addl                       A   4.44   1.73NA   1.91NA   1.73     1.91     0.93   7.10   7.28   7.10   7.28  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
44204  Laparo partial colectomy                          A  26.42  13.08NA  14.49NA  13.08    14.49     5.23  44.73  46.14  44.73  46.14  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44205  Lap colectomy part w/ileum                        A  22.95  11.49NA  12.71NA  11.49    12.71     4.50  38.94  40.16  38.94  40.16  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44206  Lap part colectomy w/stoma                        A  29.79  15.17NA  16.79NA  15.17    16.79     6.06  51.02  52.64  51.02  52.64  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44207  L colectomy/coloproctostomy                       A  31.92  15.08NA  16.79NA  15.08    16.79     6.18  53.18  54.89  53.18  54.89  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44208  L colectomy/coloproctostomy                       A  33.99  17.39NA  19.27NA  17.39    19.27     6.40  57.78  59.66  57.78  59.66  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44210  Laparo total proctocolectomy                      A  30.09  16.14NA  17.88NA  16.14    17.88     5.81  52.04  53.78  52.04  53.78  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44211  Lap colectomy w/proctectomy                       A  37.08  19.92NA  22.36NA  19.92    22.36     7.92  64.92  67.36  64.92  67.36  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44212  Laparo total proctocolectomy                      A  34.58  18.72NA  20.70NA  18.72    20.70     6.37  59.67  61.65  59.67  61.65  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44213  Lap mobil splenic fl add-on                       A   3.50   1.37NA   1.52NA   1.37     1.52     0.67   5.54   5.69   5.54   5.69  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
44227  Lap close enterostomy                             A  28.62  14.08NA  15.58NA  14.08    15.58     5.84  48.54  50.04  48.54  50.04  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
44300  Open bowel to skin                                A  13.75   7.74NA   8.48NA   7.74     8.48     2.91  24.40  25.14  24.40  25.14  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44310  Ileostomy/jejunostomy                             A  17.59   9.20NA  10.16NA   9.20    10.16     3.46  30.25  31.21  30.25  31.21  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44312  Revision of ileostomy                             A   9.43   6.04NA   6.44NA   6.04     6.44     1.71  17.18  17.58  17.18  17.58  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
44314  Revision of ileostomy                             A  16.74   9.35NA  10.18NA   9.35    10.18     3.16  29.25  30.08  29.25  30.08  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44316  Devise bowel pouch                                A  23.59  12.17NA  13.55NA  12.17    13.55     5.04  40.80  42.18  40.80  42.18  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44320  Colostomy                                         A  19.91  10.78NA  11.91NA  10.78    11.91     4.07  34.76  35.89  34.76  35.89  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44322  Colostomy with biopsies                           A  13.32  12.23NA  13.37NA  12.23    13.37     2.84  28.39  29.53  28.39  29.53  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44340  Revision of colostomy                             A   9.28   6.66NA   7.35NA   6.66     7.35     1.88  17.82  18.51  17.82  18.51  0090.09.81.1020110             33.9764 090 99      0.00   0.00   0.00
44345  Revision of colostomy                             A  17.22   9.77NA  10.80NA   9.77    10.80     3.44  30.43  31.46  30.43  31.46  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44346  Revision of colostomy                             A  19.63  10.67NA  11.86NA  10.67    11.86     3.88  34.18  35.37  34.18  35.37  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44360  Small bowel endoscopy                             A   2.59   1.76NA   1.75NA   1.76     1.75     0.38   4.73   4.72   4.73   4.72  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
44361  Small bowel endoscopy/biopsy                      A   2.87   1.92NA   1.91NA   1.92     1.91     0.41   5.20   5.19   5.20   5.19  0000.00.00.0030100       44360 33.9764 090 99      0.00   0.00   0.00
44363  Small bowel endoscopy                             A   3.49   2.19NA   2.23NA   2.19     2.23     0.52   6.20   6.24   6.20   6.24  0000.00.00.0030000       44360 33.9764 090 99      0.00   0.00   0.00
44364  Small bowel endoscopy                             A   3.73   2.37NA   2.37NA   2.37     2.37     0.54   6.64   6.64   6.64   6.64  0000.00.00.0030000       44360 33.9764 090 99      0.00   0.00   0.00
44365  Small bowel endoscopy                             A   3.31   2.13NA   2.14NA   2.13     2.14     0.49   5.93   5.94   5.93   5.94  0000.00.00.0030000       44360 33.9764 090 99      0.00   0.00   0.00
44366  Small bowel endoscopy                             A   4.40   2.77NA   2.77NA   2.77     2.77     0.64   7.81   7.81   7.81   7.81  0000.00.00.0030100       44360 33.9764 090 99      0.00   0.00   0.00
44369  Small bowel endoscopy                             A   4.51   2.82NA   2.83NA   2.82     2.83     0.65   7.98   7.99   7.98   7.99  0000.00.00.0030000       44360 33.9764 090 99      0.00   0.00   0.00
44370  Small bowel endoscopy/stent                       A   4.79   3.14NA   3.17NA   3.14     3.17     0.69   8.62   8.65   8.62   8.65  0000.00.00.0030000       44360 33.9764 090 99      0.00   0.00   0.00
44372  Small bowel endoscopy                             A   4.40   2.58NA   2.63NA   2.58     2.63     0.69   7.67   7.72   7.67   7.72  0000.00.00.0030100       44360 33.9764 090 99      0.00   0.00   0.00
44373  Small bowel endoscopy                             A   3.49   2.15NA   2.15NA   2.15     2.15     0.53   6.17   6.17   6.17   6.17  0000.00.00.0030100       44360 33.9764 090 99      0.00   0.00   0.00
44376  Small bowel endoscopy                             A   5.25   3.06NA   3.09NA   3.06     3.09     0.82   9.13   9.16   9.13   9.16  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
44377  Small bowel endoscopy/biopsy                      A   5.52   3.32NA   3.32NA   3.32     3.32     0.82   9.66   9.66   9.66   9.66  0000.00.00.0030000       44376 33.9764 090 99      0.00   0.00   0.00
44378  Small bowel endoscopy                             A   7.12   4.23NA   4.26NA   4.23     4.26     1.05  12.40  12.43  12.40  12.43  0000.00.00.0030000       44376 33.9764 090 99      0.00   0.00   0.00
44379  S bowel endoscope w/stent                         A   7.46   4.59NA   4.67NA   4.59     4.67     1.09  13.14  13.22  13.14  13.22  0000.00.00.0030000       44376 33.9764 090 99      0.00   0.00   0.00
44380  Small bowel endoscopy                             A   1.05   0.85NA   0.84NA   0.85     0.84     0.14   2.04   2.03   2.04   2.03  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
44382  Small bowel endoscopy                             A   1.27   1.01NA   1.00NA   1.01     1.00     0.20   2.48   2.47   2.48   2.47  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
44383  Ileoscopy w/stent                                 A   2.94   1.78NA   1.61NA   1.78     1.61     0.33   5.05   4.88   5.05   4.88  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
44385  Endoscopy of bowel pouch                          A   1.82   5.37     5.35     1.08     1.11     0.26   7.45   7.43   3.16   3.19  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
44386  Endoscopy bowel pouch/biop                        A   2.12   7.81     7.63     1.31     1.38     0.33  10.26  10.08   3.76   3.83  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
44388  Colonoscopy                                       A   2.82   7.00     6.94     1.69     1.75     0.45  10.27  10.21   4.96   5.02  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
44389  Colonoscopy with biopsy                           A   3.13   8.14     7.89     1.92     1.96     0.49  11.76  11.51   5.54   5.58  0000.00.00.0030100       44388 33.9764 090 99      0.00   0.00   0.00
44390  Colonoscopy for foreign body                      A   3.82   9.29     9.15     2.31     2.44     0.56  13.67  13.53   6.69   6.82  0000.00.00.0030000       44388 33.9764 090 99      0.00   0.00   0.00
44391  Colonoscopy for bleeding                          A   4.31  10.02     9.51     2.58     2.61     0.65  14.98  14.47   7.54   7.57  0000.00.00.0030000       44388 33.9764 090 99      0.00   0.00   0.00
44392  Colonoscopy & polypectomy                         A   3.81   8.46     8.37     2.12     2.20     0.63  12.90  12.81   6.56   6.64  0000.00.00.0030100       44388 33.9764 090 99      0.00   0.00   0.00
44393  Colonoscopy lesion removal                        A   4.83   9.35     9.28     2.75     2.84     0.76  14.94  14.87   8.34   8.43  0000.00.00.0030100       44388 33.9764 090 99      0.00   0.00   0.00
44394  Colonoscopy w/snare                               A   4.42   9.77     9.49     2.57     2.62     0.69  14.88  14.60   7.68   7.73  0000.00.00.0030100       44388 33.9764 090 99      0.00   0.00   0.00
44397  Colonoscopy w/stent                               A   4.70   2.88NA   2.93NA   2.88     2.93     0.68   8.26   8.31   8.26   8.31  0000.00.00.0030100       44388 33.9764 090 99      0.00   0.00   0.00
44500  Intro gastrointestinal tube                       A   0.49   0.20NA   0.19NA   0.20     0.19     0.04   0.73   0.72   0.73   0.72  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
44602  Suture small intestine                            A  24.72  10.85NA  12.40NA  10.85    12.40     5.10  40.67  42.22  40.67  42.22  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44603  Suture small intestine                            A  28.16  12.74NA  14.53NA  12.74    14.53     5.76  46.66  48.45  46.66  48.45  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44604  Suture large intestine                            A  18.16   8.79NA   9.73NA   8.79     9.73     3.72  30.67  31.61  30.67  31.61  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44605  Repair of bowel lesion                            A  22.08  11.30NA  12.49NA  11.30    12.49     4.56  37.94  39.13  37.94  39.13  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44615  Intestinal stricturoplasty                        A  18.16   9.35NA  10.32NA   9.35    10.32     3.73  31.24  32.21  31.24  32.21  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44620  Repair bowel opening                              A  14.43   7.80NA   8.68NA   7.80     8.68     2.83  25.06  25.94  25.06  25.94  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44625  Repair bowel opening                              A  17.28   8.90NA   9.91NA   8.90     9.91     3.36  29.54  30.55  29.54  30.55  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44626  Repair bowel opening                              A  27.90  13.09NA  14.50NA  13.09    14.50     5.70  46.69  48.10  46.69  48.10  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44640  Repair bowel-skin fistula                         A  24.20  11.68NA  12.92NA  11.68    12.92     4.89  40.77  42.01  40.77  42.01  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44650  Repair bowel fistula                              A  25.12  12.03NA  13.18NA  12.03    13.18     5.06  42.21  43.36  42.21  43.36  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44660  Repair bowel-bladder fistula                      A  23.91  11.88NA  12.10NA  11.88    12.10     3.85  39.64  39.86  39.64  39.86  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44661  Repair bowel-bladder fistula                      A  27.35  12.99NA  13.92NA  12.99    13.92     5.10  45.44  46.37  45.44  46.37  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44680  Surgical revision intestine                       A  17.96   9.25NA  10.22NA   9.25    10.22     3.84  31.05  32.02  31.05  32.02  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44700  Suspend bowel w/prosthesis                        A  17.48   8.96NA   9.94NA   8.96     9.94     3.04  29.48  30.46  29.48  30.46  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44701  Intraop colon lavage add-on                       A   3.10   1.21NA   1.33NA   1.21     1.33     0.59   4.90   5.02   4.90   5.02  0ZZZ.00.00.0000210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
44720  Prep donor intestine/venous                       A   5.00   2.12NA   2.17NA   2.12     2.17     0.35   7.47   7.52   7.47   7.52  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
44721  Prep donor intestine/artery                       A   7.00   2.81NA   3.07NA   2.81     3.07     1.50  11.31  11.57  11.31  11.57  0XXX.00.00.0020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
44800  Excision of bowel pouch                           A  12.05   7.53NA   8.21NA   7.53     8.21     2.44  22.02  22.70  22.02  22.70  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44820  Excision of mesentery lesion                      A  13.73   7.75NA   8.46NA   7.75     8.46     2.83  24.31  25.02  24.31  25.02  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44850  Repair of mesentery                               A  12.11   6.97NA   7.73NA   6.97     7.73     2.52  21.60  22.36  21.60  22.36  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
44900  Drain app abscess open                            A  12.57   7.09NA   7.87NA   7.09     7.87     2.64  22.30  23.08  22.30  23.08  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44901  Drain app abscess percut                          A   3.37  24.04    21.42     1.38     1.25     0.35  27.76  25.14   5.10   4.97  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
44950  Appendectomy                                      A  10.60   5.76NA   6.32NA   5.76     6.32     2.23  18.59  19.15  18.59  19.15  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44955  Appendectomy add-on                               A   1.53   0.62NA   0.67NA   0.62     0.67     0.31   2.46   2.51   2.46   2.51  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
44960  Appendectomy                                      A  14.50   7.68NA   8.51NA   7.68     8.51     3.08  25.26  26.09  25.26  26.09  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
44970  Laparoscopy appendectomy                          A   9.45   5.83NA   6.42NA   5.83     6.42     1.97  17.25  17.84  17.25  17.84  0090.09.81.1020220             33.9764 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             33.9764 090 99      0.00   0.00   0.00
45000  Drainage of pelvic abscess                        A   6.30   4.72NA   5.12NA   4.72     5.12     1.09  12.11  12.51  12.11  12.51  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
45005  Drainage of rectal abscess                        A   2.02   5.06     5.29     2.09     2.24     0.38   7.46   7.69   4.49   4.64  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
45020  Drainage of rectal abscess                        A   8.56   5.99NA   6.67NA   5.99     6.67     1.62  16.17  16.85  16.17  16.85  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
45100  Biopsy of rectum                                  A   4.04   3.71NA   4.06NA   3.71     4.06     0.72   8.47   8.82   8.47   8.82  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
45108  Removal of anorectal lesion                       A   5.12   4.23NA   4.68NA   4.23     4.68     1.09  10.44  10.89  10.44  10.89  0090.09.81.1020110             33.9764 090 99      0.00   0.00   0.00
45110  Removal of rectum                                 A  30.76  16.99NA  18.81NA  16.99    18.81     5.83  53.58  55.40  53.58  55.40  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45111  Partial removal of rectum                         A  18.01   9.98NA  11.06NA   9.98    11.06     3.55  31.54  32.62  31.54  32.62  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45112  Removal of rectum                                 A  33.18  15.54NA  17.35NA  15.54    17.35     6.08  54.80  56.61  54.80  56.61  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45113  Partial proctectomy                               A  33.22  17.01NA  18.91NA  17.01    18.91     7.08  57.31  59.21  57.31  59.21  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45114  Partial removal of rectum                         A  30.79  15.03NA  16.91NA  15.03    16.91     6.57  52.39  54.27  52.39  54.27  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45116  Partial removal of rectum                         A  27.72  13.72NA  15.56NA  13.72    15.56     3.96  45.40  47.24  45.40  47.24  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45119  Remove rectum w/reservoir                         A  33.48  17.10NA  19.23NA  17.10    19.23     5.87  56.45  58.58  56.45  58.58  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45120  Removal of rectum                                 A  26.40  13.85NA  15.41NA  13.85    15.41     5.63  45.88  47.44  45.88  47.44  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45121  Removal of rectum and colon                       A  29.08  14.85NA  16.57NA  14.85    16.57     6.19  50.12  51.84  50.12  51.84  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45123  Partial proctectomy                               A  18.86  10.12NA  11.45NA  10.12    11.45     3.17  32.15  33.48  32.15  33.48  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45126  Pelvic exenteration                               A  49.10  24.86NA  26.61NA  24.86    26.61    10.47  84.43  86.18  84.43  86.18  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
45130  Excision of rectal prolapse                       A  18.50   9.76NA  11.03NA   9.76    11.03     3.13  31.39  32.66  31.39  32.66  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45135  Excision of rectal prolapse                       A  22.36  12.30NA  13.89NA  12.30    13.89     4.76  39.42  41.01  39.42  41.01  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45136  Excise ileoanal reservior                         A  30.82  17.10NA  18.96NA  17.10    18.96     4.41  52.33  54.19  52.33  54.19  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45150  Excision of rectal stricture                      A   5.85   4.72NA   5.14NA   4.72     5.14     0.83  11.40  11.82  11.40  11.82  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
45160  Excision of rectal lesion                         A  16.33   9.32NA  10.26NA   9.32    10.26     3.48  29.13  30.07  29.13  30.07  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45171  Exc rect tum transanal part                       A   8.13   8.03NA   8.03NA   8.03     8.03     1.51  17.67  17.67  17.67  17.67  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45172  Exc rect tum transanal full                       A  12.13   9.76NA   9.76NA   9.76     9.76     2.23  24.12  24.12  24.12  24.12  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45190  Destruction rectal tumor                          A  10.42   7.41NA   8.23NA   7.41     8.23     1.86  19.69  20.51  19.69  20.51  0090.09.81.1020110             33.9764 090 99      0.00   0.00   0.00
45300  Proctosigmoidoscopy dx                            A   0.80   2.42     2.58     0.60     0.68     0.12   3.34   3.50   1.52   1.60  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
45303  Proctosigmoidoscopy dilate                        A   1.50  24.08    24.62     0.86     0.99     0.26  25.84  26.38   2.62   2.75  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45305  Proctosigmoidoscopy w/bx                          A   1.25   3.88     4.07     0.81     0.90     0.23   5.36   5.55   2.29   2.38  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45307  Proctosigmoidoscopy fb                            A   1.70   3.99     4.23     0.93     1.07     0.33   6.02   6.26   2.96   3.10  0000.00.00.0030000       45300 33.9764 090 99      0.00   0.00   0.00
45308  Proctosigmoidoscopy removal                       A   1.40   4.00     4.35     0.85     0.97     0.26   5.66   6.01   2.51   2.63  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45309  Proctosigmoidoscopy removal                       A   1.50   4.26     4.44     0.97     1.02     0.27   6.03   6.21   2.74   2.79  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45315  Proctosigmoidoscopy removal                       A   1.80   4.55     4.84     1.07     1.14     0.33   6.68   6.97   3.20   3.27  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45317  Proctosigmoidoscopy bleed                         A   2.00   4.11     4.42     1.07     1.23     0.33   6.44   6.75   3.40   3.56  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45320  Proctosigmoidoscopy ablate                        A   1.78   4.17     4.25     1.08     1.14     0.31   6.26   6.34   3.17   3.23  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45321  Proctosigmoidoscopy volvul                        A   1.75   1.07NA   1.16NA   1.07     1.16     0.33   3.15   3.24   3.15   3.24  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45327  Proctosigmoidoscopy w/stent                       A   2.00   1.31NA   1.44NA   1.31     1.44     0.42   3.73   3.86   3.73   3.86  0000.00.00.0030100       45300 33.9764 090 99      0.00   0.00   0.00
45330  Diagnostic sigmoidoscopy                          A   0.96   2.95     2.92     0.76     0.79     0.14   4.05   4.02   1.86   1.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
45331  Sigmoidoscopy and biopsy                          A   1.15   3.72     3.56     0.93     0.94     0.18   5.05   4.89   2.26   2.27  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45332  Sigmoidoscopy w/fb removal                        A   1.79   6.35     6.22     1.22     1.26     0.29   8.43   8.30   3.30   3.34  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45333  Sigmoidoscopy & polypectomy                       A   1.79   6.44     6.34     1.21     1.24     0.29   8.52   8.42   3.29   3.32  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45334  Sigmoidoscopy for bleeding                        A   2.73   1.79NA   1.80NA   1.79     1.80     0.39   4.91   4.92   4.91   4.92  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45335  Sigmoidoscopy w/submuc inj                        A   1.46   5.75     5.79     1.06     1.08     0.23   7.44   7.48   2.75   2.77  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45337  Sigmoidoscopy & decompress                        A   2.36   1.51NA   1.56NA   1.51     1.56     0.38   4.25   4.30   4.25   4.30  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45338  Sigmoidoscopy w/tumr remove                       A   2.34   6.65     6.44     1.54     1.56     0.35   9.34   9.13   4.23   4.25  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45339  Sigmoidoscopy w/ablate tumr                       A   3.14   6.23     6.26     1.97     1.99     0.48   9.85   9.88   5.59   5.61  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45340  Sig w/balloon dilation                            A   1.89  11.19    11.28     1.27     1.30     0.30  13.38  13.47   3.46   3.49  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45341  Sigmoidoscopy w/ultrasound                        A   2.60   1.73NA   1.74NA   1.73     1.74     0.38   4.71   4.72   4.71   4.72  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
45342  Sigmoidoscopy w/us guide bx                       A   4.05   2.54NA   2.56NA   2.54     2.56     0.60   7.19   7.21   7.19   7.21  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
45345  Sigmoidoscopy w/stent                             A   2.92   1.87NA   1.89NA   1.87     1.89     0.44   5.23   5.25   5.23   5.25  0000.00.00.0030100       45330 33.9764 090 99      0.00   0.00   0.00
45355  Surgical colonoscopy                              A   3.51   1.98NA   2.09NA   1.98     2.09     0.59   6.08   6.19   6.08   6.19  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
45378  Diagnostic colonoscopy                            A   3.69   7.37     7.12     2.22     2.26     0.59  11.65  11.40   6.50   6.54  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
4537853Diagnostic colonoscopy                            A   0.96   2.95     2.92     0.76     0.79     0.14   4.05   4.02   1.86   1.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
45379  Colonoscopy w/fb removal                          A   4.68   9.46     9.23     2.73     2.82     0.72  14.86  14.63   8.13   8.22  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45380  Colonoscopy and biopsy                            A   4.43   8.82     8.48     2.69     2.72     0.67  13.92  13.58   7.79   7.82  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45381  Colonoscopy submucous inj                         A   4.19   8.73     8.35     2.57     2.59     0.63  13.55  13.17   7.39   7.41  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45382  Colonoscopy/control bleeding                      A   5.68  11.71    11.11     3.42     3.43     0.84  18.23  17.63   9.94   9.95  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45383  Lesion removal colonoscopy                        A   5.86   9.95     9.75     3.28     3.37     0.91  16.72  16.52  10.05  10.14  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45384  Lesion remove colonoscopy                         A   4.69   8.36     8.16     2.70     2.76     0.73  13.78  13.58   8.12   8.18  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45385  Lesion removal colonoscopy                        A   5.30   9.59     9.23     3.14     3.18     0.80  15.69  15.33   9.24   9.28  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45386  Colonoscopy dilate stricture                      A   4.57  14.17    13.55     2.68     2.73     0.72  19.46  18.84   7.97   8.02  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45387  Colonoscopy w/stent                               A   5.90   3.57NA   3.62NA   3.57     3.62     0.88  10.35  10.40  10.35  10.40  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45391  Colonoscopy w/endoscope us                        A   5.09   3.06NA   3.09NA   3.06     3.09     0.73   8.88   8.91   8.88   8.91  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45392  Colonoscopy w/endoscopic fnb                      A   6.54   3.85NA   3.89NA   3.85     3.89     1.02  11.41  11.45  11.41  11.45  0000.00.00.0030100       45378 33.9764 090 99      0.00   0.00   0.00
45395  Lap removal of rectum                             A  33.00  18.65NA  20.59NA  18.65    20.59     5.99  57.64  59.58  57.64  59.58  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45397  Lap remove rectum w/pouch                         A  36.50  19.65NA  21.94NA  19.65    21.94     6.02  62.17  64.46  62.17  64.46  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45400  Laparoscopic proc                                 A  19.44  10.36NA  11.50NA  10.36    11.50     3.57  33.37  34.51  33.37  34.51  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45402  Lap proctopexy w/sig resect                       A  26.51  13.07NA  14.58NA  13.07    14.58     4.82  44.40  45.91  44.40  45.91  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
45500  Repair of rectum                                  A   7.73   5.92NA   6.60NA   5.92     6.60     1.21  14.86  15.54  14.86  15.54  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
45505  Repair of rectum                                  A   8.36   6.78NA   7.60NA   6.78     7.60     1.51  16.65  17.47  16.65  17.47  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
45520  Treatment of rectal prolapse                      A   0.55   3.42     3.74     0.52     0.57     0.07   4.04   4.36   1.14   1.19  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
45540  Correct rectal prolapse                           A  18.12   9.33NA  10.39NA   9.33    10.39     3.12  30.57  31.63  30.57  31.63  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45541  Correct rectal prolapse                           A  14.85   9.19NA  10.27NA   9.19    10.27     2.59  26.63  27.71  26.63  27.71  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45550  Repair rectum/remove sigmoid                      A  24.80  13.03NA  14.60NA  13.03    14.60     4.48  42.31  43.88  42.31  43.88  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45560  Repair of rectocele                               A  11.50   7.15NA   7.52NA   7.15     7.52     1.80  20.45  20.82  20.45  20.82  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45562  Exploration/repair of rectum                      A  17.98  10.87NA  11.84NA  10.87    11.84     3.38  32.23  33.20  32.23  33.20  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45563  Exploration/repair of rectum                      A  26.38  15.24NA  16.98NA  15.24    16.98     5.63  47.25  48.99  47.25  48.99  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45800  Repair rect/bladder fistula                       A  20.31  11.49NA  11.90NA  11.49    11.90     3.39  35.19  35.60  35.19  35.60  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45805  Repair fistula w/colostomy                        A  23.32  13.63NA  15.16NA  13.63    15.16     4.98  41.93  43.46  41.93  43.46  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45820  Repair rectourethral fistula                      A  20.37  11.70NA  12.43NA  11.70    12.43     1.96  34.03  34.76  34.03  34.76  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45825  Repair fistula w/colostomy                        A  24.17  14.40NA  15.49NA  14.40    15.49     3.46  42.03  43.12  42.03  43.12  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
45900  Reduction of rectal prolapse                      A   2.99   2.22NA   2.43NA   2.22     2.43     0.56   5.77   5.98   5.77   5.98  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
45905  Dilation of anal sphincter                        A   2.35   2.08NA   2.22NA   2.08     2.22     0.41   4.84   4.98   4.84   4.98  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
45910  Dilation of rectal narrowing                      A   2.85   2.33NA   2.44NA   2.33     2.44     0.48   5.66   5.77   5.66   5.77  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
45915  Remove rectal obstruction                         A   3.19   5.43     5.71     2.72     2.93     0.52   9.14   9.42   6.43   6.64  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
45990  Surg dx exam anorectal                            A   1.80   1.02NA   1.09NA   1.02     1.09     0.31   3.13   3.20   3.13   3.20  0000.00.00.0020011             33.9764 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             33.9764 090 99      0.00   0.00   0.00
46020  Placement of seton                                A   3.00   4.07     4.50     3.03     3.36     0.54   7.61   8.04   6.57   6.90  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46030  Removal of rectal marker                          A   1.26   2.34     2.55     1.08     1.19     0.23   3.83   4.04   2.57   2.68  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
46040  Incision of rectal abscess                        A   5.37   8.32     8.96     5.25     5.71     1.05  14.74  15.38  11.67  12.13  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46045  Incision of rectal abscess                        A   5.87   5.13NA   5.70NA   5.13     5.70     1.17  12.17  12.74  12.17  12.74  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46050  Incision of anal abscess                          A   1.24   3.94     4.22     1.27     1.39     0.24   5.42   5.70   2.75   2.87  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46060  Incision of rectal abscess                        A   6.37   5.78NA   6.43NA   5.78     6.43     1.18  13.33  13.98  13.33  13.98  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46070  Incision of anal septum                           A   2.79   3.48NA   3.81NA   3.48     3.81     0.20   6.47   6.80   6.47   6.80  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
46080  Incision of anal sphincter                        A   2.52   3.87     4.20     1.58     1.74     0.49   6.88   7.21   4.59   4.75  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46083  Incise external hemorrhoid                        A   1.45   3.31     3.31     1.38     1.44     0.24   5.00   5.00   3.07   3.13  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46200  Removal of anal fissure                           A   3.59   7.69     8.46     4.77     5.22     0.63  11.91  12.68   8.99   9.44  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46220  Excise anal ext tag/papilla                       A   1.61   3.75     4.03     1.47     1.61     0.30   5.66   5.94   3.38   3.52  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46221  Ligation of hemorrhoid(s)                         A   2.36   4.60     4.98     2.60     2.83     0.41   7.37   7.75   5.37   5.60  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46230  Removal of anal tags                              A   2.62   4.48     4.81     1.85     2.03     0.48   7.58   7.91   4.95   5.13  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46250  Remove ext hem groups 2+                          A   4.25   7.67     8.22     3.82     4.18     0.82  12.74  13.29   8.89   9.25  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46255  Remove int/ext hem 1 group                        A   4.96   8.11     8.61     4.11     4.48     0.95  14.02  14.52  10.02  10.39  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46257  Remove in/ex hem grp & fiss                       A   5.76   5.02NA   5.59NA   5.02     5.59     1.08  11.86  12.43  11.86  12.43  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46258  Remove in/ex hem grp w/fistu                      A   6.41   5.43NA   6.07NA   5.43     6.07     1.37  13.21  13.85  13.21  13.85  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
46260  Remove in/ex hem groups 2+                        A   6.73   5.39NA   5.99NA   5.39     5.99     1.27  13.39  13.99  13.39  13.99  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46261  Remove in/ex hem grps & fiss                      A   7.76   5.82NA   6.48NA   5.82     6.48     1.39  14.97  15.63  14.97  15.63  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46262  Remove in/ex hem grps w/fist                      A   7.91   6.28NA   6.98NA   6.28     6.98     1.44  15.63  16.33  15.63  16.33  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46270  Remove anal fist subq                             A   4.92   8.05     8.74     5.04     5.59     0.98  13.95  14.64  10.94  11.49  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46275  Remove anal fist inter                            A   5.42   8.30     9.09     5.18     5.74     0.98  14.70  15.49  11.58  12.14  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46280  Remove anal fist complex                          A   6.39   5.62NA   6.26NA   5.62     6.26     1.13  13.14  13.78  13.14  13.78  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46285  Remove anal fist 2 stage                          A   5.42   8.11     9.05     5.15     5.78     0.91  14.44  15.38  11.48  12.11  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46288  Repair anal fistula                               A   7.81   6.28NA   7.01NA   6.28     7.01     1.33  15.42  16.15  15.42  16.15  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46320  Removal of hemorrhoid clot                        A   1.64   3.10     3.34     1.22     1.35     0.30   5.04   5.28   3.16   3.29  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46500  Injection into hemorrhoid(s)                      A   1.69   4.37     4.79     1.68     1.83     0.29   6.35   6.77   3.66   3.81  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46505  Chemodenervation anal musc                        A   3.18   4.27     4.58     3.03     3.31     0.59   8.04   8.35   6.80   7.08  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
46600  Diagnostic anoscopy                               A   0.55   1.79     1.86     0.51     0.57     0.08   2.42   2.49   1.14   1.20  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
46604  Anoscopy and dilation                             A   1.03  14.88    15.86     0.72     0.77     0.16  16.07  17.05   1.91   1.96  0000.00.00.0030100       46600 33.9764 090 99      0.00   0.00   0.00
46606  Anoscopy and biopsy                               A   1.20   4.82     4.93     0.78     0.86     0.23   6.25   6.36   2.21   2.29  0000.00.00.0030100       46600 33.9764 090 99      0.00   0.00   0.00
46608  Anoscopy remove for body                          A   1.30   4.91     5.09     0.80     0.86     0.24   6.45   6.63   2.34   2.40  0000.00.00.0030000       46600 33.9764 090 99      0.00   0.00   0.00
46610  Anoscopy remove lesion                            A   1.28   4.82     4.95     0.83     0.90     0.24   6.34   6.47   2.35   2.42  0000.00.00.0030100       46600 33.9764 090 99      0.00   0.00   0.00
46611  Anoscopy                                          A   1.30   3.42     3.55     0.85     0.93     0.23   4.95   5.08   2.38   2.46  0000.00.00.0030000       46600 33.9764 090 99      0.00   0.00   0.00
46612  Anoscopy remove lesions                           A   1.50   5.67     5.76     0.96     1.01     0.31   7.48   7.57   2.77   2.82  0000.00.00.0030000       46600 33.9764 090 99      0.00   0.00   0.00
46614  Anoscopy control bleeding                         A   1.00   2.48     2.49     0.76     0.77     0.14   3.62   3.63   1.90   1.91  0000.00.00.0030100       46600 33.9764 090 99      0.00   0.00   0.00
46615  Anoscopy                                          A   1.50   2.36     2.39     0.97     1.01     0.29   4.15   4.18   2.76   2.80  0000.00.00.0030000       46600 33.9764 090 99      0.00   0.00   0.00
46700  Repair of anal stricture                          A   9.81   7.05NA   7.93NA   7.05     7.93     1.63  18.49  19.37  18.49  19.37  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46705  Repair of anal stricture                          A   7.43   5.99NA   6.20NA   5.99     6.20     0.52  13.94  14.15  13.94  14.15  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46706  Repr of anal fistula w/glue                       A   2.44   1.94NA   2.08NA   1.94     2.08     0.42   4.80   4.94   4.80   4.94  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46707  Repair anorectal fist w/plug                      A   6.39   6.50NA   6.50NA   6.50     6.50     0.90  13.79  13.79  13.79  13.79  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
46710  Repr per/vag pouch sngl proc                      A  17.14  10.77NA  11.54NA  10.77    11.54     3.67  31.58  32.35  31.58  32.35  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46712  Repr per/vag pouch dbl proc                       A  36.45  19.91NA  22.11NA  19.91    22.11     2.59  58.95  61.15  58.95  61.15  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46715  Rep perf anoper fistu                             A   7.62   5.84NA   6.35NA   5.84     6.35     0.53  13.99  14.50  13.99  14.50  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
46716  Rep perf anoper/vestib fistu                      A  17.54  14.45NA  13.74NA  14.45    13.74     1.24  33.23  32.52  33.23  32.52  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46730  Construction of absent anus                       A  30.65  18.42NA  19.17NA  18.42    19.17     2.18  51.25  52.00  51.25  52.00  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46735  Construction of absent anus                       A  36.14  20.71NA  21.57NA  20.71    21.57     2.57  59.42  60.28  59.42  60.28  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46740  Construction of absent anus                       A  33.90  20.20NA  22.50NA  20.20    22.50     7.23  61.33  63.63  61.33  63.63  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46742  Repair of imperforated anus                       A  40.14  22.89NA  25.12NA  22.89    25.12     8.56  71.59  73.82  71.59  73.82  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46744  Repair of cloacal anomaly                         A  58.94  30.46NA  35.23NA  30.46    35.23     8.42  97.82 102.59  97.82 102.59  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46746  Repair of cloacal anomaly                         A  65.44  33.54NA  34.55NA  33.54    34.55     4.64 103.62 104.63 103.62 104.63  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46748  Repair of cloacal anomaly                         A  71.42  33.62NA  33.37NA  33.62    33.37     5.08 110.12 109.87 110.12 109.87  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46750  Repair of anal sphincter                          A  12.15   7.84NA   8.60NA   7.84     8.60     1.97  21.96  22.72  21.96  22.72  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46751  Repair of anal sphincter                          A   9.30   6.89NA   6.95NA   6.89     6.95     1.57  17.76  17.82  17.76  17.82  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46753  Reconstruction of anus                            A   8.89   6.28NA   6.97NA   6.28     6.97     1.51  16.68  17.37  16.68  17.37  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46754  Removal of suture from anus                       A   3.01   4.86     5.20     3.01     3.39     0.42   8.29   8.63   6.44   6.82  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
46760  Repair of anal sphincter                          A  17.45  11.12NA  12.49NA  11.12    12.49     2.48  31.05  32.42  31.05  32.42  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46761  Repair of anal sphincter                          A  15.29   9.09NA  10.15NA   9.09    10.15     2.42  26.80  27.86  26.80  27.86  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46762  Implant artificial sphincter                      A  14.82   9.42NA  10.44NA   9.42    10.44     2.12  26.36  27.38  26.36  27.38  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
46900  Destruction anal lesion(s)                        A   1.91   4.45     4.74     1.76     1.89     0.30   6.66   6.95   3.97   4.10  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46910  Destruction anal lesion(s)                        A   1.91   4.68     4.88     1.59     1.70     0.34   6.93   7.13   3.84   3.95  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46916  Cryosurgery anal lesion(s)                        A   1.91   4.51     4.54     2.04     2.15     0.27   6.69   6.72   4.22   4.33  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46917  Laser surgery anal lesions                        A   1.91  10.84    10.92     1.61     1.73     0.33  13.08  13.16   3.85   3.97  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46922  Excision of anal lesion(s)                        A   1.91   5.06     5.37     1.60     1.74     0.35   7.32   7.63   3.86   4.00  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46924  Destruction anal lesion(s)                        A   2.81  11.68    11.99     2.05     2.24     0.45  14.94  15.25   5.31   5.50  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46930  Destroy internal hemorrhoids                      A   1.61   4.12     3.92     2.48     2.40     0.26   5.99   5.79   4.35   4.27  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
46940  Treatment of anal fissure                         A   2.35   3.57     3.93     1.49     1.65     0.37   6.29   6.65   4.21   4.37  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
46942  Treatment of anal fissure                         A   2.07   3.48     3.83     1.37     1.52     0.33   5.88   6.23   3.77   3.92  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
46945  Remove by ligat int hem grp                       A   2.21   5.73     6.14     3.69     3.91     0.38   8.32   8.73   6.28   6.50  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46946  Remove by ligat int hem grps                      A   2.63   5.60     5.84     3.32     3.47     0.44   8.67   8.91   6.39   6.54  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
46947  Hemorrhoidopexy by stapling                       A   5.57   4.21NA   4.66NA   4.21     4.66     1.09  10.87  11.32  10.87  11.32  0090.09.81.1020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
47000  Needle biopsy of liver                            A   1.90   8.05     8.17     0.81     0.74     0.20  10.15  10.27   2.91   2.84  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
47001  Needle biopsy liver add-on                        A   1.90   0.75NA   0.82NA   0.75     0.82     0.38   3.03   3.10   3.03   3.10  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
47010  Open drainage liver lesion                        A  19.40  11.31NA  12.14NA  11.31    12.14     3.96  34.67  35.50  34.67  35.50  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47011  Percut drain liver lesion                         A   3.69   1.54NA   1.35NA   1.54     1.35     0.35   5.58   5.39   5.58   5.39  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
47015  Inject/aspirate liver cyst                        A  18.50  10.94NA  12.12NA  10.94    12.12     3.93  33.37  34.55  33.37  34.55  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47100  Wedge biopsy of liver                             A  12.91   8.64NA   9.44NA   8.64     9.44     2.69  24.24  25.04  24.24  25.04  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47120  Partial removal of liver                          A  39.01  20.15NA  22.08NA  20.15    22.08     8.26  67.42  69.35  67.42  69.35  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47122  Extensive removal of liver                        A  59.48  27.54NA  30.18NA  27.54    30.18    12.64  99.66 102.30  99.66 102.30  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47125  Partial removal of liver                          A  53.04  24.99NA  27.38NA  24.99    27.38    11.20  89.23  91.62  89.23  91.62  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47130  Partial removal of liver                          A  57.19  26.56NA  29.04NA  26.56    29.04    12.04  95.79  98.27  95.79  98.27  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
47135  Transplantation of liver                          R  83.64  40.62NA  44.70NA  40.62    44.70    17.71 141.97 146.05 141.97 146.05  0090.09.81.1020212             33.9764 090 99      0.00   0.00   0.00
47136  Transplantation of liver                          R  70.74  34.72NA  37.44NA  34.72    37.44    15.09 120.55 123.27 120.55 123.27  0090.09.81.1020212             33.9764 090 99      0.00   0.00   0.00
47140  Partial removal donor liver                       A  59.40  30.99NA  34.31NA  30.99    34.31    12.67 103.06 106.38 103.06 106.38  0090.09.81.1020212             33.9764 090 99      0.00   0.00   0.00
47141  Partial removal donor liver                       A  71.50  35.51NA  38.33NA  35.51    38.33     5.08 112.09 114.91 112.09 114.91  0090.09.81.1020212             33.9764 090 99      0.00   0.00   0.00
47142  Partial removal donor liver                       A  79.44  39.70NA  43.89NA  39.70    43.89    16.93 136.07 140.26 136.07 140.26  0090.09.81.1020210             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
47146  Prep donor liver/venous                           A   6.00   2.37NA   2.61NA   2.37     2.61     1.28   9.65   9.89   9.65   9.89  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
47147  Prep donor liver/arterial                         A   7.00   2.77NA   3.05NA   2.77     3.05     1.48  11.25  11.53  11.25  11.53  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
47300  Surgery for liver lesion                          A  18.14  10.67NA  11.81NA  10.67    11.81     3.84  32.65  33.79  32.65  33.79  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47350  Repair liver wound                                A  22.49  12.45NA  13.66NA  12.45    13.66     4.70  39.64  40.85  39.64  40.85  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47360  Repair liver wound                                A  31.31  16.23NA  17.98NA  16.23    17.98     6.67  54.21  55.96  54.21  55.96  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47361  Repair liver wound                                A  52.60  24.32NA  26.61NA  24.32    26.61    10.70  87.62  89.91  87.62  89.91  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47362  Repair liver wound                                A  23.54  13.08NA  14.60NA  13.08    14.60     4.94  41.56  43.08  41.56  43.08  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47370  Laparo ablate liver tumor rf                      A  20.80  10.86NA  11.88NA  10.86    11.88     4.22  35.88  36.90  35.88  36.90  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47371  Laparo ablate liver cryosurg                      A  20.80  11.35NA  12.20NA  11.35    12.20     4.44  36.59  37.44  36.59  37.44  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
47380  Open ablate liver tumor rf                        A  24.56  12.30NA  13.32NA  12.30    13.32     4.95  41.81  42.83  41.81  42.83  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47381  Open ablate liver tumor cryo                      A  24.88  11.53NA  11.31NA  11.53    11.31     5.31  41.72  41.50  41.72  41.50  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47382  Percut ablate liver rf                            A  15.22 119.61   119.61     7.14     6.19     1.48 136.31 136.31  23.84  22.89  0010.10.80.1020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
47400  Incision of liver duct                            A  36.36  18.26NA  20.18NA  18.26    20.18     7.74  62.36  64.28  62.36  64.28  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47420  Incision of bile duct                             A  22.03  12.09NA  13.28NA  12.09    13.28     4.67  38.79  39.98  38.79  39.98  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47425  Incision of bile duct                             A  22.31  12.30NA  13.63NA  12.30    13.63     4.76  39.37  40.70  39.37  40.70  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47460  Incise bile duct sphincter                        A  20.52  12.05NA  12.85NA  12.05    12.85     4.37  36.94  37.74  36.94  37.74  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47480  Incision of gallbladder                           A  13.25   8.99NA   9.86NA   8.99     9.86     2.75  24.99  25.86  24.99  25.86  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47490  Incision of gallbladder                           A   4.76   5.55NA   4.30NA   5.55     4.30     0.44  10.75   9.50  10.75   9.50  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
47500  Injection for liver x-rays                        A   1.96   0.81NA   0.71NA   0.81     0.71     0.20   2.97   2.87   2.97   2.87  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
47505  Injection for liver x-rays                        A   0.76   0.31NA   0.28NA   0.31     0.28     0.07   1.14   1.11   1.14   1.11  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
47510  Insert catheter bile duct                         A   8.03   5.44NA   4.86NA   5.44     4.86     0.80  14.27  13.69  14.27  13.69  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
47511  Insert bile duct drain                            A  10.77   5.86NA   5.14NA   5.86     5.14     1.02  17.65  16.93  17.65  16.93  0090.09.81.1021100             33.9764 090 99      0.00   0.00   0.00
47525  Change bile duct catheter                         A   1.54  13.46    12.30     1.22     0.81     0.14  15.14  13.98   2.90   2.49  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
47530  Revise/reinsert bile tube                         A   6.05  35.96    33.50     4.08     3.64     0.61  42.62  40.16  10.74  10.30  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
47550  Bile duct endoscopy add-on                        A   3.02   1.21NA   1.31NA   1.21     1.31     0.63   4.86   4.96   4.86   4.96  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
47552  Biliary endoscopy thru skin                       A   6.03   2.92NA   2.59NA   2.92     2.59     0.63   9.58   9.25   9.58   9.25  0000.00.00.0020110             33.9764 090 99      0.00   0.00   0.00
47553  Biliary endoscopy thru skin                       A   6.34   2.62NA   2.33NA   2.62     2.33     0.63   9.59   9.30   9.59   9.30  0000.00.00.0030100       47552 33.9764 090 99      0.00   0.00   0.00
47554  Biliary endoscopy thru skin                       A   9.05   4.14NA   4.05NA   4.14     4.05     1.51  14.70  14.61  14.70  14.61  0000.00.00.0030110       47552 33.9764 090 99      0.00   0.00   0.00
47555  Biliary endoscopy thru skin                       A   7.55   3.13NA   2.70NA   3.13     2.70     0.71  11.39  10.96  11.39  10.96  0000.00.00.0030100       47552 33.9764 090 99      0.00   0.00   0.00
47556  Biliary endoscopy thru skin                       A   8.55   3.56NA   3.09NA   3.56     3.09     0.80  12.91  12.44  12.91  12.44  0000.00.00.0030100       47552 33.9764 090 99      0.00   0.00   0.00
47560  Laparoscopy w/cholangio                           A   4.88   1.95NA   2.12NA   1.95     2.12     1.05   7.88   8.05   7.88   8.05  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
47561  Laparo w/cholangio/biopsy                         A   5.17   2.33NA   2.54NA   2.33     2.54     1.10   8.60   8.81   8.60   8.81  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
47562  Laparoscopic cholecystectomy                      A  11.76   7.29NA   8.05NA   7.29     8.05     2.48  21.53  22.29  21.53  22.29  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47563  Laparo cholecystectomy/graph                      A  12.11   7.14NA   7.83NA   7.14     7.83     2.57  21.82  22.51  21.82  22.51  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47564  Laparo cholecystectomy/explr                      A  14.24   7.74NA   8.46NA   7.74     8.46     3.04  25.02  25.74  25.02  25.74  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47570  Laparo cholecystoenterostomy                      A  12.56   7.15NA   7.83NA   7.15     7.83     2.67  22.38  23.06  22.38  23.06  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
47600  Removal of gallbladder                            A  17.48   9.94NA  11.10NA   9.94    11.10     3.70  31.12  32.28  31.12  32.28  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47605  Removal of gallbladder                            A  15.98   8.98NA   9.88NA   8.98     9.88     3.40  28.36  29.26  28.36  29.26  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47610  Removal of gallbladder                            A  20.92  10.92NA  12.03NA  10.92    12.03     4.45  36.29  37.40  36.29  37.40  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47612  Removal of gallbladder                            A  21.21  10.97NA  12.10NA  10.97    12.10     4.50  36.68  37.81  36.68  37.81  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47620  Removal of gallbladder                            A  23.07  11.85NA  13.12NA  11.85    13.12     4.94  39.86  41.13  39.86  41.13  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47630  Remove bile duct stone                            A   9.65   5.69NA   5.25NA   5.69     5.25     1.21  16.55  16.11  16.55  16.11  0090.09.81.1020110             33.9764 090 99      0.00   0.00   0.00
47700  Exploration of bile ducts                         A  16.50  10.30NA  11.24NA  10.30    11.24     3.52  30.32  31.26  30.32  31.26  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47701  Bile duct revision                                A  28.73  16.14NA  16.84NA  16.14    16.84     6.11  50.98  51.68  50.98  51.68  0090.09.81.1020000             33.9764 090 99      0.00   0.00   0.00
47711  Excision of bile duct tumor                       A  25.90  13.72NA  15.11NA  13.72    15.11     5.48  45.10  46.49  45.10  46.49  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47712  Excision of bile duct tumor                       A  33.72  16.89NA  18.74NA  16.89    18.74     7.20  57.81  59.66  57.81  59.66  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47715  Excision of bile duct cyst                        A  21.55  12.09NA  13.45NA  12.09    13.45     4.60  38.24  39.60  38.24  39.60  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47720  Fuse gallbladder & bowel                          A  18.34  10.77NA  11.87NA  10.77    11.87     3.88  32.99  34.09  32.99  34.09  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47721  Fuse upper gi structures                          A  21.99  12.28NA  13.64NA  12.28    13.64     4.70  38.97  40.33  38.97  40.33  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47740  Fuse gallbladder & bowel                          A  21.23  11.95NA  13.31NA  11.95    13.31     4.52  37.70  39.06  37.70  39.06  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47741  Fuse gallbladder & bowel                          A  24.21  13.16NA  14.61NA  13.16    14.61     5.16  42.53  43.98  42.53  43.98  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47760  Fuse bile ducts and bowel                         A  38.32  18.45NA  20.91NA  18.45    20.91     8.11  64.88  67.34  64.88  67.34  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47765  Fuse liver ducts & bowel                          A  52.19  23.76NA  27.49NA  23.76    27.49    11.13  87.08  90.81  87.08  90.81  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47780  Fuse bile ducts and bowel                         A  42.32  19.83NA  22.54NA  19.83    22.54     8.98  71.13  73.84  71.13  73.84  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47785  Fuse bile ducts and bowel                         A  56.19  25.09NA  28.80NA  25.09    28.80    11.99  93.27  96.98  93.27  96.98  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47800  Reconstruction of bile ducts                      A  26.17  13.93NA  15.43NA  13.93    15.43     5.59  45.69  47.19  45.69  47.19  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47801  Placement bile duct support                       A  17.60  10.36NA   9.96NA  10.36     9.96     2.44  30.40  30.00  30.40  30.00  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47802  Fuse liver duct & intestine                       A  24.93  13.74NA  15.21NA  13.74    15.21     5.32  43.99  45.46  43.99  45.46  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
47900  Suture bile duct injury                           A  22.44  12.24NA  13.44NA  12.24    13.44     4.72  39.40  40.60  39.40  40.60  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
48000  Drainage of abdomen                               A  31.95  15.62NA  16.91NA  15.62    16.91     6.18  53.75  55.04  53.75  55.04  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48001  Placement of drain pancreas                       A  39.69  18.80NA  20.84NA  18.80    20.84     8.48  66.97  69.01  66.97  69.01  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48020  Removal of pancreatic stone                       A  19.09  10.79NA  11.88NA  10.79    11.88     4.08  33.96  35.05  33.96  35.05  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48100  Biopsy of pancreas open                           A  14.46   8.17NA   8.97NA   8.17     8.97     2.99  25.62  26.42  25.62  26.42  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48102  Needle biopsy pancreas                            A   4.70  10.77    10.21     2.24     1.97     0.44  15.91  15.35   7.38   7.11  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
48105  Resect/debride pancreas                           A  49.26  23.11NA  25.74NA  23.11    25.74    10.30  82.67  85.30  82.67  85.30  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48120  Removal of pancreas lesion                        A  18.41   9.69NA  10.69NA   9.69    10.69     3.91  32.01  33.01  32.01  33.01  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48140  Partial removal of pancreas                       A  26.32  13.33NA  14.71NA  13.33    14.71     5.58  45.23  46.61  45.23  46.61  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48145  Partial removal of pancreas                       A  27.39  13.91NA  15.49NA  13.91    15.49     5.83  47.13  48.71  47.13  48.71  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48146  Pancreatectomy                                    A  30.60  16.93NA  18.84NA  16.93    18.84     6.52  54.05  55.96  54.05  55.96  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48148  Removal of pancreatic duct                        A  20.39  11.18NA  12.45NA  11.18    12.45     4.34  35.91  37.18  35.91  37.18  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48150  Partial removal of pancreas                       A  52.84  25.92NA  28.42NA  25.92    28.42    11.23  89.99  92.49  89.99  92.49  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48152  Pancreatectomy                                    A  48.65  24.53NA  27.12NA  24.53    27.12    10.38  83.56  86.15  83.56  86.15  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48153  Pancreatectomy                                    A  52.79  25.86NA  28.39NA  25.86    28.39    11.21  89.86  92.39  89.86  92.39  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48154  Pancreatectomy                                    A  48.88  24.53NA  27.22NA  24.53    27.22    10.43  83.84  86.53  83.84  86.53  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48155  Removal of pancreas                               A  29.45  16.62NA  18.27NA  16.62    18.27     6.27  52.34  53.99  52.34  53.99  0090.09.81.1020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
48400  Injection intraop add-on                          A   1.95   0.86NA   0.85NA   0.86     0.85     0.29   3.10   3.09   3.10   3.09  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
48500  Surgery of pancreatic cyst                        A  18.16  10.98NA  12.18NA  10.98    12.18     3.87  33.01  34.21  33.01  34.21  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48510  Drain pancreatic pseudocyst                       A  17.19  10.48NA  11.52NA  10.48    11.52     3.59  31.26  32.30  31.26  32.30  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48511  Drain pancreatic pseudocyst                       A   3.99  23.36    21.76     1.67     1.47     0.38  27.73  26.13   6.04   5.84  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
48520  Fuse pancreas cyst and bowel                      A  18.15   9.63NA  10.60NA   9.63    10.60     3.84  31.62  32.59  31.62  32.59  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48540  Fuse pancreas cyst and bowel                      A  21.94  10.91NA  11.92NA  10.91    11.92     4.67  37.52  38.53  37.52  38.53  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48545  Pancreatorrhaphy                                  A  22.23  11.71NA  13.13NA  11.71    13.13     4.75  38.69  40.11  38.69  40.11  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48547  Duodenal exclusion                                A  30.38  14.91NA  16.67NA  14.91    16.67     6.46  51.75  53.51  51.75  53.51  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
48548  Fuse pancreas and bowel                           A  28.09  14.15NA  15.58NA  14.15    15.58     5.97  48.21  49.64  48.21  49.64  0090.09.81.1020210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
48552  Prep donor pancreas/venous                        A   4.30   1.73NA   1.87NA   1.73     1.87     0.90   6.93   7.07   6.93   7.07  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
48554  Transpl allograft pancreas                        R  37.80  27.54NA  30.03NA  27.54    30.03     7.89  73.23  75.72  73.23  75.72  0090.09.81.1020222             33.9764 090 99      0.00   0.00   0.00
48556  Removal allograft pancreas                        A  19.47  12.79NA  14.07NA  12.79    14.07     4.15  36.41  37.69  36.41  37.69  0090.09.81.1020222             33.9764 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             33.9764 090 99      0.00   0.00   0.00
49000  Exploration of abdomen                            A  12.54   7.23NA   7.81NA   7.23     7.81     2.57  22.34  22.92  22.34  22.92  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49002  Reopening of abdomen                              A  17.63   8.81NA   9.92NA   8.81     9.92     3.66  30.10  31.21  30.10  31.21  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49010  Exploration behind abdomen                        A  16.06   8.34NA   8.86NA   8.34     8.86     3.20  27.60  28.12  27.60  28.12  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49020  Drain abdominal abscess                           A  26.67  14.00NA  15.35NA  14.00    15.35     5.42  46.09  47.44  46.09  47.44  0090.09.81.1020200             33.9764 090 99      0.00   0.00   0.00
49021  Drain abdominal abscess                           A   3.37  22.71    21.01     1.40     1.24     0.31  26.39  24.69   5.08   4.92  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
49040  Drain open abdom abscess                          A  16.52   9.08NA   9.94NA   9.08     9.94     3.39  28.99  29.85  28.99  29.85  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49041  Drain percut abdom abscess                        A   3.99  22.83    21.44     1.66     1.46     0.38  27.20  25.81   6.03   5.83  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
49060  Drain open retrop abscess                         A  18.53   9.90NA  10.54NA   9.90    10.54     3.69  32.12  32.76  32.12  32.76  0090.09.81.1020110             33.9764 090 99      0.00   0.00   0.00
49061  Drain percut retroper absc                        A   3.69  22.59    21.09     1.54     1.35     0.34  26.62  25.12   5.57   5.38  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
49062  Drain to peritoneal cavity                        A  12.22   7.05NA   7.47NA   7.05     7.47     2.46  21.73  22.15  21.73  22.15  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49080  Puncture peritoneal cavity                        A   1.35   3.34     2.96     0.58     0.53     0.12   4.81   4.43   2.05   2.00  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
49081  Removal of abdominal fluid                        A   1.26   3.39     3.30     0.58     0.57     0.16   4.81   4.72   2.00   1.99  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
49180  Biopsy abdominal mass                             A   1.73   2.94     2.63     0.72     0.64     0.16   4.83   4.52   2.61   2.53  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
49203  Exc abd tum 5 cm or less                          A  20.13  10.70NA  11.54NA  10.70    11.54     3.93  34.76  35.60  34.76  35.60  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49204  Exc abd tum over 5 cm                             A  26.13  13.06NA  14.14NA  13.06    14.14     5.08  44.27  45.35  44.27  45.35  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49205  Exc abd tum over 10 cm                            A  30.13  14.65NA  15.90NA  14.65    15.90     6.03  50.81  52.06  50.81  52.06  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49215  Excise sacral spine tumor                         A  37.81  18.69NA  20.70NA  18.69    20.70     7.54  64.04  66.05  64.04  66.05  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49220  Multiple surgery abdomen                          A  15.79   8.93NA   9.73NA   8.93     9.73     3.39  28.11  28.91  28.11  28.91  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49250  Excision of umbilicus                             A   9.01   5.98NA   6.50NA   5.98     6.50     1.84  16.83  17.35  16.83  17.35  0090.09.81.1020110             33.9764 090 99      0.00   0.00   0.00
49255  Removal of omentum                                A  12.56   7.71NA   8.35NA   7.71     8.35     2.55  22.82  23.46  22.82  23.46  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49320  Diag laparo separate proc                         A   5.14   3.34NA   3.55NA   3.34     3.55     1.03   9.51   9.72   9.51   9.72  0010.10.80.1020200             33.9764 090 99      0.00   0.00   0.00
49321  Laparoscopy biopsy                                A   5.44   3.50NA   3.75NA   3.50     3.75     1.13  10.07  10.32  10.07  10.32  0010.10.80.1030220       49320 33.9764 090 99      0.00   0.00   0.00
49322  Laparoscopy aspiration                            A   6.01   3.65NA   3.87NA   3.65     3.87     1.16  10.82  11.04  10.82  11.04  0010.10.80.1030220       49320 33.9764 090 99      0.00   0.00   0.00
49323  Laparo drain lymphocele                           A  10.23   6.36NA   6.88NA   6.36     6.88     2.14  18.73  19.25  18.73  19.25  0090.10.80.1030220       49320 33.9764 090 99      0.00   0.00   0.00
49324  Lap insert tunnel ip cath                         A   6.32   3.81NA   4.11NA   3.81     4.11     1.33  11.46  11.76  11.46  11.76  0010.10.80.1030220       49320 33.9764 090 99      0.00   0.00   0.00
49325  Lap revision perm ip cath                         A   6.82   3.98NA   4.31NA   3.98     4.31     1.47  12.27  12.60  12.27  12.60  0010.10.80.1030220       49320 33.9764 090 99      0.00   0.00   0.00
49326  Lap w/omentopexy add-on                           A   3.50   1.32NA   1.46NA   1.32     1.46     0.73   5.55   5.69   5.55   5.69  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
49327  Lap ins device for rt                             A   2.38   1.03NA   1.03NA   1.03     1.03     0.48   3.89   3.89   3.89   3.89  0ZZZ.00.00.0000210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
49400  Air injection into abdomen                        A   1.88   2.52     1.80     0.77     0.70     0.24   4.64   3.92   2.89   2.82  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
49402  Remove foreign body adbomen                       A  14.09   7.78NA   8.53NA   7.78     8.53     2.90  24.77  25.52  24.77  25.52  0090.09.81.1020110             33.9764 090 99      0.00   0.00   0.00
49411  Ins mark abd/pel for rt perq                      A   3.82  11.19    11.19     1.65     1.65     0.35  15.36  15.36   5.82   5.82  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49412  Ins device for rt guide open                      A   1.50   0.63NA   0.63NA   0.63     0.63     0.30   2.43   2.43   2.43   2.43  0ZZZ.00.00.0000010             33.9764 090 99      0.00   0.00   0.00
49418  Insert tun ip cath perc                           A   4.21  39.87    39.87     2.07     2.07     0.63  44.71  44.71   6.91   6.91  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49419  Insert tun ip cath w/port                         A   7.08   4.59NA   4.78NA   4.59     4.78     1.22  12.89  13.08  12.89  13.08  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
49421  Ins tun ip cath for dial opn                      A   4.21   2.89NA   1.90NA   2.89     1.90     0.83   7.93   6.94   7.93   6.94  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
49422  Remove tunneled ip cath                           A   6.29   3.61NA   3.83NA   3.61     3.83     1.29  11.19  11.41  11.19  11.41  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
49423  Exchange drainage catheter                        A   1.46  15.21    14.12     0.65     0.56     0.12  16.79  15.70   2.23   2.14  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49424  Assess cyst contrast inject                       A   0.76   3.65     3.33     0.35     0.31     0.07   4.48   4.16   1.18   1.14  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49425  Insert abdomen-venous drain                       A  12.22   7.18NA   7.54NA   7.18     7.54     2.67  22.07  22.43  22.07  22.43  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49426  Revise abdomen-venous shunt                       A  10.41   6.14NA   6.44NA   6.14     6.44     2.07  18.62  18.92  18.62  18.92  0090.09.81.1020100             33.9764 090 99      0.00   0.00   0.00
49427  Injection abdominal shunt                         A   0.89   0.38NA   0.34NA   0.38     0.34     0.10   1.37   1.33   1.37   1.33  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49428  Ligation of shunt                                 A   6.87   4.34NA   4.51NA   4.34     4.51     1.47  12.68  12.85  12.68  12.85  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
49429  Removal of shunt                                  A   7.44   4.31NA   4.63NA   4.31     4.63     1.59  13.34  13.66  13.34  13.66  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
49435  Insert subq exten to ip cath                      A   2.25   0.81NA   0.89NA   0.81     0.89     0.45   3.51   3.59   3.51   3.59  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
49436  Embedded ip cath exit-site                        A   2.72   2.09NA   2.21NA   2.09     2.21     0.59   5.40   5.52   5.40   5.52  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
49440  Place gastrostomy tube perc                       A   4.18  27.42    25.02     2.16     2.00     0.48  32.08  29.68   6.82   6.66  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
49441  Place duod/jej tube perc                          A   4.77  30.24    28.18     2.44     2.29     0.54  35.55  33.49   7.75   7.60  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
49442  Place cecostomy tube perc                         A   4.00  25.46    21.69     2.04     2.01     0.37  29.83  26.06   6.41   6.38  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
49446  Change g-tube to g-j perc                         A   3.31  26.04    24.16     1.39     1.22     0.31  29.66  27.78   5.01   4.84  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49450  Replace g/c tube perc                             A   1.36  19.67    17.07     0.54     0.51     0.12  21.15  18.55   2.02   1.99  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49451  Replace duod/jej tube perc                        A   1.84  19.39    18.23     0.78     0.69     0.20  21.43  20.27   2.82   2.73  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49452  Replace g-j tube perc                             A   2.86  23.51    21.85     1.21     1.06     0.27  26.64  24.98   4.34   4.19  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49460  Fix g/colon tube w/device                         A   0.96  22.28    19.46     0.40     0.38     0.10  23.34  20.52   1.46   1.44  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49465  Fluoro exam of g/colon tube                       A   0.62   4.42     4.12     0.26     0.23     0.05   5.09   4.79   0.93   0.90  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
49491  Rpr hern preemie reduc                            A  12.53   7.53NA   8.36NA   7.53     8.36     2.67  22.73  23.56  22.73  23.56  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49492  Rpr ing hern premie blocked                       A  15.43   8.82NA   9.71NA   8.82     9.71     3.29  27.54  28.43  27.54  28.43  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49495  Rpr ing hernia baby reduc                         A   6.20   4.11NA   4.62NA   4.11     4.62     1.32  11.63  12.14  11.63  12.14  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49496  Rpr ing hernia baby blocked                       A   9.42   6.14NA   6.77NA   6.14     6.77     2.20  17.76  18.39  17.76  18.39  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49500  Rpr ing hernia init reduce                        A   5.84   3.99NA   3.94NA   3.99     3.94     1.24  11.07  11.02  11.07  11.02  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49501  Rpr ing hernia init blocked                       A   9.36   5.99NA   6.59NA   5.99     6.59     1.99  17.34  17.94  17.34  17.94  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49505  Prp i/hern init reduc >5 yr                       A   7.96   5.31NA   5.80NA   5.31     5.80     1.66  14.93  15.42  14.93  15.42  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49507  Prp i/hern init block >5 yr                       A  10.05   6.19NA   6.77NA   6.19     6.77     2.12  18.36  18.94  18.36  18.94  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49520  Rerepair ing hernia reduce                        A   9.99   6.10NA   6.67NA   6.10     6.67     2.10  18.19  18.76  18.19  18.76  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49521  Rerepair ing hernia blocked                       A  12.44   7.04NA   7.70NA   7.04     7.70     2.61  22.09  22.75  22.09  22.75  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49525  Repair ing hernia sliding                         A   8.93   5.68NA   6.20NA   5.68     6.20     1.86  16.47  16.99  16.47  16.99  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49540  Repair lumbar hernia                              A  10.74   6.49NA   7.14NA   6.49     7.14     2.26  19.49  20.14  19.49  20.14  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49550  Rpr rem hernia init reduce                        A   8.99   5.69NA   6.22NA   5.69     6.22     1.89  16.57  17.10  16.57  17.10  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49553  Rpr fem hernia init blocked                       A   9.92   6.14NA   6.73NA   6.14     6.73     2.10  18.16  18.75  18.16  18.75  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49555  Rerepair fem hernia reduce                        A   9.39   5.85NA   6.38NA   5.85     6.38     1.97  17.21  17.74  17.21  17.74  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49557  Rerepair fem hernia blocked                       A  11.62   6.81NA   7.46NA   6.81     7.46     2.45  20.88  21.53  20.88  21.53  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49560  Rpr ventral hern init reduc                       A  11.92   6.88NA   7.53NA   6.88     7.53     2.48  21.28  21.93  21.28  21.93  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49561  Rpr ventral hern init block                       A  15.38   8.26NA   9.10NA   8.26     9.10     3.24  26.88  27.72  26.88  27.72  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49565  Rerepair ventrl hern reduce                       A  12.37   7.19NA   7.90NA   7.19     7.90     2.60  22.16  22.87  22.16  22.87  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49566  Rerepair ventrl hern block                        A  15.53   8.35NA   9.20NA   8.35     9.20     3.29  27.17  28.02  27.17  28.02  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49568  Hernia repair w/mesh                              A   4.88   1.93NA   2.12NA   1.93     2.12     1.03   7.84   8.03   7.84   8.03  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
49570  Rpr epigastric hern reduce                        A   6.05   4.55NA   4.96NA   4.55     4.96     1.28  11.88  12.29  11.88  12.29  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49572  Rpr epigastric hern blocked                       A   7.87   5.22NA   5.76NA   5.22     5.76     1.65  14.74  15.28  14.74  15.28  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49580  Rpr umbil hern reduc < 5 yr                       A   4.47   3.98NA   4.37NA   3.98     4.37     0.95   9.40   9.79   9.40   9.79  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49582  Rpr umbil hern block < 5 yr                       A   7.13   5.11NA   5.62NA   5.11     5.62     1.52  13.76  14.27  13.76  14.27  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49585  Rpr umbil hern reduc > 5 yr                       A   6.59   4.75NA   5.18NA   4.75     5.18     1.37  12.71  13.14  12.71  13.14  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49587  Rpr umbil hern block > 5 yr                       A   8.04   5.30NA   5.81NA   5.30     5.81     1.69  15.03  15.54  15.03  15.54  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49590  Repair spigelian hernia                           A   8.90   5.67NA   6.21NA   5.67     6.21     1.88  16.45  16.99  16.45  16.99  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49600  Repair umbilical lesion                           A  11.55   7.15NA   7.68NA   7.15     7.68     2.45  21.15  21.68  21.15  21.68  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49605  Repair umbilical lesion                           A  87.09  39.02NA  42.03NA  39.02    42.03    18.58 144.69 147.70 144.69 147.70  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49606  Repair umbilical lesion                           A  19.00   9.76NA  10.70NA   9.76    10.70     4.06  32.82  33.76  32.82  33.76  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49610  Repair umbilical lesion                           A  10.91   6.64NA   7.18NA   6.64     7.18     2.31  19.86  20.40  19.86  20.40  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49611  Repair umbilical lesion                           A   9.34   6.12NA   6.01NA   6.12     6.01     0.65  16.11  16.00  16.11  16.00  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49650  Lap ing hernia repair init                        A   6.36   4.56NA   4.97NA   4.56     4.97     1.33  12.25  12.66  12.25  12.66  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49651  Lap ing hernia repair recur                       A   8.38   5.79NA   6.35NA   5.79     6.35     1.78  15.95  16.51  15.95  16.51  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49652  Lap vent/abd hernia repair                        A  12.88   7.39NA   8.11NA   7.39     8.11     0.90  21.17  21.89  21.17  21.89  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49653  Lap vent/abd hern proc comp                       A  16.21   9.16NA  10.08NA   9.16    10.08     1.16  26.53  27.45  26.53  27.45  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49654  Lap inc hernia repair                             A  15.03   8.24NA   9.07NA   8.24     9.07     1.06  24.33  25.16  24.33  25.16  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49655  Lap inc hern repair comp                          A  18.11   9.89NA  10.89NA   9.89    10.89     1.28  29.28  30.28  29.28  30.28  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49656  Lap inc hernia repair recur                       A  15.08   8.26NA   9.11NA   8.26     9.11     1.08  24.42  25.27  24.42  25.27  0090.09.81.1021210             33.9764 090 99      0.00   0.00   0.00
49657  Lap inc hern recur comp                           A  22.11  11.44NA  12.65NA  11.44    12.65     1.57  35.12  36.33  35.12  36.33  0090.09.81.1021210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
49900  Repair of abdominal wall                          A  12.41   8.57NA   9.26NA   8.57     9.26     2.55  23.53  24.22  23.53  24.22  0090.09.81.1020210             33.9764 090 99      0.00   0.00   0.00
49904  Omental flap extra-abdom                          A  22.35  15.78NA  15.80NA  15.78    15.80     4.75  42.88  42.90  42.88  42.90  0090.10.80.1020111             33.9764 090 99      0.00   0.00   0.00
49905  Omental flap intra-abdom                          A   6.54   2.59NA   2.80NA   2.59     2.80     1.24  10.37  10.58  10.37  10.58  0ZZZ.00.00.0000220             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
50010  Exploration of kidney                             A  12.28   7.91NA   7.75NA   7.91     7.75     1.80  21.99  21.83  21.99  21.83  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50020  Renal abscess open drain                          A  18.08  10.77NA  10.76NA  10.77    10.76     2.41  31.26  31.25  31.26  31.25  0090.08.83.0920110             33.9764 090 99      0.00   0.00   0.00
50021  Renal abscess percut drain                        A   3.37  24.20    22.47     1.39     1.23     0.31  27.88  26.15   5.07   4.91  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
50040  Drainage of kidney                                A  16.68   9.77NA   8.76NA   9.77     8.76     1.69  28.14  27.13  28.14  27.13  0090.08.83.0920110             33.9764 090 99      0.00   0.00   0.00
50045  Exploration of kidney                             A  16.82   9.78NA   8.87NA   9.78     8.87     1.62  28.22  27.31  28.22  27.31  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
5005F  Pt counsld on exam for moles                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
50060  Removal of kidney stone                           A  20.95  11.72NA  10.49NA  11.72    10.49     2.01  34.68  33.45  34.68  33.45  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50065  Incision of kidney                                A  22.32  12.06NA  11.02NA  12.06    11.02     2.16  36.54  35.50  36.54  35.50  0090.08.83.0920200             33.9764 090 99      0.00   0.00   0.00
50070  Incision of kidney                                A  21.85  12.20NA  10.84NA  12.20    10.84     2.12  36.17  34.81  36.17  34.81  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50075  Removal of kidney stone                           A  27.09  14.72NA  13.11NA  14.72    13.11     2.63  44.44  42.83  44.44  42.83  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50080  Removal of kidney stone                           A  15.74   9.23NA   8.22NA   9.23     8.22     1.55  26.52  25.51  26.52  25.51  0090.08.83.0921100             33.9764 090 99      0.00   0.00   0.00
50081  Removal of kidney stone                           A  23.50  13.12NA  11.72NA  13.12    11.72     2.31  38.93  37.53  38.93  37.53  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
5010F  Macul result to phy 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             33.9764 090 99      0.00   0.00   0.00
50100  Revise kidney blood vessels                       A  17.45   8.32NA   7.23NA   8.32     7.23     3.73  29.50  28.41  29.50  28.41  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50120  Exploration of kidney                             A  17.21   9.90NA   8.96NA   9.90     8.96     1.66  28.77  27.83  28.77  27.83  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50125  Explore and drain kidney                          A  17.82  11.06NA  11.06NA  11.06    11.06     1.71  30.59  30.59  30.59  30.59  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50130  Removal of kidney stone                           A  18.82  10.83NA   9.71NA  10.83     9.71     1.82  31.47  30.35  31.47  30.35  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50135  Exploration of kidney                             A  20.59  11.51NA  10.35NA  11.51    10.35     1.99  34.09  32.93  34.09  32.93  0090.08.83.0921210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
5020F  Txmnts 2 main Dr by 1 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             33.9764 090 99      0.00   0.00   0.00
50200  Renal biopsy perq                                 A   2.63  14.10    14.10     1.42     1.29     0.31  17.04  17.04   4.36   4.23  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50205  Renal biopsy open                                 A  12.29   7.20NA   7.61NA   7.20     7.61     2.40  21.89  22.30  21.89  22.30  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50220  Remove kidney open                                A  18.68  10.65NA   9.83NA  10.65     9.83     2.25  31.58  30.76  31.58  30.76  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50225  Removal kidney open complex                       A  21.88  12.00NA  11.01NA  12.00    11.01     2.38  36.26  35.27  36.26  35.27  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50230  Removal kidney open radical                       A  23.81  12.73NA  11.45NA  12.73    11.45     2.45  38.99  37.71  38.99  37.71  0090.08.83.0921220             33.9764 090 99      0.00   0.00   0.00
50234  Removal of kidney & ureter                        A  24.05  13.10NA  11.80NA  13.10    11.80     2.44  39.59  38.29  39.59  38.29  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50236  Removal of kidney & ureter                        A  26.94  15.08NA  13.47NA  15.08    13.47     2.64  44.66  43.05  44.66  43.05  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50240  Partial removal of kidney                         A  24.21  13.66NA  12.28NA  13.66    12.28     2.42  40.29  38.91  40.29  38.91  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50250  Cryoablate renal mass open                        A  22.22  12.79NA  11.33NA  12.79    11.33     2.18  37.19  35.73  37.19  35.73  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50280  Removal of kidney lesion                          A  17.09  10.03NA   9.19NA  10.03     9.19     1.86  28.98  28.14  28.98  28.14  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50290  Removal of kidney lesion                          A  16.15   9.85NA  10.34NA   9.85    10.34     1.57  27.57  28.06  27.57  28.06  0090.08.83.0920210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
50320  Remove kidney living donor                        A  22.43  15.33NA  15.42NA  15.33    15.42     3.88  41.64  41.73  41.64  41.73  0090.08.83.0921210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
50327  Prep renal graft/venous                           A   4.00   1.60NA   1.69NA   1.60     1.69     0.78   6.38   6.47   6.38   6.47  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
50328  Prep renal graft/arterial                         A   3.50   1.41NA   1.48NA   1.41     1.48     0.67   5.58   5.65   5.58   5.65  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
50329  Prep renal graft/ureteral                         A   3.34   1.42NA   1.37NA   1.42     1.37     0.48   5.24   5.19   5.24   5.19  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
50340  Removal of kidney                                 A  14.04  10.06NA  11.01NA  10.06    11.01     3.01  27.11  28.06  27.11  28.06  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50360  Transplantation of kidney                         A  40.90  24.82NA  27.10NA  24.82    27.10     8.30  74.02  76.30  74.02  76.30  0090.08.83.0920222             33.9764 090 99      0.00   0.00   0.00
50365  Transplantation of kidney                         A  46.13  27.41NA  29.69NA  27.41    29.69     9.84  83.38  85.66  83.38  85.66  0090.08.83.0921222             33.9764 090 99      0.00   0.00   0.00
50370  Remove transplanted kidney                        A  18.88  11.93NA  12.95NA  11.93    12.95     3.76  34.57  35.59  34.57  35.59  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50380  Reimplantation of kidney                          A  30.11  21.93NA  22.76NA  21.93    22.76     6.41  58.45  59.28  58.45  59.28  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50382  Change ureter stent percut                        A   5.50  31.69    27.93     2.37     2.07     0.52  37.71  33.95   8.39   8.09  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50384  Remove ureter stent percut                        A   5.00  26.02    21.93     2.14     1.85     0.48  31.50  27.41   7.62   7.33  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50385  Change stent via transureth                       A   4.44  31.98    28.05     2.30     1.97     0.42  36.84  32.91   7.16   6.83  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50386  Remove stent via transureth                       A   3.30  20.40    18.06     1.80     1.55     0.31  24.01  21.67   5.41   5.16  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50387  Change ext/int ureter stent                       A   2.00  15.28    13.45     0.84     0.72     0.20  17.48  15.65   3.04   2.92  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50389  Remove renal tube w/fluoro                        A   1.10   8.52     7.06     0.46     0.41     0.10   9.72   8.26   1.66   1.61  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50390  Drainage of kidney lesion                         A   1.96   0.81NA   0.71NA   0.81     0.71     0.18   2.95   2.85   2.95   2.85  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50391  Instll rx agnt into rnal tub                      A   1.96   1.65     1.43     0.88     0.79     0.20   3.81   3.59   3.04   2.95  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
50392  Insert kidney drain                               A   3.37   1.76NA   1.55NA   1.76     1.55     0.31   5.44   5.23   5.44   5.23  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50393  Insert ureteral tube                              A   4.15   2.09NA   1.83NA   2.09     1.83     0.38   6.62   6.36   6.62   6.36  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50394  Injection for kidney x-ray                        A   0.76   2.26     1.98     0.68     0.60     0.07   3.09   2.81   1.51   1.43  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50395  Create passage to kidney                          A   3.37   1.80NA   1.58NA   1.80     1.58     0.33   5.50   5.28   5.50   5.28  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50396  Measure kidney pressure                           A   2.09   1.25NA   1.09NA   1.25     1.09     0.20   3.54   3.38   3.54   3.38  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50398  Change kidney tube                                A   1.46  14.24    12.69     0.65     0.57     0.12  15.82  14.27   2.23   2.15  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50400  Revision of kidney/ureter                         A  21.27  11.80NA  10.67NA  11.80    10.67     2.10  35.17  34.04  35.17  34.04  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50405  Revision of kidney/ureter                         A  25.86  14.07NA  12.63NA  14.07    12.63     2.50  42.43  40.99  42.43  40.99  0090.08.83.0920210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
50500  Repair of kidney wound                            A  21.22  11.61NA  11.99NA  11.61    11.99     4.52  37.35  37.73  37.35  37.73  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50520  Close kidney-skin fistula                         A  18.88  10.66NA   9.68NA  10.66     9.68     1.84  31.38  30.40  31.38  30.40  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50525  Repair renal-abdomen fistula                      A  24.39  13.88NA  14.15NA  13.88    14.15     5.20  43.47  43.74  43.47  43.74  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50526  Repair renal-abdomen fistula                      A  26.31  13.71NA  14.18NA  13.71    14.18     1.86  41.88  42.35  41.88  42.35  0090.08.83.0920200             33.9764 090 99      0.00   0.00   0.00
50540  Revision of horseshoe kidney                      A  21.10  11.44NA  10.55NA  11.44    10.55     2.03  34.57  33.68  34.57  33.68  0090.08.83.0922210             33.9764 090 99      0.00   0.00   0.00
50541  Laparo ablate renal cyst                          A  16.86   9.46NA   8.51NA   9.46     8.51     1.70  28.02  27.07  28.02  27.07  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50542  Laparo ablate renal mass                          A  21.36  12.11NA  10.86NA  12.11    10.86     2.10  35.57  34.32  35.57  34.32  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50543  Laparo partial nephrectomy                        A  27.41  15.24NA  13.65NA  15.24    13.65     2.72  45.37  43.78  45.37  43.78  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50544  Laparoscopy pyeloplasty                           A  23.37  12.36NA  11.03NA  12.36    11.03     2.31  38.04  36.71  38.04  36.71  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50545  Laparo radical nephrectomy                        A  25.06  13.33NA  11.93NA  13.33    11.93     2.55  40.94  39.54  40.94  39.54  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50546  Laparoscopic nephrectomy                          A  21.87  12.36NA  11.17NA  12.36    11.17     2.30  36.53  35.34  36.53  35.34  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50547  Laparo removal donor kidney                       A  26.34  15.84NA  16.33NA  15.84    16.33     4.83  47.01  47.50  47.01  47.50  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50548  Laparo remove w/ureter                            A  25.36  13.27NA  11.84NA  13.27    11.84     2.50  41.13  39.70  41.13  39.70  0090.08.83.0921210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
50551  Kidney endoscopy                                  A   5.59   4.92     4.25     2.88     2.56     0.54  11.05  10.38   9.01   8.69  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50553  Kidney endoscopy                                  A   5.98   5.11     4.54     2.99     2.68     0.65  11.74  11.17   9.62   9.31  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50555  Kidney endoscopy & biopsy                         A   6.52   5.47     4.76     3.28     2.93     0.63  12.62  11.91  10.43  10.08  0000.00.00.0031000       50551 33.9764 090 99      0.00   0.00   0.00
50557  Kidney endoscopy & treatment                      A   6.61   5.60     4.85     3.33     2.96     0.64  12.85  12.10  10.58  10.21  0000.00.00.0031000       50551 33.9764 090 99      0.00   0.00   0.00
50561  Kidney endoscopy & treatment                      A   7.58   6.27     5.44     3.76     3.34     0.75  14.60  13.77  12.09  11.67  0000.00.00.0031000       50551 33.9764 090 99      0.00   0.00   0.00
50562  Renal scope w/tumor resect                        A  10.90   5.84NA   5.15NA   5.84     5.15     1.06  17.80  17.11  17.80  17.11  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50570  Kidney endoscopy                                  A   9.53   4.60NA   4.06NA   4.60     4.06     0.91  15.04  14.50  15.04  14.50  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50572  Kidney endoscopy                                  A  10.33   4.96NA   4.38NA   4.96     4.38     1.01  16.30  15.72  16.30  15.72  0000.00.00.0031000       50570 33.9764 090 99      0.00   0.00   0.00
50574  Kidney endoscopy & biopsy                         A  11.00   5.25NA   4.64NA   5.25     4.64     1.08  17.33  16.72  17.33  16.72  0000.00.00.0031000       50570 33.9764 090 99      0.00   0.00   0.00
50575  Kidney endoscopy                                  A  13.96   6.56NA   5.80NA   6.56     5.80     1.36  21.88  21.12  21.88  21.12  0000.00.00.0031100       50570 33.9764 090 99      0.00   0.00   0.00
50576  Kidney endoscopy & treatment                      A  10.97   5.24NA   4.63NA   5.24     4.63     1.06  17.27  16.66  17.27  16.66  0000.00.00.0031000       50570 33.9764 090 99      0.00   0.00   0.00
50580  Kidney endoscopy & treatment                      A  11.84   5.56NA   4.97NA   5.56     4.97     1.16  18.56  17.97  18.56  17.97  0000.00.00.0031000       50570 33.9764 090 99      0.00   0.00   0.00
50590  Fragmenting of kidney stone                       A   9.77  15.32    11.22     6.47     5.80     0.95  26.04  21.94  17.19  16.52  0090.08.83.0921100             33.9764 090 99      0.00   0.00   0.00
50592  Perc rf ablate renal tumor                        A   6.80  94.06    76.33     3.55     3.15     0.64 101.50  83.77  10.99  10.59  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
50593  Perc cryo ablate renal tum                        A   9.13 129.65   115.17     4.30     4.21     0.86 139.64 125.16  14.29  14.20  0010.10.80.1021200             33.9764 090 99      0.00   0.00   0.00
5060F  Fndngs mammo 2pt w/in 3 days                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
50600  Exploration of ureter                             A  17.17   9.64NA   8.72NA   9.64     8.72     1.66  28.47  27.55  28.47  27.55  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50605  Insert ureteral support                           A  16.79   9.48NA   9.37NA   9.48     9.37     2.65  28.92  28.81  28.92  28.81  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50610  Removal of ureter stone                           A  17.25   9.85NA   8.82NA   9.85     8.82     1.66  28.76  27.73  28.76  27.73  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
5062F  Mammo result com to pt 5 day                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
50620  Removal of ureter stone                           A  16.43   9.49NA   8.50NA   9.49     8.50     1.59  27.51  26.52  27.51  26.52  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50630  Removal of ureter stone                           A  16.21   9.18NA   8.41NA   9.18     8.41     1.57  26.96  26.19  26.96  26.19  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50650  Removal of ureter                                 A  18.82  10.78NA   9.72NA  10.78     9.72     1.89  31.49  30.43  31.49  30.43  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50660  Removal of ureter                                 A  21.02  11.65NA  10.52NA  11.65    10.52     2.03  34.70  33.57  34.70  33.57  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50684  Injection for ureter x-ray                        A   0.76   3.61     2.14     0.68     0.62     0.07   4.44   2.97   1.51   1.45  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
50686  Measure ureter pressure                           A   1.51   2.62     2.62     1.11     1.03     0.22   4.35   4.35   2.84   2.76  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
50688  Change of ureter tube/stent                       A   1.20   1.11NA   0.99NA   1.11     0.99     0.11   2.42   2.30   2.42   2.30  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
50690  Injection for ureter x-ray                        A   1.16   1.70     1.48     0.85     0.76     0.10   2.96   2.74   2.11   2.02  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
50700  Revision of ureter                                A  16.69   9.76NA   8.82NA   9.76     8.82     1.62  28.07  27.13  28.07  27.13  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50715  Release of ureter                                 A  20.64  11.27NA  11.58NA  11.27    11.58     3.01  34.92  35.23  34.92  35.23  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50722  Release of ureter                                 A  17.95  10.02NA  10.50NA  10.02    10.50     3.05  31.02  31.50  31.02  31.50  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50725  Release/revise ureter                             A  20.20  11.96NA  12.10NA  11.96    12.10     1.95  34.11  34.25  34.11  34.25  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50727  Revise ureter                                     A   8.28   6.21NA   5.65NA   6.21     5.65     0.84  15.33  14.77  15.33  14.77  0090.08.83.0920220             33.9764 090 99      0.00   0.00   0.00
50728  Revise ureter                                     A  12.18   7.66NA   7.06NA   7.66     7.06     1.18  21.02  20.42  21.02  20.42  0090.08.83.0920220             33.9764 090 99      0.00   0.00   0.00
50740  Fusion of ureter & kidney                         A  20.07  11.21NA  11.40NA  11.21    11.40     4.29  35.57  35.76  35.57  35.76  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50750  Fusion of ureter & kidney                         A  21.22  11.92NA  10.59NA  11.92    10.59     2.04  35.18  33.85  35.18  33.85  0090.08.83.0920200             33.9764 090 99      0.00   0.00   0.00
50760  Fusion of ureters                                 A  20.07  11.19NA  10.57NA  11.19    10.57     2.67  33.93  33.31  33.93  33.31  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50770  Splicing of ureters                               A  21.22  11.25NA  10.59NA  11.25    10.59     2.04  34.51  33.85  34.51  33.85  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50780  Reimplant ureter in bladder                       A  19.95  11.21NA  10.32NA  11.21    10.32     2.31  33.47  32.58  33.47  32.58  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50782  Reimplant ureter in bladder                       A  19.66  10.83NA   9.98NA  10.83     9.98     4.19  34.68  33.83  34.68  33.83  0090.08.83.0921220             33.9764 090 99      0.00   0.00   0.00
50783  Reimplant ureter in bladder                       A  20.70  11.93NA  12.32NA  11.93    12.32     2.00  34.63  35.02  34.63  35.02  0090.08.83.0921220             33.9764 090 99      0.00   0.00   0.00
50785  Reimplant ureter in bladder                       A  22.23  12.31NA  11.14NA  12.31    11.14     2.25  36.79  35.62  36.79  35.62  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50800  Implant ureter in bowel                           A  16.41   9.95NA   9.07NA   9.95     9.07     1.74  28.10  27.22  28.10  27.22  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50810  Fusion of ureter & bowel                          A  22.61  12.09NA  11.81NA  12.09    11.81     4.83  39.53  39.25  39.53  39.25  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50815  Urine shunt to intestine                          A  22.26  12.71NA  11.45NA  12.71    11.45     2.16  37.13  35.87  37.13  35.87  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50820  Construct bowel bladder                           A  24.07  13.18NA  12.18NA  13.18    12.18     2.65  39.90  38.90  39.90  38.90  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50825  Construct bowel bladder                           A  30.68  16.51NA  14.97NA  16.51    14.97     3.17  50.36  48.82  50.36  48.82  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50830  Revise urine flow                                 A  33.77  17.42NA  15.95NA  17.42    15.95     3.29  54.48  53.01  54.48  53.01  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50840  Replace ureter by bowel                           A  22.39  12.82NA  11.50NA  12.82    11.50     2.18  37.39  36.07  37.39  36.07  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50845  Appendico-vesicostomy                             A  22.46  13.31NA  11.97NA  13.31    11.97     2.18  37.95  36.61  37.95  36.61  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50860  Transplant ureter to skin                         A  17.08   9.93NA   8.97NA   9.93     8.97     1.65  28.66  27.70  28.66  27.70  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50900  Repair of ureter                                  A  15.04   9.03NA   8.47NA   9.03     8.47     1.47  25.54  24.98  25.54  24.98  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50920  Closure ureter/skin fistula                       A  15.81   9.44NA   8.48NA   9.44     8.48     1.54  26.79  25.83  26.79  25.83  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50930  Closure ureter/bowel fistula                      A  20.19  10.69NA  10.19NA  10.69    10.19     4.30  35.18  34.68  35.18  34.68  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
50940  Release of ureter                                 A  15.93   9.38NA   8.52NA   9.38     8.52     1.55  26.86  26.00  26.86  26.00  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50945  Laparoscopy ureterolithotomy                      A  17.97   9.90NA   8.88NA   9.90     8.88     1.74  29.61  28.59  29.61  28.59  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50947  Laparo new ureter/bladder                         A  25.78  13.66NA  12.38NA  13.66    12.38     2.50  41.94  40.66  41.94  40.66  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
50948  Laparo new ureter/bladder                         A  23.82  12.80NA  11.36NA  12.80    11.36     2.30  38.92  37.48  38.92  37.48  0090.08.83.0921210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
50951  Endoscopy of ureter                               A   5.83   5.16     4.45     3.00     2.66     0.56  11.55  10.84   9.39   9.05  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50953  Endoscopy of ureter                               A   6.23   5.38     4.66     3.54     3.14     0.61  12.22  11.50  10.38   9.98  0000.00.00.0031000       50951 33.9764 090 99      0.00   0.00   0.00
50955  Ureter endoscopy & biopsy                         A   6.74   5.91     4.91     3.79     3.35     0.65  13.30  12.30  11.18  10.74  0000.00.00.0031000       50951 33.9764 090 99      0.00   0.00   0.00
50957  Ureter endoscopy & treatment                      A   6.78   5.71     4.96     3.40     3.02     0.65  13.14  12.39  10.83  10.45  0000.00.00.0031000       50951 33.9764 090 99      0.00   0.00   0.00
50961  Ureter endoscopy & treatment                      A   6.04   5.24     4.53     3.09     2.73     0.59  11.87  11.16   9.72   9.36  0000.00.00.0031000       50951 33.9764 090 99      0.00   0.00   0.00
50970  Ureter endoscopy                                  A   7.13   3.53NA   3.13NA   3.53     3.13     0.68  11.34  10.94  11.34  10.94  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50972  Ureter endoscopy & catheter                       A   6.88   3.40NA   3.03NA   3.40     3.03     0.67  10.95  10.58  10.95  10.58  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
50974  Ureter endoscopy & biopsy                         A   9.16   4.44NA   3.92NA   4.44     3.92     0.88  14.48  13.96  14.48  13.96  0000.00.00.0031000       50970 33.9764 090 99      0.00   0.00   0.00
50976  Ureter endoscopy & treatment                      A   9.03   4.36NA   3.87NA   4.36     3.87     0.87  14.26  13.77  14.26  13.77  0000.00.00.0031000       50970 33.9764 090 99      0.00   0.00   0.00
50980  Ureter endoscopy & treatment                      A   6.84   3.41NA   3.01NA   3.41     3.01     0.65  10.90  10.50  10.90  10.50  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
5100F  Rsk fx ref w/n 24 hrs xray                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
51020  Incise & treat bladder                            A   7.69   5.78NA   5.19NA   5.78     5.19     0.78  14.25  13.66  14.25  13.66  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51030  Incise & treat bladder                            A   7.81   5.56NA   5.14NA   5.56     5.14     0.75  14.12  13.70  14.12  13.70  0090.08.83.0920000             33.9764 090 99      0.00   0.00   0.00
51040  Incise & drain bladder                            A   4.49   3.90NA   3.46NA   3.90     3.46     0.44   8.83   8.39   8.83   8.39  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51045  Incise bladder/drain ureter                       A   7.81   5.85NA   5.56NA   5.85     5.56     1.06  14.72  14.43  14.72  14.43  0090.08.83.0920200             33.9764 090 99      0.00   0.00   0.00
51050  Removal of bladder stone                          A   7.97   5.62NA   5.04NA   5.62     5.04     0.78  14.37  13.79  14.37  13.79  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51060  Removal of ureter stone                           A   9.95   6.76NA   6.05NA   6.76     6.05     0.98  17.69  16.98  17.69  16.98  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51065  Remove ureter calculus                            A   9.95   6.65NA   5.97NA   6.65     5.97     0.98  17.58  16.90  17.58  16.90  0090.08.83.0920000             33.9764 090 99      0.00   0.00   0.00
51080  Drainage of bladder abscess                       A   6.71   5.01NA   4.53NA   5.01     4.53     0.65  12.37  11.89  12.37  11.89  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51100  Drain bladder by needle                           A   0.78   1.02     0.95     0.33     0.31     0.08   1.88   1.81   1.19   1.17  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51101  Drain bladder by trocar/cath                      A   1.02   2.70     2.45     0.45     0.44     0.12   3.84   3.59   1.59   1.58  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51102  Drain bl w/cath insertion                         A   2.70   4.01     3.49     1.49     1.31     0.29   7.00   6.48   4.48   4.30  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51500  Removal of bladder cyst                           A  11.05   7.56NA   7.92NA   7.56     7.92     1.08  19.69  20.05  19.69  20.05  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51520  Removal of bladder lesion                         A  10.21   6.70NA   6.15NA   6.70     6.15     0.99  17.90  17.35  17.90  17.35  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51525  Removal of bladder lesion                         A  15.42   9.17NA   8.23NA   9.17     8.23     1.57  26.16  25.22  26.16  25.22  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51530  Removal of bladder lesion                         A  13.71   8.45NA   7.97NA   8.45     7.97     1.65  23.81  23.33  23.81  23.33  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51535  Repair of ureter lesion                           A  13.90   8.27NA   7.58NA   8.27     7.58     1.33  23.50  22.81  23.50  22.81  0090.08.83.0921210             33.9764 090 99      0.00   0.00   0.00
51550  Partial removal of bladder                        A  17.23   9.88NA   9.18NA   9.88     9.18     2.14  29.25  28.55  29.25  28.55  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51555  Partial removal of bladder                        A  23.18  12.71NA  11.68NA  12.71    11.68     2.60  38.49  37.46  38.49  37.46  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51565  Revise bladder & ureter(s)                        A  23.68  13.12NA  12.05NA  13.12    12.05     2.42  39.22  38.15  39.22  38.15  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51570  Removal of bladder                                A  27.46  14.60NA  13.47NA  14.60    13.47     2.80  44.86  43.73  44.86  43.73  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51575  Removal of bladder & nodes                        A  34.18  17.94NA  16.07NA  17.94    16.07     3.35  55.47  53.60  55.47  53.60  0090.08.83.0922210             33.9764 090 99      0.00   0.00   0.00
51580  Remove bladder/revise tract                       A  35.37  18.97NA  16.93NA  18.97    16.93     3.44  57.78  55.74  57.78  55.74  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51585  Removal of bladder & nodes                        A  39.64  20.85NA  18.60NA  20.85    18.60     3.85  64.34  62.09  64.34  62.09  0090.08.83.0922210             33.9764 090 99      0.00   0.00   0.00
51590  Remove bladder/revise tract                       A  36.33  18.83NA  16.93NA  18.83    16.93     3.67  58.83  56.93  58.83  56.93  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51595  Remove bladder/revise tract                       A  41.32  21.29NA  19.09NA  21.29    19.09     4.11  66.72  64.52  66.72  64.52  0090.08.83.0922210             33.9764 090 99      0.00   0.00   0.00
51596  Remove bladder/create pouch                       A  44.26  23.09NA  20.67NA  23.09    20.67     4.34  71.69  69.27  71.69  69.27  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51597  Removal of pelvic structures                      A  42.86  22.31NA  20.33NA  22.31    20.33     4.53  69.70  67.72  69.70  67.72  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51600  Injection for bladder x-ray                       A   0.88   4.81     4.21     0.38     0.34     0.08   5.77   5.17   1.34   1.30  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51605  Preparation for bladder xray                      A   0.64   0.47NA   0.42NA   0.47     0.42     0.05   1.16   1.11   1.16   1.11  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51610  Injection for bladder x-ray                       A   1.05   2.16     1.87     0.78     0.71     0.10   3.31   3.02   1.93   1.86  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51700  Irrigation of bladder                             A   0.88   1.62     1.39     0.39     0.36     0.08   2.58   2.35   1.35   1.32  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51701  Insert bladder catheter                           A   0.50   1.21     0.99     0.28     0.26     0.05   1.76   1.54   0.83   0.81  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51702  Insert temp bladder cath                          A   0.50   1.72     1.43     0.36     0.33     0.05   2.27   1.98   0.91   0.88  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51703  Insert bladder cath complex                       A   1.47   2.50     2.07     0.87     0.78     0.14   4.11   3.68   2.48   2.39  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51705  Change of bladder tube                            A   1.05   2.19     1.84     0.90     0.80     0.10   3.34   2.99   2.05   1.95  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
51710  Change of bladder tube                            A   1.52   2.99     2.46     1.23     1.11     0.14   4.65   4.12   2.89   2.77  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
51715  Endoscopic injection/implant                      A   3.73   4.72     4.16     1.94     1.79     0.39   8.84   8.28   6.06   5.91  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51720  Treatment of bladder lesion                       A   1.50   1.76     1.48     0.83     0.72     0.14   3.40   3.12   2.47   2.36  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51725  Simple cystometrogram                             A   1.51   4.57     3.62     4.57NA   3.62 NA  0.13   6.21   5.26   6.21   5.26  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51725TCSimple cystometrogram                             A   0.00   3.91     2.99     3.91NA   2.99 NA  0.01   3.92   3.00   3.92   3.00  1000.00.00.0020000             33.9764 020 99      0.00   0.00   0.00
5172526Simple cystometrogram                             A   1.51   0.66     0.63     0.66     0.63     0.12   2.29   2.26   2.29   2.26  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51726  Complex cystometrogram                            A   1.71   7.19     5.69     7.19NA   5.69 NA  0.17   9.07   7.57   9.07   7.57  1000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51726TCComplex cystometrogram                            A   0.00   6.43     4.98     6.43NA   4.98 NA  0.03   6.46   5.01   6.46   5.01  1000.00.00.0020100             33.9764 020 99      0.00   0.00   0.00
5172626Complex cystometrogram                            A   1.71   0.76     0.71     0.76     0.71     0.14   2.61   2.56   2.61   2.56  1000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51727  Cystometrogram w/up                               A   2.11   6.68     6.68     6.68NA   6.68 NA  0.23   9.02   9.02   9.02   9.02  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51727TCCystometrogram w/up                               A   0.00   5.78     5.78     5.78NA   5.78 NA  0.01   5.79   5.79   5.79   5.79  1000.00.00.0020000             33.9764 020 99      0.00   0.00   0.00
5172726Cystometrogram w/up                               A   2.11   0.90     0.90     0.90     0.90     0.22   3.23   3.23   3.23   3.23  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51728  Cystometrogram w/vp                               A   2.11   6.63     6.63     6.63NA   6.63 NA  0.19   8.93   8.93   8.93   8.93  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51728TCCystometrogram w/vp                               A   0.00   5.76     5.76     5.76NA   5.76 NA  0.01   5.77   5.77   5.77   5.77  1000.00.00.0020000             33.9764 020 99      0.00   0.00   0.00
5172826Cystometrogram w/vp                               A   2.11   0.87     0.87     0.87     0.87     0.18   3.16   3.16   3.16   3.16  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51729  Cystometrogram w/vp&up                            A   2.51   7.02     7.02     7.02NA   7.02 NA  0.25   9.78   9.78   9.78   9.78  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51729TCCystometrogram w/vp&up                            A   0.00   5.96     5.96     5.96NA   5.96 NA  0.01   5.97   5.97   5.97   5.97  1000.00.00.0020000             33.9764 020 99      0.00   0.00   0.00
5172926Cystometrogram w/vp&up                            A   2.51   1.06     1.06     1.06     1.06     0.24   3.81   3.81   3.81   3.81  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51736  Urine flow measurement                            A   0.17   0.85     0.66     0.85NA   0.66 NA  0.02   1.04   0.85   1.04   0.85  1XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51736TCUrine flow measurement                            A   0.00   0.67     0.59     0.67NA   0.59 NA  0.01   0.68   0.60   0.68   0.60  1XXX.00.00.0020000             33.9764 020 99      0.00   0.00   0.00
5173626Urine flow measurement                            A   0.17   0.18     0.07     0.18     0.07     0.01   0.36   0.25   0.36   0.25  1XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51741  Electro-uroflowmetry first                        A   0.17   1.08     0.75     1.08NA   0.75 NA  0.02   1.27   0.94   1.27   0.94  1XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51741TCElectro-uroflowmetry first                        A   0.00   0.77     0.68     0.77NA   0.68 NA  0.01   0.78   0.69   0.78   0.69  1XXX.00.00.0020100             33.9764 020 99      0.00   0.00   0.00
5174126Electro-uroflowmetry first                        A   0.17   0.31     0.07     0.31     0.07     0.01   0.49   0.25   0.49   0.25  1XXX.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51784  Anal/urinary muscle study                         A   1.53   4.40     3.90     4.40NA   3.90 NA  0.13   6.06   5.56   6.06   5.56  1000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51784TCAnal/urinary muscle study                         A   0.00   3.73     3.26     3.73NA   3.26 NA  0.01   3.74   3.27   3.74   3.27  1000.00.00.0020100             33.9764 020 99      0.00   0.00   0.00
5178426Anal/urinary muscle study                         A   1.53   0.67     0.64     0.67     0.64     0.12   2.32   2.29   2.32   2.29  1000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
51785  Anal/urinary muscle study                         A   1.53   5.00     4.50     5.00NA   4.50 NA  0.13   6.66   6.16   6.66   6.16  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51785TCAnal/urinary muscle study                         A   0.00   4.32     3.85     4.32NA   3.85 NA  0.01   4.33   3.86   4.33   3.86  1000.00.00.0020000             33.9764 030 99      0.00   0.00   0.00
5178526Anal/urinary muscle study                         A   1.53   0.68     0.65     0.68     0.65     0.12   2.33   2.30   2.33   2.30  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51792  Urinary reflex study                              A   1.10   5.65     4.96     5.65NA   4.96 NA  0.11   6.86   6.17   6.86   6.17  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51792TCUrinary reflex study                              A   0.00   5.16     4.49     5.16NA   4.49 NA  0.01   5.17   4.50   5.17   4.50  1000.00.00.0020000             33.9764 020 99      0.00   0.00   0.00
5179226Urinary reflex study                              A   1.10   0.49     0.47     0.49     0.47     0.10   1.69   1.67   1.69   1.67  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
51797  Intraabdominal pressure test                      A   0.80   3.12     2.27     3.12NA   2.27 NA  0.06   3.98   3.13   3.98   3.13  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
51797TCIntraabdominal pressure test                      A   0.00   2.73     1.94     2.73NA   1.94 NA  0.01   2.74   1.95   2.74   1.95  1ZZZ.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
5179726Intraabdominal pressure test                      A   0.80   0.39     0.33     0.39     0.33     0.05   1.24   1.18   1.24   1.18  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
51798  Us urine capacity measure                         A   0.00   0.57     0.50     0.57NA   0.50 NA  0.01   0.58   0.51   0.58   0.51  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
51800  Revision of bladder/urethra                       A  18.89  10.94NA   9.89NA  10.94     9.89     1.95  31.78  30.73  31.78  30.73  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51820  Revision of urinary tract                         A  19.59  10.89NA  10.27NA  10.89    10.27     1.89  32.37  31.75  32.37  31.75  0090.08.83.0922210             33.9764 090 99      0.00   0.00   0.00
51840  Attach bladder/urethra                            A  11.36   7.02NA   6.78NA   7.02     6.78     1.50  19.88  19.64  19.88  19.64  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51841  Attach bladder/urethra                            A  13.68   8.14NA   7.92NA   8.14     7.92     1.84  23.66  23.44  23.66  23.44  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51845  Repair bladder neck                               A  10.15   6.53NA   6.05NA   6.53     6.05     1.20  17.88  17.40  17.88  17.40  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51860  Repair of bladder wound                           A  12.60   7.94NA   7.68NA   7.94     7.68     1.85  22.39  22.13  22.39  22.13  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51865  Repair of bladder wound                           A  15.80   9.38NA   8.71NA   9.38     8.71     1.92  27.10  26.43  27.10  26.43  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51880  Repair of bladder opening                         A   7.87   5.34NA   4.97NA   5.34     4.97     0.99  14.20  13.83  14.20  13.83  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51900  Repair bladder/vagina lesion                      A  14.63   8.84NA   8.34NA   8.84     8.34     1.42  24.89  24.39  24.89  24.39  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51920  Close bladder-uterus fistula                      A  13.41   8.18NA   7.61NA   8.18     7.61     1.29  22.88  22.31  22.88  22.31  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51925  Hysterectomy/bladder repair                       A  17.53  11.30NA  11.65NA  11.30    11.65     2.97  31.80  32.15  31.80  32.15  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51940  Correction of bladder defect                      A  30.66  15.48NA  14.62NA  15.48    14.62     2.98  49.12  48.26  49.12  48.26  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51960  Revision of bladder & bowel                       A  25.40  14.25NA  12.83NA  14.25    12.83     2.65  42.30  40.88  42.30  40.88  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51980  Construct bladder opening                         A  12.57   7.83NA   7.07NA   7.83     7.07     1.22  21.62  20.86  21.62  20.86  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51990  Laparo urethral suspension                        A  13.36   7.64NA   7.43NA   7.64     7.43     1.77  22.77  22.56  22.77  22.56  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
51992  Laparo sling operation                            A  14.87   8.39NA   8.51NA   8.39     8.51     2.23  25.49  25.61  25.49  25.61  0090.08.83.0920210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
5200F  Eval appros surg thxpy epi                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
52000  Cystoscopy                                        A   2.23   3.83     3.29     1.37     1.25     0.23   6.29   5.75   3.83   3.71  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
52001  Cystoscopy removal of clots                       A   5.44   5.49     4.68     2.80     2.51     0.53  11.46  10.65   8.77   8.48  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52005  Cystoscopy & ureter catheter                      A   2.37   6.00     5.09     1.45     1.30     0.24   8.61   7.70   4.06   3.91  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52007  Cystoscopy and biopsy                             A   3.02  12.13     9.52     1.74     1.55     0.30  15.45  12.84   5.06   4.87  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52010  Cystoscopy & duct catheter                        A   3.02   8.60     7.18     1.65     1.55     0.30  11.92  10.50   4.97   4.87  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52204  Cystoscopy w/biopsy(s)                            A   2.59   9.64     7.35     1.46     1.32     0.26  12.49  10.20   4.31   4.17  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52214  Cystoscopy and treatment                          A   3.70  14.60    13.84     2.31     1.75     0.35  18.65  17.89   6.36   5.80  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52224  Cystoscopy and treatment                          A   3.14  18.84    13.13     1.72     1.53     0.31  22.29  16.58   5.17   4.98  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52234  Cystoscopy and treatment                          A   4.62   2.46NA   2.18NA   2.46     2.18     0.44   7.52   7.24   7.52   7.24  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52235  Cystoscopy and treatment                          A   5.44   2.85NA   2.53NA   2.85     2.53     0.53   8.82   8.50   8.82   8.50  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52240  Cystoscopy and treatment                          A   9.71   4.75NA   4.20NA   4.75     4.20     0.95  15.41  14.86  15.41  14.86  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52250  Cystoscopy and radiotracer                        A   4.49   2.48NA   2.22NA   2.48     2.22     0.45   7.42   7.16   7.42   7.16  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52260  Cystoscopy and treatment                          A   3.91   2.11NA   1.90NA   2.11     1.90     0.39   6.41   6.20   6.41   6.20  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52265  Cystoscopy and treatment                          A   2.94   8.90     6.98     1.66     1.57     0.35  12.19  10.27   4.95   4.86  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52270  Cystoscopy & revise urethra                       A   3.36   8.00     6.23     1.87     1.66     0.33  11.69   9.92   5.56   5.35  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52275  Cystoscopy & revise urethra                       A   4.69  10.76     8.28     2.46     2.18     0.45  15.90  13.42   7.60   7.32  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52276  Cystoscopy and treatment                          A   4.99   2.64NA   2.35NA   2.64     2.35     0.49   8.12   7.83   8.12   7.83  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52277  Cystoscopy and treatment                          A   6.16   3.18NA   2.86NA   3.18     2.86     0.60   9.94   9.62   9.94   9.62  0000.00.00.0030000       52000 33.9764 090 99      0.00   0.00   0.00
52281  Cystoscopy and treatment                          A   2.60   5.77     4.54     1.60     1.39     0.27   8.64   7.41   4.47   4.26  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52282  Cystoscopy implant stent                          A   6.39   3.25NA   2.92NA   3.25     2.92     0.65  10.29   9.96  10.29   9.96  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52283  Cystoscopy and treatment                          A   3.73   4.41     3.82     2.05     1.85     0.37   8.51   7.92   6.15   5.95  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52285  Cystoscopy and treatment                          A   3.60   4.61     3.99     2.00     1.81     0.37   8.58   7.96   5.97   5.78  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52290  Cystoscopy and treatment                          A   4.58   2.45NA   2.17NA   2.45     2.17     0.44   7.47   7.19   7.47   7.19  0000.00.00.0032100       52000 33.9764 090 99      0.00   0.00   0.00
52300  Cystoscopy and treatment                          A   5.30   2.80NA   2.54NA   2.80     2.54     0.56   8.66   8.40   8.66   8.40  0000.00.00.0032000       52000 33.9764 090 99      0.00   0.00   0.00
52301  Cystoscopy and treatment                          A   5.50   2.92NA   2.59NA   2.92     2.59     0.53   8.95   8.62   8.95   8.62  0000.00.00.0032000       52000 33.9764 090 99      0.00   0.00   0.00
52305  Cystoscopy and treatment                          A   5.30   2.70NA   2.41NA   2.70     2.41     0.52   8.52   8.23   8.52   8.23  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52310  Cystoscopy and treatment                          A   2.81   4.37     3.62     1.54     1.37     0.29   7.47   6.72   4.64   4.47  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52315  Cystoscopy and treatment                          A   5.20   7.38     5.98     2.68     2.38     0.50  13.08  11.68   8.38   8.08  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52317  Remove bladder stone                              A   6.71  19.72    15.10     3.27     2.89     0.65  27.08  22.46  10.63  10.25  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52318  Remove bladder stone                              A   9.18   4.42NA   3.92NA   4.42     3.92     0.88  14.48  13.98  14.48  13.98  0000.00.00.0030100       52000 33.9764 090 99      0.00   0.00   0.00
52320  Cystoscopy and treatment                          A   4.69   2.39NA   2.13NA   2.39     2.13     0.45   7.53   7.27   7.53   7.27  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52325  Cystoscopy stone removal                          A   6.15   3.05NA   2.71NA   3.05     2.71     0.60   9.80   9.46   9.80   9.46  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52327  Cystoscopy inject material                        A   5.18   2.32NA   2.05NA   2.32     2.05     0.52   8.02   7.75   8.02   7.75  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52330  Cystoscopy and treatment                          A   5.03  14.31     8.33     2.54     2.26     0.49  19.83  13.85   8.06   7.78  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52332  Cystoscopy and treatment                          A   2.60  11.89    10.78     1.61     1.39     0.26  14.75  13.64   4.47   4.25  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52334  Create passage to kidney                          A   4.82   2.55NA   2.26NA   2.55     2.26     0.48   7.85   7.56   7.85   7.56  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52341  Cysto w/ureter stricture tx                       A   5.35   2.99NA   2.63NA   2.99     2.63     0.52   8.86   8.50   8.86   8.50  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52342  Cysto w/up stricture tx                           A   5.85   3.22NA   2.82NA   3.22     2.82     0.56   9.63   9.23   9.63   9.23  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52343  Cysto w/renal stricture tx                        A   6.55   3.53NA   3.10NA   3.53     3.10     0.64  10.72  10.29  10.72  10.29  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52344  Cysto/uretero stricture tx                        A   7.05   3.90NA   3.44NA   3.90     3.44     0.68  11.63  11.17  11.63  11.17  0000.00.00.0031100       52000 33.9764 090 99      0.00   0.00   0.00
52345  Cysto/uretero w/up stricture                      A   7.55   4.13NA   3.64NA   4.13     3.64     0.72  12.40  11.91  12.40  11.91  0000.00.00.0030000       52351 33.9764 090 99      0.00   0.00   0.00
52346  Cystouretero w/renal strict                       A   8.58   4.59NA   4.03NA   4.59     4.03     0.83  14.00  13.44  14.00  13.44  0000.00.00.0030000       52351 33.9764 090 99      0.00   0.00   0.00
52351  Cystouretero & or pyeloscope                      A   5.85   3.18NA   2.83NA   3.18     2.83     0.56   9.59   9.24   9.59   9.24  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
52352  Cystouretero w/stone remove                       A   6.87   3.73NA   3.31NA   3.73     3.31     0.67  11.27  10.85  11.27  10.85  0000.00.00.0031100       52351 33.9764 090 99      0.00   0.00   0.00
52353  Cystouretero w/lithotripsy                        A   7.96   4.22NA   3.74NA   4.22     3.74     0.76  12.94  12.46  12.94  12.46  0000.00.00.0031100       52351 33.9764 090 99      0.00   0.00   0.00
52354  Cystouretero w/biopsy                             A   7.33   3.94NA   3.50NA   3.94     3.50     0.71  11.98  11.54  11.98  11.54  0000.00.00.0031100       52351 33.9764 090 99      0.00   0.00   0.00
52355  Cystouretero w/excise tumor                       A   8.81   4.60NA   4.08NA   4.60     4.08     0.86  14.27  13.75  14.27  13.75  0000.00.00.0031100       52351 33.9764 090 99      0.00   0.00   0.00
52400  Cystouretero w/congen repr                        A   8.69   5.11NA   4.49NA   5.11     4.49     0.84  14.64  14.02  14.64  14.02  0090.08.83.0930100       52000 33.9764 090 99      0.00   0.00   0.00
52402  Cystourethro cut ejacul duct                      A   5.27   2.39NA   2.11NA   2.39     2.11     0.50   8.16   7.88   8.16   7.88  0000.00.00.0030000       52000 33.9764 090 99      0.00   0.00   0.00
52450  Incision of prostate                              A   7.78   5.75NA   5.16NA   5.75     5.16     0.75  14.28  13.69  14.28  13.69  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
52500  Revision of bladder neck                          A   8.14   5.93NA   5.30NA   5.93     5.30     0.78  14.85  14.22  14.85  14.22  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
52601  Prostatectomy (TURP)                              A  15.26   8.68NA   8.04NA   8.68     8.04     1.50  25.44  24.80  25.44  24.80  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
52630  Remove prostate regrowth                          A   7.73   5.02NA   4.53NA   5.02     4.53     0.75  13.50  13.01  13.50  13.01  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
52640  Relieve bladder contracture                       A   4.79   3.80NA   3.31NA   3.80     3.31     0.45   9.04   8.55   9.04   8.55  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
52647  Laser surgery of prostate                         A  11.30  48.67    36.89     7.27     6.53     1.10  61.07  49.29  19.67  18.93  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
52648  Laser surgery of prostate                         A  12.15  49.21    37.46     7.64     6.86     1.20  62.56  50.81  20.99  20.21  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
52649  Prostate laser enucleation                        A  17.29  10.47NA   8.91NA  10.47     8.91     1.67  29.43  27.87  29.43  27.87  0090.08.83.0920000             33.9764 090 99      0.00   0.00   0.00
52700  Drainage of prostate abscess                      A   7.49   5.08NA   4.65NA   5.08     4.65     0.72  13.29  12.86  13.29  12.86  0090.08.83.0920000             33.9764 090 99      0.00   0.00   0.00
53000  Incision of urethra                               A   2.33   1.96NA   1.74NA   1.96     1.74     0.24   4.53   4.31   4.53   4.31  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
53010  Incision of urethra                               A   4.45   4.08NA   3.65NA   4.08     3.65     0.42   8.95   8.52   8.95   8.52  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53020  Incision of urethra                               A   1.77   1.01NA   0.91NA   1.01     0.91     0.18   2.96   2.86   2.96   2.86  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53025  Incision of urethra                               A   1.13   0.81NA   0.83NA   0.81     0.83     0.07   2.01   2.03   2.01   2.03  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
53040  Drainage of urethra abscess                       A   6.55   4.73NA   4.26NA   4.73     4.26     0.64  11.92  11.45  11.92  11.45  0090.08.83.0920000             33.9764 090 99      0.00   0.00   0.00
53060  Drainage of urethra abscess                       A   2.68   2.44     2.39     1.85     1.89     0.44   5.56   5.51   4.97   5.01  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
53080  Drainage of urinary leakage                       A   6.92   5.42NA   4.64NA   5.42     4.64     0.67  13.01  12.23  13.01  12.23  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53085  Drainage of urinary leakage                       A  11.18   6.81NA   6.69NA   6.81     6.69     1.46  19.45  19.33  19.45  19.33  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53200  Biopsy of urethra                                 A   2.59   1.85     1.68     1.43     1.32     0.27   4.71   4.54   4.29   4.18  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53210  Removal of urethra                                A  13.72   8.43NA   7.68NA   8.43     7.68     1.32  23.47  22.72  23.47  22.72  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53215  Removal of urethra                                A  16.85   9.81NA   8.74NA   9.81     8.74     1.63  28.29  27.22  28.29  27.22  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53220  Treatment of urethra lesion                       A   7.63   5.41NA   4.93NA   5.41     4.93     0.73  13.77  13.29  13.77  13.29  0090.08.83.0920000             33.9764 090 99      0.00   0.00   0.00
53230  Removal of urethra lesion                         A  10.44   6.87NA   6.28NA   6.87     6.28     1.17  18.48  17.89  18.48  17.89  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53235  Removal of urethra lesion                         A  10.99   7.27NA   6.44NA   7.27     6.44     1.06  19.32  18.49  19.32  18.49  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53240  Surgery for urethra pouch                         A   7.08   5.21NA   4.61NA   5.21     4.61     0.68  12.97  12.37  12.97  12.37  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53250  Removal of urethra gland                          A   6.52   5.14NA   4.82NA   5.14     4.82     1.42  13.08  12.76  13.08  12.76  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53260  Treatment of urethra lesion                       A   3.03   2.73     2.50     2.05     1.94     0.35   6.11   5.88   5.43   5.32  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
53265  Treatment of urethra lesion                       A   3.17   3.17     2.79     2.13     1.96     0.34   6.68   6.30   5.64   5.47  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
53270  Removal of urethra gland                          A   3.14   2.78     2.65     2.14     2.11     0.53   6.45   6.32   5.81   5.78  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
53275  Repair of urethra defect                          A   4.57   3.00NA   2.65NA   3.00     2.65     0.45   8.02   7.67   8.02   7.67  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
53400  Revise urethra stage 1                            A  14.13   8.84NA   7.98NA   8.84     7.98     1.42  24.39  23.53  24.39  23.53  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53405  Revise urethra stage 2                            A  15.66   9.47NA   8.41NA   9.47     8.41     1.52  26.65  25.59  26.65  25.59  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53410  Reconstruction of urethra                         A  17.68  10.44NA   9.34NA  10.44     9.34     1.71  29.83  28.73  29.83  28.73  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53415  Reconstruction of urethra                         A  20.70  11.65NA  10.44NA  11.65    10.44     2.04  34.39  33.18  34.39  33.18  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53420  Reconstruct urethra stage 1                       A  15.17   8.31NA   8.01NA   8.31     8.01     1.48  24.96  24.66  24.96  24.66  0090.08.83.0920110             33.9764 090 99      0.00   0.00   0.00
53425  Reconstruct urethra stage 2                       A  17.07   9.89NA   8.75NA   9.89     8.75     1.65  28.61  27.47  28.61  27.47  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53430  Reconstruction of urethra                         A  17.43   9.84NA   9.19NA   9.84     9.19     1.97  29.24  28.59  29.24  28.59  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53431  Reconstruct urethra/bladder                       A  21.18  11.88NA  10.65NA  11.88    10.65     2.04  35.10  33.87  35.10  33.87  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53440  Male sling procedure                              A  15.54   9.78NA   8.82NA   9.78     8.82     1.52  26.84  25.88  26.84  25.88  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53442  Remove/revise male sling                          A  13.49   8.91NA   8.09NA   8.91     8.09     1.31  23.71  22.89  23.71  22.89  0090.08.83.0920200             33.9764 090 99      0.00   0.00   0.00
53444  Insert tandem cuff                                A  14.19   8.62NA   7.68NA   8.62     7.68     1.37  24.18  23.24  24.18  23.24  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53445  Insert uro/ves nck sphincter                      A  15.39   9.88NA   8.77NA   9.88     8.77     1.51  26.78  25.67  26.78  25.67  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53446  Remove uro sphincter                              A  11.02   7.50NA   6.67NA   7.50     6.67     1.09  19.61  18.78  19.61  18.78  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53447  Remove/replace ur sphincter                       A  14.28   9.02NA   8.01NA   9.02     8.01     1.40  24.70  23.69  24.70  23.69  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53448  Remov/replc ur sphinctr comp                      A  23.44  13.30NA  11.86NA  13.30    11.86     2.26  39.00  37.56  39.00  37.56  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53449  Repair uro sphincter                              A  10.56   7.05NA   6.29NA   7.05     6.29     1.05  18.66  17.90  18.66  17.90  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53450  Revision of urethra                               A   6.77   5.01NA   4.47NA   5.01     4.47     0.65  12.43  11.89  12.43  11.89  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53460  Revision of urethra                               A   7.75   5.44NA   4.85NA   5.44     4.85     0.73  13.92  13.33  13.92  13.33  0090.08.83.0920000             33.9764 090 99      0.00   0.00   0.00
53500  Urethrlys transvag w/ scope                       A  13.00   8.25NA   7.59NA   8.25     7.59     1.50  22.75  22.09  22.75  22.09  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
53502  Repair of urethra injury                          A   8.26   5.67NA   5.14NA   5.67     5.14     0.80  14.73  14.20  14.73  14.20  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53505  Repair of urethra injury                          A   8.26   5.74NA   5.12NA   5.74     5.12     0.80  14.80  14.18  14.80  14.18  0090.08.83.0920200             33.9764 090 99      0.00   0.00   0.00
53510  Repair of urethra injury                          A  10.96   7.20NA   6.42NA   7.20     6.42     1.06  19.22  18.44  19.22  18.44  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53515  Repair of urethra injury                          A  14.22   8.57NA   7.70NA   8.57     7.70     1.37  24.16  23.29  24.16  23.29  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
53520  Repair of urethra defect                          A   9.48   6.53NA   5.84NA   6.53     5.84     0.91  16.92  16.23  16.92  16.23  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53600  Dilate urethra stricture                          A   1.21   1.25     1.07     0.62     0.55     0.11   2.57   2.39   1.94   1.87  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53601  Dilate urethra stricture                          A   0.98   1.44     1.23     0.56     0.50     0.08   2.50   2.29   1.62   1.56  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53605  Dilate urethra stricture                          A   1.28   0.56NA   0.50NA   0.56     0.50     0.12   1.96   1.90   1.96   1.90  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53620  Dilate urethra stricture                          A   1.62   1.87     1.55     0.89     0.79     0.16   3.65   3.33   2.67   2.57  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53621  Dilate urethra stricture                          A   1.35   1.97     1.63     0.72     0.64     0.12   3.44   3.10   2.19   2.11  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53660  Dilation of urethra                               A   0.71   1.41     1.21     0.48     0.44     0.07   2.19   1.99   1.26   1.22  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53661  Dilation of urethra                               A   0.72   1.38     1.17     0.44     0.40     0.07   2.17   1.96   1.23   1.19  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53665  Dilation of urethra                               A   0.76   0.33NA   0.31NA   0.33     0.31     0.08   1.17   1.15   1.17   1.15  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
53850  Prostatic microwave thermotx                      A  10.08  58.11    43.20     6.22     5.58     0.99  69.18  54.27  17.29  16.65  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53852  Prostatic rf thermotx                             A  10.83  54.81    40.73     7.02     6.31     1.06  66.70  52.62  18.91  18.20  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
53855  Insert prost urethral stent                       A   1.64  19.26    19.26     0.64     0.64     0.16  21.06  21.06   2.44   2.44  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
53860  Transurethral rf treatment                        A   3.97  38.32    38.32     2.23     2.23     0.68  42.97  42.97   6.88   6.88  0090.08.83.0920000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
54000  Slitting of prepuce                               A   1.59   2.91     2.44     1.53     1.38     0.14   4.64   4.17   3.26   3.11  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
54001  Slitting of prepuce                               A   2.24   3.29     2.80     1.75     1.58     0.23   5.76   5.27   4.22   4.05  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54015  Drain penis lesion                                A   5.36   3.47NA   3.08NA   3.47     3.08     0.56   9.39   9.00   9.39   9.00  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
54050  Destruction penis lesion(s)                       A   1.29   2.42     2.39     1.64     1.66     0.16   3.87   3.84   3.09   3.11  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54055  Destruction penis lesion(s)                       A   1.25   2.15     2.00     1.36     1.31     0.14   3.54   3.39   2.75   2.70  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54056  Cryosurgery penis lesion(s)                       A   1.29   2.68     2.71     1.81     1.86     0.18   4.15   4.18   3.28   3.33  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54057  Laser surg penis lesion(s)                        A   1.29   2.75     2.45     1.42     1.32     0.12   4.16   3.86   2.83   2.73  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54060  Excision of penis lesion(s)                       A   1.98   3.36     2.92     1.74     1.61     0.22   5.56   5.12   3.94   3.81  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54065  Destruction penis lesion(s)                       A   2.47   3.73     3.64     2.31     2.37     0.31   6.51   6.42   5.09   5.15  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54100  Biopsy of penis                                   A   1.90   3.77     3.61     1.62     1.68     0.24   5.91   5.75   3.76   3.82  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
54105  Biopsy of penis                                   A   3.54   4.35     3.68     2.63     2.33     0.35   8.24   7.57   6.52   6.22  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54110  Treatment of penis lesion                         A  10.92   7.00NA   6.27NA   7.00     6.27     1.06  18.98  18.25  18.98  18.25  0090.10.80.1020200             33.9764 090 99      0.00   0.00   0.00
54111  Treat penis lesion graft                          A  14.42   8.59NA   7.64NA   8.59     7.64     1.40  24.41  23.46  24.41  23.46  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54112  Treat penis lesion graft                          A  16.98  10.00NA   8.87NA  10.00     8.87     1.63  28.61  27.48  28.61  27.48  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54115  Treatment of penis lesion                         A   6.95   6.12     5.44     5.25     4.72     0.67  13.74  13.06  12.87  12.34  0090.10.80.1020200             33.9764 090 99      0.00   0.00   0.00
54120  Partial removal of penis                          A  11.01   7.14NA   6.39NA   7.14     6.39     1.09  19.24  18.49  19.24  18.49  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54125  Removal of penis                                  A  14.56   8.72NA   7.83NA   8.72     7.83     1.48  24.76  23.87  24.76  23.87  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54130  Remove penis & nodes                              A  21.84  12.41NA  11.06NA  12.41    11.06     2.12  36.37  35.02  36.37  35.02  0090.10.80.1022210             33.9764 090 99      0.00   0.00   0.00
54135  Remove penis & nodes                              A  28.17  15.22NA  13.54NA  15.22    13.54     2.74  46.13  44.45  46.13  44.45  0090.10.80.1022200             33.9764 090 99      0.00   0.00   0.00
54150  Circumcision w/regionl block                      A   1.90   2.83     2.33     0.86     0.80     0.23   4.96   4.46   2.99   2.93  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
54160  Circumcision neonate                              A   2.53   4.12     3.44     1.61     1.43     0.24   6.89   6.21   4.38   4.20  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54161  Circum 28 days or older                           A   3.32   2.34NA   2.09NA   2.34     2.09     0.34   6.00   5.75   6.00   5.75  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54162  Lysis penil circumic lesion                       A   3.32   4.42     3.71     2.38     2.17     0.33   8.07   7.36   6.03   5.82  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54163  Repair of circumcision                            A   3.32   3.01NA   2.71NA   3.01     2.71     0.33   6.66   6.36   6.66   6.36  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54164  Frenulotomy of penis                              A   2.82   2.77NA   2.48NA   2.77     2.48     0.29   5.88   5.59   5.88   5.59  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54200  Treatment of penis lesion                         A   1.11   2.11     1.82     1.36     1.20     0.10   3.32   3.03   2.57   2.41  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54205  Treatment of penis lesion                         A   8.97   6.45NA   5.69NA   6.45     5.69     0.86  16.28  15.52  16.28  15.52  0090.10.80.1020200             33.9764 090 99      0.00   0.00   0.00
54220  Treatment of penis lesion                         A   2.42   3.64     3.05     1.43     1.29     0.26   6.32   5.73   4.11   3.97  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
54230  Prepare penis study                               A   1.34   1.48     1.30     0.96     0.86     0.12   2.94   2.76   2.42   2.32  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
54231  Dynamic cavernosometry                            A   2.04   2.03     1.79     1.32     1.17     0.20   4.27   4.03   3.56   3.41  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
54235  Penile injection                                  A   1.19   1.44     1.29     0.93     0.84     0.11   2.74   2.59   2.23   2.14  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
54240  Penis study                                       A   1.31   1.60     1.43     1.60NA   1.43 NA  0.09   3.00   2.83   3.00   2.83  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
54240TCPenis study                                       A   0.00   1.03     0.92     1.03NA   0.92 NA  0.01   1.04   0.93   1.04   0.93  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
5424026Penis study                                       A   1.31   0.57     0.51     0.57     0.51     0.08   1.96   1.90   1.96   1.90  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
54250  Penis study                                       A   2.22   1.32     1.15     1.32NA   1.15 NA  0.15   3.69   3.52   3.69   3.52  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
54250TCPenis study                                       A   0.00   0.34     0.28     0.34NA   0.28 NA  0.01   0.35   0.29   0.35   0.29  1000.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
5425026Penis study                                       A   2.22   0.98     0.87     0.98     0.87     0.14   3.34   3.23   3.34   3.23  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
54300  Revision of penis                                 A  11.20   7.37NA   6.49NA   7.37     6.49     1.09  19.66  18.78  19.66  18.78  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54304  Revision of penis                                 A  13.28   8.42NA   7.39NA   8.42     7.39     1.28  22.98  21.95  22.98  21.95  0090.10.80.1020200             33.9764 090 99      0.00   0.00   0.00
54308  Reconstruction of urethra                         A  12.62   8.45NA   7.86NA   8.45     7.86     1.22  22.29  21.70  22.29  21.70  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54312  Reconstruction of urethra                         A  14.51   9.62NA   8.92NA   9.62     8.92     1.40  25.53  24.83  25.53  24.83  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54316  Reconstruction of urethra                         A  18.05  11.30NA  10.51NA  11.30    10.51     1.74  31.09  30.30  31.09  30.30  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54318  Reconstruction of urethra                         A  12.43   8.50NA   7.93NA   8.50     7.93     0.87  21.80  21.23  21.80  21.23  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54322  Reconstruction of urethra                         A  13.98   8.59NA   7.54NA   8.59     7.54     1.36  23.93  22.88  23.93  22.88  0090.10.80.1020200             33.9764 090 99      0.00   0.00   0.00
54324  Reconstruction of urethra                         A  17.55  10.46NA   9.16NA  10.46     9.16     1.69  29.70  28.40  29.70  28.40  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54326  Reconstruction of urethra                         A  17.02   9.72NA   9.06NA   9.72     9.06     1.65  28.39  27.73  28.39  27.73  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54328  Revise penis/urethra                              A  16.89  10.06NA   9.01NA  10.06     9.01     1.63  28.58  27.53  28.58  27.53  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54332  Revise penis/urethra                              A  18.37  10.86NA   9.59NA  10.86     9.59     1.78  31.01  29.74  31.01  29.74  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54336  Revise penis/urethra                              A  21.62  12.29NA  12.42NA  12.29    12.42     2.10  36.01  36.14  36.01  36.14  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54340  Secondary urethral surgery                        A   9.71   6.61NA   5.98NA   6.61     5.98     0.93  17.25  16.62  17.25  16.62  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54344  Secondary urethral surgery                        A  17.06  10.84NA  10.07NA  10.84    10.07     1.65  29.55  28.78  29.55  28.78  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54348  Secondary urethral surgery                        A  18.32  14.62NA  16.75NA  14.62    16.75     1.29  34.23  36.36  34.23  36.36  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54352  Reconstruct urethra/penis                         A  26.13  19.75NA  22.73NA  19.75    22.73     2.55  48.43  51.41  48.43  51.41  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54360  Penis plastic surgery                             A  12.78   8.06NA   7.08NA   8.06     7.08     1.24  22.08  21.10  22.08  21.10  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54380  Repair penis                                      A  14.18   8.92NA   7.84NA   8.92     7.84     1.37  24.47  23.39  24.47  23.39  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54385  Repair penis                                      A  16.56  11.01NA   9.02NA  11.01     9.02     2.42  29.99  28.00  29.99  28.00  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54390  Repair penis and bladder                          A  22.77  12.41NA  12.73NA  12.41    12.73     2.20  37.38  37.70  37.38  37.70  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54400  Insert semi-rigid prosthesis                      A   9.17   6.12NA   5.42NA   6.12     5.42     0.88  16.17  15.47  16.17  15.47  0090.10.80.1020110             33.9764 090 99      0.00   0.00   0.00
54401  Insert self-contd prosthesis                      A  10.44   8.52NA   7.59NA   8.52     7.59     1.03  19.99  19.06  19.99  19.06  0090.10.80.1020110             33.9764 090 99      0.00   0.00   0.00
54405  Insert multi-comp penis pros                      A  14.52   8.73NA   7.79NA   8.73     7.79     1.42  24.67  23.73  24.67  23.73  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54406  Remove muti-comp penis pros                       A  12.89   8.11NA   7.24NA   8.11     7.24     1.25  22.25  21.38  22.25  21.38  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54408  Repair multi-comp penis pros                      A  13.91   8.79NA   7.88NA   8.79     7.88     1.37  24.07  23.16  24.07  23.16  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54410  Remove/replace penis prosth                       A  15.18   9.58NA   8.52NA   9.58     8.52     1.48  26.24  25.18  26.24  25.18  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54411  Remov/replc penis pros comp                       A  18.35  11.10NA   9.96NA  11.10     9.96     1.78  31.23  30.09  31.23  30.09  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54415  Remove self-contd penis pros                      A   8.88   6.33NA   5.66NA   6.33     5.66     0.86  16.07  15.40  16.07  15.40  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54416  Remv/repl penis contain pros                      A  12.08   8.35NA   7.49NA   8.35     7.49     1.18  21.61  20.75  21.61  20.75  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54417  Remv/replc penis pros compl                       A  16.10   9.69NA   8.67NA   9.69     8.67     1.57  27.36  26.34  27.36  26.34  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
54420  Revision of penis                                 A  12.39   7.94NA   7.03NA   7.94     7.03     1.21  21.54  20.63  21.54  20.63  0090.10.80.1020200             33.9764 090 99      0.00   0.00   0.00
54430  Revision of penis                                 A  11.06   7.42NA   6.57NA   7.42     6.57     1.08  19.56  18.71  19.56  18.71  0090.10.80.1022200             33.9764 090 99      0.00   0.00   0.00
54435  Revision of penis                                 A   6.81   5.25NA   4.66NA   5.25     4.66     0.65  12.71  12.12  12.71  12.12  0090.10.80.1020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
54450  Preputial stretching                              A   1.12   0.95     0.80     0.54     0.47     0.10   2.17   2.02   1.76   1.69  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
54500  Biopsy of testis                                  A   1.31   0.84NA   0.75NA   0.84     0.75     0.12   2.27   2.18   2.27   2.18  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
54505  Biopsy of testis                                  A   3.50   2.59NA   2.28NA   2.59     2.28     0.34   6.43   6.12   6.43   6.12  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
54512  Excise lesion testis                              A   9.33   6.07NA   5.49NA   6.07     5.49     0.93  16.33  15.75  16.33  15.75  0090.10.80.1021110             33.9764 090 99      0.00   0.00   0.00
54520  Removal of testis                                 A   5.30   4.02NA   3.66NA   4.02     3.66     0.61   9.93   9.57   9.93   9.57  0090.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
54522  Orchiectomy partial                               A  10.25   6.46NA   6.00NA   6.46     6.00     1.01  17.72  17.26  17.72  17.26  0090.10.80.1021210             33.9764 090 99      0.00   0.00   0.00
54530  Removal of testis                                 A   8.46   6.08NA   5.43NA   6.08     5.43     0.87  15.41  14.76  15.41  14.76  0090.10.80.1021210             33.9764 090 99      0.00   0.00   0.00
54535  Extensive testis surgery                          A  13.19   7.97NA   7.32NA   7.97     7.32     1.28  22.44  21.79  22.44  21.79  0090.10.80.1021200             33.9764 090 99      0.00   0.00   0.00
54550  Exploration for testis                            A   8.41   5.68NA   5.14NA   5.68     5.14     0.82  14.91  14.37  14.91  14.37  0090.10.80.1021200             33.9764 090 99      0.00   0.00   0.00
54560  Exploration for testis                            A  12.10   7.21NA   6.82NA   7.21     6.82     1.18  20.49  20.10  20.49  20.10  0090.10.80.1021210             33.9764 090 99      0.00   0.00   0.00
54600  Reduce testis torsion                             A   7.64   5.40NA   4.84NA   5.40     4.84     0.73  13.77  13.21  13.77  13.21  0090.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
54620  Suspension of testis                              A   5.21   3.45NA   3.05NA   3.45     3.05     0.50   9.16   8.76   9.16   8.76  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
54640  Suspension of testis                              A   7.73   5.86NA   5.45NA   5.86     5.45     0.87  14.46  14.05  14.46  14.05  0090.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
54650  Orchiopexy (Fowler-Stephens)                      A  12.39   7.91NA   7.21NA   7.91     7.21     1.21  21.51  20.81  21.51  20.81  0090.10.80.1021200             33.9764 090 99      0.00   0.00   0.00
54660  Revision of testis                                A   5.74   4.54NA   4.09NA   4.54     4.09     0.54  10.82  10.37  10.82  10.37  0090.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
54670  Repair testis injury                              A   6.65   5.01NA   4.50NA   5.01     4.50     0.64  12.30  11.79  12.30  11.79  0090.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
54680  Relocation of testis(es)                          A  14.04   8.38NA   7.65NA   8.38     7.65     1.36  23.78  23.05  23.78  23.05  0090.10.80.1021210             33.9764 090 99      0.00   0.00   0.00
54690  Laparoscopy orchiectomy                           A  11.70   6.63NA   6.42NA   6.63     6.42     2.48  20.81  20.60  20.81  20.60  0090.10.80.1021210             33.9764 090 99      0.00   0.00   0.00
54692  Laparoscopy orchiopexy                            A  13.74   8.09NA   7.19NA   8.09     7.19     1.32  23.15  22.25  23.15  22.25  0090.10.80.1021100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
54700  Drainage of scrotum                               A   3.47   2.61NA   2.39NA   2.61     2.39     0.39   6.47   6.25   6.47   6.25  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54800  Biopsy of epididymis                              A   2.33   1.81NA   2.06NA   1.81     2.06     0.33   4.47   4.72   4.47   4.72  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
54830  Remove epididymis lesion                          A   6.01   4.68NA   4.24NA   4.68     4.24     0.63  11.32  10.88  11.32  10.88  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
54840  Remove epididymis lesion                          A   5.27   4.01NA   3.57NA   4.01     3.57     0.52   9.80   9.36   9.80   9.36  0090.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54860  Removal of epididymis                             A   6.95   5.11NA   4.58NA   5.11     4.58     0.68  12.74  12.21  12.74  12.21  0090.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
54861  Removal of epididymis                             A   9.70   6.56NA   5.89NA   6.56     5.89     0.93  17.19  16.52  17.19  16.52  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
54865  Explore epididymis                                A   5.77   4.55NA   4.10NA   4.55     4.10     0.56  10.88  10.43  10.88  10.43  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
54900  Fusion of spermatic ducts                         A  14.20   7.99NA   7.85NA   7.99     7.85     1.02  23.21  23.07  23.21  23.07  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
54901  Fusion of spermatic ducts                         A  19.10  11.82NA  11.13NA  11.82    11.13     1.36  32.28  31.59  32.28  31.59  0090.10.80.1022000             33.9764 090 99      0.00   0.00   0.00
55000  Drainage of hydrocele                             A   1.43   2.06     1.78     0.99     0.91     0.14   3.63   3.35   2.56   2.48  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
55040  Removal of hydrocele                              A   5.45   4.24NA   3.83NA   4.24     3.83     0.61  10.30   9.89  10.30   9.89  0090.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
55041  Removal of hydroceles                             A   8.54   6.06NA   5.49NA   6.06     5.49     0.90  15.50  14.93  15.50  14.93  0090.10.80.1022100             33.9764 090 99      0.00   0.00   0.00
55060  Repair of hydrocele                               A   6.15   4.74NA   4.31NA   4.74     4.31     0.67  11.56  11.13  11.56  11.13  0090.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
55100  Drainage of scrotum abscess                       A   2.45   3.86     3.40     2.27     2.11     0.30   6.61   6.15   5.02   4.86  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
55110  Explore scrotum                                   A   6.33   4.78NA   4.37NA   4.78     4.37     0.68  11.79  11.38  11.79  11.38  0090.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
55120  Removal of scrotum lesion                         A   5.72   4.49NA   4.08NA   4.49     4.08     0.61  10.82  10.41  10.82  10.41  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
55150  Removal of scrotum                                A   8.14   5.91NA   5.38NA   5.91     5.38     0.86  14.91  14.38  14.91  14.38  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55175  Revision of scrotum                               A   5.87   4.60NA   4.17NA   4.60     4.17     0.60  11.07  10.64  11.07  10.64  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
55180  Revision of scrotum                               A  11.78   7.94NA   7.28NA   7.94     7.28     1.29  21.01  20.35  21.01  20.35  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
55200  Incision of sperm duct                            A   4.55   9.18     7.31     3.42     3.11     0.44  14.17  12.30   8.41   8.10  0090.10.80.1022000             33.9764 090 99      0.00   0.00   0.00
55250  Removal of sperm duct(s)                          A   3.37   8.94     7.28     3.24     2.94     0.33  12.64  10.98   6.94   6.64  0090.10.80.1022100             33.9764 090 99      0.00   0.00   0.00
55300  Prepare sperm duct x-ray                          A   3.50   1.72NA   1.67NA   1.72     1.67     0.34   5.56   5.51   5.56   5.51  0000.00.00.0022000             33.9764 090 99      0.00   0.00   0.00
55400  Repair of sperm duct                              A   8.61   5.79NA   5.12NA   5.79     5.12     0.83  15.23  14.56  15.23  14.56  0090.10.80.1021210             33.9764 090 99      0.00   0.00   0.00
55450  Ligation of sperm duct                            A   4.43   6.44     5.35     2.92     2.66     0.42  11.29  10.20   7.77   7.51  0010.10.80.1022000             33.9764 090 99      0.00   0.00   0.00
55500  Removal of hydrocele                              A   6.22   4.78NA   4.65NA   4.78     4.65     0.88  11.88  11.75  11.88  11.75  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
55520  Removal of sperm cord lesion                      A   6.66   4.98NA   5.36NA   4.98     5.36     1.36  13.00  13.38  13.00  13.38  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55530  Revise spermatic cord veins                       A   5.75   4.39NA   3.96NA   4.39     3.96     0.63  10.77  10.34  10.77  10.34  0090.10.80.1021110             33.9764 090 99      0.00   0.00   0.00
55535  Revise spermatic cord veins                       A   7.19   5.14NA   4.66NA   5.14     4.66     0.69  13.02  12.54  13.02  12.54  0090.10.80.1021210             33.9764 090 99      0.00   0.00   0.00
55540  Revise hernia & sperm veins                       A   8.30   5.66NA   6.09NA   5.66     6.09     1.65  15.61  16.04  15.61  16.04  0090.10.80.1021110             33.9764 090 99      0.00   0.00   0.00
55550  Laparo ligate spermatic vein                      A   7.20   4.99NA   4.60NA   4.99     4.60     0.69  12.88  12.49  12.88  12.49  0090.10.80.1021210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
55600  Incise sperm duct pouch                           A   7.01   5.15NA   4.60NA   5.15     4.60     0.68  12.84  12.29  12.84  12.29  0090.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
55605  Incise sperm duct pouch                           A   8.76   6.21NA   6.18NA   6.21     6.18     0.84  15.81  15.78  15.81  15.78  0090.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
55650  Remove sperm duct pouch                           A  12.65   7.84NA   7.12NA   7.84     7.12     1.22  21.71  20.99  21.71  20.99  0090.10.80.1021210             33.9764 090 99      0.00   0.00   0.00
55680  Remove sperm pouch lesion                         A   5.67   4.15NA   3.86NA   4.15     3.86     0.54  10.36  10.07  10.36  10.07  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
55700  Biopsy of prostate                                A   2.58   4.03     3.35     1.38     1.27     0.26   6.87   6.19   4.22   4.11  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
55705  Biopsy of prostate                                A   4.61   3.09NA   2.74NA   3.09     2.74     0.45   8.15   7.80   8.15   7.80  0010.10.80.1020110             33.9764 090 99      0.00   0.00   0.00
55706  Prostate saturation sampling                      A   6.28   4.67NA   3.99NA   4.67     3.99     0.44  11.39  10.71  11.39  10.71  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55720  Drainage of prostate abscess                      A   7.73   5.26NA   4.72NA   5.26     4.72     0.73  13.72  13.18  13.72  13.18  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55725  Drainage of prostate abscess                      A  10.05   6.93NA   6.29NA   6.93     6.29     0.98  17.96  17.32  17.96  17.32  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55801  Removal of prostate                               A  19.80  11.43NA  10.35NA  11.43    10.35     1.92  33.15  32.07  33.15  32.07  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55810  Extensive prostate surgery                        A  24.29  13.32NA  12.00NA  13.32    12.00     2.48  40.09  38.77  40.09  38.77  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55812  Extensive prostate surgery                        A  29.89  16.20NA  14.50NA  16.20    14.50     2.91  49.00  47.30  49.00  47.30  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55815  Extensive prostate surgery                        A  32.95  17.59NA  15.70NA  17.59    15.70     3.20  53.74  51.85  53.74  51.85  0090.10.80.1022210             33.9764 090 99      0.00   0.00   0.00
55821  Removal of prostate                               A  15.76   9.33NA   8.35NA   9.33     8.35     1.55  26.64  25.66  26.64  25.66  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55831  Removal of prostate                               A  17.19   9.96NA   8.90NA   9.96     8.90     1.66  28.81  27.75  28.81  27.75  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55840  Extensive prostate surgery                        A  24.63  13.74NA  12.28NA  13.74    12.28     2.41  40.78  39.32  40.78  39.32  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55842  Extensive prostate surgery                        A  26.49  14.57NA  13.01NA  14.57    13.01     2.60  43.66  42.10  43.66  42.10  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55845  Extensive prostate surgery                        A  30.67  16.18NA  14.46NA  16.18    14.46     3.04  49.89  48.17  49.89  48.17  0090.10.80.1022210             33.9764 090 99      0.00   0.00   0.00
55860  Surgical exposure prostate                        A  15.84   9.28NA   8.27NA   9.28     8.27     1.52  26.64  25.63  26.64  25.63  0090.10.80.1020110             33.9764 090 99      0.00   0.00   0.00
55862  Extensive prostate surgery                        A  20.04  11.50NA  10.21NA  11.50    10.21     1.93  33.47  32.18  33.47  32.18  0090.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
55865  Extensive prostate surgery                        A  24.57  13.76NA  12.23NA  13.76    12.23     2.38  40.71  39.18  40.71  39.18  0090.10.80.1022210             33.9764 090 99      0.00   0.00   0.00
55866  Laparo radical prostatectomy                      A  32.06  17.57NA  15.90NA  17.57    15.90     3.18  52.81  51.14  52.81  51.14  0090.08.83.0920210             33.9764 090 99      0.00   0.00   0.00
55870  Electroejaculation                                A   2.58   2.50     2.22     1.53     1.34     0.26   5.34   5.06   4.37   4.18  0000.00.00.0020110             33.9764 090 99      0.00   0.00   0.00
55873  Cryoablate prostate                               A  13.60 171.44   171.44    10.53     7.46     1.36 186.40 186.40  25.49  22.42  0090.08.83.0920100             33.9764 090 99      0.00   0.00   0.00
55875  Transperi needle place pros                       A  13.46   8.45NA   7.57NA   8.45     7.57     1.29  23.20  22.32  23.20  22.32  0090.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
55876  Place rt device/marker pros                       A   1.73   2.26     1.97     1.19     1.04     0.16   4.15   3.86   3.08   2.93  0000.00.00.0020111             33.9764 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.00.00.0020011             33.9764 090 99      0.00   0.00   0.00
55920  Place needles pelvic for rt                       A   8.31   4.11NA   4.05NA   4.11     4.05     0.80  13.22  13.16  13.22  13.16  0000.00.00.0020000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
56405  I & D of vulva/perineum                           A   1.49   1.49     1.49     1.45     1.47     0.26   3.24   3.24   3.20   3.22  0010.10.80.1020120             33.9764 090 99      0.00   0.00   0.00
56420  Drainage of gland abscess                         A   1.44   1.98     1.87     1.05     1.05     0.24   3.66   3.55   2.73   2.73  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
56440  Surgery for vulva lesion                          A   2.89   2.06NA   2.11NA   2.06     2.11     0.49   5.44   5.49   5.44   5.49  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
56441  Lysis of labial lesion(s)                         A   2.02   2.03     1.92     1.83     1.77     0.29   4.34   4.23   4.14   4.08  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
56442  Hymenotomy                                        A   0.68   0.64NA   0.63NA   0.64     0.63     0.11   1.43   1.42   1.43   1.42  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
56501  Destroy vulva lesions sim                         A   1.58   2.02     1.99     1.54     1.56     0.27   3.87   3.84   3.39   3.41  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
56515  Destroy vulva lesion/s compl                      A   3.08   3.05     3.09     2.31     2.42     0.50   6.63   6.67   5.89   6.00  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
56605  Biopsy of vulva/perineum                          A   1.10   1.17     1.15     0.52     0.56     0.18   2.45   2.43   1.80   1.84  0000.00.00.0020120             33.9764 090 99      0.00   0.00   0.00
56606  Biopsy of vulva/perineum                          A   0.55   0.48     0.47     0.24     0.26     0.08   1.11   1.10   0.87   0.89  0ZZZ.00.00.0000120             33.9764 090 99      0.00   0.00   0.00
56620  Partial removal of vulva                          A   7.53   6.03NA   6.26NA   6.03     6.26     1.27  14.83  15.06  14.83  15.06  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
56625  Complete removal of vulva                         A   9.68   6.50NA   6.83NA   6.50     6.83     1.62  17.80  18.13  17.80  18.13  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
56630  Extensive vulva surgery                           A  14.80   8.79NA   9.43NA   8.79     9.43     2.56  26.15  26.79  26.15  26.79  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
56631  Extensive vulva surgery                           A  18.99  10.94NA  11.73NA  10.94    11.73     3.21  33.14  33.93  33.14  33.93  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
56632  Extensive vulva surgery                           A  21.86  12.95NA  14.04NA  12.95    14.04     3.70  38.51  39.60  38.51  39.60  0090.12.74.1422220             33.9764 090 99      0.00   0.00   0.00
56633  Extensive vulva surgery                           A  19.62  11.05NA  11.91NA  11.05    11.91     3.32  33.99  34.85  33.99  34.85  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
56634  Extensive vulva surgery                           A  20.66  11.77NA  12.73NA  11.77    12.73     3.50  35.93  36.89  35.93  36.89  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
56637  Extensive vulva surgery                           A  24.75  13.36NA  14.43NA  13.36    14.43     4.18  42.29  43.36  42.29  43.36  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
56640  Extensive vulva surgery                           A  24.78  12.74NA  13.65NA  12.74    13.65     4.18  41.70  42.61  41.70  42.61  0090.12.74.1421210             33.9764 090 99      0.00   0.00   0.00
56700  Partial removal of hymen                          A   2.84   2.24NA   2.28NA   2.24     2.28     0.48   5.56   5.60   5.56   5.60  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
56740  Remove vagina gland lesion                        A   4.88   3.12NA   3.26NA   3.12     3.26     0.83   8.83   8.97   8.83   8.97  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
56800  Repair of vagina                                  A   3.93   2.61NA   2.66NA   2.61     2.66     0.64   7.18   7.23   7.18   7.23  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
56805  Repair clitoris                                   A  19.88  10.79NA  11.30NA  10.79    11.30     3.38  34.05  34.56  34.05  34.56  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
56810  Repair of perineum                                A   4.29   2.74NA   2.83NA   2.74     2.83     0.69   7.72   7.81   7.72   7.81  0010.10.80.1020220             33.9764 090 99      0.00   0.00   0.00
56820  Exam of vulva w/scope                             A   1.50   1.51     1.51     0.77     0.82     0.26   3.27   3.27   2.53   2.58  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
56821  Exam/biopsy of vulva w/scope                      A   2.05   1.96     1.94     1.01     1.08     0.34   4.35   4.33   3.40   3.47  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57000  Exploration of vagina                             A   3.02   2.13NA   2.16NA   2.13     2.16     0.50   5.65   5.68   5.65   5.68  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
57010  Drainage of pelvic abscess                        A   6.84   4.88NA   5.05NA   4.88     5.05     1.16  12.88  13.05  12.88  13.05  0090.12.74.1420000             33.9764 090 99      0.00   0.00   0.00
57020  Drainage of pelvic fluid                          A   1.50   1.03     1.05     0.67     0.73     0.26   2.79   2.81   2.43   2.49  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
57022  I & d vaginal hematoma pp                         A   2.73   1.80NA   1.88NA   1.80     1.88     0.45   4.98   5.06   4.98   5.06  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
57023  I & d vag hematoma non-ob                         A   5.18   3.20NA   3.33NA   3.20     3.33     0.87   9.25   9.38   9.25   9.38  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
57061  Destroy vag lesions simple                        A   1.30   1.85     1.80     1.38     1.38     0.22   3.37   3.32   2.90   2.90  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57065  Destroy vag lesions complex                       A   2.66   2.57     2.56     1.97     2.02     0.44   5.67   5.66   5.07   5.12  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57100  Biopsy of vagina                                  A   1.20   1.20     1.20     0.55     0.60     0.20   2.60   2.60   1.95   2.00  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57105  Biopsy of vagina                                  A   1.74   1.97     1.92     1.67     1.66     0.29   4.00   3.95   3.70   3.69  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57106  Remove vagina wall partial                        A   7.50   5.52NA   5.71NA   5.52     5.71     1.21  14.23  14.42  14.23  14.42  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57107  Remove vagina tissue part                         A  24.56  12.94NA  13.86NA  12.94    13.86     4.15  41.65  42.57  41.65  42.57  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57109  Vaginectomy partial w/nodes                       A  28.40  14.40NA  15.55NA  14.40    15.55     4.80  47.60  48.75  47.60  48.75  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
57110  Remove vagina wall complete                       A  15.48   8.63NA   9.08NA   8.63     9.08     2.59  26.70  27.15  26.70  27.15  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57111  Remove vagina tissue compl                        A  28.40  14.69NA  15.55NA  14.69    15.55     4.80  47.89  48.75  47.89  48.75  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
57112  Vaginectomy w/nodes compl                         A  30.52  11.96NA   9.59NA  11.96     9.59     2.42  44.90  42.53  44.90  42.53  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
57120  Closure of vagina                                 A   8.28   5.55NA   5.70NA   5.55     5.70     1.36  15.19  15.34  15.19  15.34  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57130  Remove vagina lesion                              A   2.46   2.43     2.38     1.88     1.90     0.41   5.30   5.25   4.75   4.77  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
57135  Remove vagina lesion                              A   2.70   2.55     2.52     1.98     2.02     0.44   5.69   5.66   5.12   5.16  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57150  Treat vagina infection                            A   0.55   0.78     0.69     0.24     0.25     0.08   1.41   1.32   0.87   0.88  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57155  Insert uteri tandems/ovoids                       A   3.37   5.99     5.99     1.66     1.66     0.30   9.66   9.66   5.33   5.33  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57156  Ins vag brachytx device                           A   1.87   2.38     2.38     0.99     0.99     0.16   4.41   4.41   3.02   3.02  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
57160  Insert pessary/other device                       A   0.89   1.24     1.20     0.38     0.41     0.14   2.27   2.23   1.41   1.44  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57170  Fitting of diaphragm/cap                          A   0.91   0.87     0.75     0.38     0.41     0.14   1.92   1.80   1.43   1.46  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
57180  Treat vaginal bleeding                            A   1.63   2.28     2.19     1.25     1.25     0.27   4.18   4.09   3.15   3.15  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57200  Repair of vagina                                  A   4.42   3.70NA   3.76NA   3.70     3.76     0.71   8.83   8.89   8.83   8.89  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57210  Repair vagina/perineum                            A   5.71   4.24NA   4.31NA   4.24     4.31     0.91  10.86  10.93  10.86  10.93  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57220  Revision of urethra                               A   4.85   3.86NA   3.91NA   3.86     3.91     0.80   9.51   9.56   9.51   9.56  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57230  Repair of urethral lesion                         A   6.30   4.53NA   4.52NA   4.53     4.52     1.06  11.89  11.88  11.89  11.88  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57240  Repair bladder & vagina                           A  11.50   6.66NA   6.88NA   6.66     6.88     1.63  19.79  20.01  19.79  20.01  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57250  Repair rectum & vagina                            A  11.50   6.50NA   7.05NA   6.50     7.05     1.86  19.86  20.41  19.86  20.41  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57260  Repair of vagina                                  A  14.44   7.76NA   8.39NA   7.76     8.39     2.34  24.54  25.17  24.54  25.17  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57265  Extensive repair of vagina                        A  15.94   8.53NA   9.05NA   8.53     9.05     2.57  27.04  27.56  27.04  27.56  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57267  Insert mesh/pelvic flr addon                      A   4.88   2.13NA   2.17NA   2.13     2.17     0.72   7.73   7.77   7.73   7.77  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
57268  Repair of bowel bulge                             A   7.57   5.51NA   5.64NA   5.51     5.64     1.22  14.30  14.43  14.30  14.43  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57270  Repair of bowel pouch                             A  13.67   7.79NA   8.18NA   7.79     8.18     2.25  23.71  24.10  23.71  24.10  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57280  Suspension of vagina                              A  16.72   9.15NA   9.41NA   9.15     9.41     2.60  28.47  28.73  28.47  28.73  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57282  Colpopexy extraperitoneal                         A   7.97   5.72NA   5.77NA   5.72     5.77     1.24  14.93  14.98  14.93  14.98  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57283  Colpopexy intraperitoneal                         A  11.66   6.97NA   7.23NA   6.97     7.23     1.92  20.55  20.81  20.55  20.81  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57284  Repair paravag defect open                        A  14.33   7.98NA   8.03NA   7.98     8.03     2.16  24.47  24.52  24.47  24.52  0090.08.83.0920220             33.9764 090 99      0.00   0.00   0.00
57285  Repair paravag defect vag                         A  11.60   6.75NA   6.93NA   6.75     6.93     1.80  20.15  20.33  20.15  20.33  0090.08.83.0920220             33.9764 090 99      0.00   0.00   0.00
57287  Revise/remove sling repair                        A  11.15   7.82NA   7.50NA   7.82     7.50     1.47  20.44  20.12  20.44  20.12  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57288  Repair bladder defect                             A  12.13   7.49NA   7.15NA   7.49     7.15     1.59  21.21  20.87  21.21  20.87  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57289  Repair bladder & vagina                           A  12.80   7.69NA   7.28NA   7.69     7.28     1.24  21.73  21.32  21.73  21.32  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57291  Construction of vagina                            A   8.64   7.51NA   9.07NA   7.51     9.07     1.47  17.62  19.18  17.62  19.18  0090.12.74.1420200             33.9764 090 99      0.00   0.00   0.00
57292  Construct vagina with graft                       A  14.01   8.13NA   8.37NA   8.13     8.37     2.34  24.48  24.72  24.48  24.72  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57295  Revise vag graft via vagina                       A   7.82   5.33NA   5.30NA   5.33     5.30     1.20  14.35  14.32  14.35  14.32  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57296  Revise vag graft open abd                         A  16.56   8.94NA   9.44NA   8.94     9.44     2.79  28.29  28.79  28.29  28.79  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57300  Repair rectum-vagina fistula                      A   8.71   6.01NA   6.48NA   6.01     6.48     1.52  16.24  16.71  16.24  16.71  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57305  Repair rectum-vagina fistula                      A  15.35   8.75NA   9.60NA   8.75     9.60     2.97  27.07  27.92  27.07  27.92  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57307  Fistula repair & colostomy                        A  17.17   9.90NA  10.99NA   9.90    10.99     3.67  30.74  31.83  30.74  31.83  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57308  Fistula repair transperine                        A  10.59   6.81NA   7.40NA   6.81     7.40     1.80  19.20  19.79  19.20  19.79  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57310  Repair urethrovaginal lesion                      A   7.65   5.48NA   5.02NA   5.48     5.02     0.73  13.86  13.40  13.86  13.40  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57311  Repair urethrovaginal lesion                      A   8.91   6.01NA   5.51NA   6.01     5.51     0.86  15.78  15.28  15.78  15.28  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57320  Repair bladder-vagina lesion                      A   8.88   6.10NA   5.76NA   6.10     5.76     1.05  16.03  15.69  16.03  15.69  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57330  Repair bladder-vagina lesion                      A  13.21   7.72NA   7.15NA   7.72     7.15     1.28  22.21  21.64  22.21  21.64  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57335  Repair vagina                                     A  20.02  11.27NA  11.66NA  11.27    11.66     3.39  34.68  35.07  34.68  35.07  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57400  Dilation of vagina                                A   2.27   1.34NA   1.36NA   1.34     1.36     0.38   3.99   4.01   3.99   4.01  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
57410  Pelvic examination                                A   1.75   1.14NA   1.18NA   1.14     1.18     0.29   3.18   3.22   3.18   3.22  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57415  Remove vaginal foreign body                       A   2.49   1.88NA   1.89NA   1.88     1.89     0.37   4.74   4.75   4.74   4.75  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
57420  Exam of vagina w/scope                            A   1.60   1.56     1.56     0.81     0.87     0.26   3.42   3.42   2.67   2.73  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57421  Exam/biopsy of vag w/scope                        A   2.20   2.04     2.04     1.07     1.15     0.37   4.61   4.61   3.64   3.72  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57423  Repair paravag defect lap                         A  16.08   8.63NA   8.92NA   8.63     8.92     2.72  27.43  27.72  27.43  27.72  0090.08.83.0920220             33.9764 090 99      0.00   0.00   0.00
57425  Laparoscopy surg colpopexy                        A  17.03   9.17NA   9.62NA   9.17     9.62     2.67  28.87  29.32  28.87  29.32  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57426  Revise prosth vag graft lap                       A  14.30   8.32NA   8.32NA   8.32     8.32     2.41  25.03  25.03  25.03  25.03  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57452  Exam of cervix w/scope                            A   1.50   1.47     1.46     0.97     1.02     0.24   3.21   3.20   2.71   2.76  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57454  Bx/curett of cervix w/scope                       A   2.33   1.84     1.86     1.33     1.40     0.38   4.55   4.57   4.04   4.11  0000.00.00.0030100       57452 33.9764 090 99      0.00   0.00   0.00
57455  Biopsy of cervix w/scope                          A   1.99   1.91     1.91     0.98     1.04     0.33   4.23   4.23   3.30   3.36  0000.00.00.0030100       57452 33.9764 090 99      0.00   0.00   0.00
57456  Endocerv curettage w/scope                        A   1.85   1.84     1.83     0.92     0.98     0.31   4.00   3.99   3.08   3.14  0000.00.00.0030100       57452 33.9764 090 99      0.00   0.00   0.00
57460  Bx of cervix w/scope leep                         A   2.83   5.30     4.89     1.55     1.63     0.48   8.61   8.20   4.86   4.94  0000.00.00.0030100       57452 33.9764 090 99      0.00   0.00   0.00
57461  Conz of cervix w/scope leep                       A   3.43   5.67     5.28     1.60     1.71     0.59   9.69   9.30   5.62   5.73  0000.00.00.0030100       57452 33.9764 090 99      0.00   0.00   0.00
57500  Biopsy of cervix                                  A   1.20   2.45     2.28     0.84     0.88     0.20   3.85   3.68   2.24   2.28  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
57505  Endocervical curettage                            A   1.19   1.62     1.58     1.32     1.32     0.20   3.01   2.97   2.71   2.71  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57510  Cauterization of cervix                           A   1.90   1.69     1.69     1.22     1.27     0.31   3.90   3.90   3.43   3.48  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57511  Cryocautery of cervix                             A   1.95   2.03     2.02     1.64     1.67     0.33   4.31   4.30   3.92   3.95  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57513  Laser surgery of cervix                           A   1.95   1.98     1.97     1.65     1.67     0.33   4.26   4.25   3.93   3.95  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57520  Conization of cervix                              A   4.11   4.27     4.21     3.28     3.33     0.68   9.06   9.00   8.07   8.12  0090.12.74.1420100             33.9764 090 99      0.00   0.00   0.00
57522  Conization of cervix                              A   3.67   3.52     3.50     2.92     2.97     0.63   7.82   7.80   7.22   7.27  0090.12.74.1420100             33.9764 090 99      0.00   0.00   0.00
57530  Removal of cervix                                 A   5.27   4.07NA   4.15NA   4.07     4.15     0.87  10.21  10.29  10.21  10.29  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57531  Removal of cervix radical                         A  29.95  15.82NA  17.20NA  15.82    17.20     5.06  50.83  52.21  50.83  52.21  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
57540  Removal of residual cervix                        A  13.29   7.62NA   8.05NA   7.62     8.05     2.23  23.14  23.57  23.14  23.57  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57545  Remove cervix/repair pelvis                       A  14.10   7.97NA   8.42NA   7.97     8.42     2.35  24.42  24.87  24.42  24.87  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57550  Removal of residual cervix                        A   6.34   4.71NA   4.82NA   4.71     4.82     1.08  12.13  12.24  12.13  12.24  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57555  Remove cervix/repair vagina                       A   9.94   6.23NA   6.52NA   6.23     6.52     1.66  17.83  18.12  17.83  18.12  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57556  Remove cervix repair bowel                        A   9.36   6.03NA   6.12NA   6.03     6.12     1.46  16.85  16.94  16.85  16.94  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
57558  D&c of cervical stump                             A   1.72   1.70     1.69     1.36     1.39     0.29   3.71   3.70   3.37   3.40  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
57700  Revision of cervix                                A   4.35   4.15NA   4.16NA   4.15     4.16     0.72   9.22   9.23   9.22   9.23  0090.12.74.1420000             33.9764 090 99      0.00   0.00   0.00
57720  Revision of cervix                                A   4.61   3.75NA   3.81NA   3.75     3.81     0.76   9.12   9.18   9.12   9.18  0090.12.74.1420200             33.9764 090 99      0.00   0.00   0.00
57800  Dilation of cervical canal                        A   0.77   0.88     0.88     0.54     0.56     0.12   1.77   1.77   1.43   1.45  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
58100  Biopsy of uterus lining                           A   1.53   1.46     1.45     0.82     0.87     0.26   3.25   3.24   2.61   2.66  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
58110  Bx done w/colposcopy add-on                       A   0.77   0.54     0.55     0.33     0.36     0.12   1.43   1.44   1.22   1.25  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
58120  Dilation and curettage                            A   3.59   3.32     3.43     2.26     2.36     0.61   7.52   7.63   6.46   6.56  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
58140  Myomectomy abdom method                           A  15.79   8.66NA   9.24NA   8.66     9.24     2.80  27.25  27.83  27.25  27.83  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58145  Myomectomy vag method                             A   8.91   5.73NA   5.97NA   5.73     5.97     1.50  16.14  16.38  16.14  16.38  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58146  Myomectomy abdom complex                          A  20.34  10.61NA  11.25NA  10.61    11.25     3.44  34.39  35.03  34.39  35.03  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58150  Total hysterectomy                                A  17.31   9.27NA   9.93NA   9.27     9.93     2.94  29.52  30.18  29.52  30.18  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58152  Total hysterectomy                                A  21.86  11.46NA  12.19NA  11.46    12.19     3.74  37.06  37.79  37.06  37.79  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58180  Partial hysterectomy                              A  16.60   8.98NA   9.56NA   8.98     9.56     2.80  28.38  28.96  28.38  28.96  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58200  Extensive hysterectomy                            A  23.10  11.92NA  12.86NA  11.92    12.86     3.89  38.91  39.85  38.91  39.85  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58210  Extensive hysterectomy                            A  30.91  15.82NA  17.15NA  15.82    17.15     5.27  52.00  53.33  52.00  53.33  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58240  Removal of pelvis contents                        A  49.33  24.85NA  26.84NA  24.85    26.84     8.33  82.51  84.50  82.51  84.50  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58260  Vaginal hysterectomy                              A  14.15   8.05NA   8.49NA   8.05     8.49     2.38  24.58  25.02  24.58  25.02  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58262  Vag hyst including t/o                            A  15.94   8.79NA   9.30NA   8.79     9.30     2.69  27.42  27.93  27.42  27.93  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58263  Vag hyst w/t/o & vag repair                       A  17.23   9.36NA   9.90NA   9.36     9.90     2.91  29.50  30.04  29.50  30.04  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58267  Vag hyst w/urinary repair                         A  18.36   9.90NA  10.49NA   9.90    10.49     3.12  31.38  31.97  31.38  31.97  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58270  Vag hyst w/enterocele repair                      A  15.30   8.35NA   8.82NA   8.35     8.82     2.57  26.22  26.69  26.22  26.69  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58275  Hysterectomy/revise vagina                        A  17.03   9.32NA   9.85NA   9.32     9.85     2.90  29.25  29.78  29.25  29.78  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58280  Hysterectomy/revise vagina                        A  18.33   9.87NA  10.50NA   9.87    10.50     3.08  31.28  31.91  31.28  31.91  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58285  Extensive hysterectomy                            A  23.38  11.73NA  12.52NA  11.73    12.52     3.93  39.04  39.83  39.04  39.83  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58290  Vag hyst complex                                  A  20.27  10.57NA  11.22NA  10.57    11.22     3.43  34.27  34.92  34.27  34.92  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58291  Vag hyst incl t/o complex                         A  22.06  11.38NA  12.05NA  11.38    12.05     3.73  37.17  37.84  37.17  37.84  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58292  Vag hyst t/o & repair compl                       A  23.35  11.89NA  12.64NA  11.89    12.64     3.93  39.17  39.92  39.17  39.92  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58293  Vag hyst w/uro repair compl                       A  24.33  12.27NA  13.10NA  12.27    13.10     4.11  40.71  41.54  40.71  41.54  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58294  Vag hyst w/enterocele compl                       A  21.55  11.06NA  11.81NA  11.06    11.81     3.66  36.27  37.02  36.27  37.02  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58300  Insert intrauterine device                        N+  1.01   1.04     0.94     0.44     0.44     0.07   2.12   2.02   1.52   1.52  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
58301  Remove intrauterine device                        A   1.27   1.35     1.32     0.54     0.59     0.22   2.84   2.81   2.03   2.08  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
58321  Artificial insemination                           A   0.92   1.23     1.18     0.40     0.42     0.05   2.20   2.15   1.37   1.39  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
58322  Artificial insemination                           A   1.10   1.28     1.24     0.47     0.51     0.18   2.56   2.52   1.75   1.79  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
58323  Sperm washing                                     A   0.23   0.25     0.19     0.10     0.11     0.04   0.52   0.46   0.37   0.38  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
58340  Catheter for hysterography                        A   0.88   2.62     2.33     0.72     0.71     0.12   3.62   3.33   1.72   1.71  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
58345  Reopen fallopian tube                             A   4.70   2.84NA   2.94NA   2.84     2.94     0.78   8.32   8.42   8.32   8.42  0010.10.80.1021220             33.9764 090 99      0.00   0.00   0.00
58346  Insert heyman uteri capsule                       A   7.56   4.73NA   4.70NA   4.73     4.70     0.63  12.92  12.89  12.92  12.89  0090.12.74.1420100             33.9764 090 99      0.00   0.00   0.00
58350  Reopen fallopian tube                             A   1.06   1.63     1.57     1.10     1.09     0.18   2.87   2.81   2.34   2.33  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
58353  Endometr ablate thermal                           A   3.60  27.59    23.80     2.33     2.40     0.61  31.80  28.01   6.54   6.61  0010.10.80.1020120             33.9764 090 99      0.00   0.00   0.00
58356  Endometrial cryoablation                          A   6.41  51.43    45.11     2.85     3.06     1.08  58.92  52.60  10.34  10.55  0010.10.80.1020220             33.9764 090 99      0.00   0.00   0.00
58400  Suspension of uterus                              A   7.14   4.89NA   4.93NA   4.89     4.93     1.08  13.11  13.15  13.11  13.15  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58410  Suspension of uterus                              A  13.80   7.77NA   8.22NA   7.77     8.22     2.31  23.88  24.33  23.88  24.33  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58520  Repair of ruptured uterus                         A  13.48   7.58NA   8.07NA   7.58     8.07     2.90  23.96  24.45  23.96  24.45  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58540  Revision of uterus                                A  15.71   8.62NA   9.17NA   8.62     9.17     2.65  26.98  27.53  26.98  27.53  0090.12.74.1420200             33.9764 090 99      0.00   0.00   0.00
58541  Lsh uterus 250 g or less                          A  14.70   8.39NA   8.97NA   8.39     8.97     2.46  25.55  26.13  25.55  26.13  0090.12.74.1430220       49320 33.9764 090 99      0.00   0.00   0.00
58542  Lsh w/t/o ut 250 g or less                        A  16.56   9.18NA   9.84NA   9.18     9.84     2.80  28.54  29.20  28.54  29.20  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58543  Lsh uterus above 250 g                            A  16.87   9.30NA  10.00NA   9.30    10.00     2.86  29.03  29.73  29.03  29.73  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58544  Lsh w/t/o uterus above 250 g                      A  18.37   9.89NA  10.68NA   9.89    10.68     3.12  31.38  32.17  31.38  32.17  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58545  Laparoscopic myomectomy                           A  15.55   8.37NA   8.89NA   8.37     8.89     2.67  26.59  27.11  26.59  27.11  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58546  Laparo-myomectomy complex                         A  19.94  10.23NA  10.88NA  10.23    10.88     3.39  33.56  34.21  33.56  34.21  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58548  Lap radical hyst                                  A  31.63  16.09NA  17.80NA  16.09    17.80     5.32  53.04  54.75  53.04  54.75  0090.12.74.1422220             33.9764 090 99      0.00   0.00   0.00
58550  Laparo-asst vag hysterectomy                      A  15.10   8.58NA   9.05NA   8.58     9.05     2.56  26.24  26.71  26.24  26.71  0090.12.74.1430220       49320 33.9764 090 99      0.00   0.00   0.00
58552  Laparo-vag hyst incl t/o                          A  16.91   9.33NA   9.87NA   9.33     9.87     2.87  29.11  29.65  29.11  29.65  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58553  Laparo-vag hyst complex                           A  20.06  10.30NA  10.99NA  10.30    10.99     3.40  33.76  34.45  33.76  34.45  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58554  Laparo-vag hyst w/t/o compl                       A  23.11  12.01NA  12.84NA  12.01    12.84     3.93  39.05  39.88  39.05  39.88  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58555  Hysteroscopy dx sep proc                          A   3.33   4.10     4.95     1.76     1.87     0.56   7.99   8.84   5.65   5.76  0000.00.00.0020020             33.9764 090 99      0.00   0.00   0.00
58558  Hysteroscopy biopsy                               A   4.74   5.06     6.06     2.41     2.55     0.80  10.60  11.60   7.95   8.09  0000.00.00.0030120       58555 33.9764 090 99      0.00   0.00   0.00
58559  Hysteroscopy lysis                                A   6.16   3.02NA   3.21NA   3.02     3.21     1.05  10.23  10.42  10.23  10.42  0000.00.00.0030120       58555 33.9764 090 99      0.00   0.00   0.00
58560  Hysteroscopy resect septum                        A   6.99   3.38NA   3.60NA   3.38     3.60     1.18  11.55  11.77  11.55  11.77  0000.00.00.0030220       58555 33.9764 090 99      0.00   0.00   0.00
58561  Hysteroscopy remove myoma                         A   9.99   4.67NA   4.99NA   4.67     4.99     1.67  16.33  16.65  16.33  16.65  0000.00.00.0030020       58555 33.9764 090 99      0.00   0.00   0.00
58562  Hysteroscopy remove fb                            A   5.20   5.01     5.99     2.58     2.73     0.87  11.08  12.06   8.65   8.80  0000.00.00.0030120       58555 33.9764 090 99      0.00   0.00   0.00
58563  Hysteroscopy ablation                             A   6.16  44.84    39.03     3.02     3.21     1.05  52.05  46.24  10.23  10.42  0000.00.00.0030020       58555 33.9764 090 99      0.00   0.00   0.00
58565  Hysteroscopy sterilization                        A   7.12  48.34    43.73     4.58     4.75     1.20  56.66  52.05  12.90  13.07  0090.12.74.1432120       58555 33.9764 090 99      0.00   0.00   0.00
58570  Tlh uterus 250 g or less                          A  15.88   8.90NA   9.55NA   8.90     9.55     2.69  27.47  28.12  27.47  28.12  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58571  Tlh w/t/o 250 g or less                           A  17.69   9.73NA  10.56NA   9.73    10.56     3.01  30.43  31.26  30.43  31.26  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58572  Tlh uterus over 250 g                             A  20.09  10.65NA  11.55NA  10.65    11.55     3.40  34.14  35.04  34.14  35.04  0090.12.74.1420220             33.9764 090 99      0.00   0.00   0.00
58573  Tlh w/t/o uterus over 250 g                       A  23.11  11.97NA  13.10NA  11.97    13.10     3.89  38.97  40.10  38.97  40.10  0090.12.74.1420220             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
58600  Division of fallopian tube                        A   5.91   3.90NA   4.07NA   3.90     4.07     1.01  10.82  10.99  10.82  10.99  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58605  Division of fallopian tube                        A   5.28   3.62NA   3.74NA   3.62     3.74     0.88   9.78   9.90   9.78   9.90  0090.12.74.1422200             33.9764 090 99      0.00   0.00   0.00
58611  Ligate oviduct(s) add-on                          A   1.45   0.62NA   0.67NA   0.62     0.67     0.24   2.31   2.36   2.31   2.36  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
58615  Occlude fallopian tube(s)                         A   3.94   2.71NA   2.73NA   2.71     2.73     0.67   7.32   7.34   7.32   7.34  0010.10.80.1020200             33.9764 090 99      0.00   0.00   0.00
58660  Laparoscopy lysis                                 A  11.59   6.33NA   6.73NA   6.33     6.73     2.04  19.96  20.36  19.96  20.36  0090.09.84.0730220       49320 33.9764 090 99      0.00   0.00   0.00
58661  Laparoscopy remove adnexa                         A  11.35   5.83NA   6.21NA   5.83     6.21     1.93  19.11  19.49  19.11  19.49  0010.10.80.1031220       49320 33.9764 090 99      0.00   0.00   0.00
58662  Laparoscopy excise lesions                        A  12.15   6.72NA   7.10NA   6.72     7.10     2.07  20.94  21.32  20.94  21.32  0090.09.84.0730220       49320 33.9764 090 99      0.00   0.00   0.00
58670  Laparoscopy tubal cautery                         A   5.91   3.94NA   4.09NA   3.94     4.09     1.01  10.86  11.01  10.86  11.01  0090.10.80.1030120       49320 33.9764 090 99      0.00   0.00   0.00
58671  Laparoscopy tubal block                           A   5.91   3.93NA   4.08NA   3.93     4.08     1.01  10.85  11.00  10.85  11.00  0090.10.80.1030120       49320 33.9764 090 99      0.00   0.00   0.00
58672  Laparoscopy fimbrioplasty                         A  12.91   6.81NA   7.23NA   6.81     7.23     2.18  21.90  22.32  21.90  22.32  0090.10.80.1031200       49320 33.9764 090 99      0.00   0.00   0.00
58673  Laparoscopy salpingostomy                         A  14.04   7.43NA   7.85NA   7.43     7.85     2.35  23.82  24.24  23.82  24.24  0090.10.80.1031200       49320 33.9764 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             33.9764 090 99      0.00   0.00   0.00
58700  Removal of fallopian tube                         A  12.95   7.58NA   8.09NA   7.58     8.09     2.41  22.94  23.45  22.94  23.45  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58720  Removal of ovary/tube(s)                          A  12.16   7.08NA   7.50NA   7.08     7.50     2.15  21.39  21.81  21.39  21.81  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58740  Adhesiolysis tube ovary                           A  14.90   8.45NA   8.90NA   8.45     8.90     2.64  25.99  26.44  25.99  26.44  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58750  Repair oviduct                                    A  15.64   8.56NA   9.04NA   8.56     9.04     2.64  26.84  27.32  26.84  27.32  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58752  Revise ovarian tube(s)                            A  15.64   8.57NA   8.81NA   8.57     8.81     1.10  25.31  25.55  25.31  25.55  0090.12.74.1420200             33.9764 090 99      0.00   0.00   0.00
58760  Fimbrioplasty                                     A  13.93   7.87NA   8.24NA   7.87     8.24     2.34  24.14  24.51  24.14  24.51  0090.12.74.1421210             33.9764 090 99      0.00   0.00   0.00
58770  Create new tubal opening                          A  14.77   7.88NA   8.57NA   7.88     8.57     2.48  25.13  25.82  25.13  25.82  0090.12.74.1421200             33.9764 090 99      0.00   0.00   0.00
58800  Drainage of ovarian cyst(s)                       A   4.62   4.12     4.08     3.51     3.55     0.76   9.50   9.46   8.89   8.93  0090.12.74.1422100             33.9764 090 99      0.00   0.00   0.00
58805  Drainage of ovarian cyst(s)                       A   6.42   4.46NA   4.52NA   4.46     4.52     1.09  11.97  12.03  11.97  12.03  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58820  Drain ovary abscess open                          A   4.70   4.19NA   4.60NA   4.19     4.60     0.78   9.67  10.08   9.67  10.08  0090.12.74.1420200             33.9764 090 99      0.00   0.00   0.00
58822  Drain ovary abscess percut                        A  11.81   7.14NA   7.36NA   7.14     7.36     2.52  21.47  21.69  21.47  21.69  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58823  Drain pelvic abscess percut                       A   3.37  23.12    21.52     1.39     1.26     0.38  26.87  25.27   5.14   5.01  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
58825  Transposition ovary(s)                            A  11.78   7.05NA   7.55NA   7.05     7.55     1.97  20.80  21.30  20.80  21.30  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58900  Biopsy of ovary(s)                                A   6.59   4.95NA   5.42NA   4.95     5.42     1.40  12.94  13.41  12.94  13.41  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58920  Partial removal of ovary(s)                       A  11.95   6.81NA   7.22NA   6.81     7.22     2.00  20.76  21.17  20.76  21.17  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58925  Removal of ovarian cyst(s)                        A  12.43   7.25NA   7.71NA   7.25     7.71     2.23  21.91  22.37  21.91  22.37  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58940  Removal of ovary(s)                               A   8.22   5.47NA   5.85NA   5.47     5.85     1.54  15.23  15.61  15.23  15.61  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58943  Removal of ovary(s)                               A  19.52  10.39NA  11.19NA  10.39    11.19     3.52  33.43  34.23  33.43  34.23  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58950  Resect ovarian malignancy                         A  18.37  10.32NA  11.08NA  10.32    11.08     3.25  31.94  32.70  31.94  32.70  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58951  Resect ovarian malignancy                         A  24.26  12.60NA  13.64NA  12.60    13.64     4.18  41.04  42.08  41.04  42.08  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58952  Resect ovarian malignancy                         A  27.29  14.29NA  15.46NA  14.29    15.46     4.74  46.32  47.49  46.32  47.49  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58953  Tah rad dissect for debulk                        A  34.13  17.30NA  18.76NA  17.30    18.76     5.88  57.31  58.77  57.31  58.77  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58954  Tah rad debulk/lymph remove                       A  37.13  18.63NA  20.19NA  18.63    20.19     6.36  62.12  63.68  62.12  63.68  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58956  Bso omentectomy w/tah                             A  22.80  12.38NA  13.29NA  12.38    13.29     3.99  39.17  40.08  39.17  40.08  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58957  Resect recurrent gyn mal                          A  26.22  13.65NA  14.99NA  13.65    14.99     4.80  44.67  46.01  44.67  46.01  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58958  Resect recur gyn mal w/lym                        A  29.22  14.95NA  16.35NA  14.95    16.35     4.94  49.11  50.51  49.11  50.51  0090.12.74.1422210             33.9764 090 99      0.00   0.00   0.00
58960  Exploration of abdomen                            A  15.79   8.92NA   9.50NA   8.92     9.50     2.76  27.47  28.05  27.47  28.05  0090.12.74.1420210             33.9764 090 99      0.00   0.00   0.00
58970  Retrieval of oocyte                               A   3.52   2.51     2.56     1.83     1.98     0.26   6.29   6.34   5.61   5.76  0000.00.00.0020000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
58976  Transfer of embryo                                A   3.82   3.03     2.99     2.07     2.07     0.27   7.12   7.08   6.16   6.16  0000.00.00.0020210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
59000  Amniocentesis diagnostic                          A   1.30   2.12     2.01     0.76     0.79     0.37   3.79   3.68   2.43   2.46  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59001  Amniocentesis therapeutic                         A   3.00   1.63NA   1.64NA   1.63     1.64     0.86   5.49   5.50   5.49   5.50  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59012  Fetal cord puncture prenatal                      A   3.44   1.69NA   1.79NA   1.69     1.79     0.99   6.12   6.22   6.12   6.22  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59015  Chorion biopsy                                    A   2.20   1.83     1.85     1.15     1.21     0.63   4.66   4.68   3.98   4.04  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59020  Fetal contract stress test                        A   0.66   1.21     1.22     1.21NA   1.22 NA  0.17   2.04   2.05   2.04   2.05  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59020TCFetal contract stress test                        A   0.00   0.93     0.91     0.93NA   0.91 NA  0.01   0.94   0.92   0.94   0.92  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
5902026Fetal contract stress test                        A   0.66   0.28     0.31     0.28     0.31     0.16   1.10   1.13   1.10   1.13  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59025  Fetal non-stress test                             A   0.53   0.73     0.75     0.73NA   0.75 NA  0.13   1.39   1.41   1.39   1.41  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59025TCFetal non-stress test                             A   0.00   0.50     0.50     0.50NA   0.50 NA  0.01   0.51   0.51   0.51   0.51  1000.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
5902526Fetal non-stress test                             A   0.53   0.23     0.25     0.23     0.25     0.12   0.88   0.90   0.88   0.90  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59030  Fetal scalp blood sample                          A   1.99   0.82NA   0.87NA   0.82     0.87     0.12   2.93   2.98   2.93   2.98  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59050  Fetal monitor w/report                            A   0.89   0.38NA   0.41NA   0.38     0.41     0.26   1.53   1.56   1.53   1.56  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59051  Fetal monitor/interpret only                      A   0.74   0.31NA   0.34NA   0.31     0.34     0.22   1.27   1.30   1.27   1.30  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59070  Transabdom amnioinfus w/us                        A   5.24   5.80     5.72     2.64     2.70     1.51  12.55  12.47   9.39   9.45  0000.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
59072  Umbilical cord occlud w/us                        A   8.99   4.20NA   4.34NA   4.20     4.34     2.59  15.78  15.92  15.78  15.92  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59074  Fetal fluid drainage w/us                         A   5.24   5.56     5.89     2.75     3.00     1.51  12.31  12.64   9.50   9.75  0000.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
59076  Fetal shunt placement w/us                        A   8.99   4.03NA   4.34NA   4.03     4.34     2.59  15.61  15.92  15.61  15.92  0000.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
59100  Remove uterus lesion                              A  13.37   7.70NA   8.18NA   7.70     8.18     3.84  24.91  25.39  24.91  25.39  0090.17.60.2320210             33.9764 090 99      0.00   0.00   0.00
59120  Treat ectopic pregnancy                           A  12.67   7.48NA   7.85NA   7.48     7.85     3.66  23.81  24.18  23.81  24.18  0090.17.60.2320210             33.9764 090 99      0.00   0.00   0.00
59121  Treat ectopic pregnancy                           A  12.74   7.43NA   7.79NA   7.43     7.79     3.67  23.84  24.20  23.84  24.20  0090.17.60.2320210             33.9764 090 99      0.00   0.00   0.00
59130  Treat ectopic pregnancy                           A  15.08   8.37NA   8.88NA   8.37     8.88     1.08  24.53  25.04  24.53  25.04  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59135  Treat ectopic pregnancy                           A  14.92   8.54NA   8.62NA   8.54     8.62     1.06  24.52  24.60  24.52  24.60  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59136  Treat ectopic pregnancy                           A  14.25   7.97NA   8.43NA   7.97     8.43     4.10  26.32  26.78  26.32  26.78  0090.17.60.2320200             33.9764 090 99      0.00   0.00   0.00
59140  Treat ectopic pregnancy                           A   5.94   4.26NA   4.46NA   4.26     4.46     0.41  10.61  10.81  10.61  10.81  0090.17.60.2320200             33.9764 090 99      0.00   0.00   0.00
59150  Treat ectopic pregnancy                           A  12.29   7.20NA   7.59NA   7.20     7.59     3.54  23.03  23.42  23.03  23.42  0090.17.60.2320200             33.9764 090 99      0.00   0.00   0.00
59151  Treat ectopic pregnancy                           A  12.11   6.87NA   7.22NA   6.87     7.22     3.48  22.46  22.81  22.46  22.81  0090.17.60.2320200             33.9764 090 99      0.00   0.00   0.00
59160  D & c after delivery                              A   2.76   2.71     2.55     1.76     1.73     0.78   6.25   6.09   5.30   5.27  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
59200  Insert cervical dilator                           A   0.79   1.16     1.10     0.34     0.37     0.23   2.18   2.12   1.36   1.39  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59300  Episiotomy or vaginal repair                      A   2.41   2.64     2.64     1.33     1.44     0.68   5.73   5.73   4.42   4.53  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59320  Revision of cervix                                A   2.48   1.40NA   1.47NA   1.40     1.47     0.69   4.57   4.64   4.57   4.64  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59325  Revision of cervix                                A   4.06   2.08NA   2.20NA   2.08     2.20     0.29   6.43   6.55   6.43   6.55  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59350  Repair of uterus                                  A   4.94   2.05NA   2.29NA   2.05     2.29     1.42   8.41   8.65   8.41   8.65  0000.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
59400  Obstetrical care                                  A  28.69  19.32NA  20.58NA  19.32    20.58     7.99  56.00  57.26  56.00  57.26  0MMM.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59409  Obstetrical care                                  A  12.82   5.63NA   6.00NA   5.63     6.00     3.55  22.00  22.37  22.00  22.37  0MMM.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59410  Obstetrical care                                  A  16.07   7.37NA   7.99NA   7.37     7.99     4.45  27.89  28.51  27.89  28.51  0MMM.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59412  Antepartum manipulation                           A   1.53   0.87NA   0.88NA   0.87     0.88     0.44   2.84   2.85   2.84   2.85  0MMM.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59414  Deliver placenta                                  A   1.44   0.65NA   0.67NA   0.65     0.67     0.41   2.50   2.52   2.50   2.52  0MMM.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59425  Antepartum care only                              A   5.63   5.28     5.32     2.42     2.61     1.55  12.46  12.50   9.60   9.79  0MMM.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59426  Antepartum care only                              A   9.96   9.62     9.69     4.28     4.61     2.69  22.27  22.34  16.93  17.26  0MMM.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
59430  Care after delivery                               A   2.20   1.84     2.26     0.99     1.02     0.60   4.64   5.06   3.79   3.82  0MMM.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59510  Cesarean delivery                                 A  31.80  21.50NA  22.58NA  21.50    22.58     9.06  62.36  63.44  62.36  63.44  0MMM.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59514  Cesarean delivery only                            A  14.39   6.50NA   6.74NA   6.50     6.74     4.08  24.97  25.21  24.97  25.21  0MMM.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
59515  Cesarean delivery                                 A  19.15   9.21NA  10.02NA   9.21    10.02     5.43  33.79  34.60  33.79  34.60  0MMM.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
59525  Remove uterus after cesarean                      A   8.53   3.65NA   3.96NA   3.65     3.96     2.44  14.62  14.93  14.62  14.93  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
59610  Vbac delivery                                     A  30.22  20.09NA  21.22NA  20.09    21.22     8.70  59.01  60.14  59.01  60.14  0MMM.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59612  Vbac delivery only                                A  14.35   6.33NA   6.67NA   6.33     6.67     4.12  24.80  25.14  24.80  25.14  0MMM.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59614  Vbac care after delivery                          A  17.60   7.88NA   8.62NA   7.88     8.62     5.05  30.53  31.27  30.53  31.27  0MMM.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59618  Attempted vbac delivery                           A  32.26  21.98NA  22.73NA  21.98    22.73     9.28  63.52  64.27  63.52  64.27  0MMM.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59620  Attempted vbac delivery only                      A  14.86   6.88NA   6.90NA   6.88     6.90     4.27  26.01  26.03  26.01  26.03  0MMM.00.00.0020200             33.9764 090 99      0.00   0.00   0.00
59622  Attempted vbac after care                         A  19.63   9.74NA  10.27NA   9.74    10.27     5.65  35.02  35.55  35.02  35.55  0MMM.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
59812  Treatment of miscarriage                          A   4.44   3.76     3.85     3.12     3.24     1.25   9.45   9.54   8.81   8.93  0090.17.60.2320100             33.9764 090 99      0.00   0.00   0.00
59820  Care of miscarriage                               A   4.84   5.09     5.06     4.38     4.45     1.39  11.32  11.29  10.61  10.68  0090.17.60.2320100             33.9764 090 99      0.00   0.00   0.00
59821  Treatment of miscarriage                          A   5.09   4.87     4.86     4.10     4.19     1.47  11.43  11.42  10.66  10.75  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59830  Treat uterus infection                            A   6.59   4.59NA   4.72NA   4.59     4.72     1.89  13.07  13.20  13.07  13.20  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59840  Abortion                                          R   3.01   2.60     2.66     2.37     2.41     0.80   6.41   6.47   6.18   6.22  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
59841  Abortion                                          R   5.65   4.13     4.26     3.51     3.68     1.62  11.40  11.53  10.78  10.95  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
59850  Abortion                                          R   5.90   3.93NA   3.94NA   3.93     3.94     0.41  10.24  10.25  10.24  10.25  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59851  Abortion                                          R   5.92   4.32NA   4.42NA   4.32     4.42     1.69  11.93  12.03  11.93  12.03  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59852  Abortion                                          R   8.23   6.01NA   5.99NA   6.01     5.99     0.59  14.83  14.81  14.83  14.81  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59855  Abortion                                          R   6.43   4.16NA   4.31NA   4.16     4.31     1.85  12.44  12.59  12.44  12.59  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59856  Abortion                                          R   7.79   4.61NA   4.80NA   4.61     4.80     2.23  14.63  14.82  14.63  14.82  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59857  Abortion                                          R   9.33   5.37NA   5.42NA   5.37     5.42     0.65  15.35  15.40  15.35  15.40  0090.17.60.2320000             33.9764 090 99      0.00   0.00   0.00
59866  Abortion (mpr)                                    R   3.99   2.07NA   2.15NA   2.07     2.15     0.29   6.35   6.43   6.35   6.43  0000.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
59870  Evacuate mole of uterus                           A   6.57   5.69NA   5.71NA   5.69     5.71     1.89  14.15  14.17  14.15  14.17  0090.17.60.2320200             33.9764 090 99      0.00   0.00   0.00
59871  Remove cerclage suture                            A   2.13   1.28NA   1.34NA   1.28     1.34     0.61   4.02   4.08   4.02   4.08  0000.00.00.0020000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
60000  Drain thyroid/tongue cyst                         A   1.81   2.73     2.84     2.27     2.36     0.24   4.78   4.89   4.32   4.41  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
6005F  Care level rationale doc                          I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
60100  Biopsy of thyroid                                 A   1.56   1.58     1.48     0.65     0.61     0.16   3.30   3.20   2.37   2.33  0000.00.00.0020100             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
60200  Remove thyroid lesion                             A  10.02   7.64NA   8.22NA   7.64     8.22     1.70  19.36  19.94  19.36  19.94  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60210  Partial thyroid excision                          A  11.23   7.42NA   8.10NA   7.42     8.10     2.07  20.72  21.40  20.72  21.40  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60212  Partial thyroid excision                          A  16.43  10.26NA  11.36NA  10.26    11.36     3.06  29.75  30.85  29.75  30.85  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60220  Partial removal of thyroid                        A  12.37   8.10NA   8.87NA   8.10     8.87     2.15  22.62  23.39  22.62  23.39  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60225  Partial removal of thyroid                        A  14.79   9.78NA  10.67NA   9.78    10.67     2.64  27.21  28.10  27.21  28.10  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60240  Removal of thyroid                                A  16.22   9.39NA  10.27NA   9.39    10.27     2.95  28.56  29.44  28.56  29.44  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60252  Removal of thyroid                                A  22.01  12.86NA  14.08NA  12.86    14.08     3.88  38.75  39.97  38.75  39.97  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60254  Extensive thyroid surgery                         A  28.42  16.76NA  18.34NA  16.76    18.34     4.53  49.71  51.29  49.71  51.29  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60260  Repeat thyroid surgery                            A  18.26  10.85NA  11.87NA  10.85    11.87     3.13  32.24  33.26  32.24  33.26  0090.09.82.0921210             33.9764 090 99      0.00   0.00   0.00
60270  Removal of thyroid                                A  23.20  13.11NA  13.98NA  13.11    13.98     4.38  40.69  41.56  40.69  41.56  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60271  Removal of thyroid                                A  17.62  10.50NA  11.38NA  10.50    11.38     3.01  31.13  32.01  31.13  32.01  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60280  Remove thyroid duct lesion                        A   6.16   6.07NA   6.50NA   6.07     6.50     0.84  13.07  13.50  13.07  13.50  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60281  Remove thyroid duct lesion                        A   8.82   7.46NA   8.18NA   7.46     8.18     1.14  17.42  18.14  17.42  18.14  0090.09.82.0920210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
60300  Aspir/inj thyroid cyst                            A   0.97   2.18     2.17     0.39     0.38     0.11   3.26   3.25   1.47   1.46  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
6040F  Appro rad ds dvcs techs docd                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
6045F  Radxps in end rprt4fluro pxd                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
60500  Explore parathyroid glands                        A  16.78   9.83NA  10.78NA   9.83    10.78     3.24  29.85  30.80  29.85  30.80  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60502  Re-explore parathyroids                           A  21.15  12.20NA  13.36NA  12.20    13.36     4.15  37.50  38.66  37.50  38.66  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60505  Explore parathyroid glands                        A  23.06  13.56NA  14.68NA  13.56    14.68     4.33  40.95  42.07  40.95  42.07  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60512  Autotransplant parathyroid                        A   4.44   1.89NA   2.09NA   1.89     2.09     0.83   7.16   7.36   7.16   7.36  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
60520  Removal of thymus gland                           A  17.16   9.84NA  10.49NA   9.84    10.49     3.47  30.47  31.12  30.47  31.12  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60521  Removal of thymus gland                           A  19.18  10.62NA  10.37NA  10.62    10.37     4.53  34.33  34.08  34.33  34.08  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60522  Removal of thymus gland                           A  23.48  12.64NA  12.47NA  12.64    12.47     5.46  41.58  41.41  41.58  41.41  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60540  Explore adrenal gland                             A  18.02  10.21NA  10.18NA  10.21    10.18     3.04  31.27  31.24  31.27  31.24  0090.09.82.0921210             33.9764 090 99      0.00   0.00   0.00
60545  Explore adrenal gland                             A  20.93  11.30NA  11.56NA  11.30    11.56     3.69  35.92  36.18  35.92  36.18  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60600  Remove carotid body lesion                        A  25.09  12.44NA  12.87NA  12.44    12.87     5.31  42.84  43.27  42.84  43.27  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60605  Remove carotid body lesion                        A  31.96  16.77NA  18.71NA  16.77    18.71     4.11  52.84  54.78  52.84  54.78  0090.09.82.0920210             33.9764 090 99      0.00   0.00   0.00
60650  Laparoscopy adrenalectomy                         A  20.73  10.69NA  11.09NA  10.69    11.09     3.74  35.16  35.56  35.16  35.56  0090.09.84.0721210             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
6070F  Pt asked/cnsld aed effects                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
6080F  Pt/caregiver queried falls                        I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
6090F  Pt/caregiver counsel safety                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
61000  Remove cranial cavity fluid                       A   1.58   1.46NA   1.53NA   1.46     1.53     0.14   3.18   3.25   3.18   3.25  0000.00.00.0022100             33.9764 090 99      0.00   0.00   0.00
61001  Remove cranial cavity fluid                       A   1.49   1.36NA   1.32NA   1.36     1.32     0.53   3.38   3.34   3.38   3.34  0000.00.00.0022100             33.9764 090 99      0.00   0.00   0.00
61020  Remove brain cavity fluid                         A   1.51   1.98NA   2.08NA   1.98     2.08     0.50   3.99   4.09   3.99   4.09  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
61026  Injection into brain canal                        A   1.69   1.67NA   1.69NA   1.67     1.69     0.38   3.74   3.76   3.74   3.76  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
61050  Remove brain canal fluid                          A   1.51   1.42NA   1.37NA   1.42     1.37     0.12   3.05   3.00   3.05   3.00  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
61055  Injection into brain canal                        A   2.10   1.61NA   1.55NA   1.61     1.55     0.29   4.00   3.94   4.00   3.94  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
61070  Brain canal shunt procedure                       A   0.89   1.36NA   1.39NA   1.36     1.39     0.20   2.45   2.48   2.45   2.48  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
61105  Twist drill hole                                  A   5.45   5.88NA   6.30NA   5.88     6.30     1.92  13.25  13.67  13.25  13.67  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
61107  Drill skull for implantation                      A   4.99   2.66NA   2.76NA   2.66     2.76     1.78   9.43   9.53   9.43   9.53  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
61108  Drill skull for drainage                          A  11.64  10.51NA  11.17NA  10.51    11.17     4.14  26.29  26.95  26.29  26.95  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
61120  Burr hole for puncture                            A   9.60   8.60NA   9.16NA   8.60     9.16     3.46  21.66  22.22  21.66  22.22  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
61140  Pierce skull for biopsy                           A  17.23  13.48NA  14.16NA  13.48    14.16     6.11  36.82  37.50  36.82  37.50  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61150  Pierce skull for drainage                         A  18.90  13.98NA  14.82NA  13.98    14.82     6.78  39.66  40.50  39.66  40.50  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
61151  Pierce skull for drainage                         A  13.49  10.60NA  11.33NA  10.60    11.33     4.85  28.94  29.67  28.94  29.67  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
61154  Pierce skull & remove clot                        A  17.07  13.80NA  14.59NA  13.80    14.59     6.10  36.97  37.76  36.97  37.76  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
61156  Pierce skull for drainage                         A  17.45  12.87NA  13.44NA  12.87    13.44     6.26  36.58  37.15  36.58  37.15  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61210  Pierce skull implant device                       A   5.83   3.10NA   3.22NA   3.10     3.22     2.08  11.01  11.13  11.01  11.13  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
61215  Insert brain-fluid device                         A   5.85   6.59NA   6.97NA   6.59     6.97     2.07  14.51  14.89  14.51  14.89  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
61250  Pierce skull & explore                            A  11.49   9.51NA  10.22NA   9.51    10.22     4.12  25.12  25.83  25.12  25.83  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
61253  Pierce skull & explore                            A  13.49   9.56NA  10.12NA   9.56    10.12     1.71  24.76  25.32  24.76  25.32  0090.11.76.1322200             33.9764 090 99      0.00   0.00   0.00
61304  Open skull for exploration                        A  23.41  16.63NA  17.52NA  16.63    17.52     8.15  48.19  49.08  48.19  49.08  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61305  Open skull for exploration                        A  28.64  20.15NA  21.25NA  20.15    21.25    10.28  59.07  60.17  59.07  60.17  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61312  Open skull for drainage                           A  30.17  20.19NA  21.27NA  20.19    21.27    10.79  61.15  62.23  61.15  62.23  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61313  Open skull for drainage                           A  28.09  20.05NA  21.13NA  20.05    21.13    10.03  58.17  59.25  58.17  59.25  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61314  Open skull for drainage                           A  25.90  18.43NA  19.46NA  18.43    19.46     9.27  53.60  54.63  53.60  54.63  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61315  Open skull for drainage                           A  29.65  20.56NA  21.55NA  20.56    21.55    10.66  60.87  61.86  60.87  61.86  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61316  Implt cran bone flap to abdo                      A   1.39   0.73NA   0.77NA   0.73     0.77     0.49   2.61   2.65   2.61   2.65  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
61320  Open skull for drainage                           A  27.42  18.89NA  19.72NA  18.89    19.72     9.69  56.00  56.83  56.00  56.83  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61321  Open skull for drainage                           A  30.53  20.83NA  22.30NA  20.83    22.30    10.97  62.33  63.80  62.33  63.80  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61322  Decompressive craniotomy                          A  34.26  22.94NA  24.55NA  22.94    24.55    12.24  69.44  71.05  69.44  71.05  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61323  Decompressive lobectomy                           A  35.06  22.69NA  24.23NA  22.69    24.23    12.45  70.20  71.74  70.20  71.74  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
61330  Decompress eye socket                             A  25.30  17.48NA  19.33NA  17.48    19.33     9.09  51.87  53.72  51.87  53.72  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
61332  Explore/biopsy eye socket                         A  28.60  18.89NA  20.61NA  18.89    20.61    10.26  57.75  59.47  57.75  59.47  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61333  Explore orbit/remove lesion                       A  29.27  20.44NA  23.18NA  20.44    23.18    10.51  60.22  62.96  60.22  62.96  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61334  Explore orbit/remove object                       A  19.60  12.81NA  14.21NA  12.81    14.21     7.02  39.43  40.83  39.43  40.83  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61340  Subtemporal decompression                         A  20.11  14.92NA  15.88NA  14.92    15.88     7.23  42.26  43.22  42.26  43.22  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
61343  Incise skull (press relief)                       A  31.86  21.47NA  22.52NA  21.47    22.52    11.35  64.68  65.73  64.68  65.73  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61345  Relieve cranial pressure                          A  29.23  20.32NA  21.38NA  20.32    21.38    10.49  60.04  61.10  60.04  61.10  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61440  Incise skull for surgery                          A  28.66  19.93NA  21.06NA  19.93    21.06    10.28  58.87  60.00  58.87  60.00  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61450  Incise skull for surgery                          A  27.69  18.85NA  19.98NA  18.85    19.98     9.94  56.48  57.61  56.48  57.61  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61458  Incise skull for brain wound                      A  28.84  20.01NA  20.96NA  20.01    20.96    10.25  59.10  60.05  59.10  60.05  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61460  Incise skull for surgery                          A  30.24  20.46NA  21.94NA  20.46    21.94    10.85  61.55  63.03  61.55  63.03  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
61470  Incise skull for surgery                          A  27.62  18.91NA  19.94NA  18.91    19.94     9.91  56.44  57.47  56.44  57.47  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61480  Incise skull for surgery                          A  28.05  14.71NA  14.41NA  14.71    14.41     1.97  44.73  44.43  44.73  44.43  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61490  Incise skull for surgery                          A  27.22  18.80NA  19.72NA  18.80    19.72     9.79  55.81  56.73  55.81  56.73  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
61500  Removal of skull lesion                           A  19.18  14.35NA  15.26NA  14.35    15.26     5.78  39.31  40.22  39.31  40.22  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61501  Remove infected skull bone                        A  16.35  12.78NA  13.65NA  12.78    13.65     4.67  33.80  34.67  33.80  34.67  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61510  Removal of brain lesion                           A  30.83  22.26NA  23.35NA  22.26    23.35    11.01  64.10  65.19  64.10  65.19  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61512  Remove brain lining lesion                        A  37.14  24.76NA  25.91NA  24.76    25.91    13.28  75.18  76.33  75.18  76.33  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61514  Removal of brain abscess                          A  27.23  18.97NA  19.80NA  18.97    19.80     9.72  55.92  56.75  55.92  56.75  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61516  Removal of brain lesion                           A  26.58  18.63NA  19.56NA  18.63    19.56     9.23  54.44  55.37  54.44  55.37  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61517  Implt brain chemotx add-on                        A   1.38   0.73NA   0.76NA   0.73     0.76     0.49   2.60   2.63   2.60   2.63  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
61518  Removal of brain lesion                           A  39.89  26.99NA  28.33NA  26.99    28.33    14.30  81.18  82.52  81.18  82.52  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61519  Remove brain lining lesion                        A  43.43  28.12NA  29.48NA  28.12    29.48    15.49  87.04  88.40  87.04  88.40  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61520  Removal of brain lesion                           A  57.09  35.97NA  37.72NA  35.97    37.72    17.97 111.03 112.78 111.03 112.78  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
61521  Removal of brain lesion                           A  46.99  30.05NA  31.73NA  30.05    31.73    16.86  93.90  95.58  93.90  95.58  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61522  Removal of brain abscess                          A  31.54  21.59NA  22.66NA  21.59    22.66    11.32  64.45  65.52  64.45  65.52  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61524  Removal of brain lesion                           A  29.89  20.51NA  21.74NA  20.51    21.74    10.74  61.14  62.37  61.14  62.37  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61526  Removal of brain lesion                           A  54.08  33.50NA  36.11NA  33.50    36.11    19.41 106.99 109.60 106.99 109.60  0090.11.76.1320120             33.9764 090 99      0.00   0.00   0.00
61530  Removal of brain lesion                           A  45.56  28.51NA  30.47NA  28.51    30.47    16.37  90.44  92.40  90.44  92.40  0090.11.76.1320120             33.9764 090 99      0.00   0.00   0.00
61531  Implant brain electrodes                          A  16.41  13.40NA  14.13NA  13.40    14.13     5.89  35.70  36.43  35.70  36.43  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
61533  Implant brain electrodes                          A  21.46  15.57NA  16.43NA  15.57    16.43     7.69  44.72  45.58  44.72  45.58  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61534  Removal of brain lesion                           A  23.01  17.00NA  17.91NA  17.00    17.91     8.26  48.27  49.18  48.27  49.18  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61535  Remove brain electrodes                           A  13.15  11.25NA  11.88NA  11.25    11.88     4.72  29.12  29.75  29.12  29.75  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61536  Removal of brain lesion                           A  37.72  24.95NA  26.11NA  24.95    26.11    13.54  76.21  77.37  76.21  77.37  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61537  Removal of brain tissue                           A  36.45  22.79NA  24.52NA  22.79    24.52    13.01  72.25  73.98  72.25  73.98  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61538  Removal of brain tissue                           A  39.45  24.53NA  26.53NA  24.53    26.53    14.18  78.16  80.16  78.16  80.16  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61539  Removal of brain tissue                           A  34.28  22.81NA  24.19NA  22.81    24.19    12.30  69.39  70.77  69.39  70.77  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61540  Removal of brain tissue                           A  31.43  21.64NA  22.70NA  21.64    22.70    11.28  64.35  65.41  64.35  65.41  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61541  Incision of brain tissue                          A  30.94  21.14NA  22.33NA  21.14    22.33    11.11  63.19  64.38  63.19  64.38  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61542  Removal of brain tissue                           A  33.16  20.88NA  20.39NA  20.88    20.39    11.90  65.94  65.45  65.94  65.45  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61543  Removal of brain tissue                           A  31.31  21.06NA  22.54NA  21.06    22.54    11.23  63.60  65.08  63.60  65.08  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61544  Remove & treat brain lesion                       A  27.36  17.16NA  19.80NA  17.16    19.80     9.83  54.35  56.99  54.35  56.99  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61545  Excision of brain tumor                           A  46.43  30.64NA  32.41NA  30.64    32.41    16.66  93.73  95.50  93.73  95.50  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61546  Removal of pituitary gland                        A  33.44  22.46NA  23.72NA  22.46    23.72    11.99  67.89  69.15  67.89  69.15  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61548  Removal of pituitary gland                        A  23.37  15.91NA  16.80NA  15.91    16.80     6.67  45.95  46.84  45.95  46.84  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
61550  Release of skull seams                            A  15.59  10.57NA  10.51NA  10.57    10.51     1.10  27.26  27.20  27.26  27.20  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61552  Release of skull seams                            A  20.40  12.76NA  11.39NA  12.76    11.39     1.46  34.62  33.25  34.62  33.25  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61556  Incise skull/sutures                              A  24.09  15.64NA  15.82NA  15.64    15.82     8.66  48.39  48.57  48.39  48.57  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61557  Incise skull/sutures                              A  23.31  17.77NA  18.54NA  17.77    18.54     8.37  49.45  50.22  49.45  50.22  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61558  Excision of skull/sutures                         A  26.50  16.17NA  14.21NA  16.17    14.21     9.51  52.18  50.22  52.18  50.22  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61559  Excision of skull/sutures                         A  34.02  24.32NA  25.34NA  24.32    25.34     2.41  60.75  61.77  60.75  61.77  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61563  Excision of skull tumor                           A  28.44  19.67NA  20.66NA  19.67    20.66    10.21  58.32  59.31  58.32  59.31  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61564  Excision of skull tumor                           A  34.74  23.76NA  24.90NA  23.76    24.90    12.45  70.95  72.09  70.95  72.09  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61566  Removal of brain tissue                           A  32.45  22.30NA  23.27NA  22.30    23.27    11.64  66.39  67.36  66.39  67.36  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61567  Incision of brain tissue                          A  37.00  25.48NA  26.52NA  25.48    26.52    13.30  75.78  76.82  75.78  76.82  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61570  Remove foreign body brain                         A  26.51  18.62NA  19.86NA  18.62    19.86     9.51  54.64  55.88  54.64  55.88  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61571  Incise skull for brain wound                      A  28.42  19.95NA  20.93NA  19.95    20.93    10.19  58.56  59.54  58.56  59.54  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61575  Skull base/brainstem surgery                      A  36.56  23.50NA  25.46NA  23.50    25.46    13.12  73.18  75.14  73.18  75.14  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61576  Skull base/brainstem surgery                      A  55.31  42.09NA  43.49NA  42.09    43.49     7.10 104.50 105.90 104.50 105.90  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61580  Craniofacial approach skull                       A  34.51  31.81NA  34.24NA  31.81    34.24     5.89  72.21  74.64  72.21  74.64  0090.11.76.1321112             33.9764 090 99      0.00   0.00   0.00
61581  Craniofacial approach skull                       A  39.13  35.43NA  38.38NA  35.43    38.38     5.04  79.60  82.55  79.60  82.55  0090.11.76.1321122             33.9764 090 99      0.00   0.00   0.00
61582  Craniofacial approach skull                       A  35.14  39.60NA  42.42NA  39.60    42.42    12.62  87.36  90.18  87.36  90.18  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61583  Craniofacial approach skull                       A  38.50  33.29NA  34.81NA  33.29    34.81    12.94  84.73  86.25  84.73  86.25  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61584  Orbitocranial approach/skull                      A  37.70  32.92NA  34.50NA  32.92    34.50    12.70  83.32  84.90  83.32  84.90  0090.11.76.1321212             33.9764 090 99      0.00   0.00   0.00
61585  Orbitocranial approach/skull                      A  42.57  35.04NA  38.65NA  35.04    38.65    15.28  92.89  96.50  92.89  96.50  0090.11.76.1321212             33.9764 090 99      0.00   0.00   0.00
61586  Resect nasopharynx skull                          A  27.48  31.16NA  34.97NA  31.16    34.97     9.87  68.51  72.32  68.51  72.32  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61590  Infratemporal approach/skull                      A  47.04  35.52NA  38.39NA  35.52    38.39     8.45  91.01  93.88  91.01  93.88  0090.11.76.1321212             33.9764 090 99      0.00   0.00   0.00
61591  Infratemporal approach/skull                      A  47.02  35.53NA  38.04NA  35.53    38.04     9.60  92.15  94.66  92.15  94.66  0090.11.76.1321212             33.9764 090 99      0.00   0.00   0.00
61592  Orbitocranial approach/skull                      A  43.08  35.27NA  36.78NA  35.27    36.78    14.51  92.86  94.37  92.86  94.37  0090.11.76.1321212             33.9764 090 99      0.00   0.00   0.00
61595  Transtemporal approach/skull                      A  33.74  28.83NA  30.62NA  28.83    30.62     7.15  69.72  71.51  69.72  71.51  0090.11.76.1321112             33.9764 090 99      0.00   0.00   0.00
61596  Transcochlear approach/skull                      A  39.43  29.50NA  31.43NA  29.50    31.43     5.06  73.99  75.92  73.99  75.92  0090.11.76.1321212             33.9764 090 99      0.00   0.00   0.00
61597  Transcondylar approach/skull                      A  40.82  29.89NA  31.11NA  29.89    31.11    14.66  85.37  86.59  85.37  86.59  0090.11.76.1321212             33.9764 090 99      0.00   0.00   0.00
61598  Transpetrosal approach/skull                      A  36.53  30.82NA  34.68NA  30.82    34.68    13.11  80.46  84.32  80.46  84.32  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61600  Resect/excise cranial lesion                      A  30.01  26.70NA  28.72NA  26.70    28.72     6.22  62.93  64.95  62.93  64.95  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61601  Resect/excise cranial lesion                      A  31.14  28.27NA  29.74NA  28.27    29.74    10.17  69.58  71.05  69.58  71.05  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61605  Resect/excise cranial lesion                      A  32.57  27.47NA  29.59NA  27.47    29.59     4.95  64.99  67.11  64.99  67.11  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61606  Resect/excise cranial lesion                      A  42.05  32.50NA  33.65NA  32.50    33.65    13.68  88.23  89.38  88.23  89.38  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61607  Resect/excise cranial lesion                      A  40.93  29.85NA  31.82NA  29.85    31.82    14.69  85.47  87.44  85.47  87.44  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61608  Resect/excise cranial lesion                      A  45.54  34.28NA  35.89NA  34.28    35.89    15.38  95.20  96.81  95.20  96.81  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61609  Transect artery sinus                             A   9.88   4.43NA   4.33NA   4.43     4.33     3.55  17.86  17.76  17.86  17.76  0ZZZ.00.00.0000212             33.9764 090 99      0.00   0.00   0.00
61610  Transect artery sinus                             A  29.63  15.68NA  16.50NA  15.68    16.50    10.64  55.95  56.77  55.95  56.77  0ZZZ.00.00.0000212             33.9764 090 99      0.00   0.00   0.00
61611  Transect artery sinus                             A   7.41   3.55NA   3.25NA   3.55     3.25     0.52  11.48  11.18  11.48  11.18  0ZZZ.00.00.0000212             33.9764 090 99      0.00   0.00   0.00
61612  Transect artery sinus                             A  27.84  12.79NA  12.20NA  12.79    12.20     1.96  42.59  42.00  42.59  42.00  0ZZZ.00.00.0000212             33.9764 090 99      0.00   0.00   0.00
61613  Remove aneurysm sinus                             A  45.03  34.66NA  36.84NA  34.66    36.84    16.17  95.86  98.04  95.86  98.04  0090.11.76.1321212             33.9764 090 99      0.00   0.00   0.00
61615  Resect/excise lesion skull                        A  35.77  28.31NA  29.44NA  28.31    29.44     4.60  68.68  69.81  68.68  69.81  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61616  Resect/excise lesion skull                        A  46.74  36.19NA  38.15NA  36.19    38.15    14.41  97.34  99.30  97.34  99.30  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61618  Repair dura                                       A  18.69  13.80NA  14.66NA  13.80    14.66     5.76  38.25  39.11  38.25  39.11  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61619  Repair dura                                       A  22.10  15.51NA  16.55NA  15.51    16.55     6.33  43.94  44.98  43.94  44.98  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
61623  Endovasc tempory vessel occl                      A   9.95   4.68NA   4.46NA   4.68     4.46     1.85  16.48  16.26  16.48  16.26  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
61624  Transcath occlusion cns                           A  20.12   9.10NA   8.75NA   9.10     8.75     3.77  32.99  32.64  32.99  32.64  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
61626  Transcath occlusion non-cns                       A  16.60   7.07NA   6.42NA   7.07     6.42     2.14  25.81  25.16  25.81  25.16  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
61630  Intracranial angioplasty                          R  22.07  11.59NA  11.18NA  11.59    11.18     4.18  37.84  37.43  37.84  37.43  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
61635  Intracran angioplsty w/stent                      R  24.28  12.54NA  12.09NA  12.54    12.09     4.07  40.89  40.44  40.89  40.44  0XXX.00.00.0020210             33.9764 090 99      0.00   0.00   0.00
61640  Dilate ic vasospasm init                          N+ 12.32   5.23NA   5.40NA   5.23     5.40     0.87  18.42  18.59  18.42  18.59  9000.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
61641  Dilate ic vasospasm add-on                        N+  4.33   1.84NA   1.90NA   1.84     1.90     0.31   6.48   6.54   6.48   6.54  9ZZZ.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
61642  Dilate ic vasospasm add-on                        N+  8.66   3.67NA   3.79NA   3.67     3.79     0.61  12.94  13.06  12.94  13.06  9ZZZ.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
61680  Intracranial vessel surgery                       A  32.55  22.40NA  23.42NA  22.40    23.42    11.68  66.63  67.65  66.63  67.65  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61682  Intracranial vessel surgery                       A  63.41  37.99NA  39.62NA  37.99    39.62    22.76 124.16 125.79 124.16 125.79  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61684  Intracranial vessel surgery                       A  41.64  27.01NA  28.75NA  27.01    28.75    14.94  83.59  85.33  83.59  85.33  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61686  Intracranial vessel surgery                       A  67.50  41.67NA  43.58NA  41.67    43.58    24.24 133.41 135.32 133.41 135.32  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61690  Intracranial vessel surgery                       A  31.34  21.65NA  22.88NA  21.65    22.88    11.26  64.25  65.48  64.25  65.48  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61692  Intracranial vessel surgery                       A  54.59  33.97NA  35.83NA  33.97    35.83    19.60 108.16 110.02 108.16 110.02  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61697  Brain aneurysm repr complx                        A  63.40  38.60NA  41.00NA  38.60    41.00    22.52 124.52 126.92 124.52 126.92  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61698  Brain aneurysm repr complx                        A  69.63  41.53NA  44.77NA  41.53    44.77    24.99 136.15 139.39 136.15 139.39  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61700  Brain aneurysm repr simple                        A  50.62  32.61NA  33.89NA  32.61    33.89    18.06 101.29 102.57 101.29 102.57  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61702  Inner skull vessel surgery                        A  60.04  36.78NA  39.43NA  36.78    39.43    21.54 118.36 121.01 118.36 121.01  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61703  Clamp neck artery                                 A  18.80  14.33NA  15.03NA  14.33    15.03     6.75  39.88  40.58  39.88  40.58  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61705  Revise circulation to head                        A  38.10  24.49NA  26.32NA  24.49    26.32    13.68  76.27  78.10  76.27  78.10  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61708  Revise circulation to head                        A  37.20  20.59NA  22.49NA  20.59    22.49     3.08  60.87  62.77  60.87  62.77  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61710  Revise circulation to head                        A  31.29  17.11NA  16.07NA  17.11    16.07     6.52  54.92  53.88  54.92  53.88  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
61711  Fusion of skull arteries                          A  38.23  24.90NA  26.32NA  24.90    26.32    13.72  76.85  78.27  76.85  78.27  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61720  Incise skull/brain surgery                        A  17.62  12.53NA  14.00NA  12.53    14.00     6.33  36.48  37.95  36.48  37.95  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
61735  Incise skull/brain surgery                        A  22.35  14.10NA  14.95NA  14.10    14.95     8.02  44.47  45.32  44.47  45.32  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
61750  Incise skull/brain biopsy                         A  19.83  14.39NA  15.13NA  14.39    15.13     7.06  41.28  42.02  41.28  42.02  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
61751  Brain biopsy w/ct/mr guide                        A  18.79  14.78NA  15.51NA  14.78    15.51     6.70  40.27  41.00  40.27  41.00  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
61760  Implant brain electrodes                          A  22.39  15.52NA  16.86NA  15.52    16.86     8.03  45.94  47.28  45.94  47.28  0090.11.76.1320120             33.9764 090 99      0.00   0.00   0.00
61770  Incise skull for treatment                        A  23.19  15.60NA  17.10NA  15.60    17.10     8.19  46.98  48.48  46.98  48.48  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
61781  Scan proc cranial intra                           A   3.75   2.13NA   2.13NA   2.13     2.13     1.25   7.13   7.13   7.13   7.13  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
61782  Scan proc cranial extra                           A   3.18   1.80NA   1.80NA   1.80     1.80     0.87   5.85   5.85   5.85   5.85  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
61783  Scan proc spinal                                  A   3.75   2.13NA   2.13NA   2.13     2.13     1.25   7.13   7.13   7.13   7.13  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
61790  Treat trigeminal nerve                            A  11.60   9.62NA  10.40NA   9.62    10.40     4.07  25.29  26.07  25.29  26.07  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
61791  Treat trigeminal tract                            A  15.41  11.88NA  12.61NA  11.88    12.61     5.20  32.49  33.22  32.49  33.22  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
61796  Srs cranial lesion simple                         A  13.93   9.90NA  11.36NA   9.90    11.36     4.63  28.46  29.92  28.46  29.92  0090.11.76.1300200             33.9764 090 99      0.00   0.00   0.00
61797  Srs cran les simple addl                          A   3.48   1.79NA   1.93NA   1.79     1.93     1.16   6.43   6.57   6.43   6.57  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
61798  Srs cranial lesion complex                        A  19.85  11.56NA  14.63NA  11.56    14.63     6.60  38.01  41.08  38.01  41.08  0090.11.76.1300200             33.9764 090 99      0.00   0.00   0.00
61799  Srs cran les complex addl                         A   4.81   2.47NA   2.66NA   2.47     2.66     1.59   8.87   9.06   8.87   9.06  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
61800  Apply srs headframe add-on                        A   2.25   1.47NA   1.58NA   1.47     1.58     0.73   4.45   4.56   4.45   4.56  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
61850  Implant neuroelectrodes                           A  13.34   9.14NA   8.19NA   9.14     8.19     4.80  27.28  26.33  27.28  26.33  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61860  Implant neuroelectrodes                           A  22.26  15.80NA  16.58NA  15.80    16.58     7.99  46.05  46.83  46.05  46.83  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61863  Implant neuroelectrode                            A  20.71  15.92NA  16.62NA  15.92    16.62     7.40  44.03  44.73  44.03  44.73  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
61864  Implant neuroelectrde addl                        A   4.49   2.41NA   2.50NA   2.41     2.50     1.61   8.51   8.60   8.51   8.60  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
61867  Implant neuroelectrode                            A  33.03  22.45NA  23.53NA  22.45    23.53    11.83  67.31  68.39  67.31  68.39  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
61868  Implant neuroelectrde addl                        A   7.91   4.24NA   4.39NA   4.24     4.39     2.84  14.99  15.14  14.99  15.14  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
61870  Implant neuroelectrodes                           A  16.34  12.60NA  13.13NA  12.60    13.13     5.87  34.81  35.34  34.81  35.34  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
61875  Implant neuroelectrodes                           A  16.46  12.49NA  13.20NA  12.49    13.20     1.17  30.12  30.83  30.12  30.83  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
61880  Revise/remove neuroelectrode                      A   6.95   6.92NA   7.41NA   6.92     7.41     2.46  16.33  16.82  16.33  16.82  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
61885  Insrt/redo neurostim 1 array                      A   6.05   7.79NA   7.19NA   7.79     7.19     2.07  15.91  15.31  15.91  15.31  0090.11.76.1321000             33.9764 090 99      0.00   0.00   0.00
61886  Implant neurostim arrays                          A   9.93  10.83NA  11.55NA  10.83    11.55     3.52  24.28  25.00  24.28  25.00  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
61888  Revise/remove neuroreceiver                       A   5.23   4.52NA   4.66NA   4.52     4.66     1.71  11.46  11.60  11.46  11.60  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
62000  Treat skull fracture                              A  13.93  10.06NA  11.79NA  10.06    11.79     5.01  29.00  30.73  29.00  30.73  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
62005  Treat skull fracture                              A  17.63  13.08NA  14.00NA  13.08    14.00     6.33  37.04  37.96  37.04  37.96  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62010  Treatment of head injury                          A  21.43  15.65NA  16.65NA  15.65    16.65     7.69  44.77  45.77  44.77  45.77  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62100  Repair brain fluid leakage                        A  23.53  16.18NA  17.14NA  16.18    17.14     7.51  47.22  48.18  47.22  48.18  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62115  Reduction of skull defect                         A  22.91  11.57NA  12.93NA  11.57    12.93     1.62  36.10  37.46  36.10  37.46  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62116  Reduction of skull defect                         A  25.02  18.12NA  19.04NA  18.12    19.04     8.98  52.12  53.04  52.12  53.04  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
62117  Reduction of skull defect                         A  28.35  19.42NA  20.28NA  19.42    20.28     3.66  51.43  52.29  51.43  52.29  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62120  Repair skull cavity lesion                        A  24.59  22.72NA  23.61NA  22.72    23.61     3.17  50.48  51.37  50.48  51.37  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62121  Incise skull repair                               A  23.03  18.71NA  19.50NA  18.71    19.50     8.27  50.01  50.80  50.01  50.80  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62140  Repair of skull defect                            A  14.55  11.23NA  11.88NA  11.23    11.88     4.75  30.53  31.18  30.53  31.18  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62141  Repair of skull defect                            A  16.07  12.16NA  12.80NA  12.16    12.80     5.31  33.54  34.18  33.54  34.18  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62142  Remove skull plate/flap                           A  11.83   9.98NA  10.52NA   9.98    10.52     4.08  25.89  26.43  25.89  26.43  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
62143  Replace skull plate/flap                          A  14.15  11.17NA  11.80NA  11.17    11.80     5.01  30.33  30.96  30.33  30.96  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62145  Repair of skull & brain                           A  20.09  14.29NA  14.95NA  14.29    14.95     7.21  41.59  42.25  41.59  42.25  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62146  Repair of skull with graft                        A  17.28  12.84NA  13.81NA  12.84    13.81     6.21  36.33  37.30  36.33  37.30  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62147  Repair of skull with graft                        A  20.67  14.78NA  15.70NA  14.78    15.70     7.40  42.85  43.77  42.85  43.77  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62148  Retr bone flap to fix skull                       A   2.00   1.05NA   1.11NA   1.05     1.11     0.71   3.76   3.82   3.76   3.82  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
62160  Neuroendoscopy add-on                             A   3.00   1.61NA   1.66NA   1.61     1.66     1.08   5.69   5.74   5.69   5.74  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
62161  Dissect brain w/scope                             A  21.23  15.67NA  16.48NA  15.67    16.48     7.62  44.52  45.33  44.52  45.33  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62162  Remove colloid cyst w/scope                       A  26.80  19.27NA  20.14NA  19.27    20.14     9.61  55.68  56.55  55.68  56.55  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62163  Neuroendoscopy w/fb removal                       A  16.53  13.44NA  14.04NA  13.44    14.04     5.92  35.89  36.49  35.89  36.49  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62164  Remove brain tumor w/scope                        A  29.43  20.93NA  22.50NA  20.93    22.50    10.57  60.93  62.50  60.93  62.50  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62165  Remove pituit tumor w/scope                       A  23.23  16.38NA  17.27NA  16.38    17.27     6.37  45.98  46.87  45.98  46.87  0090.11.76.1320010             33.9764 090 99      0.00   0.00   0.00
62180  Establish brain cavity shunt                      A  22.58  16.36NA  17.19NA  16.36    17.19     8.11  47.05  47.88  47.05  47.88  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
62190  Establish brain cavity shunt                      A  12.17  10.35NA  10.96NA  10.35    10.96     4.37  26.89  27.50  26.89  27.50  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
62192  Establish brain cavity shunt                      A  13.35  10.51NA  11.14NA  10.51    11.14     4.63  28.49  29.12  28.49  29.12  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62194  Replace/irrigate catheter                         A   5.78   5.26NA   6.53NA   5.26     6.53     0.45  11.49  12.76  11.49  12.76  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
62200  Establish brain cavity shunt                      A  19.29  14.18NA  14.93NA  14.18    14.93     6.93  40.40  41.15  40.40  41.15  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62201  Brain cavity shunt w/scope                        A  16.04  13.29NA  14.07NA  13.29    14.07     5.73  35.06  35.84  35.06  35.84  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
62220  Establish brain cavity shunt                      A  14.10  10.79NA  11.46NA  10.79    11.46     4.83  29.72  30.39  29.72  30.39  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62223  Establish brain cavity shunt                      A  14.05  11.84NA  12.44NA  11.84    12.44     4.85  30.74  31.34  30.74  31.34  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62225  Replace/irrigate catheter                         A   6.19   6.55NA   7.00NA   6.55     7.00     2.20  14.94  15.39  14.94  15.39  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
62230  Replace/revise brain shunt                        A  11.43   9.17NA   9.65NA   9.17     9.65     3.97  24.57  25.05  24.57  25.05  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62252  Csf shunt reprogram                               A   0.74   1.71     1.42     1.71NA   1.42 NA  0.25   2.70   2.41   2.70   2.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
62252TCCsf shunt reprogram                               A   0.00   1.32     1.01     1.32NA   1.01 NA  0.01   1.33   1.02   1.33   1.02  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
6225226Csf shunt reprogram                               A   0.74   0.39     0.41     0.39     0.41     0.24   1.37   1.39   1.37   1.39  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
62256  Remove brain cavity shunt                         A   7.38   7.32NA   7.75NA   7.32     7.75     2.63  17.33  17.76  17.33  17.76  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
62258  Replace brain cavity shunt                        A  15.64  11.82NA  12.38NA  11.82    12.38     5.43  32.89  33.45  32.89  33.45  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
62263  Epidural lysis mult sessions                      A   6.54  13.80    15.62     4.70     5.75     0.52  20.86  22.68  11.76  12.81  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
62264  Epidural lysis on single day                      A   4.42   7.37     8.05     2.07     2.54     0.35  12.14  12.82   6.84   7.31  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
62267  Interdiscal perq aspir dx                         A   3.00   3.96     3.80     1.39     1.37     0.30   7.26   7.10   4.69   4.67  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
62268  Drain spinal cord cyst                            A   4.73   5.19     2.03     2.45     2.52     0.45  10.37   7.21   7.63   7.70  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62269  Needle biopsy spinal cord                         A   5.01   5.59     1.91     2.26     2.30     0.56  11.16   7.48   7.83   7.87  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
62270  Spinal fluid tap diagnostic                       A   1.37   2.97     2.85     0.72     0.71     0.23   4.57   4.45   2.32   2.31  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62272  Drain cerebro spinal fluid                        A   1.35   3.99     4.06     0.82     0.84     0.33   5.67   5.74   2.50   2.52  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62273  Inject epidural patch                             A   2.15   2.58     2.75     0.93     1.08     0.20   4.93   5.10   3.28   3.43  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62280  Treat spinal cord lesion                          A   2.63   6.39     6.72     1.64     1.92     0.50   9.52   9.85   4.77   5.05  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
62281  Treat spinal cord lesion                          A   2.66   4.70     4.02     1.48     1.73     0.27   7.63   6.95   4.41   4.66  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
62282  Treat spinal canal lesion                         A   2.33   6.01     5.88     1.49     1.69     0.29   8.63   8.50   4.11   4.31  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
62284  Injection for myelogram                           A   1.54   4.57     4.16     0.85     0.80     0.18   6.29   5.88   2.57   2.52  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62287  Percutaneous diskectomy                           A   9.03   6.32NA   6.87NA   6.32     6.87     0.82  16.17  16.72  16.17  16.72  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
62290  Inject for spine disk x-ray                       A   3.00   6.47     6.63     1.72     1.91     0.30   9.77   9.93   5.02   5.21  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62291  Inject for spine disk x-ray                       A   2.91   6.04     6.32     1.66     1.88     0.27   9.22   9.50   4.84   5.06  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62292  Injection into disk lesion                        A   9.24   6.03NA   8.47NA   6.03     8.47     0.75  16.02  18.46  16.02  18.46  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
62294  Injection into spinal artery                      A  12.87   6.31NA   4.61NA   6.31     4.61     1.02  20.20  18.50  20.20  18.50  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
62310  Inject spine c/t                                  A   1.91   4.71     5.13     0.97     1.19     0.16   6.78   7.20   3.04   3.26  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62311  Inject spine l/s (cd)                             A   1.54   4.16     4.35     0.84     0.99     0.12   5.82   6.01   2.50   2.65  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62318  Inject spine w/cath c/t                           A   2.04   4.77     4.96     0.72     0.83     0.16   6.97   7.16   2.92   3.03  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62319  Inject spine w/cath l/s (cd)                      A   1.87   3.53     2.97     0.74     0.86     0.16   5.56   5.00   2.77   2.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
62350  Implant spinal canal cath                         A   6.05   4.37NA   4.93NA   4.37     4.93     1.05  11.47  12.03  11.47  12.03  0010.10.80.1020110             33.9764 090 99      0.00   0.00   0.00
62351  Implant spinal canal cath                         A  11.66  10.06NA  10.84NA  10.06    10.84     3.39  25.11  25.89  25.11  25.89  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
62355  Remove spinal canal catheter                      A   4.35   3.58NA   4.01NA   3.58     4.01     0.73   8.66   9.09   8.66   9.09  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
62360  Insert spine infusion device                      A   4.33   3.65NA   4.16NA   3.65     4.16     0.87   8.85   9.36   8.85   9.36  0010.10.80.1020010             33.9764 090 99      0.00   0.00   0.00
62361  Implant spine infusion pump                       A   5.65   4.67NA   4.93NA   4.67     4.93     1.10  11.42  11.68  11.42  11.68  0010.10.80.1020010             33.9764 090 99      0.00   0.00   0.00
62362  Implant spine infusion pump                       A   6.10   4.65NA   5.08NA   4.65     5.08     1.22  11.97  12.40  11.97  12.40  0010.10.80.1020010             33.9764 090 99      0.00   0.00   0.00
62365  Remove spine infusion device                      A   4.65   4.01NA   4.41NA   4.01     4.41     0.88   9.54   9.94   9.54   9.94  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
62367  Analyze spine infusion pump                       A   0.48   0.65     0.72     0.19     0.23     0.05   1.18   1.25   0.72   0.76  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
62368  Analyze spine infusion pump                       A   0.75   0.88     1.00     0.30     0.37     0.07   1.70   1.82   1.12   1.19  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
63001  Removal of spinal lamina                          A  17.61  12.91NA  13.65NA  12.91    13.65     5.69  36.21  36.95  36.21  36.95  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63003  Removal of spinal lamina                          A  17.74  13.00NA  13.72NA  13.00    13.72     5.63  36.37  37.09  36.37  37.09  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63005  Removal of spinal lamina                          A  16.43  13.02NA  13.66NA  13.02    13.66     5.08  34.53  35.17  34.53  35.17  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63011  Removal of spinal lamina                          A  15.91  11.88NA  12.71NA  11.88    12.71     4.01  31.80  32.63  31.80  32.63  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63012  Removal of spinal lamina                          A  16.85  12.90NA  13.47NA  12.90    13.47     5.10  34.85  35.42  34.85  35.42  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63015  Removal of spinal lamina                          A  20.85  15.62NA  16.41NA  15.62    16.41     7.01  43.48  44.27  43.48  44.27  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63016  Removal of spinal lamina                          A  22.03  15.67NA  16.58NA  15.67    16.58     6.78  44.48  45.39  44.48  45.39  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63017  Removal of spinal lamina                          A  17.33  13.65NA  14.34NA  13.65    14.34     5.57  36.55  37.24  36.55  37.24  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63020  Neck spine disk surgery                           A  16.20  12.92NA  13.56NA  12.92    13.56     5.06  34.18  34.82  34.18  34.82  0090.11.76.1321220             33.9764 090 99      0.00   0.00   0.00
63030  Low back disk surgery                             A  13.18  11.25NA  11.84NA  11.25    11.84     3.87  28.30  28.89  28.30  28.89  0090.11.76.1321220             33.9764 090 99      0.00   0.00   0.00
63035  Spinal disk surgery add-on                        A   3.15   1.73NA   1.79NA   1.73     1.79     0.88   5.76   5.82   5.76   5.82  0ZZZ.00.00.0001220             33.9764 090 99      0.00   0.00   0.00
63040  Laminotomy single cervical                        A  20.31  14.67NA  15.40NA  14.67    15.40     6.27  41.25  41.98  41.25  41.98  0090.11.76.1321220             33.9764 090 99      0.00   0.00   0.00
63042  Laminotomy single lumbar                          A  18.76  14.21NA  14.91NA  14.21    14.91     5.20  38.17  38.87  38.17  38.87  0090.11.76.1321220             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
63045  Removal of spinal lamina                          A  17.95  13.60NA  14.28NA  13.60    14.28     5.73  37.28  37.96  37.28  37.96  0090.11.76.1322220             33.9764 090 99      0.00   0.00   0.00
63046  Removal of spinal lamina                          A  17.25  13.11NA  13.77NA  13.11    13.77     5.14  35.50  36.16  35.50  36.16  0090.11.76.1322220             33.9764 090 99      0.00   0.00   0.00
63047  Removal of spinal lamina                          A  15.37  12.45NA  13.04NA  12.45    13.04     4.41  32.23  32.82  32.23  32.82  0090.11.76.1322220             33.9764 090 99      0.00   0.00   0.00
63048  Remove spinal lamina add-on                       A   3.47   1.89NA   1.97NA   1.89     1.97     1.01   6.37   6.45   6.37   6.45  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
63050  Cervical laminoplasty                             A  22.01  16.20NA  17.34NA  16.20    17.34     7.91  46.12  47.26  46.12  47.26  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63051  C-laminoplasty w/graft/plate                      A  25.51  17.68NA  18.70NA  17.68    18.70     7.24  50.43  51.45  50.43  51.45  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63055  Decompress spinal cord                            A  23.55  16.67NA  17.47NA  16.67    17.47     7.66  47.88  48.68  47.88  48.68  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63056  Decompress spinal cord                            A  21.86  15.46NA  16.27NA  15.46    16.27     6.19  43.51  44.32  43.51  44.32  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63057  Decompress spine cord add-on                      A   5.25   2.87NA   2.99NA   2.87     2.99     1.51   9.63   9.75   9.63   9.75  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
63064  Decompress spinal cord                            A  26.22  17.85NA  18.85NA  17.85    18.85     7.95  52.02  53.02  52.02  53.02  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63066  Decompress spine cord add-on                      A   3.26   1.77NA   1.82NA   1.77     1.82     1.17   6.20   6.25   6.20   6.25  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
63075  Neck spine disk surgery                           A  19.60  14.72NA  15.34NA  14.72    15.34     6.11  40.43  41.05  40.43  41.05  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63076  Neck spine disk surgery                           A   4.04   2.20NA   2.28NA   2.20     2.28     1.25   7.49   7.57   7.49   7.57  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
63077  Spine disk surgery thorax                         A  22.88  15.43NA  16.23NA  15.43    16.23     5.87  44.18  44.98  44.18  44.98  0090.11.76.1320220             33.9764 090 99      0.00   0.00   0.00
63078  Spine disk surgery thorax                         A   3.28   1.78NA   1.86NA   1.78     1.86     0.75   5.81   5.89   5.81   5.89  0ZZZ.00.00.0000220             33.9764 090 99      0.00   0.00   0.00
63081  Removal of vertebral body                         A  26.10  18.18NA  19.10NA  18.18    19.10     7.89  52.17  53.09  52.17  53.09  0090.11.76.1320212             33.9764 090 99      0.00   0.00   0.00
63082  Remove vertebral body add-on                      A   4.36   2.38NA   2.47NA   2.38     2.47     1.31   8.05   8.14   8.05   8.14  0ZZZ.00.00.0000212             33.9764 090 99      0.00   0.00   0.00
63085  Removal of vertebral body                         A  29.47  18.57NA  19.44NA  18.57    19.44     7.93  55.97  56.84  55.97  56.84  0090.11.76.1320222             33.9764 090 99      0.00   0.00   0.00
63086  Remove vertebral body add-on                      A   3.19   1.67NA   1.71NA   1.67     1.71     0.87   5.73   5.77   5.73   5.77  0ZZZ.00.00.0000222             33.9764 090 99      0.00   0.00   0.00
63087  Removal of vertebral body                         A  37.53  23.34NA  24.39NA  23.34    24.39     9.73  70.60  71.65  70.60  71.65  0090.11.76.1320222             33.9764 090 99      0.00   0.00   0.00
63088  Remove vertebral body add-on                      A   4.32   2.37NA   2.47NA   2.37     2.47     1.06   7.75   7.85   7.75   7.85  0ZZZ.00.00.0000222             33.9764 090 99      0.00   0.00   0.00
63090  Removal of vertebral body                         A  30.93  19.88NA  21.02NA  19.88    21.02     7.20  58.01  59.15  58.01  59.15  0090.11.76.1320222             33.9764 090 99      0.00   0.00   0.00
63091  Remove vertebral body add-on                      A   3.03   1.62NA   1.69NA   1.62     1.69     0.68   5.33   5.40   5.33   5.40  0ZZZ.00.00.0000222             33.9764 090 99      0.00   0.00   0.00
63101  Removal of vertebral body                         A  34.10  23.63NA  24.88NA  23.63    24.88    10.63  68.36  69.61  68.36  69.61  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63102  Removal of vertebral body                         A  34.10  23.31NA  24.52NA  23.31    24.52     8.60  66.01  67.22  66.01  67.22  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63103  Remove vertebral body add-on                      A   4.82   2.66NA   2.74NA   2.66     2.74     1.29   8.77   8.85   8.77   8.85  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
63170  Incise spinal cord tract(s)                       A  22.21  16.18NA  17.42NA  16.18    17.42     7.98  46.37  47.61  46.37  47.61  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63172  Drainage of spinal cyst                           A  19.76  14.44NA  15.26NA  14.44    15.26     7.08  41.28  42.10  41.28  42.10  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63173  Drainage of spinal cyst                           A  24.31  17.66NA  18.59NA  17.66    18.59     8.75  50.72  51.65  50.72  51.65  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63180  Revise spinal cord ligaments                      A  20.53  14.93NA  16.48NA  14.93    16.48     7.36  42.82  44.37  42.82  44.37  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63182  Revise spinal cord ligaments                      A  22.82  15.09NA  17.76NA  15.09    17.76     8.19  46.10  48.77  46.10  48.77  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63185  Incise spinal column/nerves                       A  16.49  12.41NA  13.29NA  12.41    13.29     5.92  34.82  35.70  34.82  35.70  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63190  Incise spinal column/nerves                       A  18.89  14.06NA  14.84NA  14.06    14.84     4.29  37.24  38.02  37.24  38.02  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63191  Incise spinal column/nerves                       A  18.92  12.18NA  15.43NA  12.18    15.43     3.74  34.84  38.09  34.84  38.09  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
63194  Incise spinal column & cord                       A  22.10  15.35NA  16.08NA  15.35    16.08     2.84  40.29  41.02  40.29  41.02  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63195  Incise spinal column & cord                       A  21.64  15.47NA  16.56NA  15.47    16.56     7.77  44.88  45.97  44.88  45.97  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63196  Incise spinal column & cord                       A  25.27  15.23NA  13.43NA  15.23    13.43     1.80  42.30  40.50  42.30  40.50  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63197  Incise spinal column & cord                       A  24.08  17.46NA  18.46NA  17.46    18.46     8.66  50.20  51.20  50.20  51.20  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63198  Incise spinal column & cord                       A  29.90  14.78NA  15.68NA  14.78    15.68     2.12  46.80  47.70  46.80  47.70  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63199  Incise spinal column & cord                       A  31.47  17.88NA  16.36NA  17.88    16.36     2.23  51.58  50.06  51.58  50.06  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63200  Release of spinal cord                            A  21.44  15.63NA  16.53NA  15.63    16.53     7.58  44.65  45.55  44.65  45.55  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
63250  Revise spinal cord vessels                        A  43.86  27.81NA  29.53NA  27.81    29.53    15.75  87.42  89.14  87.42  89.14  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63251  Revise spinal cord vessels                        A  44.64  28.87NA  30.42NA  28.87    30.42    16.03  89.54  91.09  89.54  91.09  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63252  Revise spinal cord vessels                        A  44.63  28.81NA  30.41NA  28.81    30.41    16.03  89.47  91.07  89.47  91.07  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63265  Excise intraspinal lesion                         A  23.82  17.11NA  17.97NA  17.11    17.97     8.08  49.01  49.87  49.01  49.87  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63266  Excise intraspinal lesion                         A  24.68  17.41NA  18.33NA  17.41    18.33     8.40  50.49  51.41  50.49  51.41  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63267  Excise intraspinal lesion                         A  19.45  14.64NA  15.36NA  14.64    15.36     6.26  40.35  41.07  40.35  41.07  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63268  Excise intraspinal lesion                         A  20.02  15.10NA  16.25NA  15.10    16.25     7.19  42.31  43.46  42.31  43.46  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63270  Excise intraspinal lesion                         A  29.80  20.47NA  21.69NA  20.47    21.69    10.71  60.98  62.20  60.98  62.20  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63271  Excise intraspinal lesion                         A  29.92  20.44NA  21.50NA  20.44    21.50    10.57  60.93  61.99  60.93  61.99  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63272  Excise intraspinal lesion                         A  27.50  19.02NA  19.95NA  19.02    19.95     9.47  55.99  56.92  55.99  56.92  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63273  Excise intraspinal lesion                         A  26.47  18.21NA  19.84NA  18.21    19.84     9.50  54.18  55.81  54.18  55.81  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
63275  Biopsy/excise spinal tumor                        A  25.86  18.08NA  19.04NA  18.08    19.04     8.82  52.76  53.72  52.76  53.72  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63276  Biopsy/excise spinal tumor                        A  25.69  18.06NA  19.02NA  18.06    19.02     8.71  52.46  53.42  52.46  53.42  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63277  Biopsy/excise spinal tumor                        A  22.39  16.18NA  17.05NA  16.18    17.05     7.00  45.57  46.44  45.57  46.44  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63278  Biopsy/excise spinal tumor                        A  22.12  16.24NA  17.42NA  16.24    17.42     7.95  46.31  47.49  46.31  47.49  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63280  Biopsy/excise spinal tumor                        A  30.29  21.14NA  22.05NA  21.14    22.05    10.83  62.26  63.17  62.26  63.17  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63281  Biopsy/excise spinal tumor                        A  29.99  20.99NA  22.00NA  20.99    22.00    10.67  61.65  62.66  61.65  62.66  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63282  Biopsy/excise spinal tumor                        A  28.15  19.97NA  20.88NA  19.97    20.88     9.95  58.07  58.98  58.07  58.98  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63283  Biopsy/excise spinal tumor                        A  26.76  19.27NA  20.46NA  19.27    20.46     9.60  55.63  56.82  55.63  56.82  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63285  Biopsy/excise spinal tumor                        A  38.05  24.99NA  26.47NA  24.99    26.47    13.66  76.70  78.18  76.70  78.18  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63286  Biopsy/excise spinal tumor                        A  37.62  24.95NA  26.16NA  24.95    26.16    13.20  75.77  76.98  75.77  76.98  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63287  Biopsy/excise spinal tumor                        A  40.08  26.35NA  27.88NA  26.35    27.88    14.40  80.83  82.36  80.83  82.36  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63290  Biopsy/excise spinal tumor                        A  40.82  26.53NA  27.88NA  26.53    27.88    14.66  82.01  83.36  82.01  83.36  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63295  Repair of laminectomy defect                      A   5.25   2.73NA   2.92NA   2.73     2.92     1.88   9.86  10.05   9.86  10.05  0ZZZ.00.00.0002220             33.9764 090 99      0.00   0.00   0.00
63300  Removal of vertebral body                         A  26.80  18.43NA  19.39NA  18.43    19.39     8.68  53.91  54.87  53.91  54.87  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63301  Removal of vertebral body                         A  31.57  20.98NA  23.14NA  20.98    23.14    11.34  63.89  66.05  63.89  66.05  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63302  Removal of vertebral body                         A  31.15  20.88NA  22.90NA  20.88    22.90    11.17  63.20  65.22  63.20  65.22  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63303  Removal of vertebral body                         A  33.55  21.57NA  23.78NA  21.57    23.78    12.03  67.15  69.36  67.15  69.36  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63304  Removal of vertebral body                         A  33.85  22.98NA  24.41NA  22.98    24.41    12.14  68.97  70.40  68.97  70.40  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63305  Removal of vertebral body                         A  36.24  23.12NA  25.65NA  23.12    25.65    13.01  72.37  74.90  72.37  74.90  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63306  Removal of vertebral body                         A  35.55  19.22NA  15.84NA  19.22    15.84    12.77  67.54  64.16  67.54  64.16  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63307  Removal of vertebral body                         A  34.96  22.97NA  24.65NA  22.97    24.65    12.56  70.49  72.17  70.49  72.17  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63308  Remove vertebral body add-on                      A   5.24   2.81NA   2.90NA   2.81     2.90     1.57   9.62   9.71   9.62   9.71  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
63600  Remove spinal cord lesion                         A  15.12   8.18NA  10.44NA   8.18    10.44     1.58  24.88  27.14  24.88  27.14  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
63610  Stimulation of spinal cord                        A   8.72  15.88     2.03     2.32     2.40     0.68  25.28  11.43  11.72  11.80  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
63615  Remove lesion of spinal cord                      A  17.32  12.20NA  13.45NA  12.20    13.45     6.21  35.73  36.98  35.73  36.98  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
63620  Srs spinal lesion                                 A  15.60  10.29NA  12.14NA  10.29    12.14     5.19  31.08  32.93  31.08  32.93  0090.11.76.1300200             33.9764 090 99      0.00   0.00   0.00
63621  Srs spinal lesion addl                            A   4.00   2.06NA   2.23NA   2.06     2.23     1.32   7.38   7.55   7.38   7.55  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
63650  Implant neuroelectrodes                           A   7.20   4.37NA   5.25NA   4.37     5.25     0.64  12.21  13.09  12.21  13.09  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
63655  Implant neuroelectrodes                           A  11.56  10.00NA  10.70NA  10.00    10.70     3.62  25.18  25.88  25.18  25.88  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63661  Remove spine eltrd perq aray                      A   5.08  11.80    11.80     3.93     3.93     0.71  17.59  17.59   9.72   9.72  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
63662  Remove spine eltrd plate                          A  11.00   8.54NA   8.54NA   8.54     8.54     1.55  21.09  21.09  21.09  21.09  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63663  Revise spine eltrd perq aray                      A   7.75  16.29    16.29     5.27     5.27     1.09  25.13  25.13  14.11  14.11  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
63664  Revise spine eltrd plate                          A  11.52   8.80NA   8.80NA   8.80     8.80     1.61  21.93  21.93  21.93  21.93  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63685  Insrt/redo spine n generator                      A   6.05   4.52NA   5.09NA   4.52     5.09     1.10  11.67  12.24  11.67  12.24  0010.10.80.1020210             33.9764 090 99      0.00   0.00   0.00
63688  Revise/remove neuroreceiver                       A   5.30   4.24NA   4.73NA   4.24     4.73     1.01  10.55  11.04  10.55  11.04  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
63700  Repair of spinal herniation                       A  17.47  13.80NA  14.96NA  13.80    14.96     6.26  37.53  38.69  37.53  38.69  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63702  Repair of spinal herniation                       A  19.41  15.19NA  16.04NA  15.19    16.04     6.97  41.57  42.42  41.57  42.42  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63704  Repair of spinal herniation                       A  22.43  16.88NA  18.71NA  16.88    18.71     8.04  47.35  49.18  47.35  49.18  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63706  Repair of spinal herniation                       A  25.35  19.02NA  20.34NA  19.02    20.34     9.12  53.49  54.81  53.49  54.81  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63707  Repair spinal fluid leakage                       A  12.65  10.38NA  11.02NA  10.38    11.02     3.50  26.53  27.17  26.53  27.17  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63709  Repair spinal fluid leakage                       A  15.65  12.05NA  12.68NA  12.05    12.68     4.50  32.20  32.83  32.20  32.83  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63710  Graft repair of spine defect                      A  15.40  12.08NA  12.72NA  12.08    12.72     4.86  32.34  32.98  32.34  32.98  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63740  Install spinal shunt                              A  12.63  10.60NA  10.97NA  10.60    10.97     4.26  27.49  27.86  27.49  27.86  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63741  Install spinal shunt                              A   9.12   6.67NA   7.57NA   6.67     7.57     2.19  17.98  18.88  17.98  18.88  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63744  Revision of spinal shunt                          A   8.94   7.36NA   8.06NA   7.36     8.06     3.06  19.36  20.06  19.36  20.06  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
63746  Removal of spinal shunt                           A   7.33   7.17NA   7.81NA   7.17     7.81     2.63  17.13  17.77  17.13  17.77  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
64400  N block inj trigeminal                            A   1.11   2.03     2.17     0.67     0.78     0.18   3.32   3.46   1.96   2.07  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64402  N block inj facial                                A   1.25   1.88     1.99     0.71     0.78     0.18   3.31   3.42   2.14   2.21  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64405  N block inj occipital                             A   1.32   1.73     1.94     0.76     0.90     0.26   3.31   3.52   2.34   2.48  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64408  N block inj vagus                                 A   1.41   2.04     2.20     1.10     1.24     0.16   3.61   3.77   2.67   2.81  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
64410  N block inj phrenic                               A   1.43   2.60     2.73     0.70     0.75     0.33   4.36   4.49   2.46   2.51  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
64412  N block inj spinal accessor                       A   1.18   3.01     3.25     0.80     0.92     0.20   4.39   4.63   2.18   2.30  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64413  N block inj cervical plexus                       A   1.40   1.89     2.00     0.72     0.83     0.20   3.49   3.60   2.32   2.43  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64415  N block inj brachial plexus                       A   1.48   2.01     1.89     0.39     0.36     0.11   3.60   3.48   1.98   1.95  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64416  N block cont infuse b plex                        A   1.81   0.44NA   0.43NA   0.44     0.43     0.14   2.39   2.38   2.39   2.38  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64417  N block inj axillary                              A   1.44   2.23     2.24     0.50     0.56     0.11   3.78   3.79   2.05   2.11  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64418  N block inj suprascapular                         A   1.32   2.59     2.69     0.72     0.83     0.12   4.03   4.13   2.16   2.27  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64420  N block inj intercost sng                         A   1.18   2.70     2.00     0.66     0.76     0.12   4.00   3.30   1.96   2.06  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
64421  N block inj intercost mlt                         A   1.68   3.87     2.63     0.82     0.96     0.20   5.75   4.51   2.70   2.84  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64425  N block inj ilio-ing/hypogi                       A   1.75   1.89     2.07     0.82     0.95     0.20   3.84   4.02   2.77   2.90  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64430  N block inj pudendal                              A   1.46   2.60     2.25     0.84     0.78     0.14   4.20   3.85   2.44   2.38  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64435  N block inj paracervical                          A   1.45   2.46     2.35     0.77     0.79     0.24   4.15   4.04   2.46   2.48  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64445  N block inj sciatic sng                           A   1.48   2.29     2.29     0.58     0.54     0.16   3.93   3.93   2.22   2.18  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64446  N blk inj sciatic cont inf                        A   1.81   0.48NA   0.44NA   0.48     0.44     0.14   2.43   2.39   2.43   2.39  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64447  N block inj fem single                            A   1.50   1.89     1.89     0.33     0.36     0.11   3.50   3.50   1.94   1.97  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64448  N block inj fem cont inf                          A   1.63   0.41NA   0.39NA   0.41     0.39     0.12   2.16   2.14   2.16   2.14  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64449  N block inj lumbar plexus                         A   1.81   0.52NA   0.51NA   0.52     0.51     0.14   2.47   2.46   2.47   2.46  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64450  N block other peripheral                          A   1.27   1.63     1.72     0.64     0.67     0.11   3.01   3.10   2.02   2.05  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64455  N block inj plantar digit                         A   0.75   0.61     0.58     0.26     0.24     0.08   1.44   1.41   1.09   1.07  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
64479  Inj foramen epidural c/t                          A   2.29   5.25     4.75     1.30     1.54     0.27   7.81   7.31   3.86   4.10  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64480  Inj foramen epidural add-on                       A   1.20   2.34     2.36     0.59     0.63     0.18   3.72   3.74   1.97   2.01  0ZZZ.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
64483  Inj foramen epidural l/s                          A   1.75   5.17     4.46     1.12     1.27     0.15   7.07   6.36   3.02   3.17  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
64484  Inj foramen epidural add-on                       A   1.00   2.05     1.60     0.48     0.52     0.08   3.13   2.68   1.56   1.60  0ZZZ.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
64490  Inj paravert f jnt c/t 1 lev                      A   1.82   3.76     3.76     1.26     1.26     0.20   5.78   5.78   3.28   3.28  0000.00.00.0021200             33.9764 090 99      0.00   0.00   0.00
64491  Inj paravert f jnt c/t 2 lev                      A   1.16   1.59     1.59     0.58     0.58     0.11   2.86   2.86   1.85   1.85  0ZZZ.00.00.0001200             33.9764 090 99      0.00   0.00   0.00
64492  Inj paravert f jnt c/t 3 lev                      A   1.16   1.62     1.62     0.61     0.61     0.11   2.89   2.89   1.88   1.88  0ZZZ.00.00.0001200             33.9764 090 99      0.00   0.00   0.00
64493  Inj paravert f jnt l/s 1 lev                      A   1.52   3.49     3.49     1.10     1.10     0.14   5.15   5.15   2.76   2.76  0000.00.00.0021200             33.9764 090 99      0.00   0.00   0.00
64494  Inj paravert f jnt l/s 2 lev                      A   1.00   1.50     1.50     0.49     0.49     0.08   2.58   2.58   1.57   1.57  0ZZZ.00.00.0001200             33.9764 090 99      0.00   0.00   0.00
64495  Inj paravert f jnt l/s 3 lev                      A   1.00   1.54     1.54     0.51     0.51     0.08   2.62   2.62   1.59   1.59  0ZZZ.00.00.0001200             33.9764 090 99      0.00   0.00   0.00
64505  N block spenopalatine gangl                       A   1.36   1.42     1.44     0.95     1.01     0.10   2.88   2.90   2.41   2.47  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
64508  N block carotid sinus s/p                         A   1.12   1.71     0.50     0.84     0.94     0.24   3.07   1.86   2.20   2.30  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
64510  N block stellate ganglion                         A   1.22   2.65     2.48     0.73     0.90     0.10   3.97   3.80   2.05   2.22  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
64517  N block inj hypogas plxs                          A   2.20   2.72     2.98     1.14     1.35     0.18   5.10   5.36   3.52   3.73  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
64520  N block lumbar/thoracic                           A   1.35   4.16     4.32     0.84     1.01     0.11   5.62   5.78   2.30   2.47  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
64530  N block inj celiac pelus                          A   1.58   3.97     4.05     0.94     1.06     0.14   5.69   5.77   2.66   2.78  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
64550  Apply neurostimulator                             A   0.18   0.27     0.29     0.07     0.08     0.01   0.46   0.48   0.26   0.27  0000.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
64553  Implant neuroelectrodes                           A   2.36   3.32     3.38     1.96     2.00     0.38   6.06   6.12   4.70   4.74  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
64555  Implant neuroelectrodes                           A   2.32   3.34     3.00     1.79     1.71     0.26   5.92   5.58   4.37   4.29  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64560  Implant neuroelectrodes                           A   2.41   4.17     4.83     2.19     2.49     0.16   6.74   7.40   4.76   5.06  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
64561  Implant neuroelectrodes                           A   7.15  20.79    14.80     4.15     3.86     0.78  28.72  22.73  12.08  11.79  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64565  Implant neuroelectrodes                           A   1.81   3.13     3.30     1.61     1.80     0.24   5.18   5.35   3.66   3.85  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64566  Neuroeltrd stim post tibial                       A   0.60   3.15     3.15     0.23     0.23     0.05   3.80   3.80   0.88   0.88  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
64568  Inc for vagus n elect impl                        A   9.00   8.64NA   8.64NA   8.64     8.64     1.25  18.89  18.89  18.89  18.89  0090.11.76.1321000             33.9764 090 99      0.00   0.00   0.00
64569  Revise/repl vagus n eltrd                         A  11.00   4.49NA   4.49NA   4.49     4.49     3.16  18.65  18.65  18.65  18.65  0090.11.76.1321011             33.9764 090 99      0.00   0.00   0.00
64570  Remove vagus n eltrd                              A   9.10   4.05NA   4.05NA   4.05     4.05     3.27  16.42  16.42  16.42  16.42  0090.11.76.1321011             33.9764 090 99      0.00   0.00   0.00
64575  Implant neuroelectrodes                           A   4.42   3.57NA   4.19NA   3.57     4.19     0.44   8.43   9.05   8.43   9.05  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64577  Implant neuroelectrodes                           A   4.69   3.52NA   2.74NA   3.52     2.74     1.67   9.88   9.10   9.88   9.10  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64580  Implant neuroelectrodes                           A   4.19   3.81NA   3.91NA   3.81     3.91     0.88   8.88   8.98   8.88   8.98  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64581  Implant neuroelectrodes                           A  12.20   7.02NA   6.00NA   7.02     6.00     1.58  20.80  19.78  20.80  19.78  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64585  Revise/remove neuroelectrode                      A   2.11   6.20     4.73     2.09     1.88     0.27   8.58   7.11   4.47   4.26  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64590  Insrt/redo pn/gastr stimul                        A   2.45   5.68     4.73     2.21     1.95     0.29   8.42   7.47   4.95   4.69  0010.10.80.1020110             33.9764 090 99      0.00   0.00   0.00
64595  Revise/rmv pn/gastr stimul                        A   1.78   6.35     4.94     1.91     1.69     0.22   8.35   6.94   3.91   3.69  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64600  Injection treatment of nerve                      A   3.49   8.05     8.21     2.45     2.80     0.53  12.07  12.23   6.47   6.82  0010.10.80.1022100             33.9764 090 99      0.00   0.00   0.00
64605  Injection treatment of nerve                      A   5.65  12.95    15.88     3.92     4.82     0.44  19.04  21.97  10.01  10.91  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
64610  Injection treatment of nerve                      A   7.20  12.07    12.97     4.98     5.24     2.15  21.42  22.32  14.33  14.59  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64611  Chemodenerv saliv glands                          A   1.03   1.63     1.63     1.35     1.35     0.29   2.95   2.95   2.67   2.67  0010.10.80.1022000             33.9764 090 99      0.00   0.00   0.00
64612  Destroy nerve face muscle                         A   2.01   2.38     2.51     1.93     2.18     0.65   5.04   5.17   4.59   4.84  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
64613  Destroy nerve neck muscle                         A   2.01   2.23     2.29     1.68     1.92     0.59   4.83   4.89   4.28   4.52  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
64614  Destroy nerve extrem musc                         A   2.20   2.53     2.58     1.85     2.08     0.42   5.15   5.20   4.47   4.70  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
64620  Injection treatment of nerve                      A   2.89   3.85     3.06     1.81     2.12     0.29   7.03   6.24   4.99   5.30  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64622  Destr paravertebrl nerve l/s                      A   3.05   6.55     6.94     2.07     2.50     0.26   9.86  10.25   5.38   5.81  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
64623  Destr paravertebral n add-on                      A   0.99   2.61     2.76     0.40     0.51     0.08   3.68   3.83   1.47   1.58  0ZZZ.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
64626  Destr paravertebrl nerve c/t                      A   3.92   7.47     8.13     3.03     3.65     0.34  11.73  12.39   7.29   7.91  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
64627  Destr paravertebral n add-on                      A   1.16   3.77     3.95     0.47     0.60     0.10   5.03   5.21   1.73   1.86  0ZZZ.00.00.0001100             33.9764 090 99      0.00   0.00   0.00
64630  Injection treatment of nerve                      A   3.05   3.24     3.15     2.14     2.16     0.34   6.63   6.54   5.53   5.55  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
64632  N block inj common digit                          A   1.23   1.17     1.17     0.74     0.72     0.10   2.50   2.50   2.07   2.05  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
64640  Injection treatment of nerve                      A   2.81   3.36     3.26     1.90     1.93     0.24   6.41   6.31   4.95   4.98  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
64650  Chemodenerv eccrine glands                        A   0.70   1.89     2.59     0.37     0.42     0.11   2.70   3.40   1.18   1.23  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
64653  Chemodenerv eccrine glands                        A   0.88   2.11     2.92     0.44     0.47     0.24   3.23   4.04   1.56   1.59  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
64680  Injection treatment of nerve                      A   2.67   6.26     6.45     1.83     2.03     0.30   9.23   9.42   4.80   5.00  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64681  Injection treatment of nerve                      A   3.78   6.91     6.48     1.78     1.70     0.30  10.99  10.56   5.86   5.78  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
64702  Revise finger/toe nerve                           A   6.26   6.77NA   7.50NA   6.77     7.50     1.06  14.09  14.82  14.09  14.82  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64704  Revise hand/foot nerve                            A   4.69   4.23NA   4.32NA   4.23     4.32     0.54   9.46   9.55   9.46   9.55  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64708  Revise arm/leg nerve                              A   6.36   6.60NA   7.07NA   6.60     7.07     1.16  14.12  14.59  14.12  14.59  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64712  Revision of sciatic nerve                         A   8.07   6.69NA   7.22NA   6.69     7.22     1.33  16.09  16.62  16.09  16.62  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64713  Revision of arm nerve(s)                          A  11.40   8.52NA   9.01NA   8.52     9.01     2.34  22.26  22.75  22.26  22.75  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64714  Revise low back nerve(s)                          A  10.55   7.42NA   8.63NA   7.42     8.63     1.71  19.68  20.89  19.68  20.89  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64716  Revision of cranial nerve                         A   6.99   7.46NA   7.94NA   7.46     7.94     1.13  15.58  16.06  15.58  16.06  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64718  Revise ulnar nerve at elbow                       A   7.26   8.26NA   8.87NA   8.26     8.87     1.48  17.00  17.61  17.00  17.61  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
64719  Revise ulnar nerve at wrist                       A   4.97   5.62NA   5.96NA   5.62     5.96     0.93  11.52  11.86  11.52  11.86  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64721  Carpal tunnel surgery                             A   4.97   6.37     6.71     6.31     6.64     0.98  12.32  12.66  12.26  12.59  0090.11.76.1321100             33.9764 090 99      0.00   0.00   0.00
64722  Relieve pressure on nerve(s)                      A   4.82   4.39NA   4.80NA   4.39     4.80     0.84  10.05  10.46  10.05  10.46  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64726  Release foot/toe nerve                            A   4.27   3.45NA   3.55NA   3.45     3.55     0.39   8.11   8.21   8.11   8.21  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64727  Internal nerve revision                           A   3.10   1.77NA   1.89NA   1.77     1.89     0.60   5.47   5.59   5.47   5.59  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
64732  Incision of brow nerve                            A   4.89   5.63NA   6.30NA   5.63     6.30     1.77  12.29  12.96  12.29  12.96  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64734  Incision of cheek nerve                           A   5.55   6.15NA   7.12NA   6.15     7.12     0.71  12.41  13.38  12.41  13.38  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
64736  Incision of chin nerve                            A   5.23   5.56NA   5.95NA   5.56     5.95     1.88  12.67  13.06  12.67  13.06  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64738  Incision of jaw nerve                             A   6.36   6.53NA   7.57NA   6.53     7.57     2.27  15.16  16.20  15.16  16.20  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64740  Incision of tongue nerve                          A   6.22   6.46NA   6.98NA   6.46     6.98     0.80  13.48  14.00  13.48  14.00  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64742  Incision of facial nerve                          A   6.85   6.27NA   7.07NA   6.27     7.07     0.87  13.99  14.79  13.99  14.79  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64744  Incise nerve back of head                         A   5.72   5.75NA   6.76NA   5.75     6.76     2.04  13.51  14.52  13.51  14.52  0090.11.76.1321000             33.9764 090 99      0.00   0.00   0.00
64746  Incise diaphragm nerve                            A   6.56   4.86NA   4.76NA   4.86     4.76     1.54  12.96  12.86  12.96  12.86  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64752  Incision of vagus nerve                           A   7.69   5.65NA   6.03NA   5.65     6.03     1.81  15.15  15.53  15.15  15.53  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64755  Incision of stomach nerves                        A  15.05   8.25NA   9.08NA   8.25     9.08     3.21  26.51  27.34  26.51  27.34  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64760  Incision of vagus nerve                           A   7.59   5.32NA   5.99NA   5.32     5.99     1.61  14.52  15.19  14.52  15.19  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64761  Incision of pelvis nerve                          A   7.04   5.09NA   5.41NA   5.09     5.41     1.01  13.14  13.46  13.14  13.46  0090.11.76.1321200             33.9764 090 99      0.00   0.00   0.00
64763  Incise hip/thigh nerve                            A   7.56   6.28NA   5.88NA   6.28     5.88     1.61  15.45  15.05  15.45  15.05  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
64766  Incise hip/thigh nerve                            A   9.47   6.93NA   7.05NA   6.93     7.05     0.91  17.31  17.43  17.31  17.43  0090.11.76.1321200             33.9764 090 99      0.00   0.00   0.00
64771  Sever cranial nerve                               A   8.15   7.32NA   7.51NA   7.32     7.51     1.05  16.52  16.71  16.52  16.71  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64772  Incision of spinal nerve                          A   7.84   7.15NA   7.64NA   7.15     7.64     1.81  16.80  17.29  16.80  17.29  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64774  Remove skin nerve lesion                          A   5.80   5.25NA   5.61NA   5.25     5.61     1.05  12.10  12.46  12.10  12.46  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64776  Remove digit nerve lesion                         A   5.60   4.94NA   5.27NA   4.94     5.27     0.84  11.38  11.71  11.38  11.71  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
64778  Digit nerve surgery add-on                        A   3.11   1.93NA   2.24NA   1.93     2.24     0.61   5.65   5.96   5.65   5.96  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
64782  Remove limb nerve lesion                          A   6.86   5.43NA   5.74NA   5.43     5.74     0.91  13.20  13.51  13.20  13.51  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
64783  Limb nerve surgery add-on                         A   3.71   2.27NA   2.57NA   2.27     2.57     0.45   6.43   6.73   6.43   6.73  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
64784  Remove nerve lesion                               A  10.62   8.72NA   9.45NA   8.72     9.45     2.00  21.34  22.07  21.34  22.07  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
64786  Remove sciatic nerve lesion                       A  16.25  12.05NA  13.01NA  12.05    13.01     3.21  31.51  32.47  31.51  32.47  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64787  Implant nerve end                                 A   4.29   2.25NA   2.27NA   2.25     2.27     0.68   7.22   7.24   7.22   7.24  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
64788  Remove skin nerve lesion                          A   5.24   5.24NA   5.65NA   5.24     5.65     1.08  11.56  11.97  11.56  11.97  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64790  Removal of nerve lesion                           A  12.10   9.51NA  10.28NA   9.51    10.28     2.75  24.36  25.13  24.36  25.13  0090.11.76.1320010             33.9764 090 99      0.00   0.00   0.00
64792  Removal of nerve lesion                           A  15.86  11.73NA  12.16NA  11.73    12.16     5.69  33.28  33.71  33.28  33.71  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64795  Biopsy of nerve                                   A   3.01   1.99NA   2.14NA   1.99     2.14     0.82   5.82   5.97   5.82   5.97  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
64802  Remove sympathetic nerves                         A  10.37   6.86NA   8.81NA   6.86     8.81     0.82  18.05  20.00  18.05  20.00  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
64804  Remove sympathetic nerves                         A  15.91   6.80NA   6.59NA   6.80     6.59     1.27  23.98  23.77  23.98  23.77  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
64809  Remove sympathetic nerves                         A  14.71   9.05NA  10.77NA   9.05    10.77     1.17  24.93  26.65  24.93  26.65  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
64818  Remove sympathetic nerves                         A  11.34   6.20NA   6.74NA   6.20     6.74     2.07  19.61  20.15  19.61  20.15  0090.11.76.1321210             33.9764 090 99      0.00   0.00   0.00
64820  Remove sympathetic nerves                         A  10.74   9.62NA  10.47NA   9.62    10.47     1.91  22.27  23.12  22.27  23.12  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64821  Remove sympathetic nerves                         A   9.33   8.96NA   9.42NA   8.96     9.42     1.84  20.13  20.59  20.13  20.59  0090.11.76.1321100             33.9764 090 99      0.00   0.00   0.00
64822  Remove sympathetic nerves                         A   9.33   8.81NA   9.42NA   8.81     9.42     1.84  19.98  20.59  19.98  20.59  0090.11.76.1321100             33.9764 090 99      0.00   0.00   0.00
64823  Remove sympathetic nerves                         A  10.94   9.58NA  10.38NA   9.58    10.38     2.15  22.67  23.47  22.67  23.47  0090.11.76.1321100             33.9764 090 99      0.00   0.00   0.00
64831  Repair of digit nerve                             A   9.16   9.09NA   9.76NA   9.09     9.76     1.63  19.88  20.55  19.88  20.55  0090.11.76.1320100             33.9764 090 99      0.00   0.00   0.00
64832  Repair nerve add-on                               A   5.65   3.43NA   3.70NA   3.43     3.70     1.01  10.09  10.36  10.09  10.36  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
64834  Repair of hand or foot nerve                      A  10.81   9.07NA   9.76NA   9.07     9.76     1.85  21.73  22.42  21.73  22.42  0090.11.76.1320000             33.9764 090 99      0.00   0.00   0.00
64835  Repair of hand or foot nerve                      A  11.73   9.68NA  10.32NA   9.68    10.32     2.30  23.71  24.35  23.71  24.35  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64836  Repair of hand or foot nerve                      A  11.73   9.70NA  10.32NA   9.70    10.32     2.30  23.73  24.35  23.73  24.35  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64837  Repair nerve add-on                               A   6.25   3.61NA   3.73NA   3.61     3.73     0.76  10.62  10.74  10.62  10.74  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
64840  Repair of leg nerve                               A  14.02  10.55NA  11.17NA  10.55    11.17     1.08  25.65  26.27  25.65  26.27  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64856  Repair/transpose nerve                            A  15.07  11.86NA  12.74NA  11.86    12.74     2.84  29.77  30.65  29.77  30.65  0090.11.76.1320110             33.9764 090 99      0.00   0.00   0.00
64857  Repair arm/leg nerve                              A  15.82  12.26NA  13.11NA  12.26    13.11     2.91  30.99  31.84  30.99  31.84  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64858  Repair sciatic nerve                              A  17.82  14.44NA  15.85NA  14.44    15.85     3.51  35.77  37.18  35.77  37.18  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64859  Nerve surgery                                     A   4.25   2.71NA   3.06NA   2.71     3.06     0.83   7.79   8.14   7.79   8.14  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
64861  Repair of arm nerves                              A  20.89  12.89NA  12.41NA  12.89    12.41     4.12  37.90  37.42  37.90  37.42  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64862  Repair of low back nerves                         A  21.09  14.47NA  16.77NA  14.47    16.77     7.57  43.13  45.43  43.13  45.43  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64864  Repair of facial nerve                            A  13.41  10.31NA  11.08NA  10.31    11.08     1.70  25.42  26.19  25.42  26.19  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64865  Repair of facial nerve                            A  16.09  15.42NA  16.04NA  15.42    16.04     2.04  33.55  34.17  33.55  34.17  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64866  Fusion of facial/other nerve                      A  16.83  14.74NA  14.65NA  14.74    14.65     2.16  33.73  33.64  33.73  33.64  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64868  Fusion of facial/other nerve                      A  14.90  13.79NA  14.51NA  13.79    14.51     1.91  30.60  31.32  30.60  31.32  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64870  Fusion of facial/other nerve                      A  17.08  10.94NA  12.14NA  10.94    12.14     4.00  32.02  33.22  32.02  33.22  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64872  Subsequent repair of nerve                        A   1.99   1.16NA   1.19NA   1.16     1.19     0.26   3.41   3.44   3.41   3.44  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
64874  Repair & revise nerve add-on                      A   2.98   1.83NA   2.07NA   1.83     2.07     0.37   5.18   5.42   5.18   5.42  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
64876  Repair nerve/shorten bone                         A   3.37   1.73NA   1.88NA   1.73     1.88     0.65   5.75   5.90   5.75   5.90  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
64885  Nerve graft head or neck                          A  17.60  13.03NA  13.83NA  13.03    13.83     2.25  32.88  33.68  32.88  33.68  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64886  Nerve graft head or neck                          A  20.82  15.10NA  15.77NA  15.10    15.77     2.67  38.59  39.26  38.59  39.26  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64890  Nerve graft hand or foot                          A  16.24  12.40NA  13.01NA  12.40    13.01     3.20  31.84  32.45  31.84  32.45  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64891  Nerve graft hand or foot                          A  17.35  13.80NA  15.51NA  13.80    15.51     3.43  34.58  36.29  34.58  36.29  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64892  Nerve graft arm or leg                            A  15.74  12.03NA  12.71NA  12.03    12.71     3.12  30.89  31.57  30.89  31.57  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64893  Nerve graft arm or leg                            A  16.87  12.85NA  14.11NA  12.85    14.11     3.35  33.07  34.33  33.07  34.33  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64895  Nerve graft hand or foot                          A  20.39  15.47NA  17.70NA  15.47    17.70     4.01  39.87  42.10  39.87  42.10  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64896  Nerve graft hand or foot                          A  21.96  15.41NA  15.88NA  15.41    15.88     7.89  45.26  45.73  45.26  45.73  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64897  Nerve graft arm or leg                            A  19.38  14.35NA  15.51NA  14.35    15.51     3.82  37.55  38.71  37.55  38.71  0090.11.76.1320200             33.9764 090 99      0.00   0.00   0.00
64898  Nerve graft arm or leg                            A  20.97  15.43NA  16.27NA  15.43    16.27     4.14  40.54  41.38  40.54  41.38  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64901  Nerve graft add-on                                A  10.20   6.38NA   7.34NA   6.38     7.34     2.00  18.58  19.54  18.58  19.54  0ZZZ.00.00.0000210             33.9764 090 99      0.00   0.00   0.00
64902  Nerve graft add-on                                A  11.81   7.32NA   8.50NA   7.32     8.50     2.31  21.44  22.62  21.44  22.62  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
64905  Nerve pedicle transfer                            A  15.11  12.04NA  12.98NA  12.04    12.98     2.98  30.13  31.07  30.13  31.07  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64907  Nerve pedicle transfer                            A  20.03  12.38NA  10.97NA  12.38    10.97     1.42  33.83  32.42  33.83  32.42  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64910  Nerve repair w/allograft                          A  11.39  10.66NA  11.45NA  10.66    11.45     1.97  24.02  24.81  24.02  24.81  0090.11.76.1320210             33.9764 090 99      0.00   0.00   0.00
64911  Neurorraphy w/vein autograft                      A  14.39  12.74NA  14.24NA  12.74    14.24     2.84  29.97  31.47  29.97  31.47  0090.11.76.1320210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
65091  Revise eye                                        A   7.26   9.65NA  10.39NA   9.65    10.39     1.44  18.35  19.09  18.35  19.09  0090.10.70.2021010             33.9764 090 99      0.00   0.00   0.00
65093  Revise eye with implant                           A   7.04   9.75NA  10.39NA   9.75    10.39     1.39  18.18  18.82  18.18  18.82  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65101  Removal of eye                                    A   8.30  11.32NA  12.21NA  11.32    12.21     1.63  21.25  22.14  21.25  22.14  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65103  Remove eye/insert implant                         A   8.84  11.63NA  12.59NA  11.63    12.59     1.74  22.21  23.17  22.21  23.17  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65105  Remove eye/attach implant                         A   9.93  12.63NA  13.71NA  12.63    13.71     1.95  24.51  25.59  24.51  25.59  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65110  Removal of eye                                    A  15.70  16.70NA  18.29NA  16.70    18.29     2.00  34.40  35.99  34.40  35.99  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65112  Remove eye/revise socket                          A  18.51  19.32NA  21.16NA  19.32    21.16     2.35  40.18  42.02  40.18  42.02  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65114  Remove eye/revise socket                          A  19.65  19.94NA  21.96NA  19.94    21.96     2.52  42.11  44.13  42.11  44.13  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65125  Revise ocular implant                             A   3.27   8.98     9.14     4.45     4.82     0.64  12.89  13.05   8.36   8.73  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65130  Insert ocular implant                             A   8.42  11.00NA  11.94NA  11.00    11.94     1.65  21.07  22.01  21.07  22.01  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65135  Insert ocular implant                             A   8.60  11.14NA  12.07NA  11.14    12.07     1.67  21.41  22.34  21.41  22.34  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65140  Attach ocular implant                             A   9.46  12.03NA  13.03NA  12.03    13.03     1.22  22.71  23.71  22.71  23.71  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65150  Revise ocular implant                             A   6.43   9.02NA   9.61NA   9.02     9.61     0.45  15.90  16.49  15.90  16.49  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
65155  Reinsert ocular implant                           A  10.10  12.44NA  13.48NA  12.44    13.48     1.97  24.51  25.55  24.51  25.55  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65175  Removal of ocular implant                         A   7.40  10.10NA  10.90NA  10.10    10.90     0.95  18.45  19.25  18.45  19.25  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65205  Remove foreign body from eye                      A   0.71   0.77     0.82     0.45     0.51     0.10   1.58   1.63   1.26   1.32  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
65210  Remove foreign body from eye                      A   0.84   1.00     1.08     0.58     0.67     0.12   1.96   2.04   1.54   1.63  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
65220  Remove foreign body from eye                      A   0.71   0.81     0.87     0.40     0.45     0.11   1.63   1.69   1.22   1.27  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
65222  Remove foreign body from eye                      A   0.93   1.09     1.18     0.62     0.71     0.14   2.16   2.25   1.69   1.78  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
65235  Remove foreign body from eye                      A   9.01   9.74NA  10.91NA   9.74    10.91     1.24  19.99  21.16  19.99  21.16  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
65260  Remove foreign body from eye                      A  12.54  12.85NA  14.32NA  12.85    14.32     0.88  26.27  27.74  26.27  27.74  0090.10.70.2021200             33.9764 090 99      0.00   0.00   0.00
65265  Remove foreign body from eye                      A  14.34  14.23NA  15.91NA  14.23    15.91     3.08  31.65  33.33  31.65  33.33  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65270  Repair of eye wound                               A   1.95   5.21     5.30     1.78     1.99     0.27   7.43   7.52   4.00   4.21  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
65272  Repair of eye wound                               A   4.62   8.75     9.23     4.66     5.24     0.33  13.70  14.18   9.61  10.19  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65273  Repair of eye wound                               A   5.16   4.95NA   5.55NA   4.95     5.55     0.37  10.48  11.08  10.48  11.08  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65275  Repair of eye wound                               A   6.29   8.83     9.78     5.84     6.71     0.86  15.98  16.93  12.99  13.86  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
65280  Repair of eye wound                               A   9.10   8.59NA   9.62NA   8.59     9.62     1.80  19.49  20.52  19.49  20.52  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
65285  Repair of eye wound                               A  14.71  12.73NA  14.44NA  12.73    14.44     2.60  30.04  31.75  30.04  31.75  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65286  Repair of eye wound                               A   6.63  12.19    12.80     6.47     7.29     0.90  19.72  20.33  14.00  14.82  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65290  Repair of eye socket wound                        A   6.53   6.49NA   7.25NA   6.49     7.25     1.28  14.30  15.06  14.30  15.06  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65400  Removal of eye lesion                             A   7.50  10.50    11.41     8.43     9.38     1.03  19.03  19.94  16.96  17.91  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65410  Biopsy of cornea                                  A   1.47   2.35     2.48     1.30     1.46     0.31   4.13   4.26   3.08   3.24  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
65420  Removal of eye lesion                             A   4.36   9.46     9.83     5.64     6.16     0.56  14.38  14.75  10.56  11.08  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65426  Removal of eye lesion                             A   6.05  11.36    11.95     6.62     7.36     0.83  18.24  18.83  13.50  14.24  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65430  Corneal smear                                     A   1.47   1.58     1.73     1.28     1.44     0.22   3.27   3.42   2.97   3.13  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
65435  Curette/treat cornea                              A   0.92   1.21     1.31     0.94     1.04     0.16   2.29   2.39   2.02   2.12  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
65436  Curette/treat cornea                              A   4.82   5.44     6.02     5.01     5.60     0.84  11.10  11.68  10.67  11.26  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65450  Treatment of corneal lesion                       A   3.47   5.14     5.57     5.04     5.48     0.48   9.09   9.52   8.99   9.43  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65600  Revision of cornea                                A   4.20   6.25     6.78     4.86     5.45     0.60  11.05  11.58   9.66  10.25  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65710  Corneal transplant                                A  14.45  14.92NA  16.63NA  14.92    16.63     1.97  31.34  33.05  31.34  33.05  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65730  Corneal transplant                                A  16.35  16.21NA  18.14NA  16.21    18.14     2.23  34.79  36.72  34.79  36.72  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65750  Corneal transplant                                A  16.90  15.89NA  17.81NA  15.89    17.81     2.16  34.95  36.87  34.95  36.87  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65755  Corneal transplant                                A  16.79  15.83NA  17.74NA  15.83    17.74     2.29  34.91  36.82  34.91  36.82  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65756  Corneal trnspl endothelial                        A  16.84  14.50NA  16.51NA  14.50    16.51     1.20  32.54  34.55  32.54  34.55  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65757  Prep corneal endo allograft                       C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
65770  Revise cornea with implant                        A  19.74  17.60NA  19.79NA  17.60    19.79     7.08  44.42  46.61  44.42  46.61  0090.10.70.2021200             33.9764 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             33.9764 090 99      0.00   0.00   0.00
65772  Correction of astigmatism                         A   5.09   6.88     7.48     5.66     6.29     0.65  12.62  13.22  11.40  12.03  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65775  Correction of astigmatism                         A   6.91   7.73NA   8.55NA   7.73     8.55     0.49  15.13  15.95  15.13  15.95  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65778  Cover eye w/membrane                              A   1.19  35.56    35.56     0.84     0.84     0.18  36.93  36.93   2.21   2.21  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
65779  Cover eye w/membrane stent                        A   3.92  28.93    28.93     4.07     4.07     0.56  33.41  33.41   8.55   8.55  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
65780  Ocular reconst transplant                         A  10.73  12.89NA  14.12NA  12.89    14.12     1.39  25.01  26.24  25.01  26.24  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65781  Ocular reconst transplant                         A  18.14  17.39NA  19.36NA  17.39    19.36     1.28  36.81  38.78  36.81  38.78  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
65782  Ocular reconst transplant                         A  15.43  15.23NA  16.92NA  15.23    16.92     3.06  33.72  35.41  33.72  35.41  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65800  Drainage of eye                                   A   1.91   2.06     2.24     1.57     1.76     0.27   4.24   4.42   3.75   3.94  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
65805  Drainage of eye                                   A   1.91   2.46     2.63     1.57     1.78     0.34   4.71   4.88   3.82   4.03  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
65810  Drainage of eye                                   A   5.82   6.67NA   7.43NA   6.67     7.43     0.84  13.33  14.09  13.33  14.09  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65815  Drainage of eye                                   A   6.00  11.04    11.60     6.62     7.37     1.06  18.10  18.66  13.68  14.43  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65820  Relieve inner eye pressure                        A   8.91  10.99NA  11.98NA  10.99    11.98     0.63  20.53  21.52  20.53  21.52  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
65850  Incision of eye                                   A  11.39  10.94NA  12.20NA  10.94    12.20     1.99  24.32  25.58  24.32  25.58  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65855  Laser surgery of eye                              A   3.99   5.05     5.46     3.93     4.37     0.63   9.67  10.08   8.55   8.99  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
65860  Incise inner eye adhesions                        A   3.59   4.68     5.04     3.17     3.54     1.32   9.59   9.95   8.08   8.45  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
65865  Incise inner eye adhesions                        A   5.77   6.82NA   7.44NA   6.82     7.44     0.39  12.98  13.60  12.98  13.60  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65870  Incise inner eye adhesions                        A   7.39   8.29NA   9.16NA   8.29     9.16     1.29  16.97  17.84  16.97  17.84  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65875  Incise inner eye adhesions                        A   7.81   8.89NA   9.82NA   8.89     9.82     1.08  17.78  18.71  17.78  18.71  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65880  Incise inner eye adhesions                        A   8.36   9.20NA  10.20NA   9.20    10.20     0.60  18.16  19.16  18.16  19.16  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
65900  Remove eye lesion                                 A  12.51  13.09NA  14.52NA  13.09    14.52     0.88  26.48  27.91  26.48  27.91  0090.10.70.2021200             33.9764 090 99      0.00   0.00   0.00
65920  Remove implant of eye                             A   9.99  10.88NA  12.09NA  10.88    12.09     1.29  22.16  23.37  22.16  23.37  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
65930  Remove blood clot from eye                        A   8.39   8.57NA   9.48NA   8.57     9.48     1.48  18.44  19.35  18.44  19.35  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
66020  Injection treatment of eye                        A   1.64   3.35     3.49     1.85     2.04     0.11   5.10   5.24   3.60   3.79  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
66030  Injection treatment of eye                        A   1.30   3.15     3.25     1.64     1.80     0.18   4.63   4.73   3.12   3.28  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
66130  Remove eye lesion                                 A   7.83  10.80    11.53     7.31     8.17     1.66  20.29  21.02  16.80  17.66  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
66150  Glaucoma surgery                                  A  10.53  12.63NA  13.97NA  12.63    13.97     0.73  23.89  25.23  23.89  25.23  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
66155  Glaucoma surgery                                  A  10.52  12.62NA  13.96NA  12.62    13.96     0.73  23.87  25.21  23.87  25.21  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66160  Glaucoma surgery                                  A  12.39  13.75NA  15.28NA  13.75    15.28     0.87  27.01  28.54  27.01  28.54  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
66165  Glaucoma surgery                                  A  10.24  12.45NA  13.77NA  12.45    13.77     0.72  23.41  24.73  23.41  24.73  0090.10.70.2021200             33.9764 090 99      0.00   0.00   0.00
66170  Glaucoma surgery                                  A  15.02  16.71NA  18.61NA  16.71    18.61     1.92  33.65  35.55  33.65  35.55  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
66172  Incision of eye                                   A  18.86  21.13NA  23.57NA  21.13    23.57     2.41  42.40  44.84  42.40  44.84  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
66174  Translum dil eye canal                            A  12.85  13.79NA  13.79NA  13.79    13.79     2.27  28.91  28.91  28.91  28.91  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
66175  Trnslum dil eye canal w/stnt                      A  13.60  14.31NA  14.31NA  14.31    14.31     4.87  32.78  32.78  32.78  32.78  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
66180  Implant eye shunt                                 A  16.30  14.61NA  16.48NA  14.61    16.48     2.12  33.03  34.90  33.03  34.90  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
66185  Revise eye shunt                                  A   9.58  10.24NA  11.43NA  10.24    11.43     1.67  21.49  22.68  21.49  22.68  0090.10.70.2021200             33.9764 090 99      0.00   0.00   0.00
66220  Repair eye lesion                                 A   9.21  10.31NA  11.61NA  10.31    11.61     1.27  20.79  22.09  20.79  22.09  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
66225  Repair/graft eye lesion                           A  12.63  12.04NA  13.54NA  12.04    13.54     2.48  27.15  28.65  27.15  28.65  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
66250  Follow-up surgery of eye                          A   7.10  12.91    13.58     7.62     8.51     1.40  21.41  22.08  16.12  17.01  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66500  Incision of iris                                  A   3.83   5.57NA   6.00NA   5.57     6.00     0.27   9.67  10.10   9.67  10.10  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
66505  Incision of iris                                  A   4.22   6.08NA   6.56NA   6.08     6.56     0.30  10.60  11.08  10.60  11.08  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66600  Remove iris and lesion                            A  10.12  11.79NA  13.14NA  11.79    13.14     0.76  22.67  24.02  22.67  24.02  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66605  Removal of iris                                   A  14.22  13.73NA  15.47NA  13.73    15.47     1.02  28.97  30.71  28.97  30.71  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66625  Removal of iris                                   A   5.30   6.09NA   6.71NA   6.09     6.71     0.72  12.11  12.73  12.11  12.73  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66630  Removal of iris                                   A   7.28   7.78NA   8.68NA   7.78     8.68     1.22  16.28  17.18  16.28  17.18  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66635  Removal of iris                                   A   7.37   7.84NA   8.74NA   7.84     8.74     0.52  15.73  16.63  15.73  16.63  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66680  Repair iris & ciliary body                        A   6.39   7.26NA   8.07NA   7.26     8.07     1.36  15.01  15.82  15.01  15.82  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
66682  Repair iris & ciliary body                        A   7.33   9.42NA  10.42NA   9.42    10.42     1.46  18.21  19.21  18.21  19.21  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66700  Destruction ciliary body                          A   5.14   6.79     7.41     5.28     5.89     0.49  12.42  13.04  10.91  11.52  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
66710  Ciliary transsleral therapy                       A   5.14   6.56     7.16     5.27     5.89     1.02  12.72  13.32  11.43  12.05  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66711  Ciliary endoscopic ablation                       A   7.93   9.05NA  10.08NA   9.05    10.08     0.56  17.54  18.57  17.54  18.57  0090.10.70.2031100       66710 33.9764 090 99      0.00   0.00   0.00
66720  Destruction ciliary body                          A   5.00   7.46     8.13     6.15     6.77     0.68  13.14  13.81  11.83  12.45  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66740  Destruction ciliary body                          A   5.14   6.47     7.06     5.30     5.89     0.35  11.96  12.55  10.79  11.38  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66761  Revision of iris                                  A   3.00   5.82     5.22     4.44     3.61     0.45   9.27   8.67   7.89   7.06  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
66762  Revision of iris                                  A   5.38   7.22     7.88     5.89     6.56     0.68  13.28  13.94  11.95  12.62  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66770  Removal of inner eye lesion                       A   6.13   7.85     8.60     6.64     7.40     0.42  14.40  15.15  13.19  13.95  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66820  Incision secondary cataract                       A   4.01   6.51NA   6.88NA   6.51     6.88     0.67  11.19  11.56  11.19  11.56  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66821  After cataract laser surgery                      A   3.42   5.31     5.75     4.79     5.23     0.53   9.26   9.70   8.74   9.18  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66825  Reposition intraocular lens                       A   9.01  11.18NA  12.18NA  11.18    12.18     1.17  21.36  22.36  21.36  22.36  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
66830  Removal of lens lesion                            A   9.47   9.42NA  10.56NA   9.42    10.56     0.67  19.56  20.70  19.56  20.70  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66840  Removal of lens material                          A   9.18   9.24NA  10.37NA   9.24    10.37     1.81  20.23  21.36  20.23  21.36  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66850  Removal of lens material                          A  10.55  10.44NA  11.71NA  10.44    11.71     1.46  22.45  23.72  22.45  23.72  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66852  Removal of lens material                          A  11.41  10.98NA  12.32NA  10.98    12.32     2.00  24.39  25.73  24.39  25.73  0090.10.70.2021010             33.9764 090 99      0.00   0.00   0.00
66920  Extraction of lens                                A  10.13   9.86NA  11.06NA   9.86    11.06     0.71  20.70  21.90  20.70  21.90  0090.10.70.2021010             33.9764 090 99      0.00   0.00   0.00
66930  Extraction of lens                                A  11.61  11.10NA  12.47NA  11.10    12.47     0.82  23.53  24.90  23.53  24.90  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
66940  Extraction of lens                                A  10.37  10.33NA  11.58NA  10.33    11.58     1.74  22.44  23.69  22.44  23.69  0090.10.70.2021010             33.9764 090 99      0.00   0.00   0.00
66982  Cataract surgery complex                          A  15.02  13.01NA  14.64NA  13.01    14.64     2.33  30.36  31.99  30.36  31.99  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66983  Cataract surg w/iol 1 stage                       A  10.43   9.25NA  10.36NA   9.25    10.36     0.83  20.51  21.62  20.51  21.62  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66984  Cataract surg w/iol 1 stage                       A  10.52   9.68NA  10.81NA   9.68    10.81     1.65  21.85  22.98  21.85  22.98  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
66985  Insert lens prosthesis                            A   9.98  10.38NA  11.63NA  10.38    11.63     1.29  21.65  22.90  21.65  22.90  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
66986  Exchange lens prosthesis                          A  12.26  11.94NA  13.26NA  11.94    13.26     1.57  25.77  27.09  25.77  27.09  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
66990  Ophthalmic endoscope add-on                       A   1.51   0.91NA   1.06NA   0.91     1.06     0.10   2.52   2.67   2.52   2.67  0ZZZ.00.00.0000100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
67005  Partial removal of eye fluid                      A   5.89   6.60NA   7.33NA   6.60     7.33     1.25  13.74  14.47  13.74  14.47  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67010  Partial removal of eye fluid                      A   7.06   7.30NA   8.14NA   7.30     8.14     0.98  15.34  16.18  15.34  16.18  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67015  Release of eye fluid                              A   7.14   8.25NA   9.08NA   8.25     9.08     0.99  16.38  17.21  16.38  17.21  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67025  Replace eye fluid                                 A   8.11  11.18    12.09     8.61     9.62     1.44  20.73  21.64  18.16  19.17  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67027  Implant eye drug system                           A  11.62  10.93NA  12.26NA  10.93    12.26     2.03  24.58  25.91  24.58  25.91  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67028  Injection eye drug                                A   1.44   2.14     1.42     1.52     1.37     0.20   3.78   3.06   3.16   3.01  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
67030  Incise inner eye strands                          A   6.11   7.92NA   8.73NA   7.92     8.73     0.42  14.45  15.26  14.45  15.26  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67031  Laser surgery eye strands                         A   4.47   5.83     6.37     4.96     5.52     0.59  10.89  11.43  10.02  10.58  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67036  Removal of inner eye fluid                        A  13.32  12.15NA  13.66NA  12.15    13.66     1.82  27.29  28.80  27.29  28.80  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67039  Laser treatment of retina                         A  16.74  16.01NA  17.91NA  16.01    17.91     2.97  35.72  37.62  35.72  37.62  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67040  Laser treatment of retina                         A  19.61  18.09NA  20.32NA  18.09    20.32     2.69  40.39  42.62  40.39  42.62  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67041  Vit for macular pucker                            A  19.25  15.81NA  18.09NA  15.81    18.09     2.64  37.70  39.98  37.70  39.98  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67042  Vit for macular hole                              A  22.38  17.66NA  20.28NA  17.66    20.28     3.09  43.13  45.75  43.13  45.75  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67043  Vit for membrane dissect                          A  23.24  18.87NA  21.60NA  18.87    21.60     4.10  46.21  48.94  46.21  48.94  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67101  Repair detached retina                            A   8.80  11.95    13.06     9.03    10.12     1.55  22.30  23.41  19.38  20.47  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67105  Repair detached retina                            A   8.53  10.58    11.62     8.52     9.55     1.17  20.28  21.32  18.22  19.25  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67107  Repair detached retina                            A  16.71  15.50NA  17.47NA  15.50    17.47     2.95  35.16  37.13  35.16  37.13  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67108  Repair detached retina                            A  22.89  19.69NA  22.31NA  19.69    22.31     3.14  45.72  48.34  45.72  48.34  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67110  Repair detached retina                            A  10.25  12.82    14.00    10.25    11.51     1.31  24.38  25.56  21.81  23.07  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67112  Rerepair detached retina                          A  18.75  16.40NA  18.57NA  16.40    18.57     2.57  37.72  39.89  37.72  39.89  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67113  Repair retinal detach cplx                        A  25.35  20.82NA  23.82NA  20.82    23.82     3.48  49.65  52.65  49.65  52.65  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67115  Release encircling material                       A   6.11   7.07NA   7.86NA   7.07     7.86     0.78  13.96  14.75  13.96  14.75  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67120  Remove eye implant material                       A   7.10  10.38    11.18     7.66     8.55     1.40  18.88  19.68  16.16  17.05  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67121  Remove eye implant material                       A  12.25  11.80NA  13.28NA  11.80    13.28     2.16  26.21  27.69  26.21  27.69  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67141  Treatment of retina                               A   6.15   7.71     8.47     6.73     7.51     1.09  14.95  15.71  13.97  14.75  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67145  Treatment of retina                               A   6.32   7.64     8.42     6.83     7.63     0.86  14.82  15.60  14.01  14.81  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67208  Treatment of retinal lesion                       A   7.65   8.22     9.14     7.65     8.57     0.53  16.40  17.32  15.83  16.75  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67210  Treatment of retinal lesion                       A   9.45   8.84     9.91     8.21     9.31     1.40  19.69  20.76  19.06  20.16  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67218  Treatment of retinal lesion                       A  20.36  16.41NA  18.64NA  16.41    18.64     1.46  38.23  40.46  38.23  40.46  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67220  Treatment of choroid lesion                       A  14.39  13.76    15.38    12.39    14.04     2.55  30.70  32.32  29.33  30.98  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67221  Ocular photodynamic ther                          R   3.45   4.34     4.56     2.28     2.61     0.48   8.27   8.49   6.21   6.54  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
67225  Eye photodynamic ther add-on                      A   0.47   0.33     0.37     0.28     0.33     0.03   0.83   0.87   0.78   0.83  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
67227  Treatment of retinal lesion                       A   7.53   8.65     9.55     7.58     8.49     0.53  16.71  17.61  15.64  16.55  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67228  Treatment of retinal lesion                       A  13.82  17.42    18.46    14.18    15.95     2.10  33.34  34.38  30.10  31.87  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67229  Tr retinal les preterm inf                        A  16.30  13.92NA  15.55NA  13.92    15.55     1.17  31.39  33.02  31.39  33.02  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67250  Reinforce eye wall                                A   9.61  11.17NA  12.20NA  11.17    12.20     1.62  22.40  23.43  22.40  23.43  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67255  Reinforce/graft eye wall                          A  10.17  12.20NA  13.31NA  12.20    13.31     1.99  24.36  25.47  24.36  25.47  0090.10.70.2021210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
67311  Revise eye muscle                                 A   7.77   8.08NA   9.00NA   8.08     9.00     1.31  17.16  18.08  17.16  18.08  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67312  Revise two eye muscles                            A   9.66   9.19NA  10.32NA   9.19    10.32     1.91  20.76  21.89  20.76  21.89  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67314  Revise eye muscle                                 A   8.79   9.01NA  10.08NA   9.01    10.08     1.48  19.28  20.35  19.28  20.35  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67316  Revise two eye muscles                            A  10.93  10.25NA  11.55NA  10.25    11.55     2.15  23.33  24.63  23.33  24.63  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
67318  Revise eye muscle(s)                              A   9.12   9.53NA  10.66NA   9.53    10.66     0.64  19.29  20.42  19.29  20.42  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67320  Revise eye muscle(s) add-on                       A   5.40   3.17NA   3.76NA   3.17     3.76     0.38   8.95   9.54   8.95   9.54  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
67331  Eye surgery follow-up add-on                      A   5.13   2.98NA   3.54NA   2.98     3.54     0.86   8.97   9.53   8.97   9.53  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
67332  Rerevise eye muscles add-on                       A   5.56   3.26NA   3.89NA   3.26     3.89     0.93   9.75  10.38   9.75  10.38  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
67334  Revise eye muscle w/suture                        A   5.05   2.97NA   3.54NA   2.97     3.54     0.35   8.37   8.94   8.37   8.94  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
67335  Eye suture during surgery                         A   2.49   1.49NA   1.73NA   1.49     1.73     0.41   4.39   4.63   4.39   4.63  0ZZZ.00.00.0000110             33.9764 090 99      0.00   0.00   0.00
67340  Revise eye muscle add-on                          A   6.00   3.54NA   4.21NA   3.54     4.21     0.42   9.96  10.63   9.96  10.63  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
67343  Release eye tissue                                A   8.47   8.82NA   9.84NA   8.82     9.84     1.66  18.95  19.97  18.95  19.97  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67345  Destroy nerve of eye muscle                       A   3.01   3.21     3.55     2.59     2.92     0.80   7.02   7.36   6.40   6.73  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67346  Biopsy eye muscle                                 A   2.87   2.47NA   2.78NA   2.47     2.78     0.61   5.95   6.26   5.95   6.26  0000.00.00.0021000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
67400  Explore/biopsy eye socket                         A  11.20  13.59NA  14.76NA  13.59    14.76     2.07  26.86  28.03  26.86  28.03  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67405  Explore/drain eye socket                          A   9.20  11.95NA  12.89NA  11.95    12.89     1.18  22.33  23.27  22.33  23.27  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67412  Explore/treat eye socket                          A  10.30  12.47NA  13.44NA  12.47    13.44     1.86  24.63  25.60  24.63  25.60  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67413  Explore/treat eye socket                          A  10.24  12.60NA  13.59NA  12.60    13.59     2.00  24.84  25.83  24.84  25.83  0090.10.70.2021200             33.9764 090 99      0.00   0.00   0.00
67414  Explr/decompress eye socket                       A  17.94  17.12NA  19.25NA  17.12    19.25     2.29  37.35  39.48  37.35  39.48  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67415  Aspiration orbital contents                       A   1.76   1.04NA   1.24NA   1.04     1.24     0.24   3.04   3.24   3.04   3.24  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
67420  Explore/treat eye socket                          A  21.87  21.29NA  23.51NA  21.29    23.51     4.31  47.47  49.69  47.47  49.69  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67430  Explore/treat eye socket                          A  15.29  17.91NA  19.53NA  17.91    19.53     1.09  34.29  35.91  34.29  35.91  0090.10.70.2021200             33.9764 090 99      0.00   0.00   0.00
67440  Explore/drain eye socket                          A  14.84  17.26NA  18.84NA  17.26    18.84     1.91  34.01  35.59  34.01  35.59  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67445  Explr/decompress eye socket                       A  19.12  18.14NA  20.21NA  18.14    20.21     3.77  41.03  43.10  41.03  43.10  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67450  Explore/biopsy eye socket                         A  15.41  17.96NA  19.61NA  17.96    19.61     1.97  35.34  36.99  35.34  36.99  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67500  Inject/treat eye socket                           A   1.44   0.83     0.89     0.62     0.70     0.11   2.38   2.44   2.17   2.25  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
67505  Inject/treat eye socket                           A   1.27   1.08     1.24     0.85     1.04     0.26   2.61   2.77   2.38   2.57  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
67515  Inject/treat eye socket                           A   1.40   1.13     1.33     0.93     1.13     0.26   2.79   2.99   2.59   2.79  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
67550  Insert eye socket implant                         A  11.77  13.95NA  15.18NA  13.95    15.18     2.30  28.02  29.25  28.02  29.25  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67560  Revise eye socket implant                         A  12.18  14.15NA  15.50NA  14.15    15.50     1.57  27.90  29.25  27.90  29.25  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
67570  Decompress optic nerve                            A  14.40  16.11NA  17.39NA  16.11    17.39     5.16  35.67  36.95  35.67  36.95  0090.10.70.2021210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
67700  Drainage of eyelid abscess                        A   1.40   5.82     5.84     1.67     1.84     0.23   7.45   7.47   3.30   3.47  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67710  Incision of eyelid                                A   1.07   5.01     4.97     1.51     1.64     0.22   6.30   6.26   2.80   2.93  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67715  Incision of eyelid fold                           A   1.27   5.13     5.14     1.63     1.77     0.26   6.66   6.67   3.16   3.30  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67800  Remove eyelid lesion                              A   1.41   1.97     2.13     1.35     1.50     0.24   3.62   3.78   3.00   3.15  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
67801  Remove eyelid lesions                             A   1.91   2.40     2.61     1.65     1.85     0.37   4.68   4.89   3.93   4.13  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
67805  Remove eyelid lesions                             A   2.27   3.10     3.35     2.12     2.37     0.44   5.81   6.06   4.83   5.08  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
67808  Remove eyelid lesion(s)                           A   4.60   5.15NA   5.71NA   5.15     5.71     0.90  10.65  11.21  10.65  11.21  0090.10.70.2020100             33.9764 090 99      0.00   0.00   0.00
67810  Biopsy of eyelid                                  A   1.48   4.56     4.51     0.98     1.08     0.22   6.26   6.21   2.68   2.78  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
67820  Revise eyelashes                                  A   0.71   0.65     0.70     0.72     0.79     0.11   1.47   1.52   1.54   1.61  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
67825  Revise eyelashes                                  A   1.43   2.00     2.14     1.80     1.96     0.27   3.70   3.84   3.50   3.66  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67830  Revise eyelashes                                  A   1.75   5.44     5.51     1.92     2.12     0.34   7.53   7.60   4.01   4.21  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67835  Revise eyelashes                                  A   5.70   5.96NA   6.61NA   5.96     6.61     1.13  12.79  13.44  12.79  13.44  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
67840  Remove eyelid lesion                              A   2.09   5.37     5.45     2.13     2.36     0.34   7.80   7.88   4.56   4.79  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67850  Treat eyelid lesion                               A   1.74   4.22     4.24     1.99     2.10     0.24   6.20   6.22   3.97   4.08  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67875  Closure of eyelid by suture                       A   1.35   3.28     3.34     1.24     1.38     0.24   4.87   4.93   2.83   2.97  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
67880  Revision of eyelid                                A   4.60   7.61     8.09     5.15     5.72     0.82  13.03  13.51  10.57  11.14  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67882  Revision of eyelid                                A   6.02   8.99     9.63     6.49     7.22     1.18  16.19  16.83  13.69  14.42  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67900  Repair brow defect                                A   6.82  10.33    10.96     6.76     7.48     1.22  18.37  19.00  14.80  15.52  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67901  Repair eyelid defect                              A   7.59  11.69    13.29     7.65     8.57     1.50  20.78  22.38  16.74  17.66  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67902  Repair eyelid defect                              A   9.82   9.20NA  10.54NA   9.20    10.54     1.93  20.95  22.29  20.95  22.29  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67903  Repair eyelid defect                              A   6.51   9.57     9.99     6.47     7.09     1.27  17.35  17.77  14.25  14.87  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67904  Repair eyelid defect                              A   7.97  11.51    12.36     7.80     8.81     1.52  21.00  21.85  17.29  18.30  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67906  Repair eyelid defect                              A   6.93   6.61NA   7.36NA   6.61     7.36     0.49  14.03  14.78  14.03  14.78  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67908  Repair eyelid defect                              A   5.30   7.84     8.41     6.09     6.59     1.05  14.19  14.76  12.44  12.94  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67909  Revise eyelid defect                              A   5.57   8.77     9.25     6.11     6.69     1.10  15.44  15.92  12.78  13.36  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67911  Revise eyelid defect                              A   7.50   7.31NA   8.29NA   7.31     8.29     1.40  16.21  17.19  16.21  17.19  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67912  Correction eyelid w/implant                       A   6.36  17.92    17.97     6.82     7.44     0.93  25.21  25.26  14.11  14.73  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67914  Repair eyelid defect                              A   3.75   6.67     6.96     3.92     4.33     0.68  11.10  11.39   8.35   8.76  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67915  Repair eyelid defect                              A   3.26   6.06     6.26     3.51     3.84     0.45   9.77   9.97   7.22   7.55  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67916  Repair eyelid defect                              A   5.48   8.94     9.43     6.03     6.62     0.95  15.37  15.86  12.46  13.05  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67917  Repair eyelid defect                              A   6.19   9.49    10.06     6.46     7.13     1.16  16.84  17.41  13.81  14.48  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67921  Repair eyelid defect                              A   3.47   6.48     6.74     3.73     4.13     0.68  10.63  10.89   7.88   8.28  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67922  Repair eyelid defect                              A   3.14   5.88     6.07     3.38     3.69     0.42   9.44   9.63   6.94   7.25  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67923  Repair eyelid defect                              A   6.05   9.12     9.70     6.35     7.02     1.13  16.30  16.88  13.53  14.20  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67924  Repair eyelid defect                              A   5.93   9.76    10.28     6.01     6.66     1.13  16.82  17.34  13.07  13.72  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67930  Repair eyelid wound                               A   3.65   6.15     6.45     2.79     3.14     0.71  10.51  10.81   7.15   7.50  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67935  Repair eyelid wound                               A   6.36   9.55    10.14     5.48     6.11     1.25  17.16  17.75  13.09  13.72  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67938  Remove eyelid foreign body                        A   1.38   5.20     5.23     1.70     1.86     0.22   6.80   6.83   3.30   3.46  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
67950  Revision of eyelid                                A   5.99   9.39     9.90     6.40     7.01     1.10  16.48  16.99  13.49  14.10  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67961  Revision of eyelid                                A   5.86   9.56    10.08     6.28     6.90     1.10  16.52  17.04  13.24  13.86  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
67966  Revision of eyelid                                A   8.97  11.44    12.45     8.39     9.52     1.70  22.11  23.12  19.06  20.19  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
67971  Reconstruction of eyelid                          A  10.01   9.29NA  10.35NA   9.29    10.35     1.96  21.26  22.32  21.26  22.32  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
67973  Reconstruction of eyelid                          A  13.13  11.75NA  13.11NA  11.75    13.11     2.59  27.47  28.83  27.47  28.83  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67974  Reconstruction of eyelid                          A  13.10  11.70NA  13.08NA  11.70    13.08     2.59  27.39  28.77  27.39  28.77  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
67975  Reconstruction of eyelid                          A   9.35   8.91NA   9.91NA   8.91     9.91     1.84  20.10  21.10  20.10  21.10  0090.10.70.2021100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
68020  Incise/drain eyelid lining                        A   1.42   1.76     1.91     1.53     1.68     0.20   3.38   3.53   3.15   3.30  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68040  Treatment of eyelid lesions                       A   0.85   0.88     0.97     0.56     0.65     0.16   1.89   1.98   1.57   1.66  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
68100  Biopsy of eyelid lining                           A   1.35   3.23     3.28     1.26     1.40     0.20   4.78   4.83   2.81   2.95  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
68110  Remove eyelid lining lesion                       A   1.82   4.23     4.36     2.13     2.34     0.35   6.40   6.53   4.30   4.51  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68115  Remove eyelid lining lesion                       A   2.41   5.97     6.10     2.48     2.75     0.31   8.69   8.82   5.20   5.47  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68130  Remove eyelid lining lesion                       A   5.10   9.34     9.77     5.86     6.44     0.35  14.79  15.22  11.31  11.89  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
68135  Remove eyelid lining lesion                       A   1.89   2.27     2.48     2.12     2.33     0.26   4.42   4.63   4.27   4.48  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68200  Treat eyelid by injection                         A   0.49   0.64     0.69     0.43     0.49     0.08   1.21   1.26   1.00   1.06  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
68320  Revise/graft eyelid lining                        A   6.64  12.70    13.36     7.62     8.46     1.29  20.63  21.29  15.55  16.39  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
68325  Revise/graft eyelid lining                        A   8.63   8.84NA   9.87NA   8.84     9.87     1.69  19.16  20.19  19.16  20.19  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
68326  Revise/graft eyelid lining                        A   8.42   8.69NA   9.71NA   8.69     9.71     1.65  18.76  19.78  18.76  19.78  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
68328  Revise/graft eyelid lining                        A   9.45   9.44NA  10.52NA   9.44    10.52     1.86  20.75  21.83  20.75  21.83  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
68330  Revise eyelid lining                              A   5.78  10.36    10.90     6.42     7.14     1.14  17.28  17.82  13.34  14.06  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
68335  Revise/graft eyelid lining                        A   8.46   8.68NA   9.70NA   8.68     9.70     1.66  18.80  19.82  18.80  19.82  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
68340  Separate eyelid adhesions                         A   4.97   9.58    10.03     5.58     6.21     0.99  15.54  15.99  11.54  12.17  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
68360  Revise eyelid lining                              A   5.17   8.98     9.46     5.70     6.32     1.02  15.17  15.65  11.89  12.51  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
68362  Revise eyelid lining                              A   8.61   8.77NA   9.82NA   8.77     9.82     1.69  19.07  20.12  19.07  20.12  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
68371  Harvest eye tissue alograft                       A   5.09   5.90NA   6.47NA   5.90     6.47     0.35  11.34  11.91  11.34  11.91  0010.10.80.1021100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
68400  Incise/drain tear gland                           A   1.74   5.87     5.94     1.83     1.95     0.34   7.95   8.02   3.91   4.03  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68420  Incise/drain tear sac                             A   2.35   6.28     6.40     2.20     2.38     0.30   8.93   9.05   4.85   5.03  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68440  Incise tear duct opening                          A   0.99   1.82     1.84     1.63     1.76     0.20   3.01   3.03   2.82   2.95  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68500  Removal of tear gland                             A  12.77  13.07NA  14.60NA  13.07    14.60     2.99  28.83  30.36  28.83  30.36  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
68505  Partial removal tear gland                        A  12.69  13.18NA  14.54NA  13.18    14.54     2.48  28.35  29.71  28.35  29.71  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
68510  Biopsy of tear gland                              A   4.60   7.43     7.73     3.18     3.69     0.90  12.93  13.23   8.68   9.19  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
68520  Removal of tear sac                               A   8.78   9.48NA  10.45NA   9.48    10.45     1.14  19.40  20.37  19.40  20.37  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
68525  Biopsy of tear sac                                A   4.42   2.65NA   3.10NA   2.65     3.10     0.86   7.93   8.38   7.93   8.38  0000.00.00.0021110             33.9764 090 99      0.00   0.00   0.00
68530  Clearance of tear duct                            A   3.70   7.87     8.02     3.19     3.55     0.72  12.29  12.44   7.61   7.97  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68540  Remove tear gland lesion                          A  12.18  12.48NA  13.89NA  12.48    13.89     1.57  26.23  27.64  26.23  27.64  0090.10.70.2021110             33.9764 090 99      0.00   0.00   0.00
68550  Remove tear gland lesion                          A  15.16  15.03NA  16.82NA  15.03    16.82     1.93  32.12  33.91  32.12  33.91  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
68700  Repair tear ducts                                 A   7.87   8.14NA   9.08NA   8.14     9.08     1.54  17.55  18.49  17.55  18.49  0090.10.70.2021100             33.9764 090 99      0.00   0.00   0.00
68705  Revise tear duct opening                          A   2.11   4.25     4.38     2.31     2.55     0.41   6.77   6.90   4.83   5.07  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68720  Create tear sac drain                             A   9.96  10.16NA  11.27NA  10.16    11.27     1.66  21.78  22.89  21.78  22.89  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
68745  Create tear duct drain                            A   9.90  10.29NA  11.42NA  10.29    11.42     1.95  22.14  23.27  22.14  23.27  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
68750  Create tear duct drain                            A  10.10  10.80NA  11.97NA  10.80    11.97     1.97  22.87  24.04  22.87  24.04  0090.10.70.2021210             33.9764 090 99      0.00   0.00   0.00
68760  Close tear duct opening                           A   1.78   3.62     3.74     2.10     2.30     0.34   5.74   5.86   4.22   4.42  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68761  Close tear duct opening                           A   1.41   2.54     2.66     1.76     1.91     0.22   4.17   4.29   3.39   3.54  0010.10.80.1021000             33.9764 090 99      0.00   0.00   0.00
68770  Close tear system fistula                         A   8.29   7.92NA   9.37NA   7.92     9.37     1.62  17.83  19.28  17.83  19.28  0090.10.70.2021000             33.9764 090 99      0.00   0.00   0.00
68801  Dilate tear duct opening                          A   1.00   2.34     2.44     1.88     1.99     0.16   3.50   3.60   3.04   3.15  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68810  Probe nasolacrimal duct                           A   2.15   4.28     4.52     2.89     3.07     0.39   6.82   7.06   5.43   5.61  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68811  Probe nasolacrimal duct                           A   2.45   3.04NA   3.32NA   3.04     3.32     0.48   5.97   6.25   5.97   6.25  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68815  Probe nasolacrimal duct                           A   3.30   8.72     8.97     3.56     3.92     0.59  12.61  12.86   7.45   7.81  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68816  Probe nl duct w/balloon                           A   3.06  16.27    17.02     3.59     3.98     0.60  19.93  20.68   7.25   7.64  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68840  Explore/irrigate tear ducts                       A   1.30   2.08     2.25     1.75     1.95     0.24   3.62   3.79   3.29   3.49  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
68850  Injection for tear sac x-ray                      A   0.80   0.89     0.83     0.74     0.70     0.07   1.76   1.70   1.61   1.57  0000.00.00.0021100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
69000  Drain external ear lesion                         A   1.50   3.65     3.78     1.77     1.89     0.22   5.37   5.50   3.49   3.61  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
69005  Drain external ear lesion                         A   2.16   3.83     3.98     2.21     2.34     0.29   6.28   6.43   4.66   4.79  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
69020  Drain outer ear canal lesion                      A   1.53   5.10     5.22     2.50     2.59     0.20   6.83   6.95   4.23   4.32  0010.10.80.1020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
69100  Biopsy of external ear                            A   0.81   2.11     2.02     0.55     0.59     0.11   3.03   2.94   1.47   1.51  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
69105  Biopsy of external ear canal                      A   0.85   3.18     3.24     0.94     0.99     0.10   4.13   4.19   1.89   1.94  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
69110  Remove external ear partial                       A   3.53   9.41     9.56     5.64     5.77     0.53  13.47  13.62   9.70   9.83  0090.07.79.1420100             33.9764 090 99      0.00   0.00   0.00
69120  Removal of external ear                           A   4.14   7.17NA   7.49NA   7.17     7.49     0.60  11.91  12.23  11.91  12.23  0090.07.79.1420100             33.9764 090 99      0.00   0.00   0.00
69140  Remove ear canal lesion(s)                        A   8.14  16.74NA  17.26NA  16.74    17.26     1.05  25.93  26.45  25.93  26.45  0090.07.79.1420000             33.9764 090 99      0.00   0.00   0.00
69145  Remove ear canal lesion(s)                        A   2.70   8.50     8.84     4.33     4.54     0.35  11.55  11.89   7.38   7.59  0090.07.79.1420100             33.9764 090 99      0.00   0.00   0.00
69150  Extensive ear canal surgery                       A  13.61  15.52NA  16.15NA  15.52    16.15     1.95  31.08  31.71  31.08  31.71  0090.07.79.1420110             33.9764 090 99      0.00   0.00   0.00
69155  Extensive ear/neck surgery                        A  23.35  23.53NA  24.86NA  23.53    24.86     3.01  49.89  51.22  49.89  51.22  0090.07.79.1420210             33.9764 090 99      0.00   0.00   0.00
69200  Clear outer ear canal                             A   0.77   2.73     2.78     0.81     0.88     0.10   3.60   3.65   1.68   1.75  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
69205  Clear outer ear canal                             A   1.21   1.64NA   1.72NA   1.64     1.72     0.16   3.01   3.09   3.01   3.09  0010.10.80.1020100             33.9764 090 99      0.00   0.00   0.00
69210  Remove impacted ear wax                           A   0.61   0.79     0.85     0.28     0.32     0.07   1.47   1.53   0.96   1.00  0000.00.00.0022100             33.9764 090 99      0.00   0.00   0.00
69220  Clean out mastoid cavity                          A   0.83   3.12     3.19     0.91     0.96     0.10   4.05   4.12   1.84   1.89  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
69222  Clean out mastoid cavity                          A   1.45   4.87     4.97     2.45     2.53     0.18   6.50   6.60   4.08   4.16  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
69300  Revise external ear                               R   6.69  12.17    13.36     6.57     7.06     0.86  19.72  20.91  14.12  14.61  0YYY.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
69310  Rebuild outer ear canal                           A  10.97  19.83NA  20.48NA  19.83    20.48     1.44  32.24  32.89  32.24  32.89  0090.07.79.1420100             33.9764 090 99      0.00   0.00   0.00
69320  Rebuild outer ear canal                           A  17.18  26.20NA  27.10NA  26.20    27.10     2.20  45.58  46.48  45.58  46.48  0090.07.79.1420200             33.9764 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             33.9764 090 99      0.00   0.00   0.00
69400  Inflate middle ear canal                          A   0.83   3.34     3.48     0.91     0.96     0.10   4.27   4.41   1.84   1.89  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
69401  Inflate middle ear canal                          A   0.63   1.79     1.89     0.76     0.80     0.07   2.49   2.59   1.46   1.50  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
69405  Catheterize middle ear canal                      A   2.68   4.67     4.90     2.72     2.89     0.34   7.69   7.92   5.74   5.91  0010.10.80.1020000             33.9764 090 99      0.00   0.00   0.00
69420  Incision of eardrum                               A   1.38   4.09     4.20     2.02     2.12     0.18   5.65   5.76   3.58   3.68  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
69421  Incision of eardrum                               A   1.78   2.46NA   2.55NA   2.46     2.55     0.23   4.47   4.56   4.47   4.56  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
69424  Remove ventilating tube                           A   0.85   2.84     2.89     0.89     0.95     0.10   3.79   3.84   1.84   1.90  0000.00.00.0021100             33.9764 090 99      0.00   0.00   0.00
69433  Create eardrum opening                            A   1.57   4.10     4.23     2.09     2.20     0.22   5.89   6.02   3.88   3.99  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
69436  Create eardrum opening                            A   2.01   2.56NA   2.65NA   2.56     2.65     0.26   4.83   4.92   4.83   4.92  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
69440  Exploration of middle ear                         A   7.71  11.70NA  12.32NA  11.70    12.32     0.99  20.40  21.02  20.40  21.02  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69450  Eardrum revision                                  A   5.69   9.67NA  10.16NA   9.67    10.16     0.72  16.08  16.57  16.08  16.57  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69501  Mastoidectomy                                     A   9.21  11.35NA  12.02NA  11.35    12.02     1.18  21.74  22.41  21.74  22.41  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69502  Mastoidectomy                                     A  12.56  14.66NA  15.51NA  14.66    15.51     1.69  28.91  29.76  28.91  29.76  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69505  Remove mastoid structures                         A  13.17  20.91NA  21.72NA  20.91    21.72     1.70  35.78  36.59  35.78  36.59  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69511  Extensive mastoid surgery                         A  13.70  21.24NA  22.03NA  21.24    22.03     1.77  36.71  37.50  36.71  37.50  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69530  Extensive mastoid surgery                         A  20.38  26.27NA  27.47NA  26.27    27.47     2.61  49.26  50.46  49.26  50.46  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69535  Remove part of temporal bone                      A  37.42  37.20NA  39.37NA  37.20    39.37     5.23  79.85  82.02  79.85  82.02  0090.07.79.1421110             33.9764 090 99      0.00   0.00   0.00
69540  Remove ear lesion                                 A   1.25   4.76     4.86     2.38     2.45     0.16   6.17   6.27   3.79   3.86  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
69550  Remove ear lesion                                 A  11.15  18.36NA  19.04NA  18.36    19.04     1.44  30.95  31.63  30.95  31.63  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69552  Remove ear lesion                                 A  19.81  24.44NA  25.62NA  24.44    25.62     2.55  46.80  47.98  46.80  47.98  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69554  Remove ear lesion                                 A  35.97  34.02NA  36.94NA  34.02    36.94     4.61  74.60  77.52  74.60  77.52  0090.07.79.1421210             33.9764 090 99      0.00   0.00   0.00
69601  Mastoid surgery revision                          A  13.45  15.97NA  16.90NA  15.97    16.90     1.71  31.13  32.06  31.13  32.06  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69602  Mastoid surgery revision                          A  13.76  16.86NA  17.82NA  16.86    17.82     1.77  32.39  33.35  32.39  33.35  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69603  Mastoid surgery revision                          A  14.20  21.60NA  22.33NA  21.60    22.33     1.82  37.62  38.35  37.62  38.35  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69604  Mastoid surgery revision                          A  14.20  17.23NA  18.08NA  17.23    18.08     1.82  33.25  34.10  33.25  34.10  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69605  Mastoid surgery revision                          A  18.69  25.40NA  26.48NA  25.40    26.48     2.40  46.49  47.57  46.49  47.57  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69610  Repair of eardrum                                 A   4.47   6.46     6.68     3.71     3.94     0.59  11.52  11.74   8.77   9.00  0010.10.80.1021100             33.9764 090 99      0.00   0.00   0.00
69620  Repair of eardrum                                 A   6.03  13.72    14.07     7.72     8.09     0.76  20.51  20.86  14.51  14.88  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69631  Repair eardrum structures                         A  10.05  14.87NA  15.64NA  14.87    15.64     1.29  26.21  26.98  26.21  26.98  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69632  Rebuild eardrum structures                        A  12.96  17.42NA  18.34NA  17.42    18.34     1.66  32.04  32.96  32.04  32.96  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69633  Rebuild eardrum structures                        A  12.31  17.02NA  17.91NA  17.02    17.91     1.59  30.92  31.81  30.92  31.81  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69635  Repair eardrum structures                         A  13.51  21.06NA  21.93NA  21.06    21.93     1.74  36.31  37.18  36.31  37.18  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69636  Rebuild eardrum structures                        A  15.43  23.64NA  24.57NA  23.64    24.57     1.97  41.04  41.97  41.04  41.97  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69637  Rebuild eardrum structures                        A  15.32  23.60NA  24.54NA  23.60    24.54     2.00  40.92  41.86  40.92  41.86  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69641  Revise middle ear & mastoid                       A  12.89  16.39NA  17.27NA  16.39    17.27     1.67  30.95  31.83  30.95  31.83  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69642  Revise middle ear & mastoid                       A  17.06  20.58NA  21.72NA  20.58    21.72     2.19  39.83  40.97  39.83  40.97  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69643  Revise middle ear & mastoid                       A  15.59  18.81NA  19.87NA  18.81    19.87     2.00  36.40  37.46  36.40  37.46  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69644  Revise middle ear & mastoid                       A  17.23  24.59NA  25.55NA  24.59    25.55     2.22  44.04  45.00  44.04  45.00  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69645  Revise middle ear & mastoid                       A  16.71  24.34NA  25.32NA  24.34    25.32     2.18  43.23  44.21  43.23  44.21  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69646  Revise middle ear & mastoid                       A  18.37  25.14NA  26.24NA  25.14    26.24     2.35  45.86  46.96  45.86  46.96  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69650  Release middle ear bone                           A   9.80  12.69NA  13.54NA  12.69    13.54     1.25  23.74  24.59  23.74  24.59  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69660  Revise middle ear bone                            A  12.03  14.04NA  14.84NA  14.04    14.84     1.55  27.62  28.42  27.62  28.42  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69661  Revise middle ear bone                            A  15.92  18.09NA  19.09NA  18.09    19.09     2.00  36.01  37.01  36.01  37.01  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69662  Revise middle ear bone                            A  15.60  16.89NA  17.87NA  16.89    17.87     2.00  34.49  35.47  34.49  35.47  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69666  Repair middle ear structures                      A   9.89  12.83NA  13.58NA  12.83    13.58     1.28  24.00  24.75  24.00  24.75  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69667  Repair middle ear structures                      A   9.90  12.86NA  13.56NA  12.86    13.56     1.28  24.04  24.74  24.04  24.74  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69670  Remove mastoid air cells                          A  11.73  14.80NA  15.66NA  14.80    15.66     1.51  28.04  28.90  28.04  28.90  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69676  Remove middle ear nerve                           A   9.69  13.79NA  14.46NA  13.79    14.46     1.24  24.72  25.39  24.72  25.39  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69700  Close mastoid fistula                             A   8.37  11.05NA  11.53NA  11.05    11.53     1.08  20.50  20.98  20.50  20.98  0090.07.79.1421100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
69711  Remove/repair hearing aid                         A  10.62  13.74NA  14.42NA  13.74    14.42     1.36  25.72  26.40  25.72  26.40  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69714  Implant temple bone w/stimul                      A  14.45  15.76NA  16.69NA  15.76    16.69     1.86  32.07  33.00  32.07  33.00  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69715  Temple bne implnt w/stimulat                      A  18.96  18.35NA  19.53NA  18.35    19.53     2.42  39.73  40.91  39.73  40.91  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69717  Temple bone implant revision                      A  15.43  16.51NA  17.30NA  16.51    17.30     1.97  33.91  34.70  33.91  34.70  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69718  Revise temple bone implant                        A  19.21  18.51NA  19.68NA  18.51    19.68     2.45  40.17  41.34  40.17  41.34  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69720  Release facial nerve                              A  14.71  18.35NA  19.37NA  18.35    19.37     1.89  34.95  35.97  34.95  35.97  0090.07.79.1421010             33.9764 090 99      0.00   0.00   0.00
69725  Release facial nerve                              A  27.64  25.02NA  26.81NA  25.02    26.81     3.55  56.21  58.00  56.21  58.00  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69740  Repair facial nerve                               A  16.27  16.53NA  17.55NA  16.53    17.55     2.08  34.88  35.90  34.88  35.90  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69745  Repair facial nerve                               A  17.02  17.98NA  18.98NA  17.98    18.98     2.18  37.18  38.18  37.18  38.18  0090.07.79.1421200             33.9764 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             33.9764 090 99      0.00   0.00   0.00
69801  Incise inner ear                                  A   2.06   3.61     3.61     6.59     1.57     0.27   5.94   5.94   8.92   3.90  0000.00.00.0021000             33.9764 090 99      0.00   0.00   0.00
69802  Incise inner ear                                  A  13.50  15.78NA  16.70NA  15.78    16.70     1.71  30.99  31.91  30.99  31.91  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69805  Explore inner ear                                 A  14.71  14.84NA  15.84NA  14.84    15.84     1.89  31.44  32.44  31.44  32.44  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69806  Explore inner ear                                 A  12.63  13.92NA  14.73NA  13.92    14.73     1.63  28.18  28.99  28.18  28.99  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69820  Establish inner ear window                        A  10.52  13.71NA  14.36NA  13.71    14.36     1.36  25.59  26.24  25.59  26.24  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69840  Revise inner ear window                           A  10.44  13.62NA  12.68NA  13.62    12.68     0.73  24.79  23.85  24.79  23.85  0090.07.79.1421200             33.9764 090 99      0.00   0.00   0.00
69905  Remove inner ear                                  A  11.26  14.64NA  15.38NA  14.64    15.38     1.46  27.36  28.10  27.36  28.10  0090.07.79.1421100             33.9764 090 99      0.00   0.00   0.00
69910  Remove inner ear & mastoid                        A  13.91  14.71NA  15.57NA  14.71    15.57     1.80  30.42  31.28  30.42  31.28  0090.07.79.1421000             33.9764 090 99      0.00   0.00   0.00
69915  Incise inner ear nerve                            A  22.77  20.27NA  21.76NA  20.27    21.76     2.97  46.01  47.50  46.01  47.50  0090.07.79.1421210             33.9764 090 99      0.00   0.00   0.00
69930  Implant cochlear device                           A  17.73  16.73NA  17.65NA  16.73    17.65     2.27  36.73  37.65  36.73  37.65  0090.07.79.1421000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
69950  Incise inner ear nerve                            A  27.63  25.02NA  28.74NA  25.02    28.74     3.55  56.20  59.92  56.20  59.92  0090.07.79.1421210             33.9764 090 99      0.00   0.00   0.00
69955  Release facial nerve                              A  29.42  26.04NA  27.87NA  26.04    27.87     3.78  59.24  61.07  59.24  61.07  0090.07.79.1421210             33.9764 090 99      0.00   0.00   0.00
69960  Release inner ear canal                           A  29.42  24.42NA  26.28NA  24.42    26.28     3.78  57.62  59.48  57.62  59.48  0090.07.79.1421210             33.9764 090 99      0.00   0.00   0.00
69970  Remove inner ear lesion                           A  32.41  27.67NA  29.61NA  27.67    29.61     4.16  64.24  66.18  64.24  66.18  0090.07.79.1421210             33.9764 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             33.9764 090 99      0.00   0.00   0.00
69990  Microsurgery add-on                               R   3.46   1.86NA   1.93NA   1.86     1.93     1.16   6.48   6.55   6.48   6.55  0ZZZ.00.00.0000200             33.9764 090 99      0.00   0.00   0.00
70010  Contrast x-ray of brain                           A   1.19   2.38     0.80     2.38     0.80     0.22   3.79   2.21   3.79   2.21  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70015  Contrast x-ray of brain                           A   1.19   3.09     3.01     3.09NA   3.01 NA  0.08   4.36   4.28   4.36   4.28  1XXX.00.00.0000000             33.9764 090 99     15.13  15.13   0.13
70015TCContrast x-ray of brain                           A   0.00   2.59     2.56     2.59NA   2.56 NA  0.01   2.60   2.57   2.60   2.57  1XXX.00.00.0000000             33.9764 030 99     14.63  14.63   0.06
7001526Contrast x-ray of brain                           A   1.19   0.50     0.45     0.50     0.45     0.07   1.76   1.71   1.76   1.71  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70030  X-ray eye for foreign body                        A   0.17   0.66     0.63     0.66NA   0.63 NA  0.02   0.85   0.82   0.85   0.82  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
70030TCX-ray eye for foreign body                        A   0.00   0.59     0.57     0.59NA   0.57 NA  0.01   0.60   0.58   0.60   0.58  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7003026X-ray eye for foreign body                        A   0.17   0.07     0.06     0.07     0.06     0.01   0.25   0.24   0.25   0.24  1XXX.00.00.0003000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
70100  X-ray exam of jaw                                 A   0.18   0.78     0.80     0.78NA   0.80 NA  0.02   0.98   1.00   0.98   1.00  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
70100TCX-ray exam of jaw                                 A   0.00   0.70     0.72     0.70NA   0.72 NA  0.01   0.71   0.73   0.71   0.73  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7010026X-ray exam of jaw                                 A   0.18   0.08     0.08     0.08     0.08     0.01   0.27   0.27   0.27   0.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70110  X-ray exam of jaw                                 A   0.25   0.90     0.85     0.90NA   0.85 NA  0.02   1.17   1.12   1.17   1.12  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.03
70110TCX-ray exam of jaw                                 A   0.00   0.80     0.75     0.80NA   0.75 NA  0.01   0.81   0.76   0.81   0.76  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7011026X-ray exam of jaw                                 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             33.9764 090 99      0.00   0.00   0.00
70120  X-ray exam of mastoids                            A   0.18   0.84     0.84     0.84NA   0.84 NA  0.02   1.04   1.04   1.04   1.04  1XXX.00.00.0003000             33.9764 090 99      1.39   1.39   0.03
70120TCX-ray exam of mastoids                            A   0.00   0.76     0.76     0.76NA   0.76 NA  0.01   0.77   0.77   0.77   0.77  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7012026X-ray exam of mastoids                            A   0.18   0.08     0.08     0.08     0.08     0.01   0.27   0.27   0.27   0.27  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
70130  X-ray exam of mastoids                            A   0.34   1.30     1.28     1.30NA   1.28 NA  0.02   1.66   1.64   1.66   1.64  1XXX.00.00.0003000             33.9764 090 99      1.45   1.45   0.02
70130TCX-ray exam of mastoids                            A   0.00   1.16     1.14     1.16NA   1.14 NA  0.01   1.17   1.15   1.17   1.15  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.01
7013026X-ray exam of mastoids                            A   0.34   0.14     0.14     0.14     0.14     0.01   0.49   0.49   0.49   0.49  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
70134  X-ray exam of middle ear                          A   0.34   1.01     0.95     1.01NA   0.95 NA  0.02   1.37   1.31   1.37   1.31  1XXX.00.00.0000000             33.9764 090 99      2.35   2.35   0.04
70134TCX-ray exam of middle ear                          A   0.00   0.87     0.82     0.87NA   0.82 NA  0.01   0.88   0.83   0.88   0.83  1XXX.00.00.0000000             33.9764 010 99      2.21   2.21   0.03
7013426X-ray exam of middle ear                          A   0.34   0.14     0.13     0.14     0.13     0.01   0.49   0.48   0.49   0.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70140  X-ray exam of facial bones                        A   0.19   0.69     0.66     0.69NA   0.66 NA  0.02   0.90   0.87   0.90   0.87  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
70140TCX-ray exam of facial bones                        A   0.00   0.60     0.56     0.60NA   0.56 NA  0.01   0.61   0.57   0.61   0.57  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7014026X-ray exam of facial bones                        A   0.19   0.09     0.10     0.09     0.10     0.01   0.29   0.30   0.29   0.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70150  X-ray exam of facial bones                        A   0.26   0.99     0.94     0.99NA   0.94 NA  0.02   1.27   1.22   1.27   1.22  1XXX.00.00.0000000             33.9764 090 99      1.42   1.42   0.02
70150TCX-ray exam of facial bones                        A   0.00   0.88     0.83     0.88NA   0.83 NA  0.01   0.89   0.84   0.89   0.84  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7015026X-ray exam of facial bones                        A   0.26   0.11     0.11     0.11     0.11     0.01   0.38   0.38   0.38   0.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70160  X-ray exam of nasal bones                         A   0.17   0.79     0.76     0.79NA   0.76 NA  0.02   0.98   0.95   0.98   0.95  1XXX.00.00.0000000             33.9764 090 99      1.38   1.38   0.03
70160TCX-ray exam of nasal bones                         A   0.00   0.72     0.69     0.72NA   0.69 NA  0.01   0.73   0.70   0.73   0.70  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7016026X-ray exam of nasal bones                         A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      6.88   6.88   0.04
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             33.9764 030 99      6.76   6.76   0.01
7017026X-ray exam of tear duct                           A   0.30   0.12     0.11     0.12     0.11     0.03   0.45   0.44   0.45   0.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70190  X-ray exam of eye sockets                         A   0.21   0.83     0.80     0.83NA   0.80 NA  0.02   1.06   1.03   1.06   1.03  1XXX.00.00.0003000             33.9764 090 99      1.40   1.40   0.03
70190TCX-ray exam of eye sockets                         A   0.00   0.74     0.71     0.74NA   0.71 NA  0.01   0.75   0.72   0.75   0.72  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7019026X-ray exam of eye sockets                         A   0.21   0.09     0.09     0.09     0.09     0.01   0.31   0.31   0.31   0.31  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
7020F  Mammo assess cat in dbase                         I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
70200  X-ray exam of eye sockets                         A   0.28   1.01     0.94     1.01NA   0.94 NA  0.02   1.31   1.24   1.31   1.24  1XXX.00.00.0000000             33.9764 090 99      1.43   1.43   0.02
70200TCX-ray exam of eye sockets                         A   0.00   0.89     0.83     0.89NA   0.83 NA  0.01   0.90   0.84   0.90   0.84  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7020026X-ray exam of eye sockets                         A   0.28   0.12     0.11     0.12     0.11     0.01   0.41   0.40   0.41   0.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70210  X-ray exam of sinuses                             A   0.17   0.73     0.71     0.73NA   0.71 NA  0.02   0.92   0.90   0.92   0.90  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
70210TCX-ray exam of sinuses                             A   0.00   0.65     0.63     0.65NA   0.63 NA  0.01   0.66   0.64   0.66   0.64  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7021026X-ray exam of sinuses                             A   0.17   0.08     0.08     0.08     0.08     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70220  X-ray exam of sinuses                             A   0.25   0.88     0.85     0.88NA   0.85 NA  0.02   1.15   1.12   1.15   1.12  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.03
70220TCX-ray exam of sinuses                             A   0.00   0.78     0.74     0.78NA   0.74 NA  0.01   0.79   0.75   0.79   0.75  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7022026X-ray exam of sinuses                             A   0.25   0.10     0.11     0.10     0.11     0.01   0.36   0.37   0.36   0.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70240  X-ray exam pituitary saddle                       A   0.19   0.67     0.64     0.67NA   0.64 NA  0.02   0.88   0.85   0.88   0.85  1XXX.00.00.0000000             33.9764 090 99      1.38   1.38   0.03
70240TCX-ray exam pituitary saddle                       A   0.00   0.59     0.56     0.59NA   0.56 NA  0.01   0.60   0.57   0.60   0.57  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7024026X-ray exam pituitary saddle                       A   0.19   0.08     0.08     0.08     0.08     0.01   0.28   0.28   0.28   0.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7025F  Pt infosys alarm 4 nxt mammo                      M   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
70250  X-ray exam of skull                               A   0.24   0.84     0.81     0.84NA   0.81 NA  0.02   1.10   1.07   1.10   1.07  1XXX.00.00.0000000             33.9764 090 99      1.42   1.42   0.03
70250TCX-ray exam of skull                               A   0.00   0.73     0.70     0.73NA   0.70 NA  0.01   0.74   0.71   0.74   0.71  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7025026X-ray exam of skull                               A   0.24   0.11     0.11     0.11     0.11     0.01   0.36   0.36   0.36   0.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70260  X-ray exam of skull                               A   0.34   1.04     0.99     1.04NA   0.99 NA  0.02   1.40   1.35   1.40   1.35  1XXX.00.00.0000000             33.9764 090 99      2.35   2.35   0.03
70260TCX-ray exam of skull                               A   0.00   0.90     0.84     0.90NA   0.84 NA  0.01   0.91   0.85   0.91   0.85  1XXX.00.00.0000000             33.9764 010 99      2.21   2.21   0.02
7026026X-ray exam of skull                               A   0.34   0.14     0.15     0.14     0.15     0.01   0.49   0.50   0.49   0.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70300  X-ray exam of teeth                               A   0.10   0.31     0.31     0.31NA   0.31 NA  0.02   0.43   0.43   0.43   0.43  1XXX.00.00.0000000             33.9764 090 99      0.92   0.92   0.04
70300TCX-ray exam of teeth                               A   0.00   0.25     0.24     0.25NA   0.24 NA  0.01   0.26   0.25   0.26   0.25  1XXX.00.00.0000000             33.9764 010 99      0.86   0.86   0.03
7030026X-ray exam of teeth                               A   0.10   0.06     0.07     0.06     0.07     0.01   0.17   0.18   0.17   0.18  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70310  X-ray exam of teeth                               A   0.16   0.93     0.97     0.93NA   0.97 NA  0.02   1.11   1.15   1.11   1.15  1XXX.00.00.0000000             33.9764 090 99      0.98   0.98   0.02
70310TCX-ray exam of teeth                               A   0.00   0.84     0.86     0.84NA   0.86 NA  0.01   0.85   0.87   0.85   0.87  1XXX.00.00.0000000             33.9764 010 99      0.89   0.89   0.01
7031026X-ray exam of teeth                               A   0.16   0.09     0.11     0.09     0.11     0.01   0.26   0.28   0.26   0.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70320  Full mouth x-ray of teeth                         A   0.22   1.25     1.25     1.25NA   1.25 NA  0.02   1.49   1.49   1.49   1.49  1XXX.00.00.0000000             33.9764 090 99      1.00   1.00   0.02
70320TCFull mouth x-ray of teeth                         A   0.00   1.14     1.12     1.14NA   1.12 NA  0.01   1.15   1.13   1.15   1.13  1XXX.00.00.0000000             33.9764 010 99      0.89   0.89   0.01
7032026Full mouth x-ray of teeth                         A   0.22   0.11     0.13     0.11     0.13     0.01   0.34   0.36   0.34   0.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70328  X-ray exam of jaw joint                           A   0.18   0.72     0.69     0.72NA   0.69 NA  0.02   0.92   0.89   0.92   0.89  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
70328TCX-ray exam of jaw joint                           A   0.00   0.64     0.61     0.64NA   0.61 NA  0.01   0.65   0.62   0.65   0.62  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7032826X-ray exam of jaw joint                           A   0.18   0.08     0.08     0.08     0.08     0.01   0.27   0.27   0.27   0.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70330  X-ray exam of jaw joints                          A   0.24   1.17     1.12     1.17NA   1.12 NA  0.02   1.43   1.38   1.43   1.38  1XXX.00.00.0002000             33.9764 090 99      1.42   1.42   0.02
70330TCX-ray exam of jaw joints                          A   0.00   1.06     1.01     1.06NA   1.01 NA  0.01   1.07   1.02   1.07   1.02  1XXX.00.00.0002000             33.9764 010 99      1.31   1.31   0.01
7033026X-ray exam of jaw joints                          A   0.24   0.11     0.11     0.11     0.11     0.01   0.36   0.36   0.36   0.36  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
70332  X-ray exam of jaw joint                           A   0.54   1.95     1.87     1.95NA   1.87 NA  0.04   2.53   2.45   2.53   2.45  1XXX.00.00.0003000             33.9764 090 99      8.32   8.32   0.08
70332TCX-ray exam of jaw joint                           A   0.00   1.68     1.56     1.68NA   1.56 NA  0.01   1.69   1.57   1.69   1.57  1XXX.00.00.0003000             33.9764 030 99      8.05   8.05   0.05
7033226X-ray exam of jaw joint                           A   0.54   0.27     0.31     0.27     0.31     0.03   0.84   0.88   0.84   0.88  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
70336  Magnetic image jaw joint                          A   1.48  11.75     8.91    11.75NA   8.91 NA  0.09  13.32  10.48  13.32  10.48  1XXX.00.00.0040000             33.9764 090 88     10.68  10.68   0.09
70336TCMagnetic image jaw joint                          A   0.00  11.15     8.37    11.15NA   8.37 NA  0.01  11.16   8.38  11.16   8.38  1XXX.00.00.0040000             33.9764 010 88     10.08  10.08   0.01
7033626Magnetic image jaw joint                          A   1.48   0.60     0.54     0.60     0.54     0.08   2.16   2.10   2.16   2.10  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
70350  X-ray head for orthodontia                        A   0.17   0.44     0.44     0.44NA   0.44 NA  0.02   0.63   0.63   0.63   0.63  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.05
70350TCX-ray head for orthodontia                        A   0.00   0.34     0.32     0.34NA   0.32 NA  0.01   0.35   0.33   0.35   0.33  1XXX.00.00.0000000             33.9764 010 99      1.29   1.29   0.04
7035026X-ray head for orthodontia                        A   0.17   0.10     0.12     0.10     0.12     0.01   0.28   0.30   0.28   0.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70355  Panoramic x-ray of jaws                           A   0.20   0.42     0.39     0.42NA   0.39 NA  0.02   0.64   0.61   0.64   0.61  1XXX.00.00.0000000             33.9764 090 99      0.97   0.97   0.04
70355TCPanoramic x-ray of jaws                           A   0.00   0.32     0.27     0.32NA   0.27 NA  0.01   0.33   0.28   0.33   0.28  1XXX.00.00.0000000             33.9764 010 99      0.87   0.87   0.03
7035526Panoramic x-ray of jaws                           A   0.20   0.10     0.12     0.10     0.12     0.01   0.31   0.33   0.31   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70360  X-ray exam of neck                                A   0.17   0.63     0.60     0.63NA   0.60 NA  0.02   0.82   0.79   0.82   0.79  1XXX.00.00.0000000             33.9764 090 99      1.37   1.37   0.03
70360TCX-ray exam of neck                                A   0.00   0.56     0.53     0.56NA   0.53 NA  0.01   0.57   0.54   0.57   0.54  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7036026X-ray exam of neck                                A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70370  Throat x-ray & fluoroscopy                        A   0.32   2.07     2.14     2.07NA   2.14 NA  0.02   2.41   2.48   2.41   2.48  1XXX.00.00.0000000             33.9764 090 99      2.58   2.58   0.02
70370TCThroat x-ray & fluoroscopy                        A   0.00   1.93     2.00     1.93NA   2.00 NA  0.01   1.94   2.01   1.94   2.01  1XXX.00.00.0000000             33.9764 030 99      2.44   2.44   0.01
7037026Throat x-ray & fluoroscopy                        A   0.32   0.14     0.14     0.14     0.14     0.01   0.47   0.47   0.47   0.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70371  Speech evaluation complex                         A   0.84   1.91     1.76     1.91NA   1.76 NA  0.04   2.79   2.64   2.79   2.64  1XXX.00.00.0000000             33.9764 090 99      2.78   2.78   0.05
70371TCSpeech evaluation complex                         A   0.00   1.57     1.41     1.57NA   1.41 NA  0.01   1.58   1.42   1.58   1.42  1XXX.00.00.0000000             33.9764 030 99      2.44   2.44   0.02
7037126Speech evaluation complex                         A   0.84   0.34     0.35     0.34     0.35     0.03   1.21   1.22   1.21   1.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70373  Contrast x-ray of larynx                          A   0.44   1.97     1.92     1.97NA   1.92 NA  0.02   2.43   2.38   2.43   2.38  1XXX.00.00.0000000             33.9764 090 99      6.90   6.90   0.05
70373TCContrast x-ray of larynx                          A   0.00   1.80     1.74     1.80NA   1.74 NA  0.01   1.81   1.75   1.81   1.75  1XXX.00.00.0000000             33.9764 030 99      6.73   6.73   0.04
7037326Contrast x-ray of larynx                          A   0.44   0.17     0.18     0.17     0.18     0.01   0.62   0.63   0.62   0.63  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70380  X-ray exam of salivary gland                      A   0.17   0.98     1.00     0.98NA   1.00 NA  0.02   1.17   1.19   1.17   1.19  1XXX.00.00.0000000             33.9764 090 99      1.40   1.40   0.02
70380TCX-ray exam of salivary gland                      A   0.00   0.89     0.89     0.89NA   0.89 NA  0.01   0.90   0.90   0.90   0.90  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7038026X-ray exam of salivary gland                      A   0.17   0.09     0.11     0.09     0.11     0.01   0.27   0.29   0.27   0.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70390  X-ray exam of salivary duct                       A   0.38   2.59     2.47     2.59NA   2.47 NA  0.04   3.01   2.89   3.01   2.89  1XXX.00.00.0000000             33.9764 090 99      6.90   6.90   0.06
70390TCX-ray exam of salivary duct                       A   0.00   2.43     2.32     2.43NA   2.32 NA  0.01   2.44   2.33   2.44   2.33  1XXX.00.00.0000000             33.9764 030 99      6.74   6.74   0.03
7039026X-ray exam of salivary duct                       A   0.38   0.16     0.15     0.16     0.15     0.03   0.57   0.56   0.57   0.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70450  Ct head/brain w/o dye                             A   0.85   4.91     3.84     4.91NA   3.84 NA  0.05   5.81   4.74   5.81   4.74  1XXX.00.00.0040000             33.9764 090 88      6.04   6.04   0.05
70450TCCt head/brain w/o dye                             A   0.00   4.56     3.52     4.56NA   3.52 NA  0.01   4.57   3.53   4.57   3.53  1XXX.00.00.0040000             33.9764 010 88      5.69   5.69   0.01
7045026Ct head/brain w/o dye                             A   0.85   0.35     0.32     0.35     0.32     0.04   1.24   1.21   1.24   1.21  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70460  Ct head/brain w/dye                               A   1.13   6.38     5.04     6.38NA   5.04 NA  0.06   7.57   6.23   7.57   6.23  1XXX.00.00.0040000             33.9764 090 88      9.28   9.28   0.06
70460TCCt head/brain w/dye                               A   0.00   5.91     4.61     5.91NA   4.61 NA  0.01   5.92   4.62   5.92   4.62  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7046026Ct head/brain w/dye                               A   1.13   0.47     0.43     0.47     0.43     0.05   1.65   1.61   1.65   1.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70470  Ct head/brain w/o & w/dye                         A   1.27   7.81     6.15     7.81NA   6.15 NA  0.08   9.16   7.50   9.16   7.50  1XXX.00.00.0040000             33.9764 090 88     10.35  10.35   0.08
70470TCCt head/brain w/o & w/dye                         A   0.00   7.28     5.67     7.28NA   5.67 NA  0.01   7.29   5.68   7.29   5.68  1XXX.00.00.0040000             33.9764 020 88      9.82   9.82   0.01
7047026Ct head/brain w/o & w/dye                         A   1.27   0.53     0.48     0.53     0.48     0.07   1.87   1.82   1.87   1.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70480  Ct orbit/ear/fossa w/o dye                        A   1.28   7.94     6.63     7.94NA   6.63 NA  0.08   9.30   7.99   9.30   7.99  1XXX.00.00.0040000             33.9764 090 88      6.23   6.23   0.08
70480TCCt orbit/ear/fossa w/o dye                        A   0.00   7.41     6.14     7.41NA   6.14 NA  0.01   7.42   6.15   7.42   6.15  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7048026Ct orbit/ear/fossa w/o dye                        A   1.28   0.53     0.49     0.53     0.49     0.07   1.88   1.84   1.88   1.84  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70481  Ct orbit/ear/fossa w/dye                          A   1.38   9.33     7.75     9.33NA   7.75 NA  0.09  10.80   9.22  10.80   9.22  1XXX.00.00.0040000             33.9764 090 88      9.38   9.38   0.09
70481TCCt orbit/ear/fossa w/dye                          A   0.00   8.76     7.23     8.76NA   7.23 NA  0.01   8.77   7.24   8.77   7.24  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7048126Ct orbit/ear/fossa w/dye                          A   1.38   0.57     0.52     0.57     0.52     0.08   2.03   1.98   2.03   1.98  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70482  Ct orbit/ear/fossa w/o&w/dye                      A   1.45  10.65     8.68    10.65NA   8.68 NA  0.09  12.19  10.22  12.19  10.22  1XXX.00.00.0040000             33.9764 090 88     10.42  10.42   0.09
70482TCCt orbit/ear/fossa w/o&w/dye                      A   0.00  10.06     8.14    10.06NA   8.14 NA  0.01  10.07   8.15  10.07   8.15  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7048226Ct orbit/ear/fossa w/o&w/dye                      A   1.45   0.59     0.54     0.59     0.54     0.08   2.12   2.07   2.12   2.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70486  Ct maxillofacial w/o dye                          A   1.14   6.55     5.38     6.55NA   5.38 NA  0.06   7.75   6.58   7.75   6.58  1XXX.00.00.0040000             33.9764 090 88      6.18   6.18   0.06
70486TCCt maxillofacial w/o dye                          A   0.00   6.07     4.93     6.07NA   4.93 NA  0.01   6.08   4.94   6.08   4.94  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7048626Ct maxillofacial w/o dye                          A   1.14   0.48     0.45     0.48     0.45     0.05   1.67   1.64   1.67   1.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70487  Ct maxillofacial w/dye                            A   1.30   7.96     6.50     7.96NA   6.50 NA  0.08   9.34   7.88   9.34   7.88  1XXX.00.00.0040000             33.9764 090 88      9.35   9.35   0.08
70487TCCt maxillofacial w/dye                            A   0.00   7.42     6.01     7.42NA   6.01 NA  0.01   7.43   6.02   7.43   6.02  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7048726Ct maxillofacial w/dye                            A   1.30   0.54     0.49     0.54     0.49     0.07   1.91   1.86   1.91   1.86  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70488  Ct maxillofacial w/o & w/dye                      A   1.42   9.84     8.00     9.84NA   8.00 NA  0.09  11.35   9.51  11.35   9.51  1XXX.00.00.0040000             33.9764 090 88     10.41  10.41   0.09
70488TCCt maxillofacial w/o & w/dye                      A   0.00   9.26     7.47     9.26NA   7.47 NA  0.01   9.27   7.48   9.27   7.48  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7048826Ct maxillofacial w/o & w/dye                      A   1.42   0.58     0.53     0.58     0.53     0.08   2.08   2.03   2.08   2.03  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70490  Ct soft tissue neck w/o dye                       A   1.28   6.24     5.03     6.24NA   5.03 NA  0.08   7.60   6.39   7.60   6.39  1XXX.00.00.0040000             33.9764 090 88      6.23   6.23   0.08
70490TCCt soft tissue neck w/o dye                       A   0.00   5.71     4.55     5.71NA   4.55 NA  0.01   5.72   4.56   5.72   4.56  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7049026Ct soft tissue neck w/o dye                       A   1.28   0.53     0.48     0.53     0.48     0.07   1.88   1.83   1.88   1.83  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70491  Ct soft tissue neck w/dye                         A   1.38   7.69     6.25     7.69NA   6.25 NA  0.08   9.15   7.71   9.15   7.71  1XXX.00.00.0040000             33.9764 090 88      9.38   9.38   0.08
70491TCCt soft tissue neck w/dye                         A   0.00   7.12     5.72     7.12NA   5.72 NA  0.01   7.13   5.73   7.13   5.73  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7049126Ct soft tissue neck w/dye                         A   1.38   0.57     0.53     0.57     0.53     0.07   2.02   1.98   2.02   1.98  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70492  Ct sft tsue nck w/o & w/dye                       A   1.45   9.51     7.66     9.51NA   7.66 NA  0.09  11.05   9.20  11.05   9.20  1XXX.00.00.0040000             33.9764 090 88     10.42  10.42   0.09
70492TCCt sft tsue nck w/o & w/dye                       A   0.00   8.92     7.12     8.92NA   7.12 NA  0.01   8.93   7.13   8.93   7.13  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7049226Ct sft tsue nck w/o & w/dye                       A   1.45   0.59     0.54     0.59     0.54     0.08   2.12   2.07   2.12   2.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70496  Ct angiography head                               A   1.75  15.69    12.53    15.69NA  12.53 NA  0.11  17.55  14.39  17.55  14.39  1XXX.00.00.0040000             33.9764 090 88     10.69  10.69   0.11
70496TCCt angiography head                               A   0.00  14.96    11.88    14.96NA  11.88 NA  0.01  14.97  11.89  14.97  11.89  1XXX.00.00.0040000             33.9764 020 88      9.96   9.96   0.01
7049626Ct angiography head                               A   1.75   0.73     0.65     0.73     0.65     0.10   2.58   2.50   2.58   2.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70498  Ct angiography neck                               A   1.75  15.99    13.03    15.99NA  13.03 NA  0.11  17.85  14.89  17.85  14.89  1XXX.00.00.0040000             33.9764 090 88     10.69  10.69   0.11
70498TCCt angiography neck                               A   0.00  15.26    12.38    15.26NA  12.38 NA  0.01  15.27  12.39  15.27  12.39  1XXX.00.00.0040000             33.9764 020 88      9.96   9.96   0.01
7049826Ct angiography neck                               A   1.75   0.73     0.65     0.73     0.65     0.10   2.58   2.50   2.58   2.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70540  Mri orbit/face/neck w/o dye                       A   1.35  13.33    10.31    13.33NA  10.31 NA  0.09  14.77  11.75  14.77  11.75  1XXX.00.00.0040000             33.9764 090 88     10.64  10.64   0.09
70540TCMri orbit/face/neck w/o dye                       A   0.00  12.78     9.81    12.78NA   9.81 NA  0.01  12.79   9.82  12.79   9.82  1XXX.00.00.0040000             33.9764 010 88     10.09  10.09   0.01
7054026Mri orbit/face/neck w/o dye                       A   1.35   0.55     0.50     0.55     0.50     0.08   1.98   1.93   1.98   1.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70542  Mri orbit/face/neck w/dye                         A   1.62  14.78    11.58    14.78NA  11.58 NA  0.11  16.51  13.31  16.51  13.31  1XXX.00.00.0040000             33.9764 090 88     13.51  13.51   0.11
70542TCMri orbit/face/neck w/dye                         A   0.00  14.12    10.98    14.12NA  10.98 NA  0.01  14.13  10.99  14.13  10.99  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7054226Mri orbit/face/neck w/dye                         A   1.62   0.66     0.60     0.66     0.60     0.10   2.38   2.32   2.38   2.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70543  Mri orbt/fac/nck w/o & w/dye                      A   2.15  19.29    13.89    19.29NA  13.89 NA  0.13  21.57  16.17  21.57  16.17  1XXX.00.00.0040000             33.9764 090 88     16.57  16.57   0.13
70543TCMri orbt/fac/nck w/o & w/dye                      A   0.00  18.42    13.10    18.42NA  13.10 NA  0.01  18.43  13.11  18.43  13.11  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7054326Mri orbt/fac/nck w/o & w/dye                      A   2.15   0.87     0.79     0.87     0.79     0.12   3.14   3.06   3.14   3.06  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70544  Mr angiography head w/o dye                       A   1.20  14.87    11.92    14.87NA  11.92 NA  0.08  16.15  13.20  16.15  13.20  1XXX.00.00.0040000             33.9764 090 88     10.58  10.58   0.08
70544TCMr angiography head w/o dye                       A   0.00  14.38    11.47    14.38NA  11.47 NA  0.01  14.39  11.48  14.39  11.48  1XXX.00.00.0040000             33.9764 010 88     10.09  10.09   0.01
7054426Mr angiography head w/o dye                       A   1.20   0.49     0.45     0.49     0.45     0.07   1.76   1.72   1.76   1.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70545  Mr angiography head w/dye                         A   1.20  14.77    11.80    14.77NA  11.80 NA  0.08  16.05  13.08  16.05  13.08  1XXX.00.00.0040000             33.9764 090 88     13.34  13.34   0.08
70545TCMr angiography head w/dye                         A   0.00  14.28    11.36    14.28NA  11.36 NA  0.01  14.29  11.37  14.29  11.37  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7054526Mr angiography head w/dye                         A   1.20   0.49     0.44     0.49     0.44     0.07   1.76   1.71   1.76   1.71  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70546  Mr angiograph head w/o&w/dye                      A   1.80  23.36    18.05    23.36NA  18.05 NA  0.12  25.28  19.97  25.28  19.97  1XXX.00.00.0040000             33.9764 090 88     16.44  16.44   0.12
70546TCMr angiograph head w/o&w/dye                      A   0.00  22.62    17.38    22.62NA  17.38 NA  0.01  22.63  17.39  22.63  17.39  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7054626Mr angiograph head w/o&w/dye                      A   1.80   0.74     0.67     0.74     0.67     0.11   2.65   2.58   2.65   2.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70547  Mr angiography neck w/o dye                       A   1.20  14.84    11.91    14.84NA  11.91 NA  0.08  16.12  13.19  16.12  13.19  1XXX.00.00.0040000             33.9764 090 88     10.58  10.58   0.08
70547TCMr angiography neck w/o dye                       A   0.00  14.35    11.46    14.35NA  11.46 NA  0.01  14.36  11.47  14.36  11.47  1XXX.00.00.0040000             33.9764 010 88     10.09  10.09   0.01
7054726Mr angiography neck w/o dye                       A   1.20   0.49     0.45     0.49     0.45     0.07   1.76   1.72   1.76   1.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70548  Mr angiography neck w/dye                         A   1.20  15.64    12.72    15.64NA  12.72 NA  0.08  16.92  14.00  16.92  14.00  1XXX.00.00.0040000             33.9764 090 88     13.34  13.34   0.08
70548TCMr angiography neck w/dye                         A   0.00  15.15    12.27    15.15NA  12.27 NA  0.01  15.16  12.28  15.16  12.28  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7054826Mr angiography neck w/dye                         A   1.20   0.49     0.45     0.49     0.45     0.07   1.76   1.72   1.76   1.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70549  Mr angiograph neck w/o&w/dye                      A   1.80  23.38    18.06    23.38NA  18.06 NA  0.11  25.29  19.97  25.29  19.97  1XXX.00.00.0040000             33.9764 090 88     16.44  16.44   0.11
70549TCMr angiograph neck w/o&w/dye                      A   0.00  22.64    17.39    22.64NA  17.39 NA  0.01  22.65  17.40  22.65  17.40  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7054926Mr angiograph neck w/o&w/dye                      A   1.80   0.74     0.67     0.74     0.67     0.10   2.64   2.57   2.64   2.57  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70551  Mri brain w/o dye                                 A   1.48  13.71    10.79    13.71NA  10.79 NA  0.09  15.28  12.36  15.28  12.36  1XXX.00.00.0040000             33.9764 090 88     10.70  10.70   0.09
70551TCMri brain w/o dye                                 A   0.00  13.10    10.24    13.10NA  10.24 NA  0.01  13.11  10.25  13.11  10.25  1XXX.00.00.0040000             33.9764 010 88     10.09  10.09   0.01
7055126Mri brain w/o dye                                 A   1.48   0.61     0.55     0.61     0.55     0.08   2.17   2.11   2.17   2.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70552  Mri brain w/dye                                   A   1.78  15.15    11.92    15.15NA  11.92 NA  0.12  17.05  13.82  17.05  13.82  1XXX.00.00.0040000             33.9764 090 88     13.59  13.59   0.12
70552TCMri brain w/dye                                   A   0.00  14.41    11.25    14.41NA  11.25 NA  0.01  14.42  11.26  14.42  11.26  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7055226Mri brain w/dye                                   A   1.78   0.74     0.67     0.74     0.67     0.11   2.63   2.56   2.63   2.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70553  Mri brain w/o & w/dye                             A   2.36  18.91    13.68    18.91NA  13.68 NA  0.15  21.42  16.19  21.42  16.19  1XXX.00.00.0040000             33.9764 090 88     16.67  16.67   0.15
70553TCMri brain w/o & w/dye                             A   0.00  17.94    12.80    17.94NA  12.80 NA  0.01  17.95  12.81  17.95  12.81  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7055326Mri brain w/o & w/dye                             A   2.36   0.97     0.88     0.97     0.88     0.14   3.47   3.38   3.47   3.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
70554  Fmri brain by tech                                A   2.11  14.61    12.01    14.61NA  12.01 NA  0.13  16.85  14.25  16.85  14.25  1XXX.00.00.0043000             33.9764 090 88      0.00   0.00   0.00
70554TCFmri brain by tech                                A   0.00  13.72    11.20    13.72NA  11.20 NA  0.01  13.73  11.21  13.73  11.21  1XXX.00.00.0043000             33.9764 020 88      0.00   0.00   0.00
7055426Fmri brain by tech                                A   2.11   0.89     0.81     0.89     0.81     0.12   3.12   3.04   3.12   3.04  1XXX.00.00.0003000             33.9764 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             33.9764 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             33.9764 020 99      0.00   0.00   0.00
7055526Fmri brain by phys/psych                          A   2.54   1.06     0.92     1.06     0.92     0.24   3.84   3.70   3.84   3.70  1XXX.00.00.0003000             33.9764 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             33.9764 090 99     11.58  11.58   1.06
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             33.9764 010 99     10.08  10.08   0.01
7055726Mri brain w/o dye                                 A   2.90   1.50     1.62     1.50     1.62     1.05   5.45   5.57   5.45   5.57  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     14.18  14.18   0.31
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             33.9764 020 99     12.85  12.85   0.01
7055826Mri brain w/dye                                   A   3.20   1.33     1.20     1.33     1.20     0.30   4.83   4.70   4.83   4.70  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     17.08  17.08   0.31
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             33.9764 020 99     15.70  15.70   0.01
7055926Mri brain w/o & w/dye                             A   3.20   1.38     1.24     1.38     1.24     0.30   4.88   4.74   4.88   4.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71010  Chest x-ray                                       A   0.18   0.50     0.46     0.50NA   0.46 NA  0.02   0.70   0.66   0.70   0.66  1XXX.00.00.0000000             33.9764 090 99      1.37   1.37   0.04
71010TCChest x-ray                                       A   0.00   0.43     0.39     0.43NA   0.39 NA  0.01   0.44   0.40   0.44   0.40  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.03
7101026Chest x-ray                                       A   0.18   0.07     0.07     0.07     0.07     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71015  Chest x-ray                                       A   0.21   0.66     0.62     0.66NA   0.62 NA  0.02   0.89   0.85   0.89   0.85  1XXX.00.00.0000000             33.9764 090 99      1.38   1.38   0.03
71015TCChest x-ray                                       A   0.00   0.58     0.54     0.58NA   0.54 NA  0.01   0.59   0.55   0.59   0.55  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7101526Chest x-ray                                       A   0.21   0.08     0.08     0.08     0.08     0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71020  Chest x-ray                                       A   0.22   0.68     0.62     0.68NA   0.62 NA  0.02   0.92   0.86   0.92   0.86  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
71020TCChest x-ray                                       A   0.00   0.59     0.53     0.59NA   0.53 NA  0.01   0.60   0.54   0.60   0.54  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7102026Chest x-ray                                       A   0.22   0.09     0.09     0.09     0.09     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71021  Chest x-ray                                       A   0.27   0.84     0.79     0.84NA   0.79 NA  0.02   1.13   1.08   1.13   1.08  1XXX.00.00.0000000             33.9764 090 99      1.42   1.42   0.03
71021TCChest x-ray                                       A   0.00   0.73     0.67     0.73NA   0.67 NA  0.01   0.74   0.68   0.74   0.68  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7102126Chest x-ray                                       A   0.27   0.11     0.12     0.11     0.12     0.01   0.39   0.40   0.39   0.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71022  Chest x-ray                                       A   0.31   1.05     1.00     1.05NA   1.00 NA  0.02   1.38   1.33   1.38   1.33  1XXX.00.00.0000000             33.9764 090 99      1.44   1.44   0.02
71022TCChest x-ray                                       A   0.00   0.92     0.87     0.92NA   0.87 NA  0.01   0.93   0.88   0.93   0.88  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7102226Chest x-ray                                       A   0.31   0.13     0.13     0.13     0.13     0.01   0.45   0.45   0.45   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71023  Chest x-ray and fluoroscopy                       A   0.38   1.65     1.60     1.65NA   1.60 NA  0.02   2.05   2.00   2.05   2.00  1XXX.00.00.0000000             33.9764 090 99      2.61   2.61   0.03
71023TCChest x-ray and fluoroscopy                       A   0.00   1.48     1.45     1.48NA   1.45 NA  0.01   1.49   1.46   1.49   1.46  1XXX.00.00.0000000             33.9764 030 99      2.44   2.44   0.02
7102326Chest x-ray and fluoroscopy                       A   0.38   0.17     0.15     0.17     0.15     0.01   0.56   0.54   0.56   0.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71030  Chest x-ray                                       A   0.31   1.04     0.96     1.04NA   0.96 NA  0.02   1.37   1.29   1.37   1.29  1XXX.00.00.0000000             33.9764 090 99      1.44   1.44   0.02
71030TCChest x-ray                                       A   0.00   0.91     0.84     0.91NA   0.84 NA  0.01   0.92   0.85   0.92   0.85  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7103026Chest x-ray                                       A   0.31   0.13     0.12     0.13     0.12     0.01   0.45   0.44   0.45   0.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71034  Chest x-ray and fluoroscopy                       A   0.46   2.15     1.90     2.15NA   1.90 NA  0.02   2.63   2.38   2.63   2.38  1XXX.00.00.0000000             33.9764 090 99      2.66   2.66   0.02
71034TCChest x-ray and fluoroscopy                       A   0.00   1.93     1.72     1.93NA   1.72 NA  0.01   1.94   1.73   1.94   1.73  1XXX.00.00.0000000             33.9764 030 99      2.44   2.44   0.01
7103426Chest x-ray and fluoroscopy                       A   0.46   0.22     0.18     0.22     0.18     0.01   0.69   0.65   0.69   0.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71035  Chest x-ray                                       A   0.18   0.85     0.81     0.85NA   0.81 NA  0.02   1.05   1.01   1.05   1.01  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
71035TCChest x-ray                                       A   0.00   0.77     0.74     0.77NA   0.74 NA  0.01   0.78   0.75   0.78   0.75  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7103526Chest x-ray                                       A   0.18   0.08     0.07     0.08     0.07     0.01   0.27   0.26   0.27   0.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71040  Contrast x-ray of bronchi                         A   0.58   2.26     2.15     2.26NA   2.15 NA  0.02   2.86   2.75   2.86   2.75  1XXX.00.00.0000000             33.9764 090 99      6.96   6.96   0.04
71040TCContrast x-ray of bronchi                         A   0.00   2.03     1.94     2.03NA   1.94 NA  0.01   2.04   1.95   2.04   1.95  1XXX.00.00.0000000             33.9764 030 99      6.73   6.73   0.03
7104026Contrast x-ray of bronchi                         A   0.58   0.23     0.21     0.23     0.21     0.01   0.82   0.80   0.82   0.80  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71060  Contrast x-ray of bronchi                         A   0.74   3.39     3.22     3.39NA   3.22 NA  0.05   4.18   4.01   4.18   4.01  1XXX.00.00.0002000             33.9764 090 99      7.05   7.05   0.06
71060TCContrast x-ray of bronchi                         A   0.00   3.09     2.94     3.09NA   2.94 NA  0.01   3.10   2.95   3.10   2.95  1XXX.00.00.0002000             33.9764 030 99      6.75   6.75   0.02
7106026Contrast x-ray of bronchi                         A   0.74   0.30     0.28     0.30     0.28     0.04   1.08   1.06   1.08   1.06  1XXX.00.00.0002000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7109026X-ray & pacemaker insertion                       A   0.54   0.26     0.21     0.26     0.21     0.04   0.84   0.79   0.84   0.79  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71100  X-ray exam of ribs                                A   0.22   0.72     0.68     0.72NA   0.68 NA  0.02   0.96   0.92   0.96   0.92  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
71100TCX-ray exam of ribs                                A   0.00   0.63     0.59     0.63NA   0.59 NA  0.01   0.64   0.60   0.64   0.60  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7110026X-ray exam of ribs                                A   0.22   0.09     0.09     0.09     0.09     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71101  X-ray exam of ribs/chest                          A   0.27   0.88     0.84     0.88NA   0.84 NA  0.02   1.17   1.13   1.17   1.13  1XXX.00.00.0000000             33.9764 090 99      1.42   1.42   0.03
71101TCX-ray exam of ribs/chest                          A   0.00   0.77     0.73     0.77NA   0.73 NA  0.01   0.78   0.74   0.78   0.74  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7110126X-ray exam of ribs/chest                          A   0.27   0.11     0.11     0.11     0.11     0.01   0.39   0.39   0.39   0.39  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71110  X-ray exam of ribs                                A   0.27   0.92     0.88     0.92NA   0.88 NA  0.02   1.21   1.17   1.21   1.17  1XXX.00.00.0002000             33.9764 090 99      1.42   1.42   0.03
71110TCX-ray exam of ribs                                A   0.00   0.81     0.76     0.81NA   0.76 NA  0.01   0.82   0.77   0.82   0.77  1XXX.00.00.0002000             33.9764 010 99      1.31   1.31   0.02
7111026X-ray exam of ribs                                A   0.27   0.11     0.12     0.11     0.12     0.01   0.39   0.40   0.39   0.40  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
71111  X-ray exam of ribs/chest                          A   0.32   1.22     1.17     1.22NA   1.17 NA  0.02   1.56   1.51   1.56   1.51  1XXX.00.00.0002000             33.9764 090 99      2.34   2.34   0.03
71111TCX-ray exam of ribs/chest                          A   0.00   1.09     1.04     1.09NA   1.04 NA  0.01   1.10   1.05   1.10   1.05  1XXX.00.00.0002000             33.9764 010 99      2.21   2.21   0.02
7111126X-ray exam of ribs/chest                          A   0.32   0.13     0.13     0.13     0.13     0.01   0.46   0.46   0.46   0.46  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
71120  X-ray exam of breastbone                          A   0.20   0.73     0.67     0.73NA   0.67 NA  0.02   0.95   0.89   0.95   0.89  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
71120TCX-ray exam of breastbone                          A   0.00   0.65     0.59     0.65NA   0.59 NA  0.01   0.66   0.60   0.66   0.60  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7112026X-ray exam of breastbone                          A   0.20   0.08     0.08     0.08     0.08     0.01   0.29   0.29   0.29   0.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71130  X-ray exam of breastbone                          A   0.22   0.87     0.81     0.87NA   0.81 NA  0.02   1.11   1.05   1.11   1.05  1XXX.00.00.0000000             33.9764 090 99      1.40   1.40   0.03
71130TCX-ray exam of breastbone                          A   0.00   0.78     0.72     0.78NA   0.72 NA  0.01   0.79   0.73   0.79   0.73  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7113026X-ray exam of breastbone                          A   0.22   0.09     0.09     0.09     0.09     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71250  Ct thorax w/o dye                                 A   1.00   6.35     4.94     6.35NA   4.94 NA  0.06   7.41   6.00   7.41   6.00  1XXX.00.00.0040000             33.9764 090 88      6.15   6.15   0.06
71250TCCt thorax w/o dye                                 A   0.00   5.90     4.57     5.90NA   4.57 NA  0.01   5.91   4.58   5.91   4.58  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7125026Ct thorax w/o dye                                 A   1.00   0.45     0.37     0.45     0.37     0.05   1.50   1.42   1.50   1.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71260  Ct thorax w/dye                                   A   1.24   7.87     6.21     7.87NA   6.21 NA  0.08   9.19   7.53   9.19   7.53  1XXX.00.00.0040000             33.9764 090 88      9.33   9.33   0.08
71260TCCt thorax w/dye                                   A   0.00   7.35     5.74     7.35NA   5.74 NA  0.01   7.36   5.75   7.36   5.75  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7126026Ct thorax w/dye                                   A   1.24   0.52     0.47     0.52     0.47     0.07   1.83   1.78   1.83   1.78  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71270  Ct thorax w/o & w/dye                             A   1.38   9.82     7.69     9.82NA   7.69 NA  0.08  11.28   9.15  11.28   9.15  1XXX.00.00.0040000             33.9764 090 88     10.40  10.40   0.08
71270TCCt thorax w/o & w/dye                             A   0.00   9.25     7.18     9.25NA   7.18 NA  0.01   9.26   7.19   9.26   7.19  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7127026Ct thorax w/o & w/dye                             A   1.38   0.57     0.51     0.57     0.51     0.07   2.02   1.96   2.02   1.96  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71275  Ct angiography chest                              A   1.92  12.00     9.41    12.00NA   9.41 NA  0.12  14.04  11.45  14.04  11.45  1XXX.00.00.0040000             33.9764 090 88     10.75  10.75   0.12
71275TCCt angiography chest                              A   0.00  11.20     8.70    11.20NA   8.70 NA  0.01  11.21   8.71  11.21   8.71  1XXX.00.00.0040000             33.9764 020 88      9.95   9.95   0.01
7127526Ct angiography chest                              A   1.92   0.80     0.71     0.80     0.71     0.11   2.83   2.74   2.83   2.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71550  Mri chest w/o dye                                 A   1.46  15.14    11.97    15.14NA  11.97 NA  0.09  16.69  13.52  16.69  13.52  1XXX.00.00.0040000             33.9764 090 88     10.68  10.68   0.09
71550TCMri chest w/o dye                                 A   0.00  14.55    11.43    14.55NA  11.43 NA  0.01  14.56  11.44  14.56  11.44  1XXX.00.00.0040000             33.9764 010 88     10.09  10.09   0.01
7155026Mri chest w/o dye                                 A   1.46   0.59     0.54     0.59     0.54     0.08   2.13   2.08   2.13   2.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71551  Mri chest w/dye                                   A   1.73  16.97    13.53    16.97NA  13.53 NA  0.11  18.81  15.37  18.81  15.37  1XXX.00.00.0040000             33.9764 090 88     13.55  13.55   0.11
71551TCMri chest w/dye                                   A   0.00  16.27    12.88    16.27NA  12.88 NA  0.01  16.28  12.89  16.28  12.89  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7155126Mri chest w/dye                                   A   1.73   0.70     0.65     0.70     0.65     0.10   2.53   2.48   2.53   2.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71552  Mri chest w/o & w/dye                             A   2.26  22.39    16.63    22.39NA  16.63 NA  0.13  24.78  19.02  24.78  19.02  1XXX.00.00.0040000             33.9764 090 88     16.64  16.64   0.13
71552TCMri chest w/o & w/dye                             A   0.00  21.45    15.79    21.45NA  15.79 NA  0.01  21.46  15.80  21.46  15.80  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7155226Mri chest w/o & w/dye                             A   2.26   0.94     0.84     0.94     0.84     0.12   3.32   3.22   3.32   3.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
71555  Mri angio chest w or w/o dye                      R   1.81  14.47    11.54    14.47NA  11.54 NA  0.11  16.39  13.46  16.39  13.46  1XXX.00.00.0040000             33.9764 090 88     16.45  16.45   0.11
71555TCMri angio chest w or w/o dye                      R   0.00  13.71    10.86    13.71NA  10.86 NA  0.01  13.72  10.87  13.72  10.87  1XXX.00.00.0040000             33.9764 020 88     15.69  15.69   0.01
7155526Mri angio chest w or w/o dye                      R   1.81   0.76     0.68     0.76     0.68     0.10   2.67   2.59   2.67   2.59  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72010  X-ray exam of spine                               A   0.45   1.71     1.76     1.71NA   1.76 NA  0.04   2.20   2.25   2.20   2.25  1XXX.00.00.0000000             33.9764 090 99      2.41   2.41   0.04
72010TCX-ray exam of spine                               A   0.00   1.52     1.55     1.52NA   1.55 NA  0.01   1.53   1.56   1.53   1.56  1XXX.00.00.0000000             33.9764 010 99      2.22   2.22   0.01
7201026X-ray exam of spine                               A   0.45   0.19     0.21     0.19     0.21     0.03   0.67   0.69   0.67   0.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72020  X-ray exam of spine                               A   0.15   0.54     0.50     0.54NA   0.50 NA  0.02   0.71   0.67   0.71   0.67  1XXX.00.00.0000000             33.9764 090 99      1.37   1.37   0.04
72020TCX-ray exam of spine                               A   0.00   0.47     0.44     0.47NA   0.44 NA  0.01   0.48   0.45   0.48   0.45  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.03
7202026X-ray exam of spine                               A   0.15   0.07     0.06     0.07     0.06     0.01   0.23   0.22   0.23   0.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72040  X-ray exam of neck spine                          A   0.22   0.90     0.89     0.90NA   0.89 NA  0.04   1.16   1.15   1.16   1.15  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.05
72040TCX-ray exam of neck spine                          A   0.00   0.80     0.79     0.80NA   0.79 NA  0.01   0.81   0.80   0.81   0.80  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7204026X-ray exam of neck spine                          A   0.22   0.10     0.10     0.10     0.10     0.03   0.35   0.35   0.35   0.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72050  X-ray exam of neck spine                          A   0.31   1.22     1.16     1.22NA   1.16 NA  0.04   1.57   1.51   1.57   1.51  1XXX.00.00.0000000             33.9764 090 99      2.34   2.34   0.05
72050TCX-ray exam of neck spine                          A   0.00   1.09     1.04     1.09NA   1.04 NA  0.01   1.10   1.05   1.10   1.05  1XXX.00.00.0000000             33.9764 010 99      2.21   2.21   0.02
7205026X-ray exam of neck spine                          A   0.31   0.13     0.12     0.13     0.12     0.03   0.47   0.46   0.47   0.46  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72052  X-ray exam of neck spine                          A   0.36   1.59     1.54     1.59NA   1.54 NA  0.04   1.99   1.94   1.99   1.94  1XXX.00.00.0000000             33.9764 090 99      2.37   2.37   0.05
72052TCX-ray exam of neck spine                          A   0.00   1.44     1.39     1.44NA   1.39 NA  0.01   1.45   1.40   1.45   1.40  1XXX.00.00.0000000             33.9764 010 99      2.22   2.22   0.02
7205226X-ray exam of neck spine                          A   0.36   0.15     0.15     0.15     0.15     0.03   0.54   0.54   0.54   0.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72069  X-ray exam of trunk spine                         A   0.22   0.85     0.85     0.85NA   0.85 NA  0.04   1.11   1.11   1.11   1.11  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.05
72069TCX-ray exam of trunk spine                         A   0.00   0.75     0.75     0.75NA   0.75 NA  0.01   0.76   0.76   0.76   0.76  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7206926X-ray exam of trunk spine                         A   0.22   0.10     0.10     0.10     0.10     0.03   0.35   0.35   0.35   0.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72070  X-ray exam of thoracic spine                      A   0.22   0.77     0.72     0.77NA   0.72 NA  0.02   1.01   0.96   1.01   0.96  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.03
72070TCX-ray exam of thoracic spine                      A   0.00   0.67     0.62     0.67NA   0.62 NA  0.01   0.68   0.63   0.68   0.63  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7207026X-ray exam of thoracic spine                      A   0.22   0.10     0.10     0.10     0.10     0.01   0.33   0.33   0.33   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72072  X-ray exam of thoracic spine                      A   0.22   0.88     0.81     0.88NA   0.81 NA  0.02   1.12   1.05   1.12   1.05  1XXX.00.00.0000000             33.9764 090 99      1.40   1.40   0.03
72072TCX-ray exam of thoracic spine                      A   0.00   0.79     0.73     0.79NA   0.73 NA  0.01   0.80   0.74   0.80   0.74  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7207226X-ray exam of thoracic spine                      A   0.22   0.09     0.08     0.09     0.08     0.01   0.32   0.31   0.32   0.31  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72074  X-ray exam of thoracic spine                      A   0.22   1.08     1.01     1.08NA   1.01 NA  0.02   1.32   1.25   1.32   1.25  1XXX.00.00.0000000             33.9764 090 99      1.40   1.40   0.02
72074TCX-ray exam of thoracic spine                      A   0.00   0.99     0.92     0.99NA   0.92 NA  0.01   1.00   0.93   1.00   0.93  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7207426X-ray exam of thoracic spine                      A   0.22   0.09     0.09     0.09     0.09     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72080  X-ray exam of trunk spine                         A   0.22   0.83     0.80     0.83NA   0.80 NA  0.04   1.09   1.06   1.09   1.06  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.05
72080TCX-ray exam of trunk spine                         A   0.00   0.73     0.70     0.73NA   0.70 NA  0.01   0.74   0.71   0.74   0.71  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7208026X-ray exam of trunk spine                         A   0.22   0.10     0.10     0.10     0.10     0.03   0.35   0.35   0.35   0.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72090  X-ray exam of trunk spine                         A   0.28   1.14     1.14     1.14NA   1.14 NA  0.05   1.47   1.47   1.47   1.47  1XXX.00.00.0000000             33.9764 090 99      2.34   2.34   0.06
72090TCX-ray exam of trunk spine                         A   0.00   1.01     1.01     1.01NA   1.01 NA  0.01   1.02   1.02   1.02   1.02  1XXX.00.00.0000000             33.9764 010 99      2.21   2.21   0.02
7209026X-ray exam of trunk spine                         A   0.28   0.13     0.13     0.13     0.13     0.04   0.45   0.45   0.45   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72100  X-ray exam of lower spine                         A   0.22   0.95     0.94     0.95NA   0.94 NA  0.04   1.21   1.20   1.21   1.20  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.05
72100TCX-ray exam of lower spine                         A   0.00   0.85     0.84     0.85NA   0.84 NA  0.01   0.86   0.85   0.86   0.85  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7210026X-ray exam of lower spine                         A   0.22   0.10     0.10     0.10     0.10     0.03   0.35   0.35   0.35   0.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72110  X-ray exam of lower spine                         A   0.31   1.30     1.25     1.30NA   1.25 NA  0.04   1.65   1.60   1.65   1.60  1XXX.00.00.0000000             33.9764 090 99      2.34   2.34   0.05
72110TCX-ray exam of lower spine                         A   0.00   1.17     1.12     1.17NA   1.12 NA  0.01   1.18   1.13   1.18   1.13  1XXX.00.00.0000000             33.9764 010 99      2.21   2.21   0.02
7211026X-ray exam of lower spine                         A   0.31   0.13     0.13     0.13     0.13     0.03   0.47   0.47   0.47   0.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72114  X-ray exam of lower spine                         A   0.36   1.80     1.77     1.80NA   1.77 NA  0.05   2.21   2.18   2.21   2.18  1XXX.00.00.0000000             33.9764 090 99      2.38   2.38   0.05
72114TCX-ray exam of lower spine                         A   0.00   1.64     1.61     1.64NA   1.61 NA  0.01   1.65   1.62   1.65   1.62  1XXX.00.00.0000000             33.9764 010 99      2.22   2.22   0.01
7211426X-ray exam of lower spine                         A   0.36   0.16     0.16     0.16     0.16     0.04   0.56   0.56   0.56   0.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72120  X-ray exam of lower spine                         A   0.22   1.27     1.28     1.27NA   1.28 NA  0.04   1.53   1.54   1.53   1.54  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.04
72120TCX-ray exam of lower spine                         A   0.00   1.17     1.17     1.17NA   1.17 NA  0.01   1.18   1.18   1.18   1.18  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7212026X-ray exam of lower spine                         A   0.22   0.10     0.11     0.10     0.11     0.03   0.35   0.36   0.35   0.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72125  Ct neck spine w/o dye                             A   1.00   6.39     4.99     6.39NA   4.99 NA  0.06   7.45   6.05   7.45   6.05  1XXX.00.00.0040000             33.9764 090 88      6.15   6.15   0.06
72125TCCt neck spine w/o dye                             A   0.00   5.94     4.62     5.94NA   4.62 NA  0.01   5.95   4.63   5.95   4.63  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7212526Ct neck spine w/o dye                             A   1.00   0.45     0.37     0.45     0.37     0.05   1.50   1.42   1.50   1.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72126  Ct neck spine w/dye                               A   1.22   7.87     6.22     7.87NA   6.22 NA  0.08   9.17   7.52   9.17   7.52  1XXX.00.00.0040000             33.9764 090 88      9.31   9.31   0.08
72126TCCt neck spine w/dye                               A   0.00   7.37     5.77     7.37NA   5.77 NA  0.01   7.38   5.78   7.38   5.78  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7212626Ct neck spine w/dye                               A   1.22   0.50     0.45     0.50     0.45     0.07   1.79   1.74   1.79   1.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72127  Ct neck spine w/o & w/dye                         A   1.27   9.76     7.66     9.76NA   7.66 NA  0.08  11.11   9.01  11.11   9.01  1XXX.00.00.0040000             33.9764 090 88     10.35  10.35   0.08
72127TCCt neck spine w/o & w/dye                         A   0.00   9.24     7.19     9.24NA   7.19 NA  0.01   9.25   7.20   9.25   7.20  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7212726Ct neck spine w/o & w/dye                         A   1.27   0.52     0.47     0.52     0.47     0.07   1.86   1.81   1.86   1.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72128  Ct chest spine w/o dye                            A   1.00   6.38     4.98     6.38NA   4.98 NA  0.06   7.44   6.04   7.44   6.04  1XXX.00.00.0040000             33.9764 090 88      6.15   6.15   0.06
72128TCCt chest spine w/o dye                            A   0.00   5.93     4.61     5.93NA   4.61 NA  0.01   5.94   4.62   5.94   4.62  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7212826Ct chest spine w/o dye                            A   1.00   0.45     0.37     0.45     0.37     0.05   1.50   1.42   1.50   1.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72129  Ct chest spine w/dye                              A   1.22   7.89     6.25     7.89NA   6.25 NA  0.08   9.19   7.55   9.19   7.55  1XXX.00.00.0040000             33.9764 090 88      9.32   9.32   0.08
72129TCCt chest spine w/dye                              A   0.00   7.38     5.79     7.38NA   5.79 NA  0.01   7.39   5.80   7.39   5.80  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7212926Ct chest spine w/dye                              A   1.22   0.51     0.46     0.51     0.46     0.07   1.80   1.75   1.80   1.75  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72130  Ct chest spine w/o & w/dye                        A   1.27   9.77     7.66     9.77NA   7.66 NA  0.08  11.12   9.01  11.12   9.01  1XXX.00.00.0040000             33.9764 090 88     10.35  10.35   0.08
72130TCCt chest spine w/o & w/dye                        A   0.00   9.25     7.19     9.25NA   7.19 NA  0.01   9.26   7.20   9.26   7.20  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7213026Ct chest spine w/o & w/dye                        A   1.27   0.52     0.47     0.52     0.47     0.07   1.86   1.81   1.86   1.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72131  Ct lumbar spine w/o dye                           A   1.00   6.36     4.97     6.36NA   4.97 NA  0.06   7.42   6.03   7.42   6.03  1XXX.00.00.0040000             33.9764 090 88      6.15   6.15   0.06
72131TCCt lumbar spine w/o dye                           A   0.00   5.91     4.59     5.91NA   4.59 NA  0.01   5.92   4.60   5.92   4.60  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7213126Ct lumbar spine w/o dye                           A   1.00   0.45     0.38     0.45     0.38     0.05   1.50   1.43   1.50   1.43  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72132  Ct lumbar spine w/dye                             A   1.22   7.87     6.22     7.87NA   6.22 NA  0.08   9.17   7.52   9.17   7.52  1XXX.00.00.0040000             33.9764 090 88      9.32   9.32   0.08
72132TCCt lumbar spine w/dye                             A   0.00   7.36     5.77     7.36NA   5.77 NA  0.01   7.37   5.78   7.37   5.78  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7213226Ct lumbar spine w/dye                             A   1.22   0.51     0.45     0.51     0.45     0.07   1.80   1.74   1.80   1.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72133  Ct lumbar spine w/o & w/dye                       A   1.27   9.76     7.65     9.76NA   7.65 NA  0.08  11.11   9.00  11.11   9.00  1XXX.00.00.0040000             33.9764 090 88     10.35  10.35   0.08
72133TCCt lumbar spine w/o & w/dye                       A   0.00   9.24     7.18     9.24NA   7.18 NA  0.01   9.25   7.19   9.25   7.19  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7213326Ct lumbar spine w/o & w/dye                       A   1.27   0.52     0.47     0.52     0.47     0.07   1.86   1.81   1.86   1.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72141  Mri neck spine w/o dye                            A   1.60  12.08     9.32    12.08NA   9.32 NA  0.11  13.79  11.03  13.79  11.03  1XXX.00.00.0040000             33.9764 090 88     10.74  10.74   0.11
72141TCMri neck spine w/o dye                            A   0.00  11.42     8.71    11.42NA   8.71 NA  0.01  11.43   8.72  11.43   8.72  1XXX.00.00.0040000             33.9764 010 88     10.08  10.08   0.01
7214126Mri neck spine w/o dye                            A   1.60   0.66     0.61     0.66     0.61     0.10   2.36   2.31   2.36   2.31  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72142  Mri neck spine w/dye                              A   1.92  15.21    12.02    15.21NA  12.02 NA  0.12  17.25  14.06  17.25  14.06  1XXX.00.00.0040000             33.9764 090 88     13.64  13.64   0.12
72142TCMri neck spine w/dye                              A   0.00  14.42    11.29    14.42NA  11.29 NA  0.01  14.43  11.30  14.43  11.30  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7214226Mri neck spine w/dye                              A   1.92   0.79     0.73     0.79     0.73     0.11   2.82   2.76   2.82   2.76  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72146  Mri chest spine w/o dye                           A   1.60  12.28     9.33    12.28NA   9.33 NA  0.11  13.99  11.04  13.99  11.04  1XXX.00.00.0040000             33.9764 090 88     10.74  10.74   0.11
72146TCMri chest spine w/o dye                           A   0.00  11.62     8.73    11.62NA   8.73 NA  0.01  11.63   8.74  11.63   8.74  1XXX.00.00.0040000             33.9764 010 88     10.08  10.08   0.01
7214626Mri chest spine w/o dye                           A   1.60   0.66     0.60     0.66     0.60     0.10   2.36   2.30   2.36   2.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72147  Mri chest spine w/dye                             A   1.92  13.52    10.48    13.52NA  10.48 NA  0.12  15.56  12.52  15.56  12.52  1XXX.00.00.0040000             33.9764 090 88     13.65  13.65   0.12
72147TCMri chest spine w/dye                             A   0.00  12.72     9.75    12.72NA   9.75 NA  0.01  12.73   9.76  12.73   9.76  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7214726Mri chest spine w/dye                             A   1.92   0.80     0.73     0.80     0.73     0.11   2.83   2.76   2.83   2.76  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72148  Mri lumbar spine w/o dye                          A   1.48  12.21     9.26    12.21NA   9.26 NA  0.11  13.80  10.85  13.80  10.85  1XXX.00.00.0040000             33.9764 090 88     10.69  10.69   0.11
72148TCMri lumbar spine w/o dye                          A   0.00  11.60     8.70    11.60NA   8.70 NA  0.01  11.61   8.71  11.61   8.71  1XXX.00.00.0040000             33.9764 010 88     10.08  10.08   0.01
7214826Mri lumbar spine w/o dye                          A   1.48   0.61     0.56     0.61     0.56     0.10   2.19   2.14   2.19   2.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72149  Mri lumbar spine w/dye                            A   1.78  15.07    11.81    15.07NA  11.81 NA  0.12  16.97  13.71  16.97  13.71  1XXX.00.00.0040000             33.9764 090 88     13.59  13.59   0.12
72149TCMri lumbar spine w/dye                            A   0.00  14.33    11.13    14.33NA  11.13 NA  0.01  14.34  11.14  14.34  11.14  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7214926Mri lumbar spine w/dye                            A   1.78   0.74     0.68     0.74     0.68     0.11   2.63   2.57   2.63   2.57  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72156  Mri neck spine w/o & w/dye                        A   2.57  18.69    13.48    18.69NA  13.48 NA  0.17  21.43  16.22  21.43  16.22  1XXX.00.00.0040000             33.9764 090 88     16.76  16.76   0.17
72156TCMri neck spine w/o & w/dye                        A   0.00  17.63    12.52    17.63NA  12.52 NA  0.01  17.64  12.53  17.64  12.53  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7215626Mri neck spine w/o & w/dye                        A   2.57   1.06     0.96     1.06     0.96     0.16   3.79   3.69   3.79   3.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72157  Mri chest spine w/o & w/dye                       A   2.57  17.42    12.37    17.42NA  12.37 NA  0.17  20.16  15.11  20.16  15.11  1XXX.00.00.0040000             33.9764 090 88     16.76  16.76   0.17
72157TCMri chest spine w/o & w/dye                       A   0.00  16.36    11.41    16.36NA  11.41 NA  0.01  16.37  11.42  16.37  11.42  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7215726Mri chest spine w/o & w/dye                       A   2.57   1.06     0.96     1.06     0.96     0.16   3.79   3.69   3.79   3.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72158  Mri lumbar spine w/o & w/dye                      A   2.36  18.56    13.35    18.56NA  13.35 NA  0.17  21.09  15.88  21.09  15.88  1XXX.00.00.0040000             33.9764 090 88     16.67  16.67   0.17
72158TCMri lumbar spine w/o & w/dye                      A   0.00  17.59    12.46    17.59NA  12.46 NA  0.01  17.60  12.47  17.60  12.47  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7215826Mri lumbar spine w/o & w/dye                      A   2.36   0.97     0.89     0.97     0.89     0.16   3.49   3.41   3.49   3.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72159  Mr angio spine w/o&w/dye                          R   1.80  16.23    13.63    16.23NA  13.63 NA  0.08  18.11  15.51  18.11  15.51  1XXX.00.00.0040000             33.9764 090 88     16.48  16.48   0.08
72159TCMr angio spine w/o&w/dye                          R   0.00  15.45    12.84    15.45NA  12.84 NA  0.01  15.46  12.85  15.46  12.85  1XXX.00.00.0040900             33.9764 020 88     15.70  15.70   0.01
7215926Mr angio spine w/o&w/dye                          R   1.80   0.78     0.79     0.78     0.79     0.07   2.65   2.66   2.65   2.66  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72170  X-ray exam of pelvis                              A   0.17   0.60     0.57     0.60NA   0.57 NA  0.04   0.81   0.78   0.81   0.78  1XXX.00.00.0000000             33.9764 090 99      1.38   1.38   0.06
72170TCX-ray exam of pelvis                              A   0.00   0.52     0.49     0.52NA   0.49 NA  0.01   0.53   0.50   0.53   0.50  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.03
7217026X-ray exam of pelvis                              A   0.17   0.08     0.08     0.08     0.08     0.03   0.28   0.28   0.28   0.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72190  X-ray exam of pelvis                              A   0.21   1.00     0.99     1.00NA   0.99 NA  0.04   1.25   1.24   1.25   1.24  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.04
72190TCX-ray exam of pelvis                              A   0.00   0.90     0.89     0.90NA   0.89 NA  0.01   0.91   0.90   0.91   0.90  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7219026X-ray exam of pelvis                              A   0.21   0.10     0.10     0.10     0.10     0.03   0.34   0.34   0.34   0.34  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72191  Ct angiograph pelv w/o&w/dye                      A   1.81  11.52     8.94    11.52NA   8.94 NA  0.13  13.46  10.88  13.46  10.88  1XXX.00.00.0040000             33.9764 090 88     10.70  10.70   0.13
72191TCCt angiograph pelv w/o&w/dye                      A   0.00  10.77     8.27    10.77NA   8.27 NA  0.01  10.78   8.28  10.78   8.28  1XXX.00.00.0040000             33.9764 020 88      9.95   9.95   0.01
7219126Ct angiograph pelv w/o&w/dye                      A   1.81   0.75     0.67     0.75     0.67     0.12   2.68   2.60   2.68   2.60  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72192  Ct pelvis w/o dye                                 A   1.09   6.03     4.69     6.03NA   4.69 NA  0.06   7.18   5.84   7.18   5.84  1XXX.00.00.0040000             33.9764 090 88      6.15   6.15   0.06
72192TCCt pelvis w/o dye                                 A   0.00   5.58     4.28     5.58NA   4.28 NA  0.01   5.59   4.29   5.59   4.29  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7219226Ct pelvis w/o dye                                 A   1.09   0.45     0.41     0.45     0.41     0.05   1.59   1.55   1.59   1.55  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72193  Ct pelvis w/dye                                   A   1.16   7.46     5.87     7.46NA   5.87 NA  0.08   8.70   7.11   8.70   7.11  1XXX.00.00.0040000             33.9764 090 88      9.29   9.29   0.08
72193TCCt pelvis w/dye                                   A   0.00   6.98     5.44     6.98NA   5.44 NA  0.01   6.99   5.45   6.99   5.45  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7219326Ct pelvis w/dye                                   A   1.16   0.48     0.43     0.48     0.43     0.07   1.71   1.66   1.71   1.66  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72194  Ct pelvis w/o & w/dye                             A   1.22   9.84     7.78     9.84NA   7.78 NA  0.08  11.14   9.08  11.14   9.08  1XXX.00.00.0040000             33.9764 090 88     10.33  10.33   0.08
72194TCCt pelvis w/o & w/dye                             A   0.00   9.34     7.33     9.34NA   7.33 NA  0.01   9.35   7.34   9.35   7.34  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7219426Ct pelvis w/o & w/dye                             A   1.22   0.50     0.45     0.50     0.45     0.07   1.79   1.74   1.79   1.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72195  Mri pelvis w/o dye                                A   1.46  13.63    10.67    13.63NA  10.67 NA  0.11  15.20  12.24  15.20  12.24  1XXX.00.00.0040000             33.9764 090 88     10.69  10.69   0.11
72195TCMri pelvis w/o dye                                A   0.00  13.03    10.12    13.03NA  10.12 NA  0.01  13.04  10.13  13.04  10.13  1XXX.00.00.0040000             33.9764 010 88     10.09  10.09   0.01
7219526Mri pelvis w/o dye                                A   1.46   0.60     0.55     0.60     0.55     0.10   2.16   2.11   2.16   2.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72196  Mri pelvis w/dye                                  A   1.73  14.99    11.76    14.99NA  11.76 NA  0.11  16.83  13.60  16.83  13.60  1XXX.00.00.0040000             33.9764 090 88     13.57  13.57   0.11
72196TCMri pelvis w/dye                                  A   0.00  14.27    11.11    14.27NA  11.11 NA  0.01  14.28  11.12  14.28  11.12  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7219626Mri pelvis w/dye                                  A   1.73   0.72     0.65     0.72     0.65     0.10   2.55   2.48   2.55   2.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72197  Mri pelvis w/o & w/dye                            A   2.26  19.54    14.17    19.54NA  14.17 NA  0.13  21.93  16.56  21.93  16.56  1XXX.00.00.0040000             33.9764 090 88     16.63  16.63   0.13
72197TCMri pelvis w/o & w/dye                            A   0.00  18.61    13.33    18.61NA  13.33 NA  0.01  18.62  13.34  18.62  13.34  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7219726Mri pelvis w/o & w/dye                            A   2.26   0.93     0.84     0.93     0.84     0.12   3.31   3.22   3.31   3.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72198  Mr angio pelvis w/o & w/dye                       A   1.80  14.41    11.52    14.41NA  11.52 NA  0.11  16.32  13.43  16.32  13.43  1XXX.00.00.0040000             33.9764 090 88     16.43  16.43   0.11
72198TCMr angio pelvis w/o & w/dye                       A   0.00  13.67    10.86    13.67NA  10.86 NA  0.01  13.68  10.87  13.68  10.87  1XXX.00.00.0040000             33.9764 020 88     15.69  15.69   0.01
7219826Mr angio pelvis w/o & w/dye                       A   1.80   0.74     0.66     0.74     0.66     0.10   2.64   2.56   2.64   2.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72200  X-ray exam sacroiliac joints                      A   0.17   0.69     0.65     0.69NA   0.65 NA  0.02   0.88   0.84   0.88   0.84  1XXX.00.00.0000000             33.9764 090 99      1.37   1.37   0.03
72200TCX-ray exam sacroiliac joints                      A   0.00   0.62     0.58     0.62NA   0.58 NA  0.01   0.63   0.59   0.63   0.59  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7220026X-ray exam sacroiliac joints                      A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72202  X-ray exam sacroiliac joints                      A   0.19   0.82     0.76     0.82NA   0.76 NA  0.02   1.03   0.97   1.03   0.97  1XXX.00.00.0000000             33.9764 090 99      1.39   1.39   0.03
72202TCX-ray exam sacroiliac joints                      A   0.00   0.74     0.69     0.74NA   0.69 NA  0.01   0.75   0.70   0.75   0.70  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7220226X-ray exam sacroiliac joints                      A   0.19   0.08     0.07     0.08     0.07     0.01   0.28   0.27   0.28   0.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72220  X-ray exam of tailbone                            A   0.17   0.68     0.63     0.68NA   0.63 NA  0.02   0.87   0.82   0.87   0.82  1XXX.00.00.0000000             33.9764 090 99      1.37   1.37   0.03
72220TCX-ray exam of tailbone                            A   0.00   0.61     0.56     0.61NA   0.56 NA  0.01   0.62   0.57   0.62   0.57  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7222026X-ray exam of tailbone                            A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72240  Contrast x-ray of neck spine                      A   0.91   3.31     2.73     3.31NA   2.73 NA  0.06   4.28   3.70   4.28   3.70  1XXX.00.00.0000000             33.9764 090 99     15.02  15.02   0.10
72240TCContrast x-ray of neck spine                      A   0.00   2.93     2.38     2.93NA   2.38 NA  0.01   2.94   2.39   2.94   2.39  1XXX.00.00.0000000             33.9764 030 99     14.64  14.64   0.05
7224026Contrast x-ray of neck spine                      A   0.91   0.38     0.35     0.38     0.35     0.05   1.34   1.31   1.34   1.31  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72255  Contrast x-ray thorax spine                       A   0.91   3.06     2.65     3.06NA   2.65 NA  0.05   4.02   3.61   4.02   3.61  1XXX.00.00.0000000             33.9764 090 99     15.00  15.00   0.09
72255TCContrast x-ray thorax spine                       A   0.00   2.69     2.28     2.69NA   2.28 NA  0.01   2.70   2.29   2.70   2.29  1XXX.00.00.0000000             33.9764 030 99     14.63  14.63   0.05
7225526Contrast x-ray thorax spine                       A   0.91   0.37     0.37     0.37     0.37     0.04   1.32   1.32   1.32   1.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72265  Contrast x-ray lower spine                        A   0.83   3.20     2.75     3.20NA   2.75 NA  0.05   4.08   3.63   4.08   3.63  1XXX.00.00.0000000             33.9764 090 99     14.99  14.99   0.09
72265TCContrast x-ray lower spine                        A   0.00   2.85     2.42     2.85NA   2.42 NA  0.01   2.86   2.43   2.86   2.43  1XXX.00.00.0000000             33.9764 030 99     14.64  14.64   0.05
7226526Contrast x-ray lower spine                        A   0.83   0.35     0.33     0.35     0.33     0.04   1.22   1.20   1.22   1.20  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72270  Contrast x-ray spine                              A   1.33   4.94     4.24     4.94NA   4.24 NA  0.08   6.35   5.65   6.35   5.65  1XXX.00.00.0000000             33.9764 090 99     15.21  15.21   0.10
72270TCContrast x-ray spine                              A   0.00   4.39     3.73     4.39NA   3.73 NA  0.01   4.40   3.74   4.40   3.74  1XXX.00.00.0000000             33.9764 030 99     14.66  14.66   0.03
7227026Contrast x-ray spine                              A   1.33   0.55     0.51     0.55     0.51     0.07   1.95   1.91   1.95   1.91  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72275  Epidurography                                     A   0.76   2.49     2.68     2.49NA   2.68 NA  0.05   3.30   3.49   3.30   3.49  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
72275TCEpidurography                                     A   0.00   2.17     2.30     2.17NA   2.30 NA  0.01   2.18   2.31   2.18   2.31  1XXX.00.00.0099999             33.9764 030 99      0.00   0.00   0.00
7227526Epidurography                                     A   0.76   0.32     0.38     0.32     0.38     0.04   1.12   1.18   1.12   1.18  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
72285  X-ray c/t spine disk                              A   1.16   3.14     2.26     3.14NA   2.26 NA  0.06   4.36   3.48   4.36   3.48  1XXX.00.00.0000000             33.9764 090 99     49.54  49.54   0.24
72285TCX-ray c/t spine disk                              A   0.00   2.63     1.66     2.63NA   1.66 NA  0.01   2.64   1.67   2.64   1.67  1XXX.00.00.0000000             33.9764 030 99     49.03  49.03   0.19
7228526X-ray c/t spine disk                              A   1.16   0.51     0.60     0.51     0.60     0.05   1.72   1.81   1.72   1.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72291  Perq verte/sacroplsty 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             33.9764 090 99      0.00   0.00   0.00
72291TCPerq verte/sacroplsty 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             33.9764 030 99      0.00   0.00   0.00
7229126Perq verte/sacroplsty fluor                       A   1.31   0.61     0.60     0.61     0.60     0.22   2.14   2.13   2.14   2.13  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72292  Perq verte/sacroplsty 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             33.9764 090 99      0.00   0.00   0.00
72292TCPerq verte/sacroplsty 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             33.9764 030 99      0.00   0.00   0.00
7229226Perq verte/sacroplsty ct                          A   1.38   0.62     0.58     0.62     0.58     0.20   2.20   2.16   2.20   2.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
72295  X-ray of lower spine disk                         A   0.83   2.96     2.12     2.96NA   2.12 NA  0.05   3.84   3.00   3.84   3.00  1XXX.00.00.0000000             33.9764 090 99     49.40  49.40   0.23
72295TCX-ray of lower spine disk                         A   0.00   2.59     1.70     2.59NA   1.70 NA  0.01   2.60   1.71   2.60   1.71  1XXX.00.00.0000000             33.9764 030 99     49.03  49.03   0.19
7229526X-ray of lower spine disk                         A   0.83   0.37     0.42     0.37     0.42     0.04   1.24   1.29   1.24   1.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
73000  X-ray exam of collar bone                         A   0.16   0.67     0.66     0.67NA   0.66 NA  0.02   0.85   0.84   0.85   0.84  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
73000TCX-ray exam of collar bone                         A   0.00   0.60     0.58     0.60NA   0.58 NA  0.01   0.61   0.59   0.61   0.59  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7300026X-ray exam of collar bone                         A   0.16   0.07     0.08     0.07     0.08     0.01   0.24   0.25   0.24   0.25  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73010  X-ray exam of shoulder blade                      A   0.17   0.70     0.70     0.70NA   0.70 NA  0.04   0.91   0.91   0.91   0.91  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.05
73010TCX-ray exam of shoulder blade                      A   0.00   0.62     0.62     0.62NA   0.62 NA  0.01   0.63   0.63   0.63   0.63  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7301026X-ray exam of shoulder blade                      A   0.17   0.08     0.08     0.08     0.08     0.03   0.28   0.28   0.28   0.28  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73020  X-ray exam of shoulder                            A   0.15   0.53     0.52     0.53NA   0.52 NA  0.02   0.70   0.69   0.70   0.69  1XXX.00.00.0003000             33.9764 090 99      1.36   1.36   0.04
73020TCX-ray exam of shoulder                            A   0.00   0.47     0.45     0.47NA   0.45 NA  0.01   0.48   0.46   0.48   0.46  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.03
7302026X-ray exam of shoulder                            A   0.15   0.06     0.07     0.06     0.07     0.01   0.22   0.23   0.22   0.23  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73030  X-ray exam of shoulder                            A   0.18   0.70     0.68     0.70NA   0.68 NA  0.04   0.92   0.90   0.92   0.90  1XXX.00.00.0003000             33.9764 090 99      1.39   1.39   0.05
73030TCX-ray exam of shoulder                            A   0.00   0.61     0.59     0.61NA   0.59 NA  0.01   0.62   0.60   0.62   0.60  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7303026X-ray exam of shoulder                            A   0.18   0.09     0.09     0.09     0.09     0.03   0.30   0.30   0.30   0.30  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73040  Contrast x-ray of shoulder                        A   0.54   2.60     2.46     2.60NA   2.46 NA  0.05   3.19   3.05   3.19   3.05  1XXX.00.00.0003000             33.9764 090 99      8.29   8.29   0.07
73040TCContrast x-ray of shoulder                        A   0.00   2.37     2.24     2.37NA   2.24 NA  0.01   2.38   2.25   2.38   2.25  1XXX.00.00.0003000             33.9764 030 99      8.06   8.06   0.03
7304026Contrast x-ray of shoulder                        A   0.54   0.23     0.22     0.23     0.22     0.04   0.81   0.80   0.81   0.80  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73050  X-ray exam of shoulders                           A   0.20   0.90     0.91     0.90NA   0.91 NA  0.04   1.14   1.15   1.14   1.15  1XXX.00.00.0002000             33.9764 090 99      1.41   1.41   0.05
73050TCX-ray exam of shoulders                           A   0.00   0.80     0.81     0.80NA   0.81 NA  0.01   0.81   0.82   0.81   0.82  1XXX.00.00.0002000             33.9764 010 99      1.31   1.31   0.02
7305026X-ray exam of shoulders                           A   0.20   0.10     0.10     0.10     0.10     0.03   0.33   0.33   0.33   0.33  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
73060  X-ray exam of humerus                             A   0.17   0.68     0.65     0.68NA   0.65 NA  0.02   0.87   0.84   0.87   0.84  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.03
73060TCX-ray exam of humerus                             A   0.00   0.60     0.57     0.60NA   0.57 NA  0.01   0.61   0.58   0.61   0.58  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7306026X-ray exam of humerus                             A   0.17   0.08     0.08     0.08     0.08     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73070  X-ray exam of elbow                               A   0.15   0.67     0.65     0.67NA   0.65 NA  0.02   0.84   0.82   0.84   0.82  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
73070TCX-ray exam of elbow                               A   0.00   0.60     0.58     0.60NA   0.58 NA  0.01   0.61   0.59   0.61   0.59  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7307026X-ray exam of elbow                               A   0.15   0.07     0.07     0.07     0.07     0.01   0.23   0.23   0.23   0.23  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73080  X-ray exam of elbow                               A   0.17   0.82     0.77     0.82NA   0.77 NA  0.02   1.01   0.96   1.01   0.96  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.03
73080TCX-ray exam of elbow                               A   0.00   0.75     0.70     0.75NA   0.70 NA  0.01   0.76   0.71   0.76   0.71  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7308026X-ray exam of elbow                               A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73085  Contrast x-ray of elbow                           A   0.54   2.31     2.21     2.31NA   2.21 NA  0.04   2.89   2.79   2.89   2.79  1XXX.00.00.0003000             33.9764 090 99      8.30   8.30   0.07
73085TCContrast x-ray of elbow                           A   0.00   2.07     1.96     2.07NA   1.96 NA  0.01   2.08   1.97   2.08   1.97  1XXX.00.00.0003000             33.9764 030 99      8.06   8.06   0.04
7308526Contrast x-ray of elbow                           A   0.54   0.24     0.25     0.24     0.25     0.03   0.81   0.82   0.81   0.82  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73090  X-ray exam of forearm                             A   0.16   0.65     0.62     0.65NA   0.62 NA  0.02   0.83   0.80   0.83   0.80  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
73090TCX-ray exam of forearm                             A   0.00   0.58     0.55     0.58NA   0.55 NA  0.01   0.59   0.56   0.59   0.56  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7309026X-ray exam of forearm                             A   0.16   0.07     0.07     0.07     0.07     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73092  X-ray exam of arm infant                          A   0.16   0.73     0.76     0.73NA   0.76 NA  0.02   0.91   0.94   0.91   0.94  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.03
73092TCX-ray exam of arm infant                          A   0.00   0.66     0.69     0.66NA   0.69 NA  0.01   0.67   0.70   0.67   0.70  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7309226X-ray exam of arm infant                          A   0.16   0.07     0.07     0.07     0.07     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73100  X-ray exam of wrist                               A   0.16   0.72     0.73     0.72NA   0.73 NA  0.04   0.92   0.93   0.92   0.93  1XXX.00.00.0003000             33.9764 090 99      1.39   1.39   0.05
73100TCX-ray exam of wrist                               A   0.00   0.64     0.65     0.64NA   0.65 NA  0.01   0.65   0.66   0.65   0.66  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7310026X-ray exam of wrist                               A   0.16   0.08     0.08     0.08     0.08     0.03   0.27   0.27   0.27   0.27  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73110  X-ray exam of wrist                               A   0.17   0.89     0.89     0.89NA   0.89 NA  0.02   1.08   1.08   1.08   1.08  1XXX.00.00.0003000             33.9764 090 99      1.39   1.39   0.03
73110TCX-ray exam of wrist                               A   0.00   0.81     0.81     0.81NA   0.81 NA  0.01   0.82   0.82   0.82   0.82  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7311026X-ray exam of wrist                               A   0.17   0.08     0.08     0.08     0.08     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73115  Contrast x-ray of wrist                           A   0.54   2.64     2.66     2.64NA   2.66 NA  0.05   3.23   3.25   3.23   3.25  1XXX.00.00.0003000             33.9764 090 99      8.31   8.31   0.07
73115TCContrast x-ray of wrist                           A   0.00   2.39     2.41     2.39NA   2.41 NA  0.01   2.40   2.42   2.40   2.42  1XXX.00.00.0003000             33.9764 030 99      8.06   8.06   0.03
7311526Contrast x-ray of wrist                           A   0.54   0.25     0.25     0.25     0.25     0.04   0.83   0.83   0.83   0.83  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73120  X-ray exam of hand                                A   0.16   0.64     0.62     0.64NA   0.62 NA  0.02   0.82   0.80   0.82   0.80  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
73120TCX-ray exam of hand                                A   0.00   0.57     0.55     0.57NA   0.55 NA  0.01   0.58   0.56   0.58   0.56  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7312026X-ray exam of hand                                A   0.16   0.07     0.07     0.07     0.07     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73130  X-ray exam of hand                                A   0.17   0.76     0.75     0.76NA   0.75 NA  0.02   0.95   0.94   0.95   0.94  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.03
73130TCX-ray exam of hand                                A   0.00   0.69     0.67     0.69NA   0.67 NA  0.01   0.70   0.68   0.70   0.68  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7313026X-ray exam of hand                                A   0.17   0.07     0.08     0.07     0.08     0.01   0.25   0.26   0.25   0.26  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73140  X-ray exam of finger(s)                           A   0.13   0.78     0.81     0.78NA   0.81 NA  0.02   0.93   0.96   0.93   0.96  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
73140TCX-ray exam of finger(s)                           A   0.00   0.72     0.75     0.72NA   0.75 NA  0.01   0.73   0.76   0.73   0.76  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7314026X-ray exam of finger(s)                           A   0.13   0.06     0.06     0.06     0.06     0.01   0.20   0.20   0.20   0.20  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73200  Ct upper extremity w/o dye                        A   1.00   6.17     4.93     6.17NA   4.93 NA  0.08   7.25   6.01   7.25   6.01  1XXX.00.00.0043000             33.9764 090 88      6.13   6.13   0.08
73200TCCt upper extremity w/o dye                        A   0.00   5.74     4.56     5.74NA   4.56 NA  0.01   5.75   4.57   5.75   4.57  1XXX.00.00.0043000             33.9764 010 88      5.70   5.70   0.01
7320026Ct upper extremity w/o dye                        A   1.00   0.43     0.37     0.43     0.37     0.07   1.50   1.44   1.50   1.44  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73201  Ct upper extremity w/dye                          A   1.16   7.61     6.15     7.61NA   6.15 NA  0.08   8.85   7.39   8.85   7.39  1XXX.00.00.0043000             33.9764 090 88      9.29   9.29   0.08
73201TCCt upper extremity w/dye                          A   0.00   7.13     5.71     7.13NA   5.71 NA  0.01   7.14   5.72   7.14   5.72  1XXX.00.00.0043000             33.9764 020 88      8.81   8.81   0.01
7320126Ct upper extremity w/dye                          A   1.16   0.48     0.44     0.48     0.44     0.07   1.71   1.67   1.71   1.67  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73202  Ct uppr extremity w/o&w/dye                       A   1.22  10.02     8.09    10.02NA   8.09 NA  0.08  11.32   9.39  11.32   9.39  1XXX.00.00.0043000             33.9764 090 88     10.33  10.33   0.08
73202TCCt uppr extremity w/o&w/dye                       A   0.00   9.52     7.63     9.52NA   7.63 NA  0.01   9.53   7.64   9.53   7.64  1XXX.00.00.0043000             33.9764 020 88      9.83   9.83   0.01
7320226Ct uppr extremity w/o&w/dye                       A   1.22   0.50     0.46     0.50     0.46     0.07   1.79   1.75   1.79   1.75  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73206  Ct angio upr extrm w/o&w/dye                      A   1.81  10.93     8.48    10.93NA   8.48 NA  0.09  12.83  10.38  12.83  10.38  1XXX.00.00.0040000             33.9764 090 88     10.71  10.71   0.09
73206TCCt angio upr extrm w/o&w/dye                      A   0.00  10.17     7.81    10.17NA   7.81 NA  0.01  10.18   7.82  10.18   7.82  1XXX.00.00.0040000             33.9764 020 88      9.95   9.95   0.01
7320626Ct angio upr extrm w/o&w/dye                      A   1.81   0.76     0.67     0.76     0.67     0.08   2.65   2.56   2.65   2.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
73218  Mri upper extremity w/o dye                       A   1.35  13.86    10.93    13.86NA  10.93 NA  0.08  15.29  12.36  15.29  12.36  1XXX.00.00.0043000             33.9764 090 88     10.65  10.65   0.08
73218TCMri upper extremity w/o dye                       A   0.00  13.30    10.40    13.30NA  10.40 NA  0.01  13.31  10.41  13.31  10.41  1XXX.00.00.0043000             33.9764 010 88     10.09  10.09   0.01
7321826Mri upper extremity w/o dye                       A   1.35   0.56     0.53     0.56     0.53     0.07   1.98   1.95   1.98   1.95  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73219  Mri upper extremity w/dye                         A   1.62  14.82    11.43    14.82NA  11.43 NA  0.11  16.55  13.16  16.55  13.16  1XXX.00.00.0043000             33.9764 090 88     13.52  13.52   0.11
73219TCMri upper extremity w/dye                         A   0.00  14.15    10.82    14.15NA  10.82 NA  0.01  14.16  10.83  14.16  10.83  1XXX.00.00.0043000             33.9764 020 88     12.85  12.85   0.01
7321926Mri upper extremity w/dye                         A   1.62   0.67     0.61     0.67     0.61     0.10   2.39   2.33   2.39   2.33  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73220  Mri uppr extremity w/o&w/dye                      A   2.15  19.58    14.21    19.58NA  14.21 NA  0.13  21.86  16.49  21.86  16.49  1XXX.00.00.0043000             33.9764 090 88     16.59  16.59   0.13
73220TCMri uppr extremity w/o&w/dye                      A   0.00  18.69    13.40    18.69NA  13.40 NA  0.01  18.70  13.41  18.70  13.41  1XXX.00.00.0043000             33.9764 020 88     15.70  15.70   0.01
7322026Mri uppr extremity w/o&w/dye                      A   2.15   0.89     0.81     0.89     0.81     0.12   3.16   3.08   3.16   3.08  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73221  Mri joint upr extrem w/o dye                      A   1.35  12.95    10.12    12.95NA  10.12 NA  0.11  14.41  11.58  14.41  11.58  1XXX.00.00.0043000             33.9764 090 88     10.66  10.66   0.11
73221TCMri joint upr extrem w/o dye                      A   0.00  12.38     9.59    12.38NA   9.59 NA  0.01  12.39   9.60  12.39   9.60  1XXX.00.00.0043000             33.9764 010 88     10.09  10.09   0.01
7322126Mri joint upr extrem w/o dye                      A   1.35   0.57     0.53     0.57     0.53     0.10   2.02   1.98   2.02   1.98  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73222  Mri joint upr extrem w/dye                        A   1.62  13.97    10.75    13.97NA  10.75 NA  0.11  15.70  12.48  15.70  12.48  1XXX.00.00.0043000             33.9764 090 88     13.52  13.52   0.11
73222TCMri joint upr extrem w/dye                        A   0.00  13.30    10.14    13.30NA  10.14 NA  0.01  13.31  10.15  13.31  10.15  1XXX.00.00.0043000             33.9764 020 88     12.85  12.85   0.01
7322226Mri joint upr extrem w/dye                        A   1.62   0.67     0.61     0.67     0.61     0.10   2.39   2.33   2.39   2.33  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73223  Mri joint upr extr w/o&w/dye                      A   2.15  18.47    13.25    18.47NA  13.25 NA  0.13  20.75  15.53  20.75  15.53  1XXX.00.00.0043000             33.9764 090 88     16.58  16.58   0.13
73223TCMri joint upr extr w/o&w/dye                      A   0.00  17.59    12.43    17.59NA  12.43 NA  0.01  17.60  12.44  17.60  12.44  1XXX.00.00.0043000             33.9764 020 88     15.70  15.70   0.01
7322326Mri joint upr extr w/o&w/dye                      A   2.15   0.88     0.82     0.88     0.82     0.12   3.15   3.09   3.15   3.09  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73225  Mr angio upr extr w/o&w/dye                       R   1.73  16.01    13.60    16.01NA  13.60 NA  0.08  17.82  15.41  17.82  15.41  1XXX.00.00.0040000             33.9764 090 88     16.44  16.44   0.08
73225TCMr angio upr extr w/o&w/dye                       R   0.00  15.26    12.84    15.26NA  12.84 NA  0.01  15.27  12.85  15.27  12.85  1XXX.00.00.0040900             33.9764 020 88     15.69  15.69   0.01
7322526Mr angio upr extr w/o&w/dye                       R   1.73   0.75     0.76     0.75     0.76     0.07   2.55   2.56   2.55   2.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
73500  X-ray exam of hip                                 A   0.17   0.59     0.58     0.59NA   0.58 NA  0.04   0.80   0.79   0.80   0.79  1XXX.00.00.0000000             33.9764 090 99      1.38   1.38   0.06
73500TCX-ray exam of hip                                 A   0.00   0.51     0.50     0.51NA   0.50 NA  0.01   0.52   0.51   0.52   0.51  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.03
7350026X-ray exam of hip                                 A   0.17   0.08     0.08     0.08     0.08     0.03   0.28   0.28   0.28   0.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
73510  X-ray exam of hip                                 A   0.21   0.90     0.89     0.90NA   0.89 NA  0.04   1.15   1.14   1.15   1.14  1XXX.00.00.0000000             33.9764 090 99      1.41   1.41   0.05
73510TCX-ray exam of hip                                 A   0.00   0.80     0.79     0.80NA   0.79 NA  0.01   0.81   0.80   0.81   0.80  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7351026X-ray exam of hip                                 A   0.21   0.10     0.10     0.10     0.10     0.03   0.34   0.34   0.34   0.34  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
73520  X-ray exam of hips                                A   0.26   0.91     0.89     0.91NA   0.89 NA  0.04   1.21   1.19   1.21   1.19  1XXX.00.00.0002000             33.9764 090 99      1.42   1.42   0.05
73520TCX-ray exam of hips                                A   0.00   0.80     0.77     0.80NA   0.77 NA  0.01   0.81   0.78   0.81   0.78  1XXX.00.00.0002000             33.9764 010 99      1.31   1.31   0.02
7352026X-ray exam of hips                                A   0.26   0.11     0.12     0.11     0.12     0.03   0.40   0.41   0.40   0.41  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
73525  Contrast x-ray of hip                             A   0.54   2.38     2.37     2.38NA   2.37 NA  0.05   2.97   2.96   2.97   2.96  1XXX.00.00.0003000             33.9764 090 99      8.31   8.31   0.08
73525TCContrast x-ray of hip                             A   0.00   2.13     2.11     2.13NA   2.11 NA  0.01   2.14   2.12   2.14   2.12  1XXX.00.00.0003000             33.9764 030 99      8.06   8.06   0.04
7352526Contrast x-ray of hip                             A   0.54   0.25     0.26     0.25     0.26     0.04   0.83   0.84   0.83   0.84  1XXX.00.00.0003000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7353026X-ray exam of hip                                 A   0.29   0.12     0.11     0.12     0.11     0.03   0.44   0.43   0.44   0.43  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73540  X-ray exam of pelvis & hips                       A   0.20   0.97     1.03     0.97NA   1.03 NA  0.04   1.21   1.27   1.21   1.27  1XXX.00.00.0000000             33.9764 090 99      1.40   1.40   0.04
73540TCX-ray exam of pelvis & hips                       A   0.00   0.88     0.93     0.88NA   0.93 NA  0.01   0.89   0.94   0.89   0.94  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.01
7354026X-ray exam of pelvis & hips                       A   0.20   0.09     0.10     0.09     0.10     0.03   0.32   0.33   0.32   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
73542  X-ray exam sacroiliac joint                       A   0.59   1.81     1.85     1.81NA   1.85 NA  0.04   2.44   2.48   2.44   2.48  1XXX.00.00.0099999             33.9764 090 99      8.29   8.29   0.08
73542TCX-ray exam sacroiliac joint                       A   0.00   1.56     1.56     1.56NA   1.56 NA  0.01   1.57   1.57   1.57   1.57  1XXX.00.00.0099999             33.9764 030 99      8.04   8.04   0.05
7354226X-ray exam sacroiliac joint                       A   0.59   0.25     0.29     0.25     0.29     0.03   0.87   0.91   0.87   0.91  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
73550  X-ray exam of thigh                               A   0.17   0.64     0.62     0.64NA   0.62 NA  0.04   0.85   0.83   0.85   0.83  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.05
73550TCX-ray exam of thigh                               A   0.00   0.57     0.54     0.57NA   0.54 NA  0.01   0.58   0.55   0.58   0.55  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7355026X-ray exam of thigh                               A   0.17   0.07     0.08     0.07     0.08     0.03   0.27   0.28   0.27   0.28  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73560  X-ray exam of knee 1 or 2                         A   0.17   0.70     0.69     0.70NA   0.69 NA  0.04   0.91   0.90   0.91   0.90  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.05
73560TCX-ray exam of knee 1 or 2                         A   0.00   0.62     0.61     0.62NA   0.61 NA  0.01   0.63   0.62   0.63   0.62  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7356026X-ray exam of knee 1 or 2                         A   0.17   0.08     0.08     0.08     0.08     0.03   0.28   0.28   0.28   0.28  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73562  X-ray exam of knee 3                              A   0.18   0.87     0.87     0.87NA   0.87 NA  0.04   1.09   1.09   1.09   1.09  1XXX.00.00.0003000             33.9764 090 99      1.40   1.40   0.05
73562TCX-ray exam of knee 3                              A   0.00   0.78     0.78     0.78NA   0.78 NA  0.01   0.79   0.79   0.79   0.79  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7356226X-ray exam of knee 3                              A   0.18   0.09     0.09     0.09     0.09     0.03   0.30   0.30   0.30   0.30  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73564  X-ray exam knee 4 or more                         A   0.22   0.99     1.00     0.99NA   1.00 NA  0.04   1.25   1.26   1.25   1.26  1XXX.00.00.0003000             33.9764 090 99      1.41   1.41   0.04
73564TCX-ray exam knee 4 or more                         A   0.00   0.89     0.90     0.89NA   0.90 NA  0.01   0.90   0.91   0.90   0.91  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.01
7356426X-ray exam knee 4 or more                         A   0.22   0.10     0.10     0.10     0.10     0.03   0.35   0.35   0.35   0.35  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73565  X-ray exam of knees                               A   0.17   0.80     0.83     0.80NA   0.83 NA  0.04   1.01   1.04   1.01   1.04  1XXX.00.00.0002000             33.9764 090 99      1.40   1.40   0.05
73565TCX-ray exam of knees                               A   0.00   0.71     0.74     0.71NA   0.74 NA  0.01   0.72   0.75   0.72   0.75  1XXX.00.00.0002000             33.9764 010 99      1.31   1.31   0.02
7356526X-ray exam of knees                               A   0.17   0.09     0.09     0.09     0.09     0.03   0.29   0.29   0.29   0.29  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
73580  Contrast x-ray of knee joint                      A   0.54   3.30     3.42     3.30NA   3.42 NA  0.06   3.90   4.02   3.90   4.02  1XXX.00.00.0003000             33.9764 090 99      8.34   8.34   0.08
73580TCContrast x-ray of knee joint                      A   0.00   3.03     3.13     3.03NA   3.13 NA  0.01   3.04   3.14   3.04   3.14  1XXX.00.00.0003000             33.9764 030 99      8.07   8.07   0.03
7358026Contrast x-ray of knee joint                      A   0.54   0.27     0.29     0.27     0.29     0.05   0.86   0.88   0.86   0.88  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73590  X-ray exam of lower leg                           A   0.17   0.63     0.60     0.63NA   0.60 NA  0.02   0.82   0.79   0.82   0.79  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
73590TCX-ray exam of lower leg                           A   0.00   0.56     0.53     0.56NA   0.53 NA  0.01   0.57   0.54   0.57   0.54  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7359026X-ray exam of lower leg                           A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73592  X-ray exam of leg infant                          A   0.16   0.74     0.79     0.74NA   0.79 NA  0.02   0.92   0.97   0.92   0.97  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.03
73592TCX-ray exam of leg infant                          A   0.00   0.67     0.71     0.67NA   0.71 NA  0.01   0.68   0.72   0.68   0.72  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7359226X-ray exam of leg infant                          A   0.16   0.07     0.08     0.07     0.08     0.01   0.24   0.25   0.24   0.25  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73600  X-ray exam of ankle                               A   0.16   0.66     0.65     0.66NA   0.65 NA  0.02   0.84   0.83   0.84   0.83  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
73600TCX-ray exam of ankle                               A   0.00   0.59     0.58     0.59NA   0.58 NA  0.01   0.60   0.59   0.60   0.59  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7360026X-ray exam of ankle                               A   0.16   0.07     0.07     0.07     0.07     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73610  X-ray exam of ankle                               A   0.17   0.77     0.78     0.77NA   0.78 NA  0.02   0.96   0.97   0.96   0.97  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.03
73610TCX-ray exam of ankle                               A   0.00   0.70     0.70     0.70NA   0.70 NA  0.01   0.71   0.71   0.71   0.71  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7361026X-ray exam of ankle                               A   0.17   0.07     0.08     0.07     0.08     0.01   0.25   0.26   0.25   0.26  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73615  Contrast x-ray of ankle                           A   0.54   2.49     2.51     2.49NA   2.51 NA  0.05   3.08   3.10   3.08   3.10  1XXX.00.00.0003000             33.9764 090 99      8.31   8.31   0.08
73615TCContrast x-ray of ankle                           A   0.00   2.24     2.24     2.24NA   2.24 NA  0.01   2.25   2.25   2.25   2.25  1XXX.00.00.0003000             33.9764 030 99      8.06   8.06   0.04
7361526Contrast x-ray of ankle                           A   0.54   0.25     0.27     0.25     0.27     0.04   0.83   0.85   0.83   0.85  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73620  X-ray exam of foot                                A   0.16   0.63     0.63     0.63NA   0.63 NA  0.02   0.81   0.81   0.81   0.81  1XXX.00.00.0003000             33.9764 090 99      1.36   1.36   0.03
73620TCX-ray exam of foot                                A   0.00   0.57     0.57     0.57NA   0.57 NA  0.01   0.58   0.58   0.58   0.58  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7362026X-ray exam of foot                                A   0.16   0.06     0.06     0.06     0.06     0.01   0.23   0.23   0.23   0.23  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73630  X-ray exam of foot                                A   0.17   0.75     0.72     0.75NA   0.72 NA  0.02   0.94   0.91   0.94   0.91  1XXX.00.00.0003000             33.9764 090 99      1.38   1.38   0.03
73630TCX-ray exam of foot                                A   0.00   0.68     0.65     0.68NA   0.65 NA  0.01   0.69   0.66   0.69   0.66  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7363026X-ray exam of foot                                A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73650  X-ray exam of heel                                A   0.16   0.65     0.65     0.65NA   0.65 NA  0.02   0.83   0.83   0.83   0.83  1XXX.00.00.0003000             33.9764 090 99      1.37   1.37   0.03
73650TCX-ray exam of heel                                A   0.00   0.58     0.58     0.58NA   0.58 NA  0.01   0.59   0.59   0.59   0.59  1XXX.00.00.0003000             33.9764 010 99      1.30   1.30   0.02
7365026X-ray exam of heel                                A   0.16   0.07     0.07     0.07     0.07     0.01   0.24   0.24   0.24   0.24  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73660  X-ray exam of toe(s)                              A   0.13   0.72     0.73     0.72NA   0.73 NA  0.02   0.87   0.88   0.87   0.88  1XXX.00.00.0003000             33.9764 090 99      1.36   1.36   0.03
73660TCX-ray exam of toe(s)                              A   0.00   0.67     0.67     0.67NA   0.67 NA  0.01   0.68   0.68   0.68   0.68  1XXX.00.00.0003000             33.9764 010 99      1.31   1.31   0.02
7366026X-ray exam of toe(s)                              A   0.13   0.05     0.06     0.05     0.06     0.01   0.19   0.20   0.19   0.20  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73700  Ct lower extremity w/o dye                        A   1.00   6.18     4.94     6.18NA   4.94 NA  0.08   7.26   6.02   7.26   6.02  1XXX.00.00.0043000             33.9764 090 88      6.13   6.13   0.08
73700TCCt lower extremity w/o dye                        A   0.00   5.75     4.57     5.75NA   4.57 NA  0.01   5.76   4.58   5.76   4.58  1XXX.00.00.0043000             33.9764 010 88      5.70   5.70   0.01
7370026Ct lower extremity w/o dye                        A   1.00   0.43     0.37     0.43     0.37     0.07   1.50   1.44   1.50   1.44  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73701  Ct lower extremity w/dye                          A   1.16   7.69     6.23     7.69NA   6.23 NA  0.08   8.93   7.47   8.93   7.47  1XXX.00.00.0043000             33.9764 090 88      9.29   9.29   0.08
73701TCCt lower extremity w/dye                          A   0.00   7.21     5.80     7.21NA   5.80 NA  0.01   7.22   5.81   7.22   5.81  1XXX.00.00.0043000             33.9764 020 88      8.81   8.81   0.01
7370126Ct lower extremity w/dye                          A   1.16   0.48     0.43     0.48     0.43     0.07   1.71   1.66   1.71   1.66  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73702  Ct lwr extremity w/o&w/dye                        A   1.22  10.08     8.16    10.08NA   8.16 NA  0.08  11.38   9.46  11.38   9.46  1XXX.00.00.0043000             33.9764 090 88     10.34  10.34   0.08
73702TCCt lwr extremity w/o&w/dye                        A   0.00   9.57     7.70     9.57NA   7.70 NA  0.01   9.58   7.71   9.58   7.71  1XXX.00.00.0043000             33.9764 020 88      9.83   9.83   0.01
7370226Ct lwr extremity w/o&w/dye                        A   1.22   0.51     0.46     0.51     0.46     0.07   1.80   1.75   1.80   1.75  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73706  Ct angio lwr extr w/o&w/dye                       A   1.90  12.10     9.53    12.10NA   9.53 NA  0.12  14.12  11.55  14.12  11.55  1XXX.00.00.0043000             33.9764 090 88     10.75  10.75   0.12
73706TCCt angio lwr extr w/o&w/dye                       A   0.00  11.30     8.82    11.30NA   8.82 NA  0.01  11.31   8.83  11.31   8.83  1XXX.00.00.0043000             33.9764 020 88      9.95   9.95   0.01
7370626Ct angio lwr extr w/o&w/dye                       A   1.90   0.80     0.71     0.80     0.71     0.11   2.81   2.72   2.81   2.72  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73718  Mri lower extremity w/o dye                       A   1.35  13.54    10.64    13.54NA  10.64 NA  0.09  14.98  12.08  14.98  12.08  1XXX.00.00.0043000             33.9764 090 88     10.64  10.64   0.09
73718TCMri lower extremity w/o dye                       A   0.00  12.99    10.13    12.99NA  10.13 NA  0.01  13.00  10.14  13.00  10.14  1XXX.00.00.0043000             33.9764 010 88     10.09  10.09   0.01
7371826Mri lower extremity w/o dye                       A   1.35   0.55     0.51     0.55     0.51     0.08   1.98   1.94   1.98   1.94  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73719  Mri lower extremity w/dye                         A   1.62  14.77    11.55    14.77NA  11.55 NA  0.11  16.50  13.28  16.50  13.28  1XXX.00.00.0043000             33.9764 090 88     13.51  13.51   0.11
73719TCMri lower extremity w/dye                         A   0.00  14.11    10.95    14.11NA  10.95 NA  0.01  14.12  10.96  14.12  10.96  1XXX.00.00.0043000             33.9764 020 88     12.85  12.85   0.01
7371926Mri lower extremity w/dye                         A   1.62   0.66     0.60     0.66     0.60     0.10   2.38   2.32   2.38   2.32  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73720  Mri lwr extremity w/o&w/dye                       A   2.15  19.60    14.26    19.60NA  14.26 NA  0.13  21.88  16.54  21.88  16.54  1XXX.00.00.0043000             33.9764 090 88     16.58  16.58   0.13
73720TCMri lwr extremity w/o&w/dye                       A   0.00  18.72    13.46    18.72NA  13.46 NA  0.01  18.73  13.47  18.73  13.47  1XXX.00.00.0043000             33.9764 020 88     15.70  15.70   0.01
7372026Mri lwr extremity w/o&w/dye                       A   2.15   0.88     0.80     0.88     0.80     0.12   3.15   3.07   3.15   3.07  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73721  Mri jnt of lwr extre w/o dye                      A   1.35  13.22    10.38    13.22NA  10.38 NA  0.11  14.68  11.84  14.68  11.84  1XXX.00.00.0043000             33.9764 090 88     10.65  10.65   0.11
73721TCMri jnt of lwr extre w/o dye                      A   0.00  12.66     9.85    12.66NA   9.85 NA  0.01  12.67   9.86  12.67   9.86  1XXX.00.00.0043000             33.9764 010 88     10.09  10.09   0.01
7372126Mri jnt of lwr extre w/o dye                      A   1.35   0.56     0.53     0.56     0.53     0.10   2.01   1.98   2.01   1.98  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73722  Mri joint of lwr extr w/dye                       A   1.62  14.22    11.08    14.22NA  11.08 NA  0.12  15.96  12.82  15.96  12.82  1XXX.00.00.0043000             33.9764 090 88     13.53  13.53   0.12
73722TCMri joint of lwr extr w/dye                       A   0.00  13.54    10.46    13.54NA  10.46 NA  0.01  13.55  10.47  13.55  10.47  1XXX.00.00.0043000             33.9764 020 88     12.85  12.85   0.01
7372226Mri joint of lwr extr w/dye                       A   1.62   0.68     0.62     0.68     0.62     0.11   2.41   2.35   2.41   2.35  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73723  Mri joint lwr extr w/o&w/dye                      A   2.15  18.43    13.24    18.43NA  13.24 NA  0.13  20.71  15.52  20.71  15.52  1XXX.00.00.0043000             33.9764 090 88     16.58  16.58   0.13
73723TCMri joint lwr extr w/o&w/dye                      A   0.00  17.55    12.43    17.55NA  12.43 NA  0.01  17.56  12.44  17.56  12.44  1XXX.00.00.0043000             33.9764 020 88     15.70  15.70   0.01
7372326Mri joint lwr extr w/o&w/dye                      A   2.15   0.88     0.81     0.88     0.81     0.12   3.15   3.08   3.15   3.08  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
73725  Mr ang lwr ext w or w/o dye                       R   1.82  14.43    11.56    14.43NA  11.56 NA  0.11  16.36  13.49  16.36  13.49  1XXX.00.00.0043000             33.9764 090 88     16.44  16.44   0.11
73725TCMr ang lwr ext w or w/o dye                       R   0.00  13.68    10.89    13.68NA  10.89 NA  0.01  13.69  10.90  13.69  10.90  1XXX.00.00.0043000             33.9764 020 88     15.69  15.69   0.01
7372526Mr ang lwr ext w or w/o dye                       R   1.82   0.75     0.67     0.75     0.67     0.10   2.67   2.59   2.67   2.59  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
74000  X-ray exam of abdomen                             A   0.18   0.54     0.49     0.54NA   0.49 NA  0.02   0.74   0.69   0.74   0.69  1XXX.00.00.0000000             33.9764 090 99      1.37   1.37   0.04
74000TCX-ray exam of abdomen                             A   0.00   0.47     0.42     0.47NA   0.42 NA  0.01   0.48   0.43   0.48   0.43  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.03
7400026X-ray exam of abdomen                             A   0.18   0.07     0.07     0.07     0.07     0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74010  X-ray exam of abdomen                             A   0.23   0.88     0.84     0.88NA   0.84 NA  0.02   1.13   1.09   1.13   1.09  1XXX.00.00.0000000             33.9764 090 99      1.40   1.40   0.03
74010TCX-ray exam of abdomen                             A   0.00   0.79     0.75     0.79NA   0.75 NA  0.01   0.80   0.76   0.80   0.76  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7401026X-ray exam of abdomen                             A   0.23   0.09     0.09     0.09     0.09     0.01   0.33   0.33   0.33   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74020  X-ray exam of abdomen                             A   0.27   0.90     0.85     0.90NA   0.85 NA  0.02   1.19   1.14   1.19   1.14  1XXX.00.00.0000000             33.9764 090 99      1.42   1.42   0.03
74020TCX-ray exam of abdomen                             A   0.00   0.79     0.75     0.79NA   0.75 NA  0.01   0.80   0.76   0.80   0.76  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7402026X-ray exam of abdomen                             A   0.27   0.11     0.10     0.11     0.10     0.01   0.39   0.38   0.39   0.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74022  X-ray exam series abdomen                         A   0.32   1.09     1.02     1.09NA   1.02 NA  0.02   1.43   1.36   1.43   1.36  1XXX.00.00.0000000             33.9764 090 99      2.34   2.34   0.03
74022TCX-ray exam series abdomen                         A   0.00   0.96     0.90     0.96NA   0.90 NA  0.01   0.97   0.91   0.97   0.91  1XXX.00.00.0000000             33.9764 010 99      2.21   2.21   0.02
7402226X-ray exam series abdomen                         A   0.32   0.13     0.12     0.13     0.12     0.01   0.46   0.45   0.46   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74150  Ct abdomen w/o dye                                A   1.19   6.03     4.71     6.03NA   4.71 NA  0.08   7.30   5.98   7.30   5.98  1XXX.00.00.0040000             33.9764 090 88      6.19   6.19   0.08
74150TCCt abdomen w/o dye                                A   0.00   5.54     4.27     5.54NA   4.27 NA  0.01   5.55   4.28   5.55   4.28  1XXX.00.00.0040000             33.9764 010 88      5.70   5.70   0.01
7415026Ct abdomen w/o dye                                A   1.19   0.49     0.44     0.49     0.44     0.07   1.75   1.70   1.75   1.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74160  Ct abdomen w/dye                                  A   1.27   8.52     6.83     8.52NA   6.83 NA  0.08   9.87   8.18   9.87   8.18  1XXX.00.00.0040000             33.9764 090 88      9.34   9.34   0.08
74160TCCt abdomen w/dye                                  A   0.00   7.99     6.35     7.99NA   6.35 NA  0.01   8.00   6.36   8.00   6.36  1XXX.00.00.0040000             33.9764 020 88      8.81   8.81   0.01
7416026Ct abdomen w/dye                                  A   1.27   0.53     0.48     0.53     0.48     0.07   1.87   1.82   1.87   1.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74170  Ct abdomen w/o & w/dye                            A   1.40  11.55     9.35    11.55NA   9.35 NA  0.09  13.04  10.84  13.04  10.84  1XXX.00.00.0040000             33.9764 090 88     10.41  10.41   0.09
74170TCCt abdomen w/o & w/dye                            A   0.00  10.97     8.82    10.97NA   8.82 NA  0.01  10.98   8.83  10.98   8.83  1XXX.00.00.0040000             33.9764 020 88      9.83   9.83   0.01
7417026Ct abdomen w/o & w/dye                            A   1.40   0.58     0.53     0.58     0.53     0.08   2.06   2.01   2.06   2.01  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74175  Ct angio abdom w/o & w/dye                        A   1.90  12.26     9.56    12.26NA   9.56 NA  0.13  14.29  11.59  14.29  11.59  1XXX.00.00.0040000             33.9764 090 88     10.75  10.75   0.13
74175TCCt angio abdom w/o & w/dye                        A   0.00  11.47     8.86    11.47NA   8.86 NA  0.01  11.48   8.87  11.48   8.87  1XXX.00.00.0040000             33.9764 020 88      9.96   9.96   0.01
7417526Ct angio abdom w/o & w/dye                        A   1.90   0.79     0.70     0.79     0.70     0.12   2.81   2.72   2.81   2.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74176  Ct abd & pelvis w/o contrast                      A   1.74   4.52     4.52     4.52NA   4.52 NA  0.11   6.37   6.37   6.37   6.37  1XXX.00.00.0040900             33.9764 090 88      6.34   6.34   0.11
74176TCCt abd & pelvis w/o contrast                      A   0.00   3.87     3.87     3.87NA   3.87 NA  0.01   3.88   3.88   3.88   3.88  1XXX.00.00.0040900             33.9764 020 88      5.69   5.69   0.01
7417626Ct abd & pelvis w/o contrast                      A   1.74   0.65     0.65     0.65     0.65     0.10   2.49   2.49   2.49   2.49  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
74177  Ct abdomen&pelvis w/contrast                      A   1.82   8.08     8.08     8.08NA   8.08 NA  0.11  10.01  10.01  10.01  10.01  1XXX.00.00.0040900             33.9764 090 88      9.50   9.50   0.11
74177TCCt abdomen&pelvis w/contrast                      A   0.00   7.39     7.39     7.39NA   7.39 NA  0.01   7.40   7.40   7.40   7.40  1XXX.00.00.0040900             33.9764 020 88      8.81   8.81   0.01
7417726Ct abdomen&pelvis w/contrast                      A   1.82   0.69     0.69     0.69     0.69     0.10   2.61   2.61   2.61   2.61  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
74178  Ct abd&pelv 1+ section/regns                      A   2.01  10.53    10.53    10.53NA  10.53 NA  0.13  12.67  12.67  12.67  12.67  1XXX.00.00.0040900             33.9764 090 88     10.59  10.59   0.13
74178TCCt abd&pelv 1+ section/regns                      A   0.00   9.77     9.77     9.77NA   9.77 NA  0.01   9.78   9.78   9.78   9.78  1XXX.00.00.0040900             33.9764 020 88      9.83   9.83   0.01
7417826Ct abd&pelv 1+ section/regns                      A   2.01   0.76     0.76     0.76     0.76     0.12   2.89   2.89   2.89   2.89  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
74181  Mri abdomen w/o dye                               A   1.46  12.05     9.29    12.05NA   9.29 NA  0.09  13.60  10.84  13.60  10.84  1XXX.00.00.0040000             33.9764 090 88     10.68  10.68   0.09
74181TCMri abdomen w/o dye                               A   0.00  11.45     8.75    11.45NA   8.75 NA  0.01  11.46   8.76  11.46   8.76  1XXX.00.00.0040000             33.9764 010 88     10.08  10.08   0.01
7418126Mri abdomen w/o dye                               A   1.46   0.60     0.54     0.60     0.54     0.08   2.14   2.08   2.14   2.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74182  Mri abdomen w/dye                                 A   1.73  16.56    13.12    16.56NA  13.12 NA  0.11  18.40  14.96  18.40  14.96  1XXX.00.00.0040000             33.9764 090 88     13.56  13.56   0.11
74182TCMri abdomen w/dye                                 A   0.00  15.85    12.48    15.85NA  12.48 NA  0.01  15.86  12.49  15.86  12.49  1XXX.00.00.0040000             33.9764 020 88     12.85  12.85   0.01
7418226Mri abdomen w/dye                                 A   1.73   0.71     0.64     0.71     0.64     0.10   2.54   2.47   2.54   2.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74183  Mri abdomen w/o & w/dye                           A   2.26  19.57    14.23    19.57NA  14.23 NA  0.13  21.96  16.62  21.96  16.62  1XXX.00.00.0040000             33.9764 090 88     16.62  16.62   0.13
74183TCMri abdomen w/o & w/dye                           A   0.00  18.65    13.39    18.65NA  13.39 NA  0.01  18.66  13.40  18.66  13.40  1XXX.00.00.0040000             33.9764 020 88     15.70  15.70   0.01
7418326Mri abdomen w/o & w/dye                           A   2.26   0.92     0.84     0.92     0.84     0.12   3.30   3.22   3.30   3.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74185  Mri angio abdom w orw/o dye                       R   1.80  14.38    11.51    14.38NA  11.51 NA  0.11  16.29  13.42  16.29  13.42  1XXX.00.00.0040000             33.9764 090 88     16.43  16.43   0.11
74185TCMri angio abdom w orw/o dye                       R   0.00  13.64    10.85    13.64NA  10.85 NA  0.01  13.65  10.86  13.65  10.86  1XXX.00.00.0040000             33.9764 020 88     15.69  15.69   0.01
7418526Mri angio abdom w orw/o dye                       R   1.80   0.74     0.66     0.74     0.66     0.10   2.64   2.56   2.64   2.56  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      6.96   6.96   0.05
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             33.9764 030 99      6.76   6.76   0.01
7419026X-ray exam of peritoneum                          A   0.48   0.20     0.17     0.20     0.17     0.04   0.72   0.69   0.72   0.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74210  Contrst x-ray exam of throat                      A   0.36   1.94     1.84     1.94NA   1.84 NA  0.02   2.32   2.22   2.32   2.22  1XXX.00.00.0000000             33.9764 090 99      2.69   2.69   0.02
74210TCContrst x-ray exam of throat                      A   0.00   1.79     1.71     1.79NA   1.71 NA  0.01   1.80   1.72   1.80   1.72  1XXX.00.00.0000000             33.9764 030 99      2.54   2.54   0.01
7421026Contrst x-ray exam of throat                      A   0.36   0.15     0.13     0.15     0.13     0.01   0.52   0.50   0.52   0.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74220  Contrast x-ray esophagus                          A   0.46   2.17     2.09     2.17NA   2.09 NA  0.04   2.67   2.59   2.67   2.59  1XXX.00.00.0000000             33.9764 090 99      2.73   2.73   0.04
74220TCContrast x-ray esophagus                          A   0.00   1.98     1.92     1.98NA   1.92 NA  0.01   1.99   1.93   1.99   1.93  1XXX.00.00.0000000             33.9764 030 99      2.54   2.54   0.01
7422026Contrast x-ray esophagus                          A   0.46   0.19     0.17     0.19     0.17     0.03   0.68   0.66   0.68   0.66  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74230  Cine/vid x-ray throat/esoph                       A   0.53   2.14     2.04     2.14NA   2.04 NA  0.04   2.71   2.61   2.71   2.61  1XXX.00.00.0000000             33.9764 090 99      2.76   2.76   0.04
74230TCCine/vid x-ray throat/esoph                       A   0.00   1.92     1.84     1.92NA   1.84 NA  0.01   1.93   1.85   1.93   1.85  1XXX.00.00.0000000             33.9764 030 99      2.54   2.54   0.01
7423026Cine/vid x-ray throat/esoph                       A   0.53   0.22     0.20     0.22     0.20     0.03   0.78   0.76   0.78   0.76  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7423526Remove esophagus obstruction                      A   1.19   0.63     0.66     0.63     0.66     0.10   1.92   1.95   1.92   1.95  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74240  X-ray exam upper gi tract                         A   0.69   2.57     2.52     2.57NA   2.52 NA  0.05   3.31   3.26   3.31   3.26  1XXX.00.00.0000000             33.9764 090 99      2.83   2.83   0.05
74240TCX-ray exam upper gi tract                         A   0.00   2.28     2.25     2.28NA   2.25 NA  0.01   2.29   2.26   2.29   2.26  1XXX.00.00.0000000             33.9764 030 99      2.54   2.54   0.01
7424026X-ray exam upper gi tract                         A   0.69   0.29     0.27     0.29     0.27     0.04   1.02   1.00   1.02   1.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74241  X-ray exam upper gi tract                         A   0.69   2.78     2.70     2.78NA   2.70 NA  0.04   3.51   3.43   3.51   3.43  1XXX.00.00.0000000             33.9764 090 99      2.82   2.82   0.04
74241TCX-ray exam upper gi tract                         A   0.00   2.50     2.44     2.50NA   2.44 NA  0.01   2.51   2.45   2.51   2.45  1XXX.00.00.0000000             33.9764 030 99      2.54   2.54   0.01
7424126X-ray exam upper gi tract                         A   0.69   0.28     0.26     0.28     0.26     0.03   1.00   0.98   1.00   0.98  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74245  X-ray exam upper gi tract                         A   0.91   4.27     4.10     4.27NA   4.10 NA  0.06   5.24   5.07   5.24   5.07  1XXX.00.00.0000000             33.9764 090 99      4.55   4.55   0.06
74245TCX-ray exam upper gi tract                         A   0.00   3.89     3.76     3.89NA   3.76 NA  0.01   3.90   3.77   3.90   3.77  1XXX.00.00.0000000             33.9764 030 99      4.17   4.17   0.01
7424526X-ray exam upper gi tract                         A   0.91   0.38     0.34     0.38     0.34     0.05   1.34   1.30   1.34   1.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74246  Contrst x-ray uppr gi tract                       A   0.69   3.02     2.91     3.02NA   2.91 NA  0.05   3.76   3.65   3.76   3.65  1XXX.00.00.0000000             33.9764 090 99      2.83   2.83   0.05
74246TCContrst x-ray uppr gi tract                       A   0.00   2.73     2.65     2.73NA   2.65 NA  0.01   2.74   2.66   2.74   2.66  1XXX.00.00.0000000             33.9764 030 99      2.54   2.54   0.01
7424626Contrst x-ray uppr gi tract                       A   0.69   0.29     0.26     0.29     0.26     0.04   1.02   0.99   1.02   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74247  Contrst x-ray uppr gi tract                       A   0.69   3.44     3.35     3.44NA   3.35 NA  0.05   4.18   4.09   4.18   4.09  1XXX.00.00.0000000             33.9764 090 99      2.83   2.83   0.05
74247TCContrst x-ray uppr gi tract                       A   0.00   3.15     3.09     3.15NA   3.09 NA  0.01   3.16   3.10   3.16   3.10  1XXX.00.00.0000000             33.9764 030 99      2.54   2.54   0.01
7424726Contrst x-ray uppr gi tract                       A   0.69   0.29     0.26     0.29     0.26     0.04   1.02   0.99   1.02   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74249  Contrst x-ray uppr gi tract                       A   0.91   4.68     4.52     4.68NA   4.52 NA  0.06   5.65   5.49   5.65   5.49  1XXX.00.00.0000000             33.9764 090 99      4.55   4.55   0.06
74249TCContrst x-ray uppr gi tract                       A   0.00   4.30     4.18     4.30NA   4.18 NA  0.01   4.31   4.19   4.31   4.19  1XXX.00.00.0000000             33.9764 030 99      4.17   4.17   0.01
7424926Contrst x-ray uppr gi tract                       A   0.91   0.38     0.34     0.38     0.34     0.05   1.34   1.30   1.34   1.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74250  X-ray exam of small bowel                         A   0.47   2.64     2.59     2.64NA   2.59 NA  0.04   3.15   3.10   3.15   3.10  1XXX.00.00.0000000             33.9764 090 99      2.73   2.73   0.04
74250TCX-ray exam of small bowel                         A   0.00   2.45     2.41     2.45NA   2.41 NA  0.01   2.46   2.42   2.46   2.42  1XXX.00.00.0000000             33.9764 020 99      2.54   2.54   0.01
7425026X-ray exam of small bowel                         A   0.47   0.19     0.18     0.19     0.18     0.03   0.69   0.68   0.69   0.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74251  X-ray exam of small bowel                         A   0.69  10.08    10.56    10.08NA  10.56 NA  0.05  10.82  11.30  10.82  11.30  1XXX.00.00.0000000             33.9764 090 99      4.46   4.46   0.04
74251TCX-ray exam of small bowel                         A   0.00   9.79    10.30     9.79NA  10.30 NA  0.01   9.80  10.31   9.80  10.31  1XXX.00.00.0000000             33.9764 030 99      4.17   4.17   0.00
7425126X-ray exam of small bowel                         A   0.69   0.29     0.26     0.29     0.26     0.04   1.02   0.99   1.02   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74260  X-ray exam of small bowel                         A   0.50   8.39     8.72     8.39NA   8.72 NA  0.04   8.93   9.26   8.93   9.26  1XXX.00.00.0000000             33.9764 090 99      2.75   2.75   0.03
74260TCX-ray exam of small bowel                         A   0.00   8.19     8.53     8.19NA   8.53 NA  0.01   8.20   8.54   8.20   8.54  1XXX.00.00.0000000             33.9764 030 99      2.55   2.55   0.00
7426026X-ray exam of small bowel                         A   0.50   0.20     0.19     0.20     0.19     0.03   0.73   0.72   0.73   0.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74261  Ct colonography dx                                A   2.40  12.70    12.70    12.70NA  12.70 NA  0.13  15.23  15.23  15.23  15.23  1XXX.00.00.0040000             33.9764 090 88      6.60   6.60   0.12
74261TCCt colonography dx                                A   0.00  11.80    11.80    11.80NA  11.80 NA  0.01  11.81  11.81  11.81  11.81  1XXX.00.00.0040000             33.9764 020 88      5.70   5.70   0.00
7426126Ct colonography dx                                A   2.40   0.90     0.90     0.90     0.90     0.12   3.42   3.42   3.42   3.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74262  Ct colonography dx w/dye                          A   2.50  14.27    14.27    14.27NA  14.27 NA  0.15  16.92  16.92  16.92  16.92  1XXX.00.00.0040000             33.9764 090 88      9.76   9.76   0.15
74262TCCt colonography dx w/dye                          A   0.00  13.33    13.33    13.33NA  13.33 NA  0.01  13.34  13.34  13.34  13.34  1XXX.00.00.0040000             33.9764 020 88      8.82   8.82   0.01
7426226Ct colonography dx w/dye                          A   2.50   0.94     0.94     0.94     0.94     0.14   3.58   3.58   3.58   3.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74263  Ct colonography screening                         N+  2.28  20.09    20.09    20.09NA  20.09 NA  0.13  22.50  22.50  22.50  22.50  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
74263TCCt colonography screening                         N+  0.00  19.09    19.09    19.09NA  19.09 NA  0.01  19.10  19.10  19.10  19.10  1XXX.00.00.0099999             33.9764 020 99      0.00   0.00   0.00
7426326Ct colonography screening                         N+  2.28   1.00     1.00     1.00     1.00     0.12   3.40   3.40   3.40   3.40  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
74270  Contrast x-ray exam of colon                      A   0.69   3.79     3.73     3.79NA   3.73 NA  0.05   4.53   4.47   4.53   4.47  1XXX.00.00.0000000             33.9764 090 99      2.84   2.84   0.05
74270TCContrast x-ray exam of colon                      A   0.00   3.50     3.47     3.50NA   3.47 NA  0.01   3.51   3.48   3.51   3.48  1XXX.00.00.0000000             33.9764 030 99      2.55   2.55   0.01
7427026Contrast x-ray exam of colon                      A   0.69   0.29     0.26     0.29     0.26     0.04   1.02   0.99   1.02   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74280  Contrast x-ray exam of colon                      A   0.99   5.23     5.15     5.23NA   5.15 NA  0.06   6.28   6.20   6.28   6.20  1XXX.00.00.0000000             33.9764 090 99      4.58   4.58   0.06
74280TCContrast x-ray exam of colon                      A   0.00   4.82     4.78     4.82NA   4.78 NA  0.01   4.83   4.79   4.83   4.79  1XXX.00.00.0000000             33.9764 030 99      4.17   4.17   0.01
7428026Contrast x-ray exam of colon                      A   0.99   0.41     0.37     0.41     0.37     0.05   1.45   1.41   1.45   1.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74283  Contrast x-ray exam of colon                      A   2.02   3.98     3.75     3.98NA   3.75 NA  0.06   6.06   5.83   6.06   5.83  1XXX.00.00.0000000             33.9764 090 99      3.38   3.38   0.06
74283TCContrast x-ray exam of colon                      A   0.00   3.14     2.97     3.14NA   2.97 NA  0.01   3.15   2.98   3.15   2.98  1XXX.00.00.0000000             33.9764 030 99      2.54   2.54   0.01
7428326Contrast x-ray exam of colon                      A   2.02   0.84     0.78     0.84     0.78     0.05   2.91   2.85   2.91   2.85  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74290  Contrast x-ray gallbladder                        A   0.32   1.68     1.66     1.68NA   1.66 NA  0.02   2.02   2.00   2.02   2.00  1XXX.00.00.0000000             33.9764 090 99      2.67   2.67   0.03
74290TCContrast x-ray gallbladder                        A   0.00   1.55     1.54     1.55NA   1.54 NA  0.01   1.56   1.55   1.56   1.55  1XXX.00.00.0000000             33.9764 010 99      2.54   2.54   0.02
7429026Contrast x-ray gallbladder                        A   0.32   0.13     0.12     0.13     0.12     0.01   0.46   0.45   0.46   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74291  Contrast x-rays gallbladder                       A   0.20   1.67     1.76     1.67NA   1.76 NA  0.02   1.89   1.98   1.89   1.98  1XXX.00.00.0000000             33.9764 090 99      2.62   2.62   0.03
74291TCContrast x-rays gallbladder                       A   0.00   1.59     1.68     1.59NA   1.68 NA  0.01   1.60   1.69   1.60   1.69  1XXX.00.00.0000000             33.9764 010 99      2.54   2.54   0.02
7429126Contrast x-rays gallbladder                       A   0.20   0.08     0.08     0.08     0.08     0.01   0.29   0.29   0.29   0.29  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7430026X-ray bile ducts/pancreas                         A   0.36   0.15     0.14     0.15     0.14     0.03   0.54   0.53   0.54   0.53  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7430126X-rays at surgery add-on                          A   0.21   0.09     0.08     0.09     0.08     0.03   0.33   0.32   0.33   0.32  1ZZZ.00.00.0000000             33.9764 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             33.9764 090 99      6.93   6.93   0.05
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             33.9764 030 99      6.76   6.76   0.01
7430526X-ray bile ducts/pancreas                         A   0.42   0.17     0.15     0.17     0.15     0.04   0.63   0.61   0.63   0.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74320  Contrast x-ray of bile ducts                      A   0.54   2.62     2.25     2.62NA   2.25 NA  0.04   3.20   2.83   3.20   2.83  1XXX.00.00.0000000             33.9764 090 99     12.16  12.16   0.08
74320TCContrast x-ray of bile ducts                      A   0.00   2.39     2.05     2.39NA   2.05 NA  0.01   2.40   2.06   2.40   2.06  1XXX.00.00.0000000             33.9764 030 99     11.93  11.93   0.05
7432026Contrast x-ray of bile ducts                      A   0.54   0.23     0.20     0.23     0.20     0.03   0.80   0.77   0.80   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74327  X-ray bile stone removal                          A   0.70   3.25     3.16     3.25NA   3.16 NA  0.13   4.08   3.99   4.08   3.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74327TCX-ray bile stone removal                          A   0.00   2.96     2.90     2.96NA   2.90 NA  0.01   2.97   2.91   2.97   2.91  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7432726X-ray bile stone removal                          A   0.70   0.29     0.26     0.29     0.26     0.12   1.11   1.08   1.11   1.08  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7432826X-ray bile duct endoscopy                         A   0.70   0.31     0.29     0.31     0.29     0.05   1.06   1.04   1.06   1.04  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7432926X-ray for pancreas endoscopy                      A   0.70   0.31     0.29     0.31     0.29     0.05   1.06   1.04   1.06   1.04  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7433026X-ray bile/panc endoscopy                         A   0.90   0.39     0.36     0.39     0.36     0.07   1.36   1.33   1.36   1.33  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7434026X-ray guide for GI tube                           A   0.54   0.23     0.21     0.23     0.21     0.04   0.81   0.79   0.81   0.79  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7435526X-ray guide intestinal tube                       A   0.76   0.33     0.31     0.33     0.31     0.07   1.16   1.14   1.16   1.14  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7436026X-ray guide gi dilation                           A   0.54   0.28     0.28     0.28     0.28     0.04   0.86   0.86   0.86   0.86  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7436326X-ray bile duct dilation                          A   0.88   0.37     0.32     0.37     0.32     0.08   1.33   1.28   1.33   1.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74400  Contrst x-ray urinary tract                       A   0.49   2.78     2.64     2.78NA   2.64 NA  0.04   3.31   3.17   3.31   3.17  1XXX.00.00.0000000             33.9764 090 99      5.36   5.36   0.05
74400TCContrst x-ray urinary tract                       A   0.00   2.58     2.46     2.58NA   2.46 NA  0.01   2.59   2.47   2.59   2.47  1XXX.00.00.0000000             33.9764 020 99      5.16   5.16   0.02
7440026Contrst x-ray urinary tract                       A   0.49   0.20     0.18     0.20     0.18     0.03   0.72   0.70   0.72   0.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74410  Contrst x-ray urinary tract                       A   0.49   2.88     2.64     2.88NA   2.64 NA  0.04   3.41   3.17   3.41   3.17  1XXX.00.00.0000000             33.9764 090 99      5.37   5.37   0.05
74410TCContrst x-ray urinary tract                       A   0.00   2.67     2.46     2.67NA   2.46 NA  0.01   2.68   2.47   2.68   2.47  1XXX.00.00.0000000             33.9764 020 99      5.16   5.16   0.02
7441026Contrst x-ray urinary tract                       A   0.49   0.21     0.18     0.21     0.18     0.03   0.73   0.70   0.73   0.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74415  Contrst x-ray urinary tract                       A   0.49   3.50     3.34     3.50NA   3.34 NA  0.04   4.03   3.87   4.03   3.87  1XXX.00.00.0000000             33.9764 090 99      5.37   5.37   0.05
74415TCContrst x-ray urinary tract                       A   0.00   3.30     3.16     3.30NA   3.16 NA  0.01   3.31   3.17   3.31   3.17  1XXX.00.00.0000000             33.9764 020 99      5.17   5.17   0.02
7441526Contrst x-ray urinary tract                       A   0.49   0.20     0.18     0.20     0.18     0.03   0.72   0.70   0.72   0.70  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      5.32   5.32   0.04
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             33.9764 030 99      5.17   5.17   0.01
7442026Contrst x-ray urinary tract                       A   0.36   0.15     0.14     0.15     0.14     0.03   0.54   0.53   0.54   0.53  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      5.32   5.32   0.04
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             33.9764 030 99      5.17   5.17   0.01
7442526Contrst x-ray urinary tract                       A   0.36   0.15     0.13     0.15     0.13     0.03   0.54   0.52   0.54   0.52  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74430  Contrast x-ray bladder                            A   0.32   1.46     0.82     1.46NA   0.82 NA  0.02   1.80   1.16   1.80   1.16  1XXX.00.00.0000000             33.9764 090 99      5.27   5.27   0.05
74430TCContrast x-ray bladder                            A   0.00   1.33     0.70     1.33NA   0.70 NA  0.01   1.34   0.71   1.34   0.71  1XXX.00.00.0000000             33.9764 030 99      5.14   5.14   0.04
7443026Contrast x-ray bladder                            A   0.32   0.13     0.12     0.13     0.12     0.01   0.46   0.45   0.46   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74440  X-ray male genital tract                          A   0.38   2.14     2.02     2.14NA   2.02 NA  0.04   2.56   2.44   2.56   2.44  1XXX.00.00.0000000             33.9764 090 99      5.32   5.32   0.06
74440TCX-ray male genital tract                          A   0.00   1.98     1.87     1.98NA   1.87 NA  0.01   1.99   1.88   1.99   1.88  1XXX.00.00.0000000             33.9764 030 99      5.16   5.16   0.03
7444026X-ray male genital tract                          A   0.38   0.16     0.15     0.16     0.15     0.03   0.57   0.56   0.57   0.56  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      5.67   5.67   0.11
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             33.9764 030 99      5.17   5.17   0.01
7444526X-ray exam of penis                               A   1.14   0.50     0.45     0.50     0.45     0.10   1.74   1.69   1.74   1.69  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      5.31   5.31   0.04
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             33.9764 030 99      5.17   5.17   0.01
7445026X-ray urethra/bladder                             A   0.33   0.14     0.12     0.14     0.12     0.03   0.50   0.48   0.50   0.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74455  X-ray urethra/bladder                             A   0.33   2.30     2.10     2.30NA   2.10 NA  0.02   2.65   2.45   2.65   2.45  1XXX.00.00.0000000             33.9764 090 99      5.30   5.30   0.03
74455TCX-ray urethra/bladder                             A   0.00   2.16     1.97     2.16NA   1.97 NA  0.01   2.17   1.98   2.17   1.98  1XXX.00.00.0000000             33.9764 030 99      5.16   5.16   0.02
7445526X-ray urethra/bladder                             A   0.33   0.14     0.13     0.14     0.13     0.01   0.48   0.47   0.48   0.47  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      6.99   6.99   0.05
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             33.9764 030 99      6.76   6.76   0.01
7447026X-ray exam of kidney lesion                       A   0.54   0.23     0.20     0.23     0.20     0.04   0.81   0.78   0.81   0.78  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74475  X-ray control cath insert                         A   0.54   2.73     2.23     2.73NA   2.23 NA  0.04   3.31   2.81   3.31   2.81  1XXX.00.00.0000000             33.9764 090 99     35.71  35.71   0.17
74475TCX-ray control cath insert                         A   0.00   2.50     2.03     2.50NA   2.03 NA  0.01   2.51   2.04   2.51   2.04  1XXX.00.00.0000000             33.9764 030 99     35.48  35.48   0.14
7447526X-ray control cath insert                         A   0.54   0.23     0.20     0.23     0.20     0.03   0.80   0.77   0.80   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74480  X-ray control cath insert                         A   0.54   2.74     2.23     2.74NA   2.23 NA  0.04   3.32   2.81   3.32   2.81  1XXX.00.00.0000000             33.9764 090 99     35.71  35.71   0.17
74480TCX-ray control cath insert                         A   0.00   2.51     2.03     2.51NA   2.03 NA  0.01   2.52   2.04   2.52   2.04  1XXX.00.00.0000000             33.9764 030 99     35.48  35.48   0.14
7448026X-ray control cath insert                         A   0.54   0.23     0.20     0.23     0.20     0.03   0.80   0.77   0.80   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74485  X-ray guide gu dilation                           A   0.54   2.69     2.27     2.69NA   2.27 NA  0.04   3.27   2.85   3.27   2.85  1XXX.00.00.0000000             33.9764 090 99     35.71  35.71   0.17
74485TCX-ray guide gu dilation                           A   0.00   2.46     2.07     2.46NA   2.07 NA  0.01   2.47   2.08   2.47   2.08  1XXX.00.00.0000000             33.9764 030 99     35.48  35.48   0.14
7448526X-ray guide gu dilation                           A   0.54   0.23     0.20     0.23     0.20     0.03   0.80   0.77   0.80   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74710  X-ray measurement of pelvis                       A   0.34   0.81     0.68     0.81NA   0.68 NA  0.02   1.17   1.04   1.17   1.04  1XXX.00.00.0000000             33.9764 090 99      2.34   2.34   0.04
74710TCX-ray measurement of pelvis                       A   0.00   0.67     0.55     0.67NA   0.55 NA  0.01   0.68   0.56   0.68   0.56  1XXX.00.00.0000000             33.9764 010 99      2.20   2.20   0.03
7471026X-ray measurement of pelvis                       A   0.34   0.14     0.13     0.14     0.13     0.01   0.49   0.48   0.49   0.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
74740  X-ray female genital tract                        A   0.38   1.94     1.84     1.94NA   1.84 NA  0.02   2.34   2.24   2.34   2.24  1XXX.00.00.0000000             33.9764 090 99      6.89   6.89   0.05
74740TCX-ray female genital tract                        A   0.00   1.78     1.69     1.78NA   1.69 NA  0.01   1.79   1.70   1.79   1.70  1XXX.00.00.0000000             33.9764 030 99      6.73   6.73   0.04
7474026X-ray female genital tract                        A   0.38   0.16     0.15     0.16     0.15     0.01   0.55   0.54   0.55   0.54  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7474226X-ray fallopian tube                              A   0.61   0.25     0.24     0.25     0.24     0.05   0.91   0.90   0.91   0.90  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      5.43   5.43   0.06
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             33.9764 030 99      5.17   5.17   0.01
7477526X-ray exam of perineum                            A   0.62   0.26     0.23     0.26     0.23     0.05   0.93   0.90   0.93   0.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75557  Cardiac mri for morph                             A   2.35  10.76     8.11    10.76NA   8.11 NA  0.11  13.22  10.57  13.22  10.57  1XXX.00.00.0040000             33.9764 090 88     11.13  11.13   0.11
75557TCCardiac mri for morph                             A   0.00   9.71     7.22     9.71NA   7.22 NA  0.01   9.72   7.23   9.72   7.23  1XXX.00.00.0040000             33.9764 010 88     10.08  10.08   0.01
7555726Cardiac mri for morph                             A   2.35   1.05     0.89     1.05     0.89     0.10   3.50   3.34   3.50   3.34  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75559  Cardiac mri w/stress img                          A   2.95  16.04    11.64    16.04NA  11.64 NA  0.13  19.12  14.72  19.12  14.72  1XXX.00.00.0040000             33.9764 090 88     11.47  11.47   0.13
75559TCCardiac mri w/stress img                          A   0.00  14.66    10.52    14.66NA  10.52 NA  0.01  14.67  10.53  14.67  10.53  1XXX.00.00.0040000             33.9764 020 88     10.09  10.09   0.01
7555926Cardiac mri w/stress img                          A   2.95   1.38     1.12     1.38     1.12     0.12   4.45   4.19   4.45   4.19  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75561  Cardiac mri for morph w/dye                       A   2.60  15.18    11.36    15.18NA  11.36 NA  0.12  17.90  14.08  17.90  14.08  1XXX.00.00.0040000             33.9764 090 88     16.86  16.86   0.12
75561TCCardiac mri for morph w/dye                       A   0.00  14.01    10.37    14.01NA  10.37 NA  0.01  14.02  10.38  14.02  10.38  1XXX.00.00.0040000             33.9764 010 88     15.69  15.69   0.01
7556126Cardiac mri for morph w/dye                       A   2.60   1.17     0.99     1.17     0.99     0.11   3.88   3.70   3.88   3.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75563  Card mri w/stress img & dye                       A   3.00  18.67    13.55    18.67NA  13.55 NA  0.12  21.79  16.67  21.79  16.67  1XXX.00.00.0040000             33.9764 090 88     17.16  17.16   0.12
75563TCCard mri w/stress img & dye                       A   0.00  17.21    12.38    17.21NA  12.38 NA  0.01  17.22  12.39  17.22  12.39  1XXX.00.00.0040000             33.9764 010 88     15.70  15.70   0.01
7556326Card mri w/stress img & dye                       A   3.00   1.46     1.17     1.46     1.17     0.11   4.57   4.28   4.57   4.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75565  Card mri veloc flow mapping                       A   0.25   1.92     1.92     1.92NA   1.92 NA  0.02   2.19   2.19   2.19   2.19  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75565TCCard mri veloc flow mapping                       A   0.00   1.81     1.81     1.81NA   1.81 NA  0.01   1.82   1.82   1.82   1.82  1ZZZ.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7556526Card mri veloc flow mapping                       A   0.25   0.11     0.11     0.11     0.11     0.01   0.37   0.37   0.37   0.37  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75571  Ct hrt w/o dye w/ca test                          A   0.58   2.55     2.55     2.55NA   2.55 NA  0.02   3.15   3.15   3.15   3.15  1XXX.00.00.0040000             33.9764 090 88      1.58   1.58   0.02
75571TCCt hrt w/o dye w/ca test                          A   0.00   2.33     2.33     2.33NA   2.33 NA  0.01   2.34   2.34   2.34   2.34  1XXX.00.00.0040000             33.9764 020 88      1.36   1.36   0.01
7557126Ct hrt w/o dye w/ca test                          A   0.58   0.22     0.22     0.22     0.22     0.01   0.81   0.81   0.81   0.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75572  Ct hrt w/3d image                                 A   1.75   6.82     6.82     6.82NA   6.82 NA  0.06   8.63   8.63   8.63   8.63  1XXX.00.00.0040000             33.9764 090 88      8.22   8.22   0.06
75572TCCt hrt w/3d image                                 A   0.00   6.15     6.15     6.15NA   6.15 NA  0.01   6.16   6.16   6.16   6.16  1XXX.00.00.0040000             33.9764 020 88      7.55   7.55   0.01
7557226Ct hrt w/3d image                                 A   1.75   0.67     0.67     0.67     0.67     0.05   2.47   2.47   2.47   2.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75573  Ct hrt w/3d image congen                          A   2.55   9.10     9.10     9.10NA   9.10 NA  0.09  11.74  11.74  11.74  11.74  1XXX.00.00.0040000             33.9764 090 88      8.54   8.54   0.09
75573TCCt hrt w/3d image congen                          A   0.00   8.11     8.11     8.11NA   8.11 NA  0.01   8.12   8.12   8.12   8.12  1XXX.00.00.0040000             33.9764 020 88      7.55   7.55   0.01
7557326Ct hrt w/3d image congen                          A   2.55   0.99     0.99     0.99     0.99     0.08   3.62   3.62   3.62   3.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75574  Ct angio hrt w/3d image                           A   2.40  10.63    10.63    10.63NA  10.63 NA  0.09  13.12  13.12  13.12  13.12  1XXX.00.00.0040000             33.9764 090 88      8.47   8.47   0.09
75574TCCt angio hrt w/3d image                           A   0.00   9.71     9.71     9.71NA   9.71 NA  0.01   9.72   9.72   9.72   9.72  1XXX.00.00.0040000             33.9764 020 88      7.55   7.55   0.01
7557426Ct angio hrt w/3d image                           A   2.40   0.92     0.92     0.92     0.92     0.08   3.40   3.40   3.40   3.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75600  Contrast x-ray exam of aorta                      A   0.49   7.45     5.43     7.45NA   5.43 NA  0.04   7.98   5.96   7.98   5.96  1XXX.00.00.0000000             33.9764 090 99     59.79  59.79   0.11
75600TCContrast x-ray exam of aorta                      A   0.00   7.22     5.25     7.22NA   5.25 NA  0.01   7.23   5.26   7.23   5.26  1XXX.00.00.0000000             33.9764 030 99     59.56  59.56   0.08
7560026Contrast x-ray exam of aorta                      A   0.49   0.23     0.18     0.23     0.18     0.03   0.75   0.70   0.75   0.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75605  Contrast x-ray exam of aorta                      A   1.14   5.13     3.18     5.13NA   3.18 NA  0.08   6.35   4.40   6.35   4.40  1XXX.00.00.0000000             33.9764 090 99     60.02  60.02   0.20
75605TCContrast x-ray exam of aorta                      A   0.00   4.63     2.76     4.63NA   2.76 NA  0.01   4.64   2.77   4.64   2.77  1XXX.00.00.0000000             33.9764 030 99     59.52  59.52   0.13
7560526Contrast x-ray exam of aorta                      A   1.14   0.50     0.42     0.50     0.42     0.07   1.71   1.63   1.71   1.63  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75625  Contrast x-ray exam of aorta                      A   1.14   5.11     3.27     5.11NA   3.27 NA  0.11   6.36   4.52   6.36   4.52  1XXX.00.00.0000000             33.9764 090 99     59.99  59.99   0.23
75625TCContrast x-ray exam of aorta                      A   0.00   4.64     2.86     4.64NA   2.86 NA  0.01   4.65   2.87   4.65   2.87  1XXX.00.00.0000000             33.9764 030 99     59.52  59.52   0.13
7562526Contrast x-ray exam of aorta                      A   1.14   0.47     0.41     0.47     0.41     0.10   1.71   1.65   1.71   1.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75630  X-ray aorta leg arteries                          A   1.79   5.51     3.51     5.51NA   3.51 NA  0.11   7.41   5.41   7.41   5.41  1XXX.00.00.0000000             33.9764 090 99     60.28  60.28   0.23
75630TCX-ray aorta leg arteries                          A   0.00   4.75     2.85     4.75NA   2.85 NA  0.01   4.76   2.86   4.76   2.86  1XXX.00.00.0000000             33.9764 030 99     59.52  59.52   0.13
7563026X-ray aorta leg arteries                          A   1.79   0.76     0.66     0.76     0.66     0.10   2.65   2.55   2.65   2.55  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75635  Ct angio abdominal arteries                       A   2.40  13.46    10.15    13.46NA  10.15 NA  0.15  16.01  12.70  16.01  12.70  1XXX.00.00.0040000             33.9764 090 88     10.97  10.97   0.14
75635TCCt angio abdominal arteries                       A   0.00  12.43     9.26    12.43NA   9.26 NA  0.03  12.46   9.29  12.46   9.29  1XXX.00.00.0040000             33.9764 020 88      9.94   9.94   0.02
7563526Ct angio abdominal arteries                       A   2.40   1.03     0.89     1.03     0.89     0.12   3.55   3.41   3.55   3.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75650  Artery x-rays head & neck                         A   1.49   5.30     3.44     5.30NA   3.44 NA  0.11   6.90   5.04   6.90   5.04  1XXX.00.00.0000000             33.9764 090 99     97.25  97.25   0.31
75650TCArtery x-rays head & neck                         A   0.00   4.67     2.89     4.67NA   2.89 NA  0.01   4.68   2.90   4.68   2.90  1XXX.00.00.0000000             33.9764 030 99     96.62  96.62   0.21
7565026Artery x-rays head & neck                         A   1.49   0.63     0.55     0.63     0.55     0.10   2.22   2.14   2.22   2.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75658  Artery x-rays arm                                 A   1.31   5.67     4.05     5.67NA   4.05 NA  0.09   7.07   5.45   7.07   5.45  1XXX.00.00.0000000             33.9764 090 99     60.04  60.04   0.20
75658TCArtery x-rays arm                                 A   0.00   5.16     3.59     5.16NA   3.59 NA  0.01   5.17   3.60   5.17   3.60  1XXX.00.00.0000000             33.9764 030 99     59.53  59.53   0.12
7565826Artery x-rays arm                                 A   1.31   0.51     0.46     0.51     0.46     0.08   1.90   1.85   1.90   1.85  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75660  Artery x-rays head & neck                         A   1.31   5.81     4.16     5.81NA   4.16 NA  0.05   7.17   5.52   7.17   5.52  1XXX.00.00.0000000             33.9764 090 99     97.21  97.21   0.22
75660TCArtery x-rays head & neck                         A   0.00   5.24     3.63     5.24NA   3.63 NA  0.01   5.25   3.64   5.25   3.64  1XXX.00.00.0000000             33.9764 030 99     96.64  96.64   0.18
7566026Artery x-rays head & neck                         A   1.31   0.57     0.53     0.57     0.53     0.04   1.92   1.88   1.92   1.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75662  Artery x-rays head & neck                         A   1.66   6.77     5.05     6.77NA   5.05 NA  0.10   8.53   6.81   8.53   6.81  1XXX.00.00.0002000             33.9764 090 99     97.10  97.10   0.55
75662TCArtery x-rays head & neck                         A   0.00   6.01     4.38     6.01NA   4.38 NA  0.03   6.04   4.41   6.04   4.41  1XXX.00.00.0002000             33.9764 030 99     96.34  96.34   0.48
7566226Artery x-rays head & neck                         A   1.66   0.76     0.67     0.76     0.67     0.07   2.49   2.40   2.49   2.40  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75665  Artery x-rays head & neck                         A   1.31   6.05     4.39     6.05NA   4.39 NA  0.12   7.48   5.82   7.48   5.82  1XXX.00.00.0000000             33.9764 090 99     60.11  60.11   0.22
75665TCArtery x-rays head & neck                         A   0.00   5.48     3.87     5.48NA   3.87 NA  0.01   5.49   3.88   5.49   3.88  1XXX.00.00.0000000             33.9764 030 99     59.54  59.54   0.11
7566526Artery x-rays head & neck                         A   1.31   0.57     0.52     0.57     0.52     0.11   1.99   1.94   1.99   1.94  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75671  Artery x-rays head & neck                         A   1.66   6.93     5.24     6.93NA   5.24 NA  0.13   8.72   7.03   8.72   7.03  1XXX.00.00.0002000             33.9764 090 99     97.08  97.08   0.57
75671TCArtery x-rays head & neck                         A   0.00   6.21     4.59     6.21NA   4.59 NA  0.03   6.24   4.62   6.24   4.62  1XXX.00.00.0002000             33.9764 030 99     96.36  96.36   0.47
7567126Artery x-rays head & neck                         A   1.66   0.72     0.65     0.72     0.65     0.10   2.48   2.41   2.48   2.41  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75676  Artery x-rays neck                                A   1.31   5.75     4.03     5.75NA   4.03 NA  0.12   7.18   5.46   7.18   5.46  1XXX.00.00.0000000             33.9764 090 99     60.09  60.09   0.22
75676TCArtery x-rays neck                                A   0.00   5.19     3.52     5.19NA   3.52 NA  0.01   5.20   3.53   5.20   3.53  1XXX.00.00.0000000             33.9764 030 99     59.53  59.53   0.11
7567626Artery x-rays neck                                A   1.31   0.56     0.51     0.56     0.51     0.11   1.98   1.93   1.98   1.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75680  Artery x-rays neck                                A   1.66   6.36     4.56     6.36NA   4.56 NA  0.11   8.13   6.33   8.13   6.33  1XXX.00.00.0002000             33.9764 090 99     60.26  60.26   0.21
75680TCArtery x-rays neck                                A   0.00   5.64     3.92     5.64NA   3.92 NA  0.01   5.65   3.93   5.65   3.93  1XXX.00.00.0002000             33.9764 030 99     59.54  59.54   0.11
7568026Artery x-rays neck                                A   1.66   0.72     0.64     0.72     0.64     0.10   2.48   2.40   2.48   2.40  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75685  Artery x-rays spine                               A   1.31   5.81     4.12     5.81NA   4.12 NA  0.09   7.21   5.52   7.21   5.52  1XXX.00.00.0003000             33.9764 090 99     60.10  60.10   0.19
75685TCArtery x-rays spine                               A   0.00   5.24     3.60     5.24NA   3.60 NA  0.01   5.25   3.61   5.25   3.61  1XXX.00.00.0003000             33.9764 030 99     59.53  59.53   0.11
7568526Artery x-rays spine                               A   1.31   0.57     0.52     0.57     0.52     0.08   1.96   1.91   1.96   1.91  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
75705  Artery x-rays spine                               A   2.18   6.14     4.44     6.14NA   4.44 NA  0.08   8.40   6.70   8.40   6.70  1XXX.00.00.0000000             33.9764 090 99     60.47  60.47   0.18
75705TCArtery x-rays spine                               A   0.00   5.20     3.59     5.20NA   3.59 NA  0.01   5.21   3.60   5.21   3.60  1XXX.00.00.0000000             33.9764 030 99     59.53  59.53   0.11
7570526Artery x-rays spine                               A   2.18   0.94     0.85     0.94     0.85     0.07   3.19   3.10   3.19   3.10  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75710  Artery x-rays arm/leg                             A   1.14   5.69     3.92     5.69NA   3.92 NA  0.06   6.89   5.12   6.89   5.12  1XXX.00.00.0000000             33.9764 090 99     60.00  60.00   0.16
75710TCArtery x-rays arm/leg                             A   0.00   5.22     3.50     5.22NA   3.50 NA  0.01   5.23   3.51   5.23   3.51  1XXX.00.00.0000000             33.9764 030 99     59.53  59.53   0.11
7571026Artery x-rays arm/leg                             A   1.14   0.47     0.42     0.47     0.42     0.05   1.66   1.61   1.66   1.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75716  Artery x-rays arms/legs                           A   1.31   6.53     4.70     6.53NA   4.70 NA  0.13   7.97   6.14   7.97   6.14  1XXX.00.00.0002000             33.9764 090 99     59.89  59.89   0.40
75716TCArtery x-rays arms/legs                           A   0.00   5.99     4.22     5.99NA   4.22 NA  0.03   6.02   4.25   6.02   4.25  1XXX.00.00.0002000             33.9764 030 99     59.35  59.35   0.30
7571626Artery x-rays arms/legs                           A   1.31   0.54     0.48     0.54     0.48     0.10   1.95   1.89   1.95   1.89  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75722  Artery x-rays kidney                              A   1.14   5.46     3.54     5.46NA   3.54 NA  0.08   6.68   4.76   6.68   4.76  1XXX.00.00.0000000             33.9764 090 99     60.03  60.03   0.19
75722TCArtery x-rays kidney                              A   0.00   4.96     3.12     4.96NA   3.12 NA  0.01   4.97   3.13   4.97   3.13  1XXX.00.00.0000000             33.9764 030 99     59.53  59.53   0.12
7572226Artery x-rays kidney                              A   1.14   0.50     0.42     0.50     0.42     0.07   1.71   1.63   1.71   1.63  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75724  Artery x-rays kidneys                             A   1.49   6.35     4.21     6.35NA   4.21 NA  0.08   7.92   5.78   7.92   5.78  1XXX.00.00.0002000             33.9764 090 99     60.05  60.05   0.37
75724TCArtery x-rays kidneys                             A   0.00   5.63     3.64     5.63NA   3.64 NA  0.03   5.66   3.67   5.66   3.67  1XXX.00.00.0002000             33.9764 030 99     59.33  59.33   0.32
7572426Artery x-rays kidneys                             A   1.49   0.72     0.57     0.72     0.57     0.05   2.26   2.11   2.26   2.11  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75726  Artery x-rays abdomen                             A   1.14   5.61     3.84     5.61NA   3.84 NA  0.09   6.84   5.07   6.84   5.07  1XXX.00.00.0000000             33.9764 090 99     60.00  60.00   0.20
75726TCArtery x-rays abdomen                             A   0.00   5.14     3.43     5.14NA   3.43 NA  0.01   5.15   3.44   5.15   3.44  1XXX.00.00.0000000             33.9764 030 99     59.53  59.53   0.12
7572626Artery x-rays abdomen                             A   1.14   0.47     0.41     0.47     0.41     0.08   1.69   1.63   1.69   1.63  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75731  Artery x-rays adrenal gland                       A   1.14   5.75     3.81     5.75NA   3.81 NA  0.05   6.94   5.00   6.94   5.00  1XXX.00.00.0000000             33.9764 090 99     60.06  60.06   0.15
75731TCArtery x-rays adrenal gland                       A   0.00   5.22     3.38     5.22NA   3.38 NA  0.01   5.23   3.39   5.23   3.39  1XXX.00.00.0000000             33.9764 030 99     59.53  59.53   0.11
7573126Artery x-rays adrenal gland                       A   1.14   0.53     0.43     0.53     0.43     0.04   1.71   1.61   1.71   1.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75733  Artery x-rays adrenals                            A   1.31   6.61     4.45     6.61NA   4.45 NA  0.07   7.99   5.83   7.99   5.83  1XXX.00.00.0002000             33.9764 090 99     59.99  59.99   0.34
75733TCArtery x-rays adrenals                            A   0.00   5.97     3.94     5.97NA   3.94 NA  0.03   6.00   3.97   6.00   3.97  1XXX.00.00.0002000             33.9764 030 99     59.35  59.35   0.30
7573326Artery x-rays adrenals                            A   1.31   0.64     0.51     0.64     0.51     0.04   1.99   1.86   1.99   1.86  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75736  Artery x-rays pelvis                              A   1.14   5.61     3.76     5.61NA   3.76 NA  0.06   6.81   4.96   6.81   4.96  1XXX.00.00.0000000             33.9764 090 99     60.01  60.01   0.17
75736TCArtery x-rays pelvis                              A   0.00   5.13     3.35     5.13NA   3.35 NA  0.01   5.14   3.36   5.14   3.36  1XXX.00.00.0000000             33.9764 030 99     59.53  59.53   0.12
7573626Artery x-rays pelvis                              A   1.14   0.48     0.41     0.48     0.41     0.05   1.67   1.60   1.67   1.60  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75741  Artery x-rays lung                                A   1.31   5.07     3.26     5.07NA   3.26 NA  0.09   6.47   4.66   6.47   4.66  1XXX.00.00.0000000             33.9764 090 99     60.07  60.07   0.21
75741TCArtery x-rays lung                                A   0.00   4.52     2.79     4.52NA   2.79 NA  0.01   4.53   2.80   4.53   2.80  1XXX.00.00.0000000             33.9764 030 99     59.52  59.52   0.13
7574126Artery x-rays lung                                A   1.31   0.55     0.47     0.55     0.47     0.08   1.94   1.86   1.94   1.86  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75743  Artery x-rays lungs                               A   1.66   5.47     3.64     5.47NA   3.64 NA  0.11   7.24   5.41   7.24   5.41  1XXX.00.00.0002000             33.9764 090 99     60.22  60.22   0.23
75743TCArtery x-rays lungs                               A   0.00   4.77     3.04     4.77NA   3.04 NA  0.01   4.78   3.05   4.78   3.05  1XXX.00.00.0002000             33.9764 030 99     59.52  59.52   0.13
7574326Artery x-rays lungs                               A   1.66   0.70     0.60     0.70     0.60     0.10   2.46   2.36   2.46   2.36  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75746  Artery x-rays lung                                A   1.14   5.40     3.62     5.40NA   3.62 NA  0.08   6.62   4.84   6.62   4.84  1XXX.00.00.0000000             33.9764 090 99     21.59  21.59   0.11
75746TCArtery x-rays lung                                A   0.00   4.92     3.19     4.92NA   3.19 NA  0.01   4.93   3.20   4.93   3.20  1XXX.00.00.0000000             33.9764 030 99     21.11  21.11   0.04
7574626Artery x-rays lung                                A   1.14   0.48     0.43     0.48     0.43     0.07   1.69   1.64   1.69   1.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75756  Artery x-rays chest                               A   1.14   5.77     3.80     5.77NA   3.80 NA  0.23   7.14   5.17   7.14   5.17  1XXX.00.00.0000000             33.9764 090 99     21.65  21.65   0.26
75756TCArtery x-rays chest                               A   0.00   5.23     3.39     5.23NA   3.39 NA  0.01   5.24   3.40   5.24   3.40  1XXX.00.00.0000000             33.9764 030 99     21.11  21.11   0.04
7575626Artery x-rays chest                               A   1.14   0.54     0.41     0.54     0.41     0.22   1.90   1.77   1.90   1.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75774  Artery x-ray each vessel                          A   0.36   4.30     2.50     4.30NA   2.50 NA  0.04   4.70   2.90   4.70   2.90  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75774TCArtery x-ray each vessel                          A   0.00   4.15     2.37     4.15NA   2.37 NA  0.01   4.16   2.38   4.16   2.38  1ZZZ.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7577426Artery x-ray each vessel                          A   0.36   0.15     0.13     0.15     0.13     0.03   0.54   0.52   0.54   0.52  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75791  Av dialysis shunt imaging                         A   1.71   7.84     7.84     7.84NA   7.84 NA  0.11   9.66   9.66   9.66   9.66  1XXX.00.00.0000000             33.9764 090 99      5.37   5.37   0.11
75791TCAv dialysis shunt imaging                         A   0.00   7.22     7.22     7.22NA   7.22 NA  0.01   7.23   7.23   7.23   7.23  1XXX.00.00.0000000             33.9764 030 99      4.75   4.75   0.01
7579126Av dialysis shunt imaging                         A   1.71   0.62     0.62     0.62     0.62     0.10   2.43   2.43   2.43   2.43  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     12.30  12.30   0.19
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             33.9764 030 99     11.97  11.97   0.01
7580126Lymph vessel x-ray arm/leg                        A   0.81   0.33     0.35     0.33     0.35     0.18   1.32   1.34   1.32   1.34  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     12.46  12.46   0.11
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             33.9764 030 99     11.97  11.97   0.01
7580326Lymph vessel x-ray arms/legs                      A   1.17   0.49     0.44     0.49     0.44     0.10   1.76   1.71   1.76   1.71  1XXX.00.00.0002000             33.9764 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             33.9764 090 99     12.31  12.31   0.08
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             33.9764 030 99     11.97  11.97   0.01
7580526Lymph vessel x-ray trunk                          A   0.81   0.34     0.30     0.34     0.30     0.07   1.22   1.18   1.22   1.18  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     12.47  12.47   0.11
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             33.9764 030 99     11.97  11.97   0.01
7580726Lymph vessel x-ray trunk                          A   1.17   0.50     0.45     0.50     0.45     0.10   1.77   1.72   1.77   1.72  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75809  Nonvascular shunt x-ray                           A   0.47   2.38     2.49     2.38NA   2.49 NA  0.04   2.89   3.00   2.89   3.00  1XXX.00.00.0000000             33.9764 090 99      2.42   2.42   0.04
75809TCNonvascular shunt x-ray                           A   0.00   2.18     2.30     2.18NA   2.30 NA  0.01   2.19   2.31   2.19   2.31  1XXX.00.00.0000000             33.9764 030 99      2.22   2.22   0.01
7580926Nonvascular shunt x-ray                           A   0.47   0.20     0.19     0.20     0.19     0.03   0.70   0.69   0.70   0.69  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     60.13  60.13   0.11
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             33.9764 030 99     59.64  59.64   0.01
7581026Vein x-ray spleen/liver                           A   1.14   0.49     0.43     0.49     0.43     0.10   1.73   1.67   1.73   1.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75820  Vein x-ray arm/leg                                A   0.70   2.96     2.88     2.96NA   2.88 NA  0.05   3.71   3.63   3.71   3.63  1XXX.00.00.0000000             33.9764 090 99     21.37  21.37   0.12
75820TCVein x-ray arm/leg                                A   0.00   2.66     2.62     2.66NA   2.62 NA  0.01   2.67   2.63   2.67   2.63  1XXX.00.00.0000000             33.9764 030 99     21.07  21.07   0.08
7582026Vein x-ray arm/leg                                A   0.70   0.30     0.26     0.30     0.26     0.04   1.04   1.00   1.04   1.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75822  Vein x-ray arms/legs                              A   1.06   3.41     3.36     3.41NA   3.36 NA  0.08   4.55   4.50   4.55   4.50  1XXX.00.00.0002000             33.9764 090 99     21.51  21.51   0.14
75822TCVein x-ray arms/legs                              A   0.00   2.98     2.97     2.98NA   2.97 NA  0.01   2.99   2.98   2.99   2.98  1XXX.00.00.0002000             33.9764 030 99     21.08  21.08   0.07
7582226Vein x-ray arms/legs                              A   1.06   0.43     0.39     0.43     0.39     0.07   1.56   1.52   1.56   1.52  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75825  Vein x-ray trunk                                  A   1.14   4.86     3.10     4.86NA   3.10 NA  0.09   6.09   4.33   6.09   4.33  1XXX.00.00.0000000             33.9764 090 99     59.96  59.96   0.22
75825TCVein x-ray trunk                                  A   0.00   4.41     2.69     4.41NA   2.69 NA  0.01   4.42   2.70   4.42   2.70  1XXX.00.00.0000000             33.9764 030 99     59.51  59.51   0.14
7582526Vein x-ray trunk                                  A   1.14   0.45     0.41     0.45     0.41     0.08   1.67   1.63   1.67   1.63  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75827  Vein x-ray chest                                  A   1.14   4.94     3.27     4.94NA   3.27 NA  0.08   6.16   4.49   6.16   4.49  1XXX.00.00.0000000             33.9764 090 99     21.55  21.55   0.12
75827TCVein x-ray chest                                  A   0.00   4.50     2.86     4.50NA   2.86 NA  0.01   4.51   2.87   4.51   2.87  1XXX.00.00.0000000             33.9764 030 99     21.11  21.11   0.05
7582726Vein x-ray chest                                  A   1.14   0.44     0.41     0.44     0.41     0.07   1.65   1.62   1.65   1.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75831  Vein x-ray kidney                                 A   1.14   4.97     3.20     4.97NA   3.20 NA  0.25   6.36   4.59   6.36   4.59  1XXX.00.00.0000000             33.9764 090 99     59.97  59.97   0.37
75831TCVein x-ray kidney                                 A   0.00   4.51     2.80     4.51NA   2.80 NA  0.01   4.52   2.81   4.52   2.81  1XXX.00.00.0000000             33.9764 030 99     59.51  59.51   0.13
7583126Vein x-ray kidney                                 A   1.14   0.46     0.40     0.46     0.40     0.24   1.84   1.78   1.84   1.78  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75833  Vein x-ray kidneys                                A   1.49   5.56     3.83     5.56NA   3.83 NA  0.09   7.14   5.41   7.14   5.41  1XXX.00.00.0002000             33.9764 090 99     60.10  60.10   0.20
75833TCVein x-ray kidneys                                A   0.00   4.99     3.32     4.99NA   3.32 NA  0.01   5.00   3.33   5.00   3.33  1XXX.00.00.0002000             33.9764 030 99     59.53  59.53   0.12
7583326Vein x-ray kidneys                                A   1.49   0.57     0.51     0.57     0.51     0.08   2.14   2.08   2.14   2.08  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75840  Vein x-ray adrenal gland                          A   1.14   4.85     3.05     4.85NA   3.05 NA  0.25   6.24   4.44   6.24   4.44  1XXX.00.00.0000000             33.9764 090 99     59.94  59.94   0.37
75840TCVein x-ray adrenal gland                          A   0.00   4.42     2.67     4.42NA   2.67 NA  0.01   4.43   2.68   4.43   2.68  1XXX.00.00.0000000             33.9764 030 99     59.51  59.51   0.13
7584026Vein x-ray adrenal gland                          A   1.14   0.43     0.38     0.43     0.38     0.24   1.81   1.76   1.81   1.76  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75842  Vein x-ray adrenal glands                         A   1.49   5.58     3.80     5.58NA   3.80 NA  0.09   7.16   5.38   7.16   5.38  1XXX.00.00.0002000             33.9764 090 99     60.15  60.15   0.20
75842TCVein x-ray adrenal glands                         A   0.00   4.96     3.24     4.96NA   3.24 NA  0.01   4.97   3.25   4.97   3.25  1XXX.00.00.0002000             33.9764 030 99     59.53  59.53   0.12
7584226Vein x-ray adrenal glands                         A   1.49   0.62     0.56     0.62     0.56     0.08   2.19   2.13   2.19   2.13  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
75860  Vein x-ray neck                                   A   1.14   5.06     3.18     5.06NA   3.18 NA  0.09   6.29   4.41   6.29   4.41  1XXX.00.00.0000000             33.9764 090 99     21.61  21.61   0.13
75860TCVein x-ray neck                                   A   0.00   4.56     2.76     4.56NA   2.76 NA  0.01   4.57   2.77   4.57   2.77  1XXX.00.00.0000000             33.9764 030 99     21.11  21.11   0.05
7586026Vein x-ray neck                                   A   1.14   0.50     0.42     0.50     0.42     0.08   1.72   1.64   1.72   1.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75870  Vein x-ray skull                                  A   1.14   4.99     3.15     4.99NA   3.15 NA  0.08   6.21   4.37   6.21   4.37  1XXX.00.00.0000000             33.9764 090 99     21.58  21.58   0.12
75870TCVein x-ray skull                                  A   0.00   4.52     2.72     4.52NA   2.72 NA  0.01   4.53   2.73   4.53   2.73  1XXX.00.00.0000000             33.9764 030 99     21.11  21.11   0.05
7587026Vein x-ray skull                                  A   1.14   0.47     0.43     0.47     0.43     0.07   1.68   1.64   1.68   1.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75872  Vein x-ray skull                                  A   1.14   7.16     6.71     7.16NA   6.71 NA  0.08   8.38   7.93   8.38   7.93  1XXX.00.00.0000000             33.9764 090 99     21.71  21.71   0.10
75872TCVein x-ray skull                                  A   0.00   6.57     6.08     6.57NA   6.08 NA  0.01   6.58   6.09   6.58   6.09  1XXX.00.00.0000000             33.9764 030 99     21.12  21.12   0.03
7587226Vein x-ray skull                                  A   1.14   0.59     0.63     0.59     0.63     0.07   1.80   1.84   1.80   1.84  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75880  Vein x-ray eye socket                             A   0.70   4.32     5.52     4.32NA   5.52 NA  0.05   5.07   6.27   5.07   6.27  1XXX.00.00.0000000             33.9764 090 99     21.42  21.42   0.09
75880TCVein x-ray eye socket                             A   0.00   4.00     5.18     4.00NA   5.18 NA  0.01   4.01   5.19   4.01   5.19  1XXX.00.00.0000000             33.9764 030 99     21.10  21.10   0.05
7588026Vein x-ray eye socket                             A   0.70   0.32     0.34     0.32     0.34     0.04   1.06   1.08   1.06   1.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75885  Vein x-ray liver                                  A   1.44   5.11     3.29     5.11NA   3.29 NA  0.09   6.64   4.82   6.64   4.82  1XXX.00.00.0000000             33.9764 090 99     60.11  60.11   0.21
75885TCVein x-ray liver                                  A   0.00   4.51     2.77     4.51NA   2.77 NA  0.01   4.52   2.78   4.52   2.78  1XXX.00.00.0000000             33.9764 030 99     59.51  59.51   0.13
7588526Vein x-ray liver                                  A   1.44   0.60     0.52     0.60     0.52     0.08   2.12   2.04   2.12   2.04  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75887  Vein x-ray liver                                  A   1.44   5.19     3.38     5.19NA   3.38 NA  0.06   6.69   4.88   6.69   4.88  1XXX.00.00.0000000             33.9764 090 99     21.72  21.72   0.10
75887TCVein x-ray liver                                  A   0.00   4.58     2.85     4.58NA   2.85 NA  0.01   4.59   2.86   4.59   2.86  1XXX.00.00.0000000             33.9764 030 99     21.11  21.11   0.05
7588726Vein x-ray liver                                  A   1.44   0.61     0.53     0.61     0.53     0.05   2.10   2.02   2.10   2.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75889  Vein x-ray liver                                  A   1.14   4.98     3.21     4.98NA   3.21 NA  0.08   6.20   4.43   6.20   4.43  1XXX.00.00.0000000             33.9764 090 99     59.99  59.99   0.20
75889TCVein x-ray liver                                  A   0.00   4.51     2.80     4.51NA   2.80 NA  0.01   4.52   2.81   4.52   2.81  1XXX.00.00.0000000             33.9764 030 99     59.52  59.52   0.13
7588926Vein x-ray liver                                  A   1.14   0.47     0.41     0.47     0.41     0.07   1.68   1.62   1.68   1.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75891  Vein x-ray liver                                  A   1.14   4.99     3.21     4.99NA   3.21 NA  0.08   6.21   4.43   6.21   4.43  1XXX.00.00.0000000             33.9764 090 99     59.99  59.99   0.20
75891TCVein x-ray liver                                  A   0.00   4.52     2.80     4.52NA   2.80 NA  0.01   4.53   2.81   4.53   2.81  1XXX.00.00.0000000             33.9764 030 99     59.52  59.52   0.13
7589126Vein x-ray liver                                  A   1.14   0.47     0.41     0.47     0.41     0.07   1.68   1.62   1.68   1.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75893  Venous sampling by catheter                       A   0.54   4.70     2.94     4.70NA   2.94 NA  0.02   5.26   3.50   5.26   3.50  1XXX.00.00.0000000             33.9764 090 99     59.73  59.73   0.14
75893TCVenous sampling by catheter                       A   0.00   4.48     2.74     4.48NA   2.74 NA  0.01   4.49   2.75   4.49   2.75  1XXX.00.00.0000000             33.9764 030 99     59.51  59.51   0.13
7589326Venous sampling by catheter                       A   0.54   0.22     0.20     0.22     0.20     0.01   0.77   0.75   0.77   0.75  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7589426X-rays transcath therapy                          A   1.31   0.54     0.48     0.54     0.48     0.16   2.01   1.95   2.01   1.95  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7589626X-rays transcath therapy                          A   1.31   0.56     0.48     0.56     0.48     0.16   2.03   1.95   2.03   1.95  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      2.93   2.93   0.21
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             33.9764 030 99      2.22   2.22   0.01
7589826Follow-up angiography                             A   1.65   0.71     0.62     0.71     0.62     0.20   2.56   2.47   2.56   2.47  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7590026Intravascular cath exchange                       A   0.49   0.20     0.17     0.20     0.17     0.05   0.74   0.71   0.74   0.71  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75901  Remove cva device obstruct                        A   0.49   4.41     4.56     4.41NA   4.56 NA  0.04   4.94   5.09   4.94   5.09  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
75901TCRemove cva device obstruct                        A   0.00   4.21     4.38     4.21NA   4.38 NA  0.01   4.22   4.39   4.22   4.39  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7590126Remove cva device obstruct                        A   0.49   0.20     0.18     0.20     0.18     0.03   0.72   0.70   0.72   0.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75902  Remove cva lumen obstruct                         A   0.39   1.84     1.76     1.84NA   1.76 NA  0.05   2.28   2.20   2.28   2.20  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
75902TCRemove cva lumen obstruct                         A   0.00   1.69     1.62     1.69NA   1.62 NA  0.01   1.70   1.63   1.70   1.63  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7590226Remove cva lumen obstruct                         A   0.39   0.15     0.14     0.15     0.14     0.04   0.58   0.57   0.58   0.57  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7594026X-ray placement vein filter                       A   0.54   0.21     0.19     0.21     0.19     0.07   0.82   0.80   0.82   0.80  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      4.65   4.65   0.06
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             33.9764 030 99      4.49   4.49   0.01
7594526Intravascular us                                  A   0.40   0.16     0.14     0.16     0.14     0.05   0.61   0.59   0.61   0.59  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7594626Intravascular us add-on                           A   0.40   0.15     0.13     0.15     0.13     0.07   0.62   0.60   0.62   0.60  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7595226Endovasc repair abdom aorta                       A   4.49   1.64     1.54     1.64     1.54     0.86   6.99   6.89   6.99   6.89  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7595326Abdom aneurysm endovas rpr                        A   1.36   0.50     0.47     0.50     0.47     0.27   2.13   2.10   2.13   2.10  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7595426Iliac aneurysm endovas rpr                        A   2.25   0.83     0.79     0.83     0.79     0.41   3.49   3.45   3.49   3.45  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7595626Xray endovasc thor ao repr                        A   7.00   2.54     2.34     2.54     2.34     1.44  10.98  10.78  10.98  10.78  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7595726Xray endovasc thor ao repr                        A   6.00   2.18     2.02     2.18     2.02     1.21   9.39   9.23   9.39   9.23  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7595826Xray place prox ext thor ao                       A   4.00   1.42     1.33     1.42     1.33     0.82   6.24   6.15   6.24   6.15  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7595926Xray place dist ext thor ao                       A   3.50   1.19     1.05     1.19     1.05     0.83   5.52   5.38   5.52   5.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75960  Transcath iv stent rs&i                           A   0.82   4.84     2.69     4.84NA   2.69 NA  0.06   5.72   3.57   5.72   3.57  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75960TCTranscath iv stent rs&i                           A   0.00   4.50     2.39     4.50NA   2.39 NA  0.01   4.51   2.40   4.51   2.40  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7596026Transcath iv stent rs&i                           A   0.82   0.34     0.30     0.34     0.30     0.05   1.21   1.17   1.21   1.17  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75961  Retrieval broken catheter                         A   4.24   6.38     4.76     6.38NA   4.76 NA  0.28  10.90   9.28  10.90   9.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75961TCRetrieval broken catheter                         A   0.00   4.65     3.25     4.65NA   3.25 NA  0.01   4.66   3.26   4.66   3.26  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7596126Retrieval broken catheter                         A   4.24   1.73     1.51     1.73     1.51     0.27   6.24   6.02   6.24   6.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75962  Repair arterial blockage                          A   0.54   5.69     3.44     5.69NA   3.44 NA  0.04   6.27   4.02   6.27   4.02  1XXX.00.00.0000000             33.9764 090 99    111.28 111.28   0.23
75962TCRepair arterial blockage                          A   0.00   5.47     3.25     5.47NA   3.25 NA  0.01   5.48   3.26   5.48   3.26  1XXX.00.00.0000000             33.9764 030 99    111.06 111.06   0.20
7596226Repair arterial blockage                          A   0.54   0.22     0.19     0.22     0.19     0.03   0.79   0.76   0.79   0.76  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75964  Repair artery blockage each                       A   0.36   3.50     2.34     3.50NA   2.34 NA  0.05   3.91   2.75   3.91   2.75  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75964TCRepair artery blockage each                       A   0.00   3.36     2.21     3.36NA   2.21 NA  0.01   3.37   2.22   3.37   2.22  1ZZZ.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7596426Repair artery blockage each                       A   0.36   0.14     0.13     0.14     0.13     0.04   0.54   0.53   0.54   0.53  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75966  Repair arterial blockage                          A   1.31   6.15     3.70     6.15NA   3.70 NA  0.08   7.54   5.09   7.54   5.09  1XXX.00.00.0000000             33.9764 090 99    111.64 111.64   0.27
75966TCRepair arterial blockage                          A   0.00   5.57     3.22     5.57NA   3.22 NA  0.01   5.58   3.23   5.58   3.23  1XXX.00.00.0000000             33.9764 030 99    111.06 111.06   0.20
7596626Repair arterial blockage                          A   1.31   0.58     0.48     0.58     0.48     0.07   1.96   1.86   1.96   1.86  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75968  Repair artery blockage each                       A   0.36   3.45     2.20     3.45NA   2.20 NA  0.02   3.83   2.58   3.83   2.58  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75968TCRepair artery blockage each                       A   0.00   3.29     2.07     3.29NA   2.07 NA  0.01   3.30   2.08   3.30   2.08  1ZZZ.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7596826Repair artery blockage each                       A   0.36   0.16     0.13     0.16     0.13     0.01   0.53   0.50   0.53   0.50  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7597026Vascular biopsy                                   A   0.83   0.35     0.30     0.35     0.30     0.07   1.25   1.20   1.25   1.20  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75978  Repair venous blockage                            A   0.54   5.70     3.62     5.70NA   3.62 NA  0.04   6.28   4.20   6.28   4.20  1XXX.00.00.0000000             33.9764 090 99     74.04  74.04   0.16
75978TCRepair venous blockage                            A   0.00   5.49     3.42     5.49NA   3.42 NA  0.01   5.50   3.43   5.50   3.43  1XXX.00.00.0000000             33.9764 030 99     73.83  73.83   0.13
7597826Repair venous blockage                            A   0.54   0.21     0.20     0.21     0.20     0.03   0.78   0.77   0.78   0.77  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7598026Contrast xray exam bile duct                      A   1.44   0.60     0.52     0.60     0.52     0.12   2.16   2.08   2.16   2.08  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7598226Contrast xray exam bile duct                      A   1.44   0.60     0.52     0.60     0.52     0.12   2.16   2.08   2.16   2.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75984  Xray control catheter change                      A   0.72   2.63     2.45     2.63NA   2.45 NA  0.05   3.40   3.22   3.40   3.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75984TCXray control catheter change                      A   0.00   2.33     2.19     2.33NA   2.19 NA  0.01   2.34   2.20   2.34   2.20  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7598426Xray control catheter change                      A   0.72   0.30     0.26     0.30     0.26     0.04   1.06   1.02   1.06   1.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75989  Abscess drainage under x-ray                      A   1.19   2.76     2.37     2.76NA   2.37 NA  0.06   4.01   3.62   4.01   3.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
75989TCAbscess drainage under x-ray                      A   0.00   2.27     1.93     2.27NA   1.93 NA  0.01   2.28   1.94   2.28   1.94  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7598926Abscess drainage under x-ray                      A   1.19   0.49     0.44     0.49     0.44     0.05   1.73   1.68   1.73   1.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76000  Fluoroscope examination                           A   0.17   2.10     1.30     2.10NA   1.30 NA  0.02   2.29   1.49   2.29   1.49  1XXX.00.00.0000000             33.9764 090 99      2.52   2.52   0.02
76000TCFluoroscope examination                           A   0.00   2.03     1.23     2.03NA   1.23 NA  0.01   2.04   1.24   2.04   1.24  1XXX.00.00.0000000             33.9764 030 99      2.45   2.45   0.01
7600026Fluoroscope examination                           A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7600126Fluoroscope exam extensive                        A   0.67   0.30     0.30     0.30     0.30     0.08   1.05   1.05   1.05   1.05  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76010  X-ray nose to rectum                              A   0.18   0.62     0.56     0.62NA   0.56 NA  0.02   0.82   0.76   0.82   0.76  1XXX.00.00.0000000             33.9764 090 99      1.38   1.38   0.03
76010TCX-ray nose to rectum                              A   0.00   0.54     0.49     0.54NA   0.49 NA  0.01   0.55   0.50   0.55   0.50  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.02
7601026X-ray nose to rectum                              A   0.18   0.08     0.07     0.08     0.07     0.01   0.27   0.26   0.27   0.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76080  X-ray exam of fistula                             A   0.54   1.27     1.15     1.27NA   1.15 NA  0.04   1.85   1.73   1.85   1.73  1XXX.00.00.0000000             33.9764 090 99      6.93   6.93   0.09
76080TCX-ray exam of fistula                             A   0.00   1.04     0.95     1.04NA   0.95 NA  0.01   1.05   0.96   1.05   0.96  1XXX.00.00.0000000             33.9764 030 99      6.70   6.70   0.06
7608026X-ray exam of fistula                             A   0.54   0.23     0.20     0.23     0.20     0.03   0.80   0.77   0.80   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76098  X-ray exam breast specimen                        A   0.16   0.39     0.33     0.39NA   0.33 NA  0.02   0.57   0.51   0.57   0.51  1XXX.00.00.0000000             33.9764 090 99     11.69  11.69   0.37
76098TCX-ray exam breast specimen                        A   0.00   0.32     0.27     0.32NA   0.27 NA  0.01   0.33   0.28   0.33   0.28  1XXX.00.00.0000000             33.9764 010 99     11.62  11.62   0.36
7609826X-ray exam breast specimen                        A   0.16   0.07     0.06     0.07     0.06     0.01   0.24   0.23   0.24   0.23  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76100  X-ray exam of body section                        A   0.58   2.99     2.33     2.99NA   2.33 NA  0.06   3.63   2.97   3.63   2.97  1XXX.00.00.0000000             33.9764 090 99      2.50   2.50   0.06
76100TCX-ray exam of body section                        A   0.00   2.71     2.02     2.71NA   2.02 NA  0.01   2.72   2.03   2.72   2.03  1XXX.00.00.0000000             33.9764 010 99      2.22   2.22   0.01
7610026X-ray exam of body section                        A   0.58   0.28     0.31     0.28     0.31     0.05   0.91   0.94   0.91   0.94  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76101  Complex body section x-ray                        A   0.58   4.55     3.72     4.55NA   3.72 NA  0.09   5.22   4.39   5.22   4.39  1XXX.00.00.0000000             33.9764 090 99      7.08   7.08   0.10
76101TCComplex body section x-ray                        A   0.00   4.22     3.31     4.22NA   3.31 NA  0.01   4.23   3.32   4.23   3.32  1XXX.00.00.0000000             33.9764 020 99      6.75   6.75   0.02
7610126Complex body section x-ray                        A   0.58   0.33     0.41     0.33     0.41     0.08   0.99   1.07   0.99   1.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76102  Complex body section x-rays                       A   0.58   6.32     5.19     6.32NA   5.19 NA  0.11   7.01   5.88   7.01   5.88  1XXX.00.00.0002000             33.9764 090 99      7.09   7.09   0.11
76102TCComplex body section x-rays                       A   0.00   5.99     4.77     5.99NA   4.77 NA  0.01   6.00   4.78   6.00   4.78  1XXX.00.00.0002000             33.9764 020 99      6.76   6.76   0.01
7610226Complex body section x-rays                       A   0.58   0.33     0.42     0.33     0.42     0.10   1.01   1.10   1.01   1.10  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
76120  Cine/video x-rays                                 A   0.38   1.85     1.73     1.85NA   1.73 NA  0.04   2.27   2.15   2.27   2.15  1XXX.00.00.0000000             33.9764 090 99      2.59   2.59   0.04
76120TCCine/video x-rays                                 A   0.00   1.70     1.58     1.70NA   1.58 NA  0.01   1.71   1.59   1.71   1.59  1XXX.00.00.0000000             33.9764 020 99      2.44   2.44   0.01
7612026Cine/video x-rays                                 A   0.38   0.15     0.15     0.15     0.15     0.03   0.56   0.56   0.56   0.56  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 020 99      0.00   0.00   0.00
7612526Cine/video x-rays add-on                          A   0.27   0.13     0.11     0.13     0.11     0.03   0.43   0.41   0.43   0.41  1ZZZ.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
76376  3d render w/o postprocess                         A   0.20   1.90     1.45     1.90NA   1.45 NA  0.02   2.12   1.67   2.12   1.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76376TC3d render w/o postprocess                         A   0.00   1.81     1.37     1.81NA   1.37 NA  0.01   1.82   1.38   1.82   1.38  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
76376263d render w/o postprocess                         A   0.20   0.09     0.08     0.09     0.08     0.01   0.30   0.29   0.30   0.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76377  3d rendering w/postprocess                        A   0.79   1.92     1.42     1.92NA   1.42 NA  0.05   2.76   2.26   2.76   2.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76377TC3d rendering w/postprocess                        A   0.00   1.59     1.12     1.59NA   1.12 NA  0.01   1.60   1.13   1.60   1.13  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
76377263d rendering w/postprocess                        A   0.79   0.33     0.30     0.33     0.30     0.04   1.16   1.13   1.16   1.13  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76380  CAT scan follow-up study                          A   0.98   4.57     3.70     4.57NA   3.70 NA  0.05   5.60   4.73   5.60   4.73  1XXX.00.00.0000000             33.9764 090 99      3.74   3.74   0.05
76380TCCAT scan follow-up study                          A   0.00   4.16     3.32     4.16NA   3.32 NA  0.01   4.17   3.33   4.17   3.33  1XXX.00.00.0000000             33.9764 010 99      3.33   3.33   0.01
7638026CAT scan follow-up study                          A   0.98   0.41     0.38     0.41     0.38     0.04   1.43   1.40   1.43   1.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76390  Mr spectroscopy                                   N+  1.40  12.50    11.89    12.50NA  11.89 NA  0.06  13.96  13.35  13.96  13.35  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
76390TCMr spectroscopy                                   N+  0.00  11.91    11.28    11.91NA  11.28 NA  0.01  11.92  11.29  11.92  11.29  1XXX.00.00.0099999             33.9764 010 99      0.00   0.00   0.00
7639026Mr spectroscopy                                   N+  1.40   0.59     0.61     0.59     0.61     0.05   2.04   2.06   2.04   2.06  1XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 030 99      2.45   2.45   0.01
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             33.9764 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             33.9764 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             33.9764 020 99      3.33   3.33   0.01
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             33.9764 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             33.9764 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             33.9764 020 99     10.08  10.08   0.01
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             33.9764 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             33.9764 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             33.9764 090 99      1.32   1.32   0.01
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             33.9764 090 99      0.00   0.00   0.00
76506  Echo exam of head                                 A   0.63   2.89     2.82     2.89NA   2.82 NA  0.05   3.57   3.50   3.57   3.50  1XXX.00.00.0000000             33.9764 090 99      2.09   2.09   0.05
76506TCEcho exam of head                                 A   0.00   2.63     2.58     2.63NA   2.58 NA  0.01   2.64   2.59   2.64   2.59  1XXX.00.00.0000000             33.9764 010 99      1.83   1.83   0.01
7650626Echo exam of head                                 A   0.63   0.26     0.24     0.26     0.24     0.04   0.93   0.91   0.93   0.91  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76510  Ophth us b & quant a                              A   1.55   3.11     3.24     3.11NA   3.24 NA  0.27   4.93   5.06   4.93   5.06  1XXX.00.00.0003000             33.9764 090 99      6.07   6.07   0.28
76510TCOphth us b & quant a                              A   0.00   2.18     2.16     2.18NA   2.16 NA  0.01   2.19   2.17   2.19   2.17  1XXX.00.00.0003000             33.9764 020 99      5.14   5.14   0.02
7651026Ophth us b & quant a                              A   1.55   0.93     1.08     0.93     1.08     0.26   2.74   2.89   2.74   2.89  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
76511  Ophth us quant a only                             A   0.94   1.97     1.94     1.97NA   1.94 NA  0.02   2.93   2.90   2.93   2.90  1XXX.00.00.0003000             33.9764 090 99      3.36   3.36   0.03
76511TCOphth us quant a only                             A   0.00   1.42     1.30     1.42NA   1.30 NA  0.01   1.43   1.31   1.43   1.31  1XXX.00.00.0003000             33.9764 020 99      2.81   2.81   0.02
7651126Ophth us quant a only                             A   0.94   0.55     0.64     0.55     0.64     0.01   1.50   1.59   1.50   1.59  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
76512  Ophth us b w/non-quant a                          A   0.94   1.73     1.68     1.73NA   1.68 NA  0.05   2.72   2.67   2.72   2.67  1XXX.00.00.0003000             33.9764 090 99      3.36   3.36   0.06
76512TCOphth us b w/non-quant a                          A   0.00   1.18     1.05     1.18NA   1.05 NA  0.01   1.19   1.06   1.19   1.06  1XXX.00.00.0003000             33.9764 020 99      2.81   2.81   0.02
7651226Ophth us b w/non-quant a                          A   0.94   0.55     0.63     0.55     0.63     0.04   1.53   1.61   1.53   1.61  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
76513  Echo exam of eye water bath                       A   0.66   1.91     1.94     1.91NA   1.94 NA  0.02   2.59   2.62   2.59   2.62  1XXX.00.00.0003000             33.9764 090 99      3.15   3.15   0.03
76513TCEcho exam of eye water bath                       A   0.00   1.58     1.57     1.58NA   1.57 NA  0.01   1.59   1.58   1.59   1.58  1XXX.00.00.0003000             33.9764 020 99      2.82   2.82   0.02
7651326Echo exam of eye water bath                       A   0.66   0.33     0.37     0.33     0.37     0.01   1.00   1.04   1.00   1.04  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
76514  Echo exam of eye thickness                        A   0.17   0.22     0.24     0.22NA   0.24 NA  0.02   0.41   0.43   0.41   0.43  1XXX.00.00.0002000             33.9764 090 99      0.60   0.60   0.05
76514TCEcho exam of eye thickness                        A   0.00   0.12     0.13     0.12NA   0.13 NA  0.01   0.13   0.14   0.13   0.14  1XXX.00.00.0002000             33.9764 010 99      0.50   0.50   0.04
7651426Echo exam of eye thickness                        A   0.17   0.10     0.11     0.10     0.11     0.01   0.28   0.29   0.28   0.29  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
76516  Echo exam of eye                                  A   0.54   1.56     1.61     1.56NA   1.61 NA  0.02   2.12   2.17   2.12   2.17  1XXX.00.00.0002000             33.9764 090 99      2.13   2.13   0.02
76516TCEcho exam of eye                                  A   0.00   1.25     1.25     1.25NA   1.25 NA  0.01   1.26   1.26   1.26   1.26  1XXX.00.00.0002000             33.9764 010 99      1.82   1.82   0.01
7651626Echo exam of eye                                  A   0.54   0.31     0.36     0.31     0.36     0.01   0.86   0.91   0.86   0.91  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
76519  Echo exam of eye                                  A   0.54   1.72     1.77     1.72NA   1.77 NA  0.04   2.30   2.35   2.30   2.35  1XXX.00.00.0002000             33.9764 090 99      3.13   3.13   0.05
76519TCEcho exam of eye                                  A   0.00   1.40     1.40     1.40NA   1.40 NA  0.01   1.41   1.41   1.41   1.41  1XXX.00.00.0002000             33.9764 010 99      2.81   2.81   0.02
7651926Echo exam of eye                                  A   0.54   0.32     0.37     0.32     0.37     0.03   0.89   0.94   0.89   0.94  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
76529  Echo exam of eye                                  A   0.57   1.56     1.63     1.56NA   1.63 NA  0.04   2.17   2.24   2.17   2.24  1XXX.00.00.0003000             33.9764 090 99      2.16   2.16   0.04
76529TCEcho exam of eye                                  A   0.00   1.22     1.23     1.22NA   1.23 NA  0.01   1.23   1.24   1.23   1.24  1XXX.00.00.0003000             33.9764 010 99      1.82   1.82   0.01
7652926Echo exam of eye                                  A   0.57   0.34     0.40     0.34     0.40     0.03   0.94   1.00   0.94   1.00  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
76536  Us exam of head and neck                          A   0.56   2.90     2.88     2.90NA   2.88 NA  0.04   3.50   3.48   3.50   3.48  1XXX.00.00.0000000             33.9764 090 99      3.05   3.05   0.04
76536TCUs exam of head and neck                          A   0.00   2.67     2.66     2.67NA   2.66 NA  0.01   2.68   2.67   2.68   2.67  1XXX.00.00.0000000             33.9764 010 99      2.82   2.82   0.01
7653626Us exam of head and neck                          A   0.56   0.23     0.22     0.23     0.22     0.03   0.82   0.81   0.82   0.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76604  Us exam chest                                     A   0.55   2.01     1.90     2.01NA   1.90 NA  0.04   2.60   2.49   2.60   2.49  1XXX.00.00.0040000             33.9764 090 88      2.04   2.04   0.04
76604TCUs exam chest                                     A   0.00   1.79     1.70     1.79NA   1.70 NA  0.01   1.80   1.71   1.80   1.71  1XXX.00.00.0040000             33.9764 010 88      1.82   1.82   0.01
7660426Us exam chest                                     A   0.55   0.22     0.20     0.22     0.20     0.03   0.80   0.78   0.80   0.78  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76645  Us exam breast(s)                                 A   0.54   2.25     2.20     2.25NA   2.20 NA  0.05   2.84   2.79   2.84   2.79  1XXX.00.00.0002000             33.9764 090 99      2.04   2.04   0.05
76645TCUs exam breast(s)                                 A   0.00   2.03     2.00     2.03NA   2.00 NA  0.01   2.04   2.01   2.04   2.01  1XXX.00.00.0002000             33.9764 010 99      1.82   1.82   0.01
7664526Us exam breast(s)                                 A   0.54   0.22     0.20     0.22     0.20     0.04   0.80   0.78   0.80   0.78  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
76700  Us exam abdom complete                            A   0.81   3.30     3.16     3.30NA   3.16 NA  0.05   4.16   4.02   4.16   4.02  1XXX.00.00.0040000             33.9764 090 88      3.15   3.15   0.05
76700TCUs exam abdom complete                            A   0.00   2.97     2.85     2.97NA   2.85 NA  0.01   2.98   2.86   2.98   2.86  1XXX.00.00.0040000             33.9764 010 88      2.82   2.82   0.01
7670026Us exam abdom complete                            A   0.81   0.33     0.31     0.33     0.31     0.04   1.18   1.16   1.18   1.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76705  Echo exam of abdomen                              A   0.59   2.53     2.43     2.53NA   2.43 NA  0.04   3.16   3.06   3.16   3.06  1XXX.00.00.0040000             33.9764 090 88      3.06   3.06   0.04
76705TCEcho exam of abdomen                              A   0.00   2.29     2.21     2.29NA   2.21 NA  0.01   2.30   2.22   2.30   2.22  1XXX.00.00.0040000             33.9764 010 88      2.82   2.82   0.01
7670526Echo exam of abdomen                              A   0.59   0.24     0.22     0.24     0.22     0.03   0.86   0.84   0.86   0.84  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76770  Us exam abdo back wall comp                       A   0.74   3.16     2.99     3.16NA   2.99 NA  0.05   3.95   3.78   3.95   3.78  1XXX.00.00.0040000             33.9764 090 88      3.12   3.12   0.05
76770TCUs exam abdo back wall comp                       A   0.00   2.86     2.71     2.86NA   2.71 NA  0.01   2.87   2.72   2.87   2.72  1XXX.00.00.0040000             33.9764 010 88      2.82   2.82   0.01
7677026Us exam abdo back wall comp                       A   0.74   0.30     0.28     0.30     0.28     0.04   1.08   1.06   1.08   1.06  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76775  Us exam abdo back wall lim                        A   0.58   2.68     2.45     2.68NA   2.45 NA  0.04   3.30   3.07   3.30   3.07  1XXX.00.00.0040000             33.9764 090 88      3.07   3.07   0.04
76775TCUs exam abdo back wall lim                        A   0.00   2.43     2.23     2.43NA   2.23 NA  0.01   2.44   2.24   2.44   2.24  1XXX.00.00.0040000             33.9764 010 88      2.82   2.82   0.01
7677526Us exam abdo back wall lim                        A   0.58   0.25     0.22     0.25     0.22     0.03   0.86   0.83   0.86   0.83  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76776  Us exam k transpl w/doppler                       A   0.76   3.67     3.54     3.67NA   3.54 NA  0.05   4.48   4.35   4.48   4.35  1XXX.00.00.0040000             33.9764 090 88      0.00   0.00   0.00
76776TCUs exam k transpl w/doppler                       A   0.00   3.36     3.26     3.36NA   3.26 NA  0.01   3.37   3.27   3.37   3.27  1XXX.00.00.0040000             33.9764 010 88      0.00   0.00   0.00
7677626Us exam k transpl w/doppler                       A   0.76   0.31     0.28     0.31     0.28     0.04   1.11   1.08   1.11   1.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76800  Us exam spinal canal                              A   1.13   2.76     2.91     2.76NA   2.91 NA  0.05   3.94   4.09   3.94   4.09  1XXX.00.00.0000000             33.9764 090 99      3.27   3.27   0.05
76800TCUs exam spinal canal                              A   0.00   2.31     2.41     2.31NA   2.41 NA  0.01   2.32   2.42   2.32   2.42  1XXX.00.00.0000000             33.9764 010 99      2.82   2.82   0.01
7680026Us exam spinal canal                              A   1.13   0.45     0.50     0.45     0.50     0.04   1.62   1.67   1.62   1.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76801  Ob us < 14 wks single fetus                       A   0.99   2.82     2.62     2.82NA   2.62 NA  0.04   3.85   3.65   3.85   3.65  1XXX.00.00.0000000             33.9764 010 99      3.24   3.24   0.04
76801TCOb us < 14 wks single fetus                       A   0.00   2.40     2.21     2.40NA   2.21 NA  0.01   2.41   2.22   2.41   2.22  1XXX.00.00.0000000             33.9764 010 99      2.82   2.82   0.01
7680126Ob us < 14 wks single fetus                       A   0.99   0.42     0.41     0.42     0.41     0.03   1.44   1.43   1.44   1.43  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76802  Ob us < 14 wks addl fetus                         A   0.83   1.20     1.08     1.20NA   1.08 NA  0.04   2.07   1.95   2.07   1.95  1ZZZ.00.00.0000000             33.9764 010 99      2.16   2.16   0.05
76802TCOb us < 14 wks addl fetus                         A   0.00   0.85     0.73     0.85NA   0.73 NA  0.01   0.86   0.74   0.86   0.74  1ZZZ.00.00.0000000             33.9764 010 99      1.81   1.81   0.02
7680226Ob us < 14 wks addl fetus                         A   0.83   0.35     0.35     0.35     0.35     0.03   1.21   1.21   1.21   1.21  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76805  Ob us >/= 14 wks sngl fetus                       A   0.99   3.38     3.23     3.38NA   3.23 NA  0.04   4.41   4.26   4.41   4.26  1XXX.00.00.0000000             33.9764 090 99      3.24   3.24   0.04
76805TCOb us >/= 14 wks sngl fetus                       A   0.00   2.96     2.81     2.96NA   2.81 NA  0.01   2.97   2.82   2.97   2.82  1XXX.00.00.0000000             33.9764 010 99      2.82   2.82   0.01
7680526Ob us >/= 14 wks sngl fetus                       A   0.99   0.42     0.42     0.42     0.42     0.03   1.44   1.44   1.44   1.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76810  Ob us >/= 14 wks addl fetus                       A   0.98   1.87     1.80     1.87NA   1.80 NA  0.04   2.89   2.82   2.89   2.82  1ZZZ.00.00.0000000             33.9764 090 99      3.22   3.22   0.05
76810TCOb us >/= 14 wks addl fetus                       A   0.00   1.46     1.38     1.46NA   1.38 NA  0.01   1.47   1.39   1.47   1.39  1ZZZ.00.00.0000000             33.9764 010 99      2.81   2.81   0.02
7681026Ob us >/= 14 wks addl fetus                       A   0.98   0.41     0.42     0.41     0.42     0.03   1.42   1.43   1.42   1.43  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76811  Ob us detailed sngl fetus                         A   1.90   3.75     3.42     3.75NA   3.42 NA  0.06   5.71   5.38   5.71   5.38  1XXX.00.00.0000000             33.9764 010 99      5.30   5.30   0.07
76811TCOb us detailed sngl fetus                         A   0.00   2.94     2.56     2.94NA   2.56 NA  0.01   2.95   2.57   2.95   2.57  1XXX.00.00.0000000             33.9764 010 99      4.49   4.49   0.02
7681126Ob us detailed sngl fetus                         A   1.90   0.81     0.86     0.81     0.86     0.05   2.76   2.81   2.76   2.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76812  Ob us detailed addl fetus                         A   1.78   4.21     4.32     4.21NA   4.32 NA  0.06   6.05   6.16   6.05   6.16  1ZZZ.00.00.0000000             33.9764 010 99      2.58   2.58   0.06
76812TCOb us detailed addl fetus                         A   0.00   3.46     3.51     3.46NA   3.51 NA  0.01   3.47   3.52   3.47   3.52  1ZZZ.00.00.0000000             33.9764 010 99      1.83   1.83   0.01
7681226Ob us detailed addl fetus                         A   1.78   0.75     0.81     0.75     0.81     0.05   2.58   2.64   2.58   2.64  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76813  Ob us nuchal meas 1 gest                          A   1.18   2.52     2.40     2.52NA   2.40 NA  0.05   3.75   3.63   3.75   3.63  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
76813TCOb us nuchal meas 1 gest                          A   0.00   2.03     1.86     2.03NA   1.86 NA  0.01   2.04   1.87   2.04   1.87  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7681326Ob us nuchal meas 1 gest                          A   1.18   0.49     0.54     0.49     0.54     0.04   1.71   1.76   1.71   1.76  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76814  Ob us nuchal meas add-on                          A   0.99   1.36     1.34     1.36NA   1.34 NA  0.04   2.39   2.37   2.39   2.37  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
76814TCOb us nuchal meas add-on                          A   0.00   0.95     0.88     0.95NA   0.88 NA  0.01   0.96   0.89   0.96   0.89  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7681426Ob us nuchal meas add-on                          A   0.99   0.41     0.46     0.41     0.46     0.03   1.43   1.48   1.43   1.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76815  Ob us limited fetus(s)                            A   0.65   2.03     1.92     2.03NA   1.92 NA  0.02   2.70   2.59   2.70   2.59  1XXX.00.00.0000000             33.9764 090 99      2.09   2.09   0.02
76815TCOb us limited fetus(s)                            A   0.00   1.76     1.65     1.76NA   1.65 NA  0.01   1.77   1.66   1.77   1.66  1XXX.00.00.0000000             33.9764 010 99      1.82   1.82   0.01
7681526Ob us limited fetus(s)                            A   0.65   0.27     0.27     0.27     0.27     0.01   0.93   0.93   0.93   0.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76816  Ob us follow-up per fetus                         A   0.85   2.57     2.55     2.57NA   2.55 NA  0.04   3.46   3.44   3.46   3.44  1XXX.00.00.0000000             33.9764 090 99      2.18   2.18   0.04
76816TCOb us follow-up per fetus                         A   0.00   2.21     2.17     2.21NA   2.17 NA  0.01   2.22   2.18   2.22   2.18  1XXX.00.00.0000000             33.9764 010 99      1.82   1.82   0.01
7681626Ob us follow-up per fetus                         A   0.85   0.36     0.38     0.36     0.38     0.03   1.24   1.26   1.24   1.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76817  Transvaginal us obstetric                         A   0.75   2.27     2.15     2.27NA   2.15 NA  0.04   3.06   2.94   3.06   2.94  1XXX.00.00.0000000             33.9764 010 99      2.13   2.13   0.04
76817TCTransvaginal us obstetric                         A   0.00   1.96     1.84     1.96NA   1.84 NA  0.01   1.97   1.85   1.97   1.85  1XXX.00.00.0000000             33.9764 010 99      1.82   1.82   0.01
7681726Transvaginal us obstetric                         A   0.75   0.31     0.31     0.31     0.31     0.03   1.09   1.09   1.09   1.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76818  Fetal biophys profile w/nst                       A   1.05   2.53     2.45     2.53NA   2.45 NA  0.04   3.62   3.54   3.62   3.54  1XXX.00.00.0000000             33.9764 090 99      3.27   3.27   0.04
76818TCFetal biophys profile w/nst                       A   0.00   2.08     1.97     2.08NA   1.97 NA  0.01   2.09   1.98   2.09   1.98  1XXX.00.00.0000000             33.9764 010 99      2.82   2.82   0.01
7681826Fetal biophys profile w/nst                       A   1.05   0.45     0.48     0.45     0.48     0.03   1.53   1.56   1.53   1.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76819  Fetal biophys profil w/o nst                      A   0.77   1.91     1.76     1.91NA   1.76 NA  0.04   2.72   2.57   2.72   2.57  1XXX.00.00.0000000             33.9764 090 99      3.15   3.15   0.05
76819TCFetal biophys profil w/o nst                      A   0.00   1.58     1.42     1.58NA   1.42 NA  0.01   1.59   1.43   1.59   1.43  1XXX.00.00.0000000             33.9764 010 99      2.82   2.82   0.02
7681926Fetal biophys profil w/o nst                      A   0.77   0.33     0.34     0.33     0.34     0.03   1.13   1.14   1.13   1.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76820  Umbilical artery echo                             A   0.50   0.86     0.66     0.86NA   0.66 NA  0.02   1.38   1.18   1.38   1.18  1XXX.00.00.0000000             33.9764 090 99      2.01   2.01   0.04
76820TCUmbilical artery echo                             A   0.00   0.65     0.43     0.65NA   0.43 NA  0.01   0.66   0.44   0.66   0.44  1XXX.00.00.0000000             33.9764 010 99      1.80   1.80   0.03
7682026Umbilical artery echo                             A   0.50   0.21     0.23     0.21     0.23     0.01   0.72   0.74   0.72   0.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76821  Middle cerebral artery echo                       A   0.70   2.14     2.02     2.14NA   2.02 NA  0.04   2.88   2.76   2.88   2.76  1XXX.00.00.0000000             33.9764 090 99      2.12   2.12   0.04
76821TCMiddle cerebral artery echo                       A   0.00   1.84     1.70     1.84NA   1.70 NA  0.01   1.85   1.71   1.85   1.71  1XXX.00.00.0000000             33.9764 010 99      1.82   1.82   0.01
7682126Middle cerebral artery echo                       A   0.70   0.30     0.32     0.30     0.32     0.03   1.03   1.05   1.03   1.05  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76825  Echo exam of fetal heart                          A   1.67   4.70     4.64     4.70NA   4.64 NA  0.05   6.42   6.36   6.42   6.36  1XXX.00.00.0000000             33.9764 090 99     17.20  17.20   0.08
76825TCEcho exam of fetal heart                          A   0.00   4.00     3.91     4.00NA   3.91 NA  0.01   4.01   3.92   4.01   3.92  1XXX.00.00.0000000             33.9764 010 99     16.50  16.50   0.04
7682526Echo exam of fetal heart                          A   1.67   0.70     0.73     0.70     0.73     0.04   2.41   2.44   2.41   2.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76826  Echo exam of fetal heart                          A   0.83   2.83     2.90     2.83NA   2.90 NA  0.04   3.70   3.77   3.70   3.77  1XXX.00.00.0000000             33.9764 090 99     12.14  12.14   0.08
76826TCEcho exam of fetal heart                          A   0.00   2.49     2.54     2.49NA   2.54 NA  0.01   2.50   2.55   2.50   2.55  1XXX.00.00.0000000             33.9764 010 99     11.80  11.80   0.05
7682626Echo exam of fetal heart                          A   0.83   0.34     0.36     0.34     0.36     0.03   1.20   1.22   1.20   1.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76827  Echo exam of fetal heart                          A   0.58   1.36     1.17     1.36NA   1.17 NA  0.02   1.96   1.77   1.96   1.77  1XXX.00.00.0000000             33.9764 090 99      2.06   2.06   0.03
76827TCEcho exam of fetal heart                          A   0.00   1.12     0.92     1.12NA   0.92 NA  0.01   1.13   0.93   1.13   0.93  1XXX.00.00.0000000             33.9764 010 99      1.82   1.82   0.02
7682726Echo exam of fetal heart                          A   0.58   0.24     0.25     0.24     0.25     0.01   0.83   0.84   0.83   0.84  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76828  Echo exam of fetal heart                          A   0.56   0.86     0.73     0.86NA   0.73 NA  0.02   1.44   1.31   1.44   1.31  1XXX.00.00.0000000             33.9764 090 99      2.04   2.04   0.04
76828TCEcho exam of fetal heart                          A   0.00   0.62     0.48     0.62NA   0.48 NA  0.01   0.63   0.49   0.63   0.49  1XXX.00.00.0000000             33.9764 010 99      1.80   1.80   0.03
7682826Echo exam of fetal heart                          A   0.56   0.24     0.25     0.24     0.25     0.01   0.81   0.82   0.81   0.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76830  Transvaginal us non-ob                            A   0.69   2.97     2.88     2.97NA   2.88 NA  0.04   3.70   3.61   3.70   3.61  1XXX.00.00.0000000             33.9764 090 99      3.11   3.11   0.04
76830TCTransvaginal us non-ob                            A   0.00   2.68     2.60     2.68NA   2.60 NA  0.01   2.69   2.61   2.69   2.61  1XXX.00.00.0000000             33.9764 010 99      2.82   2.82   0.01
7683026Transvaginal us non-ob                            A   0.69   0.29     0.28     0.29     0.28     0.03   1.01   1.00   1.01   1.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76831  Echo exam uterus                                  A   0.72   2.95     2.89     2.95NA   2.89 NA  0.04   3.71   3.65   3.71   3.65  1XXX.00.00.0040000             33.9764 090 88      4.79   4.79   0.05
76831TCEcho exam uterus                                  A   0.00   2.65     2.57     2.65NA   2.57 NA  0.01   2.66   2.58   2.66   2.58  1XXX.00.00.0040000             33.9764 030 88      4.49   4.49   0.02
7683126Echo exam uterus                                  A   0.72   0.30     0.32     0.30     0.32     0.03   1.05   1.07   1.05   1.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76856  Us exam pelvic complete                           A   0.69   2.96     2.85     2.96NA   2.85 NA  0.04   3.69   3.58   3.69   3.58  1XXX.00.00.0040000             33.9764 090 88      3.11   3.11   0.04
76856TCUs exam pelvic complete                           A   0.00   2.67     2.58     2.67NA   2.58 NA  0.01   2.68   2.59   2.68   2.59  1XXX.00.00.0040000             33.9764 010 88      2.82   2.82   0.01
7685626Us exam pelvic complete                           A   0.69   0.29     0.27     0.29     0.27     0.03   1.01   0.99   1.01   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76857  Us exam pelvic limited                            A   0.38   2.58     2.33     2.58NA   2.33 NA  0.04   3.00   2.75   3.00   2.75  1XXX.00.00.0040000             33.9764 090 88      1.99   1.99   0.04
76857TCUs exam pelvic limited                            A   0.00   2.41     2.18     2.41NA   2.18 NA  0.01   2.42   2.19   2.42   2.19  1XXX.00.00.0040000             33.9764 010 88      1.82   1.82   0.01
7685726Us exam pelvic limited                            A   0.38   0.17     0.15     0.17     0.15     0.03   0.58   0.56   0.58   0.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76870  Us exam scrotum                                   A   0.64   2.98     2.85     2.98NA   2.85 NA  0.05   3.67   3.54   3.67   3.54  1XXX.00.00.0040000             33.9764 090 88      3.09   3.09   0.05
76870TCUs exam scrotum                                   A   0.00   2.71     2.61     2.71NA   2.61 NA  0.01   2.72   2.62   2.72   2.62  1XXX.00.00.0040000             33.9764 010 88      2.82   2.82   0.01
7687026Us exam scrotum                                   A   0.64   0.27     0.24     0.27     0.24     0.04   0.95   0.92   0.95   0.92  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76872  Us transrectal                                    A   0.69   3.42     3.04     3.42NA   3.04 NA  0.05   4.16   3.78   4.16   3.78  1XXX.00.00.0000000             33.9764 090 99      3.13   3.13   0.05
76872TCUs transrectal                                    A   0.00   3.11     2.77     3.11NA   2.77 NA  0.01   3.12   2.78   3.12   2.78  1XXX.00.00.0000000             33.9764 010 99      2.82   2.82   0.01
7687226Us transrectal                                    A   0.69   0.31     0.27     0.31     0.27     0.04   1.04   1.00   1.04   1.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76873  Echograp trans r pros study                       A   1.55   3.63     3.39     3.63NA   3.39 NA  0.09   5.27   5.03   5.27   5.03  1XXX.00.00.0099999             33.9764 090 99      3.49   3.49   0.09
76873TCEchograp trans r pros study                       A   0.00   2.96     2.74     2.96NA   2.74 NA  0.01   2.97   2.75   2.97   2.75  1XXX.00.00.0099999             33.9764 020 99      2.82   2.82   0.01
7687326Echograp trans r pros study                       A   1.55   0.67     0.65     0.67     0.65     0.08   2.30   2.28   2.30   2.28  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
76881  Us xtr non-vasc complete                          A   0.59   2.75     2.75     2.75NA   2.75 NA  0.05   3.39   3.39   3.39   3.39  1XXX.00.00.0000900             33.9764 090 99      3.04   3.04   0.05
76881TCUs xtr non-vasc complete                          A   0.00   2.53     2.53     2.53NA   2.53 NA  0.01   2.54   2.54   2.54   2.54  1XXX.00.00.0000900             33.9764 010 99      2.82   2.82   0.01
7688126Us xtr non-vasc complete                          A   0.59   0.22     0.22     0.22     0.22     0.04   0.85   0.85   0.85   0.85  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
76882  Us xtr non-vasc lmtd                              A   0.41   0.44     0.44     0.44NA   0.44 NA  0.04   0.89   0.89   0.89   0.89  1XXX.00.00.0000900             33.9764 090 99      1.92   1.92   0.09
76882TCUs xtr non-vasc lmtd                              A   0.00   0.29     0.29     0.29NA   0.29 NA  0.01   0.30   0.30   0.30   0.30  1XXX.00.00.0000900             33.9764 010 99      1.77   1.77   0.06
7688226Us xtr non-vasc lmtd                              A   0.41   0.15     0.15     0.15     0.15     0.03   0.59   0.59   0.59   0.59  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
76885  Us exam infant hips dynamic                       A   0.74   3.51     3.49     3.51NA   3.49 NA  0.05   4.30   4.28   4.30   4.28  1XXX.00.00.0000000             33.9764 090 99      2.14   2.14   0.05
76885TCUs exam infant hips dynamic                       A   0.00   3.20     3.20     3.20NA   3.20 NA  0.01   3.21   3.21   3.21   3.21  1XXX.00.00.0000000             33.9764 010 99      1.83   1.83   0.01
7688526Us exam infant hips dynamic                       A   0.74   0.31     0.29     0.31     0.29     0.04   1.09   1.07   1.09   1.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76886  Us exam infant hips static                        A   0.62   2.77     3.03     2.77NA   3.03 NA  0.02   3.41   3.67   3.41   3.67  1XXX.00.00.0000000             33.9764 090 99      2.10   2.10   0.02
76886TCUs exam infant hips static                        A   0.00   2.49     2.73     2.49NA   2.73 NA  0.01   2.50   2.74   2.50   2.74  1XXX.00.00.0000000             33.9764 010 99      1.82   1.82   0.01
7688626Us exam infant hips static                        A   0.62   0.28     0.30     0.28     0.30     0.01   0.91   0.93   0.91   0.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76930  Echo guide cardiocentesis                         A   0.67   1.99     1.63     1.99NA   1.63 NA  0.02   2.68   2.32   2.68   2.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76930TCEcho guide cardiocentesis                         A   0.00   1.67     1.37     1.67NA   1.37 NA  0.01   1.68   1.38   1.68   1.38  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7693026Echo guide cardiocentesis                         A   0.67   0.32     0.26     0.32     0.26     0.01   1.00   0.94   1.00   0.94  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7693226Echo guide for heart biopsy                       A   0.67   0.33     0.26     0.33     0.26     0.04   1.04   0.97   1.04   0.97  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76936  Echo guide for artery repair                      A   1.99   6.95     6.26     6.95NA   6.26 NA  0.24   9.18   8.49   9.18   8.49  1XXX.00.00.0000000             33.9764 090 99      3.93   3.93   0.24
76936TCEcho guide for artery repair                      A   0.00   6.15     5.55     6.15NA   5.55 NA  0.01   6.16   5.56   6.16   5.56  1XXX.00.00.0000000             33.9764 030 99      3.13   3.13   0.01
7693626Echo guide for artery repair                      A   1.99   0.80     0.71     0.80     0.71     0.23   3.02   2.93   3.02   2.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76937  Us guide vascular access                          A   0.30   0.69     0.67     0.69NA   0.67 NA  0.04   1.03   1.01   1.03   1.01  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76937TCUs guide vascular access                          A   0.00   0.57     0.56     0.57NA   0.56 NA  0.01   0.58   0.57   0.58   0.57  1ZZZ.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7693726Us guide vascular access                          A   0.30   0.12     0.11     0.12     0.11     0.03   0.45   0.44   0.45   0.44  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7694026Us guide tissue ablation                          A   2.00   0.82     0.79     0.82     0.79     0.29   3.11   3.08   3.11   3.08  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7694126Echo guide for transfusion                        A   1.34   0.58     0.62     0.58     0.62     0.11   2.03   2.07   2.03   2.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76942  Echo guide for biopsy                             A   0.67   5.11     4.96     5.11NA   4.96 NA  0.05   5.83   5.68   5.83   5.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76942TCEcho guide for biopsy                             A   0.00   4.83     4.70     4.83NA   4.70 NA  0.01   4.84   4.71   4.84   4.71  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7694226Echo guide for biopsy                             A   0.67   0.28     0.26     0.28     0.26     0.04   0.99   0.97   0.99   0.97  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7694526Echo guide villus sampling                        A   0.67   0.29     0.31     0.29     0.31     0.04   1.00   1.02   1.00   1.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76946  Echo guide for amniocentesis                      A   0.38   0.72     0.52     0.72NA   0.52 NA  0.02   1.12   0.92   1.12   0.92  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76946TCEcho guide for amniocentesis                      A   0.00   0.56     0.35     0.56NA   0.35 NA  0.01   0.57   0.36   0.57   0.36  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7694626Echo guide for amniocentesis                      A   0.38   0.16     0.17     0.16     0.17     0.01   0.55   0.56   0.55   0.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76948  Echo guide ova aspiration                         A   0.38   0.72     0.53     0.72NA   0.53 NA  0.04   1.14   0.95   1.14   0.95  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76948TCEcho guide ova aspiration                         A   0.00   0.56     0.36     0.56NA   0.36 NA  0.01   0.57   0.37   0.57   0.37  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7694826Echo guide ova aspiration                         A   0.38   0.16     0.17     0.16     0.17     0.03   0.57   0.58   0.57   0.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76950  Echo guidance radiotherapy                        A   0.58   1.42     1.27     1.42NA   1.27 NA  0.04   2.04   1.89   2.04   1.89  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76950TCEcho guidance radiotherapy                        A   0.00   1.17     1.02     1.17NA   1.02 NA  0.01   1.18   1.03   1.18   1.03  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7695026Echo guidance radiotherapy                        A   0.58   0.25     0.25     0.25     0.25     0.03   0.86   0.86   0.86   0.86  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76965  Echo guidance radiotherapy                        A   1.34   2.06     1.18     2.06NA   1.18 NA  0.09   3.49   2.61   3.49   2.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76965TCEcho guidance radiotherapy                        A   0.00   1.47     0.63     1.47NA   0.63 NA  0.01   1.48   0.64   1.48   0.64  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
7696526Echo guidance radiotherapy                        A   1.34   0.59     0.55     0.59     0.55     0.08   2.01   1.97   2.01   1.97  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76970  Ultrasound exam follow-up                         A   0.40   2.39     2.56     2.39NA   2.56 NA  0.05   2.84   3.01   2.84   3.01  1XXX.00.00.0000000             33.9764 090 99      1.98   1.98   0.05
76970TCUltrasound exam follow-up                         A   0.00   2.23     2.39     2.23NA   2.39 NA  0.01   2.24   2.40   2.24   2.40  1XXX.00.00.0000000             33.9764 010 99      1.82   1.82   0.01
7697026Ultrasound exam follow-up                         A   0.40   0.16     0.17     0.16     0.17     0.04   0.60   0.61   0.60   0.61  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      4.88   4.88   0.09
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             33.9764 030 99      4.49   4.49   0.01
7697526GI endoscopic ultrasound                          A   0.81   0.39     0.40     0.39     0.40     0.08   1.28   1.29   1.28   1.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
76977  Us bone density measure                           A   0.05   0.24     0.14     0.24NA   0.14 NA  0.02   0.31   0.21   0.31   0.21  1XXX.00.00.0000000             33.9764 090 99      1.32   1.32   0.07
76977TCUs bone density measure                           A   0.00   0.22     0.12     0.22NA   0.12 NA  0.01   0.23   0.13   0.23   0.13  1XXX.00.00.0000000             33.9764 010 99      1.30   1.30   0.06
7697726Us bone density measure                           A   0.05   0.02     0.02     0.02     0.02     0.01   0.08   0.08   0.08   0.08  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
7699826Us guide intraop                                  A   1.20   0.47     0.47     0.47     0.47     0.26   1.93   1.93   1.93   1.93  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
77001  Fluoroguide for vein device                       A   0.38   2.96     2.99     2.96NA   2.99 NA  0.04   3.38   3.41   3.38   3.41  1ZZZ.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77001TCFluoroguide for vein device                       A   0.00   2.80     2.85     2.80NA   2.85 NA  0.01   2.81   2.86   2.81   2.86  1ZZZ.00.00.0000900             33.9764 030 99      0.00   0.00   0.00
7700126Fluoroguide for vein device                       A   0.38   0.16     0.14     0.16     0.14     0.03   0.57   0.55   0.57   0.55  1ZZZ.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77002  Needle localization by xray                       A   0.54   1.65     1.65     1.65NA   1.65 NA  0.04   2.23   2.23   2.23   2.23  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77002TCNeedle localization by xray                       A   0.00   1.41     1.40     1.41NA   1.40 NA  0.01   1.42   1.41   1.42   1.41  1XXX.00.00.0000900             33.9764 030 99      0.00   0.00   0.00
7700226Needle localization by xray                       A   0.54   0.24     0.25     0.24     0.25     0.03   0.81   0.82   0.81   0.82  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77003  Fluoroguide for spine inject                      A   0.60   1.20     1.24     1.20NA   1.24 NA  0.04   1.84   1.88   1.84   1.88  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
77003TCFluoroguide for spine inject                      A   0.00   0.96     0.95     0.96NA   0.95 NA  0.01   0.97   0.96   0.97   0.96  1XXX.00.00.0099999             33.9764 030 99      0.00   0.00   0.00
7700326Fluoroguide for spine inject                      A   0.60   0.24     0.29     0.24     0.29     0.03   0.87   0.92   0.87   0.92  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
77011  Ct scan for localization                          A   1.21  12.98     5.36    12.98NA   5.36 NA  0.05  14.24   6.62  14.24   6.62  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77011TCCt scan for localization                          A   0.00  12.44     4.82    12.44NA   4.82 NA  0.01  12.45   4.83  12.45   4.83  1XXX.00.00.0000900             33.9764 030 99      0.00   0.00   0.00
7701126Ct scan for localization                          A   1.21   0.54     0.54     0.54     0.54     0.04   1.79   1.79   1.79   1.79  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77012  Ct scan for needle biopsy                         A   1.16   3.61     2.46     3.61NA   2.46 NA  0.05   4.82   3.67   4.82   3.67  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77012TCCt scan for needle biopsy                         A   0.00   3.13     2.03     3.13NA   2.03 NA  0.01   3.14   2.04   3.14   2.04  1XXX.00.00.0000900             33.9764 030 99      0.00   0.00   0.00
7701226Ct scan for needle biopsy                         A   1.16   0.48     0.43     0.48     0.43     0.04   1.68   1.63   1.68   1.63  1XXX.00.00.0000900             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
7701326Ct guide for tissue ablation                      A   3.99   1.65     1.45     1.65     1.45     0.37   6.01   5.81   6.01   5.81  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77014  Ct scan for therapy guide                         A   0.85   4.75     4.51     4.75NA   4.51 NA  0.05   5.65   5.41   5.65   5.41  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77014TCCt scan for therapy guide                         A   0.00   4.39     4.14     4.39NA   4.14 NA  0.01   4.40   4.15   4.40   4.15  1XXX.00.00.0000900             33.9764 020 99      0.00   0.00   0.00
7701426Ct scan for therapy guide                         A   0.85   0.36     0.37     0.36     0.37     0.04   1.25   1.26   1.25   1.26  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77021  Mr guidance for needle place                      A   1.50  11.16     9.78    11.16NA   9.78 NA  0.13  12.79  11.41  12.79  11.41  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77021TCMr guidance for needle place                      A   0.00  10.54     9.22    10.54NA   9.22 NA  0.01  10.55   9.23  10.55   9.23  1XXX.00.00.0000900             33.9764 030 99      0.00   0.00   0.00
7702126Mr guidance for needle place                      A   1.50   0.62     0.56     0.62     0.56     0.12   2.24   2.18   2.24   2.18  1XXX.00.00.0000900             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
7702226Mri for tissue ablation                           A   4.24   1.73     1.64     1.73     1.64     0.38   6.35   6.26   6.35   6.26  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77031  Stereotact guide for brst bx                      A   1.59   3.04     2.02     3.04NA   2.02 NA  0.13   4.76   3.74   4.76   3.74  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77031TCStereotact guide for brst bx                      A   0.00   2.39     1.41     2.39NA   1.41 NA  0.01   2.40   1.42   2.40   1.42  1XXX.00.00.0000900             33.9764 030 99      0.00   0.00   0.00
7703126Stereotact guide for brst bx                      A   1.59   0.65     0.61     0.65     0.61     0.12   2.36   2.32   2.36   2.32  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77032  Guidance for needle breast                        A   0.56   1.05     0.87     1.05NA   0.87 NA  0.04   1.65   1.47   1.65   1.47  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77032TCGuidance for needle breast                        A   0.00   0.82     0.66     0.82NA   0.66 NA  0.01   0.83   0.67   0.83   0.67  1XXX.00.00.0000900             33.9764 030 99      0.00   0.00   0.00
7703226Guidance for needle breast                        A   0.56   0.23     0.21     0.23     0.21     0.03   0.82   0.80   0.82   0.80  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77051  Computer dx mammogram add-on                      A   0.06   0.26     0.20     0.26NA   0.20 NA  0.02   0.34   0.28   0.34   0.28  1ZZZ.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77051TCComputer dx mammogram add-on                      A   0.00   0.24     0.18     0.24NA   0.18 NA  0.01   0.25   0.19   0.25   0.19  1ZZZ.00.00.0000900             33.9764 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.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77052  Comp screen mammogram add-on                      A   0.06   0.26     0.20     0.26NA   0.20 NA  0.02   0.34   0.28   0.34   0.28  1ZZZ.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77052TCComp screen mammogram add-on                      A   0.00   0.24     0.18     0.24NA   0.18 NA  0.01   0.25   0.19   0.25   0.19  1ZZZ.00.00.0000900             33.9764 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.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77053  X-ray of mammary duct                             A   0.36   1.62     1.26     1.62NA   1.26 NA  0.02   2.00   1.64   2.00   1.64  1XXX.00.00.0000900             33.9764 090 99      6.87   6.87   0.06
77053TCX-ray of mammary duct                             A   0.00   1.47     1.13     1.47NA   1.13 NA  0.01   1.48   1.14   1.48   1.14  1XXX.00.00.0000900             33.9764 030 99      6.72   6.72   0.05
7705326X-ray of mammary duct                             A   0.36   0.15     0.13     0.15     0.13     0.01   0.52   0.50   0.52   0.50  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77054  X-ray of mammary ducts                            A   0.45   2.22     1.74     2.22NA   1.74 NA  0.04   2.71   2.23   2.71   2.23  1XXX.00.00.0000900             33.9764 090 99      6.93   6.93   0.06
77054TCX-ray of mammary ducts                            A   0.00   2.03     1.57     2.03NA   1.57 NA  0.01   2.04   1.58   2.04   1.58  1XXX.00.00.0000900             33.9764 030 99      6.74   6.74   0.03
7705426X-ray of mammary ducts                            A   0.45   0.19     0.17     0.19     0.17     0.03   0.67   0.65   0.67   0.65  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77055  Mammogram one breast                              A   0.70   1.80     1.70     1.80NA   1.70 NA  0.05   2.55   2.45   2.55   2.45  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77055TCMammogram one breast                              A   0.00   1.51     1.44     1.51NA   1.44 NA  0.01   1.52   1.45   1.52   1.45  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
7705526Mammogram one breast                              A   0.70   0.29     0.26     0.29     0.26     0.04   1.03   1.00   1.03   1.00  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77056  Mammogram both breasts                            A   0.87   2.33     2.22     2.33NA   2.22 NA  0.06   3.26   3.15   3.26   3.15  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77056TCMammogram both breasts                            A   0.00   1.97     1.89     1.97NA   1.89 NA  0.01   1.98   1.90   1.98   1.90  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
7705626Mammogram both breasts                            A   0.87   0.36     0.33     0.36     0.33     0.05   1.28   1.25   1.28   1.25  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77057  Mammogram screening                               A   0.70   1.64     1.50     1.64NA   1.50 NA  0.05   2.39   2.25   2.39   2.25  1XXX.00.00.0002900             33.9764 090 99      0.00   0.00   0.00
77057TCMammogram screening                               A   0.00   1.35     1.24     1.35NA   1.24 NA  0.01   1.36   1.25   1.36   1.25  1XXX.00.00.0002900             33.9764 090 99      0.00   0.00   0.00
7705726Mammogram screening                               A   0.70   0.29     0.26     0.29     0.26     0.04   1.03   1.00   1.03   1.00  1XXX.00.00.0002900             33.9764 090 99      0.00   0.00   0.00
77058  Mri one breast                                    A   1.63  20.59    16.03    20.59NA  16.03 NA  0.11  22.33  17.77  22.33  17.77  1XXX.00.00.0040900             33.9764 090 88     16.37  16.37   0.11
77058TCMri one breast                                    A   0.00  19.92    15.43    19.92NA  15.43 NA  0.01  19.93  15.44  19.93  15.44  1XXX.00.00.0040900             33.9764 020 88     15.70  15.70   0.01
7705826Mri one breast                                    A   1.63   0.67     0.60     0.67     0.60     0.10   2.40   2.33   2.40   2.33  1XXX.00.00.0000900             33.9764 090 99      0.00   0.00   0.00
77059  Mri both breasts                                  A   1.63  21.43    15.93    21.43NA  15.93 NA  0.11  23.17  17.67  23.17  17.67  1XXX.00.00.0042900             33.9764 090 88     16.37  16.37   0.11
77059TCMri both breasts                                  A   0.00  20.76    15.33    20.76NA  15.33 NA  0.01  20.77  15.34  20.77  15.34  1XXX.00.00.0042900             33.9764 020 88     15.70  15.70   0.01
7705926Mri both breasts                                  A   1.63   0.67     0.60     0.67     0.60     0.10   2.40   2.33   2.40   2.33  1XXX.00.00.0002900             33.9764 090 99      0.00   0.00   0.00
77071  X-ray stress view                                 A   0.41   0.90     1.03     0.90     1.03     0.07   1.38   1.51   1.38   1.51  2XXX.00.00.0003000             33.9764 030 99      0.00   0.00   0.00
77072  X-rays for bone age                               A   0.19   0.49     0.46     0.49NA   0.46 NA  0.02   0.70   0.67   0.70   0.67  1XXX.00.00.0000000             33.9764 090 99      1.37   1.37   0.04
77072TCX-rays for bone age                               A   0.00   0.41     0.38     0.41NA   0.38 NA  0.01   0.42   0.39   0.42   0.39  1XXX.00.00.0000000             33.9764 010 99      1.29   1.29   0.03
7707226X-rays for bone age                               A   0.19   0.08     0.08     0.08     0.08     0.01   0.28   0.28   0.28   0.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77073  X-rays bone length studies                        A   0.27   0.84     0.81     0.84NA   0.81 NA  0.05   1.16   1.13   1.16   1.13  1XXX.00.00.0000000             33.9764 090 99      1.44   1.44   0.06
77073TCX-rays bone length studies                        A   0.00   0.71     0.67     0.71NA   0.67 NA  0.01   0.72   0.68   0.72   0.68  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7707326X-rays bone length studies                        A   0.27   0.13     0.14     0.13     0.14     0.04   0.44   0.45   0.44   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77074  X-rays bone survey limited                        A   0.45   1.58     1.48     1.58NA   1.48 NA  0.04   2.07   1.97   2.07   1.97  1XXX.00.00.0000000             33.9764 090 99      2.41   2.41   0.05
77074TCX-rays bone survey limited                        A   0.00   1.39     1.31     1.39NA   1.31 NA  0.01   1.40   1.32   1.40   1.32  1XXX.00.00.0000000             33.9764 010 99      2.22   2.22   0.02
7707426X-rays bone survey limited                        A   0.45   0.19     0.17     0.19     0.17     0.03   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77075  X-rays bone survey complete                       A   0.54   2.46     2.35     2.46NA   2.35 NA  0.04   3.04   2.93   3.04   2.93  1XXX.00.00.0000000             33.9764 090 99      2.44   2.44   0.04
77075TCX-rays bone survey complete                       A   0.00   2.24     2.15     2.24NA   2.15 NA  0.01   2.25   2.16   2.25   2.16  1XXX.00.00.0000000             33.9764 010 99      2.22   2.22   0.01
7707526X-rays bone survey complete                       A   0.54   0.22     0.20     0.22     0.20     0.03   0.79   0.77   0.79   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77076  X-rays bone survey infant                         A   0.70   2.22     2.25     2.22NA   2.25 NA  0.05   2.97   3.00   2.97   3.00  1XXX.00.00.0000000             33.9764 090 99      2.49   2.49   0.05
77076TCX-rays bone survey infant                         A   0.00   1.95     1.98     1.95NA   1.98 NA  0.01   1.96   1.99   1.96   1.99  1XXX.00.00.0000000             33.9764 010 99      2.22   2.22   0.01
7707626X-rays bone survey infant                         A   0.70   0.27     0.27     0.27     0.27     0.04   1.01   1.01   1.01   1.01  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77077  Joint survey single view                          A   0.31   0.89     0.82     0.89NA   0.82 NA  0.05   1.25   1.18   1.25   1.18  1XXX.00.00.0000000             33.9764 090 99      1.45   1.45   0.06
77077TCJoint survey single view                          A   0.00   0.75     0.67     0.75NA   0.67 NA  0.01   0.76   0.68   0.76   0.68  1XXX.00.00.0000000             33.9764 010 99      1.31   1.31   0.02
7707726Joint survey single view                          A   0.31   0.14     0.15     0.14     0.15     0.04   0.49   0.50   0.49   0.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77078  Ct bone density axial                             A   0.25   4.38     3.54     4.38NA   3.54 NA  0.02   4.65   3.81   4.65   3.81  1XXX.00.00.0000000             33.9764 090 99      2.17   2.17   0.01
77078TCCt bone density axial                             A   0.00   4.28     3.44     4.28NA   3.44 NA  0.01   4.29   3.45   4.29   3.45  1XXX.00.00.0000000             33.9764 010 99      2.07   2.07   0.00
7707826Ct bone density axial                             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             33.9764 090 99      0.00   0.00   0.00
77079  Ct bone density peripheral                        A   0.22   1.26     0.92     1.26NA   0.92 NA  0.02   1.50   1.16   1.50   1.16  1XXX.00.00.0000000             33.9764 010 99      3.40   3.40   0.04
77079TCCt bone density peripheral                        A   0.00   1.17     0.82     1.17NA   0.82 NA  0.01   1.18   0.83   1.18   0.83  1XXX.00.00.0000000             33.9764 010 99      3.31   3.31   0.03
7707926Ct bone density peripheral                        A   0.22   0.09     0.10     0.09     0.10     0.01   0.32   0.33   0.32   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77080  Dxa bone density axial                            A   0.23   2.50     2.50     2.50NA   2.50 NA  0.14   2.87   2.87   2.87   2.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77080TCDxa bone density axial                            A   0.00   2.42     2.42     2.42NA   2.42 NA  0.13   2.55   2.55   2.55   2.55  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7708026Dxa bone density axial                            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             33.9764 090 99      0.00   0.00   0.00
77081  Dxa bone density/peripheral                       A   0.22   0.61     0.61     0.61NA   0.61 NA  0.02   0.85   0.85   0.85   0.85  1XXX.00.00.0000000             33.9764 090 99      0.99   0.99   0.03
77081TCDxa bone density/peripheral                       A   0.00   0.55     0.55     0.55NA   0.55 NA  0.01   0.56   0.56   0.56   0.56  1XXX.00.00.0000000             33.9764 010 99      0.93   0.93   0.02
7708126Dxa bone density/peripheral                       A   0.22   0.06     0.06     0.06     0.06     0.01   0.29   0.29   0.29   0.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77082  Dxa bone density vert fx                          A   0.13   0.64     0.64     0.64NA   0.64 NA  0.05   0.82   0.82   0.82   0.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77082TCDxa bone density vert fx                          A   0.00   0.59     0.59     0.59NA   0.59 NA  0.04   0.63   0.63   0.63   0.63  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7708226Dxa bone density vert fx                          A   0.13   0.05     0.05     0.05     0.05     0.01   0.19   0.19   0.19   0.19  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77083  Radiographic absorptiometry                       A   0.20   0.52     0.47     0.52NA   0.47 NA  0.02   0.74   0.69   0.74   0.69  1XXX.00.00.0000000             33.9764 090 99      2.26   2.26   0.06
77083TCRadiographic absorptiometry                       A   0.00   0.44     0.38     0.44NA   0.38 NA  0.01   0.45   0.39   0.45   0.39  1XXX.00.00.0000000             33.9764 010 99      2.18   2.18   0.05
7708326Radiographic absorptiometry                       A   0.20   0.08     0.09     0.08     0.09     0.01   0.29   0.30   0.29   0.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77084  Magnetic image bone marrow                        A   1.60  13.88    10.98    13.88NA  10.98 NA  0.11  15.59  12.69  15.59  12.69  1XXX.00.00.0000000             33.9764 090 99     10.76  10.76   0.11
77084TCMagnetic image bone marrow                        A   0.00  13.21    10.38    13.21NA  10.38 NA  0.01  13.22  10.39  13.22  10.39  1XXX.00.00.0000000             33.9764 010 99     10.09  10.09   0.01
7708426Magnetic image bone marrow                        A   1.60   0.67     0.60     0.67     0.60     0.10   2.37   2.30   2.37   2.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77261  Radiation therapy planning                        A   1.39   0.64     0.66     0.64     0.66     0.10   2.13   2.15   2.13   2.15  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77262  Radiation therapy planning                        A   2.11   0.92     0.93     0.92     0.93     0.18   3.21   3.22   3.21   3.22  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77263  Radiation therapy planning                        A   3.14   1.36     1.38     1.36     1.38     0.26   4.76   4.78   4.76   4.78  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77280  Set radiation therapy field                       A   0.70   4.82     4.53     4.82NA   4.53 NA  0.04   5.56   5.27   5.56   5.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77280TCSet radiation therapy field                       A   0.00   4.52     4.22     4.52NA   4.22 NA  0.01   4.53   4.23   4.53   4.23  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7728026Set radiation therapy field                       A   0.70   0.30     0.31     0.30     0.31     0.03   1.03   1.04   1.03   1.04  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77285  Set radiation therapy field                       A   1.05   8.64     8.23     8.64NA   8.23 NA  0.06   9.75   9.34   9.75   9.34  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77285TCSet radiation therapy field                       A   0.00   8.19     7.77     8.19NA   7.77 NA  0.01   8.20   7.78   8.20   7.78  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7728526Set radiation therapy field                       A   1.05   0.45     0.46     0.45     0.46     0.05   1.55   1.56   1.55   1.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77290  Set radiation therapy field                       A   1.56  13.96    13.68    13.96NA  13.68 NA  0.08  15.60  15.32  15.60  15.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77290TCSet radiation therapy field                       A   0.00  13.29    12.99    13.29NA  12.99 NA  0.01  13.30  13.00  13.30  13.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7729026Set radiation therapy field                       A   1.56   0.67     0.69     0.67     0.69     0.07   2.30   2.32   2.30   2.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77295  Set radiation therapy field                       A   4.56  11.78     7.92    11.78NA   7.92 NA  0.28  16.62  12.76  16.62  12.76  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77295TCSet radiation therapy field                       A   0.00   9.83     5.91     9.83NA   5.91 NA  0.04   9.87   5.95   9.87   5.95  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7729526Set radiation therapy field                       A   4.56   1.95     2.01     1.95     2.01     0.24   6.75   6.81   6.75   6.81  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
77300  Radiation therapy dose plan                       A   0.62   1.40     1.25     1.40NA   1.25 NA  0.04   2.06   1.91   2.06   1.91  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77300TCRadiation therapy dose plan                       A   0.00   1.13     0.98     1.13NA   0.98 NA  0.01   1.14   0.99   1.14   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7730026Radiation therapy dose plan                       A   0.62   0.27     0.27     0.27     0.27     0.03   0.92   0.92   0.92   0.92  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77301  Radiotherapy dose plan imrt                       A   7.99  52.84    44.85    52.84NA  44.85 NA  0.63  61.46  53.47  61.46  53.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77301TCRadiotherapy dose plan imrt                       A   0.00  49.42    41.34    49.42NA  41.34 NA  0.22  49.64  41.56  49.64  41.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7730126Radiotherapy dose plan imrt                       A   7.99   3.42     3.51     3.42     3.51     0.41  11.82  11.91  11.82  11.91  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77305  Teletx isodose plan simple                        A   0.70   1.22     0.98     1.22NA   0.98 NA  0.04   1.96   1.72   1.96   1.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77305TCTeletx isodose plan simple                        A   0.00   0.92     0.67     0.92NA   0.67 NA  0.01   0.93   0.68   0.93   0.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7730526Teletx isodose plan simple                        A   0.70   0.30     0.31     0.30     0.31     0.03   1.03   1.04   1.03   1.04  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77310  Teletx isodose plan intermed                      A   1.05   1.66     1.37     1.66NA   1.37 NA  0.06   2.77   2.48   2.77   2.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77310TCTeletx isodose plan intermed                      A   0.00   1.21     0.91     1.21NA   0.91 NA  0.01   1.22   0.92   1.22   0.92  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7731026Teletx isodose plan intermed                      A   1.05   0.45     0.46     0.45     0.46     0.05   1.55   1.56   1.55   1.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77315  Teletx isodose plan complex                       A   1.56   2.56     2.26     2.56NA   2.26 NA  0.08   4.20   3.90   4.20   3.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77315TCTeletx isodose plan complex                       A   0.00   1.89     1.57     1.89NA   1.57 NA  0.01   1.90   1.58   1.90   1.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7731526Teletx isodose plan complex                       A   1.56   0.67     0.69     0.67     0.69     0.07   2.30   2.32   2.30   2.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77321  Special teletx port plan                          A   0.95   2.15     1.62     2.15NA   1.62 NA  0.05   3.15   2.62   3.15   2.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77321TCSpecial teletx port plan                          A   0.00   1.75     1.20     1.75NA   1.20 NA  0.01   1.76   1.21   1.76   1.21  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7732126Special teletx port plan                          A   0.95   0.40     0.42     0.40     0.42     0.04   1.39   1.41   1.39   1.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77326  Brachytx isodose calc simp                        A   0.93   3.27     3.08     3.27NA   3.08 NA  0.07   4.27   4.08   4.27   4.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77326TCBrachytx isodose calc simp                        A   0.00   2.88     2.67     2.88NA   2.67 NA  0.03   2.91   2.70   2.91   2.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7732626Brachytx isodose calc simp                        A   0.93   0.39     0.41     0.39     0.41     0.04   1.36   1.38   1.36   1.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77327  Brachytx isodose calc interm                      A   1.39   4.56     4.23     4.56NA   4.23 NA  0.10   6.05   5.72   6.05   5.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77327TCBrachytx isodose calc interm                      A   0.00   3.97     3.62     3.97NA   3.62 NA  0.03   4.00   3.65   4.00   3.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7732726Brachytx isodose calc interm                      A   1.39   0.59     0.61     0.59     0.61     0.07   2.05   2.07   2.05   2.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77328  Brachytx isodose plan compl                       A   2.09   5.94     5.44     5.94NA   5.44 NA  0.14   8.17   7.67   8.17   7.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77328TCBrachytx isodose plan compl                       A   0.00   5.05     4.52     5.05NA   4.52 NA  0.04   5.09   4.56   5.09   4.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7732826Brachytx isodose plan compl                       A   2.09   0.89     0.92     0.89     0.92     0.10   3.08   3.11   3.08   3.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77331  Special radiation dosimetry                       A   0.87   0.94     0.90     0.94NA   0.90 NA  0.05   1.86   1.82   1.86   1.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77331TCSpecial radiation dosimetry                       A   0.00   0.56     0.52     0.56NA   0.52 NA  0.01   0.57   0.53   0.57   0.53  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7733126Special radiation dosimetry                       A   0.87   0.38     0.38     0.38     0.38     0.04   1.29   1.29   1.29   1.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77332  Radiation treatment aid(s)                        A   0.54   1.74     1.62     1.74NA   1.62 NA  0.04   2.32   2.20   2.32   2.20  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77332TCRadiation treatment aid(s)                        A   0.00   1.51     1.38     1.51NA   1.38 NA  0.01   1.52   1.39   1.52   1.39  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7733226Radiation treatment aid(s)                        A   0.54   0.23     0.24     0.23     0.24     0.03   0.80   0.81   0.80   0.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77333  Radiation treatment aid(s)                        A   0.84   0.87     0.61     0.87NA   0.61 NA  0.05   1.76   1.50   1.76   1.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77333TCRadiation treatment aid(s)                        A   0.00   0.51     0.24     0.51NA   0.24 NA  0.01   0.52   0.25   0.52   0.25  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7733326Radiation treatment aid(s)                        A   0.84   0.36     0.37     0.36     0.37     0.04   1.24   1.25   1.24   1.25  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77334  Radiation treatment aid(s)                        A   1.24   3.22     2.87     3.22NA   2.87 NA  0.06   4.52   4.17   4.52   4.17  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77334TCRadiation treatment aid(s)                        A   0.00   2.69     2.32     2.69NA   2.32 NA  0.01   2.70   2.33   2.70   2.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7733426Radiation treatment aid(s)                        A   1.24   0.53     0.55     0.53     0.55     0.05   1.82   1.84   1.82   1.84  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77336  Radiation physics consult                         A   0.00   1.53     1.13     1.53NA   1.13 NA  0.01   1.54   1.14   1.54   1.14  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77338  Design mlc device for imrt                        A   4.29   9.55     9.55     9.55NA   9.55 NA  0.27  14.11  14.11  14.11  14.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77338TCDesign mlc device for imrt                        A   0.00   7.66     7.66     7.66NA   7.66 NA  0.04   7.70   7.70   7.70   7.70  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7733826Design mlc device for imrt                        A   4.29   1.89     1.89     1.89     1.89     0.23   6.41   6.41   6.41   6.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77370  Radiation physics consult                         A   0.00   3.39     3.01     3.39NA   3.01 NA  0.04   3.43   3.05   3.43   3.05  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77371  Srs multisource                                   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             33.9764 090 99      0.00   0.00   0.00
77372  Srs linear based                                  A   0.00  25.02    22.83    25.02NA  22.83 NA  0.05  25.07  22.88  25.07  22.88  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77373  Sbrt delivery                                     A   0.00  46.74    42.95    46.74NA  42.95 NA  0.07  46.81  43.02  46.81  43.02  3XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
77401  Radiation treatment delivery                      A   0.00   0.74     0.53     0.74NA   0.53 NA  0.01   0.75   0.54   0.75   0.54  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77402  Radiation treatment delivery                      A   0.00   5.18     5.86     5.18NA   5.86 NA  0.01   5.19   5.87   5.19   5.87  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77403  Radiation treatment delivery                      A   0.00   3.85     3.79     3.85NA   3.79 NA  0.01   3.86   3.80   3.86   3.80  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77404  Radiation treatment delivery                      A   0.00   4.28     4.24     4.28NA   4.24 NA  0.01   4.29   4.25   4.29   4.25  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77406  Radiation treatment delivery                      A   0.00   4.32     4.28     4.32NA   4.28 NA  0.01   4.33   4.29   4.33   4.29  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77407  Radiation treatment delivery                      A   0.00   7.51     7.96     7.51NA   7.96 NA  0.01   7.52   7.97   7.52   7.97  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77408  Radiation treatment delivery                      A   0.00   5.24     5.21     5.24NA   5.21 NA  0.01   5.25   5.22   5.25   5.22  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77409  Radiation treatment delivery                      A   0.00   5.83     5.84     5.83NA   5.84 NA  0.01   5.84   5.85   5.84   5.85  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77411  Radiation treatment delivery                      A   0.00   5.80     5.81     5.80NA   5.81 NA  0.01   5.81   5.82   5.81   5.82  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77412  Radiation treatment delivery                      A   0.00   6.84     6.86     6.84NA   6.86 NA  0.01   6.85   6.87   6.85   6.87  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77413  Radiation treatment delivery                      A   0.00   6.89     6.90     6.89NA   6.90 NA  0.01   6.90   6.91   6.90   6.91  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77414  Radiation treatment delivery                      A   0.00   7.71     7.78     7.71NA   7.78 NA  0.01   7.72   7.79   7.72   7.79  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77416  Radiation treatment delivery                      A   0.00   7.75     7.83     7.75NA   7.83 NA  0.01   7.76   7.84   7.76   7.84  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77417  Radiology port film(s)                            A   0.00   0.43     0.36     0.43NA   0.36 NA  0.01   0.44   0.37   0.44   0.37  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
77418  Radiation tx delivery imrt                        A   0.00  15.29    13.27    15.29NA  13.27 NA  0.01  15.30  13.28  15.30  13.28  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77421  Stereoscopic x-ray guidance                       A   0.39   2.83     2.44     2.83NA   2.44 NA  0.02   3.24   2.85   3.24   2.85  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77421TCStereoscopic x-ray guidance                       A   0.00   2.66     2.27     2.66NA   2.27 NA  0.01   2.67   2.28   2.67   2.28  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
7742126Stereoscopic x-ray guidance                       A   0.39   0.17     0.17     0.17     0.17     0.01   0.57   0.57   0.57   0.57  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77422  Neutron beam tx simple                            A   0.00   5.85     5.30     5.85NA   5.30 NA  0.01   5.86   5.31   5.86   5.31  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77423  Neutron beam tx complex                           A   0.00   7.44     7.49     7.44NA   7.49 NA  0.01   7.45   7.50   7.45   7.50  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77427  Radiation tx management x5                        A   3.37   1.67     1.69     1.67     1.69     0.27   5.31   5.33   5.31   5.33  2XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
77431  Radiation therapy management                      A   1.81   0.96     0.98     0.96     0.98     0.14   2.91   2.93   2.91   2.93  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77432  Stereotactic radiation trmt                       A   7.92   3.46     3.51     3.46     3.51     0.65  12.03  12.08  12.03  12.08  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77435  Sbrt management                                   A  13.00   5.85     5.87     5.87     5.87     1.08  19.93  19.95  19.95  19.95  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77470  Special radiation treatment                       A   2.09   3.75     2.15     3.75NA   2.15 NA  0.11   5.95   4.35   5.95   4.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77470TCSpecial radiation treatment                       A   0.00   2.85     1.23     2.85NA   1.23 NA  0.01   2.86   1.24   2.86   1.24  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7747026Special radiation treatment                       A   2.09   0.90     0.92     0.90     0.92     0.10   3.09   3.11   3.09   3.11  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
77600  Hyperthermia treatment                            R   1.56  10.34    10.37    10.34NA  10.37 NA  0.10  12.00  12.03  12.00  12.03  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77600TCHyperthermia treatment                            R   0.00   9.67     9.68     9.67NA   9.68 NA  0.03   9.70   9.71   9.70   9.71  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7760026Hyperthermia treatment                            R   1.56   0.67     0.69     0.67     0.69     0.07   2.30   2.32   2.30   2.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77605  Hyperthermia treatment                            R   2.09  24.92    30.32    24.92NA  30.32 NA  0.41  27.42  32.82  27.42  32.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77605TCHyperthermia treatment                            R   0.00  24.10    29.41    24.10NA  29.41 NA  0.03  24.13  29.44  24.13  29.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7760526Hyperthermia treatment                            R   2.09   0.82     0.91     0.82     0.91     0.38   3.29   3.38   3.29   3.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77610  Hyperthermia treatment                            R   1.56  23.31    27.81    23.31NA  27.81 NA  0.10  24.97  29.47  24.97  29.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77610TCHyperthermia treatment                            R   0.00  22.68    27.13    22.68NA  27.13 NA  0.03  22.71  27.16  22.71  27.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7761026Hyperthermia treatment                            R   1.56   0.63     0.68     0.63     0.68     0.07   2.26   2.31   2.26   2.31  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77615  Hyperthermia treatment                            R   2.09  26.37    26.22    26.37NA  26.22 NA  0.17  28.63  28.48  28.63  28.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77615TCHyperthermia treatment                            R   0.00  25.48    25.29    25.48NA  25.29 NA  0.07  25.55  25.36  25.55  25.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7761526Hyperthermia treatment                            R   2.09   0.89     0.93     0.89     0.93     0.10   3.08   3.12   3.08   3.12  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77620  Hyperthermia treatment                            R   1.56  12.52    14.18    12.52NA  14.18 NA  0.08  14.16  15.82  14.16  15.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77620TCHyperthermia treatment                            R   0.00  11.90    13.50    11.90NA  13.50 NA  0.04  11.94  13.54  11.94  13.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7762026Hyperthermia treatment                            R   1.56   0.62     0.68     0.62     0.68     0.04   2.22   2.28   2.22   2.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77750  Infuse radioactive materials                      A   5.00   5.09     5.10     5.09NA   5.10 NA  0.29  10.38  10.39  10.38  10.39  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77750TCInfuse radioactive materials                      A   0.00   2.96     2.91     2.96NA   2.91 NA  0.03   2.99   2.94   2.99   2.94  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7775026Infuse radioactive materials                      A   5.00   2.13     2.19     2.13     2.19     0.26   7.39   7.45   7.39   7.45  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77761  Apply intrcav radiat simple                       A   3.85   6.75     6.65     6.75NA   6.65 NA  0.24  10.84  10.74  10.84  10.74  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77761TCApply intrcav radiat simple                       A   0.00   5.14     4.98     5.14NA   4.98 NA  0.04   5.18   5.02   5.18   5.02  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7776126Apply intrcav radiat simple                       A   3.85   1.61     1.67     1.61     1.67     0.20   5.66   5.72   5.66   5.72  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77762  Apply intrcav radiat interm                       A   5.76   8.46     8.25     8.46NA   8.25 NA  0.35  14.57  14.36  14.57  14.36  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77762TCApply intrcav radiat interm                       A   0.00   6.01     5.74     6.01NA   5.74 NA  0.05   6.06   5.79   6.06   5.79  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7776226Apply intrcav radiat interm                       A   5.76   2.45     2.51     2.45     2.51     0.30   8.51   8.57   8.51   8.57  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77763  Apply intrcav radiat compl                        A   8.66  11.45    11.22    11.45NA  11.22 NA  0.51  20.62  20.39  20.62  20.39  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77763TCApply intrcav radiat compl                        A   0.00   7.77     7.45     7.77NA   7.45 NA  0.07   7.84   7.52   7.84   7.52  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7776326Apply intrcav radiat compl                        A   8.66   3.68     3.77     3.68     3.77     0.44  12.78  12.87  12.78  12.87  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77776  Apply interstit radiat simpl                      A   4.70   7.36     7.08     7.36NA   7.08 NA  0.36  12.42  12.14  12.42  12.14  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77776TCApply interstit radiat simpl                      A   0.00   5.36     5.00     5.36NA   5.00 NA  0.05   5.41   5.05   5.41   5.05  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7777626Apply interstit radiat simpl                      A   4.70   2.00     2.08     2.00     2.08     0.31   7.01   7.09   7.01   7.09  1090.00.00.0000020             33.9764 090 99      0.00   0.00   0.00
77777  Apply interstit radiat inter                      A   7.52   9.15     8.74     9.15NA   8.74 NA  0.54  17.21  16.80  17.21  16.80  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77777TCApply interstit radiat inter                      A   0.00   5.86     5.43     5.86NA   5.43 NA  0.05   5.91   5.48   5.91   5.48  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7777726Apply interstit radiat inter                      A   7.52   3.29     3.31     3.29     3.31     0.49  11.30  11.32  11.30  11.32  1090.00.00.0000020             33.9764 090 99      0.00   0.00   0.00
77778  Apply interstit radiat compl                      A  11.32  12.78    12.47    12.78NA  12.47 NA  0.68  24.78  24.47  24.78  24.47  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77778TCApply interstit radiat compl                      A   0.00   7.97     7.56     7.97NA   7.56 NA  0.08   8.05   7.64   8.05   7.64  1090.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7777826Apply interstit radiat compl                      A  11.32   4.81     4.91     4.81     4.91     0.60  16.73  16.83  16.73  16.83  1090.00.00.0000020             33.9764 090 99      0.00   0.00   0.00
77785  Hdr brachytx 1 channel                            A   1.42   4.95     5.55     4.95NA   5.55 NA  0.10   6.47   7.07   6.47   7.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77785TCHdr brachytx 1 channel                            A   0.00   4.34     4.93     4.34NA   4.93 NA  0.03   4.37   4.96   4.37   4.96  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7778526Hdr brachytx 1 channel                            A   1.42   0.61     0.62     0.61     0.62     0.07   2.10   2.11   2.10   2.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77786  Hdr brachytx 2-12 channel                         A   3.25  13.35    12.34    13.35NA  12.34 NA  0.21  16.81  15.80  16.81  15.80  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77786TCHdr brachytx 2-12 channel                         A   0.00  12.00    10.91    12.00NA  10.91 NA  0.05  12.05  10.96  12.05  10.96  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7778626Hdr brachytx 2-12 channel                         A   3.25   1.35     1.43     1.35     1.43     0.16   4.76   4.84   4.76   4.84  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77787  Hdr brachytx over 12 chan                         A   4.89  21.58    21.83    21.58NA  21.83 NA  0.34  26.81  27.06  26.81  27.06  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77787TCHdr brachytx over 12 chan                         A   0.00  19.45    19.67    19.45NA  19.67 NA  0.08  19.53  19.75  19.53  19.75  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7778726Hdr brachytx over 12 chan                         A   4.89   2.13     2.16     2.13     2.16     0.26   7.28   7.31   7.28   7.31  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77789  Apply surface radiation                           A   1.14   2.07     2.10     2.07NA   2.10 NA  0.06   3.27   3.30   3.27   3.30  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77789TCApply surface radiation                           A   0.00   1.57     1.58     1.57NA   1.58 NA  0.01   1.58   1.59   1.58   1.59  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7778926Apply surface radiation                           A   1.14   0.50     0.52     0.50     0.52     0.05   1.69   1.71   1.69   1.71  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77790  Radiation handling                                A   1.05   1.58     1.58     1.58NA   1.58 NA  0.05   2.68   2.68   2.68   2.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
77790TCRadiation handling                                A   0.00   1.13     1.12     1.13NA   1.12 NA  0.01   1.14   1.13   1.14   1.13  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7779026Radiation handling                                A   1.05   0.45     0.46     0.45     0.46     0.04   1.54   1.55   1.54   1.55  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78000  Thyroid single uptake                             A   0.19   1.91     1.79     1.91NA   1.79 NA  0.02   2.12   2.00   2.12   2.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78000TCThyroid single uptake                             A   0.00   1.83     1.73     1.83NA   1.73 NA  0.01   1.84   1.74   1.84   1.74  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7800026Thyroid single uptake                             A   0.19   0.08     0.06     0.08     0.06     0.01   0.28   0.26   0.28   0.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78001  Thyroid multiple uptakes                          A   0.26   2.42     2.31     2.42NA   2.31 NA  0.04   2.72   2.61   2.72   2.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78001TCThyroid multiple uptakes                          A   0.00   2.31     2.22     2.31NA   2.22 NA  0.03   2.34   2.25   2.34   2.25  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7800126Thyroid multiple uptakes                          A   0.26   0.11     0.09     0.11     0.09     0.01   0.38   0.36   0.38   0.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78003  Thyroid suppress/stimul                           A   0.33   2.01     1.93     2.01NA   1.93 NA  0.02   2.36   2.28   2.36   2.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78003TCThyroid suppress/stimul                           A   0.00   1.87     1.81     1.87NA   1.81 NA  0.01   1.88   1.82   1.88   1.82  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7800326Thyroid suppress/stimul                           A   0.33   0.14     0.12     0.14     0.12     0.01   0.48   0.46   0.48   0.46  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78006  Thyroid imaging with uptake                       A   0.49   6.39     6.30     6.39NA   6.30 NA  0.06   6.94   6.85   6.94   6.85  1XXX.00.00.0000000             33.9764 090 99      6.63   6.63   0.06
78006TCThyroid imaging with uptake                       A   0.00   6.19     6.13     6.19NA   6.13 NA  0.03   6.22   6.16   6.22   6.16  1XXX.00.00.0000000             33.9764 010 99      6.43   6.43   0.03
7800626Thyroid imaging with uptake                       A   0.49   0.20     0.17     0.20     0.17     0.03   0.72   0.69   0.72   0.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78007  Thyroid image mult uptakes                        A   0.50   5.19     6.69     5.19NA   6.69 NA  0.06   5.75   7.25   5.75   7.25  1XXX.00.00.0000000             33.9764 090 99      6.62   6.62   0.07
78007TCThyroid image mult uptakes                        A   0.00   4.99     6.51     4.99NA   6.51 NA  0.03   5.02   6.54   5.02   6.54  1XXX.00.00.0000000             33.9764 010 99      6.42   6.42   0.04
7800726Thyroid image mult uptakes                        A   0.50   0.20     0.18     0.20     0.18     0.03   0.73   0.71   0.73   0.71  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78010  Thyroid imaging                                   A   0.39   4.36     4.32     4.36NA   4.32 NA  0.04   4.79   4.75   4.79   4.75  1XXX.00.00.0000000             33.9764 090 99      4.03   4.03   0.04
78010TCThyroid imaging                                   A   0.00   4.21     4.18     4.21NA   4.18 NA  0.03   4.24   4.21   4.24   4.21  1XXX.00.00.0000000             33.9764 010 99      3.88   3.88   0.03
7801026Thyroid imaging                                   A   0.39   0.15     0.14     0.15     0.14     0.01   0.55   0.54   0.55   0.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78011  Thyroid imaging with flow                         A   0.45   4.78     4.54     4.78NA   4.54 NA  0.06   5.29   5.05   5.29   5.05  1XXX.00.00.0000000             33.9764 090 99      4.07   4.07   0.06
78011TCThyroid imaging with flow                         A   0.00   4.59     4.37     4.59NA   4.37 NA  0.03   4.62   4.40   4.62   4.40  1XXX.00.00.0000000             33.9764 010 99      3.88   3.88   0.03
7801126Thyroid imaging with flow                         A   0.45   0.19     0.17     0.19     0.17     0.03   0.67   0.65   0.67   0.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78015  Thyroid met imaging                               A   0.67   5.60     5.41     5.60NA   5.41 NA  0.07   6.34   6.15   6.34   6.15  1XXX.00.00.0000000             33.9764 090 99      8.75   8.75   0.09
78015TCThyroid met imaging                               A   0.00   5.34     5.19     5.34NA   5.19 NA  0.03   5.37   5.22   5.37   5.22  1XXX.00.00.0000000             33.9764 010 99      8.49   8.49   0.05
7801526Thyroid met imaging                               A   0.67   0.26     0.22     0.26     0.22     0.04   0.97   0.93   0.97   0.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78016  Thyroid met imaging/studies                       A   0.82   8.09     7.11     8.09NA   7.11 NA  0.06   8.97   7.99   8.97   7.99  1XXX.00.00.0000000             33.9764 090 99      8.77   8.77   0.06
78016TCThyroid met imaging/studies                       A   0.00   7.83     6.97     7.83NA   6.97 NA  0.03   7.86   7.00   7.86   7.00  1XXX.00.00.0000000             33.9764 010 99      8.51   8.51   0.03
7801626Thyroid met imaging/studies                       A   0.82   0.26     0.14     0.26     0.14     0.03   1.11   0.99   1.11   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78018  Thyroid met imaging body                          A   0.86   8.45     7.89     8.45NA   7.89 NA  0.07   9.38   8.82   9.38   8.82  1XXX.00.00.0000000             33.9764 090 99      8.84   8.84   0.07
78018TCThyroid met imaging body                          A   0.00   8.12     7.61     8.12NA   7.61 NA  0.03   8.15   7.64   8.15   7.64  1XXX.00.00.0000000             33.9764 010 99      8.51   8.51   0.03
7801826Thyroid met imaging body                          A   0.86   0.33     0.28     0.33     0.28     0.04   1.23   1.18   1.23   1.18  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78020  Thyroid met uptake                                A   0.60   1.90     1.66     1.90NA   1.66 NA  0.04   2.54   2.30   2.54   2.30  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78020TCThyroid met uptake                                A   0.00   1.68     1.49     1.68NA   1.49 NA  0.01   1.69   1.50   1.69   1.50  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7802026Thyroid met uptake                                A   0.60   0.22     0.17     0.22     0.17     0.03   0.85   0.80   0.85   0.80  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78070  Parathyroid nuclear imaging                       A   0.82   3.99     3.39     3.99NA   3.39 NA  0.07   4.88   4.28   4.88   4.28  1XXX.00.00.0000000             33.9764 090 99      6.74   6.74   0.09
78070TCParathyroid nuclear imaging                       A   0.00   3.66     3.11     3.66NA   3.11 NA  0.03   3.69   3.14   3.69   3.14  1XXX.00.00.0000000             33.9764 010 99      6.41   6.41   0.05
7807026Parathyroid nuclear imaging                       A   0.82   0.33     0.28     0.33     0.28     0.04   1.19   1.14   1.19   1.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78075  Adrenal nuclear imaging                           A   0.74  11.72    11.16    11.72NA  11.16 NA  0.08  12.54  11.98  12.54  11.98  1XXX.00.00.0000000             33.9764 090 99     24.48  24.48   0.12
78075TCAdrenal nuclear imaging                           A   0.00  11.44    10.93    11.44NA  10.93 NA  0.04  11.48  10.97  11.48  10.97  1XXX.00.00.0000000             33.9764 010 99     24.20  24.20   0.08
7807526Adrenal nuclear imaging                           A   0.74   0.28     0.23     0.28     0.23     0.04   1.06   1.01   1.06   1.01  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78102  Bone marrow imaging ltd                           A   0.55   4.29     4.06     4.29NA   4.06 NA  0.06   4.90   4.67   4.90   4.67  1XXX.00.00.0000000             33.9764 090 99      7.72   7.72   0.09
78102TCBone marrow imaging ltd                           A   0.00   4.08     3.89     4.08NA   3.89 NA  0.03   4.11   3.92   4.11   3.92  1XXX.00.00.0000000             33.9764 010 99      7.51   7.51   0.06
7810226Bone marrow imaging ltd                           A   0.55   0.21     0.17     0.21     0.17     0.03   0.79   0.75   0.79   0.75  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78103  Bone marrow imaging mult                          A   0.75   5.64     5.24     5.64NA   5.24 NA  0.07   6.46   6.06   6.46   6.06  1XXX.00.00.0000000             33.9764 090 99      7.80   7.80   0.08
78103TCBone marrow imaging mult                          A   0.00   5.36     5.02     5.36NA   5.02 NA  0.03   5.39   5.05   5.39   5.05  1XXX.00.00.0000000             33.9764 010 99      7.52   7.52   0.04
7810326Bone marrow imaging mult                          A   0.75   0.28     0.22     0.28     0.22     0.04   1.07   1.01   1.07   1.01  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78104  Bone marrow imaging body                          A   0.80   6.47     5.95     6.47NA   5.95 NA  0.07   7.34   6.82   7.34   6.82  1XXX.00.00.0000000             33.9764 090 99      7.84   7.84   0.08
78104TCBone marrow imaging body                          A   0.00   6.16     5.70     6.16NA   5.70 NA  0.03   6.19   5.73   6.19   5.73  1XXX.00.00.0000000             33.9764 010 99      7.53   7.53   0.04
7810426Bone marrow imaging body                          A   0.80   0.31     0.25     0.31     0.25     0.04   1.15   1.09   1.15   1.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78110  Plasma volume single                              A   0.19   2.21     2.17     2.21NA   2.17 NA  0.04   2.44   2.40   2.44   2.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78110TCPlasma volume single                              A   0.00   2.13     2.10     2.13NA   2.10 NA  0.03   2.16   2.13   2.16   2.13  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7811026Plasma volume single                              A   0.19   0.08     0.07     0.08     0.07     0.01   0.28   0.27   0.28   0.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78111  Plasma volume multiple                            A   0.22   2.32     1.80     2.32NA   1.80 NA  0.04   2.58   2.06   2.58   2.06  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78111TCPlasma volume multiple                            A   0.00   2.24     1.76     2.24NA   1.76 NA  0.03   2.27   1.79   2.27   1.79  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7811126Plasma volume multiple                            A   0.22   0.08     0.04     0.08     0.04     0.01   0.31   0.27   0.31   0.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78120  Red cell mass single                              A   0.23   2.32     2.13     2.32NA   2.13 NA  0.04   2.59   2.40   2.59   2.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78120TCRed cell mass single                              A   0.00   2.22     2.04     2.22NA   2.04 NA  0.03   2.25   2.07   2.25   2.07  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7812026Red cell mass single                              A   0.23   0.10     0.09     0.10     0.09     0.01   0.34   0.33   0.34   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78121  Red cell mass multiple                            A   0.32   2.61     2.24     2.61NA   2.24 NA  0.04   2.97   2.60   2.97   2.60  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78121TCRed cell mass multiple                            A   0.00   2.48     2.12     2.48NA   2.12 NA  0.03   2.51   2.15   2.51   2.15  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7812126Red cell mass multiple                            A   0.32   0.13     0.12     0.13     0.12     0.01   0.46   0.45   0.46   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78122  Blood volume                                      A   0.45   2.82     2.08     2.82NA   2.08 NA  0.04   3.31   2.57   3.31   2.57  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78122TCBlood volume                                      A   0.00   2.65     1.95     2.65NA   1.95 NA  0.03   2.68   1.98   2.68   1.98  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7812226Blood volume                                      A   0.45   0.17     0.13     0.17     0.13     0.01   0.63   0.59   0.63   0.59  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78130  Red cell survival study                           A   0.61   3.88     3.57     3.88NA   3.57 NA  0.08   4.57   4.26   4.57   4.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78130TCRed cell survival study                           A   0.00   3.62     3.34     3.62NA   3.34 NA  0.04   3.66   3.38   3.66   3.38  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7813026Red cell survival study                           A   0.61   0.26     0.23     0.26     0.23     0.04   0.91   0.88   0.91   0.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78135  Red cell survival kinetics                        A   0.64   9.40     9.25     9.40NA   9.25 NA  0.07  10.11   9.96  10.11   9.96  1XXX.00.00.0000000             33.9764 090 99     12.54  12.54   0.08
78135TCRed cell survival kinetics                        A   0.00   9.13     9.00     9.13NA   9.00 NA  0.03   9.16   9.03   9.16   9.03  1XXX.00.00.0000000             33.9764 010 99     12.27  12.27   0.04
7813526Red cell survival kinetics                        A   0.64   0.27     0.25     0.27     0.25     0.04   0.95   0.93   0.95   0.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78140  Red cell sequestration                            A   0.61   3.42     2.89     3.42NA   2.89 NA  0.07   4.10   3.57   4.10   3.57  1XXX.00.00.0000000             33.9764 090 99     12.45  12.45   0.16
78140TCRed cell sequestration                            A   0.00   3.17     2.67     3.17NA   2.67 NA  0.03   3.20   2.70   3.20   2.70  1XXX.00.00.0000000             33.9764 010 99     12.20  12.20   0.12
7814026Red cell sequestration                            A   0.61   0.25     0.22     0.25     0.22     0.04   0.90   0.87   0.90   0.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78185  Spleen imaging                                    A   0.40   5.48     5.39     5.48NA   5.39 NA  0.04   5.92   5.83   5.92   5.83  1XXX.00.00.0000000             33.9764 090 99      7.69   7.69   0.05
78185TCSpleen imaging                                    A   0.00   5.31     5.24     5.31NA   5.24 NA  0.03   5.34   5.27   5.34   5.27  1XXX.00.00.0000000             33.9764 010 99      7.52   7.52   0.04
7818526Spleen imaging                                    A   0.40   0.17     0.15     0.17     0.15     0.01   0.58   0.56   0.58   0.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78190  Platelet survival kinetics                        A   1.09   9.98     9.52     9.98NA   9.52 NA  0.07  11.14  10.68  11.14  10.68  1XXX.00.00.0000000             33.9764 090 99      5.54   5.54   0.06
78190TCPlatelet survival kinetics                        A   0.00   9.54     9.09     9.54NA   9.09 NA  0.03   9.57   9.12   9.57   9.12  1XXX.00.00.0000000             33.9764 010 99      5.10   5.10   0.02
7819026Platelet survival kinetics                        A   1.09   0.44     0.43     0.44     0.43     0.04   1.57   1.56   1.57   1.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78191  Platelet survival                                 A   0.61   4.53     3.59     4.53NA   3.59 NA  0.08   5.22   4.28   5.22   4.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78191TCPlatelet survival                                 A   0.00   4.28     3.36     4.28NA   3.36 NA  0.04   4.32   3.40   4.32   3.40  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7819126Platelet survival                                 A   0.61   0.25     0.23     0.25     0.23     0.04   0.90   0.88   0.90   0.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78195  Lymph system imaging                              A   1.20   9.08     8.83     9.08NA   8.83 NA  0.10  10.38  10.13  10.38  10.13  1XXX.00.00.0000000             33.9764 090 99      8.02   8.02   0.10
78195TCLymph system imaging                              A   0.00   8.60     8.42     8.60NA   8.42 NA  0.03   8.63   8.45   8.63   8.45  1XXX.00.00.0000000             33.9764 010 99      7.54   7.54   0.03
7819526Lymph system imaging                              A   1.20   0.48     0.41     0.48     0.41     0.07   1.75   1.68   1.75   1.68  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78201  Liver imaging                                     A   0.44   4.96     4.90     4.96NA   4.90 NA  0.07   5.47   5.41   5.47   5.41  1XXX.00.00.0000000             33.9764 090 99      7.91   7.91   0.09
78201TCLiver imaging                                     A   0.00   4.80     4.75     4.80NA   4.75 NA  0.03   4.83   4.78   4.83   4.78  1XXX.00.00.0000000             33.9764 010 99      7.75   7.75   0.05
7820126Liver imaging                                     A   0.44   0.16     0.15     0.16     0.15     0.04   0.64   0.63   0.64   0.63  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78202  Liver imaging with flow                           A   0.51   5.41     5.02     5.41NA   5.02 NA  0.04   5.96   5.57   5.96   5.57  1XXX.00.00.0000000             33.9764 090 99      7.94   7.94   0.05
78202TCLiver imaging with flow                           A   0.00   5.23     4.88     5.23NA   4.88 NA  0.03   5.26   4.91   5.26   4.91  1XXX.00.00.0000000             33.9764 010 99      7.76   7.76   0.04
7820226Liver imaging with flow                           A   0.51   0.18     0.14     0.18     0.14     0.01   0.70   0.66   0.70   0.66  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78205  Liver imaging (3D)                                A   0.71   5.92     5.16     5.92NA   5.16 NA  0.07   6.70   5.94   6.70   5.94  1XXX.00.00.0000000             33.9764 090 99      8.04   8.04   0.08
78205TCLiver imaging (3D)                                A   0.00   5.64     4.93     5.64NA   4.93 NA  0.03   5.67   4.96   5.67   4.96  1XXX.00.00.0000000             33.9764 010 99      7.76   7.76   0.04
7820526Liver imaging (3D)                                A   0.71   0.28     0.23     0.28     0.23     0.04   1.03   0.98   1.03   0.98  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78206  Liver image (3d) with flow                        A   0.96   9.21     8.68     9.21NA   8.68 NA  0.07  10.24   9.71  10.24   9.71  1XXX.00.00.0000000             33.9764 090 99      8.16   8.16   0.07
78206TCLiver image (3d) with flow                        A   0.00   8.83     8.36     8.83NA   8.36 NA  0.03   8.86   8.39   8.86   8.39  1XXX.00.00.0000000             33.9764 010 99      7.78   7.78   0.03
7820626Liver image (3d) with flow                        A   0.96   0.38     0.32     0.38     0.32     0.04   1.38   1.32   1.38   1.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78215  Liver and spleen imaging                          A   0.49   5.11     4.86     5.11NA   4.86 NA  0.06   5.66   5.41   5.66   5.41  1XXX.00.00.0000000             33.9764 090 99      7.96   7.96   0.08
78215TCLiver and spleen imaging                          A   0.00   4.91     4.69     4.91NA   4.69 NA  0.03   4.94   4.72   4.94   4.72  1XXX.00.00.0000000             33.9764 010 99      7.76   7.76   0.05
7821526Liver and spleen imaging                          A   0.49   0.20     0.17     0.20     0.17     0.03   0.72   0.69   0.72   0.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78216  Liver & spleen image/flow                         A   0.57   3.22     2.72     3.22NA   2.72 NA  0.06   3.85   3.35   3.85   3.35  1XXX.00.00.0000000             33.9764 090 99      7.95   7.95   0.11
78216TCLiver & spleen image/flow                         A   0.00   3.00     2.53     3.00NA   2.53 NA  0.03   3.03   2.56   3.03   2.56  1XXX.00.00.0000000             33.9764 010 99      7.73   7.73   0.08
7821626Liver & spleen image/flow                         A   0.57   0.22     0.19     0.22     0.19     0.03   0.82   0.79   0.82   0.79  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78220  Liver function study                              A   0.49   3.49     3.00     3.49NA   3.00 NA  0.04   4.02   3.53   4.02   3.53  1XXX.00.00.0000000             33.9764 090 99      7.92   7.92   0.08
78220TCLiver function study                              A   0.00   3.30     2.83     3.30NA   2.83 NA  0.03   3.33   2.86   3.33   2.86  1XXX.00.00.0000000             33.9764 010 99      7.73   7.73   0.07
7822026Liver function study                              A   0.49   0.19     0.17     0.19     0.17     0.01   0.69   0.67   0.69   0.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78223  Hepatobiliary imaging                             A   0.84   8.83     8.70     8.83NA   8.70 NA  0.07   9.74   9.61   9.74   9.61  1XXX.00.00.0000000             33.9764 090 99      8.12   8.12   0.07
78223TCHepatobiliary imaging                             A   0.00   8.49     8.40     8.49NA   8.40 NA  0.03   8.52   8.43   8.52   8.43  1XXX.00.00.0000000             33.9764 010 99      7.78   7.78   0.03
7822326Hepatobiliary imaging                             A   0.84   0.34     0.30     0.34     0.30     0.04   1.22   1.18   1.22   1.18  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78230  Salivary gland imaging                            A   0.45   4.38     4.27     4.38NA   4.27 NA  0.06   4.89   4.78   4.89   4.78  1XXX.00.00.0000000             33.9764 090 99      7.17   7.17   0.08
78230TCSalivary gland imaging                            A   0.00   4.20     4.10     4.20NA   4.10 NA  0.03   4.23   4.13   4.23   4.13  1XXX.00.00.0000000             33.9764 010 99      6.99   6.99   0.05
7823026Salivary gland imaging                            A   0.45   0.18     0.17     0.18     0.17     0.03   0.66   0.65   0.66   0.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78231  Serial salivary imaging                           A   0.52   3.23     2.85     3.23NA   2.85 NA  0.04   3.79   3.41   3.79   3.41  1XXX.00.00.0000000             33.9764 090 99      7.18   7.18   0.08
78231TCSerial salivary imaging                           A   0.00   3.02     2.66     3.02NA   2.66 NA  0.03   3.05   2.69   3.05   2.69  1XXX.00.00.0000000             33.9764 010 99      6.97   6.97   0.07
7823126Serial salivary imaging                           A   0.52   0.21     0.19     0.21     0.19     0.01   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78232  Salivary gland function exam                      A   0.47   2.93     2.13     2.93NA   2.13 NA  0.06   3.46   2.66   3.46   2.66  1XXX.00.00.0000000             33.9764 090 99      7.12   7.12   0.11
78232TCSalivary gland function exam                      A   0.00   2.78     2.05     2.78NA   2.05 NA  0.03   2.81   2.08   2.81   2.08  1XXX.00.00.0000000             33.9764 010 99      6.97   6.97   0.08
7823226Salivary gland function exam                      A   0.47   0.15     0.08     0.15     0.08     0.03   0.65   0.58   0.65   0.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78258  Esophageal motility study                         A   0.74   5.92     5.67     5.92NA   5.67 NA  0.06   6.72   6.47   6.72   6.47  1XXX.00.00.0000000             33.9764 090 99      7.32   7.32   0.07
78258TCEsophageal motility study                         A   0.00   5.61     5.41     5.61NA   5.41 NA  0.03   5.64   5.44   5.64   5.44  1XXX.00.00.0000000             33.9764 010 99      7.01   7.01   0.04
7825826Esophageal motility study                         A   0.74   0.31     0.26     0.31     0.26     0.03   1.08   1.03   1.08   1.03  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78261  Gastric mucosa imaging                            A   0.69   6.60     6.28     6.60NA   6.28 NA  0.07   7.36   7.04   7.36   7.04  1XXX.00.00.0000000             33.9764 090 99      7.30   7.30   0.07
78261TCGastric mucosa imaging                            A   0.00   6.31     6.02     6.31NA   6.02 NA  0.03   6.34   6.05   6.34   6.05  1XXX.00.00.0000000             33.9764 010 99      7.01   7.01   0.03
7826126Gastric mucosa imaging                            A   0.69   0.29     0.26     0.29     0.26     0.04   1.02   0.99   1.02   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78262  Gastroesophageal reflux exam                      A   0.68   6.49     6.17     6.49NA   6.17 NA  0.04   7.21   6.89   7.21   6.89  1XXX.00.00.0000000             33.9764 090 99      7.28   7.28   0.04
78262TCGastroesophageal reflux exam                      A   0.00   6.22     5.93     6.22NA   5.93 NA  0.03   6.25   5.96   6.25   5.96  1XXX.00.00.0000000             33.9764 010 99      7.01   7.01   0.03
7826226Gastroesophageal reflux exam                      A   0.68   0.27     0.24     0.27     0.24     0.01   0.96   0.93   0.96   0.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78264  Gastric emptying study                            A   0.78   7.56     7.25     7.56NA   7.25 NA  0.07   8.41   8.10   8.41   8.10  1XXX.00.00.0000000             33.9764 090 99      7.32   7.32   0.07
78264TCGastric emptying study                            A   0.00   7.25     6.98     7.25NA   6.98 NA  0.03   7.28   7.01   7.28   7.01  1XXX.00.00.0000000             33.9764 010 99      7.01   7.01   0.03
7826426Gastric emptying study                            A   0.78   0.31     0.27     0.31     0.27     0.04   1.13   1.09   1.13   1.09  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78270  Vit B-12 absorption exam                          A   0.20   2.17     2.07     2.17NA   2.07 NA  0.02   2.39   2.29   2.39   2.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78270TCVit B-12 absorption exam                          A   0.00   2.09     1.99     2.09NA   1.99 NA  0.01   2.10   2.00   2.10   2.00  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7827026Vit B-12 absorption exam                          A   0.20   0.08     0.08     0.08     0.08     0.01   0.29   0.29   0.29   0.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78271  Vit b-12 absrp exam int fac                       A   0.20   2.30     2.29     2.30NA   2.29 NA  0.02   2.52   2.51   2.52   2.51  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78271TCVit b-12 absrp exam int fac                       A   0.00   2.22     2.20     2.22NA   2.20 NA  0.01   2.23   2.21   2.23   2.21  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7827126Vit b-12 absrp exam int fac                       A   0.20   0.08     0.09     0.08     0.09     0.01   0.29   0.30   0.29   0.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78272  Vit b-12 absorp combined                          A   0.27   2.37     2.19     2.37NA   2.19 NA  0.04   2.68   2.50   2.68   2.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78272TCVit b-12 absorp combined                          A   0.00   2.27     2.09     2.27NA   2.09 NA  0.03   2.30   2.12   2.30   2.12  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7827226Vit b-12 absorp combined                          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             33.9764 090 99      0.00   0.00   0.00
78278  Acute GI blood loss imaging                       A   0.99   9.10     8.75     9.10NA   8.75 NA  0.08  10.17   9.82  10.17   9.82  1XXX.00.00.0000000             33.9764 090 99      7.42   7.42   0.07
78278TCAcute GI blood loss imaging                       A   0.00   8.70     8.40     8.70NA   8.40 NA  0.03   8.73   8.43   8.73   8.43  1XXX.00.00.0000000             33.9764 010 99      7.02   7.02   0.02
7827826Acute GI blood loss imaging                       A   0.99   0.40     0.35     0.40     0.35     0.05   1.44   1.39   1.44   1.39  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      7.19   7.19   0.04
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             33.9764 010 99      7.03   7.03   0.01
7828226GI protein loss exam                              A   0.38   0.16     0.14     0.16     0.14     0.03   0.57   0.55   0.57   0.55  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78290  Meckels divert exam                               A   0.68   8.71     8.66     8.71NA   8.66 NA  0.07   9.46   9.41   9.46   9.41  1XXX.00.00.0000000             33.9764 090 99      7.30   7.30   0.07
78290TCMeckels divert exam                               A   0.00   8.43     8.42     8.43NA   8.42 NA  0.03   8.46   8.45   8.46   8.45  1XXX.00.00.0000000             33.9764 010 99      7.02   7.02   0.03
7829026Meckels divert exam                               A   0.68   0.28     0.24     0.28     0.24     0.04   1.00   0.96   1.00   0.96  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78291  Leveen/shunt patency exam                         A   0.88   6.48     6.27     6.48NA   6.27 NA  0.08   7.44   7.23   7.44   7.23  1XXX.00.00.0000000             33.9764 090 99      7.36   7.36   0.08
78291TCLeveen/shunt patency exam                         A   0.00   6.13     5.97     6.13NA   5.97 NA  0.03   6.16   6.00   6.16   6.00  1XXX.00.00.0000000             33.9764 010 99      7.01   7.01   0.03
7829126Leveen/shunt patency exam                         A   0.88   0.35     0.30     0.35     0.30     0.05   1.28   1.23   1.28   1.23  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78300  Bone imaging limited area                         A   0.62   4.51     4.35     4.51NA   4.35 NA  0.06   5.19   5.03   5.19   5.03  1XXX.00.00.0000000             33.9764 090 99      7.41   7.41   0.08
78300TCBone imaging limited area                         A   0.00   4.25     4.12     4.25NA   4.12 NA  0.03   4.28   4.15   4.28   4.15  1XXX.00.00.0000000             33.9764 010 99      7.15   7.15   0.05
7830026Bone imaging limited area                         A   0.62   0.26     0.23     0.26     0.23     0.03   0.91   0.88   0.91   0.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78305  Bone imaging multiple areas                       A   0.83   5.95     5.71     5.95NA   5.71 NA  0.07   6.85   6.61   6.85   6.61  1XXX.00.00.0000000             33.9764 090 99      7.49   7.49   0.08
78305TCBone imaging multiple areas                       A   0.00   5.62     5.41     5.62NA   5.41 NA  0.03   5.65   5.44   5.65   5.44  1XXX.00.00.0000000             33.9764 010 99      7.16   7.16   0.04
7830526Bone imaging multiple areas                       A   0.83   0.33     0.30     0.33     0.30     0.04   1.20   1.17   1.20   1.17  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78306  Bone imaging whole body                           A   0.86   6.53     6.12     6.53NA   6.12 NA  0.07   7.46   7.05   7.46   7.05  1XXX.00.00.0000000             33.9764 090 99      7.52   7.52   0.07
78306TCBone imaging whole body                           A   0.00   6.18     5.82     6.18NA   5.82 NA  0.03   6.21   5.85   6.21   5.85  1XXX.00.00.0000000             33.9764 010 99      7.17   7.17   0.03
7830626Bone imaging whole body                           A   0.86   0.35     0.30     0.35     0.30     0.04   1.25   1.20   1.25   1.20  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78315  Bone imaging 3 phase                              A   1.02   9.06     8.70     9.06NA   8.70 NA  0.08  10.16   9.80  10.16   9.80  1XXX.00.00.0000000             33.9764 090 99      7.59   7.59   0.07
78315TCBone imaging 3 phase                              A   0.00   8.65     8.35     8.65NA   8.35 NA  0.03   8.68   8.38   8.68   8.38  1XXX.00.00.0000000             33.9764 010 99      7.18   7.18   0.02
7831526Bone imaging 3 phase                              A   1.02   0.41     0.35     0.41     0.35     0.05   1.48   1.42   1.48   1.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78320  Bone imaging (3D)                                 A   1.04   6.07     5.30     6.07NA   5.30 NA  0.08   7.19   6.42   7.19   6.42  1XXX.00.00.0000000             33.9764 090 99      7.57   7.57   0.09
78320TCBone imaging (3D)                                 A   0.00   5.66     4.96     5.66NA   4.96 NA  0.03   5.69   4.99   5.69   4.99  1XXX.00.00.0000000             33.9764 010 99      7.16   7.16   0.04
7832026Bone imaging (3D)                                 A   1.04   0.41     0.34     0.41     0.34     0.05   1.50   1.43   1.50   1.43  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78350  Bone mineral single photon                        N+  0.22   0.73     0.68     0.73NA   0.68 NA  0.02   0.97   0.92   0.97   0.92  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
78350TCBone mineral single photon                        N+  0.00   0.64     0.58     0.64NA   0.58 NA  0.01   0.65   0.59   0.65   0.59  1XXX.00.00.0099999             33.9764 010 99      0.00   0.00   0.00
7835026Bone mineral single photon                        N+  0.22   0.09     0.10     0.09     0.10     0.01   0.32   0.33   0.32   0.33  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
78351  Bone mineral dual photon                          N+  0.30   0.13     0.13     0.13     0.13     0.01   0.44   0.44   0.44   0.44  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 010 99      0.00   0.00   0.00
7841426Non-imaging heart function                        A   0.45   0.18     0.20     0.18     0.20     0.03   0.66   0.68   0.66   0.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78428  Cardiac shunt imaging                             A   0.78   4.87     4.37     4.87NA   4.37 NA  0.06   5.71   5.21   5.71   5.21  1XXX.00.00.0000000             33.9764 090 99      8.87   8.87   0.09
78428TCCardiac shunt imaging                             A   0.00   4.52     4.09     4.52NA   4.09 NA  0.03   4.55   4.12   4.55   4.12  1XXX.00.00.0000000             33.9764 010 99      8.52   8.52   0.06
7842826Cardiac shunt imaging                             A   0.78   0.35     0.28     0.35     0.28     0.03   1.16   1.09   1.16   1.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78445  Vascular flow imaging                             A   0.49   4.51     4.29     4.51NA   4.29 NA  0.04   5.04   4.82   5.04   4.82  1XXX.00.00.0000000             33.9764 090 99      6.05   6.05   0.05
78445TCVascular flow imaging                             A   0.00   4.32     4.14     4.32NA   4.14 NA  0.03   4.35   4.17   4.35   4.17  1XXX.00.00.0000000             33.9764 010 99      5.86   5.86   0.04
7844526Vascular flow imaging                             A   0.49   0.19     0.15     0.19     0.15     0.01   0.69   0.65   0.69   0.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78451  Ht muscle image spect sing                        A   1.38   8.58     8.58     8.58NA   8.58 NA  0.08  10.04  10.04  10.04  10.04  1XXX.00.00.0000000             33.9764 090 99     22.79  22.79   0.13
78451TCHt muscle image spect sing                        A   0.00   8.07     8.07     8.07NA   8.07 NA  0.03   8.10   8.10   8.10   8.10  1XXX.00.00.0000000             33.9764 010 99     22.28  22.28   0.08
7845126Ht muscle image spect sing                        A   1.38   0.51     0.51     0.51     0.51     0.05   1.94   1.94   1.94   1.94  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78452  Ht muscle image spect mult                        A   1.62  12.35    12.35    12.35NA  12.35 NA  0.09  14.06  14.06  14.06  14.06  1XXX.00.00.0000000             33.9764 090 99     22.91  22.91   0.13
78452TCHt muscle image spect mult                        A   0.00  11.73    11.73    11.73NA  11.73 NA  0.04  11.77  11.77  11.77  11.77  1XXX.00.00.0000000             33.9764 010 99     22.29  22.29   0.08
7845226Ht muscle image spect mult                        A   1.62   0.62     0.62     0.62     0.62     0.05   2.29   2.29   2.29   2.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78453  Ht muscle image planar sing                       A   1.00   7.55     7.55     7.55NA   7.55 NA  0.08   8.63   8.63   8.63   8.63  1XXX.00.00.0000000             33.9764 090 99     22.64  22.64   0.14
78453TCHt muscle image planar sing                       A   0.00   7.18     7.18     7.18NA   7.18 NA  0.03   7.21   7.21   7.21   7.21  1XXX.00.00.0000000             33.9764 010 99     22.27  22.27   0.09
7845326Ht muscle image planar sing                       A   1.00   0.37     0.37     0.37     0.37     0.05   1.42   1.42   1.42   1.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78454  Ht musc image planar mult                         A   1.34  11.03    11.03    11.03NA  11.03 NA  0.09  12.46  12.46  12.46  12.46  1XXX.00.00.0000000             33.9764 090 99     22.78  22.78   0.13
78454TCHt musc image planar mult                         A   0.00  10.53    10.53    10.53NA  10.53 NA  0.04  10.57  10.57  10.57  10.57  1XXX.00.00.0000000             33.9764 010 99     22.28  22.28   0.08
7845426Ht musc image planar mult                         A   1.34   0.50     0.50     0.50     0.50     0.05   1.89   1.89   1.89   1.89  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78456  Acute venous thrombus image                       A   1.00   9.36     8.75     9.36NA   8.75 NA  0.06  10.42   9.81  10.42   9.81  1XXX.00.00.0099999             33.9764 090 99      6.35   6.35   0.05
78456TCAcute venous thrombus image                       A   0.00   8.89     8.38     8.89NA   8.38 NA  0.03   8.92   8.41   8.92   8.41  1XXX.00.00.0099999             33.9764 090 99      5.88   5.88   0.02
7845626Acute venous thrombus image                       A   1.00   0.47     0.37     0.47     0.37     0.03   1.50   1.40   1.50   1.40  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
78457  Venous thrombosis imaging                         A   0.77   4.91     4.67     4.91NA   4.67 NA  0.07   5.75   5.51   5.75   5.51  1XXX.00.00.0000000             33.9764 090 99      6.17   6.17   0.08
78457TCVenous thrombosis imaging                         A   0.00   4.60     4.40     4.60NA   4.40 NA  0.03   4.63   4.43   4.63   4.43  1XXX.00.00.0000000             33.9764 010 99      5.86   5.86   0.04
7845726Venous thrombosis imaging                         A   0.77   0.31     0.27     0.31     0.27     0.04   1.12   1.08   1.12   1.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78458  Ven thrombosis images bilat                       A   0.90   4.80     4.07     4.80NA   4.07 NA  0.08   5.78   5.05   5.78   5.05  1XXX.00.00.0002000             33.9764 090 99      6.17   6.17   0.09
78458TCVen thrombosis images bilat                       A   0.00   4.49     3.86     4.49NA   3.86 NA  0.03   4.52   3.89   4.52   3.89  1XXX.00.00.0002000             33.9764 010 99      5.86   5.86   0.04
7845826Ven thrombosis images bilat                       A   0.90   0.31     0.21     0.31     0.21     0.05   1.26   1.16   1.26   1.16  1XXX.00.00.0002000             33.9764 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             33.9764 090 99     33.20  33.20   0.11
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             33.9764 090 99     32.58  32.58   0.01
7845926Heart muscle imaging (PET)                        A   1.50   0.62     0.45     0.62     0.45     0.10   2.22   2.05   2.22   2.05  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78466  Heart infarct image                               A   0.69   4.57     4.17     4.57NA   4.17 NA  0.06   5.32   4.92   5.32   4.92  1XXX.00.00.0000000             33.9764 090 99      8.83   8.83   0.09
78466TCHeart infarct image                               A   0.00   4.26     3.91     4.26NA   3.91 NA  0.03   4.29   3.94   4.29   3.94  1XXX.00.00.0000000             33.9764 010 99      8.52   8.52   0.06
7846626Heart infarct image                               A   0.69   0.31     0.26     0.31     0.26     0.03   1.03   0.98   1.03   0.98  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78468  Heart infarct image (ef)                          A   0.80   5.59     4.85     5.59NA   4.85 NA  0.06   6.45   5.71   6.45   5.71  1XXX.00.00.0000000             33.9764 090 99      8.91   8.91   0.08
78468TCHeart infarct image (ef)                          A   0.00   5.21     4.54     5.21NA   4.54 NA  0.03   5.24   4.57   5.24   4.57  1XXX.00.00.0000000             33.9764 010 99      8.53   8.53   0.05
7846826Heart infarct image (ef)                          A   0.80   0.38     0.31     0.38     0.31     0.03   1.21   1.14   1.21   1.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78469  Heart infarct image (3D)                          A   0.92   6.61     6.07     6.61NA   6.07 NA  0.06   7.59   7.05   7.59   7.05  1XXX.00.00.0000000             33.9764 090 99      8.98   8.98   0.07
78469TCHeart infarct image (3D)                          A   0.00   6.16     5.67     6.16NA   5.67 NA  0.03   6.19   5.70   6.19   5.70  1XXX.00.00.0000000             33.9764 010 99      8.53   8.53   0.04
7846926Heart infarct image (3D)                          A   0.92   0.45     0.40     0.45     0.40     0.03   1.40   1.35   1.40   1.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78472  Gated heart planar single                         A   0.98   6.37     5.54     6.37NA   5.54 NA  0.07   7.42   6.59   7.42   6.59  1XXX.00.00.0000000             33.9764 090 99      8.96   8.96   0.08
78472TCGated heart planar single                         A   0.00   5.94     5.19     5.94NA   5.19 NA  0.03   5.97   5.22   5.97   5.22  1XXX.00.00.0000000             33.9764 010 99      8.53   8.53   0.04
7847226Gated heart planar single                         A   0.98   0.43     0.35     0.43     0.35     0.04   1.45   1.37   1.45   1.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78473  Gated heart multiple                              A   1.47   8.25     6.86     8.25NA   6.86 NA  0.08   9.80   8.41   9.80   8.41  1XXX.00.00.0000000             33.9764 090 99      9.21   9.21   0.08
78473TCGated heart multiple                              A   0.00   7.58     6.31     7.58NA   6.31 NA  0.03   7.61   6.34   7.61   6.34  1XXX.00.00.0000000             33.9764 010 99      8.54   8.54   0.03
7847326Gated heart multiple                              A   1.47   0.67     0.55     0.67     0.55     0.05   2.19   2.07   2.19   2.07  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78481  Heart first pass single                           A   0.98   5.17     4.20     5.17NA   4.20 NA  0.04   6.19   5.22   6.19   5.22  1XXX.00.00.0000000             33.9764 090 99      9.04   9.04   0.05
78481TCHeart first pass single                           A   0.00   4.69     3.82     4.69NA   3.82 NA  0.01   4.70   3.83   4.70   3.83  1XXX.00.00.0000000             33.9764 010 99      8.56   8.56   0.02
7848126Heart first pass single                           A   0.98   0.48     0.38     0.48     0.38     0.03   1.49   1.39   1.49   1.39  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78483  Heart first pass multiple                         A   1.47   7.04     5.53     7.04NA   5.53 NA  0.08   8.59   7.08   8.59   7.08  1XXX.00.00.0000000             33.9764 090 99      9.27   9.27   0.09
78483TCHeart first pass multiple                         A   0.00   6.31     4.96     6.31NA   4.96 NA  0.03   6.34   4.99   6.34   4.99  1XXX.00.00.0000000             33.9764 010 99      8.54   8.54   0.04
7848326Heart first pass multiple                         A   1.47   0.73     0.57     0.73     0.57     0.05   2.25   2.09   2.25   2.09  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     33.23  33.23   0.11
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             33.9764 010 99     32.58  32.58   0.01
7849126Heart image (pet) single                          A   1.50   0.65     0.49     0.65     0.49     0.10   2.25   2.09   2.25   2.09  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     33.44  33.44   0.13
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             33.9764 010 99     32.58  32.58   0.01
7849226Heart image (pet) multiple                        A   1.87   0.86     0.65     0.86     0.65     0.12   2.85   2.64   2.85   2.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78494  Heart image spect                                 A   1.19   6.64     5.56     6.64NA   5.56 NA  0.07   7.90   6.82   7.90   6.82  1XXX.00.00.0000000             33.9764 090 99      9.08   9.08   0.08
78494TCHeart image spect                                 A   0.00   6.09     5.09     6.09NA   5.09 NA  0.03   6.12   5.12   6.12   5.12  1XXX.00.00.0000000             33.9764 010 99      8.53   8.53   0.04
7849426Heart image spect                                 A   1.19   0.55     0.47     0.55     0.47     0.04   1.78   1.70   1.78   1.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78496  Heart first pass add-on                           A   0.50   1.86     0.74     1.86NA   0.74 NA  0.02   2.38   1.26   2.38   1.26  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78496TCHeart first pass add-on                           A   0.00   1.63     0.55     1.63NA   0.55 NA  0.01   1.64   0.56   1.64   0.56  1ZZZ.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7849626Heart first pass add-on                           A   0.50   0.23     0.19     0.23     0.19     0.01   0.74   0.70   0.74   0.70  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78580  Lung perfusion imaging                            A   0.74   5.46     5.12     5.46NA   5.12 NA  0.06   6.26   5.92   6.26   5.92  1XXX.00.00.0000000             33.9764 090 99      6.06   6.06   0.06
78580TCLung perfusion imaging                            A   0.00   5.16     4.87     5.16NA   4.87 NA  0.03   5.19   4.90   5.19   4.90  1XXX.00.00.0000000             33.9764 010 99      5.76   5.76   0.03
7858026Lung perfusion imaging                            A   0.74   0.30     0.25     0.30     0.25     0.03   1.07   1.02   1.07   1.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78584  Lung V/Q image single breath                      A   0.99   3.43     3.01     3.43NA   3.01 NA  0.08   4.50   4.08   4.50   4.08  1XXX.00.00.0000000             33.9764 090 99      9.73   9.73   0.14
78584TCLung V/Q image single breath                      A   0.00   3.02     2.65     3.02NA   2.65 NA  0.03   3.05   2.68   3.05   2.68  1XXX.00.00.0000000             33.9764 010 99      9.32   9.32   0.09
7858426Lung V/Q image single breath                      A   0.99   0.41     0.36     0.41     0.36     0.05   1.45   1.40   1.45   1.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78585  Lung V/Q imaging                                  A   1.09   9.23     8.75     9.23NA   8.75 NA  0.08  10.40   9.92  10.40   9.92  1XXX.00.00.0000000             33.9764 090 99      9.82   9.82   0.08
78585TCLung V/Q imaging                                  A   0.00   8.79     8.37     8.79NA   8.37 NA  0.03   8.82   8.40   8.82   8.40  1XXX.00.00.0000000             33.9764 010 99      9.38   9.38   0.03
7858526Lung V/Q imaging                                  A   1.09   0.44     0.38     0.44     0.38     0.05   1.58   1.52   1.58   1.52  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78586  Aerosol lung image single                         A   0.40   4.46     4.31     4.46NA   4.31 NA  0.04   4.90   4.75   4.90   4.75  1XXX.00.00.0000000             33.9764 090 99      5.91   5.91   0.05
78586TCAerosol lung image single                         A   0.00   4.30     4.16     4.30NA   4.16 NA  0.03   4.33   4.19   4.33   4.19  1XXX.00.00.0000000             33.9764 010 99      5.75   5.75   0.04
7858626Aerosol lung image single                         A   0.40   0.16     0.15     0.16     0.15     0.01   0.57   0.56   0.57   0.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78587  Aerosol lung image multiple                       A   0.49   5.59     5.33     5.59NA   5.33 NA  0.06   6.14   5.88   6.14   5.88  1XXX.00.00.0000000             33.9764 090 99      5.95   5.95   0.06
78587TCAerosol lung image multiple                       A   0.00   5.40     5.17     5.40NA   5.17 NA  0.03   5.43   5.20   5.43   5.20  1XXX.00.00.0000000             33.9764 010 99      5.76   5.76   0.03
7858726Aerosol lung image multiple                       A   0.49   0.19     0.16     0.19     0.16     0.03   0.71   0.68   0.71   0.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78588  Perfusion lung image                              A   1.09   8.91     8.82     8.91NA   8.82 NA  0.08  10.08   9.99  10.08   9.99  1XXX.00.00.0000000             33.9764 090 99      9.82   9.82   0.08
78588TCPerfusion lung image                              A   0.00   8.47     8.44     8.47NA   8.44 NA  0.03   8.50   8.47   8.50   8.47  1XXX.00.00.0000000             33.9764 010 99      9.38   9.38   0.03
7858826Perfusion lung image                              A   1.09   0.44     0.38     0.44     0.38     0.05   1.58   1.52   1.58   1.52  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78591  Vent image 1 breath 1 proj                        A   0.40   4.52     4.34     4.52NA   4.34 NA  0.04   4.96   4.78   4.96   4.78  1XXX.00.00.0000000             33.9764 090 99      5.92   5.92   0.05
78591TCVent image 1 breath 1 proj                        A   0.00   4.35     4.19     4.35NA   4.19 NA  0.03   4.38   4.22   4.38   4.22  1XXX.00.00.0000000             33.9764 010 99      5.75   5.75   0.04
7859126Vent image 1 breath 1 proj                        A   0.40   0.17     0.15     0.17     0.15     0.01   0.58   0.56   0.58   0.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78593  Vent image 1 proj gas                             A   0.49   5.22     4.94     5.22NA   4.94 NA  0.06   5.77   5.49   5.77   5.49  1XXX.00.00.0000000             33.9764 090 99      5.96   5.96   0.06
78593TCVent image 1 proj gas                             A   0.00   5.02     4.77     5.02NA   4.77 NA  0.03   5.05   4.80   5.05   4.80  1XXX.00.00.0000000             33.9764 010 99      5.76   5.76   0.03
7859326Vent image 1 proj gas                             A   0.49   0.20     0.17     0.20     0.17     0.03   0.72   0.69   0.72   0.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78594  Vent image mult proj gas                          A   0.53   5.79     5.14     5.79NA   5.14 NA  0.06   6.38   5.73   6.38   5.73  1XXX.00.00.0000000             33.9764 090 99      5.96   5.96   0.06
78594TCVent image mult proj gas                          A   0.00   5.59     4.98     5.59NA   4.98 NA  0.03   5.62   5.01   5.62   5.01  1XXX.00.00.0000000             33.9764 010 99      5.76   5.76   0.03
7859426Vent image mult proj gas                          A   0.53   0.20     0.16     0.20     0.16     0.03   0.76   0.72   0.76   0.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78596  Lung differential function                        A   1.27   9.63     8.99     9.63NA   8.99 NA  0.07  10.97  10.33  10.97  10.33  1XXX.00.00.0000000             33.9764 090 99      9.87   9.87   0.07
78596TCLung differential function                        A   0.00   9.15     8.56     9.15NA   8.56 NA  0.03   9.18   8.59   9.18   8.59  1XXX.00.00.0000000             33.9764 010 99      9.39   9.39   0.03
7859626Lung differential function                        A   1.27   0.48     0.43     0.48     0.43     0.04   1.79   1.74   1.79   1.74  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78600  Brain image < 4 views                             A   0.44   4.81     4.57     4.81NA   4.57 NA  0.04   5.29   5.05   5.29   5.05  1XXX.00.00.0000000             33.9764 090 99      7.21   7.21   0.06
78600TCBrain image < 4 views                             A   0.00   4.62     4.41     4.62NA   4.41 NA  0.03   4.65   4.44   4.65   4.44  1XXX.00.00.0000000             33.9764 010 99      7.02   7.02   0.05
7860026Brain image < 4 views                             A   0.44   0.19     0.16     0.19     0.16     0.01   0.64   0.61   0.64   0.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78601  Brain image w/flow < 4 views                      A   0.51   5.71     5.42     5.71NA   5.42 NA  0.06   6.28   5.99   6.28   5.99  1XXX.00.00.0000000             33.9764 090 99     17.65  17.65   0.13
78601TCBrain image w/flow < 4 views                      A   0.00   5.51     5.24     5.51NA   5.24 NA  0.03   5.54   5.27   5.54   5.27  1XXX.00.00.0000000             33.9764 010 99     17.45  17.45   0.10
7860126Brain image w/flow < 4 views                      A   0.51   0.20     0.18     0.20     0.18     0.03   0.74   0.72   0.74   0.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78605  Brain image 4+ views                              A   0.53   5.22     4.89     5.22NA   4.89 NA  0.06   5.81   5.48   5.81   5.48  1XXX.00.00.0000000             33.9764 090 99      7.26   7.26   0.07
78605TCBrain image 4+ views                              A   0.00   4.99     4.69     4.99NA   4.69 NA  0.03   5.02   4.72   5.02   4.72  1XXX.00.00.0000000             33.9764 010 99      7.03   7.03   0.04
7860526Brain image 4+ views                              A   0.53   0.23     0.20     0.23     0.20     0.03   0.79   0.76   0.79   0.76  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78606  Brain image w/flow 4 + views                      A   0.64   8.85     8.71     8.85NA   8.71 NA  0.04   9.53   9.39   9.53   9.39  1XXX.00.00.0000000             33.9764 090 99     17.75  17.75   0.07
78606TCBrain image w/flow 4 + views                      A   0.00   8.59     8.48     8.59NA   8.48 NA  0.03   8.62   8.51   8.62   8.51  1XXX.00.00.0000000             33.9764 010 99     17.49  17.49   0.06
7860626Brain image w/flow 4 + views                      A   0.64   0.26     0.23     0.26     0.23     0.01   0.91   0.88   0.91   0.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78607  Brain imaging (3D)                                A   1.23   9.37     8.66     9.37NA   8.66 NA  0.08  10.68   9.97  10.68   9.97  1XXX.00.00.0000000             33.9764 090 99     17.96  17.96   0.11
78607TCBrain imaging (3D)                                A   0.00   8.90     8.27     8.90NA   8.27 NA  0.03   8.93   8.30   8.93   8.30  1XXX.00.00.0000000             33.9764 010 99     17.49  17.49   0.06
7860726Brain imaging (3D)                                A   1.23   0.47     0.39     0.47     0.39     0.05   1.75   1.67   1.75   1.67  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     31.24  31.24   0.12
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             33.9764 010 99     30.66  30.66   0.01
7860826Brain imaging (PET)                               A   1.50   0.58     0.48     0.58     0.48     0.11   2.19   2.09   2.19   2.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78609  Brain imaging (PET)                               N+  1.50   0.63     0.66     0.63NA   0.66 NA  0.10   2.23   2.26   2.23   2.26  1XXX.00.00.0099999             33.9764 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             33.9764 010 99      0.00   0.00   0.00
7860926Brain imaging (PET)                               N+  1.50   0.63     0.66     0.63     0.66     0.10   2.23   2.26   2.23   2.26  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
78610  Brain flow imaging only                           A   0.30   4.88     4.47     4.88NA   4.47 NA  0.04   5.22   4.81   5.22   4.81  1XXX.00.00.0000000             33.9764 090 99      7.16   7.16   0.05
78610TCBrain flow imaging only                           A   0.00   4.75     4.36     4.75NA   4.36 NA  0.03   4.78   4.39   4.78   4.39  1XXX.00.00.0000000             33.9764 010 99      7.03   7.03   0.04
7861026Brain flow imaging only                           A   0.30   0.13     0.11     0.13     0.11     0.01   0.44   0.42   0.44   0.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78630  Cerebrospinal fluid scan                          A   0.68   9.16     8.83     9.16NA   8.83 NA  0.06   9.90   9.57   9.90   9.57  1XXX.00.00.0000000             33.9764 090 99     17.77  17.77   0.09
78630TCCerebrospinal fluid scan                          A   0.00   8.88     8.59     8.88NA   8.59 NA  0.03   8.91   8.62   8.91   8.62  1XXX.00.00.0000000             33.9764 010 99     17.49  17.49   0.06
7863026Cerebrospinal fluid scan                          A   0.68   0.28     0.24     0.28     0.24     0.03   0.99   0.95   0.99   0.95  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78635  CSF ventriculography                              A   0.61   8.79     8.84     8.79NA   8.84 NA  0.04   9.44   9.49   9.44   9.49  1XXX.00.00.0000000             33.9764 090 99     17.75  17.75   0.07
78635TCCSF ventriculography                              A   0.00   8.53     8.61     8.53NA   8.61 NA  0.03   8.56   8.64   8.56   8.64  1XXX.00.00.0000000             33.9764 010 99     17.49  17.49   0.06
7863526CSF ventriculography                              A   0.61   0.26     0.23     0.26     0.23     0.01   0.88   0.85   0.88   0.85  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78645  CSF shunt evaluation                              A   0.57   8.68     8.49     8.68NA   8.49 NA  0.06   9.31   9.12   9.31   9.12  1XXX.00.00.0000000             33.9764 090 99      7.28   7.28   0.06
78645TCCSF shunt evaluation                              A   0.00   8.45     8.30     8.45NA   8.30 NA  0.03   8.48   8.33   8.48   8.33  1XXX.00.00.0000000             33.9764 010 99      7.05   7.05   0.03
7864526CSF shunt evaluation                              A   0.57   0.23     0.19     0.23     0.19     0.03   0.83   0.79   0.83   0.79  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78647  Cerebrospinal fluid scan                          A   0.90   9.25     8.76     9.25NA   8.76 NA  0.08  10.23   9.74  10.23   9.74  1XXX.00.00.0000000             33.9764 090 99     17.83  17.83   0.11
78647TCCerebrospinal fluid scan                          A   0.00   8.91     8.47     8.91NA   8.47 NA  0.03   8.94   8.50   8.94   8.50  1XXX.00.00.0000000             33.9764 010 99     17.49  17.49   0.06
7864726Cerebrospinal fluid scan                          A   0.90   0.34     0.29     0.34     0.29     0.05   1.29   1.24   1.29   1.24  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78650  CSF leakage imaging                               A   0.61   9.02     8.69     9.02NA   8.69 NA  0.07   9.70   9.37   9.70   9.37  1XXX.00.00.0000000             33.9764 090 99     17.73  17.73   0.10
78650TCCSF leakage imaging                               A   0.00   8.78     8.49     8.78NA   8.49 NA  0.03   8.81   8.52   8.81   8.52  1XXX.00.00.0000000             33.9764 010 99     17.49  17.49   0.06
7865026CSF leakage imaging                               A   0.61   0.24     0.20     0.24     0.20     0.04   0.89   0.85   0.89   0.85  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78660  Nuclear exam of tear flow                         A   0.53   4.62     4.63     4.62NA   4.63 NA  0.06   5.21   5.22   5.21   5.22  1XXX.00.00.0000000             33.9764 090 99      7.25   7.25   0.08
78660TCNuclear exam of tear flow                         A   0.00   4.39     4.41     4.39NA   4.41 NA  0.03   4.42   4.44   4.42   4.44  1XXX.00.00.0000000             33.9764 010 99      7.02   7.02   0.05
7866026Nuclear exam of tear flow                         A   0.53   0.23     0.22     0.23     0.22     0.03   0.79   0.78   0.79   0.78  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78700  Kidney imaging morphol                            A   0.45   4.68     4.39     4.68NA   4.39 NA  0.06   5.19   4.90   5.19   4.90  1XXX.00.00.0000000             33.9764 090 99      9.59   9.59   0.09
78700TCKidney imaging morphol                            A   0.00   4.49     4.23     4.49NA   4.23 NA  0.03   4.52   4.26   4.52   4.26  1XXX.00.00.0000000             33.9764 010 99      9.40   9.40   0.06
7870026Kidney imaging morphol                            A   0.45   0.19     0.16     0.19     0.16     0.03   0.67   0.64   0.67   0.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78701  Kidney imaging with flow                          A   0.49   5.72     5.42     5.72NA   5.42 NA  0.06   6.27   5.97   6.27   5.97  1XXX.00.00.0000000             33.9764 090 99      9.61   9.61   0.08
78701TCKidney imaging with flow                          A   0.00   5.52     5.25     5.52NA   5.25 NA  0.03   5.55   5.28   5.55   5.28  1XXX.00.00.0000000             33.9764 010 99      9.41   9.41   0.05
7870126Kidney imaging with flow                          A   0.49   0.20     0.17     0.20     0.17     0.03   0.72   0.69   0.72   0.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78707  K flow/funct image w/o drug                       A   0.96   5.97     5.45     5.97NA   5.45 NA  0.07   7.00   6.48   7.00   6.48  1XXX.00.00.0000000             33.9764 090 99      9.79   9.79   0.09
78707TCK flow/funct image w/o drug                       A   0.00   5.59     5.13     5.59NA   5.13 NA  0.03   5.62   5.16   5.62   5.16  1XXX.00.00.0000000             33.9764 010 99      9.41   9.41   0.05
7870726K flow/funct image w/o drug                       A   0.96   0.38     0.32     0.38     0.32     0.04   1.38   1.32   1.38   1.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78708  K flow/funct image w/drug                         A   1.21   4.03     3.35     4.03NA   3.35 NA  0.08   5.32   4.64   5.32   4.64  1XXX.00.00.0000000             33.9764 090 99      9.87   9.87   0.13
78708TCK flow/funct image w/drug                         A   0.00   3.54     2.94     3.54NA   2.94 NA  0.03   3.57   2.97   3.57   2.97  1XXX.00.00.0000000             33.9764 010 99      9.38   9.38   0.08
7870826K flow/funct image w/drug                         A   1.21   0.49     0.41     0.49     0.41     0.05   1.75   1.67   1.75   1.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78709  K flow/funct image multiple                       A   1.41   9.28     8.92     9.28NA   8.92 NA  0.10  10.79  10.43  10.79  10.43  1XXX.00.00.0000000             33.9764 090 99      9.99   9.99   0.10
78709TCK flow/funct image multiple                       A   0.00   8.72     8.44     8.72NA   8.44 NA  0.03   8.75   8.47   8.75   8.47  1XXX.00.00.0000000             33.9764 010 99      9.43   9.43   0.03
7870926K flow/funct image multiple                       A   1.41   0.56     0.48     0.56     0.48     0.07   2.04   1.96   2.04   1.96  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78710  Kidney imaging (3D)                               A   0.66   5.85     5.03     5.85NA   5.03 NA  0.04   6.55   5.73   6.55   5.73  1XXX.00.00.0000000             33.9764 090 99      9.66   9.66   0.06
78710TCKidney imaging (3D)                               A   0.00   5.60     4.83     5.60NA   4.83 NA  0.03   5.63   4.86   5.63   4.86  1XXX.00.00.0000000             33.9764 010 99      9.41   9.41   0.05
7871026Kidney imaging (3D)                               A   0.66   0.25     0.20     0.25     0.20     0.01   0.92   0.87   0.92   0.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78725  Kidney function study                             A   0.38   2.60     2.48     2.60NA   2.48 NA  0.04   3.02   2.90   3.02   2.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78725TCKidney function study                             A   0.00   2.45     2.34     2.45NA   2.34 NA  0.03   2.48   2.37   2.48   2.37  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
7872526Kidney function study                             A   0.38   0.15     0.14     0.15     0.14     0.01   0.54   0.53   0.54   0.53  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78730  Urinary bladder retention                         A   0.15   2.03     1.80     2.03NA   1.80 NA  0.02   2.20   1.97   2.20   1.97  1ZZZ.00.00.0000000             33.9764 090 99      3.03   3.03   0.03
78730TCUrinary bladder retention                         A   0.00   1.95     1.74     1.95NA   1.74 NA  0.01   1.96   1.75   1.96   1.75  1ZZZ.00.00.0000000             33.9764 010 99      2.95   2.95   0.02
7873026Urinary bladder retention                         A   0.15   0.08     0.06     0.08     0.06     0.01   0.24   0.22   0.24   0.22  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78740  Ureteral reflux study                             A   0.57   5.89     5.84     5.89NA   5.84 NA  0.06   6.52   6.47   6.52   6.47  1XXX.00.00.0000000             33.9764 090 99      9.66   9.66   0.08
78740TCUreteral reflux study                             A   0.00   5.64     5.62     5.64NA   5.62 NA  0.03   5.67   5.65   5.67   5.65  1XXX.00.00.0000000             33.9764 010 99      9.41   9.41   0.05
7874026Ureteral reflux study                             A   0.57   0.25     0.22     0.25     0.22     0.03   0.85   0.82   0.85   0.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78761  Testicular imaging w/flow                         A   0.71   5.48     5.24     5.48NA   5.24 NA  0.07   6.26   6.02   6.26   6.02  1XXX.00.00.0000000             33.9764 090 99      9.71   9.71   0.09
78761TCTesticular imaging w/flow                         A   0.00   5.18     4.97     5.18NA   4.97 NA  0.03   5.21   5.00   5.21   5.00  1XXX.00.00.0000000             33.9764 010 99      9.41   9.41   0.05
7876126Testicular imaging w/flow                         A   0.71   0.30     0.27     0.30     0.27     0.04   1.05   1.02   1.05   1.02  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
78800  Tumor imaging limited area                        A   0.66   4.78     4.51     4.78NA   4.51 NA  0.07   5.51   5.24   5.51   5.24  1XXX.00.00.0000000             33.9764 090 99      8.74   8.74   0.10
78800TCTumor imaging limited area                        A   0.00   4.52     4.27     4.52NA   4.27 NA  0.03   4.55   4.30   4.55   4.30  1XXX.00.00.0000000             33.9764 010 99      8.48   8.48   0.06
7880026Tumor imaging limited area                        A   0.66   0.26     0.24     0.26     0.24     0.04   0.96   0.94   0.96   0.94  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78801  Tumor imaging mult areas                          A   0.79   6.58     6.27     6.58NA   6.27 NA  0.07   7.44   7.13   7.44   7.13  1XXX.00.00.0000000             33.9764 090 99     14.23  14.23   0.11
78801TCTumor imaging mult areas                          A   0.00   6.26     5.98     6.26NA   5.98 NA  0.03   6.29   6.01   6.29   6.01  1XXX.00.00.0000000             33.9764 010 99     13.91  13.91   0.07
7880126Tumor imaging mult areas                          A   0.79   0.32     0.29     0.32     0.29     0.04   1.15   1.12   1.15   1.12  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78802  Tumor imaging whole body                          A   0.86   8.69     8.12     8.69NA   8.12 NA  0.07   9.62   9.05   9.62   9.05  1XXX.00.00.0020000             33.9764 090 99     14.27  14.27   0.09
78802TCTumor imaging whole body                          A   0.00   8.35     7.84     8.35NA   7.84 NA  0.03   8.38   7.87   8.38   7.87  1XXX.00.00.0020000             33.9764 010 99     13.93  13.93   0.05
7880226Tumor imaging whole body                          A   0.86   0.34     0.28     0.34     0.28     0.04   1.24   1.18   1.24   1.18  1XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
78803  Tumor imaging (3D)                                A   1.09   9.17     8.34     9.17NA   8.34 NA  0.08  10.34   9.51  10.34   9.51  1XXX.00.00.0020000             33.9764 090 99     14.35  14.35   0.10
78803TCTumor imaging (3D)                                A   0.00   8.75     8.01     8.75NA   8.01 NA  0.03   8.78   8.04   8.78   8.04  1XXX.00.00.0020000             33.9764 010 99     13.93  13.93   0.05
7880326Tumor imaging (3D)                                A   1.09   0.42     0.33     0.42     0.33     0.05   1.56   1.47   1.56   1.47  1XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
78804  Tumor imaging whole body                          A   1.07  15.92    14.79    15.92NA  14.79 NA  0.10  17.09  15.96  17.09  15.96  1XXX.00.00.0000000             33.9764 090 99     24.63  24.63   0.13
78804TCTumor imaging whole body                          A   0.00  15.50    14.44    15.50NA  14.44 NA  0.05  15.55  14.49  15.55  14.49  1XXX.00.00.0000000             33.9764 010 99     24.21  24.21   0.08
7880426Tumor imaging whole body                          A   1.07   0.42     0.35     0.42     0.35     0.05   1.54   1.47   1.54   1.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78805  Abscess imaging ltd area                          A   0.73   4.63     4.29     4.63NA   4.29 NA  0.07   5.43   5.09   5.43   5.09  1XXX.00.00.0000000             33.9764 090 99     14.17  14.17   0.14
78805TCAbscess imaging ltd area                          A   0.00   4.34     4.04     4.34NA   4.04 NA  0.03   4.37   4.07   4.37   4.07  1XXX.00.00.0000000             33.9764 010 99     13.88  13.88   0.10
7880526Abscess imaging ltd area                          A   0.73   0.29     0.25     0.29     0.25     0.04   1.06   1.02   1.06   1.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
78806  Abscess imaging whole body                        A   0.86   9.03     8.35     9.03NA   8.35 NA  0.07   9.96   9.28   9.96   9.28  1XXX.00.00.0020000             33.9764 090 99     14.27  14.27   0.09
78806TCAbscess imaging whole body                        A   0.00   8.69     8.07     8.69NA   8.07 NA  0.03   8.72   8.10   8.72   8.10  1XXX.00.00.0020000             33.9764 010 99     13.93  13.93   0.05
7880626Abscess imaging whole body                        A   0.86   0.34     0.28     0.34     0.28     0.04   1.24   1.18   1.24   1.18  1XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
78807  Nuclear localization/abscess                      A   1.09   9.16     8.33     9.16NA   8.33 NA  0.07  10.32   9.49  10.32   9.49  1XXX.00.00.0020000             33.9764 090 99     14.34  14.34   0.09
78807TCNuclear localization/abscess                      A   0.00   8.75     8.01     8.75NA   8.01 NA  0.03   8.78   8.04   8.78   8.04  1XXX.00.00.0020000             33.9764 010 99     13.93  13.93   0.05
7880726Nuclear localization/abscess                      A   1.09   0.41     0.32     0.41     0.32     0.04   1.54   1.45   1.54   1.45  1XXX.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
78808  Iv inj ra drug dx study                           A   0.18   1.06     0.89     1.06NA   0.89 NA  0.03   1.27   1.10   1.27   1.10  5XXX.00.00.0000000             33.9764 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             33.9764 090 99     31.29  31.29   0.19
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             33.9764 010 99     30.66  30.66   0.01
7881126Pet image ltd area                                A   1.54   0.63     0.54     0.63     0.54     0.18   2.35   2.26   2.35   2.26  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     31.44  31.44   0.17
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             33.9764 010 99     30.66  30.66   0.01
7881226Pet image skull-thigh                             A   1.93   0.78     0.66     0.78     0.66     0.16   2.87   2.75   2.87   2.75  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     31.48  31.48   0.19
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             33.9764 010 99     30.66  30.66   0.01
7881326Pet image full body                               A   2.00   0.82     0.72     0.82     0.72     0.18   3.00   2.90   3.00   2.90  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     31.53  31.53   0.21
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             33.9764 010 99     30.66  30.66   0.01
7881426Pet image w/ct lmtd                               A   2.20   0.87     0.73     0.87     0.73     0.20   3.27   3.13   3.27   3.13  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     31.64  31.64   0.23
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             33.9764 010 99     30.66  30.66   0.01
7881526Pet image w/ct skull-thigh                        A   2.44   0.98     0.83     0.98     0.83     0.22   3.64   3.49   3.64   3.49  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     31.64  31.64   0.23
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             33.9764 010 99     30.66  30.66   0.01
7881626Pet image w/ct full body                          A   2.50   0.98     0.80     0.98     0.80     0.22   3.70   3.52   3.70   3.52  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
79005  Nuclear rx oral admin                             A   1.80   2.32     1.91     2.32NA   1.91 NA  0.08   4.20   3.79   4.20   3.79  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79005TCNuclear rx oral admin                             A   0.00   1.60     1.26     1.60NA   1.26 NA  0.01   1.61   1.27   1.61   1.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7900526Nuclear rx oral admin                             A   1.80   0.72     0.65     0.72     0.65     0.07   2.59   2.52   2.59   2.52  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79101  Nuclear rx iv admin                               A   1.96   2.71     2.24     2.71NA   2.24 NA  0.08   4.75   4.28   4.75   4.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79101TCNuclear rx iv admin                               A   0.00   1.74     1.34     1.74NA   1.34 NA  0.01   1.75   1.35   1.75   1.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7910126Nuclear rx iv admin                               A   1.96   0.97     0.90     0.97     0.90     0.07   3.00   2.93   3.00   2.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79200  Nuclear rx intracav admin                         A   1.99   2.82     2.43     2.82NA   2.43 NA  0.12   4.93   4.54   4.93   4.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79200TCNuclear rx intracav admin                         A   0.00   1.98     1.67     1.98NA   1.67 NA  0.01   1.99   1.68   1.99   1.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7920026Nuclear rx intracav admin                         A   1.99   0.84     0.76     0.84     0.76     0.11   2.94   2.86   2.94   2.86  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
7930026Nuclr rx interstit colloid                        A   1.60   0.66     0.61     0.66     0.61     0.14   2.40   2.35   2.40   2.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79403  Hematopoietic nuclear tx                          A   2.25   3.61     2.87     3.61NA   2.87 NA  0.14   6.00   5.26   6.00   5.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79403TCHematopoietic nuclear tx                          A   0.00   2.68     2.07     2.68NA   2.07 NA  0.03   2.71   2.10   2.71   2.10  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7940326Hematopoietic nuclear tx                          A   2.25   0.93     0.80     0.93     0.80     0.11   3.29   3.16   3.29   3.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79440  Nuclear rx intra-articular                        A   1.99   2.58     2.38     2.58NA   2.38 NA  0.06   4.63   4.43   4.63   4.43  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
79440TCNuclear rx intra-articular                        A   0.00   1.66     1.46     1.66NA   1.46 NA  0.01   1.67   1.47   1.67   1.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
7944026Nuclear rx intra-articular                        A   1.99   0.92     0.92     0.92     0.92     0.05   2.96   2.96   2.96   2.96  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
7944526Nuclear rx intra-arterial                         A   2.40   0.94     0.76     0.94     0.76     0.20   3.54   3.36   3.54   3.36  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
80100  Drug screen qualitate/multi                       I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
80101  Drug screen 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
80104  Drug scrn 1+ class nonchromo                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
80500  Lab pathology consultation                        A   0.37   0.21     0.18     0.14     0.12     0.03   0.61   0.58   0.54   0.52  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
80502  Lab pathology consultation                        A   1.33   0.48     0.46     0.43     0.41     0.07   1.88   1.86   1.83   1.81  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
82306  Vitamin d 25 hydroxy                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
82375  Assay carboxyhb 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             33.9764 090 99      0.00   0.00   0.00
82376  Assay carboxyhb 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
82652  Vit d 1 25-dihydroxy                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
82784  Assay iga/igd/igg/igm each                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
82785  Assay of 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
82803  Blood gases any combination                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
82930  Gastric analy w/ph ea spec                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8302026Hemoglobin electrophoresis                        A   0.37   0.17     0.18     0.17     0.18     0.03   0.57   0.58   0.57   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
83519  Ria 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             33.9764 090 99      0.00   0.00   0.00
83520  Immunoassay quant nos nonab                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
83861  Microfluid analy tears                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
83876  Assay myeloperoxidase                             X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8391226Genetic examination                               A   0.37   0.14     0.15     0.14     0.15     0.03   0.54   0.55   0.54   0.55  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
83951  Oncoprotein dcp                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
83986  Assay ph body fluid nos                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
83987  Exhaled breath condensate                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
84112  Placenta alpha micro ig c/v                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
84145  Procalcitonin (pct)                               X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8416526Protein e-phoresis serum                          A   0.37   0.16     0.18     0.16     0.18     0.03   0.56   0.58   0.56   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8416626Protein e-phoresis/urine/csf                      A   0.37   0.16     0.18     0.16     0.18     0.03   0.56   0.58   0.56   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8418126Western blot test                                 A   0.37   0.17     0.18     0.17     0.18     0.03   0.57   0.58   0.57   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8418226Protein western blot test                         A   0.37   0.16     0.17     0.16     0.17     0.03   0.56   0.57   0.56   0.57  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
84431  Thromboxane 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
85060  Blood smear interpretation                        A   0.45   0.20     0.22     0.20     0.22     0.03   0.68   0.70   0.68   0.70  8XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
85097  Bone marrow interpretation                        A   0.94   1.53     1.36     0.39     0.39     0.05   2.52   2.35   1.38   1.38  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8539026Fibrinolysins screen                              A   0.37   0.18     0.19     0.18     0.19     0.03   0.58   0.59   0.58   0.59  6XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
85396  Clotting assay whole blood                        A   0.37   0.16NA   0.17NA   0.16     0.17     0.03   0.56   0.57   0.56   0.57  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
85397  Clotting funct 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8557626Blood platelet aggregation                        A   0.37   0.17     0.18     0.17     0.18     0.03   0.57   0.58   0.57   0.58  6XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
85597  Phospholipid pltlt neutraliz                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
85598  Hexagnal phosph pltlt neutrl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86077  Physician blood bank service                      A   0.94   0.51     0.55     0.42     0.46     0.05   1.50   1.54   1.41   1.45  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
86078  Physician blood bank service                      A   0.94   0.52     0.55     0.43     0.46     0.05   1.51   1.54   1.42   1.45  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
86079  Physician blood bank service                      A   0.94   0.52     0.54     0.43     0.45     0.05   1.51   1.53   1.42   1.44  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8625526Fluorescent antibody screen                       A   0.37   0.17     0.18     0.17     0.18     0.03   0.57   0.58   0.57   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8625626Fluorescent antibody titer                        A   0.37   0.17     0.18     0.17     0.18     0.01   0.55   0.56   0.55   0.56  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86305  Human epididymis protein 4                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8632026Serum immunoelectrophoresis                       A   0.37   0.17     0.18     0.17     0.18     0.01   0.55   0.56   0.55   0.56  6XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8632526Other immunoelectrophoresis                       A   0.37   0.16     0.18     0.16     0.18     0.01   0.54   0.56   0.54   0.56  6XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8632726Immunoelectrophoresis assay                       A   0.42   0.20     0.21     0.20     0.21     0.03   0.65   0.66   0.65   0.66  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8633426Immunofix e-phoresis serum                        A   0.37   0.17     0.18     0.17     0.18     0.03   0.57   0.58   0.57   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8633526Immunfix e-phorsis/urine/csf                      A   0.37   0.16     0.18     0.16     0.18     0.03   0.56   0.58   0.56   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86352  Cell function assay w/stim                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86481  Tb ag response t-cell susp                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86486  Skin test nos antigen                             A   0.00   0.14     0.13     0.14NA   0.13 NA  0.01   0.15   0.14   0.15   0.14  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
86490  Coccidioidomycosis skin test                      A   0.00   0.19     0.17     0.19NA   0.17 NA  0.01   0.20   0.18   0.20   0.18  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
86510  Histoplasmosis skin test                          A   0.00   0.18     0.16     0.18NA   0.16 NA  0.01   0.19   0.17   0.19   0.17  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
86580  TB intradermal test                               A   0.00   0.21     0.20     0.21NA   0.20 NA  0.01   0.22   0.21   0.22   0.21  3XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86592  Syphilis test non-trep qual                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
86593  Syphilis test non-trep quant                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86780  Treponema pallidum                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86825  Hla x-math non-cytotoxic                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
86826  Hla x-match noncytotoxc addl                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
86902  Blood type antigen donor ea                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
87149  Dna/rna direct probe                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
87150  Dna/rna amplified probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
87153  Dna/rna sequencing                                X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8716426Dark field examination                            A   0.37   0.17     0.18     0.17     0.18     0.03   0.57   0.58   0.57   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8720726Smear special stain                               A   0.37   0.17     0.19     0.17     0.19     0.03   0.57   0.59   0.57   0.59  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
87493  C diff amplified probe                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
87501  Influenza dna amp prob 1+                         X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
87502  Influenza dna amp probe                           X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
87503  Influenza dna amp prob addl                       X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
87905  Sialidase enzyme 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             33.9764 090 99      0.00   0.00   0.00
87906  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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88104  Cytopath fl nongyn smears                         A   0.56   1.34     1.36     1.34NA   1.36 NA  0.02   1.92   1.94   1.92   1.94  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88104TCCytopath fl nongyn smears                         A   0.00   1.10     1.11     1.10NA   1.11 NA  0.01   1.11   1.12   1.11   1.12  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8810426Cytopath fl nongyn smears                         A   0.56   0.24     0.25     0.24     0.25     0.01   0.81   0.82   0.81   0.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88106  Cytopath fl nongyn filter                         A   0.56   1.77     1.74     1.77NA   1.74 NA  0.02   2.35   2.32   2.35   2.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88106TCCytopath fl nongyn filter                         A   0.00   1.54     1.49     1.54NA   1.49 NA  0.01   1.55   1.50   1.55   1.50  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8810626Cytopath fl nongyn filter                         A   0.56   0.23     0.25     0.23     0.25     0.01   0.80   0.82   0.80   0.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88107  Cytopath fl nongyn sm/fltr                        A   0.76   2.15     2.07     2.15NA   2.07 NA  0.04   2.95   2.87   2.95   2.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88107TCCytopath fl nongyn sm/fltr                        A   0.00   1.82     1.73     1.82NA   1.73 NA  0.01   1.83   1.74   1.83   1.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8810726Cytopath fl nongyn sm/fltr                        A   0.76   0.33     0.34     0.33     0.34     0.03   1.12   1.13   1.12   1.13  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88108  Cytopath concentrate tech                         A   0.56   1.64     1.58     1.64NA   1.58 NA  0.02   2.22   2.16   2.22   2.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88108TCCytopath concentrate tech                         A   0.00   1.41     1.34     1.41NA   1.34 NA  0.01   1.42   1.35   1.42   1.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8810826Cytopath concentrate tech                         A   0.56   0.23     0.24     0.23     0.24     0.01   0.80   0.81   0.80   0.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88112  Cytopath cell enhance tech                        A   1.18   1.79     1.67     1.79NA   1.67 NA  0.05   3.02   2.90   3.02   2.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88112TCCytopath cell enhance tech                        A   0.00   1.35     1.21     1.35NA   1.21 NA  0.01   1.36   1.22   1.36   1.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8811226Cytopath cell enhance tech                        A   1.18   0.44     0.46     0.44     0.46     0.04   1.66   1.68   1.66   1.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88120  Cytp urne 3-5 probes ea spec                      A   1.20  12.17    12.17    12.17NA  12.17 NA  0.06  13.43  13.43  13.43  13.43  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88120TCCytp urne 3-5 probes ea spec                      A   0.00  11.86    11.86    11.86NA  11.86 NA  0.03  11.89  11.89  11.89  11.89  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8812026Cytp urne 3-5 probes ea spec                      A   1.20   0.31     0.31     0.31     0.31     0.03   1.54   1.54   1.54   1.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88121  Cytp urine 3-5 probes cmptr                       A   1.00  10.30    10.30    10.30NA  10.30 NA  0.04  11.34  11.34  11.34  11.34  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88121TCCytp urine 3-5 probes cmptr                       A   0.00   9.96     9.96     9.96NA   9.96 NA  0.01   9.97   9.97   9.97   9.97  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8812126Cytp urine 3-5 probes cmptr                       A   1.00   0.34     0.34     0.34     0.34     0.03   1.37   1.37   1.37   1.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88125  Forensic cytopathology                            A   0.26   0.37     0.35     0.37NA   0.35 NA  0.02   0.65   0.63   0.65   0.63  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88125TCForensic cytopathology                            A   0.00   0.25     0.23     0.25NA   0.23 NA  0.01   0.26   0.24   0.26   0.24  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8812526Forensic cytopathology                            A   0.26   0.12     0.12     0.12     0.12     0.01   0.39   0.39   0.39   0.39  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88141  Cytopath c/v interpret                            A   0.42   0.40     0.42     0.40     0.42     0.03   0.85   0.87   0.85   0.87  2XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88160  Cytopath smear other source                       A   0.50   1.08     1.08     1.08NA   1.08 NA  0.02   1.60   1.60   1.60   1.60  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88160TCCytopath smear other source                       A   0.00   0.87     0.86     0.87NA   0.86 NA  0.01   0.88   0.87   0.88   0.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8816026Cytopath smear other source                       A   0.50   0.21     0.22     0.21     0.22     0.01   0.72   0.73   0.72   0.73  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88161  Cytopath smear other source                       A   0.50   1.08     1.00     1.08NA   1.00 NA  0.02   1.60   1.52   1.60   1.52  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88161TCCytopath smear other source                       A   0.00   0.89     0.81     0.89NA   0.81 NA  0.01   0.90   0.82   0.90   0.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8816126Cytopath smear other source                       A   0.50   0.19     0.19     0.19     0.19     0.01   0.70   0.70   0.70   0.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88162  Cytopath smear other source                       A   0.76   1.50     1.38     1.50NA   1.38 NA  0.04   2.30   2.18   2.30   2.18  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88162TCCytopath smear other source                       A   0.00   1.20     1.09     1.20NA   1.09 NA  0.01   1.21   1.10   1.21   1.10  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8816226Cytopath smear other source                       A   0.76   0.30     0.29     0.30     0.29     0.03   1.09   1.08   1.09   1.08  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88172  Cytp dx eval fna 1st ea site                      A   0.60   0.87     0.74     0.87NA   0.74 NA  0.02   1.49   1.36   1.49   1.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88172TCCytp dx eval fna 1st ea site                      A   0.00   0.60     0.46     0.60NA   0.46 NA  0.01   0.61   0.47   0.61   0.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8817226Cytp dx eval fna 1st ea site                      A   0.60   0.27     0.28     0.27     0.28     0.01   0.88   0.89   0.88   0.89  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88173  Cytopath eval fna report                          A   1.39   2.61     2.54     2.61NA   2.54 NA  0.05   4.05   3.98   4.05   3.98  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88173TCCytopath eval fna report                          A   0.00   2.03     1.94     2.03NA   1.94 NA  0.01   2.04   1.95   2.04   1.95  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8817326Cytopath eval fna report                          A   1.39   0.58     0.60     0.58     0.60     0.04   2.01   2.03   2.01   2.03  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88177  Cytp c/v auto thin lyr addl                       A   0.42   0.38     0.38     0.38NA   0.38 NA  0.02   0.82   0.82   0.82   0.82  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88177TCCytp c/v auto thin lyr addl                       A   0.00   0.18     0.18     0.18NA   0.18 NA  0.01   0.19   0.19   0.19   0.19  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8817726Cytp c/v auto thin lyr addl                       A   0.42   0.20     0.20     0.20     0.20     0.01   0.63   0.63   0.63   0.63  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88182  Cell marker study                                 A   0.77   2.23     2.06     2.23NA   2.06 NA  0.06   3.06   2.89   3.06   2.89  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88182TCCell marker study                                 A   0.00   2.01     1.85     2.01NA   1.85 NA  0.03   2.04   1.88   2.04   1.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8818226Cell marker study                                 A   0.77   0.22     0.21     0.22     0.21     0.03   1.02   1.01   1.02   1.01  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88184  Flowcytometry/ tc 1 marker                        A   0.00   2.46     2.29     2.46NA   2.29 NA  0.01   2.47   2.30   2.47   2.30  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88185  Flowcytometry/tc add-on                           A   0.00   1.47     1.39     1.47NA   1.39 NA  0.01   1.48   1.40   1.48   1.40  3ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88187  Flowcytometry/read 2-8                            A   1.36   0.55     0.59     0.55     0.59     0.08   1.99   2.03   1.99   2.03  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88188  Flowcytometry/read 9-15                           A   1.69   0.68     0.76     0.68     0.76     0.10   2.47   2.55   2.47   2.55  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88189  Flowcytometry/read 16 & >                         A   2.23   0.69     0.70     0.69     0.70     0.12   3.04   3.05   3.04   3.05  2XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88291  Cyto/molecular report                             A   0.52   0.31     0.31     0.31     0.31     0.03   0.86   0.86   0.86   0.86  2XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88300  Surgical path gross                               A   0.08   0.69     0.71     0.69NA   0.71 NA  0.02   0.79   0.81   0.79   0.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88300TCSurgical path gross                               A   0.00   0.65     0.67     0.65NA   0.67 NA  0.01   0.66   0.68   0.66   0.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8830026Surgical path gross                               A   0.08   0.04     0.04     0.04     0.04     0.01   0.13   0.13   0.13   0.13  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88302  Tissue exam by pathologist                        A   0.13   1.42     1.40     1.42NA   1.40 NA  0.02   1.57   1.55   1.57   1.55  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88302TCTissue exam by pathologist                        A   0.00   1.37     1.34     1.37NA   1.34 NA  0.01   1.38   1.35   1.38   1.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8830226Tissue exam by pathologist                        A   0.13   0.05     0.06     0.05     0.06     0.01   0.19   0.20   0.19   0.20  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88304  Tissue exam by pathologist                        A   0.22   1.60     1.44     1.60NA   1.44 NA  0.02   1.84   1.68   1.84   1.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88304TCTissue exam by pathologist                        A   0.00   1.51     1.34     1.51NA   1.34 NA  0.01   1.52   1.35   1.52   1.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8830426Tissue exam by pathologist                        A   0.22   0.09     0.10     0.09     0.10     0.01   0.32   0.33   0.32   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88305  Tissue exam by pathologist                        A   0.75   2.35     2.18     2.35NA   2.18 NA  0.02   3.12   2.95   3.12   2.95  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88305TCTissue exam by pathologist                        A   0.00   2.04     1.86     2.04NA   1.86 NA  0.01   2.05   1.87   2.05   1.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8830526Tissue exam by pathologist                        A   0.75   0.31     0.32     0.31     0.32     0.01   1.07   1.08   1.07   1.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88307  Tissue exam by pathologist                        A   1.59   5.02     5.07     5.02NA   5.07 NA  0.05   6.66   6.71   6.66   6.71  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88307TCTissue exam by pathologist                        A   0.00   4.31     4.32     4.31NA   4.32 NA  0.01   4.32   4.33   4.32   4.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8830726Tissue exam by pathologist                        A   1.59   0.71     0.75     0.71     0.75     0.04   2.34   2.38   2.34   2.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88309  Tissue exam by pathologist                        A   2.80   7.18     7.35     7.18NA   7.35 NA  0.11  10.09  10.26  10.09  10.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88309TCTissue exam by pathologist                        A   0.00   5.97     6.02     5.97NA   6.02 NA  0.03   6.00   6.05   6.00   6.05  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8830926Tissue exam by pathologist                        A   2.80   1.21     1.33     1.21     1.33     0.08   4.09   4.21   4.09   4.21  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88311  Decalcify tissue                                  A   0.24   0.29     0.30     0.29NA   0.30 NA  0.02   0.55   0.56   0.55   0.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88311TCDecalcify tissue                                  A   0.00   0.19     0.19     0.19NA   0.19 NA  0.01   0.20   0.20   0.20   0.20  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8831126Decalcify tissue                                  A   0.24   0.10     0.11     0.10     0.11     0.01   0.35   0.36   0.35   0.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88312  Special stains group 1                            A   0.54   2.58     2.52     2.58NA   2.52 NA  0.02   3.14   3.08   3.14   3.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88312TCSpecial stains group 1                            A   0.00   2.36     2.30     2.36NA   2.30 NA  0.01   2.37   2.31   2.37   2.31  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8831226Special stains group 1                            A   0.54   0.22     0.22     0.22     0.22     0.01   0.77   0.77   0.77   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88313  Special stains group 2                            A   0.24   2.03     1.95     2.03NA   1.95 NA  0.02   2.29   2.21   2.29   2.21  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88313TCSpecial stains group 2                            A   0.00   1.94     1.86     1.94NA   1.86 NA  0.01   1.95   1.87   1.95   1.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8831326Special stains group 2                            A   0.24   0.09     0.09     0.09     0.09     0.01   0.34   0.34   0.34   0.34  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88314  Histochemical stains add-on                       A   0.45   2.18     1.99     2.18NA   1.99 NA  0.02   2.65   2.46   2.65   2.46  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88314TCHistochemical stains add-on                       A   0.00   1.98     1.78     1.98NA   1.78 NA  0.01   1.99   1.79   1.99   1.79  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8831426Histochemical stains add-on                       A   0.45   0.20     0.21     0.20     0.21     0.01   0.66   0.67   0.66   0.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88318  Chemical histochemistry                           A   0.42   2.99     3.18     2.99NA   3.18 NA  0.02   3.43   3.62   3.43   3.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88318TCChemical histochemistry                           A   0.00   2.81     2.99     2.81NA   2.99 NA  0.01   2.82   3.00   2.82   3.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8831826Chemical histochemistry                           A   0.42   0.18     0.19     0.18     0.19     0.01   0.61   0.62   0.61   0.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88319  Enzyme histochemistry                             A   0.53   3.74     3.56     3.74NA   3.56 NA  0.04   4.31   4.13   4.31   4.13  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88319TCEnzyme histochemistry                             A   0.00   3.52     3.32     3.52NA   3.32 NA  0.01   3.53   3.33   3.53   3.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8831926Enzyme histochemistry                             A   0.53   0.22     0.24     0.22     0.24     0.03   0.78   0.80   0.78   0.80  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88321  Microslide consultation                           A   1.63   0.94     0.96     0.66     0.71     0.10   2.67   2.69   2.39   2.44  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88323  Microslide consultation                           A   1.83   2.32     2.17     2.32NA   2.17 NA  0.05   4.20   4.05   4.20   4.05  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88323TCMicroslide consultation                           A   0.00   1.72     1.57     1.72NA   1.57 NA  0.01   1.73   1.58   1.73   1.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8832326Microslide consultation                           A   1.83   0.60     0.60     0.60     0.60     0.04   2.47   2.47   2.47   2.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88325  Comprehensive review of data                      A   2.50   3.25     3.28     1.14     1.27     0.12   5.87   5.90   3.76   3.89  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88329  Path consult introp                               A   0.67   0.82     0.84     0.30     0.32     0.04   1.53   1.55   1.01   1.03  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88331  Path consult intraop 1 bloc                       A   1.19   1.48     1.52     1.48NA   1.52 NA  0.02   2.69   2.73   2.69   2.73  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88331TCPath consult intraop 1 bloc                       A   0.00   0.93     0.93     0.93NA   0.93 NA  0.01   0.94   0.94   0.94   0.94  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8833126Path consult intraop 1 bloc                       A   1.19   0.55     0.59     0.55     0.59     0.01   1.75   1.79   1.75   1.79  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88332  Path consult intraop addl                         A   0.59   0.58     0.59     0.58NA   0.59 NA  0.02   1.19   1.20   1.19   1.20  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88332TCPath consult intraop addl                         A   0.00   0.32     0.31     0.32NA   0.31 NA  0.01   0.33   0.32   0.33   0.32  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8833226Path consult intraop addl                         A   0.59   0.26     0.28     0.26     0.28     0.01   0.86   0.88   0.86   0.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88333  Intraop cyto path consult 1                       A   1.20   1.55     1.59     1.55NA   1.59 NA  0.05   2.80   2.84   2.80   2.84  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88333TCIntraop cyto path consult 1                       A   0.00   1.02     1.03     1.02NA   1.03 NA  0.01   1.03   1.04   1.03   1.04  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8833326Intraop cyto path consult 1                       A   1.20   0.53     0.56     0.53     0.56     0.04   1.77   1.80   1.77   1.80  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88334  Intraop cyto path consult 2                       A   0.73   0.96     1.00     0.96NA   1.00 NA  0.04   1.73   1.77   1.73   1.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88334TCIntraop cyto path consult 2                       A   0.00   0.64     0.65     0.64NA   0.65 NA  0.01   0.65   0.66   0.65   0.66  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8833426Intraop cyto path consult 2                       A   0.73   0.32     0.35     0.32     0.35     0.03   1.08   1.11   1.08   1.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88342  Immunohistochemistry                              A   0.85   2.17     2.11     2.17NA   2.11 NA  0.04   3.06   3.00   3.06   3.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88342TCImmunohistochemistry                              A   0.00   1.84     1.77     1.84NA   1.77 NA  0.01   1.85   1.78   1.85   1.78  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8834226Immunohistochemistry                              A   0.85   0.33     0.34     0.33     0.34     0.03   1.21   1.22   1.21   1.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88346  Immunofluorescent study                           A   0.86   2.12     2.02     2.12NA   2.02 NA  0.02   3.00   2.90   3.00   2.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88346TCImmunofluorescent study                           A   0.00   1.78     1.67     1.78NA   1.67 NA  0.01   1.79   1.68   1.79   1.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8834626Immunofluorescent study                           A   0.86   0.34     0.35     0.34     0.35     0.01   1.21   1.22   1.21   1.22  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88347  Immunofluorescent study                           A   0.86   1.39     1.27     1.39NA   1.27 NA  0.02   2.27   2.15   2.27   2.15  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88347TCImmunofluorescent study                           A   0.00   1.14     1.03     1.14NA   1.03 NA  0.01   1.15   1.04   1.15   1.04  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8834726Immunofluorescent study                           A   0.86   0.25     0.24     0.25     0.24     0.01   1.12   1.11   1.12   1.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88348  Electron microscopy                               A   1.51  18.41    17.88    18.41NA  17.88 NA  0.12  20.04  19.51  20.04  19.51  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88348TCElectron microscopy                               A   0.00  17.81    17.27    17.81NA  17.27 NA  0.08  17.89  17.35  17.89  17.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8834826Electron microscopy                               A   1.51   0.60     0.61     0.60     0.61     0.04   2.15   2.16   2.15   2.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88349  Scanning electron microscopy                      A   0.76   9.74    10.52     9.74NA  10.52 NA  0.07  10.57  11.35  10.57  11.35  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88349TCScanning electron microscopy                      A   0.00   9.39    10.14     9.39NA  10.14 NA  0.04   9.43  10.18   9.43  10.18  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8834926Scanning electron microscopy                      A   0.76   0.35     0.38     0.35     0.38     0.03   1.14   1.17   1.14   1.17  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88355  Analysis skeletal muscle                          A   1.85   4.38     3.22     4.38NA   3.22 NA  0.06   6.29   5.13   6.29   5.13  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88355TCAnalysis skeletal muscle                          A   0.00   3.82     2.68     3.82NA   2.68 NA  0.01   3.83   2.69   3.83   2.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8835526Analysis skeletal muscle                          A   1.85   0.56     0.54     0.56     0.54     0.05   2.46   2.44   2.46   2.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88356  Analysis nerve                                    A   3.02   5.13     4.49     5.13NA   4.49 NA  0.18   8.33   7.69   8.33   7.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88356TCAnalysis nerve                                    A   0.00   4.43     3.92     4.43NA   3.92 NA  0.04   4.47   3.96   4.47   3.96  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8835626Analysis nerve                                    A   3.02   0.70     0.57     0.70     0.57     0.14   3.86   3.73   3.86   3.73  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88358  Analysis tumor                                    A   0.95   1.21     1.16     1.21NA   1.16 NA  0.04   2.20   2.15   2.20   2.15  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88358TCAnalysis tumor                                    A   0.00   0.95     0.91     0.95NA   0.91 NA  0.01   0.96   0.92   0.96   0.92  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8835826Analysis tumor                                    A   0.95   0.26     0.25     0.26     0.25     0.03   1.24   1.23   1.24   1.23  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88360  Tumor immunohistochem/manual                      A   1.10   2.49     2.40     2.49NA   2.40 NA  0.04   3.63   3.54   3.63   3.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88360TCTumor immunohistochem/manual                      A   0.00   2.08     1.98     2.08NA   1.98 NA  0.01   2.09   1.99   2.09   1.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8836026Tumor immunohistochem/manual                      A   1.10   0.41     0.42     0.41     0.42     0.03   1.54   1.55   1.54   1.55  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88361  Tumor immunohistochem/comput                      A   1.18   3.23     3.01     3.23NA   3.01 NA  0.05   4.46   4.24   4.46   4.24  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88361TCTumor immunohistochem/comput                      A   0.00   2.81     2.57     2.81NA   2.57 NA  0.01   2.82   2.58   2.82   2.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8836126Tumor immunohistochem/comput                      A   1.18   0.42     0.44     0.42     0.44     0.04   1.64   1.66   1.64   1.66  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88362  Nerve teasing preparations                        A   2.17   6.00     6.03     6.00NA   6.03 NA  0.14   8.31   8.34   8.31   8.34  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88362TCNerve teasing preparations                        A   0.00   5.12     5.10     5.12NA   5.10 NA  0.04   5.16   5.14   5.16   5.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8836226Nerve teasing preparations                        A   2.17   0.88     0.93     0.88     0.93     0.10   3.15   3.20   3.15   3.20  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88363  Xm archive tissue molec anal                      A   0.37   0.72     0.72     0.10     0.10     0.03   1.12   1.12   0.50   0.50  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88365  Insitu hybridization (fish)                       A   1.20   3.63     3.56     3.63NA   3.56 NA  0.04   4.87   4.80   4.87   4.80  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88365TCInsitu hybridization (fish)                       A   0.00   3.18     3.09     3.18NA   3.09 NA  0.01   3.19   3.10   3.19   3.10  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8836526Insitu hybridization (fish)                       A   1.20   0.45     0.47     0.45     0.47     0.03   1.68   1.70   1.68   1.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88367  Insitu hybridization auto                         A   1.30   6.18     6.06     6.18NA   6.06 NA  0.06   7.54   7.42   7.54   7.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88367TCInsitu hybridization auto                         A   0.00   5.74     5.61     5.74NA   5.61 NA  0.01   5.75   5.62   5.75   5.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8836726Insitu hybridization auto                         A   1.30   0.44     0.45     0.44     0.45     0.05   1.79   1.80   1.79   1.80  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88368  Insitu hybridization manual                       A   1.40   5.02     4.81     5.02NA   4.81 NA  0.05   6.47   6.26   6.47   6.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88368TCInsitu hybridization manual                       A   0.00   4.63     4.45     4.63NA   4.45 NA  0.01   4.64   4.46   4.64   4.46  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8836826Insitu hybridization manual                       A   1.40   0.39     0.36     0.39     0.36     0.04   1.83   1.80   1.83   1.80  1XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8837126Protein western blot tissue                       A   0.37   0.16     0.18     0.16     0.18     0.03   0.56   0.58   0.56   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8837226Protein analysis w/probe                          A   0.37   0.17     0.18     0.17     0.18     0.03   0.57   0.58   0.57   0.58  6XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88380  Microdissection laser                             A   1.56   3.54     2.60     3.54NA   2.60 NA  0.05   5.15   4.21   5.15   4.21  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88380TCMicrodissection laser                             A   0.00   3.01     2.15     3.01NA   2.15 NA  0.01   3.02   2.16   3.02   2.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8838026Microdissection laser                             A   1.56   0.53     0.45     0.53     0.45     0.04   2.13   2.05   2.13   2.05  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88381  Microdissection manual                            A   1.18   4.20     2.80     4.20NA   2.80 NA  0.04   5.42   4.02   5.42   4.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88381TCMicrodissection manual                            A   0.00   3.84     2.55     3.84NA   2.55 NA  0.01   3.85   2.56   3.85   2.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8838126Microdissection manual                            A   1.18   0.36     0.25     0.36     0.25     0.03   1.57   1.46   1.57   1.46  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88385  Eval molecul probes 51-250                        A   1.50  15.33    15.08    15.33NA  15.08 NA  0.07  16.90  16.65  16.90  16.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88385TCEval molecul probes 51-250                        A   0.00  14.94    14.71    14.94NA  14.71 NA  0.03  14.97  14.74  14.97  14.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8838526Eval molecul probes 51-250                        A   1.50   0.39     0.37     0.39     0.37     0.04   1.93   1.91   1.93   1.91  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88386  Eval molecul probes 251-500                       A   1.88  16.89    13.86    16.89NA  13.86 NA  0.08  18.85  15.82  18.85  15.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88386TCEval molecul probes 251-500                       A   0.00  16.28    13.51    16.28NA  13.51 NA  0.03  16.31  13.54  16.31  13.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8838626Eval molecul probes 251-500                       A   1.88   0.61     0.35     0.61     0.35     0.05   2.54   2.28   2.54   2.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88387  Tiss exam molecular study                         A   0.62   0.55     0.55     0.55NA   0.55 NA  0.02   1.19   1.19   1.19   1.19  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88387TCTiss exam molecular study                         A   0.00   0.25     0.25     0.25NA   0.25 NA  0.01   0.26   0.26   0.26   0.26  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8838726Tiss exam molecular study                         A   0.62   0.30     0.30     0.30     0.30     0.01   0.93   0.93   0.93   0.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88388  Tiss ex molecul study add-on                      A   0.45   0.22     0.22     0.22NA   0.22 NA  0.02   0.69   0.69   0.69   0.69  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
88388TCTiss ex molecul study add-on                      A   0.00   0.12     0.12     0.12NA   0.12 NA  0.01   0.13   0.13   0.13   0.13  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
8838826Tiss ex molecul study add-on                      A   0.45   0.10     0.10     0.10     0.10     0.01   0.56   0.56   0.56   0.56  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
88720  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             33.9764 090 99      0.00   0.00   0.00
88738  Hgb quant transcutaneous                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
88740  Transcutaneous carboxyhb                          X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
88741  Transcutaneous methb                              X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
88749  In vivo lab 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             33.9764 090 99      0.00   0.00   0.00
89049  Chct for mal hyperthermia                         A   1.40   6.00     5.80     0.45     0.40     0.10   7.50   7.30   1.95   1.90  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
8906026Exam synovial fluid crystals                      A   0.37   0.17     0.18     0.17     0.18     0.03   0.57   0.58   0.57   0.58  6XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
89220  Sputum specimen collection                        A   0.00   0.46     0.44     0.46NA   0.44 NA  0.01   0.47   0.45   0.47   0.45  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
89230  Collect sweat for test                            A   0.00   0.08     0.06     0.08NA   0.06 NA  0.01   0.09   0.07   0.09   0.07  3XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
89398  Unlisted reprod med lab proc                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90378  Rsv mab im 50mg                                   X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90460  Imadm any route 1st vac/tox                       A   0.17   0.50     0.50     0.50NA   0.50 NA  0.01   0.68   0.68   0.68   0.68  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90461  Inadm any route addl vac/tox                      A   0.15   0.18     0.20     0.18NA   0.20 NA  0.01   0.34   0.36   0.34   0.36  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90470  Immune admin H1N1 im/nasal                        I+  0.20   0.39     0.39     0.39NA   0.39 NA  0.01   0.60   0.60   0.60   0.60  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
90471  Immunization admin                                A   0.17   0.50     0.50     0.50NA   0.50 NA  0.01   0.68   0.68   0.68   0.68  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90472  Immunization admin each add                       A   0.15   0.18     0.20     0.18NA   0.20 NA  0.01   0.34   0.36   0.34   0.36  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90473  Immune admin oral/nasal                           R   0.17   0.50     0.50     0.50NA   0.50 NA  0.01   0.68   0.68   0.68   0.68  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90474  Immune admin oral/nasal addl                      R   0.15   0.18     0.20     0.18NA   0.20 NA  0.01   0.34   0.36   0.34   0.36  0ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90644  Meningoccl hib vac 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90649  Hpv vaccine 4 valent 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             33.9764 090 99      0.00   0.00   0.00
90650  Hpv vaccine 2 valent 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             33.9764 090 99      0.00   0.00   0.00
90654  Flu vaccine no preserv, ID                        X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90658  Flu vaccine 3 yrs & > 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90663  Flu vacc pandemic H1N1                            X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
90664  Flu vacc pandemic intranasal                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90666  Flu vac pandem prsrv free im                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
90667  Flu vac pandemic adjuvant 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             33.9764 090 99      0.00   0.00   0.00
90668  Flu vac pandemic splt 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             33.9764 090 99      0.00   0.00   0.00
90669  Pneumococcal vacc 7 val 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             33.9764 090 99      0.00   0.00   0.00
90670  Pneumococcal vacc 13 val 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90681  Rotavirus vacc 2 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90696  Dtap-ipv vacc 4-6 yr 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90738  Inactivated je vacc im                            I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90801  Psy dx interview                                  A   2.80   1.62     1.55     0.72     0.60     0.11   4.53   4.46   3.63   3.51  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90802  Intac psy dx interview                            A   3.01   1.79     1.82     0.84     0.78     0.12   4.92   4.95   3.97   3.91  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90804  Psytx office 20-30 min                            A   1.21   0.61     0.56     0.25     0.18     0.04   1.86   1.81   1.50   1.43  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90805  Psytx off 20-30 min w/e&m                         A   1.37   0.70     0.70     0.32     0.28     0.05   2.12   2.12   1.74   1.70  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90806  Psytx off 45-50 min                               A   1.86   0.57     0.46     0.37     0.25     0.07   2.50   2.39   2.30   2.18  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90807  Psytx off 45-50 min w/e&m                         A   2.02   0.84     0.83     0.47     0.41     0.08   2.94   2.93   2.57   2.51  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90808  Psytx office 75-80 min                            A   2.79   0.79     0.63     0.59     0.43     0.10   3.68   3.52   3.48   3.32  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90809  Psytx off 75-80 w/e&m                             A   2.95   1.06     1.02     0.71     0.64     0.12   4.13   4.09   3.78   3.71  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90810  Intac psytx off 20-30 min                         A   1.32   0.55     0.47     0.27     0.21     0.05   1.92   1.84   1.64   1.58  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90811  Intac psytx 20-30 w/e&m                           A   1.48   0.84     0.86     0.36     0.32     0.07   2.39   2.41   1.91   1.87  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90812  Intac psytx off 45-50 min                         A   1.97   0.70     0.57     0.39     0.26     0.07   2.74   2.61   2.43   2.30  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90813  Intac psytx 45-50 min w/e&m                       A   2.13   0.98     0.97     0.50     0.43     0.08   3.19   3.18   2.71   2.64  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90814  Intac psytx off 75-80 min                         A   2.90   0.94     0.73     0.62     0.38     0.11   3.95   3.74   3.63   3.39  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90815  Intac psytx 75-80 w/e&m                           A   3.06   1.29     1.35     0.81     0.82     0.14   4.49   4.55   4.01   4.02  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90816  Psytx hosp 20-30 min                              A   1.25   0.26     0.26     0.35     0.26     0.04   1.55   1.55   1.64   1.55  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90817  Psytx hosp 20-30 min w/e&m                        A   1.41   0.41     0.41     0.44     0.41     0.05   1.87   1.87   1.90   1.87  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90818  Psytx hosp 45-50 min                              A   1.89   0.34     0.34     0.48     0.34     0.07   2.30   2.30   2.44   2.30  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90819  Psytx hosp 45-50 min w/e&m                        A   2.05   0.55     0.55     0.59     0.55     0.08   2.68   2.68   2.72   2.68  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90821  Psytx hosp 75-80 min                              A   2.83   0.48     0.48     0.67     0.48     0.10   3.41   3.41   3.60   3.41  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90822  Psytx hosp 75-80 min w/e&m                        A   2.99   0.74     0.74     0.81     0.74     0.12   3.85   3.85   3.92   3.85  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90823  Intac psytx hosp 20-30 min                        A   1.36   0.29     0.29     0.37     0.29     0.04   1.69   1.69   1.77   1.69  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90824  Intac psytx hsp 20-30 w/e&m                       A   1.52   0.43     0.43     0.47     0.43     0.07   2.02   2.02   2.06   2.02  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90826  Intac psytx hosp 45-50 min                        A   2.01   0.38     0.38     0.51     0.38     0.07   2.46   2.46   2.59   2.46  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90827  Intac psytx hsp 45-50 w/e&m                       A   2.16   0.56     0.56     0.61     0.56     0.08   2.80   2.80   2.85   2.80  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90828  Intac psytx hosp 75-80 min                        A   2.94   0.51     0.51     0.71     0.51     0.10   3.55   3.55   3.75   3.55  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90829  Intac psytx hsp 75-80 w/e&m                       A   3.10   0.75     0.75     0.83     0.75     0.12   3.97   3.97   4.05   3.97  0XXX.00.00.0000000             33.9764 092 99      0.00   0.00   0.00
90845  Psychoanalysis                                    A   1.79   0.48     0.43     0.41     0.35     0.07   2.34   2.29   2.27   2.21  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90846  Family psytx w/o patient                          R   1.83   0.58     0.49     0.50     0.40     0.07   2.48   2.39   2.40   2.30  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90847  Family psytx w/patient                            R   2.21   0.80     0.70     0.56     0.43     0.08   3.09   2.99   2.85   2.72  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90849  Multiple family group psytx                       R   0.59   0.38     0.38     0.25     0.22     0.03   1.00   1.00   0.87   0.84  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90853  Group psychotherapy                               A   0.59   0.32     0.32     0.25     0.25     0.03   0.94   0.94   0.87   0.87  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90857  Intac group psytx                                 A   0.63   0.42     0.44     0.28     0.30     0.03   1.08   1.10   0.94   0.96  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90862  Medication management                             A   0.95   0.71     0.73     0.33     0.32     0.04   1.70   1.72   1.32   1.31  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90865  Narcosynthesis                                    A   2.84   1.69     1.76     0.79     0.70     0.11   4.64   4.71   3.74   3.65  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90867  Tcranial magn stim tx plan                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90868  Tcranial magn stim tx deli                        C   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  0YYY.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90870  Electroconvulsive therapy                         A   2.50   2.30     2.32     0.56     0.57     0.11   4.91   4.93   3.17   3.18  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90875  Psychophysiological therapy                       N+  1.20   0.86     0.83     0.52     0.53     0.08   2.14   2.11   1.80   1.81  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
90876  Psychophysiological therapy                       N+  1.90   1.15     1.12     0.82     0.83     0.12   3.17   3.14   2.84   2.85  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
90880  Hypnotherapy                                      A   2.19   0.69     0.52     0.47     0.36     0.08   2.96   2.79   2.74   2.63  0XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90885  Psy evaluation of records                         B+  0.97   0.42     0.43     0.42     0.43     0.07   1.46   1.47   1.46   1.47  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
90887  Consultation with family                          B+  1.48   0.98     0.98     0.64     0.65     0.10   2.56   2.56   2.22   2.23  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90901  Biofeedback train any meth                        A   0.41   0.66     0.70     0.17     0.19     0.01   1.08   1.12   0.59   0.61  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90911  Biofeedback peri/uro/rectal                       A   0.89   1.61     1.47     0.38     0.37     0.07   2.57   2.43   1.34   1.33  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90935  Hemodialysis one evaluation                       A   1.48   0.64NA   0.57NA   0.64     0.57     0.08   2.20   2.13   2.20   2.13  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90937  Hemodialysis repeated eval                        A   2.11   0.92NA   0.82NA   0.92     0.82     0.11   3.14   3.04   3.14   3.04  0000.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90945  Dialysis one evaluation                           A   1.56   0.79NA   0.86NA   0.79     0.86     0.08   2.43   2.50   2.43   2.50  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90947  Dialysis repeated eval                            A   2.52   1.01NA   0.97NA   1.01     0.97     0.15   3.68   3.64   3.68   3.64  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90951  Esrd serv 4 visits p mo <2                        A  18.46   8.64     8.00     8.64     8.00     1.02  28.12  27.48  28.12  27.48  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90952  Esrd serv 2-3 vsts p mo <2                        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             33.9764 090 99      0.00   0.00   0.00
90953  Esrd serv 1 visit p mo <2                         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             33.9764 090 99      0.00   0.00   0.00
90954  Esrd serv 4 vsts p mo 2-11                        A  15.98   6.71     6.92     6.71     6.92     0.90  23.59  23.80  23.59  23.80  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90955  Esrd srv 2-3 vsts p mo 2-11                       A   8.79   4.05     4.07     4.05     4.07     0.49  13.33  13.35  13.33  13.35  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90956  Esrd srv 1 visit p mo 2-11                        A   5.95   2.86     2.97     2.86     2.97     0.34   9.15   9.26   9.15   9.26  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90957  Esrd srv 4 vsts p mo 12-19                        A  12.52   5.63     5.60     5.63     5.60     0.72  18.87  18.84  18.87  18.84  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90958  Esrd srv 2-3 vsts p mo 12-19                      A   8.34   3.96     3.97     3.96     3.97     0.48  12.78  12.79  12.78  12.79  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90959  Esrd serv 1 vst p mo 12-19                        A   5.50   2.70     2.83     2.70     2.83     0.31   8.51   8.64   8.51   8.64  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90960  Esrd srv 4 visits p mo 20+                        A   5.18   2.90     2.79     2.90     2.79     0.31   8.39   8.28   8.39   8.28  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90961  Esrd srv 2-3 vsts p mo 20+                        A   4.26   2.38     2.44     2.38     2.44     0.26   6.90   6.96   6.90   6.96  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90962  Esrd serv 1 visit p mo 20+                        A   3.15   1.81     2.01     1.81     2.01     0.20   5.16   5.36   5.16   5.36  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90963  Esrd home pt serv p mo <2                         A  10.56   4.91     4.76     4.91     4.76     0.60  16.07  15.92  16.07  15.92  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90964  Esrd home pt serv p mo 2-11                       A   9.14   3.99     4.21     3.99     4.21     0.52  13.65  13.87  13.65  13.87  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90965  Esrd home pt serv p mo 12-19                      A   8.69   3.83     4.04     3.83     4.04     0.49  13.01  13.22  13.01  13.22  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90966  Esrd home pt serv p mo 20+                        A   4.26   2.34     2.43     2.34     2.43     0.26   6.86   6.95   6.86   6.95  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90967  Esrd home pt serv p day <2                        A   0.35   0.19     0.16     0.19     0.16     0.01   0.55   0.52   0.55   0.52  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90968  Esrd home pt srv p day 2-11                       A   0.30   0.14     0.14     0.14     0.14     0.01   0.45   0.45   0.45   0.45  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90969  Esrd home pt srv p day 12-19                      A   0.29   0.14     0.14     0.14     0.14     0.01   0.44   0.44   0.44   0.44  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
90970  Esrd home pt serv p day 20+                       A   0.14   0.08     0.08     0.08     0.08     0.01   0.23   0.23   0.23   0.23  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
90997  Hemoperfusion                                     A   1.84   0.68NA   0.68NA   0.68     0.68     0.10   2.62   2.62   2.62   2.62  0000.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
91010  Esophagus motility study                          A   1.28   4.16     3.72     4.16NA   3.72 NA  0.08   5.52   5.08   5.52   5.08  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91010TCEsophagus motility study                          A   0.00   3.48     3.03     3.48NA   3.03 NA  0.01   3.49   3.04   3.49   3.04  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9101026Esophagus motility study                          A   1.28   0.68     0.69     0.68     0.69     0.07   2.03   2.04   2.03   2.04  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91013  Esophgl motil w/stim/perfus                       A   0.18   0.48     0.48     0.48NA   0.48 NA  0.02   0.68   0.68   0.68   0.68  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91013TCEsophgl motil w/stim/perfus                       A   0.00   0.38     0.38     0.38NA   0.38 NA  0.01   0.39   0.39   0.39   0.39  1ZZZ.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9101326Esophgl motil w/stim/perfus                       A   0.18   0.10     0.10     0.10     0.10     0.01   0.29   0.29   0.29   0.29  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91020  Gastric motility studies                          A   1.44   5.46     5.22     5.46NA   5.22 NA  0.08   6.98   6.74   6.98   6.74  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91020TCGastric motility studies                          A   0.00   4.70     4.44     4.70NA   4.44 NA  0.01   4.71   4.45   4.71   4.45  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9102026Gastric motility studies                          A   1.44   0.76     0.78     0.76     0.78     0.07   2.27   2.29   2.27   2.29  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91022  Duodenal motility study                           A   1.44   3.89     3.45     3.89NA   3.45 NA  0.06   5.39   4.95   5.39   4.95  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91022TCDuodenal motility study                           A   0.00   3.08     2.65     3.08NA   2.65 NA  0.01   3.09   2.66   3.09   2.66  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9102226Duodenal motility study                           A   1.44   0.81     0.80     0.81     0.80     0.05   2.30   2.29   2.30   2.29  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91030  Acid perfusion of esophagus                       A   0.91   3.19     3.01     3.19NA   3.01 NA  0.05   4.15   3.97   4.15   3.97  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91030TCAcid perfusion of esophagus                       A   0.00   2.68     2.50     2.68NA   2.50 NA  0.01   2.69   2.51   2.69   2.51  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9103026Acid perfusion of esophagus                       A   0.91   0.51     0.51     0.51     0.51     0.04   1.46   1.46   1.46   1.46  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91034  Gastroesophageal reflux test                      A   0.97   4.80     4.37     4.80NA   4.37 NA  0.05   5.82   5.39   5.82   5.39  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91034TCGastroesophageal reflux test                      A   0.00   4.29     3.85     4.29NA   3.85 NA  0.01   4.30   3.86   4.30   3.86  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9103426Gastroesophageal reflux test                      A   0.97   0.51     0.52     0.51     0.52     0.04   1.52   1.53   1.52   1.53  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91035  G-esoph reflx tst w/electrod                      A   1.59  12.65    11.97    12.65NA  11.97 NA  0.08  14.32  13.64  14.32  13.64  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91035TCG-esoph reflx tst w/electrod                      A   0.00  11.80    11.11    11.80NA  11.11 NA  0.01  11.81  11.12  11.81  11.12  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9103526G-esoph reflx tst w/electrod                      A   1.59   0.85     0.86     0.85     0.86     0.07   2.51   2.52   2.51   2.52  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91037  Esoph imped function test                         A   0.97   3.77     3.58     3.77NA   3.58 NA  0.08   4.82   4.63   4.82   4.63  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91037TCEsoph imped function test                         A   0.00   3.24     3.06     3.24NA   3.06 NA  0.01   3.25   3.07   3.25   3.07  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9103726Esoph imped function test                         A   0.97   0.53     0.52     0.53     0.52     0.07   1.57   1.56   1.57   1.56  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91038  Esoph imped funct test > 1h                       A   1.10   7.64    11.95     7.64NA  11.95 NA  0.06   8.80  13.11   8.80  13.11  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91038TCEsoph imped funct test > 1h                       A   0.00   7.04    11.35     7.04NA  11.35 NA  0.01   7.05  11.36   7.05  11.36  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9103826Esoph imped funct test > 1h                       A   1.10   0.60     0.60     0.60     0.60     0.05   1.75   1.75   1.75   1.75  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91040  Esoph balloon distension tst                      A   0.97   9.08     7.06     9.08NA   7.06 NA  0.04  10.09   8.07  10.09   8.07  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91040TCEsoph balloon distension tst                      A   0.00   8.61     6.68     8.61NA   6.68 NA  0.01   8.62   6.69   8.62   6.69  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9104026Esoph balloon distension tst                      A   0.97   0.47     0.38     0.47     0.38     0.03   1.47   1.38   1.47   1.38  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91065  Breath hydrogen test                              A   0.20   2.12     2.35     2.12NA   2.35 NA  0.02   2.34   2.57   2.34   2.57  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91065TCBreath hydrogen test                              A   0.00   2.02     2.24     2.02NA   2.24 NA  0.01   2.03   2.25   2.03   2.25  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9106526Breath hydrogen test                              A   0.20   0.10     0.11     0.10     0.11     0.01   0.31   0.32   0.31   0.32  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91110  Gi tract capsule endoscopy                        A   3.64  23.27    21.52    23.27NA  21.52 NA  0.17  27.08  25.33  27.08  25.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91110TCGi tract capsule endoscopy                        A   0.00  21.27    19.51    21.27NA  19.51 NA  0.01  21.28  19.52  21.28  19.52  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
9111026Gi tract capsule endoscopy                        A   3.64   2.00     2.01     2.00     2.01     0.16   5.80   5.81   5.80   5.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91111  Esophageal capsule endoscopy                      A   1.00  20.63    19.37    20.63NA  19.37 NA  0.05  21.68  20.42  21.68  20.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91111TCEsophageal capsule endoscopy                      A   0.00  20.07    18.82    20.07NA  18.82 NA  0.01  20.08  18.83  20.08  18.83  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
9111126Esophageal capsule endoscopy                      A   1.00   0.56     0.55     0.56     0.55     0.04   1.60   1.59   1.60   1.59  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91117  Colon motility 6 hr study                         A   2.45   1.36     1.36     1.63     1.63     0.38   4.19   4.19   4.46   4.46  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91120  Rectal sensation test                             A   0.97  10.27     9.06    10.27NA   9.06 NA  0.09  11.33  10.12  11.33  10.12  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91120TCRectal sensation test                             A   0.00   9.85     8.62     9.85NA   8.62 NA  0.01   9.86   8.63   9.86   8.63  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9112026Rectal sensation test                             A   0.97   0.42     0.44     0.42     0.44     0.08   1.47   1.49   1.47   1.49  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91122  Anal pressure record                              A   1.77   4.85     4.43     4.85NA   4.43 NA  0.11   6.73   6.31   6.73   6.31  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91122TCAnal pressure record                              A   0.00   4.08     3.65     4.08NA   3.65 NA  0.01   4.09   3.66   4.09   3.66  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9112226Anal pressure record                              A   1.77   0.77     0.78     0.77     0.78     0.10   2.64   2.65   2.64   2.65  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91132  Electrogastrography                               A   0.52   3.60     3.59     3.60NA   3.59 NA  0.04   4.16   4.15   4.16   4.15  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
91132TCElectrogastrography                               A   0.00   3.32     3.32     3.32NA   3.32 NA  0.01   3.33   3.33   3.33   3.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
9113226Electrogastrography                               A   0.52   0.28     0.27     0.28     0.27     0.03   0.83   0.82   0.83   0.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91133  Electrogastrography w/test                        A   0.66   4.37     4.37     4.37NA   4.37 NA  0.05   5.08   5.08   5.08   5.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
91133TCElectrogastrography w/test                        A   0.00   4.00     4.00     4.00NA   4.00 NA  0.01   4.01   4.01   4.01   4.01  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9113326Electrogastrography w/test                        A   0.66   0.37     0.37     0.37     0.37     0.04   1.07   1.07   1.07   1.07  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
92002  Eye exam new patient                              A   0.88   1.27     1.36     0.43     0.49     0.07   2.22   2.31   1.38   1.44  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92004  Eye exam new patient                              A   1.82   2.18     2.36     0.91     1.05     0.12   4.12   4.30   2.85   2.99  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92012  Eye exam established pat                          A   0.92   1.36     1.47     0.50     0.60     0.07   2.35   2.46   1.49   1.59  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92014  Eye exam & treatment                              A   1.42   1.89     2.06     0.75     0.89     0.10   3.41   3.58   2.27   2.41  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92015  Refraction                                        N+  0.38   0.38     0.18     0.16     0.17     0.03   0.79   0.59   0.57   0.58  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92018  New eye exam & treatment                          A   2.50   1.42NA   1.65NA   1.42     1.65     0.16   4.08   4.31   4.08   4.31  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92019  Eye exam & treatment                              A   1.31   0.59NA   0.67NA   0.59     0.67     0.07   1.97   2.05   1.97   2.05  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92020  Special eye evaluation                            A   0.37   0.37     0.40     0.21     0.24     0.03   0.77   0.80   0.61   0.64  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92025  Corneal topography                                A   0.35   0.66     0.71     0.66NA   0.71 NA  0.02   1.03   1.08   1.03   1.08  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92025TCCorneal topography                                A   0.00   0.46     0.48     0.46NA   0.48 NA  0.01   0.47   0.49   0.47   0.49  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
9202526Corneal topography                                A   0.35   0.20     0.23     0.20     0.23     0.01   0.56   0.59   0.56   0.59  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92060  Special eye evaluation                            A   0.69   1.05     1.13     1.05NA   1.13 NA  0.04   1.78   1.86   1.78   1.86  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92060TCSpecial eye evaluation                            A   0.00   0.67     0.70     0.67NA   0.70 NA  0.01   0.68   0.71   0.68   0.71  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9206026Special eye evaluation                            A   0.69   0.38     0.43     0.38     0.43     0.03   1.10   1.15   1.10   1.15  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92065  Orthoptic/pleoptic training                       A   0.37   1.04     1.13     1.04NA   1.13 NA  0.02   1.43   1.52   1.43   1.52  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92065TCOrthoptic/pleoptic training                       A   0.00   0.90     0.98     0.90NA   0.98 NA  0.01   0.91   0.99   0.91   0.99  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9206526Orthoptic/pleoptic training                       A   0.37   0.14     0.15     0.14     0.15     0.01   0.52   0.53   0.52   0.53  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92070  Fitting of contact lens                           A   0.70   1.23     1.29     0.37     0.43     0.04   1.97   2.03   1.11   1.17  0XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
92081  Visual field examination(s)                       A   0.30   1.09     1.02     1.09NA   1.02 NA  0.04   1.43   1.36   1.43   1.36  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92081TCVisual field examination(s)                       A   0.00   0.93     0.85     0.93NA   0.85 NA  0.01   0.94   0.86   0.94   0.86  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9208126Visual field examination(s)                       A   0.30   0.16     0.17     0.16     0.17     0.03   0.49   0.50   0.49   0.50  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92082  Visual field examination(s)                       A   0.40   1.54     1.50     1.54NA   1.50 NA  0.05   1.99   1.95   1.99   1.95  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92082TCVisual field examination(s)                       A   0.00   1.33     1.27     1.33NA   1.27 NA  0.01   1.34   1.28   1.34   1.28  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9208226Visual field examination(s)                       A   0.40   0.21     0.23     0.21     0.23     0.04   0.65   0.67   0.65   0.67  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92083  Visual field examination(s)                       A   0.50   1.94     2.05     1.94NA   2.05 NA  0.04   2.48   2.59   2.48   2.59  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92083TCVisual field examination(s)                       A   0.00   1.66     1.73     1.66NA   1.73 NA  0.01   1.67   1.74   1.67   1.74  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9208326Visual field examination(s)                       A   0.50   0.28     0.32     0.28     0.32     0.03   0.81   0.85   0.81   0.85  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92100  Serial tonometry exam(s)                          A   0.92   1.70     1.81     0.47     0.55     0.05   2.67   2.78   1.44   1.52  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92120  Tonography & eye evaluation                       A   0.81   1.32     1.40     0.41     0.47     0.05   2.18   2.26   1.27   1.33  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92130  Water provocation tonography                      A   0.81   1.57     1.66     0.45     0.51     0.04   2.42   2.51   1.30   1.36  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92132  Cmptr ophth dx img ant segmt                      A   0.35   0.68     0.68     0.68NA   0.68 NA  0.04   1.07   1.07   1.07   1.07  1XXX.00.00.0002000             33.9764 090 99      1.44   1.44   0.06
92132TCCmptr ophth dx img ant segmt                      A   0.00   0.44     0.44     0.44NA   0.44 NA  0.01   0.45   0.45   0.45   0.45  1XXX.00.00.0002000             33.9764 010 99      1.20   1.20   0.03
9213226Cmptr ophth dx img ant segmt                      A   0.35   0.24     0.24     0.24     0.24     0.03   0.62   0.62   0.62   0.62  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92133  Cmptr ophth img optic nerve                       A   0.50   0.77     0.77     0.77NA   0.77 NA  0.04   1.31   1.31   1.31   1.31  1XXX.00.00.0002000             33.9764 090 99      1.53   1.53   0.06
92133TCCmptr ophth img optic nerve                       A   0.00   0.44     0.44     0.44NA   0.44 NA  0.01   0.45   0.45   0.45   0.45  1XXX.00.00.0002000             33.9764 010 99      1.20   1.20   0.03
9213326Cmptr ophth img optic nerve                       A   0.50   0.33     0.33     0.33     0.33     0.03   0.86   0.86   0.86   0.86  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92134  Cptr ophth dx img post segmt                      A   0.50   0.77     0.77     0.77NA   0.77 NA  0.04   1.31   1.31   1.31   1.31  1XXX.00.00.0002000             33.9764 090 99      1.53   1.53   0.06
92134TCCptr ophth dx img post segmt                      A   0.00   0.44     0.44     0.44NA   0.44 NA  0.01   0.45   0.45   0.45   0.45  1XXX.00.00.0002000             33.9764 010 99      1.20   1.20   0.03
9213426Cptr ophth dx img post segmt                      A   0.50   0.33     0.33     0.33     0.33     0.03   0.86   0.86   0.86   0.86  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92136  Ophthalmic biometry                               A   0.54   1.88     1.95     1.88NA   1.95 NA  0.02   2.44   2.51   2.44   2.51  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92136TCOphthalmic biometry                               A   0.00   1.56     1.57     1.56NA   1.57 NA  0.01   1.57   1.58   1.57   1.58  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
9213626Ophthalmic biometry                               A   0.54   0.32     0.38     0.32     0.38     0.01   0.87   0.93   0.87   0.93  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
92140  Glaucoma provocative tests                        A   0.50   1.20     1.26     0.24     0.28     0.03   1.73   1.79   0.77   0.81  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92225  Special eye exam initial                          A   0.38   0.34     0.39     0.21     0.24     0.03   0.75   0.80   0.62   0.65  0XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
92226  Special eye exam subsequent                       A   0.33   0.33     0.38     0.19     0.22     0.01   0.67   0.72   0.53   0.56  0XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
92227  Remote dx retinal imaging                         A   0.00   0.33     0.33     0.33NA   0.33 NA  0.01   0.34   0.34   0.34   0.34  9XXX.00.00.0002000             33.9764 090 99      0.53   0.53   0.02
92228  Remote retinal imaging mgmt                       A   0.30   0.56     0.56     0.56NA   0.56 NA  0.02   0.88   0.88   0.88   0.88  1XXX.00.00.0002000             33.9764 090 99      0.73   0.73   0.02
92228TCRemote retinal imaging mgmt                       A   0.00   0.36     0.36     0.36NA   0.36 NA  0.01   0.37   0.37   0.37   0.37  1XXX.00.00.0002000             33.9764 010 99      0.53   0.53   0.01
9222826Remote retinal imaging mgmt                       A   0.30   0.20     0.20     0.20     0.20     0.01   0.51   0.51   0.51   0.51  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92230  Eye exam with photos                              A   0.60   1.05     1.01     0.31     0.36     0.04   1.69   1.65   0.95   1.00  0XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
92235  Eye exam with photos                              A   0.81   2.99     3.09     2.99NA   3.09 NA  0.04   3.84   3.94   3.84   3.94  1XXX.00.00.0003000             33.9764 090 99      5.15   5.15   0.05
92235TCEye exam with photos                              A   0.00   2.50     2.52     2.50NA   2.52 NA  0.01   2.51   2.53   2.51   2.53  1XXX.00.00.0003000             33.9764 020 99      4.66   4.66   0.02
9223526Eye exam with photos                              A   0.81   0.49     0.57     0.49     0.57     0.03   1.33   1.41   1.33   1.41  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
92240  Icg angiography                                   A   1.10   5.87     5.85     5.87NA   5.85 NA  0.04   7.01   6.99   7.01   6.99  1XXX.00.00.0003000             33.9764 090 99      5.33   5.33   0.04
92240TCIcg angiography                                   A   0.00   5.21     5.08     5.21NA   5.08 NA  0.01   5.22   5.09   5.22   5.09  1XXX.00.00.0003000             33.9764 020 99      4.67   4.67   0.01
9224026Icg angiography                                   A   1.10   0.66     0.77     0.66     0.77     0.03   1.79   1.90   1.79   1.90  1XXX.00.00.0003000             33.9764 090 99      0.00   0.00   0.00
92250  Eye exam with photos                              A   0.44   1.70     1.73     1.70NA   1.73 NA  0.02   2.16   2.19   2.16   2.19  1XXX.00.00.0002000             33.9764 090 99      2.18   2.18   0.02
92250TCEye exam with photos                              A   0.00   1.47     1.47     1.47NA   1.47 NA  0.01   1.48   1.48   1.48   1.48  1XXX.00.00.0002000             33.9764 010 99      1.95   1.95   0.01
9225026Eye exam with photos                              A   0.44   0.23     0.26     0.23     0.26     0.01   0.68   0.71   0.68   0.71  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92260  Ophthalmoscopy/dynamometry                        A   0.20   0.31     0.33     0.11     0.13     0.01   0.52   0.54   0.32   0.34  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92265  Eye muscle evaluation                             A   0.81   1.47     1.58     1.47NA   1.58 NA  0.02   2.30   2.41   2.30   2.41  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92265TCEye muscle evaluation                             A   0.00   1.03     1.02     1.03NA   1.02 NA  0.01   1.04   1.03   1.04   1.03  1XXX.00.00.0002000             33.9764 030 99      0.00   0.00   0.00
9226526Eye muscle evaluation                             A   0.81   0.44     0.56     0.44     0.56     0.01   1.26   1.38   1.26   1.38  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92270  Electro-oculography                               A   0.81   1.72     1.73     1.72NA   1.73 NA  0.04   2.57   2.58   2.57   2.58  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
92270TCElectro-oculography                               A   0.00   1.36     1.34     1.36NA   1.34 NA  0.01   1.37   1.35   1.37   1.35  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9227026Electro-oculography                               A   0.81   0.36     0.39     0.36     0.39     0.03   1.20   1.23   1.20   1.23  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92275  Electroretinography                               A   1.01   3.11     3.38     3.11NA   3.38 NA  0.05   4.17   4.44   4.17   4.44  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
92275TCElectroretinography                               A   0.00   2.52     2.69     2.52NA   2.69 NA  0.01   2.53   2.70   2.53   2.70  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9227526Electroretinography                               A   1.01   0.59     0.69     0.59     0.69     0.04   1.64   1.74   1.64   1.74  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92283  Color vision examination                          A   0.17   1.24     1.31     1.24NA   1.31 NA  0.02   1.43   1.50   1.43   1.50  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92283TCColor vision examination                          A   0.00   1.16     1.22     1.16NA   1.22 NA  0.01   1.17   1.23   1.17   1.23  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9228326Color vision examination                          A   0.17   0.08     0.09     0.08     0.09     0.01   0.26   0.27   0.26   0.27  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92284  Dark adaptation eye exam                          A   0.24   1.48     1.40     1.48NA   1.40 NA  0.02   1.74   1.66   1.74   1.66  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92284TCDark adaptation eye exam                          A   0.00   1.38     1.29     1.38NA   1.29 NA  0.01   1.39   1.30   1.39   1.30  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9228426Dark adaptation eye exam                          A   0.24   0.10     0.11     0.10     0.11     0.01   0.35   0.36   0.35   0.36  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92285  Eye photography                                   A   0.05   0.75     0.49     0.75NA   0.49 NA  0.02   0.82   0.56   0.82   0.56  1XXX.00.00.0002000             33.9764 010 99      2.00   2.00   0.04
92285TCEye photography                                   A   0.00   0.69     0.46     0.69NA   0.46 NA  0.01   0.70   0.47   0.70   0.47  1XXX.00.00.0002000             33.9764 010 99      1.94   1.94   0.03
9228526Eye photography                                   A   0.05   0.06     0.03     0.06     0.03     0.01   0.12   0.09   0.12   0.09  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92286  Internal eye photography                          A   0.66   2.81     2.80     2.81NA   2.80 NA  0.02   3.49   3.48   3.49   3.48  1XXX.00.00.0002000             33.9764 010 99      5.02   5.02   0.03
92286TCInternal eye photography                          A   0.00   2.45     2.38     2.45NA   2.38 NA  0.01   2.46   2.39   2.46   2.39  1XXX.00.00.0002000             33.9764 010 99      4.66   4.66   0.02
9228626Internal eye photography                          A   0.66   0.36     0.42     0.36     0.42     0.01   1.03   1.09   1.03   1.09  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92287  Internal eye photography                          A   0.81   2.57     2.66     0.47     0.56     0.04   3.42   3.51   1.32   1.41  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92310  Contact lens fitting                              N+  1.17   1.50     1.49     0.51     0.51     0.08   2.75   2.74   1.76   1.76  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92311  Contact lens fitting                              A   1.08   1.67     1.81     0.49     0.56     0.08   2.83   2.97   1.65   1.72  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92312  Contact lens fitting                              A   1.26   1.90     2.10     0.57     0.64     0.05   3.21   3.41   1.88   1.95  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92313  Contact lens fitting                              A   0.92   1.81     1.99     0.49     0.58     0.05   2.78   2.96   1.46   1.55  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92314  Prescription of contact lens                      N+  0.69   1.50     1.51     0.30     0.30     0.04   2.23   2.24   1.03   1.03  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92315  Prescription of contact lens                      A   0.45   1.57     1.69     0.19     0.22     0.04   2.06   2.18   0.68   0.71  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92316  Prescription of contact lens                      A   0.68   2.04     2.31     0.39     0.48     0.04   2.76   3.03   1.11   1.20  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92317  Prescription of contact lens                      A   0.45   1.59     1.67     0.17     0.18     0.01   2.05   2.13   0.63   0.64  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92325  Modification of contact lens                      A   0.00   0.98     1.07     0.98NA   1.07 NA  0.01   0.99   1.08   0.99   1.08  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92326  Replacement of contact lens                       A   0.00   1.04     0.92     1.04NA   0.92 NA  0.01   1.05   0.93   1.05   0.93  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92340  Fitting of spectacles                             N+  0.37   0.64     0.60     0.16     0.16     0.03   1.04   1.00   0.56   0.56  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92341  Fitting of spectacles                             N+  0.47   0.69     0.65     0.20     0.21     0.03   1.19   1.15   0.70   0.71  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92342  Fitting of spectacles                             N+  0.53   0.72     0.67     0.23     0.23     0.04   1.29   1.24   0.80   0.80  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92352  Special spectacles fitting                        B+  0.37   0.78     0.75     0.16     0.16     0.03   1.18   1.15   0.56   0.56  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92353  Special spectacles fitting                        B+  0.50   0.83     0.81     0.21     0.22     0.03   1.36   1.34   0.74   0.75  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92354  Special spectacles fitting                        B+  0.00   1.66     0.35     1.66NA   0.35 NA  0.01   1.67   0.36   1.67   0.36  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92355  Special spectacles fitting                        B+  0.00   1.16     0.55     1.16NA   0.55 NA  0.01   1.17   0.56   1.17   0.56  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92358  Eye prosthesis service                            B+  0.00   0.41     0.29     0.41NA   0.29 NA  0.01   0.42   0.30   0.42   0.30  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92370  Repair & adjust spectacles                        N+  0.32   0.56     0.53     0.14     0.14     0.03   0.91   0.88   0.49   0.49  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92371  Repair & adjust spectacles                        B+  0.00   0.37     0.30     0.37NA   0.30 NA  0.01   0.38   0.31   0.38   0.31  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
92502  Ear and throat examination                        A   1.51   1.27NA   1.36NA   1.27     1.36     0.07   2.85   2.94   2.85   2.94  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92504  Ear microscopy examination                        A   0.18   0.70     0.70     0.10     0.10     0.01   0.89   0.89   0.29   0.29  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92506  Speech/hearing evaluation                         A   0.86   4.01     4.10     4.01NA   4.10 NA  0.05   4.92   5.01   4.92   5.01  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
92507  Speech/hearing therapy                            A   1.30   1.05     0.69     1.05NA   0.69 NA  0.07   2.42   2.06   2.42   2.06  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
92508  Speech/hearing therapy                            A   0.33   0.45     0.24     0.45NA   0.24 NA  0.01   0.79   0.58   0.79   0.58  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
92511  Nasopharyngoscopy                                 A   0.84   3.83     3.82     0.90     0.94     0.04   4.71   4.70   1.78   1.82  0XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
92512  Nasal function studies                            A   0.55   1.23     1.22     0.27     0.30     0.03   1.81   1.80   0.85   0.88  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92516  Facial nerve function test                        A   0.43   1.54     1.60     0.23     0.24     0.03   2.00   2.06   0.69   0.70  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92520  Laryngeal function studies                        A   0.75   1.20     1.37     0.42     0.48     0.04   1.99   2.16   1.21   1.27  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92526  Oral function therapy                             A   1.34   1.36     0.77     1.36NA   0.77 NA  0.07   2.77   2.18   2.77   2.18  7XXX.00.00.0050000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
92540  Basic vestibular evaluation                       A   1.50   1.31     1.31     1.31NA   1.31 NA  0.05   2.86   2.86   2.86   2.86  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92540TCBasic vestibular evaluation                       A   0.00   0.54     0.54     0.54NA   0.54 NA  0.01   0.55   0.55   0.55   0.55  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9254026Basic vestibular evaluation                       A   1.50   0.77     0.77     0.77     0.77     0.04   2.31   2.31   2.31   2.31  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92541  Spontaneous nystagmus test                        A   0.40   0.92     0.45     0.92NA   0.45 NA  0.02   1.34   0.87   1.34   0.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92541TCSpontaneous nystagmus test                        A   0.00   0.73     0.25     0.73NA   0.25 NA  0.01   0.74   0.26   0.74   0.26  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9254126Spontaneous nystagmus test                        A   0.40   0.19     0.20     0.19     0.20     0.01   0.60   0.61   0.60   0.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92542  Positional nystagmus test                         A   0.33   0.98     0.42     0.98NA   0.42 NA  0.02   1.33   0.77   1.33   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92542TCPositional nystagmus test                         A   0.00   0.82     0.25     0.82NA   0.25 NA  0.01   0.83   0.26   0.83   0.26  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9254226Positional nystagmus test                         A   0.33   0.16     0.17     0.16     0.17     0.01   0.50   0.51   0.50   0.51  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92543  Caloric vestibular test                           A   0.10   0.54     0.30     0.54NA   0.30 NA  0.02   0.66   0.42   0.66   0.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92543TCCaloric vestibular test                           A   0.00   0.49     0.25     0.49NA   0.25 NA  0.01   0.50   0.26   0.50   0.26  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9254326Caloric vestibular test                           A   0.10   0.05     0.05     0.05     0.05     0.01   0.16   0.16   0.16   0.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92544  Optokinetic nystagmus test                        A   0.26   0.81     0.37     0.81NA   0.37 NA  0.02   1.09   0.65   1.09   0.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92544TCOptokinetic nystagmus test                        A   0.00   0.69     0.24     0.69NA   0.24 NA  0.01   0.70   0.25   0.70   0.25  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9254426Optokinetic nystagmus test                        A   0.26   0.12     0.13     0.12     0.13     0.01   0.39   0.40   0.39   0.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92545  Oscillating tracking test                         A   0.23   0.77     0.35     0.77NA   0.35 NA  0.02   1.02   0.60   1.02   0.60  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92545TCOscillating tracking test                         A   0.00   0.66     0.23     0.66NA   0.23 NA  0.01   0.67   0.24   0.67   0.24  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9254526Oscillating tracking test                         A   0.23   0.11     0.12     0.11     0.12     0.01   0.35   0.36   0.35   0.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92546  Sinusoidal rotational test                        A   0.29   2.46     2.59     2.46NA   2.59 NA  0.02   2.77   2.90   2.77   2.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92546TCSinusoidal rotational test                        A   0.00   2.33     2.45     2.33NA   2.45 NA  0.01   2.34   2.46   2.34   2.46  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9254626Sinusoidal rotational test                        A   0.29   0.13     0.14     0.13     0.14     0.01   0.43   0.44   0.43   0.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92547  Supplemental electrical test                      A   0.00   0.14     0.15     0.14     0.15     0.01   0.15   0.16   0.15   0.16  3ZZZ.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
92548  Posturography                                     A   0.50   2.49     2.65     2.49NA   2.65 NA  0.02   3.01   3.17   3.01   3.17  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92548TCPosturography                                     A   0.00   2.25     2.39     2.25NA   2.39 NA  0.01   2.26   2.40   2.26   2.40  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9254826Posturography                                     A   0.50   0.24     0.26     0.24     0.26     0.01   0.75   0.77   0.75   0.77  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92550  Tympanometry & reflex thresh                      A   0.35   0.25     0.25     0.25NA   0.25 NA  0.01   0.61   0.61   0.61   0.61  7XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92551  Pure tone hearing test air                        N+  0.00   0.33     0.31     0.33NA   0.31 NA  0.01   0.34   0.32   0.34   0.32  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92552  Pure tone audiometry air                          A   0.00   0.74     0.81     0.74NA   0.81 NA  0.01   0.75   0.82   0.75   0.82  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92553  Audiometry air & bone                             A   0.00   0.94     0.98     0.94NA   0.98 NA  0.01   0.95   0.99   0.95   0.99  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92555  Speech threshold audiometry                       A   0.00   0.54     0.58     0.54NA   0.58 NA  0.01   0.55   0.59   0.55   0.59  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92556  Speech audiometry complete                        A   0.00   0.84     0.92     0.84NA   0.92 NA  0.01   0.85   0.93   0.85   0.93  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92557  Comprehensive hearing test                        A   0.60   0.56     0.46     0.44     0.33     0.03   1.19   1.09   1.07   0.96  7XXX.00.00.0002000             33.9764 020 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
92561  Bekesy audiometry diagnosis                       A   0.00   0.95     1.03     0.95NA   1.03 NA  0.01   0.96   1.04   0.96   1.04  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92562  Loudness balance test                             A   0.00   0.92     1.12     0.92NA   1.12 NA  0.01   0.93   1.13   0.93   1.13  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92563  Tone decay hearing test                           A   0.00   0.72     0.80     0.72NA   0.80 NA  0.01   0.73   0.81   0.73   0.81  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92564  Sisi hearing test                                 A   0.00   0.65     0.69     0.65NA   0.69 NA  0.01   0.66   0.70   0.66   0.70  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92565  Stenger test pure tone                            A   0.00   0.37     0.37     0.37NA   0.37 NA  0.01   0.38   0.38   0.38   0.38  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92567  Tympanometry                                      A   0.20   0.24     0.20     0.16     0.11     0.01   0.45   0.41   0.37   0.32  7XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92568  Acoustic refl threshold tst                       A   0.29   0.19     0.16     0.18     0.16     0.01   0.49   0.46   0.48   0.46  7XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92570  Acoustic immitance testing                        A   0.55   0.36     0.36     0.30     0.30     0.03   0.94   0.94   0.88   0.88  7XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92571  Filtered speech hearing test                      A   0.00   0.58     0.65     0.58NA   0.65 NA  0.01   0.59   0.66   0.59   0.66  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92572  Staggered spondaic word test                      A   0.00   0.92     1.27     0.92NA   1.27 NA  0.01   0.93   1.28   0.93   1.28  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92575  Sensorineural acuity test                         A   0.00   1.44     1.73     1.44NA   1.73 NA  0.01   1.45   1.74   1.45   1.74  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92576  Synthetic sentence test                           A   0.00   0.77     0.89     0.77NA   0.89 NA  0.01   0.78   0.90   0.78   0.90  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92577  Stenger test speech                               A   0.00   0.47     0.44     0.47NA   0.44 NA  0.01   0.48   0.45   0.48   0.45  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92579  Visual audiometry (vra)                           A   0.70   0.55     0.56     0.43     0.41     0.03   1.28   1.29   1.16   1.14  7XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92582  Conditioning play audiometry                      A   0.00   1.50     1.69     1.50NA   1.69 NA  0.01   1.51   1.70   1.51   1.70  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92583  Select picture audiometry                         A   0.00   1.04     1.06     1.04NA   1.06 NA  0.01   1.05   1.07   1.05   1.07  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92584  Electrocochleography                              A   0.00   1.95     1.88     1.95NA   1.88 NA  0.01   1.96   1.89   1.96   1.89  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92585  Auditor evoke potent compre                       A   0.50   2.81     3.06     2.81NA   3.06 NA  0.02   3.33   3.58   3.33   3.58  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92585TCAuditor evoke potent compre                       A   0.00   2.57     2.79     2.57NA   2.79 NA  0.01   2.58   2.80   2.58   2.80  1XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
9258526Auditor evoke potent compre                       A   0.50   0.24     0.27     0.24     0.27     0.01   0.75   0.78   0.75   0.78  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92586  Auditor evoke potent limit                        A   0.00   2.06     2.20     2.06NA   2.20 NA  0.01   2.07   2.21   2.07   2.21  3XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92587  Evoked auditory test                              A   0.13   0.94     0.87     0.94NA   0.87 NA  0.02   1.09   1.02   1.09   1.02  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92587TCEvoked auditory test                              A   0.00   0.87     0.80     0.87NA   0.80 NA  0.01   0.88   0.81   0.88   0.81  1XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
9258726Evoked auditory test                              A   0.13   0.07     0.07     0.07     0.07     0.01   0.21   0.21   0.21   0.21  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92588  Evoked auditory test                              A   0.36   1.57     1.62     1.57NA   1.62 NA  0.02   1.95   2.00   1.95   2.00  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92588TCEvoked auditory test                              A   0.00   1.39     1.42     1.39NA   1.42 NA  0.01   1.40   1.43   1.40   1.43  1XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
9258826Evoked auditory test                              A   0.36   0.18     0.20     0.18     0.20     0.01   0.55   0.57   0.55   0.57  1XXX.00.00.0002000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
92596  Ear protector evaluation                          A   0.00   1.16     1.23     1.16NA   1.23 NA  0.01   1.17   1.24   1.17   1.24  3XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
92597  Oral speech device eval                           A   1.26   1.55     0.80     1.55NA   0.80 NA  0.07   2.88   2.13   2.88   2.13  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
92601  Cochlear implt f/up exam < 7                      A   2.30   1.88     1.51     1.40     1.01     0.11   4.29   3.92   3.81   3.42  7XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
92602  Reprogram cochlear implt < 7                      A   1.30   1.28     1.02     0.86     0.57     0.07   2.65   2.39   2.23   1.94  7XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
92603  Cochlear implt f/up exam 7 >                      A   2.25   1.83     1.86     1.30     1.22     0.11   4.19   4.22   3.66   3.58  7XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
92604  Reprogram cochlear implt 7 >                      A   1.25   1.18     1.21     0.75     0.67     0.05   2.48   2.51   2.05   1.97  7XXX.00.00.0000000             33.9764 020 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             33.9764 090 99      0.00   0.00   0.00
92606  Non-speech device service                         B+  1.40   0.93     0.93     0.61     0.61     0.07   2.40   2.40   2.08   2.08  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92607  Ex for speech device rx 1hr                       A   1.85   3.24     1.49     3.24NA   1.49 NA  0.10   5.19   3.44   5.19   3.44  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
92608  Ex for speech device rx addl                      A   0.70   0.80     0.67     0.80NA   0.67 NA  0.04   1.54   1.41   1.54   1.41  7ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92609  Use of speech device service                      A   1.50   1.84     1.03     1.84NA   1.03 NA  0.07   3.41   2.60   3.41   2.60  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
92610  Evaluate swallowing function                      A   1.30   1.72     0.92     0.67     0.67     0.07   3.09   2.29   2.04   2.04  7XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92611  Motion fluoroscopy/swallow                        A   1.34   1.92     1.09     1.92NA   1.09 NA  0.08   3.34   2.51   3.34   2.51  7XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92612  Endoscopy swallow tst (fees)                      A   1.27   3.57     3.60     0.66     0.71     0.07   4.91   4.94   2.00   2.05  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92613  Endoscopy swallow tst (fees)                      A   0.71   0.38     0.39     0.37     0.39     0.04   1.13   1.14   1.12   1.14  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92614  Laryngoscopic sensory test                        A   1.27   3.03     3.09     0.67     0.73     0.07   4.37   4.43   2.01   2.07  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92615  Eval laryngoscopy sense tst                       A   0.63   0.34     0.37     0.34     0.37     0.03   1.00   1.03   1.00   1.03  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92616  Fees w/laryngeal sense test                       A   1.88   3.94     3.96     0.97     1.04     0.10   5.92   5.94   2.95   3.02  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92617  Interprt fees/laryngeal test                      A   0.79   0.41     0.44     0.41     0.44     0.04   1.24   1.27   1.24   1.27  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92620  Auditory function 60 min                          A   1.50   0.86     1.16     0.71     0.88     0.07   2.43   2.73   2.28   2.45  9XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92621  Auditory function + 15 min                        A   0.35   0.20     0.28     0.15     0.18     0.01   0.56   0.64   0.51   0.54  9ZZZ.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
92625  Tinnitus assessment                               A   1.15   0.66     0.83     0.55     0.62     0.05   1.86   2.03   1.75   1.82  9XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92626  Eval aud rehab status                             A   1.40   1.00     1.11     0.81     0.74     0.07   2.47   2.58   2.28   2.21  9XXX.00.00.0002000             33.9764 020 99      0.00   0.00   0.00
92627  Eval aud status rehab add-on                      A   0.33   0.26     0.29     0.20     0.17     0.01   0.60   0.63   0.54   0.51  9ZZZ.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
92630  Aud rehab pre-ling hear loss                      I   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
92640  Aud brainstem implt programg                      A   1.76   0.78     1.22     0.62     0.90     0.37   2.91   3.35   2.75   3.03  9XXX.00.00.0002000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
92950  Heart/lung resuscitation cpr                      A   3.79   4.18     4.18     1.05     1.07     0.30   8.27   8.27   5.14   5.16  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92953  Temporary external pacing                         A   0.23   0.09NA   0.07NA   0.09     0.07     0.01   0.33   0.31   0.33   0.31  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92960  Cardioversion electric ext                        A   2.25   4.70     3.63     1.40     1.13     0.14   7.09   6.02   3.79   3.52  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92961  Cardioversion electric int                        A   4.59   2.47NA   2.03NA   2.47     2.03     0.44   7.50   7.06   7.50   7.06  0000.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
92970  Cardioassist internal                             A   3.51   1.52NA   1.36NA   1.52     1.36     0.24   5.27   5.11   5.27   5.11  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92971  Cardioassist external                             A   1.77   1.04NA   0.82NA   1.04     0.82     0.11   2.92   2.70   2.92   2.70  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92973  Percut coronary thrombectomy                      A   3.28   1.64NA   1.28NA   1.64     1.28     0.71   5.63   5.27   5.63   5.27  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92974  Cath place cardio brachytx                        A   3.00   1.51NA   1.17NA   1.51     1.17     0.65   5.16   4.82   5.16   4.82  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92975  Dissolve clot heart vessel                        A   7.24   3.62NA   2.87NA   3.62     2.87     1.58  12.44  11.69  12.44  11.69  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
92977  Dissolve clot heart vessel                        A   0.00   2.69     1.43     2.69NA   1.43 NA  0.03   2.72   1.46   2.72   1.46  5XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9297826Intravasc us heart add-on                         A   1.80   0.90     0.70     0.90     0.70     0.12   2.82   2.62   2.82   2.62  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9297926Intravasc us heart add-on                         A   1.44   0.72     0.56     0.72     0.56     0.10   2.26   2.10   2.26   2.10  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92980  Insert intracoronary stent                        A  14.82   7.64NA   5.96NA   7.64     5.96     3.24  25.70  24.02  25.70  24.02  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
92981  Insert intracoronary stent                        A   4.16   2.08NA   1.62NA   2.08     1.62     0.90   7.14   6.68   7.14   6.68  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92982  Coronary artery dilation                          A  10.96   5.70NA   4.46NA   5.70     4.46     2.38  19.04  17.80  19.04  17.80  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
92984  Coronary artery dilation                          A   2.97   1.48NA   1.16NA   1.48     1.16     0.64   5.09   4.77   5.09   4.77  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92986  Revision of aortic valve                          A  22.85  14.58NA  11.68NA  14.58    11.68     4.98  42.41  39.51  42.41  39.51  0090.09.84.0720000             33.9764 090 99      0.00   0.00   0.00
92987  Revision of mitral valve                          A  23.63  15.00NA  11.91NA  15.00    11.91     5.14  43.77  40.68  43.77  40.68  0090.09.84.0720000             33.9764 090 99      0.00   0.00   0.00
92990  Revision of pulmonary valve                       A  18.27  11.80NA   9.72NA  11.80     9.72     3.99  34.06  31.98  34.06  31.98  0090.09.84.0720000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
92995  Coronary atherectomy                              A  12.07   6.27NA   4.89NA   6.27     4.89     2.63  20.97  19.59  20.97  19.59  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
92996  Coronary atherectomy add-on                       A   3.26   1.64NA   1.28NA   1.64     1.28     0.71   5.61   5.25   5.61   5.25  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
92997  Pul art balloon repr percut                       A  11.98   5.61NA   4.81NA   5.61     4.81     2.61  20.20  19.40  20.20  19.40  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
92998  Pul art balloon repr percut                       A   5.99   2.86NA   2.32NA   2.86     2.32     1.31  10.16   9.62  10.16   9.62  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93000  Electrocardiogram complete                        A   0.17   0.39     0.32     0.39NA   0.32 NA  0.02   0.58   0.51   0.58   0.51  4XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93005  Electrocardiogram tracing                         A   0.00   0.31     0.25     0.31NA   0.25 NA  0.01   0.32   0.26   0.32   0.26  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93010  Electrocardiogram report                          A   0.17   0.08     0.07     0.08     0.07     0.01   0.26   0.25   0.26   0.25  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93015  Cardiovascular stress test                        A   0.75   1.94     1.58     1.94NA   1.58 NA  0.03   2.72   2.36   2.72   2.36  4XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
93016  Cardiovascular stress test                        A   0.45   0.22     0.18     0.22     0.18     0.01   0.68   0.64   0.68   0.64  2XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
93017  Cardiovascular stress test                        A   0.00   1.58     1.28     1.58NA   1.28 NA  0.01   1.59   1.29   1.59   1.29  3XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
93018  Cardiovascular stress test                        A   0.30   0.14     0.12     0.14     0.12     0.01   0.45   0.43   0.45   0.43  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93024  Cardiac drug stress test                          A   1.17   2.22     1.90     2.22NA   1.90 NA  0.05   3.44   3.12   3.44   3.12  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93024TCCardiac drug stress test                          A   0.00   1.66     1.44     1.66NA   1.44 NA  0.01   1.67   1.45   1.67   1.45  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9302426Cardiac drug stress test                          A   1.17   0.56     0.46     0.56     0.46     0.04   1.77   1.67   1.77   1.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93025  Microvolt t-wave assess                           A   0.75   4.89     3.68     4.89NA   3.68 NA  0.04   5.68   4.47   5.68   4.47  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
93025TCMicrovolt t-wave assess                           A   0.00   4.52     3.38     4.52NA   3.38 NA  0.01   4.53   3.39   4.53   3.39  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9302526Microvolt t-wave assess                           A   0.75   0.37     0.30     0.37     0.30     0.03   1.15   1.08   1.15   1.08  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
93040  Rhythm ECG with report                            A   0.15   0.22     0.19     0.22NA   0.19 NA  0.02   0.39   0.36   0.39   0.36  4XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93041  Rhythm ecg tracing                                A   0.00   0.16     0.14     0.16NA   0.14 NA  0.01   0.17   0.15   0.17   0.15  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93042  Rhythm ecg report                                 A   0.15   0.06     0.05     0.06     0.05     0.01   0.22   0.21   0.22   0.21  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93224  Ecg monit/reprt up to 48 hrs                      A   0.52   2.30     1.98     2.30NA   1.98 NA  0.03   2.85   2.53   2.85   2.53  4XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93225  Ecg monit/reprt up to 48 hrs                      A   0.00   0.82     0.72     0.82NA   0.72 NA  0.01   0.83   0.73   0.83   0.73  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93226  Ecg monit/reprt up to 48 hrs                      A   0.00   1.21     1.02     1.21NA   1.02 NA  0.01   1.22   1.03   1.22   1.03  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93227  Ecg monit/reprt up to 48 hrs                      A   0.52   0.27     0.24     0.27     0.24     0.01   0.80   0.77   0.80   0.77  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93228  Remote 30 day ecg rev/report                      A   0.52   0.21     0.21     0.21     0.21     0.03   0.76   0.76   0.76   0.76  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93229  Remote 30 day ecg tech supp                       A   0.00  20.04    20.04    20.04NA  20.04 NA  0.01  20.05  20.05  20.05  20.05  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93268  ECG record/review                                 A   0.52   6.83     5.67     6.83NA   5.67 NA  0.03   7.38   6.22   7.38   6.22  4XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93270  Remote 30 day ecg rev/report                      A   0.00   0.44     0.24     0.44NA   0.24 NA  0.01   0.45   0.25   0.45   0.25  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93271  Ecg/monitoring and analysis                       A   0.00   6.16     5.23     6.16NA   5.23 NA  0.01   6.17   5.24   6.17   5.24  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93272  Ecg/review interpret only                         A   0.52   0.23     0.20     0.23     0.20     0.01   0.76   0.73   0.76   0.73  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93278  ECG/signal-averaged                               A   0.25   0.76     0.61     0.76NA   0.61 NA  0.02   1.03   0.88   1.03   0.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93278TCECG/signal-averaged                               A   0.00   0.65     0.50     0.65NA   0.50 NA  0.01   0.66   0.51   0.66   0.51  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9327826ECG/signal-averaged                               A   0.25   0.11     0.11     0.11     0.11     0.01   0.37   0.37   0.37   0.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93279  Pm device progr eval sngl                         A   0.65   0.86     0.71     0.86NA   0.71 NA  0.04   1.55   1.40   1.55   1.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93279TCPm device progr eval sngl                         A   0.00   0.53     0.45     0.53NA   0.45 NA  0.01   0.54   0.46   0.54   0.46  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9327926Pm device progr eval sngl                         A   0.65   0.33     0.26     0.33     0.26     0.03   1.01   0.94   1.01   0.94  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93280  Pm device progr eval dual                         A   0.77   1.02     0.80     1.02NA   0.80 NA  0.04   1.83   1.61   1.83   1.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93280TCPm device progr eval dual                         A   0.00   0.62     0.50     0.62NA   0.50 NA  0.01   0.63   0.51   0.63   0.51  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328026Pm device progr eval dual                         A   0.77   0.40     0.30     0.40     0.30     0.03   1.20   1.10   1.20   1.10  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93281  Pm device progr eval multi                        A   0.90   1.19     0.94     1.19NA   0.94 NA  0.04   2.13   1.88   2.13   1.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93281TCPm device progr eval multi                        A   0.00   0.72     0.59     0.72NA   0.59 NA  0.01   0.73   0.60   0.73   0.60  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328126Pm device progr eval multi                        A   0.90   0.47     0.35     0.47     0.35     0.03   1.40   1.28   1.40   1.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93282  Icd device prog eval 1 sngl                       A   0.85   1.07     0.85     1.07NA   0.85 NA  0.04   1.96   1.74   1.96   1.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93282TCIcd device prog eval 1 sngl                       A   0.00   0.64     0.52     0.64NA   0.52 NA  0.01   0.65   0.53   0.65   0.53  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328226Icd device prog eval 1 sngl                       A   0.85   0.43     0.33     0.43     0.33     0.03   1.31   1.21   1.31   1.21  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93283  Icd device progr eval dual                        A   1.15   1.31     1.05     1.31NA   1.05 NA  0.05   2.51   2.25   2.51   2.25  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93283TCIcd device progr eval dual                        A   0.00   0.74     0.60     0.74NA   0.60 NA  0.01   0.75   0.61   0.75   0.61  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328326Icd device progr eval dual                        A   1.15   0.57     0.45     0.57     0.45     0.04   1.76   1.64   1.76   1.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93284  Icd device progr eval mult                        A   1.25   1.49     1.17     1.49NA   1.17 NA  0.05   2.79   2.47   2.79   2.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93284TCIcd device progr eval mult                        A   0.00   0.84     0.68     0.84NA   0.68 NA  0.01   0.85   0.69   0.85   0.69  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328426Icd device progr eval mult                        A   1.25   0.65     0.49     0.65     0.49     0.04   1.94   1.78   1.94   1.78  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93285  Ilr device eval progr                             A   0.52   0.76     0.60     0.76NA   0.60 NA  0.02   1.30   1.14   1.30   1.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93285TCIlr device eval progr                             A   0.00   0.49     0.40     0.49NA   0.40 NA  0.01   0.50   0.41   0.50   0.41  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328526Ilr device eval progr                             A   0.52   0.27     0.20     0.27     0.20     0.01   0.80   0.73   0.80   0.73  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93286  Pre-op pm device eval                             A   0.30   0.46     0.41     0.46NA   0.41 NA  0.02   0.78   0.73   0.78   0.73  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93286TCPre-op pm device eval                             A   0.00   0.34     0.29     0.34NA   0.29 NA  0.01   0.35   0.30   0.35   0.30  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328626Pre-op pm device eval                             A   0.30   0.12     0.12     0.12     0.12     0.01   0.43   0.43   0.43   0.43  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93287  Pre-op icd device eval                            A   0.45   0.55     0.50     0.55NA   0.50 NA  0.02   1.02   0.97   1.02   0.97  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93287TCPre-op icd device eval                            A   0.00   0.37     0.32     0.37NA   0.32 NA  0.01   0.38   0.33   0.38   0.33  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328726Pre-op icd device eval                            A   0.45   0.18     0.18     0.18     0.18     0.01   0.64   0.64   0.64   0.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93288  Pm device eval in person                          A   0.43   0.72     0.58     0.72NA   0.58 NA  0.02   1.17   1.03   1.17   1.03  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93288TCPm device eval in person                          A   0.00   0.50     0.41     0.50NA   0.41 NA  0.01   0.51   0.42   0.51   0.42  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328826Pm device eval in person                          A   0.43   0.22     0.17     0.22     0.17     0.01   0.66   0.61   0.66   0.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93289  Icd device interrogate                            A   0.92   1.05     0.86     1.05NA   0.86 NA  0.04   2.01   1.82   2.01   1.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93289TCIcd device interrogate                            A   0.00   0.62     0.50     0.62NA   0.50 NA  0.01   0.63   0.51   0.63   0.51  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9328926Icd device interrogate                            A   0.92   0.43     0.36     0.43     0.36     0.03   1.38   1.31   1.38   1.31  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93290  Icm device eval                                   A   0.43   0.45     0.41     0.45NA   0.41 NA  0.02   0.90   0.86   0.90   0.86  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93290TCIcm device eval                                   A   0.00   0.28     0.24     0.28NA   0.24 NA  0.01   0.29   0.25   0.29   0.25  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9329026Icm device eval                                   A   0.43   0.17     0.17     0.17     0.17     0.01   0.61   0.61   0.61   0.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93291  Ilr device interrogate                            A   0.43   0.67     0.54     0.67NA   0.54 NA  0.02   1.12   0.99   1.12   0.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93291TCIlr device interrogate                            A   0.00   0.45     0.37     0.45NA   0.37 NA  0.01   0.46   0.38   0.46   0.38  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9329126Ilr device interrogate                            A   0.43   0.22     0.17     0.22     0.17     0.01   0.66   0.61   0.66   0.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93292  Wcd device interrogate                            A   0.43   0.56     0.45     0.56NA   0.45 NA  0.02   1.01   0.90   1.01   0.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93292TCWcd device interrogate                            A   0.00   0.34     0.28     0.34NA   0.28 NA  0.01   0.35   0.29   0.35   0.29  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9329226Wcd device interrogate                            A   0.43   0.22     0.17     0.22     0.17     0.01   0.66   0.61   0.66   0.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93293  Pm phone r-strip device eval                      A   0.32   1.31     1.14     1.31NA   1.14 NA  0.02   1.65   1.48   1.65   1.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93293TCPm phone r-strip device eval                      A   0.00   1.17     1.02     1.17NA   1.02 NA  0.01   1.18   1.03   1.18   1.03  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9329326Pm phone r-strip device eval                      A   0.32   0.14     0.12     0.14     0.12     0.01   0.47   0.45   0.47   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93294  Pm device interrogate remote                      A   0.65   0.33     0.25     0.33     0.25     0.04   1.02   0.94   1.02   0.94  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93295  Icd device interrogat remote                      A   1.29   0.64     0.50     0.64     0.50     0.08   2.01   1.87   2.01   1.87  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93296  Pm/icd remote tech serv                           A   0.00   0.95     0.69     0.95NA   0.69 NA  0.01   0.96   0.70   0.96   0.70  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93297  Icm device interrogat remote                      A   0.52   0.21     0.20     0.21     0.20     0.03   0.76   0.75   0.76   0.75  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93298  Ilr device interrogat remote                      A   0.52   0.27     0.20     0.27     0.20     0.03   0.82   0.75   0.82   0.75  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93299  Icm/ilr remote tech serv                          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             33.9764 010 99      0.00   0.00   0.00
93303  Echo transthoracic                                A   1.30   4.84     4.23     4.84NA   4.23 NA  0.05   6.19   5.58   6.19   5.58  1XXX.00.00.0000000             33.9764 090 99     17.12  17.12   0.08
93303TCEcho transthoracic                                A   0.00   4.23     3.70     4.23NA   3.70 NA  0.01   4.24   3.71   4.24   3.71  1XXX.00.00.0000000             33.9764 010 99     16.51  16.51   0.04
9330326Echo transthoracic                                A   1.30   0.61     0.53     0.61     0.53     0.04   1.95   1.87   1.95   1.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93304  Echo transthoracic                                A   0.75   3.16     2.86     3.16NA   2.86 NA  0.04   3.95   3.65   3.95   3.65  1XXX.00.00.0000000             33.9764 090 99     12.14  12.14   0.07
93304TCEcho transthoracic                                A   0.00   2.82     2.56     2.82NA   2.56 NA  0.01   2.83   2.57   2.83   2.57  1XXX.00.00.0000000             33.9764 010 99     11.80  11.80   0.04
9330426Echo transthoracic                                A   0.75   0.34     0.30     0.34     0.30     0.03   1.12   1.08   1.12   1.08  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93306  Tte w/doppler complete                            A   1.30   5.50     4.01     5.50NA   4.01 NA  0.05   6.85   5.36   6.85   5.36  1XXX.00.00.0000000             33.9764 090 99     12.47  12.47   0.06
93306TCTte w/doppler complete                            A   0.00   4.85     3.49     4.85NA   3.49 NA  0.01   4.86   3.50   4.86   3.50  1XXX.00.00.0000000             33.9764 010 99     11.82  11.82   0.02
9330626Tte w/doppler complete                            A   1.30   0.65     0.52     0.65     0.52     0.04   1.99   1.86   1.99   1.86  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93307  Tte w/o doppler complete                          A   0.92   3.40     2.27     3.40NA   2.27 NA  0.04   4.36   3.23   4.36   3.23  1XXX.00.00.0000000             33.9764 090 99     12.25  12.25   0.07
93307TCTte w/o doppler complete                          A   0.00   2.95     1.89     2.95NA   1.89 NA  0.01   2.96   1.90   2.96   1.90  1XXX.00.00.0000000             33.9764 010 99     11.80  11.80   0.04
9330726Tte w/o doppler complete                          A   0.92   0.45     0.38     0.45     0.38     0.03   1.40   1.33   1.40   1.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93308  Tte f-up or lmtd                                  A   0.53   2.55     2.16     2.55NA   2.16 NA  0.02   3.10   2.71   3.10   2.71  1XXX.00.00.0000000             33.9764 090 99      6.48   6.48   0.04
93308TCTte f-up or lmtd                                  A   0.00   2.29     1.95     2.29NA   1.95 NA  0.01   2.30   1.96   2.30   1.96  1XXX.00.00.0000000             33.9764 010 99      6.22   6.22   0.03
9330826Tte f-up or lmtd                                  A   0.53   0.26     0.21     0.26     0.21     0.01   0.80   0.75   0.80   0.75  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93312  Echo transesophageal                              A   2.20   7.23     6.57     7.23NA   6.57 NA  0.10   9.53   8.87   9.53   8.87  1XXX.00.00.0000000             33.9764 090 99     17.44  17.44   0.15
93312TCEcho transesophageal                              A   0.00   6.26     5.78     6.26NA   5.78 NA  0.03   6.29   5.81   6.29   5.81  1XXX.00.00.0000000             33.9764 030 99     16.47  16.47   0.08
9331226Echo transesophageal                              A   2.20   0.97     0.79     0.97     0.79     0.07   3.24   3.06   3.24   3.06  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93313  Echo transesophageal                              A   0.95   0.20NA   0.23NA   0.20     0.23     0.07   1.22   1.25   1.22   1.25  0XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
93314  Echo transesophageal                              A   1.25   7.08     6.59     7.08NA   6.59 NA  0.07   8.40   7.91   8.40   7.91  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93314TCEcho transesophageal                              A   0.00   6.52     6.12     6.52NA   6.12 NA  0.03   6.55   6.15   6.55   6.15  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9331426Echo transesophageal                              A   1.25   0.56     0.47     0.56     0.47     0.04   1.85   1.76   1.85   1.76  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     17.82  17.82   0.24
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             33.9764 030 99     16.54  16.54   0.01
9331526Echo transesophageal                              A   2.78   1.28     1.04     1.28     1.04     0.23   4.29   4.05   4.29   4.05  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93316  Echo transesophageal                              A   0.95   0.30NA   0.28NA   0.30     0.28     0.07   1.32   1.30   1.32   1.30  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9331726Echo transesophageal                              A   1.83   0.73     0.67     0.73     0.67     0.23   2.79   2.73   2.79   2.73  1XXX.00.00.0000000             33.9764 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             33.9764 090 99     17.41  17.41   0.32
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             33.9764 090 99     16.54  16.54   0.01
9331826Echo transesophageal intraop                      A   2.20   0.87     0.77     0.87     0.77     0.31   3.38   3.28   3.38   3.28  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93320  Doppler echo exam heart                           A   0.38   1.44     0.88     1.44NA   0.88 NA  0.02   1.84   1.28   1.84   1.28  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93320TCDoppler echo exam heart                           A   0.00   1.26     0.73     1.26NA   0.73 NA  0.01   1.27   0.74   1.27   0.74  1ZZZ.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9332026Doppler echo exam heart                           A   0.38   0.18     0.15     0.18     0.15     0.01   0.57   0.54   0.57   0.54  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93321  Doppler echo exam heart                           A   0.15   0.69     0.51     0.69NA   0.51 NA  0.02   0.86   0.68   0.86   0.68  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93321TCDoppler echo exam heart                           A   0.00   0.62     0.45     0.62NA   0.45 NA  0.01   0.63   0.46   0.63   0.46  1ZZZ.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9332126Doppler echo exam heart                           A   0.15   0.07     0.06     0.07     0.06     0.01   0.23   0.22   0.23   0.22  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93325  Doppler color flow add-on                         A   0.07   0.96     0.47     0.96NA   0.47 NA  0.02   1.05   0.56   1.05   0.56  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93325TCDoppler color flow add-on                         A   0.00   0.93     0.44     0.93NA   0.44 NA  0.01   0.94   0.45   0.94   0.45  1ZZZ.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
93350  Stress tte only                                   A   1.46   4.67     4.18     4.67NA   4.18 NA  0.06   6.19   5.70   6.19   5.70  1XXX.00.00.0000000             33.9764 090 99     12.54  12.54   0.08
93350TCStress tte only                                   A   0.00   3.94     3.60     3.94NA   3.60 NA  0.01   3.95   3.61   3.95   3.61  1XXX.00.00.0000000             33.9764 020 99     11.81  11.81   0.03
9335026Stress tte only                                   A   1.46   0.73     0.58     0.73     0.58     0.05   2.24   2.09   2.24   2.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93351  Stress tte complete                               A   1.75   5.46     4.74     5.46NA   4.74 NA  0.08   7.29   6.57   7.29   6.57  1XXX.00.00.0000999             33.9764 090 99     17.34  17.34   0.16
93351TCStress tte complete                               A   0.00   4.56     4.05     4.56NA   4.05 NA  0.03   4.59   4.08   4.59   4.08  1XXX.00.00.0000999             33.9764 020 99     16.44  16.44   0.11
9335126Stress tte complete                               A   1.75   0.90     0.69     0.90     0.69     0.05   2.70   2.49   2.70   2.49  1XXX.00.00.0000999             33.9764 090 99      0.00   0.00   0.00
93352  Admin ecg contrast agent                          A   0.19   0.87     0.71     0.87NA   0.71 NA  0.01   1.07   0.91   1.07   0.91  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93451  Right heart cath                                  A   2.72  19.13    19.13    19.13NA  19.13 NA  0.62  22.47  22.47  22.47  22.47  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93451TCRight heart cath                                  A   0.00  18.07    18.07    18.07NA  18.07 NA  0.03  18.10  18.10  18.10  18.10  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345126Right heart cath                                  A   2.72   1.06     1.06     1.06     1.06     0.59   4.37   4.37   4.37   4.37  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93452  Left hrt cath w/ventrclgrphy                      A   4.75  19.11    19.11    19.11NA  19.11 NA  1.09  24.95  24.95  24.95  24.95  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93452TCLeft hrt cath w/ventrclgrphy                      A   0.00  17.26    17.26    17.26NA  17.26 NA  0.03  17.29  17.29  17.29  17.29  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345226Left hrt cath w/ventrclgrphy                      A   4.75   1.85     1.85     1.85     1.85     1.06   7.66   7.66   7.66   7.66  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93453  R&l hrt cath w/ventriclgrphy                      A   6.24  25.00    25.00    25.00NA  25.00 NA  1.41  32.65  32.65  32.65  32.65  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93453TCR&l hrt cath w/ventriclgrphy                      A   0.00  22.57    22.57    22.57NA  22.57 NA  0.04  22.61  22.61  22.61  22.61  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345326R&l hrt cath w/ventriclgrphy                      A   6.24   2.43     2.43     2.43     2.43     1.37  10.04  10.04  10.04  10.04  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93454  Coronary artery angio s&i                         A   4.79  19.85    19.85    19.85NA  19.85 NA  1.09  25.73  25.73  25.73  25.73  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93454TCCoronary artery angio s&i                         A   0.00  17.98    17.98    17.98NA  17.98 NA  0.03  18.01  18.01  18.01  18.01  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345426Coronary artery angio s&i                         A   4.79   1.87     1.87     1.87     1.87     1.06   7.72   7.72   7.72   7.72  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93455  Coronary art/grft angio s&i                       A   5.54  23.23    23.23    23.23NA  23.23 NA  1.25  30.02  30.02  30.02  30.02  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93455TCCoronary art/grft angio s&i                       A   0.00  21.07    21.07    21.07NA  21.07 NA  0.04  21.11  21.11  21.11  21.11  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345526Coronary art/grft angio s&i                       A   5.54   2.16     2.16     2.16     2.16     1.21   8.91   8.91   8.91   8.91  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93456  R hrt coronary artery angio                       A   6.15  24.68    24.68    24.68NA  24.68 NA  1.37  32.20  32.20  32.20  32.20  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93456TCR hrt coronary artery angio                       A   0.00  22.28    22.28    22.28NA  22.28 NA  0.04  22.32  22.32  22.32  22.32  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345626R hrt coronary artery angio                       A   6.15   2.40     2.40     2.40     2.40     1.33   9.88   9.88   9.88   9.88  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93457  R hrt art/grft angio                              A   6.89  28.06    28.06    28.06NA  28.06 NA  1.54  36.49  36.49  36.49  36.49  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93457TCR hrt art/grft angio                              A   0.00  25.37    25.37    25.37NA  25.37 NA  0.04  25.41  25.41  25.41  25.41  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345726R hrt art/grft angio                              A   6.89   2.69     2.69     2.69     2.69     1.50  11.08  11.08  11.08  11.08  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93458  L hrt artery/ventricle angio                      A   5.85  23.87    23.87    23.87NA  23.87 NA  1.33  31.05  31.05  31.05  31.05  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93458TCL hrt artery/ventricle angio                      A   0.00  21.59    21.59    21.59NA  21.59 NA  0.04  21.63  21.63  21.63  21.63  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345826L hrt artery/ventricle angio                      A   5.85   2.28     2.28     2.28     2.28     1.29   9.42   9.42   9.42   9.42  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93459  L hrt art/grft angio                              A   6.60  26.22    26.22    26.22NA  26.22 NA  1.47  34.29  34.29  34.29  34.29  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93459TCL hrt art/grft angio                              A   0.00  23.65    23.65    23.65NA  23.65 NA  0.04  23.69  23.69  23.69  23.69  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9345926L hrt art/grft angio                              A   6.60   2.57     2.57     2.57     2.57     1.43  10.60  10.60  10.60  10.60  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93460  R&l hrt art/ventricle angio                       A   7.35  27.72    27.72    27.72NA  27.72 NA  1.63  36.70  36.70  36.70  36.70  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93460TCR&l hrt art/ventricle angio                       A   0.00  24.85    24.85    24.85NA  24.85 NA  0.04  24.89  24.89  24.89  24.89  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9346026R&l hrt art/ventricle angio                       A   7.35   2.87     2.87     2.87     2.87     1.59  11.81  11.81  11.81  11.81  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93461  R&l hrt art/ventricle angio                       A   8.10  32.13    32.13    32.13NA  32.13 NA  1.82  42.05  42.05  42.05  42.05  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93461TCR&l hrt art/ventricle angio                       A   0.00  28.97    28.97    28.97NA  28.97 NA  0.05  29.02  29.02  29.02  29.02  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9346126R&l hrt art/ventricle angio                       A   8.10   3.16     3.16     3.16     3.16     1.77  13.03  13.03  13.03  13.03  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93462  L hrt cath trnsptl puncture                       A   3.73   1.47     1.47     1.47     1.47     0.80   6.00   6.00   6.00   6.00  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93463  Drug admin & hemodynmic meas                      A   2.00   0.79     0.79     0.79     0.79     0.39   3.18   3.18   3.18   3.18  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93464  Exercise w/hemodynamic meas                       A   1.80   5.26     5.26     5.26NA   5.26 NA  0.36   7.42   7.42   7.42   7.42  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93464TCExercise w/hemodynamic meas                       A   0.00   4.61     4.61     4.61NA   4.61 NA  0.01   4.62   4.62   4.62   4.62  1ZZZ.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9346426Exercise w/hemodynamic meas                       A   1.80   0.65     0.65     0.65     0.65     0.35   2.80   2.80   2.80   2.80  1ZZZ.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93503  Insert/place heart catheter                       A   2.91   0.77NA   0.77NA   0.77     0.77     0.27   3.95   3.95   3.95   3.95  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93505  Biopsy of heart lining                            A   4.37  18.38    17.36    18.38NA  17.36 NA  0.86  23.61  22.59  23.61  22.59  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93505TCBiopsy of heart lining                            A   0.00  16.22    15.65    16.22NA  15.65 NA  0.03  16.25  15.68  16.25  15.68  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9350526Biopsy of heart lining                            A   4.37   2.16     1.71     2.16     1.71     0.83   7.36   6.91   7.36   6.91  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9353026Rt heart cath congenital                          A   4.22   2.05     1.67     2.05     1.67     0.91   7.18   6.80   7.18   6.80  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9353126R & l heart cath congenital                       A   8.34   3.96     3.29     3.96     3.29     1.82  14.12  13.45  14.12  13.45  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9353226R & l heart cath congenital                       A   9.99   4.62     3.88     4.62     3.88     2.18  16.79  16.05  16.79  16.05  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9353326R & l heart cath congenital                       A   6.69   3.12     2.59     3.12     2.59     1.47  11.28  10.75  11.28  10.75  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9356126Cardiac output measurement                        A   0.50   0.19     0.20     0.19     0.20     0.04   0.73   0.74   0.73   0.74  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9356226Cardiac output measurement                        A   0.16   0.05     0.06     0.05     0.06     0.01   0.22   0.23   0.22   0.23  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93563  Inject congenital card cath                       A   1.11   0.44     0.44     0.44     0.44     0.10   1.65   1.65   1.65   1.65  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93564  Inject hrt congntl art/grft                       A   1.13   0.44     0.44     0.44     0.44     0.11   1.68   1.68   1.68   1.68  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93565  Inject l ventr/atrial angio                       A   0.86   0.33     0.33     0.33     0.33     0.08   1.27   1.27   1.27   1.27  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93566  Inject r ventr/atrial angio                       A   0.86   4.04     4.04     0.33     0.33     0.08   4.98   4.98   1.27   1.27  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93567  Inject suprvlv aortography                        A   0.97   3.06     3.06     0.38     0.38     0.08   4.11   4.11   1.43   1.43  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93568  Inject pulm art hrt cath                          A   0.88   3.54     3.54     0.34     0.34     0.08   4.50   4.50   1.30   1.30  0ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9357126Heart flow reserve measure                        A   1.80   0.89     0.70     0.89     0.70     0.11   2.80   2.61   2.80   2.61  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9357226Heart flow reserve measure                        A   1.44   0.69     0.56     0.69     0.56     0.11   2.24   2.11   2.24   2.11  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93580  Transcath closure of asd                          A  17.97   9.19NA   7.38NA   9.19     7.38     3.92  31.08  29.27  31.08  29.27  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93581  Transcath closure of vsd                          A  24.39  11.53NA   9.79NA  11.53     9.79     5.32  41.24  39.50  41.24  39.50  0000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9360026Bundle of His recording                           A   2.12   1.04     0.83     1.04     0.83     0.45   3.61   3.40   3.61   3.40  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9360226Intra-atrial recording                            A   2.12   1.03     0.82     1.03     0.82     0.45   3.60   3.39   3.60   3.39  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9360326Right ventricular recording                       A   2.12   1.03     0.82     1.03     0.82     0.45   3.60   3.39   3.60   3.39  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9360926Map tachycardia add-on                            A   4.99   2.47     1.95     2.47     1.95     1.09   8.55   8.03   8.55   8.03  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9361026Intra-atrial pacing                               A   3.02   1.45     1.17     1.45     1.17     0.65   5.12   4.84   5.12   4.84  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9361226Intraventricular pacing                           A   3.02   1.43     1.16     1.43     1.16     0.65   5.10   4.83   5.10   4.83  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93613  Electrophys map 3d add-on                         A   6.99   3.48NA   2.73NA   3.48     2.73     1.52  11.99  11.24  11.99  11.24  0ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9361526Esophageal recording                              A   0.99   0.48     0.39     0.48     0.39     0.05   1.52   1.43   1.52   1.43  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9361626Esophageal recording                              A   1.49   0.39     0.35     0.39     0.35     0.11   1.99   1.95   1.99   1.95  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9361826Heart rhythm pacing                               A   4.25   2.13     1.65     2.13     1.65     0.91   7.29   6.81   7.29   6.81  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9361926Electrophysiology evaluation                      A   7.31   3.70     2.85     3.70     2.85     1.59  12.60  11.75  12.60  11.75  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9362026Electrophysiology evaluation                      A  11.57   5.79     4.52     5.79     4.52     2.52  19.88  18.61  19.88  18.61  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9362126Electrophysiology evaluation                      A   2.10   1.04     0.82     1.04     0.82     0.45   3.59   3.37   3.59   3.37  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9362226Electrophysiology evaluation                      A   3.10   1.51     1.21     1.51     1.21     0.67   5.28   4.98   5.28   4.98  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9362326Stimulation pacing heart                          A   2.85   1.41     1.11     1.41     1.11     0.63   4.89   4.59   4.89   4.59  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9362426Electrophysiologic study                          A   4.80   2.43     1.86     2.43NA   1.86 NA  1.05   8.28   7.71   8.28   7.71  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9363126Heart pacing mapping                              A   7.59   3.07     2.76     3.07     2.76     1.81  12.47  12.16  12.47  12.16  1000.00.00.0000000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9364026Evaluation heart device                           A   3.51   1.74     1.38     1.74     1.38     0.76   6.01   5.65   6.01   5.65  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9364126Electrophysiology evaluation                      A   5.92   2.94     2.31     2.94     2.31     1.29  10.15   9.52  10.15   9.52  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93642  Electrophysiology evaluation                      A   4.88   7.50     5.69     7.50NA   5.69 NA  0.21  12.59  10.78  12.59  10.78  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93642TCElectrophysiology evaluation                      A   0.00   5.02     3.78     5.02NA   3.78 NA  0.03   5.05   3.81   5.05   3.81  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9364226Electrophysiology evaluation                      A   4.88   2.48     1.91     2.48     1.91     0.18   7.54   6.97   7.54   6.97  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93650  Ablate heart dysrhythm focus                      A  10.49   5.51NA   4.37NA   5.51     4.37     2.27  18.27  17.13  18.27  17.13  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93651  Ablate heart dysrhythm focus                      A  16.23   8.05NA   6.34NA   8.05     6.34     3.54  27.82  26.11  27.82  26.11  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93652  Ablate heart dysrhythm focus                      A  17.65   8.78NA   6.92NA   8.78     6.92     3.85  30.28  28.42  30.28  28.42  0000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93660  Tilt table evaluation                             A   1.89   2.87     2.36     2.87NA   2.36 NA  0.08   4.84   4.33   4.84   4.33  1000.00.00.0020000             33.9764 090 99      0.00   0.00   0.00
93660TCTilt table evaluation                             A   0.00   1.93     1.61     1.93NA   1.61 NA  0.01   1.94   1.62   1.94   1.62  1000.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9366026Tilt table evaluation                             A   1.89   0.94     0.75     0.94     0.75     0.07   2.90   2.71   2.90   2.71  1000.00.00.0020000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9366226Intracardiac ecg (ice)                            A   2.80   1.38     1.09     1.38     1.09     0.20   4.38   4.09   4.38   4.09  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93668  Peripheral vascular rehab                         N+  0.00   0.54     0.51     0.54NA   0.51 NA  0.01   0.55   0.52   0.55   0.52  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
93701  Bioimpedance cv analysis                          A   0.00   0.78     0.65     0.78NA   0.65 NA  0.01   0.79   0.66   0.79   0.66  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93720  Total body plethysmography                        A   0.17   1.25     1.22     1.25NA   1.22 NA  0.02   1.44   1.41   1.44   1.41  4XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93721  Plethysmography tracing                           A   0.00   1.19     1.16     1.19NA   1.16 NA  0.01   1.20   1.17   1.20   1.17  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93722  Plethysmography report                            A   0.17   0.06     0.06     0.06     0.06     0.01   0.24   0.24   0.24   0.24  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93724  Analyze pacemaker system                          A   4.88   3.77     2.66     3.77NA   2.66 NA  0.19   8.84   7.73   8.84   7.73  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93724TCAnalyze pacemaker system                          A   0.00   1.35     0.72     1.35NA   0.72 NA  0.01   1.36   0.73   1.36   0.73  1000.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9372426Analyze pacemaker system                          A   4.88   2.42     1.94     2.42     1.94     0.18   7.48   7.00   7.48   7.00  1000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93740  Temperature gradient studies                      B+  0.16   0.07     0.07     0.07     0.07     0.03   0.26   0.26   0.26   0.26  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
93750  Interrogation vad in person                       A   0.92   0.54     0.54     0.34     0.34     0.05   1.51   1.51   1.31   1.31  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93770  Measure venous pressure                           B+  0.16   0.07     0.07     0.07     0.07     0.03   0.26   0.26   0.26   0.26  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
93784  Ambulatory BP monitoring                          A   0.38   1.42     1.12     1.42NA   1.12 NA  0.03   1.83   1.53   1.83   1.53  4XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93786  Ambulatory BP recording                           A   0.00   0.91     0.82     0.91NA   0.82 NA  0.01   0.92   0.83   0.92   0.83  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
93788  Ambulatory BP analysis                            A   0.00   0.34     0.14     0.34NA   0.14 NA  0.01   0.35   0.15   0.35   0.15  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93790  Review/report BP recording                        A   0.38   0.17     0.16     0.17     0.16     0.01   0.56   0.55   0.56   0.55  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93797  Cardiac rehab                                     A   0.18   0.34     0.30     0.09     0.08     0.01   0.53   0.49   0.28   0.27  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93798  Cardiac rehab/monitor                             A   0.28   0.46     0.40     0.14     0.12     0.01   0.75   0.69   0.43   0.41  0000.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
93875  Extracranial study                                A   0.22   2.87     2.73     2.87NA   2.73 NA  0.02   3.11   2.97   3.11   2.97  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93875TCExtracranial study                                A   0.00   2.78     2.64     2.78NA   2.64 NA  0.01   2.79   2.65   2.79   2.65  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9387526Extracranial study                                A   0.22   0.09     0.09     0.09     0.09     0.01   0.32   0.32   0.32   0.32  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93880  Extracranial study                                A   0.60   6.72     6.23     6.72NA   6.23 NA  0.05   7.37   6.88   7.37   6.88  1XXX.00.00.0002000             33.9764 090 99      4.75   4.75   0.05
93880TCExtracranial study                                A   0.00   6.47     6.00     6.47NA   6.00 NA  0.01   6.48   6.01   6.48   6.01  1XXX.00.00.0002000             33.9764 010 99      4.50   4.50   0.01
9388026Extracranial study                                A   0.60   0.25     0.23     0.25     0.23     0.04   0.89   0.87   0.89   0.87  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93882  Extracranial study                                A   0.40   4.65     4.56     4.65NA   4.56 NA  0.06   5.11   5.02   5.11   5.02  1XXX.00.00.0000000             33.9764 090 99      4.64   4.64   0.06
93882TCExtracranial study                                A   0.00   4.50     4.41     4.50NA   4.41 NA  0.01   4.51   4.42   4.51   4.42  1XXX.00.00.0000000             33.9764 010 99      4.49   4.49   0.01
9388226Extracranial study                                A   0.40   0.15     0.15     0.15     0.15     0.05   0.60   0.60   0.60   0.60  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93886  Intracranial study                                A   0.94   8.76     9.10     8.76NA   9.10 NA  0.05   9.75  10.09   9.75  10.09  1XXX.00.00.0000000             33.9764 090 99      4.90   4.90   0.05
93886TCIntracranial study                                A   0.00   8.36     8.68     8.36NA   8.68 NA  0.01   8.37   8.69   8.37   8.69  1XXX.00.00.0000000             33.9764 010 99      4.50   4.50   0.01
9388626Intracranial study                                A   0.94   0.40     0.42     0.40     0.42     0.04   1.38   1.40   1.38   1.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93888  Intracranial study                                A   0.62   5.54     5.36     5.54NA   5.36 NA  0.05   6.21   6.03   6.21   6.03  1XXX.00.00.0000000             33.9764 090 99      2.09   2.09   0.04
93888TCIntracranial study                                A   0.00   5.28     5.10     5.28NA   5.10 NA  0.01   5.29   5.11   5.29   5.11  1XXX.00.00.0000000             33.9764 010 99      1.83   1.83   0.00
9388826Intracranial study                                A   0.62   0.26     0.26     0.26     0.26     0.04   0.92   0.92   0.92   0.92  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93890  Tcd vasoreactivity study                          A   1.00   6.92     6.74     6.92NA   6.74 NA  0.05   7.97   7.79   7.97   7.79  1XXX.00.00.0000000             33.9764 090 99      3.24   3.24   0.04
93890TCTcd vasoreactivity study                          A   0.00   6.51     6.32     6.51NA   6.32 NA  0.01   6.52   6.33   6.52   6.33  1XXX.00.00.0000000             33.9764 010 99      2.83   2.83   0.00
9389026Tcd vasoreactivity study                          A   1.00   0.41     0.42     0.41     0.42     0.04   1.45   1.46   1.45   1.46  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93892  Tcd emboli detect w/o inj                         A   1.15   8.19     8.61     8.19NA   8.61 NA  0.06   9.40   9.82   9.40   9.82  1XXX.00.00.0000000             33.9764 090 99      3.31   3.31   0.05
93892TCTcd emboli detect w/o inj                         A   0.00   7.71     8.10     7.71NA   8.10 NA  0.01   7.72   8.11   7.72   8.11  1XXX.00.00.0000000             33.9764 010 99      2.83   2.83   0.00
9389226Tcd emboli detect w/o inj                         A   1.15   0.48     0.51     0.48     0.51     0.05   1.68   1.71   1.68   1.71  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93893  Tcd emboli detect w/inj                           A   1.15   8.61     9.45     8.61NA   9.45 NA  0.06   9.82  10.66   9.82  10.66  1XXX.00.00.0000000             33.9764 090 99      3.32   3.32   0.05
93893TCTcd emboli detect w/inj                           A   0.00   8.12     8.93     8.12NA   8.93 NA  0.01   8.13   8.94   8.13   8.94  1XXX.00.00.0000000             33.9764 010 99      2.83   2.83   0.00
9389326Tcd emboli detect w/inj                           A   1.15   0.49     0.52     0.49     0.52     0.05   1.69   1.72   1.69   1.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93922  Upr/l xtremity art 2 levels                       A   0.25   2.98     2.38     2.98NA   2.38 NA  0.02   3.25   2.65   3.25   2.65  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93922TCUpr/l xtremity art 2 levels                       A   0.00   2.88     2.28     2.88NA   2.28 NA  0.01   2.89   2.29   2.89   2.29  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9392226Upr/l xtremity art 2 levels                       A   0.25   0.10     0.10     0.10     0.10     0.01   0.36   0.36   0.36   0.36  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93923  Upr/lxtr art stdy 3+ lvls                         A   0.45   4.53     3.63     4.53NA   3.63 NA  0.05   5.03   4.13   5.03   4.13  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93923TCUpr/lxtr art stdy 3+ lvls                         A   0.00   4.35     3.46     4.35NA   3.46 NA  0.01   4.36   3.47   4.36   3.47  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9392326Upr/lxtr art stdy 3+ lvls                         A   0.45   0.18     0.17     0.18     0.17     0.04   0.67   0.66   0.67   0.66  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93924  Lwr xtr vasc stdy bilat                           A   0.50   5.73     4.70     5.73NA   4.70 NA  0.05   6.28   5.25   6.28   5.25  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93924TCLwr xtr vasc stdy bilat                           A   0.00   5.53     4.51     5.53NA   4.51 NA  0.01   5.54   4.52   5.54   4.52  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9392426Lwr xtr vasc stdy bilat                           A   0.50   0.20     0.19     0.20     0.19     0.04   0.74   0.73   0.74   0.73  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93925  Lower extremity study                             A   0.58   8.67     8.08     8.67NA   8.08 NA  0.07   9.32   8.73   9.32   8.73  1XXX.00.00.0002000             33.9764 090 99      4.72   4.72   0.06
93925TCLower extremity study                             A   0.00   8.44     7.86     8.44NA   7.86 NA  0.03   8.47   7.89   8.47   7.89  1XXX.00.00.0002000             33.9764 010 99      4.49   4.49   0.02
9392526Lower extremity study                             A   0.58   0.23     0.22     0.23     0.22     0.04   0.85   0.84   0.85   0.84  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93926  Lower extremity study                             A   0.39   5.61     5.34     5.61NA   5.34 NA  0.06   6.06   5.79   6.06   5.79  1XXX.00.00.0000000             33.9764 090 99      2.98   2.98   0.06
93926TCLower extremity study                             A   0.00   5.46     5.20     5.46NA   5.20 NA  0.01   5.47   5.21   5.47   5.21  1XXX.00.00.0000000             33.9764 010 99      2.83   2.83   0.01
9392626Lower extremity study                             A   0.39   0.15     0.14     0.15     0.14     0.05   0.59   0.58   0.59   0.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93930  Upper extremity study                             A   0.46   6.83     6.46     6.83NA   6.46 NA  0.05   7.34   6.97   7.34   6.97  1XXX.00.00.0002000             33.9764 090 99      4.68   4.68   0.05
93930TCUpper extremity study                             A   0.00   6.65     6.29     6.65NA   6.29 NA  0.01   6.66   6.30   6.66   6.30  1XXX.00.00.0002000             33.9764 010 99      4.50   4.50   0.01
9393026Upper extremity study                             A   0.46   0.18     0.17     0.18     0.17     0.04   0.68   0.67   0.68   0.67  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93931  Upper extremity study                             A   0.31   4.56     4.29     4.56NA   4.29 NA  0.04   4.91   4.64   4.91   4.64  1XXX.00.00.0000000             33.9764 090 99      2.95   2.95   0.04
93931TCUpper extremity study                             A   0.00   4.44     4.18     4.44NA   4.18 NA  0.01   4.45   4.19   4.45   4.19  1XXX.00.00.0000000             33.9764 010 99      2.83   2.83   0.01
9393126Upper extremity study                             A   0.31   0.12     0.11     0.12     0.11     0.03   0.46   0.45   0.46   0.45  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93965  Extremity study                                   A   0.35   3.34     3.11     3.34NA   3.11 NA  0.04   3.73   3.50   3.73   3.50  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93965TCExtremity study                                   A   0.00   3.20     2.98     3.20NA   2.98 NA  0.01   3.21   2.99   3.21   2.99  1XXX.00.00.0002000             33.9764 010 99      0.00   0.00   0.00
9396526Extremity study                                   A   0.35   0.14     0.13     0.14     0.13     0.03   0.52   0.51   0.52   0.51  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93970  Extremity study                                   A   0.68   6.84     6.46     6.84NA   6.46 NA  0.08   7.60   7.22   7.60   7.22  1XXX.00.00.0002000             33.9764 090 99      4.77   4.77   0.08
93970TCExtremity study                                   A   0.00   6.57     6.21     6.57NA   6.21 NA  0.01   6.58   6.22   6.58   6.22  1XXX.00.00.0002000             33.9764 010 99      4.50   4.50   0.01
9397026Extremity study                                   A   0.68   0.27     0.25     0.27     0.25     0.07   1.02   1.00   1.02   1.00  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
93971  Extremity study                                   A   0.45   4.49     4.21     4.49NA   4.21 NA  0.05   4.99   4.71   4.99   4.71  1XXX.00.00.0000000             33.9764 090 99      3.01   3.01   0.05
93971TCExtremity study                                   A   0.00   4.31     4.04     4.31NA   4.04 NA  0.01   4.32   4.05   4.32   4.05  1XXX.00.00.0000000             33.9764 010 99      2.83   2.83   0.01
9397126Extremity study                                   A   0.45   0.18     0.17     0.18     0.17     0.04   0.67   0.66   0.67   0.66  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93975  Vascular study                                    A   1.80   9.22     8.52     9.22NA   8.52 NA  0.17  11.19  10.49  11.19  10.49  1XXX.00.00.0000000             33.9764 090 99      5.22   5.22   0.16
93975TCVascular study                                    A   0.00   8.49     7.85     8.49NA   7.85 NA  0.03   8.52   7.88   8.52   7.88  1XXX.00.00.0000000             33.9764 010 99      4.49   4.49   0.02
9397526Vascular study                                    A   1.80   0.73     0.67     0.73     0.67     0.14   2.67   2.61   2.67   2.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93976  Vascular study                                    A   1.21   5.11     4.72     5.11NA   4.72 NA  0.09   6.41   6.02   6.41   6.02  1XXX.00.00.0000000             33.9764 090 99      4.99   4.99   0.09
93976TCVascular study                                    A   0.00   4.61     4.27     4.61NA   4.27 NA  0.01   4.62   4.28   4.62   4.28  1XXX.00.00.0000000             33.9764 010 99      4.49   4.49   0.01
9397626Vascular study                                    A   1.21   0.50     0.45     0.50     0.45     0.08   1.79   1.74   1.79   1.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93978  Vascular study                                    A   0.65   6.42     6.06     6.42NA   6.06 NA  0.08   7.15   6.79   7.15   6.79  1XXX.00.00.0000000             33.9764 090 99      4.76   4.76   0.08
93978TCVascular study                                    A   0.00   6.16     5.82     6.16NA   5.82 NA  0.01   6.17   5.83   6.17   5.83  1XXX.00.00.0000000             33.9764 010 99      4.50   4.50   0.01
9397826Vascular study                                    A   0.65   0.26     0.24     0.26     0.24     0.07   0.98   0.96   0.98   0.96  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93979  Vascular study                                    A   0.44   4.46     4.21     4.46NA   4.21 NA  0.05   4.95   4.70   4.95   4.70  1XXX.00.00.0000000             33.9764 090 99      3.00   3.00   0.05
93979TCVascular study                                    A   0.00   4.29     4.05     4.29NA   4.05 NA  0.01   4.30   4.06   4.30   4.06  1XXX.00.00.0000000             33.9764 010 99      2.83   2.83   0.01
9397926Vascular study                                    A   0.44   0.17     0.16     0.17     0.16     0.04   0.65   0.64   0.65   0.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93980  Penile vascular study                             A   1.25   3.86     3.51     3.86NA   3.51 NA  0.08   5.19   4.84   5.19   4.84  1XXX.00.00.0000000             33.9764 090 99      5.03   5.03   0.08
93980TCPenile vascular study                             A   0.00   3.32     3.02     3.32NA   3.02 NA  0.01   3.33   3.03   3.33   3.03  1XXX.00.00.0000000             33.9764 010 99      4.49   4.49   0.01
9398026Penile vascular study                             A   1.25   0.54     0.49     0.54     0.49     0.07   1.86   1.81   1.86   1.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93981  Penile vascular study                             A   0.44   3.07     2.69     3.07NA   2.69 NA  0.04   3.55   3.17   3.55   3.17  1XXX.00.00.0000000             33.9764 090 99      4.67   4.67   0.05
93981TCPenile vascular study                             A   0.00   2.89     2.52     2.89NA   2.52 NA  0.01   2.90   2.53   2.90   2.53  1XXX.00.00.0000000             33.9764 010 99      4.49   4.49   0.02
9398126Penile vascular study                             A   0.44   0.18     0.17     0.18     0.17     0.03   0.65   0.64   0.65   0.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93982  Aneurysm pressure sens study                      R   0.30   0.92     0.87     0.92NA   0.87 NA  0.05   1.27   1.22   1.27   1.22  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
93990  Doppler flow testing                              A   0.25   5.90     5.87     5.90NA   5.87 NA  0.05   6.20   6.17   6.20   6.17  1XXX.00.00.0000000             33.9764 090 99      2.92   2.92   0.04
93990TCDoppler flow testing                              A   0.00   5.81     5.78     5.81NA   5.78 NA  0.01   5.82   5.79   5.82   5.79  1XXX.00.00.0000000             33.9764 010 99      2.83   2.83   0.00
9399026Doppler flow testing                              A   0.25   0.09     0.09     0.09     0.09     0.04   0.38   0.38   0.38   0.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94002  Vent mgmt inpat init day                          A   1.99   0.52NA   0.60NA   0.52     0.60     0.16   2.67   2.75   2.67   2.75  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94003  Vent mgmt inpat subq day                          A   1.37   0.45NA   0.49NA   0.45     0.49     0.10   1.92   1.96   1.92   1.96  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94004  Vent mgmt nf per day                              A   1.00   0.33NA   0.36NA   0.33     0.36     0.07   1.40   1.43   1.40   1.43  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94005  Home vent mgmt supervision                        B+  1.50   1.09     1.09     1.09NA   1.09 NA  0.10   2.69   2.69   2.69   2.69  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
94010  Breathing capacity test                           A   0.17   0.85     0.83     0.85NA   0.83 NA  0.02   1.04   1.02   1.04   1.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94010TCBreathing capacity test                           A   0.00   0.78     0.76     0.78NA   0.76 NA  0.01   0.79   0.77   0.79   0.77  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9401026Breathing capacity test                           A   0.17   0.07     0.07     0.07     0.07     0.01   0.25   0.25   0.25   0.25  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94011  Spirometry up to 2 yrs old                        A   2.00   0.77NA   0.77NA   0.77     0.77     0.14   2.91   2.91   2.91   2.91  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94012  Spirmtry w/brnchdil inf-2 yr                      A   3.10   1.16NA   1.16NA   1.16     1.16     0.23   4.49   4.49   4.49   4.49  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94013  Meas lung vol thru 2 yrs                          A   0.66   0.22NA   0.22NA   0.22     0.22     0.04   0.92   0.92   0.92   0.92  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94014  Patient recorded spirometry                       A   0.52   0.90     0.83     0.90NA   0.83 NA  0.02   1.44   1.37   1.44   1.37  4XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
94015  Patient recorded spirometry                       A   0.00   0.71     0.64     0.71NA   0.64 NA  0.01   0.72   0.65   0.72   0.65  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
94016  Review patient spirometry                         A   0.52   0.19     0.19     0.19     0.19     0.01   0.72   0.72   0.72   0.72  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94060  Evaluation of wheezing                            A   0.31   1.46     1.43     1.46NA   1.43 NA  0.02   1.79   1.76   1.79   1.76  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94060TCEvaluation of wheezing                            A   0.00   1.35     1.31     1.35NA   1.31 NA  0.01   1.36   1.32   1.36   1.32  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9406026Evaluation of wheezing                            A   0.31   0.11     0.12     0.11     0.12     0.01   0.43   0.44   0.43   0.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94070  Evaluation of wheezing                            A   0.60   1.12     1.10     1.12NA   1.10 NA  0.04   1.76   1.74   1.76   1.74  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94070TCEvaluation of wheezing                            A   0.00   0.91     0.87     0.91NA   0.87 NA  0.01   0.92   0.88   0.92   0.88  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9407026Evaluation of wheezing                            A   0.60   0.21     0.23     0.21     0.23     0.03   0.84   0.86   0.84   0.86  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94150  Vital capacity test                               B+  0.07   0.62     0.61     0.62NA   0.61 NA  0.02   0.71   0.70   0.71   0.70  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
94150TCVital capacity test                               B+  0.00   0.59     0.58     0.59NA   0.58 NA  0.01   0.60   0.59   0.60   0.59  1XXX.00.00.0099999             33.9764 010 99      0.00   0.00   0.00
9415026Vital capacity test                               B+  0.07   0.03     0.03     0.03     0.03     0.01   0.11   0.11   0.11   0.11  1XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
94200  Lung function test (MBC/MVV)                      A   0.11   0.58     0.57     0.58NA   0.57 NA  0.02   0.71   0.70   0.71   0.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94200TCLung function test (MBC/MVV)                      A   0.00   0.54     0.53     0.54NA   0.53 NA  0.01   0.55   0.54   0.55   0.54  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9420026Lung function test (MBC/MVV)                      A   0.11   0.04     0.04     0.04     0.04     0.01   0.16   0.16   0.16   0.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94240  Residual lung capacity                            A   0.26   0.90     0.86     0.90NA   0.86 NA  0.02   1.18   1.14   1.18   1.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94240TCResidual lung capacity                            A   0.00   0.81     0.77     0.81NA   0.77 NA  0.01   0.82   0.78   0.82   0.78  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9424026Residual lung capacity                            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             33.9764 090 99      0.00   0.00   0.00
94250  Expired gas collection                            A   0.11   0.62     0.57     0.62NA   0.57 NA  0.02   0.75   0.70   0.75   0.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94250TCExpired gas collection                            A   0.00   0.58     0.53     0.58NA   0.53 NA  0.01   0.59   0.54   0.59   0.54  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9425026Expired gas collection                            A   0.11   0.04     0.04     0.04     0.04     0.01   0.16   0.16   0.16   0.16  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94260  Thoracic gas volume                               A   0.13   0.81     0.78     0.81NA   0.78 NA  0.02   0.96   0.93   0.96   0.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94260TCThoracic gas volume                               A   0.00   0.77     0.73     0.77NA   0.73 NA  0.01   0.78   0.74   0.78   0.74  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9426026Thoracic gas volume                               A   0.13   0.04     0.05     0.04     0.05     0.01   0.18   0.19   0.18   0.19  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94350  Lung nitrogen washout curve                       A   0.26   0.74     0.69     0.74NA   0.69 NA  0.02   1.02   0.97   1.02   0.97  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94350TCLung nitrogen washout curve                       A   0.00   0.65     0.59     0.65NA   0.59 NA  0.01   0.66   0.60   0.66   0.60  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9435026Lung nitrogen washout curve                       A   0.26   0.09     0.10     0.09     0.10     0.01   0.36   0.37   0.36   0.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94360  Measure airflow resistance                        A   0.26   1.03     0.99     1.03NA   0.99 NA  0.02   1.31   1.27   1.31   1.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94360TCMeasure airflow resistance                        A   0.00   0.94     0.90     0.94NA   0.90 NA  0.01   0.95   0.91   0.95   0.91  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9436026Measure airflow resistance                        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             33.9764 090 99      0.00   0.00   0.00
94370  Breath airway closing volume                      A   0.26   0.73     0.69     0.73NA   0.69 NA  0.02   1.01   0.97   1.01   0.97  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94370TCBreath airway closing volume                      A   0.00   0.64     0.59     0.64NA   0.59 NA  0.01   0.65   0.60   0.65   0.60  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9437026Breath airway closing volume                      A   0.26   0.09     0.10     0.09     0.10     0.01   0.36   0.37   0.36   0.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94375  Respiratory flow volume loop                      A   0.31   0.80     0.78     0.80NA   0.78 NA  0.02   1.13   1.11   1.13   1.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94375TCRespiratory flow volume loop                      A   0.00   0.69     0.66     0.69NA   0.66 NA  0.01   0.70   0.67   0.70   0.67  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9437526Respiratory flow volume loop                      A   0.31   0.11     0.12     0.11     0.12     0.01   0.43   0.44   0.43   0.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94400  CO2 breathing response curve                      A   0.40   1.16     1.13     1.16NA   1.13 NA  0.02   1.58   1.55   1.58   1.55  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94400TCCO2 breathing response curve                      A   0.00   1.02     0.99     1.02NA   0.99 NA  0.01   1.03   1.00   1.03   1.00  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9440026CO2 breathing response curve                      A   0.40   0.14     0.14     0.14     0.14     0.01   0.55   0.55   0.55   0.55  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94450  Hypoxia response curve                            A   0.40   1.32     1.47     1.32NA   1.47 NA  0.02   1.74   1.89   1.74   1.89  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94450TCHypoxia response curve                            A   0.00   1.17     1.30     1.17NA   1.30 NA  0.01   1.18   1.31   1.18   1.31  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9445026Hypoxia response curve                            A   0.40   0.15     0.17     0.15     0.17     0.01   0.56   0.58   0.56   0.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94452  Hast w/report                                     A   0.31   1.36     1.29     1.36NA   1.29 NA  0.02   1.69   1.62   1.69   1.62  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94452TCHast w/report                                     A   0.00   1.26     1.18     1.26NA   1.18 NA  0.01   1.27   1.19   1.27   1.19  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9445226Hast w/report                                     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             33.9764 090 99      0.00   0.00   0.00
94453  Hast w/oxygen titrate                             A   0.40   1.87     1.77     1.87NA   1.77 NA  0.02   2.29   2.19   2.29   2.19  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94453TCHast w/oxygen titrate                             A   0.00   1.73     1.63     1.73NA   1.63 NA  0.01   1.74   1.64   1.74   1.64  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9445326Hast w/oxygen titrate                             A   0.40   0.14     0.14     0.14     0.14     0.01   0.55   0.55   0.55   0.55  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94610  Surfactant admin thru tube                        A   1.16   0.51     0.56     0.51     0.56     0.07   1.74   1.79   1.74   1.79  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94620  Pulmonary stress test/simple                      A   0.64   1.19     0.88     1.19NA   0.88 NA  0.04   1.87   1.56   1.87   1.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94620TCPulmonary stress test/simple                      A   0.00   0.96     0.65     0.96NA   0.65 NA  0.01   0.97   0.66   0.97   0.66  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9462026Pulmonary stress test/simple                      A   0.64   0.23     0.23     0.23     0.23     0.03   0.90   0.90   0.90   0.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94621  Pulm stress test/complex                          A   1.42   3.31     3.11     3.31NA   3.11 NA  0.06   4.79   4.59   4.79   4.59  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94621TCPulm stress test/complex                          A   0.00   2.76     2.58     2.76NA   2.58 NA  0.01   2.77   2.59   2.77   2.59  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9462126Pulm stress test/complex                          A   1.42   0.55     0.53     0.55     0.53     0.05   2.02   2.00   2.02   2.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94640  Airway inhalation treatment                       A   0.00   0.46     0.49     0.46NA   0.49 NA  0.01   0.47   0.50   0.47   0.50  5XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
94644  Cbt 1st hour                                      A   0.00   1.17     1.21     1.17NA   1.21 NA  0.01   1.18   1.22   1.18   1.22  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94645  Cbt each addl hour                                A   0.00   0.42     0.40     0.42NA   0.40 NA  0.01   0.43   0.41   0.43   0.41  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94660  Pos airway pressure cpap                          A   0.76   0.94     0.96     0.27     0.30     0.05   1.75   1.77   1.08   1.11  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94662  Neg press ventilation cnp                         A   0.76   0.25NA   0.26NA   0.25     0.26     0.05   1.06   1.07   1.06   1.07  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94664  Evaluate pt use of inhaler                        A   0.00   0.46     0.47     0.46NA   0.47 NA  0.01   0.47   0.48   0.47   0.48  5XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
94667  Chest wall manipulation                           A   0.00   0.65     0.67     0.65NA   0.67 NA  0.01   0.66   0.68   0.66   0.68  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94668  Chest wall manipulation                           A   0.00   0.63     0.64     0.63NA   0.64 NA  0.01   0.64   0.65   0.64   0.65  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94680  Exhaled air analysis o2                           A   0.26   1.45     1.35     1.45NA   1.35 NA  0.02   1.73   1.63   1.73   1.63  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94680TCExhaled air analysis o2                           A   0.00   1.35     1.24     1.35NA   1.24 NA  0.01   1.36   1.25   1.36   1.25  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9468026Exhaled air analysis o2                           A   0.26   0.10     0.11     0.10     0.11     0.01   0.37   0.38   0.37   0.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94681  Exhaled air analysis o2/co2                       A   0.20   1.46     1.20     1.46NA   1.20 NA  0.02   1.68   1.42   1.68   1.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94681TCExhaled air analysis o2/co2                       A   0.00   1.39     1.12     1.39NA   1.12 NA  0.01   1.40   1.13   1.40   1.13  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9468126Exhaled air analysis o2/co2                       A   0.20   0.07     0.08     0.07     0.08     0.01   0.28   0.29   0.28   0.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94690  Exhaled air analysis                              A   0.07   1.43     1.31     1.43NA   1.31 NA  0.02   1.52   1.40   1.52   1.40  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94690TCExhaled air analysis                              A   0.00   1.40     1.28     1.40NA   1.28 NA  0.01   1.41   1.29   1.41   1.29  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9469026Exhaled air analysis                              A   0.07   0.03     0.03     0.03     0.03     0.01   0.11   0.11   0.11   0.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94720  Monoxide diffusing capacity                       A   0.26   1.26     1.18     1.26NA   1.18 NA  0.02   1.54   1.46   1.54   1.46  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94720TCMonoxide diffusing capacity                       A   0.00   1.17     1.09     1.17NA   1.09 NA  0.01   1.18   1.10   1.18   1.10  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9472026Monoxide diffusing capacity                       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             33.9764 090 99      0.00   0.00   0.00
94725  Membrane diffusion capacity                       A   0.26   1.48     1.16     1.48NA   1.16 NA  0.02   1.76   1.44   1.76   1.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94725TCMembrane diffusion capacity                       A   0.00   1.38     1.06     1.38NA   1.06 NA  0.01   1.39   1.07   1.39   1.07  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9472526Membrane diffusion capacity                       A   0.26   0.10     0.10     0.10     0.10     0.01   0.37   0.37   0.37   0.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94750  Pulmonary compliance study                        A   0.23   2.04     2.04     2.04NA   2.04 NA  0.02   2.29   2.29   2.29   2.29  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94750TCPulmonary compliance study                        A   0.00   1.96     1.95     1.96NA   1.95 NA  0.01   1.97   1.96   1.97   1.96  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9475026Pulmonary compliance study                        A   0.23   0.08     0.09     0.08     0.09     0.01   0.32   0.33   0.32   0.33  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
94760  Measure blood oxygen level                        T   0.00   0.07     0.08     0.07NA   0.08 NA  0.01   0.08   0.09   0.08   0.09  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
94761  Measure blood oxygen level                        T   0.00   0.12     0.12     0.12NA   0.12 NA  0.01   0.13   0.13   0.13   0.13  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
94762  Measure blood oxygen level                        A   0.00   0.58     0.29     0.58NA   0.29 NA  0.01   0.59   0.30   0.59   0.30  3XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
94770  Exhaled carbon dioxide test                       A   0.15   0.50     0.07     0.50     0.07     0.03   0.68   0.25   0.68   0.25  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
95004  Percut allergy skin tests                         A   0.01   0.17     0.17     0.17NA   0.17 NA  0.01   0.19   0.19   0.19   0.19  0XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95010  Percut allergy titrate test                       A   0.15   0.38     0.38     0.38NA   0.38 NA  0.01   0.54   0.54   0.54   0.54  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95012  Exhaled nitric oxide meas                         A   0.00   0.60     0.55     0.60NA   0.55 NA  0.01   0.61   0.56   0.61   0.56  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95015  Id allergy titrate-drug/bug                       A   0.15   0.26     0.29     0.07     0.07     0.01   0.42   0.45   0.23   0.23  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95024  Id allergy test drug/bug                          A   0.01   0.20     0.19     0.20NA   0.19 NA  0.01   0.22   0.21   0.22   0.21  0XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95027  Id allergy titrate-airborne                       A   0.01   0.12     0.11     0.12NA   0.11 NA  0.01   0.14   0.13   0.14   0.13  0XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95028  Id allergy test-delayed type                      A   0.00   0.36     0.37     0.36NA   0.37 NA  0.01   0.37   0.38   0.37   0.38  3XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95044  Allergy patch tests                               A   0.00   0.17     0.15     0.17NA   0.15 NA  0.01   0.18   0.16   0.18   0.16  5XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95052  Photo patch test                                  A   0.00   0.20     0.17     0.20NA   0.17 NA  0.01   0.21   0.18   0.21   0.18  5XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95056  Photosensitivity tests                            A   0.00   1.19     1.23     1.19NA   1.23 NA  0.01   1.20   1.24   1.20   1.24  5XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95060  Eye allergy tests                                 A   0.00   0.83     0.90     0.83     0.90     0.01   0.84   0.91   0.84   0.91  3XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
95065  Nose allergy test                                 A   0.00   0.71     0.72     0.71     0.72     0.01   0.72   0.73   0.72   0.73  3XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
95070  Bronchial allergy tests                           A   0.00   1.11     0.80     1.11NA   0.80 NA  0.01   1.12   0.81   1.12   0.81  3XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95071  Bronchial allergy tests                           A   0.00   1.49     1.23     1.49NA   1.23 NA  0.01   1.50   1.24   1.50   1.24  3XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
95075  Ingestion challenge test                          A   0.95   0.90     0.90     0.42     0.44     0.04   1.89   1.89   1.41   1.43  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95115  Immunotherapy one injection                       A   0.00   0.29     0.26     0.29NA   0.26 NA  0.01   0.30   0.27   0.30   0.27  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95117  Immunotherapy injections                          A   0.00   0.36     0.31     0.36NA   0.31 NA  0.01   0.37   0.32   0.37   0.32  5XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
95144  Antigen therapy services                          A   0.06   0.30     0.30     0.03     0.03     0.01   0.37   0.37   0.10   0.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95145  Antigen therapy services                          A   0.06   0.49     0.55     0.03     0.03     0.01   0.56   0.62   0.10   0.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95146  Antigen therapy services                          A   0.06   0.91     1.06     0.03     0.03     0.01   0.98   1.13   0.10   0.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95147  Antigen therapy services                          A   0.06   0.85     0.95     0.03     0.03     0.01   0.92   1.02   0.10   0.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95148  Antigen therapy services                          A   0.06   1.26     1.45     0.03     0.03     0.01   1.33   1.52   0.10   0.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95149  Antigen therapy services                          A   0.06   1.70     1.97     0.03     0.03     0.01   1.77   2.04   0.10   0.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95165  Antigen therapy services                          A   0.06   0.30     0.30     0.03     0.03     0.01   0.37   0.37   0.10   0.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95170  Antigen therapy services                          A   0.06   0.22     0.21     0.03     0.03     0.01   0.29   0.28   0.10   0.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95180  Rapid desensitization                             A   2.01   2.07     1.94     1.02     0.99     0.07   4.15   4.02   3.10   3.07  0XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
95250  Glucose monitoring cont                           A   0.00   4.35     4.35     4.35NA   4.35 NA  0.01   4.36   4.36   4.36   4.36  3XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95251  Gluc monitor cont phys i&r                        A   0.85   0.34     0.39     0.34     0.39     0.04   1.23   1.28   1.23   1.28  2XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95800  Slp stdy unattended                               A   1.05   4.95     4.95     4.95NA   4.95 NA  0.05   6.05   6.05   6.05   6.05  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95800TCSlp stdy unattended                               A   0.00   4.33     4.33     4.33NA   4.33 NA  0.01   4.34   4.34   4.34   4.34  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9580026Slp stdy unattended                               A   1.05   0.62     0.62     0.62     0.62     0.04   1.71   1.71   1.71   1.71  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95801  Slp stdy unatnd w/anal                            A   1.00   1.80     1.80     1.80NA   1.80 NA  0.05   2.85   2.85   2.85   2.85  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95801TCSlp stdy unatnd w/anal                            A   0.00   1.33     1.33     1.33NA   1.33 NA  0.01   1.34   1.34   1.34   1.34  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9580126Slp stdy unatnd w/anal                            A   1.00   0.47     0.47     0.47     0.47     0.04   1.51   1.51   1.51   1.51  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95803  Actigraphy testing                                A   0.90   3.83     3.83     3.83NA   3.83 NA  0.05   4.78   4.78   4.78   4.78  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95803TCActigraphy testing                                A   0.00   3.39     3.39     3.39NA   3.39 NA  0.01   3.40   3.40   3.40   3.40  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9580326Actigraphy testing                                A   0.90   0.44     0.44     0.44     0.44     0.04   1.38   1.38   1.38   1.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95805  Multiple sleep latency test                       A   1.20  10.80    10.13    10.80NA  10.13 NA  0.08  12.08  11.41  12.08  11.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95805TCMultiple sleep latency test                       A   0.00  10.22     9.65    10.22NA   9.65 NA  0.04  10.26   9.69  10.26   9.69  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9580526Multiple sleep latency test                       A   1.20   0.58     0.48     0.58     0.48     0.04   1.82   1.72   1.82   1.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95806  Sleep study unatt&resp efft                       A   1.25   4.03     3.49     4.03NA   3.49 NA  0.08   5.36   4.82   5.36   4.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95806TCSleep study unatt&resp efft                       A   0.00   3.48     3.00     3.48NA   3.00 NA  0.03   3.51   3.03   3.51   3.03  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9580626Sleep study unatt&resp efft                       A   1.25   0.55     0.49     0.55     0.49     0.05   1.85   1.79   1.85   1.79  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95807  Sleep study attended                              A   1.28  12.40    10.76    12.40NA  10.76 NA  0.15  13.83  12.19  13.83  12.19  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95807TCSleep study attended                              A   0.00  11.87    10.29    11.87NA  10.29 NA  0.10  11.97  10.39  11.97  10.39  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9580726Sleep study attended                              A   1.28   0.53     0.47     0.53     0.47     0.05   1.86   1.80   1.86   1.80  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95808  Polysomnography 1-3                               A   1.74  17.21    16.46    17.21NA  16.46 NA  0.17  19.12  18.37  19.12  18.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95808TCPolysomnography 1-3                               A   0.00  16.37    15.73    16.37NA  15.73 NA  0.10  16.47  15.83  16.47  15.83  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9580826Polysomnography 1-3                               A   1.74   0.84     0.73     0.84     0.73     0.07   2.65   2.54   2.65   2.54  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95810  Polysomnography 4 or more                         A   2.50  17.72    14.54    17.72NA  14.54 NA  0.21  20.43  17.25  20.43  17.25  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95810TCPolysomnography 4 or more                         A   0.00  16.63    13.58    16.63NA  13.58 NA  0.11  16.74  13.69  16.74  13.69  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9581026Polysomnography 4 or more                         A   2.50   1.09     0.96     1.09     0.96     0.10   3.69   3.56   3.69   3.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95811  Polysomnography w/cpap                            A   2.60  19.22    15.27    19.22NA  15.27 NA  0.23  22.05  18.10  22.05  18.10  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95811TCPolysomnography w/cpap                            A   0.00  18.07    14.28    18.07NA  14.28 NA  0.12  18.19  14.40  18.19  14.40  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9581126Polysomnography w/cpap                            A   2.60   1.15     0.99     1.15     0.99     0.11   3.86   3.70   3.86   3.70  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95812  Eeg 41-60 minutes                                 A   1.08   8.12     9.75     8.12NA   9.75 NA  0.07   9.27  10.90   9.27  10.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95812TCEeg 41-60 minutes                                 A   0.00   7.65     9.23     7.65NA   9.23 NA  0.03   7.68   9.26   7.68   9.26  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9581226Eeg 41-60 minutes                                 A   1.08   0.47     0.52     0.47     0.52     0.04   1.59   1.64   1.59   1.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95813  Eeg over 1 hour                                   A   1.73   8.61     9.75     8.61NA   9.75 NA  0.11  10.45  11.59  10.45  11.59  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95813TCEeg over 1 hour                                   A   0.00   7.87     8.95     7.87NA   8.95 NA  0.04   7.91   8.99   7.91   8.99  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9581326Eeg over 1 hour                                   A   1.73   0.74     0.80     0.74     0.80     0.07   2.54   2.60   2.54   2.60  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95816  Eeg awake and drowsy                              A   1.08   7.43     8.99     7.43NA   8.99 NA  0.08   8.59  10.15   8.59  10.15  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95816TCEeg awake and drowsy                              A   0.00   6.95     8.47     6.95NA   8.47 NA  0.03   6.98   8.50   6.98   8.50  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9581626Eeg awake and drowsy                              A   1.08   0.48     0.52     0.48     0.52     0.05   1.61   1.65   1.61   1.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95819  Eeg awake and asleep                              A   1.08   8.43    10.45     8.43NA  10.45 NA  0.07   9.58  11.60   9.58  11.60  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95819TCEeg awake and asleep                              A   0.00   7.95     9.93     7.95NA   9.93 NA  0.03   7.98   9.96   7.98   9.96  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9581926Eeg awake and asleep                              A   1.08   0.48     0.52     0.48     0.52     0.04   1.60   1.64   1.60   1.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95822  Eeg coma or sleep only                            A   1.08   7.81     9.27     7.81NA   9.27 NA  0.07   8.96  10.42   8.96  10.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95822TCEeg coma or sleep only                            A   0.00   7.33     8.75     7.33NA   8.75 NA  0.03   7.36   8.78   7.36   8.78  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9582226Eeg coma or sleep only                            A   1.08   0.48     0.52     0.48     0.52     0.04   1.60   1.64   1.60   1.64  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 010 99      0.00   0.00   0.00
9582426Eeg cerebral death only                           A   0.74   0.32     0.35     0.32     0.35     0.05   1.11   1.14   1.11   1.14  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95827  Eeg all night recording                           A   1.08  15.25    19.27    15.25NA  19.27 NA  0.13  16.46  20.48  16.46  20.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95827TCEeg all night recording                           A   0.00  14.78    18.75    14.78NA  18.75 NA  0.08  14.86  18.83  14.86  18.83  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9582726Eeg all night recording                           A   1.08   0.47     0.52     0.47     0.52     0.05   1.60   1.65   1.60   1.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95829  Surgery electrocorticogram                        A   6.20  37.55    42.49    37.55NA  42.49 NA  0.21  43.96  48.90  43.96  48.90  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95829TCSurgery electrocorticogram                        A   0.00  34.81    39.49    34.81NA  39.49 NA  0.05  34.86  39.54  34.86  39.54  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9582926Surgery electrocorticogram                        A   6.20   2.74     3.00     2.74     3.00     0.16   9.10   9.36   9.10   9.36  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95830  Insert electrodes for EEG                         A   1.70   3.77     3.85     0.70     0.74     0.14   5.61   5.69   2.54   2.58  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95831  Limb muscle testing manual                        A   0.28   0.54     0.57     0.13     0.14     0.03   0.85   0.88   0.44   0.45  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95832  Hand muscle testing manual                        A   0.29   0.50     0.57     0.14     0.17     0.03   0.82   0.89   0.46   0.49  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95833  Body muscle testing manual                        A   0.47   0.60     0.61     0.18     0.16     0.01   1.08   1.09   0.66   0.64  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95834  Body muscle testing manual                        A   0.60   0.73     0.81     0.24     0.26     0.03   1.36   1.44   0.87   0.89  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95851  Range of motion measurements                      A   0.16   0.34     0.34     0.06     0.06     0.01   0.51   0.51   0.23   0.23  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95852  Range of motion measurements                      A   0.11   0.31     0.34     0.05     0.05     0.01   0.43   0.46   0.17   0.17  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95857  Cholinesterase challenge                          A   0.53   0.81     0.92     0.27     0.30     0.04   1.38   1.49   0.84   0.87  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95860  Muscle test one limb                              A   0.96   1.66     1.84     1.66NA   1.84 NA  0.04   2.66   2.84   2.66   2.84  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95860TCMuscle test one limb                              A   0.00   1.19     1.34     1.19NA   1.34 NA  0.01   1.20   1.35   1.20   1.35  1XXX.00.00.0000000             33.9764 6A0 99      0.00   0.00   0.00
9586026Muscle test one limb                              A   0.96   0.47     0.50     0.47     0.50     0.03   1.46   1.49   1.46   1.49  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95861  Muscle test 2 limbs                               A   1.54   2.26     2.58     2.26NA   2.58 NA  0.06   3.86   4.18   3.86   4.18  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95861TCMuscle test 2 limbs                               A   0.00   1.52     1.79     1.52NA   1.79 NA  0.01   1.53   1.80   1.53   1.80  1XXX.00.00.0000000             33.9764 6A0 99      0.00   0.00   0.00
9586126Muscle test 2 limbs                               A   1.54   0.74     0.79     0.74     0.79     0.05   2.33   2.38   2.33   2.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95863  Muscle test 3 limbs                               A   1.87   2.71     3.16     2.71NA   3.16 NA  0.08   4.66   5.11   4.66   5.11  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95863TCMuscle test 3 limbs                               A   0.00   1.85     2.22     1.85NA   2.22 NA  0.01   1.86   2.23   1.86   2.23  1XXX.00.00.0000000             33.9764 6A0 99      0.00   0.00   0.00
9586326Muscle test 3 limbs                               A   1.87   0.86     0.94     0.86     0.94     0.07   2.80   2.88   2.80   2.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95864  Muscle test 4 limbs                               A   1.99   3.05     3.34     3.05NA   3.34 NA  0.08   5.12   5.41   5.12   5.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95864TCMuscle test 4 limbs                               A   0.00   2.12     2.34     2.12NA   2.34 NA  0.01   2.13   2.35   2.13   2.35  1XXX.00.00.0000000             33.9764 6A0 99      0.00   0.00   0.00
9586426Muscle test 4 limbs                               A   1.99   0.93     1.00     0.93     1.00     0.07   2.99   3.06   2.99   3.06  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95865  Muscle test larynx                                A   1.57   1.90     2.06     1.90NA   2.06 NA  0.05   3.52   3.68   3.52   3.68  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95865TCMuscle test larynx                                A   0.00   1.12     1.22     1.12NA   1.22 NA  0.01   1.13   1.23   1.13   1.23  1XXX.00.00.0002000             33.9764 6A0 99      0.00   0.00   0.00
9586526Muscle test larynx                                A   1.57   0.78     0.84     0.78     0.84     0.04   2.39   2.45   2.39   2.45  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95866  Muscle test hemidiaphragm                         A   1.25   1.74     2.01     1.74NA   2.01 NA  0.06   3.05   3.32   3.05   3.32  1XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
95866TCMuscle test hemidiaphragm                         A   0.00   1.16     1.41     1.16NA   1.41 NA  0.01   1.17   1.42   1.17   1.42  1XXX.00.00.0001000             33.9764 6A0 99      0.00   0.00   0.00
9586626Muscle test hemidiaphragm                         A   1.25   0.58     0.60     0.58     0.60     0.05   1.88   1.90   1.88   1.90  1XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
95867  Muscle test cran nerv unilat                      A   0.79   1.53     1.73     1.53NA   1.73 NA  0.04   2.36   2.56   2.36   2.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95867TCMuscle test cran nerv unilat                      A   0.00   1.15     1.32     1.15NA   1.32 NA  0.01   1.16   1.33   1.16   1.33  1XXX.00.00.0000000             33.9764 6A0 99      0.00   0.00   0.00
9586726Muscle test cran nerv unilat                      A   0.79   0.38     0.41     0.38     0.41     0.03   1.20   1.23   1.20   1.23  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95868  Muscle test cran nerve bilat                      A   1.18   1.97     2.25     1.97NA   2.25 NA  0.05   3.20   3.48   3.20   3.48  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95868TCMuscle test cran nerve bilat                      A   0.00   1.42     1.65     1.42NA   1.65 NA  0.01   1.43   1.66   1.43   1.66  1XXX.00.00.0002000             33.9764 6A0 99      0.00   0.00   0.00
9586826Muscle test cran nerve bilat                      A   1.18   0.55     0.60     0.55     0.60     0.04   1.77   1.82   1.77   1.82  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95869  Muscle test thor paraspinal                       A   0.37   1.33     1.62     1.33NA   1.62 NA  0.02   1.72   2.01   1.72   2.01  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95869TCMuscle test thor paraspinal                       A   0.00   1.15     1.43     1.15NA   1.43 NA  0.01   1.16   1.44   1.16   1.44  1XXX.00.00.0000000             33.9764 6A0 99      0.00   0.00   0.00
9586926Muscle test thor paraspinal                       A   0.37   0.18     0.19     0.18     0.19     0.01   0.56   0.57   0.56   0.57  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95870  Muscle test nonparaspinal                         A   0.37   1.29     1.60     1.29NA   1.60 NA  0.02   1.68   1.99   1.68   1.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95870TCMuscle test nonparaspinal                         A   0.00   1.12     1.41     1.12NA   1.41 NA  0.01   1.13   1.42   1.13   1.42  1XXX.00.00.0000000             33.9764 6A0 99      0.00   0.00   0.00
9587026Muscle test nonparaspinal                         A   0.37   0.17     0.19     0.17     0.19     0.01   0.55   0.57   0.55   0.57  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95872  Muscle test one fiber                             A   2.88   2.23     2.58     2.23NA   2.58 NA  0.12   5.23   5.58   5.23   5.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95872TCMuscle test one fiber                             A   0.00   1.02     1.20     1.02NA   1.20 NA  0.01   1.03   1.21   1.03   1.21  1XXX.00.00.0000000             33.9764 660 99      0.00   0.00   0.00
9587226Muscle test one fiber                             A   2.88   1.21     1.38     1.21     1.38     0.11   4.20   4.37   4.20   4.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95873  Guide nerv destr elec stim                        A   0.37   1.32     1.60     1.32NA   1.60 NA  0.02   1.71   1.99   1.71   1.99  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95873TCGuide nerv destr elec stim                        A   0.00   1.12     1.39     1.12NA   1.39 NA  0.01   1.13   1.40   1.13   1.40  1ZZZ.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9587326Guide nerv destr elec stim                        A   0.37   0.20     0.21     0.20     0.21     0.01   0.58   0.59   0.58   0.59  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95874  Guide nerv destr needle emg                       A   0.37   1.24     1.53     1.24NA   1.53 NA  0.02   1.63   1.92   1.63   1.92  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95874TCGuide nerv destr needle emg                       A   0.00   1.06     1.33     1.06NA   1.33 NA  0.01   1.07   1.34   1.07   1.34  1ZZZ.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9587426Guide nerv destr needle emg                       A   0.37   0.18     0.20     0.18     0.20     0.01   0.56   0.58   0.56   0.58  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95875  Limb exercise test                                A   1.10   1.93     2.21     1.93NA   2.21 NA  0.06   3.09   3.37   3.09   3.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95875TCLimb exercise test                                A   0.00   1.44     1.68     1.44NA   1.68 NA  0.01   1.45   1.69   1.45   1.69  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9587526Limb exercise test                                A   1.10   0.49     0.53     0.49     0.53     0.05   1.64   1.68   1.64   1.68  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95900  Motor nerve conduction test                       A   0.42   1.33     1.44     1.33NA   1.44 NA  0.02   1.77   1.88   1.77   1.88  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95900TCMotor nerve conduction test                       A   0.00   1.13     1.22     1.13NA   1.22 NA  0.01   1.14   1.23   1.14   1.23  1XXX.00.00.0000000             33.9764 7A0 99      0.00   0.00   0.00
9590026Motor nerve conduction test                       A   0.42   0.20     0.22     0.20     0.22     0.01   0.63   0.65   0.63   0.65  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95903  Motor nerve conduction test                       A   0.60   1.41     1.54     1.41NA   1.54 NA  0.04   2.05   2.18   2.05   2.18  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95903TCMotor nerve conduction test                       A   0.00   1.14     1.25     1.14NA   1.25 NA  0.01   1.15   1.26   1.15   1.26  1XXX.00.00.0000000             33.9764 7A0 99      0.00   0.00   0.00
9590326Motor nerve conduction test                       A   0.60   0.27     0.29     0.27     0.29     0.03   0.90   0.92   0.90   0.92  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95904  Sense nerve conduction test                       A   0.34   1.20     1.28     1.20NA   1.28 NA  0.02   1.56   1.64   1.56   1.64  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95904TCSense nerve conduction test                       A   0.00   1.04     1.11     1.04NA   1.11 NA  0.01   1.05   1.12   1.05   1.12  1XXX.00.00.0000000             33.9764 7A0 99      0.00   0.00   0.00
9590426Sense nerve conduction test                       A   0.34   0.16     0.17     0.16     0.17     0.01   0.51   0.52   0.51   0.52  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95905  Motor/sens nrve conduct test                      A   0.05   2.41     2.41     2.41NA   2.41 NA  0.02   2.48   2.48   2.48   2.48  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95905TCMotor/sens nrve conduct test                      A   0.00   2.38     2.38     2.38NA   2.38 NA  0.01   2.39   2.39   2.39   2.39  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9590526Motor/sens nrve conduct test                      A   0.05   0.03     0.03     0.03     0.03     0.01   0.09   0.09   0.09   0.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95920  Intraop nerve test add-on                         A   2.11   2.46     2.69     2.46NA   2.69 NA  0.09   4.66   4.89   4.66   4.89  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95920TCIntraop nerve test add-on                         A   0.00   1.51     1.66     1.51NA   1.66 NA  0.01   1.52   1.67   1.52   1.67  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
9592026Intraop nerve test add-on                         A   2.11   0.95     1.03     0.95     1.03     0.08   3.14   3.22   3.14   3.22  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95921  Autonomic nerv function test                      A   0.90   1.41     1.53     1.41NA   1.53 NA  0.04   2.35   2.47   2.35   2.47  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95921TCAutonomic nerv function test                      A   0.00   1.03     1.12     1.03NA   1.12 NA  0.01   1.04   1.13   1.04   1.13  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9592126Autonomic nerv function test                      A   0.90   0.38     0.41     0.38     0.41     0.03   1.31   1.34   1.31   1.34  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95922  Autonomic nerv function test                      A   0.96   1.90     2.09     1.90NA   2.09 NA  0.04   2.90   3.09   2.90   3.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95922TCAutonomic nerv function test                      A   0.00   1.49     1.66     1.49NA   1.66 NA  0.01   1.50   1.67   1.50   1.67  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9592226Autonomic nerv function test                      A   0.96   0.41     0.43     0.41     0.43     0.03   1.40   1.42   1.40   1.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95923  Autonomic nerv function test                      A   0.90   3.31     3.92     3.31NA   3.92 NA  0.05   4.26   4.87   4.26   4.87  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95923TCAutonomic nerv function test                      A   0.00   2.91     3.48     2.91NA   3.48 NA  0.01   2.92   3.49   2.92   3.49  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9592326Autonomic nerv function test                      A   0.90   0.40     0.44     0.40     0.44     0.04   1.34   1.38   1.34   1.38  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95925  Somatosensory testing                             A   0.54   4.05     4.92     4.05NA   4.92 NA  0.02   4.61   5.48   4.61   5.48  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95925TCSomatosensory testing                             A   0.00   3.81     4.66     3.81NA   4.66 NA  0.01   3.82   4.67   3.82   4.67  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
9592526Somatosensory testing                             A   0.54   0.24     0.26     0.24     0.26     0.01   0.79   0.81   0.79   0.81  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95926  Somatosensory testing                             A   0.54   3.89     4.65     3.89NA   4.65 NA  0.04   4.47   5.23   4.47   5.23  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95926TCSomatosensory testing                             A   0.00   3.65     4.40     3.65NA   4.40 NA  0.01   3.66   4.41   3.66   4.41  1XXX.00.00.0002000             33.9764 210 99      0.00   0.00   0.00
9592626Somatosensory testing                             A   0.54   0.24     0.25     0.24     0.25     0.03   0.81   0.82   0.81   0.82  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95927  Somatosensory testing                             A   0.54   3.63     4.05     3.63NA   4.05 NA  0.02   4.19   4.61   4.19   4.61  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95927TCSomatosensory testing                             A   0.00   3.38     3.79     3.38NA   3.79 NA  0.01   3.39   3.80   3.39   3.80  1XXX.00.00.0000000             33.9764 210 99      0.00   0.00   0.00
9592726Somatosensory testing                             A   0.54   0.25     0.26     0.25     0.26     0.01   0.80   0.81   0.80   0.81  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95928  C motor evoked uppr limbs                         A   1.50   5.28     6.22     5.28NA   6.22 NA  0.10   6.88   7.82   6.88   7.82  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95928TCC motor evoked uppr limbs                         A   0.00   4.62     5.49     4.62NA   5.49 NA  0.03   4.65   5.52   4.65   5.52  1XXX.00.00.0000000             33.9764 210 99      0.00   0.00   0.00
9592826C motor evoked uppr limbs                         A   1.50   0.66     0.73     0.66     0.73     0.07   2.23   2.30   2.23   2.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95929  C motor evoked lwr limbs                          A   1.50   5.69     6.67     5.69NA   6.67 NA  0.10   7.29   8.27   7.29   8.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95929TCC motor evoked lwr limbs                          A   0.00   5.02     5.94     5.02NA   5.94 NA  0.03   5.05   5.97   5.05   5.97  1XXX.00.00.0000000             33.9764 210 99      0.00   0.00   0.00
9592926C motor evoked lwr limbs                          A   1.50   0.67     0.73     0.67     0.73     0.07   2.24   2.30   2.24   2.30  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95930  Visual evoked potential test                      A   0.35   3.55     4.08     3.55NA   4.08 NA  0.02   3.92   4.45   3.92   4.45  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95930TCVisual evoked potential test                      A   0.00   3.39     3.90     3.39NA   3.90 NA  0.01   3.40   3.91   3.40   3.91  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
9593026Visual evoked potential test                      A   0.35   0.16     0.18     0.16     0.18     0.01   0.52   0.54   0.52   0.54  1XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
95933  Blink reflex test                                 A   0.59   1.55     1.78     1.55NA   1.78 NA  0.04   2.18   2.41   2.18   2.41  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95933TCBlink reflex test                                 A   0.00   1.28     1.49     1.28NA   1.49 NA  0.01   1.29   1.50   1.29   1.50  1XXX.00.00.0000000             33.9764 7A0 99      0.00   0.00   0.00
9593326Blink reflex test                                 A   0.59   0.27     0.29     0.27     0.29     0.03   0.89   0.91   0.89   0.91  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95934  H-reflex test                                     A   0.51   1.12     1.30     1.12NA   1.30 NA  0.02   1.65   1.83   1.65   1.83  1XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
95934TCH-reflex test                                     A   0.00   0.88     1.05     0.88NA   1.05 NA  0.01   0.89   1.06   0.89   1.06  1XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
9593426H-reflex test                                     A   0.51   0.24     0.25     0.24     0.25     0.01   0.76   0.77   0.76   0.77  1XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
95936  H-reflex test                                     A   0.55   0.79     0.90     0.79NA   0.90 NA  0.02   1.36   1.47   1.36   1.47  1XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
95936TCH-reflex test                                     A   0.00   0.54     0.63     0.54NA   0.63 NA  0.01   0.55   0.64   0.55   0.64  1XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
9593626H-reflex test                                     A   0.55   0.25     0.27     0.25     0.27     0.01   0.81   0.83   0.81   0.83  1XXX.00.00.0001000             33.9764 090 99      0.00   0.00   0.00
95937  Neuromuscular junction test                       A   0.65   1.20     1.39     1.20NA   1.39 NA  0.05   1.90   2.09   1.90   2.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95937TCNeuromuscular junction test                       A   0.00   0.91     1.08     0.91NA   1.08 NA  0.01   0.92   1.09   0.92   1.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
9593726Neuromuscular junction test                       A   0.65   0.29     0.31     0.29     0.31     0.04   0.98   1.00   0.98   1.00  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95950  Ambulatory eeg monitoring                         A   1.51   6.35     7.11     6.35NA   7.11 NA  0.10   7.96   8.72   7.96   8.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95950TCAmbulatory eeg monitoring                         A   0.00   5.69     6.38     5.69NA   6.38 NA  0.03   5.72   6.41   5.72   6.41  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9595026Ambulatory eeg monitoring                         A   1.51   0.66     0.73     0.66     0.73     0.07   2.24   2.31   2.24   2.31  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 010 99      0.00   0.00   0.00
9595126EEG monitoring/videorecord                        A   5.99   2.65     2.90     2.65     2.90     0.48   9.12   9.37   9.12   9.37  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95953  EEG monitoring/computer                           A   3.08   8.89     9.01     8.89NA   9.01 NA  0.18  12.15  12.27  12.15  12.27  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95953TCEEG monitoring/computer                           A   0.00   7.50     7.52     7.50NA   7.52 NA  0.03   7.53   7.55   7.53   7.55  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9595326EEG monitoring/computer                           A   3.08   1.39     1.49     1.39     1.49     0.15   4.62   4.72   4.62   4.72  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95954  EEG monitoring/giving drugs                       A   2.45   6.53     7.96     6.53NA   7.96 NA  0.15   9.13  10.56   9.13  10.56  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95954TCEEG monitoring/giving drugs                       A   0.00   5.74     7.08     5.74NA   7.08 NA  0.04   5.78   7.12   5.78   7.12  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9595426EEG monitoring/giving drugs                       A   2.45   0.79     0.88     0.79     0.88     0.11   3.35   3.44   3.35   3.44  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95955  EEG during surgery                                A   1.01   3.88     4.61     3.88NA   4.61 NA  0.05   4.94   5.67   4.94   5.67  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95955TCEEG during surgery                                A   0.00   3.45     4.13     3.45NA   4.13 NA  0.01   3.46   4.14   3.46   4.14  1XXX.00.00.0000000             33.9764 020 99      0.00   0.00   0.00
9595526EEG during surgery                                A   1.01   0.43     0.48     0.43     0.48     0.04   1.48   1.53   1.48   1.53  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95956  Eeg monitor technol attended                      A   3.61  25.78    32.06    25.78NA  32.06 NA  0.32  29.71  35.99  29.71  35.99  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95956TCEeg monitor technol attended                      A   0.00  24.33    30.41    24.33NA  30.41 NA  0.16  24.49  30.57  24.49  30.57  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9595626Eeg monitor technol attended                      A   3.61   1.45     1.65     1.45     1.65     0.16   5.22   5.42   5.22   5.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95957  EEG digital analysis                              A   1.98   7.88     9.70     7.88NA   9.70 NA  0.11   9.97  11.79   9.97  11.79  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95957TCEEG digital analysis                              A   0.00   7.01     8.76     7.01NA   8.76 NA  0.01   7.02   8.77   7.02   8.77  1XXX.00.00.0000000             33.9764 010 99      0.00   0.00   0.00
9595726EEG digital analysis                              A   1.98   0.87     0.94     0.87     0.94     0.10   2.95   3.02   2.95   3.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95958  EEG monitoring/function test                      A   4.24   8.85    10.43     8.85NA  10.43 NA  0.26  13.35  14.93  13.35  14.93  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95958TCEEG monitoring/function test                      A   0.00   7.01     8.47     7.01NA   8.47 NA  0.04   7.05   8.51   7.05   8.51  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9595826EEG monitoring/function test                      A   4.24   1.84     1.96     1.84     1.96     0.22   6.30   6.42   6.30   6.42  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95961  Electrode stimulation brain                       A   2.97   4.27     4.97     4.27NA   4.97 NA  0.15   7.39   8.09   7.39   8.09  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95961TCElectrode stimulation brain                       A   0.00   2.91     3.50     2.91NA   3.50 NA  0.01   2.92   3.51   2.92   3.51  1XXX.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9596126Electrode stimulation brain                       A   2.97   1.36     1.47     1.36     1.47     0.14   4.47   4.58   4.47   4.58  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95962  Electrode stim brain add-on                       A   3.21   3.29     3.76     3.29NA   3.76 NA  0.15   6.65   7.12   6.65   7.12  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95962TCElectrode stim brain add-on                       A   0.00   1.86     2.19     1.86NA   2.19 NA  0.01   1.87   2.20   1.87   2.20  1ZZZ.00.00.0000000             33.9764 030 99      0.00   0.00   0.00
9596226Electrode stim brain add-on                       A   3.21   1.43     1.57     1.43     1.57     0.14   4.78   4.92   4.78   4.92  1ZZZ.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
9596526Meg spontaneous                                   A   7.99   3.69     3.88     3.69     3.88     0.64  12.32  12.51  12.32  12.51  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
9596626Meg evoked single                                 A   3.99   1.85     1.94     1.85     1.94     0.31   6.15   6.24   6.15   6.24  1XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
9596726Meg evoked each addl                              A   3.49   1.56     1.69     1.56     1.69     0.29   5.34   5.47   5.34   5.47  1ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95970  Analyze neurostim no prog                         A   0.45   1.24     1.40     0.19     0.21     0.04   1.73   1.89   0.68   0.70  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95971  Analyze neurostim simple                          A   0.78   0.85     0.82     0.33     0.34     0.07   1.70   1.67   1.18   1.19  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95972  Analyze neurostim complex                         A   1.50   1.49     1.55     0.64     0.70     0.14   3.13   3.19   2.28   2.34  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95973  Analyze neurostim complex                         A   0.92   0.76     0.86     0.39     0.46     0.08   1.76   1.86   1.39   1.46  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95974  Cranial neurostim complex                         A   3.00   2.18     2.49     1.28     1.41     0.26   5.44   5.75   4.54   4.67  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95975  Cranial neurostim complex                         A   1.70   1.12     1.28     0.75     0.82     0.12   2.94   3.10   2.57   2.64  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95978  Analyze neurostim brain/1h                        A   3.50   2.71     3.10     1.56     1.72     0.38   6.59   6.98   5.44   5.60  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95979  Analyz neurostim brain addon                      A   1.64   1.10     1.24     0.73     0.81     0.14   2.88   3.02   2.51   2.59  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95980  Io anal gast n-stim init                          A   0.80   0.37NA   0.44NA   0.37     0.44     0.16   1.33   1.40   1.33   1.40  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95981  Io anal gast n-stim subsq                         A   0.30   0.57     0.60     0.17     0.20     0.03   0.90   0.93   0.50   0.53  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95982  Io ga n-stim subsq w/reprog                       A   0.65   0.70     0.80     0.30     0.36     0.05   1.40   1.50   1.00   1.06  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95990  Spin/brain pump refil & main                      A   0.00   2.19     2.47     2.19NA   2.47 NA  0.03   2.22   2.50   2.22   2.50  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95991  Spin/brain pump refil & main                      A   0.77   2.28     2.63     0.29     0.36     0.05   3.10   3.45   1.11   1.18  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
95992  Canalith repositioning proc                       A   0.75   0.45     0.46     0.32     0.33     0.05   1.25   1.26   1.12   1.13  0XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
96000  Motion analysis video/3d                          A   1.80   0.77NA   0.93NA   0.77     0.93     0.11   2.68   2.84   2.68   2.84  7XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
96001  Motion test w/ft press meas                       A   2.15   0.68NA   0.65NA   0.68     0.65     0.12   2.95   2.92   2.95   2.92  7XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
96002  Dynamic surface emg                               A   0.41   0.18NA   0.20NA   0.18     0.20     0.03   0.62   0.64   0.62   0.64  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
96003  Dynamic fine wire emg                             A   0.37   0.15NA   0.18NA   0.15     0.18     0.03   0.55   0.58   0.55   0.58  0XXX.00.00.0002000             33.9764 090 99      0.00   0.00   0.00
96004  Phys review of motion tests                       A   2.14   1.00     1.03     1.00     1.03     0.14   3.28   3.31   3.28   3.31  2XXX.00.00.0002000             33.9764 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             33.9764 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             33.9764 030 99      0.00   0.00   0.00
9602026Functional brain mapping                          A   3.43   1.45     1.28     1.45     1.28     0.31   5.19   5.02   5.19   5.02  1XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96040  Genetic counseling 30 min                         B+  0.00   1.29     1.23     1.29NA   1.23 NA  0.03   1.32   1.26   1.32   1.26  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
96101  Psycho testing by psych/phys                      A   1.86   0.51     0.48     0.40     0.28     0.07   2.44   2.41   2.33   2.21  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96102  Psycho testing by technician                      A   0.50   1.43     1.73     0.16     0.17     0.03   1.96   2.26   0.69   0.70  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96103  Psycho testing admin by comp                      A   0.51   1.11     1.30     0.18     0.19     0.03   1.65   1.84   0.72   0.73  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96105  Assessment of aphasia                             A   1.75   1.35     0.84     1.35NA   0.84 NA  0.04   3.14   2.63   3.14   2.63  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96110  Developmental test lim                            A   0.00   0.23     0.24     0.23NA   0.24 NA  0.01   0.24   0.25   0.24   0.25  5XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96111  Developmental test extend                         A   2.60   0.93     0.84     0.79     0.67     0.16   3.69   3.60   3.55   3.43  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96116  Neurobehavioral status exam                       A   1.86   0.72     0.70     0.56     0.55     0.10   2.68   2.66   2.52   2.51  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96118  Neuropsych tst by psych/phys                      A   1.86   0.93     0.69     0.38     0.26     0.07   2.86   2.62   2.31   2.19  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96119  Neuropsych testing by tec                         A   0.55   1.51     1.39     0.12     0.09     0.01   2.07   1.95   0.68   0.65  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96120  Neuropsych tst admin w/comp                       A   0.51   1.88     2.07     0.17     0.18     0.03   2.42   2.61   0.71   0.72  0XXX.00.00.0000000             33.9764 040 99      0.00   0.00   0.00
96125  Cognitive test by hc pro                          A   1.70   0.99     1.04     0.99NA   1.04 NA  0.07   2.76   2.81   2.76   2.81  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
96150  Assess hlth/behave init                           A   0.50   0.11     0.07     0.10     0.07     0.01   0.62   0.58   0.61   0.58  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96151  Assess hlth/behave subseq                         A   0.48   0.11     0.08     0.10     0.07     0.01   0.60   0.57   0.59   0.56  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96152  Intervene hlth/behave indiv                       A   0.46   0.10     0.07     0.09     0.06     0.01   0.57   0.54   0.56   0.53  0XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
96154  Interv hlth/behav fam w/pt                        A   0.45   0.10     0.07     0.09     0.06     0.01   0.56   0.53   0.55   0.52  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96155  Interv hlth/behav fam no pt                       N+  0.44   0.20     0.19     0.19     0.19     0.03   0.67   0.66   0.66   0.66  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
96360  Hydration iv infusion init                        A   0.17   1.48     1.33     1.48NA   1.33 NA  0.03   1.68   1.53   1.68   1.53  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96361  Hydrate iv infusion add-on                        A   0.09   0.35     0.31     0.35NA   0.31 NA  0.01   0.45   0.41   0.45   0.41  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96365  Ther/proph/diag iv inf init                       A   0.21   1.85     1.71     1.85NA   1.71 NA  0.03   2.09   1.95   2.09   1.95  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96366  Ther/proph/diag iv inf addon                      A   0.18   0.45     0.42     0.45NA   0.42 NA  0.01   0.64   0.61   0.64   0.61  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96367  Tx/proph/dg addl seq iv inf                       A   0.19   0.77     0.65     0.77NA   0.65 NA  0.01   0.97   0.85   0.97   0.85  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96368  Ther/diag concurrent inf                          A   0.17   0.39     0.35     0.39NA   0.35 NA  0.01   0.57   0.53   0.57   0.53  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96369  Sc ther infusion up to 1 hr                       A   0.21   4.79     4.82     4.79NA   4.82 NA  0.03   5.03   5.06   5.03   5.06  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96370  Sc ther infusion addl hr                          A   0.18   0.26     0.26     0.26NA   0.26 NA  0.01   0.45   0.45   0.45   0.45  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96371  Sc ther infusion reset pump                       A   0.00   2.35     2.25     2.35NA   2.25 NA  0.01   2.36   2.26   2.36   2.26  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96372  Ther/proph/diag inj sc/im                         A   0.17   0.50     0.50     0.50NA   0.50 NA  0.01   0.68   0.68   0.68   0.68  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96373  Ther/proph/diag inj ia                            A   0.17   0.38     0.38     0.38NA   0.38 NA  0.01   0.56   0.56   0.56   0.56  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96374  Ther/proph/diag inj iv push                       A   0.18   1.43     1.29     1.43NA   1.29 NA  0.03   1.64   1.50   1.64   1.50  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96375  Tx/pro/dx inj new drug addon                      A   0.10   0.56     0.48     0.56NA   0.48 NA  0.01   0.67   0.59   0.67   0.59  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96376  Tx/pro/dx inj same drug adon                      X   0.00   0.00     0.00     0.00     0.00     0.00   0.00   0.00   0.00   0.00  9ZZZ.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
96379  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             33.9764 090 99      0.00   0.00   0.00
96401  Chemo anti-neopl sq/im                            A   0.21   1.89     1.76     1.89NA   1.76 NA  0.04   2.14   2.01   2.14   2.01  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96402  Chemo hormon antineopl sq/im                      A   0.19   0.83     0.67     0.83NA   0.67 NA  0.01   1.03   0.87   1.03   0.87  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96405  Chemo intralesional up to 7                       A   0.52   1.98     1.78     0.34     0.37     0.03   2.53   2.33   0.89   0.92  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
96406  Chemo intralesional over 7                        A   0.80   2.64     2.35     0.45     0.50     0.04   3.48   3.19   1.29   1.34  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
96409  Chemo iv push sngl drug                           A   0.24   3.03     2.64     3.03NA   2.64 NA  0.05   3.32   2.93   3.32   2.93  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96411  Chemo iv push addl drug                           A   0.20   1.63     1.42     1.63NA   1.42 NA  0.03   1.86   1.65   1.86   1.65  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96413  Chemo iv infusion 1 hr                            A   0.28   3.98     3.42     3.98NA   3.42 NA  0.05   4.31   3.75   4.31   3.75  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96415  Chemo iv infusion addl hr                         A   0.19   0.72     0.62     0.72NA   0.62 NA  0.01   0.92   0.82   0.92   0.82  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96416  Chemo prolong infuse w/pump                       A   0.21   4.47     3.85     4.47NA   3.85 NA  0.07   4.75   4.13   4.75   4.13  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96417  Chemo iv infus each addl seq                      A   0.21   1.89     1.63     1.89NA   1.63 NA  0.03   2.13   1.87   2.13   1.87  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96420  Chemo ia push tecnique                            A   0.17   2.96     2.57     2.96NA   2.57 NA  0.08   3.21   2.82   3.21   2.82  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96422  Chemo ia infusion up to 1 hr                      A   0.17   4.91     4.25     4.91NA   4.25 NA  0.08   5.16   4.50   5.16   4.50  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96423  Chemo ia infuse each addl hr                      A   0.17   2.14     1.89     2.14NA   1.89 NA  0.04   2.35   2.10   2.35   2.10  5ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96425  Chemotherapy infusion method                      A   0.17   5.02     4.55     5.02NA   4.55 NA  0.10   5.29   4.82   5.29   4.82  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96440  Chemotherapy intracavitary                        A   2.37  18.54    19.85     1.45     1.51     0.54  21.45  22.76   4.36   4.42  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96446  Chemotx admn prtl cavity                          A   0.37   4.77     4.77     0.19     0.19     0.07   5.21   5.21   0.63   0.63  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96450  Chemotherapy into cns                             A   1.53   4.21     3.37     0.88     0.75     0.11   5.85   5.01   2.52   2.39  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96521  Refill/maint portable pump                        A   0.21   3.66     3.35     3.66NA   3.35 NA  0.05   3.92   3.61   3.92   3.61  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96522  Refill/maint pump/resvr syst                      A   0.21   3.01     2.70     3.01NA   2.70 NA  0.05   3.27   2.96   3.27   2.96  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96523  Irrig drug delivery device                        T   0.04   0.70     0.61     0.70NA   0.61 NA  0.01   0.75   0.66   0.75   0.66  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96542  Chemotherapy injection                            A   0.75   2.95     2.37     0.50     0.45     0.04   3.74   3.16   1.29   1.24  0XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
96567  Photodynamic tx skin                              A   0.00   3.84     3.76     3.84NA   3.76 NA  0.01   3.85   3.77   3.85   3.77  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96570  Photodynmc tx 30 min add-on                       A   1.10   0.47     0.44     0.47     0.44     0.18   1.75   1.72   1.75   1.72  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
96571  Photodynamic tx addl 15 min                       A   0.55   0.21     0.19     0.21     0.19     0.04   0.80   0.78   0.80   0.78  0ZZZ.00.00.0000100             33.9764 090 99      0.00   0.00   0.00
96900  Ultraviolet light therapy                         A   0.00   0.60     0.57     0.60NA   0.57 NA  0.01   0.61   0.58   0.61   0.58  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96902  Trichogram                                        B+  0.41   0.20     0.20     0.18     0.18     0.03   0.64   0.64   0.62   0.62  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
96904  Whole body photography                            R   0.00   1.99     1.82     1.99NA   1.82 NA  0.01   2.00   1.83   2.00   1.83  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96910  Photochemotherapy with UV-B                       A   0.00   2.03     1.98     2.03NA   1.98 NA  0.01   2.04   1.99   2.04   1.99  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96912  Photochemotherapy with UV-A                       A   0.00   2.61     2.55     2.61NA   2.55 NA  0.01   2.62   2.56   2.62   2.56  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96913  Photochemotherapy uv-a or b                       A   0.00   3.63     3.59     3.63NA   3.59 NA  0.01   3.64   3.60   3.64   3.60  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
96920  Laser tx skin < 250 sq cm                         A   1.15   3.91     3.81     0.79     0.85     0.04   5.10   5.00   1.98   2.04  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
96921  Laser tx skin 250-500 sq cm                       A   1.17   3.90     3.94     0.76     0.85     0.04   5.11   5.15   1.97   2.06  0000.00.00.0020100             33.9764 090 99      0.00   0.00   0.00
96922  Laser tx skin > 500 sq cm                         A   2.10   5.17     5.07     1.38     1.55     0.08   7.35   7.25   3.56   3.73  0000.00.00.0020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
97001  Pt evaluation                                     A   1.20   0.88     0.92     0.88NA   0.92 NA  0.05   2.13   2.17   2.13   2.17  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97002  Pt re-evaluation                                  A   0.60   0.55     0.58     0.55NA   0.58 NA  0.03   1.18   1.21   1.18   1.21  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97003  Ot evaluation                                     A   1.20   1.10     1.23     1.10NA   1.23 NA  0.05   2.35   2.48   2.35   2.48  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97004  Ot re-evaluation                                  A   0.60   0.80     0.89     0.80NA   0.89 NA  0.03   1.43   1.52   1.43   1.52  7XXX.00.00.0050000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
97010  Hot or cold packs therapy                         B+  0.06   0.09     0.10     0.09NA   0.10 NA  0.01   0.16   0.17   0.16   0.17  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
97012  Mechanical traction therapy                       A   0.25   0.19     0.20     0.19NA   0.20 NA  0.01   0.45   0.46   0.45   0.46  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97014  Electric stimulation therapy                      I+  0.18   0.24     0.26     0.24NA   0.26 NA  0.01   0.43   0.45   0.43   0.45  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
97016  Vasopneumatic device therapy                      A   0.18   0.32     0.35     0.32NA   0.35 NA  0.01   0.51   0.54   0.51   0.54  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97018  Paraffin bath therapy                             A   0.06   0.21     0.23     0.21NA   0.23 NA  0.01   0.28   0.30   0.28   0.30  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97022  Whirlpool therapy                                 A   0.17   0.42     0.47     0.42NA   0.47 NA  0.01   0.60   0.65   0.60   0.65  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97024  Diathermy eg microwave                            A   0.06   0.11     0.12     0.11NA   0.12 NA  0.01   0.18   0.19   0.18   0.19  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97026  Infrared therapy                                  R   0.06   0.09     0.10     0.09NA   0.10 NA  0.01   0.16   0.17   0.16   0.17  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97028  Ultraviolet therapy                               A   0.08   0.11     0.12     0.11NA   0.12 NA  0.01   0.20   0.21   0.20   0.21  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97032  Electrical stimulation                            A   0.25   0.26     0.28     0.26NA   0.28 NA  0.01   0.52   0.54   0.52   0.54  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97033  Electric current therapy                          A   0.26   0.56     0.63     0.56NA   0.63 NA  0.01   0.83   0.90   0.83   0.90  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97034  Contrast bath therapy                             A   0.21   0.26     0.29     0.26NA   0.29 NA  0.01   0.48   0.51   0.48   0.51  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97035  Ultrasound therapy                                A   0.21   0.13     0.14     0.13NA   0.14 NA  0.01   0.35   0.36   0.35   0.36  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97036  Hydrotherapy                                      A   0.28   0.57     0.63     0.57NA   0.63 NA  0.01   0.86   0.92   0.86   0.92  7XXX.00.00.0050000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
97110  Therapeutic exercises                             A   0.45   0.41     0.45     0.41NA   0.45 NA  0.01   0.87   0.91   0.87   0.91  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97112  Neuromuscular reeducation                         A   0.45   0.45     0.49     0.45NA   0.49 NA  0.01   0.91   0.95   0.91   0.95  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97113  Aquatic therapy/exercises                         A   0.44   0.69     0.76     0.69NA   0.76 NA  0.01   1.14   1.21   1.14   1.21  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97116  Gait training therapy                             A   0.40   0.36     0.39     0.36NA   0.39 NA  0.01   0.77   0.80   0.77   0.80  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97124  Massage therapy                                   A   0.35   0.35     0.38     0.35NA   0.38 NA  0.01   0.71   0.74   0.71   0.74  7XXX.00.00.0050000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
97140  Manual therapy                                    A   0.43   0.38     0.41     0.38NA   0.41 NA  0.01   0.82   0.85   0.82   0.85  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97150  Group therapeutic procedures                      A   0.27   0.28     0.31     0.28NA   0.31 NA  0.01   0.56   0.59   0.56   0.59  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97530  Therapeutic activities                            A   0.44   0.50     0.54     0.50NA   0.54 NA  0.01   0.95   0.99   0.95   0.99  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97532  Cognitive skills development                      A   0.44   0.29     0.31     0.29NA   0.31 NA  0.01   0.74   0.76   0.74   0.76  7XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
97533  Sensory integration                               A   0.44   0.36     0.38     0.36NA   0.38 NA  0.01   0.81   0.83   0.81   0.83  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97535  Self care mngment training                        A   0.45   0.49     0.53     0.49NA   0.53 NA  0.01   0.95   0.99   0.95   0.99  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97537  Community/work reintegration                      A   0.45   0.37     0.40     0.37NA   0.40 NA  0.01   0.83   0.86   0.83   0.86  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97542  Wheelchair mngment training                       A   0.45   0.38     0.41     0.38NA   0.41 NA  0.01   0.84   0.87   0.84   0.87  7XXX.00.00.0050000             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
97597  Rmvl devital tis 20 cm/<                          A   0.51   1.56     1.56     0.15     0.15     0.05   2.12   2.12   0.71   0.71  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
97598  Rmvl devital tis addl 20 cm<                      A   0.24   0.44     0.44     0.07     0.07     0.03   0.71   0.71   0.34   0.34  0ZZZ.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
97605  Neg press wound tx < 50 cm                        A   0.55   0.53     0.57     0.17     0.16     0.08   1.16   1.20   0.80   0.79  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
97606  Neg press wound tx > 50 cm                        A   0.60   0.54     0.59     0.18     0.17     0.10   1.24   1.29   0.88   0.87  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
97750  Physical performance test                         A   0.45   0.44     0.47     0.44NA   0.47 NA  0.03   0.92   0.95   0.92   0.95  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97755  Assistive technology assess                       A   0.62   0.36     0.39     0.36NA   0.39 NA  0.03   1.01   1.04   1.01   1.04  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97760  Orthotic mgmt and training                        A   0.45   0.55     0.60     0.55NA   0.60 NA  0.03   1.03   1.08   1.03   1.08  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97761  Prosthetic training                               A   0.45   0.43     0.46     0.43NA   0.46 NA  0.03   0.91   0.94   0.91   0.94  7XXX.00.00.0050000             33.9764 090 99      0.00   0.00   0.00
97762  C/o for orthotic/prosth use                       A   0.25   0.93     1.05     0.93NA   1.05 NA  0.01   1.19   1.31   1.19   1.31  7XXX.00.00.0050000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
97802  Medical nutrition indiv in                        A   0.53   0.38     0.42     0.32     0.36     0.03   0.94   0.98   0.88   0.92  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
97803  Med nutrition indiv subseq                        A   0.45   0.34     0.37     0.28     0.31     0.03   0.82   0.85   0.76   0.79  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
97804  Medical nutrition group                           A   0.25   0.15     0.18     0.15     0.17     0.01   0.41   0.44   0.41   0.43  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
97810  Acupunct w/o stimul 15 min                        N+  0.60   0.41     0.41     0.26     0.26     0.04   1.05   1.05   0.90   0.90  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
97811  Acupunct w/o stimul addl 15m                      N+  0.50   0.27     0.27     0.21     0.22     0.03   0.80   0.80   0.74   0.75  9ZZZ.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
97813  Acupunct w/stimul 15 min                          N+  0.65   0.44     0.43     0.28     0.28     0.04   1.13   1.12   0.97   0.97  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
97814  Acupunct w/stimul addl 15m                        N+  0.55   0.32     0.32     0.24     0.24     0.04   0.91   0.91   0.83   0.83  9ZZZ.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
98925  Osteopathic manipulation                          A   0.45   0.41     0.44     0.18     0.20     0.03   0.89   0.92   0.66   0.68  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
98926  Osteopathic manipulation                          A   0.65   0.51     0.56     0.26     0.28     0.03   1.19   1.24   0.94   0.96  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
98927  Osteopathic manipulation                          A   0.87   0.64     0.71     0.33     0.35     0.04   1.55   1.62   1.24   1.26  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
98928  Osteopathic manipulation                          A   1.03   0.73     0.79     0.38     0.41     0.05   1.81   1.87   1.46   1.49  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
98929  Osteopathic manipulation                          A   1.19   0.83     0.92     0.45     0.48     0.07   2.09   2.18   1.71   1.74  0000.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
98940  Chiropractic manipulation                         A   0.45   0.29     0.30     0.15     0.16     0.01   0.75   0.76   0.61   0.62  0000.00.00.0000000             33.9764 093 99      0.00   0.00   0.00
98941  Chiropractic manipulation                         A   0.65   0.36     0.39     0.23     0.23     0.03   1.04   1.07   0.91   0.91  0000.00.00.0000000             33.9764 093 99      0.00   0.00   0.00
98942  Chiropractic manipulation                         A   0.87   0.44     0.47     0.30     0.31     0.03   1.34   1.37   1.20   1.21  0000.00.00.0000000             33.9764 093 99      0.00   0.00   0.00
98943  Chiropractic manipulation                         N+  0.40   0.28     0.28     0.17     0.18     0.03   0.71   0.71   0.60   0.61  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
98960  Self-mgmt educ & train 1 pt                       B+  0.00   0.76     0.73     0.76NA   0.73 NA  0.01   0.77   0.74   0.77   0.74  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
98961  Self-mgmt educ/train 2-4 pt                       B+  0.00   0.36     0.35     0.36NA   0.35 NA  0.01   0.37   0.36   0.37   0.36  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
98962  Self-mgmt educ/train 5-8 pt                       B+  0.00   0.27     0.25     0.27NA   0.25 NA  0.01   0.28   0.26   0.28   0.26  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
98966  Hc pro phone call 5-10 min                        N+  0.25   0.15     0.15     0.10     0.11     0.01   0.41   0.41   0.36   0.37  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
98967  Hc pro phone call 11-20 min                       N+  0.50   0.25     0.26     0.21     0.22     0.03   0.78   0.79   0.74   0.75  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
98968  Hc pro phone call 21-30 min                       N+  0.75   0.35     0.36     0.32     0.33     0.05   1.15   1.16   1.12   1.13  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
99091  Collect/review data from pt                       B+  1.10   0.47     0.48     0.47NA   0.48 NA  0.07   1.64   1.65   1.64   1.65  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
99170  Anogenital exam child                             A   1.75   2.38     2.18     0.91     0.86     0.12   4.25   4.05   2.78   2.73  0000.00.00.0020100             33.9764 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             33.9764 090 99      0.00   0.00   0.00
99173  Visual acuity screen                              N+  0.00   0.07     0.07     0.07NA   0.07 NA  0.01   0.08   0.08   0.08   0.08  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99174  Ocular photoscreening                             N+  0.00   0.81     0.78     0.81NA   0.78 NA  0.01   0.82   0.79   0.82   0.79  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99175  Induction of vomiting                             A   0.00   0.71     0.66     0.71NA   0.66 NA  0.01   0.72   0.67   0.72   0.67  5XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99183  Hyperbaric oxygen therapy                         A   2.34   3.52     3.67     0.89     0.99     0.26   6.12   6.27   3.49   3.59  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
99195  Phlebotomy                                        A   0.00   2.49     2.61     2.49NA   2.61 NA  0.05   2.54   2.66   2.54   2.66  5XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
99201  Office/outpatient visit new                       A   0.48   0.69     0.73     0.24     0.26     0.04   1.21   1.25   0.76   0.78  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99202  Office/outpatient visit new                       A   0.93   1.09     1.16     0.44     0.49     0.07   2.09   2.16   1.44   1.49  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99203  Office/outpatient visit new                       A   1.42   1.47     1.57     0.64     0.72     0.14   3.03   3.13   2.20   2.28  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99204  Office/outpatient visit new                       A   2.43   2.00     2.14     1.06     1.20     0.23   4.66   4.80   3.72   3.86  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99205  Office/outpatient visit new                       A   3.17   2.36     2.51     1.34     1.49     0.27   5.80   5.95   4.78   4.93  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99211  Office/outpatient visit est                       A   0.18   0.39     0.37     0.08     0.08     0.01   0.58   0.56   0.27   0.27  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99212  Office/outpatient visit est                       A   0.48   0.70     0.72     0.22     0.24     0.04   1.22   1.24   0.74   0.76  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99213  Office/outpatient visit est                       A   0.97   0.99     1.05     0.41     0.47     0.07   2.03   2.09   1.45   1.51  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99214  Office/outpatient visit est                       A   1.50   1.41     1.48     0.63     0.71     0.10   3.01   3.08   2.23   2.31  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99215  Office/outpatient visit est                       A   2.11   1.80     1.90     0.90     1.00     0.14   4.05   4.15   3.15   3.25  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99217  Observation care discharge                        A   1.28   0.68NA   0.73NA   0.68     0.73     0.08   2.04   2.09   2.04   2.09  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99218  Initial observation caree                         A   1.28   0.53NA   0.58NA   0.53     0.58     0.08   1.89   1.94   1.89   1.94  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99219  Initial observation care                          A   2.14   0.88NA   0.98NA   0.88     0.98     0.14   3.16   3.26   3.16   3.26  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99220  Initial observation care                          A   2.99   1.23NA   1.34NA   1.23     1.34     0.20   4.42   4.53   4.42   4.53  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99221  Initial hospital care                             A   1.92   0.76NA   0.86NA   0.76     0.86     0.18   2.86   2.96   2.86   2.96  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99222  Initial hospital care                             A   2.61   1.06NA   1.20NA   1.06     1.20     0.22   3.89   4.03   3.89   4.03  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99223  Initial hospital care                             A   3.86   1.56NA   1.77NA   1.56     1.77     0.29   5.71   5.92   5.71   5.92  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99224  Subsequent observation care                       A   0.54   0.24NA   0.24NA   0.24     0.24     0.04   0.82   0.82   0.82   0.82  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99225  Subsequent observation care                       A   0.96   0.44NA   0.44NA   0.44     0.44     0.05   1.45   1.45   1.45   1.45  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99226  Subsequent observation care                       A   1.44   0.65NA   0.65NA   0.65     0.65     0.08   2.17   2.17   2.17   2.17  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99231  Subsequent hospital care                          A   0.76   0.32NA   0.34NA   0.32     0.34     0.05   1.13   1.15   1.13   1.15  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99232  Subsequent hospital care                          A   1.39   0.57NA   0.63NA   0.57     0.63     0.08   2.04   2.10   2.04   2.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99233  Subsequent hospital care                          A   2.00   0.81NA   0.90NA   0.81     0.90     0.12   2.93   3.02   2.93   3.02  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99234  Observ/hosp same date                             A   2.56   1.09NA   1.16NA   1.09     1.16     0.22   3.87   3.94   3.87   3.94  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99235  Observ/hosp same date                             A   3.41   1.43NA   1.55NA   1.43     1.55     0.23   5.07   5.19   5.07   5.19  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99236  Observ/hosp same date                             A   4.26   1.75NA   1.89NA   1.75     1.89     0.29   6.30   6.44   6.30   6.44  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99238  Hospital discharge day                            A   1.28   0.68NA   0.74NA   0.68     0.74     0.07   2.03   2.09   2.03   2.09  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99239  Hospital discharge day                            A   1.90   0.97NA   1.09NA   0.97     1.09     0.11   2.98   3.10   2.98   3.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99241  Office consultation                               I+  0.64   0.66     0.66     0.24     0.24     0.07   1.37   1.37   0.95   0.95  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99242  Office consultation                               I+  1.34   1.10     1.10     0.51     0.51     0.14   2.58   2.58   1.99   1.99  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99243  Office consultation                               I+  1.88   1.46     1.46     0.71     0.71     0.18   3.52   3.52   2.77   2.77  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99244  Office consultation                               I+  3.02   1.96     1.96     1.14     1.14     0.22   5.20   5.20   4.38   4.38  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99245  Office consultation                               I+  3.77   2.30     2.30     1.38     1.38     0.29   6.36   6.36   5.44   5.44  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99251  Inpatient consultation                            I+  1.00   0.32NA   0.32NA   0.32     0.32     0.07   1.39   1.39   1.39   1.39  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99252  Inpatient consultation                            I+  1.50   0.52NA   0.52NA   0.52     0.52     0.12   2.14   2.14   2.14   2.14  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99253  Inpatient consultation                            I+  2.27   0.84NA   0.84NA   0.84     0.84     0.15   3.26   3.26   3.26   3.26  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99254  Inpatient consultation                            I+  3.29   1.23NA   1.23NA   1.23     1.23     0.18   4.70   4.70   4.70   4.70  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99255  Inpatient consultation                            I+  4.00   1.44NA   1.44NA   1.44     1.44     0.24   5.68   5.68   5.68   5.68  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99281  Emergency dept visit                              A   0.45   0.13NA   0.14NA   0.13     0.14     0.03   0.61   0.62   0.61   0.62  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99282  Emergency dept visit                              A   0.88   0.24NA   0.27NA   0.24     0.27     0.07   1.19   1.22   1.19   1.22  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99283  Emergency dept visit                              A   1.34   0.36NA   0.39NA   0.36     0.39     0.10   1.80   1.83   1.80   1.83  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99284  Emergency dept visit                              A   2.56   0.62NA   0.67NA   0.62     0.67     0.22   3.40   3.45   3.40   3.45  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99285  Emergency dept visit                              A   3.80   0.88NA   0.91NA   0.88     0.91     0.30   4.98   5.01   4.98   5.01  0XXX.00.00.0000000             33.9764 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             33.9764 090 99      0.00   0.00   0.00
99291  Critical care first hour                          A   4.50   2.94     3.02     1.55     1.67     0.34   7.78   7.86   6.39   6.51  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99292  Critical care addl 30 min                         A   2.25   1.07     1.12     0.78     0.84     0.18   3.50   3.55   3.21   3.27  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99304  Nursing facility care init                        A   1.64   0.81     0.94     0.81     0.94     0.14   2.59   2.72   2.59   2.72  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99305  Nursing facility care init                        A   2.35   1.09     1.27     1.09     1.27     0.20   3.64   3.82   3.64   3.82  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99306  Nursing facility care init                        A   3.06   1.34     1.58     1.34     1.58     0.23   4.63   4.87   4.63   4.87  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99307  Nursing fac care subseq                           A   0.76   0.44     0.49     0.44     0.49     0.04   1.24   1.29   1.24   1.29  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99308  Nursing fac care subseq                           A   1.16   0.68     0.76     0.68     0.76     0.07   1.91   1.99   1.91   1.99  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99309  Nursing fac care subseq                           A   1.55   0.88     0.99     0.88     0.99     0.08   2.51   2.62   2.51   2.62  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99310  Nursing fac care subseq                           A   2.35   1.23     1.41     1.23     1.41     0.14   3.72   3.90   3.72   3.90  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99315  Nursing fac discharge day                         A   1.13   0.61     0.69     0.61     0.69     0.07   1.81   1.89   1.81   1.89  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99316  Nursing fac discharge day                         A   1.50   0.77     0.87     0.77     0.87     0.08   2.35   2.45   2.35   2.45  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99318  Annual nursing fac assessmnt                      A   1.71   0.84     0.98     0.84     0.98     0.10   2.65   2.79   2.65   2.79  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99324  Domicil/r-home visit new pat                      A   1.01   0.54     0.54     0.54NA   0.54 NA  0.07   1.62   1.62   1.62   1.62  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99325  Domicil/r-home visit new pat                      A   1.52   0.72     0.72     0.72NA   0.72 NA  0.10   2.34   2.34   2.34   2.34  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99326  Domicil/r-home visit new pat                      A   2.63   1.18     1.31     1.18NA   1.31 NA  0.16   3.97   4.10   3.97   4.10  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99327  Domicil/r-home visit new pat                      A   3.46   1.54     1.74     1.54NA   1.74 NA  0.22   5.22   5.42   5.22   5.42  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99328  Domicil/r-home visit new pat                      A   4.09   1.77     1.99     1.77NA   1.99 NA  0.24   6.10   6.32   6.10   6.32  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99334  Domicil/r-home visit est pat                      A   1.07   0.58     0.62     0.58NA   0.62 NA  0.07   1.72   1.76   1.72   1.76  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99335  Domicil/r-home visit est pat                      A   1.72   0.84     0.94     0.84NA   0.94 NA  0.10   2.66   2.76   2.66   2.76  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99336  Domicil/r-home visit est pat                      A   2.46   1.15     1.31     1.15NA   1.31 NA  0.14   3.75   3.91   3.75   3.91  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99337  Domicil/r-home visit est pat                      A   3.58   1.59     1.83     1.59NA   1.83 NA  0.23   5.40   5.64   5.40   5.64  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99339  Domicil/r-home care supervis                      B+  1.25   0.91     0.91     0.91NA   0.91 NA  0.08   2.24   2.24   2.24   2.24  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99340  Domicil/r-home care supervis                      B+  1.80   1.22     1.22     1.22NA   1.22 NA  0.12   3.14   3.14   3.14   3.14  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99341  Home visit new patient                            A   1.01   0.53     0.52     0.53NA   0.52 NA  0.07   1.61   1.60   1.61   1.60  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99342  Home visit new patient                            A   1.52   0.71     0.70     0.71NA   0.70 NA  0.11   2.34   2.33   2.34   2.33  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99343  Home visit new patient                            A   2.53   1.11     1.15     1.11NA   1.15 NA  0.18   3.82   3.86   3.82   3.86  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99344  Home visit new patient                            A   3.38   1.53     1.74     1.53NA   1.74 NA  0.22   5.13   5.34   5.13   5.34  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99345  Home visit new patient                            A   4.09   1.81     2.05     1.81NA   2.05 NA  0.26   6.16   6.40   6.16   6.40  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99347  Home visit est patient                            A   1.00   0.53     0.55     0.53NA   0.55 NA  0.07   1.60   1.62   1.60   1.62  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99348  Home visit est patient                            A   1.56   0.76     0.80     0.76NA   0.80 NA  0.10   2.42   2.46   2.42   2.46  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99349  Home visit est patient                            A   2.33   1.11     1.26     1.11NA   1.26 NA  0.14   3.58   3.73   3.58   3.73  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99350  Home visit est patient                            A   3.28   1.49     1.69     1.49NA   1.69 NA  0.22   4.99   5.19   4.99   5.19  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99354  Prolonged service office                          A   1.77   0.93     1.00     0.75     0.81     0.11   2.81   2.88   2.63   2.69  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99355  Prolonged service office                          A   1.77   0.90     0.96     0.72     0.78     0.11   2.78   2.84   2.60   2.66  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99356  Prolonged service inpatient                       A   1.71   0.75NA   0.85NA   0.75     0.85     0.11   2.57   2.67   2.57   2.67  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99357  Prolonged service inpatient                       A   1.71   0.76NA   0.85NA   0.76     0.85     0.11   2.58   2.67   2.58   2.67  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99358  Prolong service w/o contact                       B+  2.10   0.93     0.96     0.93     0.96     0.14   3.17   3.20   3.17   3.20  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99359  Prolong serv w/o contact add                      B+  1.00   0.46     0.47     0.46     0.47     0.07   1.53   1.54   1.53   1.54  9ZZZ.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99360  Physician standby services                        X+  1.20   0.51NA   0.53NA   0.51     0.53     0.08   1.79   1.81   1.79   1.81  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99363  Anticoag mgmt init                                B+  1.65   1.89     1.86     0.70     0.72     0.11   3.65   3.62   2.46   2.48  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99364  Anticoag mgmt subseq                              B+  0.63   0.57     0.57     0.27     0.28     0.04   1.24   1.24   0.94   0.95  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99366  Team conf w/pat by hc pro                         B+  0.82   0.37     0.38     0.35     0.36     0.05   1.24   1.25   1.22   1.23  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99367  Team conf w/o pat by phys                         B+  1.10   0.47NA   0.48NA   0.47     0.48     0.07   1.64   1.65   1.64   1.65  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99368  Team conf w/o pat by hc pro                       B+  0.72   0.30NA   0.32NA   0.30     0.32     0.04   1.06   1.08   1.06   1.08  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99374  Home health care supervision                      B+  1.10   0.85     0.85     0.47     0.48     0.07   2.02   2.02   1.64   1.65  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99375  Home health care supervision                      I+  1.73   1.28     1.19     0.88     0.76     0.11   3.12   3.03   2.72   2.60  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99377  Hospice care supervision                          B+  1.10   0.85     0.85     0.47     0.48     0.07   2.02   2.02   1.64   1.65  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99378  Hospice care supervision                          I+  1.73   1.34     1.19     0.94     0.76     0.11   3.18   3.03   2.78   2.60  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99379  Nursing fac care supervision                      B+  1.10   0.85     0.85     0.47     0.48     0.07   2.02   2.02   1.64   1.65  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99380  Nursing fac care supervision                      B+  1.73   1.19     1.19     0.75     0.76     0.11   3.03   3.03   2.59   2.60  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99381  Init pm e/m new pat inf                           N+  1.19   1.49     1.42     0.51     0.52     0.08   2.76   2.69   1.78   1.79  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99382  Init pm e/m new pat 1-4 yrs                       N+  1.36   1.55     1.49     0.59     0.60     0.08   2.99   2.93   2.03   2.04  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99383  Prev visit new age 5-11                           N+  1.36   1.54     1.48     0.59     0.60     0.08   2.98   2.92   2.03   2.04  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99384  Prev visit new age 12-17                          N+  1.53   1.61     1.56     0.66     0.67     0.10   3.24   3.19   2.29   2.30  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99385  Prev visit new age 18-39                          N+  1.53   1.61     1.56     0.66     0.67     0.10   3.24   3.19   2.29   2.30  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99386  Prev visit new age 40-64                          N+  1.88   1.77     1.71     0.81     0.82     0.12   3.77   3.71   2.81   2.82  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99387  Init pm e/m new pat 65+ yrs                       N+  2.06   1.96     1.90     0.89     0.90     0.14   4.16   4.10   3.09   3.10  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99391  Per pm reeval est pat inf                         N+  1.02   1.24     1.22     0.44     0.45     0.07   2.33   2.31   1.53   1.54  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99392  Prev visit est age 1-4                            N+  1.19   1.32     1.30     0.51     0.52     0.08   2.59   2.57   1.78   1.79  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99393  Prev visit est age 5-11                           N+  1.19   1.31     1.29     0.51     0.52     0.08   2.58   2.56   1.78   1.79  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99394  Prev visit est age 12-17                          N+  1.36   1.38     1.36     0.59     0.60     0.08   2.82   2.80   2.03   2.04  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99395  Prev visit est age 18-39                          N+  1.36   1.39     1.37     0.59     0.60     0.08   2.83   2.81   2.03   2.04  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99396  Prev visit est age 40-64                          N+  1.53   1.46     1.44     0.66     0.67     0.10   3.09   3.07   2.29   2.30  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99397  Per pm reeval est pat 65+ yr                      N+  1.71   1.66     1.64     0.74     0.75     0.11   3.48   3.46   2.56   2.57  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99401  Preventive counseling indiv                       N+  0.48   0.55     0.52     0.21     0.21     0.03   1.06   1.03   0.72   0.72  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99402  Preventive counseling indiv                       N+  0.98   0.78     0.74     0.42     0.43     0.07   1.83   1.79   1.47   1.48  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99403  Preventive counseling indiv                       N+  1.46   0.99     0.95     0.63     0.64     0.10   2.55   2.51   2.19   2.20  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99404  Preventive counseling indiv                       N+  1.95   1.21     1.17     0.84     0.85     0.12   3.28   3.24   2.91   2.92  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99406  Behav chng smoking 3-10 min                       A   0.24   0.15     0.16     0.10     0.10     0.01   0.40   0.41   0.35   0.35  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99407  Behav chng smoking > 10 min                       A   0.50   0.25     0.27     0.20     0.22     0.03   0.78   0.80   0.73   0.75  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99408  Audit/dast 15-30 min                              N+  0.65   0.33     0.34     0.28     0.28     0.04   1.02   1.03   0.97   0.97  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99409  Audit/dast over 30 min                            N+  1.30   0.60     0.62     0.55     0.57     0.08   1.98   2.00   1.93   1.95  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99411  Preventive counseling group                       N+  0.15   0.30     0.30     0.06     0.07     0.01   0.46   0.46   0.22   0.23  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99412  Preventive counseling group                       N+  0.25   0.34     0.34     0.11     0.11     0.01   0.60   0.60   0.37   0.37  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99420  Health risk assessment test                       N+  0.00   0.29     0.28     0.29NA   0.28 NA  0.01   0.30   0.29   0.30   0.29  9XXX.00.00.0099999             33.9764 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             33.9764 090 99      0.00   0.00   0.00
99441  Phone e/m by phys 5-10 min                        N+  0.25   0.15     0.15     0.10     0.11     0.01   0.41   0.41   0.36   0.37  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99442  Phone e/m by phys 11-20 min                       N+  0.50   0.25     0.26     0.21     0.22     0.03   0.78   0.79   0.74   0.75  9XXX.00.00.0099999             33.9764 090 99      0.00   0.00   0.00
99443  Phone e/m by phys 21-30 min                       N+  0.75   0.35     0.36     0.32     0.33     0.05   1.15   1.16   1.12   1.13  9XXX.00.00.0099999             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
99460  Init nb em per day hosp                           A   1.17   0.48NA   0.55NA   0.48     0.55     0.05   1.70   1.77   1.70   1.77  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99461  Init nb em per day non-fac                        A   1.26   1.34     1.44     0.53     0.55     0.08   2.68   2.78   1.87   1.89  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99462  Sbsq nb em per day hosp                           A   0.62   0.26NA   0.29NA   0.26     0.29     0.04   0.92   0.95   0.92   0.95  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99463  Same day nb discharge                             A   1.50   0.75NA   0.86NA   0.75     0.86     0.08   2.33   2.44   2.33   2.44  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99464  Attendance at delivery                            A   1.50   0.54NA   0.59NA   0.54     0.59     0.07   2.11   2.16   2.11   2.16  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99465  Nb resuscitation                                  A   2.93   0.93NA   0.68NA   0.93     0.68     0.22   4.08   3.83   4.08   3.83  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99466  Ped crit care transport                           A   4.79   1.98NA   2.23NA   1.98     2.23     1.02   7.79   8.04   7.79   8.04  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99467  Ped crit care transport addl                      A   2.40   0.95NA   1.05NA   0.95     1.05     0.14   3.49   3.59   3.49   3.59  0ZZZ.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99468  Neonate crit care initial                         A  18.46   6.47NA   7.38NA   6.47     7.38     1.52  26.45  27.36  26.45  27.36  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99469  Neonate crit care subsq                           A   7.99   3.11NA   3.50NA   3.11     3.50     0.42  11.52  11.91  11.52  11.91  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99471  Ped critical care initial                         A  15.98   5.94NA   6.39NA   5.94     6.39     0.87  22.79  23.24  22.79  23.24  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99472  Ped critical care subsq                           A   7.99   3.00NA   3.28NA   3.00     3.28     0.48  11.47  11.75  11.47  11.75  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99475  Ped crit care age 2-5 init                        A  11.25   4.00     4.51     4.00     4.51     0.86  16.11  16.62  16.11  16.62  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99476  Ped crit care age 2-5 subsq                       A   6.75   2.49     2.89     2.49     2.89     0.52   9.76  10.16   9.76  10.16  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99477  Init day hosp neonate care                        A   7.00   2.79NA   3.07NA   2.79     3.07     0.38  10.17  10.45  10.17  10.45  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99478  Ic lbw inf < 1500 gm subsq                        A   2.75   1.11NA   1.10NA   1.11     1.10     0.18   4.04   4.03   4.04   4.03  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99479  Ic lbw inf 1500-2500 g subsq                      A   2.50   1.05NA   1.22NA   1.05     1.22     0.16   3.71   3.88   3.71   3.88  0XXX.00.00.0000000             33.9764 090 99      0.00   0.00   0.00
99480  Ic inf pbw 2501-5000 g subsq                      A   2.40   0.90NA   0.96NA   0.90     0.96     0.16   3.46   3.52   3.46   3.52  0XXX.00.00.0000000             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 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             33.9764 090 99      0.00   0.00   0.00
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