HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT
HDR 2012 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 2014/15 AMERICAN DENTAL ASSOCIATION.  ALL RIGH
HDR RESERVED.
A0021  Outside state ambulance serv                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0100  Nonemergency transport taxi                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0110  Nonemergency transport bus                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0120  Noner transport mini-bus                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0130  Noner transport wheelch van                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0140  Nonemergency transport air                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0160  Noner transport case worker                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0170  Transport parking fees/tolls                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0180  Noner transport lodgng recip                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0190  Noner transport meals recip                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0200  Noner transport lodgng escrt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0210  Noner transport meals escort                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0225  Neonatal emergency transport                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0380  Basic life support mileage                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0382  Basic support routine suppls                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0384  Bls defibrillation supplies                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0390  Advanced life support mileag                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0392  Als defibrillation supplies                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0396  Als esophageal intub suppls                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0398  Als routine disposble suppls                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0422  Ambulance 02 life sustaining                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0424  Extra ambulance attendant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0425  Ground mileage                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0426  Als 1                                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0427  Als1-emergency                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0428  Bls                                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0429  Bls-emergency                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0430  Fixed wing air transport                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0431  Rotary wing air transport                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0432  Pi volunteer ambulance co                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0433  Als 2                                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0434  Specialty care transport                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0435  Fixed wing air mileage                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0436  Rotary wing air mileage                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0888  Noncovered ambulance mileage                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0998  Ambulance response/treatment                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A0999  Unlisted ambulance service                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4210  Nonneedle injection device                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4213  20+ cc syringe only                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4215  Sterile needle                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4218  Sterile saline or water                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4220  Infusion pump refill kit                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4222  Infusion supplies with pump                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4231  Infusion insulin pump needle                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4245  Alcohol wipes per box                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4246  Betadine/phisohex solution                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4247  Betadine/iodine swabs/wipes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4248  Chlorhexidine antisept                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4250  Urine reagent strips/tablets                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4253  Blood glucose/reagent strips                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4255  Glucose monitor platforms                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4256  Calibrator solution/chips                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4257  Replace lensshield cartridge                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4258  Lancet device each                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4259  Lancets per box                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4261  Cervical cap contraceptive                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4262  Temporary tear duct plug                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4263  Permanent tear duct plug                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4264  Intratubal occlusion device                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4265  Paraffin                                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4266  Diaphragm                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4267  Male condom                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4268  Female condom                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4269  Spermicide                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4270  Disposable endoscope sheath                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4280  Brst prsths adhsv attchmnt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4281  Replacement breastpump tube                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4282  Replacement breastpump adpt                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4283  Replacement breastpump cap                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4284  Replcmnt breast pump shield                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4285  Replcmnt breast pump bottle                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4286  Replcmnt breastpump lok ring                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4301  Implantable access syst perc                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4320  Irrigation tray                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4321  Cath therapeutic irrig agent                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4322  Irrigation syringe                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4326  Male external catheter                            P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4328  Fem urinary collect pouch                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4330  Stool collection pouch                            P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4331  Extension drainage tubing                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4332  Lube sterile packet                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4333  Urinary cath anchor device                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4334  Urinary cath leg strap                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4335  Incontinence supply                               P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4336  Urethral insert                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4337  Incontinent rectal insert                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4338  Indwelling catheter latex                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4340  Indwelling catheter special                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4349  Disposable male external cat                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4351  Straight tip urine catheter                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4352  Coude tip urinary catheter                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4353  Intermittent urinary cath                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4355  Bladder irrigation tubing                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4357  Bedside drainage bag                              P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4360  Disposable ext urethral dev                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4361  Ostomy face plate                                 P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4362  Solid skin barrier                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4363  Ostomy clamp, replacement                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4364  Adhesive, liquid or equal                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4366  Ostomy vent                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4367  Ostomy belt                                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4368  Ostomy filter                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4373  Skin barrier with flange                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4384  Ostomy faceplt/silicone ring                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4394  Ostomy pouch liq deodorant                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4395  Ostomy pouch solid deodorant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4396  Peristomal hernia supprt blt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4397  Irrigation supply sleeve                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4398  Ostomy irrigation bag                             P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4400  Ostomy irrigation set                             P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4402  Lubricant per ounce                               P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4404  Ostomy ring each                                  P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4405  Nonpectin based ostomy paste                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4406  Pectin based ostomy paste                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4421  Ostomy supply misc                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4422  Ost pouch absorbent material                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4435  1pc ost pch drain hgh output                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4450  Non-waterproof tape                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4452  Waterproof tape                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4455  Adhesive remover per ounce                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4456  Adhesive remover, wipes                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4458  Reusable enema bag                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4459  Manual pump enema, reusable                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4463  Surgical dress holder reuse                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4465  Non-elastic extremity binder                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4466  Elastic garment/covering                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4470  Gravlee jet washer                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4480  Vabra aspirator                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4481  Tracheostoma filter                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4483  Moisture exchanger                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4490  Above knee surgical stocking                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4495  Thigh length surg stocking                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4500  Below knee surgical stocking                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4510  Full length surg stocking                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4520  Incontinence garment anytype                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4550  Surgical trays                                    B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4554  Disposable underpads                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4555  Ca tx e-stim electr/transduc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4556  Electrodes, pair                                  P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4557  Lead wires, pair                                  P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4558  Conductive gel or paste                           P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4559  Coupling gel or paste                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4561  Pessary rubber, any type                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4565  Slings                                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4566  Should sling/vest/abrestrain                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4570  Splint                                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4575  Hyperbaric o2 chamber disps                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4580  Cast supplies (plaster)                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4590  Special casting material                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4601  Lith ion non prosth recharge                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4602  Replace lithium battery 1.5v                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4604  Tubing with heating element                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4608  Transtracheal oxygen cath                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4611  Heavy duty battery                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4612  Battery cables                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4613  Battery charger                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4614  Hand-held pefr meter                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4615  Cannula nasal                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4616  Tubing (oxygen) per foot                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4617  Mouth piece                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4618  Breathing circuits                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4619  Face tent                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4620  Variable concentration mask                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4623  Tracheostomy inner cannula                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4624  Tracheal suction tube                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4626  Tracheostomy cleaning brush                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4627  Spacer bag/reservoir                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4628  Oropharyngeal suction cath                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4629  Tracheostomy care kit                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4633  Uvl replacement bulb                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4634  Replacement bulb th lightbox                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4635  Underarm crutch pad                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4636  Handgrip for cane etc                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4640  Alternating pressure pad                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4641  Radiopharm dx agent noc                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A4642  In111 satumomab                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A4648  Implantable tissue marker                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4649  Surgical supplies                                 P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4650  Implant radiation dosimeter                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4651  Calibrated microcap tube                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4652  Microcapillary tube sealant                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4653  Pd catheter anchor belt                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4657  Syringe w/wo needle                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4663  Dialysis blood pressure cuff                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4670  Automatic bp monitor, dial                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4671  Disposable cycler set                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4672  Drainage ext line, dialysis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4674  Chem/antisept solution, 8oz                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4680  Activated carbon filter, ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4690  Dialyzer, each                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4714  Treated water per gallon                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4719  "y set" tubing                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4728  Dialysate solution, non-dex                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4730  Fistula cannulation set, ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4736  Topical anesthetic, per gram                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4740  Shunt accessory                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4770  Blood collection tube/vacuum                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4771  Serum clotting time tube                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4772  Blood glucose test strips                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4773  Occult blood test strips                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4774  Ammonia test strips                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4860  Disposable catheter tips                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4890  Repair/maint cont hemo equip                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A4911  Drain bag/bottle                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4913  Misc dialysis supplies noc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4918  Venous pressure clamp                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4927  Non-sterile gloves                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4928  Surgical mask                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4929  Tourniquet for dialysis, ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4930  Sterile, gloves per pair                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4931  Reusable oral thermometer                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A4932  Reusable rectal thermometer                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5053  Clsd ostomy pouch faceplate                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5055  Stoma cap                                         P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5056  1 pc ost pouch w filter                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5057  1 pc ost pou w built-in conv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5071  Urinary pouch w/barrier                           P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5081  Stoma plug or seal, any type                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5082  Continent stoma catheter                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5083  Stoma absorptive cover                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5093  Ostomy accessory convex inse                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5105  Urinary suspensory                                P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5112  Urinary leg bag                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5113  Latex leg strap                                   P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5114  Foam/fabric leg strap                             P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5121  Solid skin barrier 6x6                            P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5122  Solid skin barrier 8x8                            P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5131  Appliance cleaner                                 P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5200  Percutaneous catheter anchor                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5501  Diabetic custom molded shoe                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5504  Diabetic shoe with wedge                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5507  Modification diabetic shoe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5508  Diabetic deluxe shoe                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A5510  Compression form shoe insert                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6000  Wound warming wound cover                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6010  Collagen based wound filler                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6024  Collagen dsg wound filler                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6025  Silicone gel sheet, each                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6154  Wound pouch each                                  P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6199  Alginate drsg wound filler                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6215  Foam dressing wound filler                        P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6240  Hydrocolld drg filler paste                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6241  Hydrocolloid drg filler dry                       P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6248  Hydrogel drsg gel filler                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6250  Skin seal protect moisturizr                      P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6407  Packing strips, non-impreg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6410  Sterile eye pad                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6411  Non-sterile eye pad                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6412  Occlusive eye patch                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6413  Adhesive bandage, first-aid                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6457  Tubular dressing                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6501  Compres burngarment bodysuit                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6502  Compres burngarment chinstrp                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6503  Compres burngarment facehood                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6504  Cmprsburngarment glove-wrist                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6505  Cmprsburngarment glove-elbow                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6506  Cmprsburngrmnt glove-axilla                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6507  Cmprs burngarment foot-knee                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6508  Cmprs burngarment foot-thigh                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6509  Compres burn garment jacket                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6510  Compres burn garment leotard                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6511  Compres burn garment panty                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6512  Compres burn garment, noc                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6530  Compression stocking bk18-30                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6531  Compression stocking bk30-40                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6532  Compression stocking bk40-50                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6544  Gc stocking garter belt                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A6549  G compression stocking                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7000  Disposable canister for pump                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7001  Nondisposable pump canister                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7003  Nebulizer administration set                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7004  Disposable nebulizer sml vol                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7005  Nondisposable nebulizer set                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7006  Filtered nebulizer admin set                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7007  Lg vol nebulizer disposable                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7008  Disposable nebulizer prefill                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7009  Nebulizer reservoir bottle                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7010  Disposable corrugated tubing                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7012  Nebulizer water collec devic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7013  Disposable compressor filter                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7014  Compressor nondispos filter                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7016  Nebulizer dome & mouthpiece                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7018  Water distilled w/nebulizer                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7020  Interface, cough stim device                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7025  Replace chest compress vest                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7027  Combination oral/nasal mask                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7030  Cpap full face mask                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7031  Replacement facemask interfa                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7032  Replacement nasal cushion                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7033  Replacement nasal pillows                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7034  Nasal application device                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7035  Pos airway press headgear                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7036  Pos airway press chinstrap                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7037  Pos airway pressure tubing                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7038  Pos airway pressure filter                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7041  Water seal drain container                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7044  Pap oral interface                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7047  Resp suction oral interface                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7048  Vacuum drain bottle/tube kit                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7501  Tracheostoma valve w diaphra                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7502  Replacement diaphragm/fplate                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7504  Tracheostoma hmes filter                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7506  Hmes/trachvalve adhesivedisk                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7507  Integrated filter & holder                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7508  Housing & integrated adhesiv                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7509  Heat & moisture exchange sys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7521  Trach/laryn tube cuffed                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7522  Trach/laryn tube stainless                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7523  Tracheostomy shower protect                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7524  Tracheostoma stent/stud/bttn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7525  Tracheostomy mask                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A7526  Tracheostomy tube collar                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A8000  Soft protect helmet prefab                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A8001  Hard protect helmet prefab                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A8002  Soft protect helmet custom                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A8003  Hard protect helmet custom                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A8004  Repl soft interface, helmet                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9152  Single vitamin nos                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9153  Multi-vitamin nos                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9155  Artificial saliva                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9180  Lice treatment, topical                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9272  Disp wound suct, drsg/access                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9275  Disp home glucose monitor                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9276  Disposable sensor, cgm sys                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9277  External transmitter, cgm                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9278  External receiver, cgm sys                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9279  Monitoring feature/devicenoc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9280  Alert device, noc                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9281  Reaching/grabbing device                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9282  Wig any type                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9284  Non-electronic spirometer                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9300  Exercise equipment                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9500  Tc99m sestamibi                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9501  Technetium tc-99m teboroxime                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9502  Tc99m tetrofosmin                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9503  Tc99m medronate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9504  Tc99m apcitide                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9505  Tl201 thallium                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9507  In111 capromab                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9508  I131 iodobenguate, dx                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9509  Iodine i-123 sod iodide mil                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9510  Tc99m disofenin                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9512  Tc99m pertechnetate                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9516  Iodine i-123 sod iodide mic                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9517  I131 iodide cap, rx                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9520  Tc99 tilmanocept diag 0.5mci                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9521  Tc99m exametazime                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9524  I131 serum albumin, dx                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9526  Nitrogen n-13 ammonia                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9527  Iodine i-125 sodium iodide                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9528  Iodine i-131 iodide cap, dx                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9529  I131 iodide sol, dx                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9530  I131 iodide sol, rx                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9531  I131 max 100uci                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9532  I125 serum albumin, dx                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9536  Tc99m depreotide                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9537  Tc99m mebrofenin                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9538  Tc99m pyrophosphate                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9539  Tc99m pentetate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9540  Tc99m maa                                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9541  Tc99m sulfur colloid                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9542  In111 ibritumomab, dx                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9543  Y90 ibritumomab, rx                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9544  I131 tositumomab, dx                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9545  I131 tositumomab, rx                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9546  Co57/58                                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9547  In111 oxyquinoline                                C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9548  In111 pentetate                                   C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9550  Tc99m gluceptate                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9551  Tc99m succimer                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9552  F18 fdg                                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9553  Cr51 chromate                                     C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9554  I125 iothalamate, dx                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9555  Rb82 rubidium                                     C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9556  Ga67 gallium                                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9557  Tc99m bicisate                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9558  Xe133 xenon 10mci                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9559  Co57 cyano                                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9560  Tc99m labeled rbc                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9561  Tc99m oxidronate                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9562  Tc99m mertiatide                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9563  P32 na phosphate                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9564  P32 chromic phosphate                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9566  Tc99m fanolesomab                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9567  Technetium tc-99m aerosol                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9568  Technetium tc99m arcitumomab                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9569  Technetium tc-99m auto wbc                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9570  Indium in-111 auto wbc                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9571  Indium in-111 auto platelet                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9572  Indium in-111 pentetreotide                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9575  Inj gadoterate meglumi 0.1ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9576  Inj prohance multipack                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9577  Inj multihance                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9578  Inj multihance multipack                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9580  Sodium fluoride f-18                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9581  Gadoxetate disodium inj                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9582  Iodine i-123 iobenguane                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9583  Gadofosveset trisodium inj                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9584  Iodine i-123 ioflupane                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9585  Gadobutrol injection                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9586  Florbetapir f18                                   C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9599  Radiopha dx beta amyloid pet                      C   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9600  Sr89 strontium                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9604  Sm 153 lexidronam                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9606  Radium ra223 dichloride ther                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9698  Non-rad contrast materialnoc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9699  Radiopharm rx agent noc                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
A9700  Echocardiography contrast                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9900  Supply/accessory/service                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
A9901  Delivery/set up/dispensing                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0120  Periodic oral evaluation                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0145  Oral evaluation, pt < 3yrs                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0150  Comprehensve oral evaluation                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0171  Re-eval post-op visit                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0180  Comp periodontal evaluation                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0190  Screening of a patient                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0191  Assessment of a patient                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0210  Intraor complete film series                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0220  Intraoral periapical first                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0230  Intraoral periapical ea add                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0240  Intraoral occlusal film                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D0250  Extraoral 2d project image                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D0251  Extraoral posterior image                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0270  Dental bitewing single image                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D0272  Dental bitewings two images                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D0273  Bitewings - three images                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0274  Bitewings four images                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D0277  Vert bitewings 7 to 8 images                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0290  Skull/facial bone image                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0310  Dental saliography                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0321  Other tmj images by report                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0322  Dental tomographic survey                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0330  Panoramic image                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0340  2d cephalometric image                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0350  Oral/facial photo images                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0351  3d photographic image                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0364  Cone beam ct capt & interp                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0365  Cone beam ct interprete man                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0366  Cone beam ct interprete max                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0367  Cone beam ct interp both jaw                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0368  Cone beam ct interprete tmj                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0369  Max mri capture & interprete                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0370  Max ultrasound capt & interp                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0371  Sialoendoscopy capt & interp                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0380  Cone beam ct capture limited                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0381  Cone beam ct capt mandible                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0382  Cone beam ct capt maxilla                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0383  Cone beam ct both jaws                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0384  Cone beam ct capture tmj                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0385  Max mri image capture                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0386  Max ultrasound image capture                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0391  Imterprete diagnostic image                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0393  Trtmnt simulation 3d image                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0394  Digital sub 2 or more images                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0395  Fusion 2 or more 3d images                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0415  Collection of microorganisms                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0416  Viral culture                                     R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0417  Collect & prep saliva sample                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0418  Analysis of saliva sample                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0422  Collect & prep genetic samp                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0423  Genetic test spec analysis                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0425  Caries susceptibility test                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0460  Pulp vitality test                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D0470  Diagnostic casts                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0472  Gross exam, prep & report                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0473  Micro exam, prep & report                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0475  Decalcification procedure                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0476  Spec stains for microorganis                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0478  Immunohistochemical stains                        R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0479  Tissue in-situ hybridization                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0480  Cytopath smear prep & report                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0481  Electron microscopy                               R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0482  Direct immunofluorescence                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0483  Indirect immunofluorescence                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0484  Consult slides prep elsewher                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0502  Other oral pathology procedu                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D0601  Caries risk assess low risk                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0602  Caries risk assess mod risk                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0603  Caries risk assess high risk                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D0999  Unspecified diagnostic proce                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D1110  Dental prophylaxis adult                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1120  Dental prophylaxis child                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1206  Topical fluoride varnish                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1208  Topical app fluorid ex vrnsh                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1310  Nutri counsel-control caries                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1320  Tobacco counseling                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1330  Oral hygiene instruction                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1351  Dental sealant per tooth                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1353  Sealant repair per tooth                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1354  Interim caries med app                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1510  Space maintainer fxd unilat                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D1515  Fixed bilat space maintainer                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D1520  Remove unilat space maintain                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D1525  Remove bilat space maintain                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D1550  Recement space maintainer                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D1555  Remove fix space maintainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D1999  Unspecified preventive proc                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2140  Amalgam one surface permanen                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2150  Amalgam two surfaces permane                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2160  Amalgam three surfaces perma                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2330  Resin one surface-anterior                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2331  Resin two surfaces-anterior                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2332  Resin three surfaces-anterio                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2394  Post >=4srfc resinbase cmpst                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2710  Crown resin-based indirect                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2740  Crown porcelain/ceramic subs                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2794  Crown-titanium                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2799  Provisional crown                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2920  Re-cement or re-bond crown                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2921  Reattach tooth fragment                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2929  Prefab porc/ceram crown pri                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2932  Prefabricated resin crown                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2933  Prefab stainless steel crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2934  Prefab steel crown primary                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2940  Protective restoration                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2941  Int therapeutic restoration                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2949  Restorative foundation                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2951  Tooth pin retention                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2953  Each addtnl cast post                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2954  Prefab post/core + crown                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2955  Post removal                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2957  Each addtnl prefab post                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2960  Laminate labial veneer                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2961  Lab labial veneer resin                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2962  Lab labial veneer porcelain                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2975  Coping                                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2980  Crown repair                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2981  Inlay repair                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2982  Onlay repair                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2983  Veneer repair                                     N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2990  Resin infiltration of lesion                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D2999  Dental unspec restorative pr                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D3110  Pulp cap direct                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3120  Pulp cap indirect                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3220  Therapeutic pulpotomy                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3221  Gross pulpal debridement                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3222  Part pulp for apexogenesis                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3230  Pulpal therapy anterior prim                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3240  Pulpal therapy posterior pri                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3310  End thxpy, anterior tooth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3320  End thxpy, bicuspid tooth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3330  End thxpy, molar                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3332  Incomplete endodontic tx                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3333  Internal root repair                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3346  Retreat root canal anterior                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3347  Retreat root canal bicuspid                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3348  Retreat root canal molar                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3351  Apexification/recalc initial                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3352  Apexification/recalc interim                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3353  Apexification/recalc final                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3355  Pulpal regeneration initial                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3356  Pulpal regeneration interim                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3357  Pulpal regeneration complete                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3410  Apicoectomy - anterior                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3421  Root surgery bicuspid                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3425  Root surgery molar                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3427  Periradicular surgery                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3428  Bone graft peri per tooth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3429  Bone graft peri each addl                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3430  Retrograde filling                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3431  Biological materials                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3432  Guided tissue regeneration                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3450  Root amputation                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3460  Endodontic endosseous implan                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D3470  Intentional replantation                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3920  Tooth splitting                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D3999  Endodontic procedure                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D4210  Gingivectomy/plasty 4 or mor                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4211  Gingivectomy/plasty 1 to 3                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4212  Gingivectomy/plasty rest                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4245  Apically positioned flap                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4249  Crown lengthen hard tissue                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4260  Osseous surgery 4 or more                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D4261  Osseous surg 1 to 3 teeth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.000YYY.00.00.0000000             35.8043 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  0.000YYY.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4266  Guided tiss regen resorble                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4267  Guided tiss regen nonresorb                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4268  Surgical revision procedure                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D4273  Auto tissue graft 1st tooth                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D4274  Distal/proximal wedge proc                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4275  Non-auto graft 1st tooth                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4277  Soft tissue graft firsttooth                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4278  Soft tissue graft addl tooth                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4283  Auto tissue graft addl tooth                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4285  Non-auto graft addl tooth                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4320  Provision splnt intracoronal                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4321  Provisional splint extracoro                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4341  Periodontal scaling & root                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4342  Periodontal scaling 1-3teeth                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4355  Full mouth debridement                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D4381  Localized delivery antimicro                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D4910  Periodontal maint procedures                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4920  Unscheduled dressing change                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4921  Gingival irrigation per quad                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D4999  Unspecified periodontal proc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5110  Dentures complete maxillary                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5120  Dentures complete mandible                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5130  Dentures immediat maxillary                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5140  Dentures immediat mandible                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5211  Dentures maxill part resin                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5212  Dentures mand part resin                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5213  Dentures maxill part metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5214  Dentures mandibl part metal                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5221  Immed max part denture resin                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5222  Immed man part denture resin                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5223  Immed max part dent metal                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5224  Immed mand part dent metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5225  Maxillary part denture flex                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5226  Mandibular part denture flex                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5281  Removable partial denture                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5410  Dentures adjust cmplt maxil                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5411  Dentures adjust cmplt mand                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5421  Dentures adjust part maxill                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5422  Dentures adjust part mandbl                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5520  Replace denture teeth complt                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5610  Dentures repair resin base                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5630  Rep partial denture clasp                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5640  Replace part denture teeth                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5671  Replc tth&acrlc mandibular                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5710  Dentures rebase cmplt maxil                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5711  Dentures rebase cmplt mand                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5720  Dentures rebase part maxill                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5721  Dentures rebase part mandbl                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5810  Denture interm cmplt maxill                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5811  Denture interm cmplt mandbl                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5820  Denture interm part maxill                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5821  Denture interm part mandbl                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5850  Denture tiss conditn maxill                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5851  Denture tiss condtin mandbl                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5862  Precision attachment                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5863  Overdenture complete max                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5864  Overdenture partial max                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5865  Overdenture complete mandib                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5866  Overdenture partial mandib                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5867  Replacement of precision att                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5875  Prosthesis modification                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5899  Removable prosthodontic proc                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5911  Facial moulage sectional                          R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D5912  Facial moulage complete                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D5913  Nasal prosthesis                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5914  Auricular prosthesis                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5915  Orbital prosthesis                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5916  Ocular prosthesis                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5919  Facial prosthesis                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5922  Nasal septal prosthesis                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5923  Ocular prosthesis interim                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5924  Cranial prosthesis                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5925  Facial augmentation implant                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5926  Replacement nasal prosthesis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5927  Auricular replacement                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5928  Orbital replacement                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5929  Facial replacement                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5931  Surgical obturator                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5932  Postsurgical obturator                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5933  Refitting of obturator                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5934  Mandibular flange prosthesis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5935  Mandibular denture prosth                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5936  Temp obturator prosthesis                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5937  Trismus appliance                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5951  Feeding aid                                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D5952  Pediatric speech aid                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5953  Adult speech aid                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5954  Superimposed prosthesis                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5955  Palatal lift prosthesis                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5960  Modify speech aid prosthesis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5982  Surgical stent                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5983  Radiation applicator                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D5984  Radiation shield                                  R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D5985  Radiation cone locator                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D5986  Fluoride applicator                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5987  Commissure splint                                 R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D5988  Surgical splint                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5991  Vesiculobullous disease carr                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5992  Adjust max prost appliance                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5993  Main/clean max prosthesis                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5994  Peridontal medicament                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D5999  Maxillofacial prosthesis                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6010  Odontics endosteal implant                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6011  Second stage implant surgery                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6012  Endosteal implant                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6013  Surgical place mini implant                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6040  Odontics eposteal implant                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6050  Odontics transosteal implnt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6051  Interim abutment                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6052  Semi precision attach abut                        R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6055  Implant connecting bar                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6056  Prefabricated abutment                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6057  Custom abutment                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6058  Abutment supported crown                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6059  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6060  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6061  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6062  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6063  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6064  Abutment supported mtl crown                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6065  Implant supported crown                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6066  Implant supported mtl crown                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6067  Implant supported mtl crown                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6068  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6069  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6070  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6071  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6072  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6073  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6074  Abutment supported retainer                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6075  Implant supported retainer                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6076  Implant supported retainer                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6077  Implant supported retainer                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6080  Implant maintenance                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6090  Repair implant                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6091  Repl semi/precision attach                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6092  Recement supp crown                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6093  Recement supp part denture                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6094  Abut support crown titanium                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6095  Odontics repr abutment                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6100  Removal of implant                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6101  Debridement of a periimplant                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6102  Debridement & contouring                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6103  Bone graft repair perimplant                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6104  Bone graft time of implant                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6110  Implnt/abut remov dent max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6111  Implnt/abut remov dent mand                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6112  Imp/abut rem dent part max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6113  Imp/abut rem dent part mand                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6114  Implnt/abut fixed dent max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6115  Implnt/abut fixed dent mand                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6116  Imp/abut fixed dent part max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6117  Imp/abut fixed dent part man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6190  Radio/surgical implant index                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6194  Abut support retainer titani                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6199  Implant procedure                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6205  Pontic-indirect resin based                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6210  Prosthodont high noble metal                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6211  Bridge base metal cast                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6212  Bridge noble metal cast                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6214  Pontic titanium                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6240  Bridge porcelain high noble                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6241  Bridge porcelain base metal                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6242  Bridge porcelain nobel metal                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6245  Bridge porcelain/ceramic                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6251  Bridge resin base metal                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6253  Provisional pontic                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6545  Dental retainr cast metl                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6548  Porcelain/ceramic retainer                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6549  Resin retainer                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6600  Porcelain/ceramic inlay 2srf                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6624  Inlay titanium                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6634  Onlay titanium                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6710  Crown-indirect resin based                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6740  Crown porcelain/ceramic                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6750  Crown porcelain high noble                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6751  Crown porcelain base metal                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6752  Crown porcelain noble metal                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6793  Provisional retainer crown                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6794  Crown titanium                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6920  Dental connector bar                              R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D6930  Recement/bond part denture                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6940  Stress breaker                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6950  Precision attachment                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6980  Fixed partial repair                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6985  Pediatric partial denture fx                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D6999  Fixed prosthodontic proc                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7111  Extraction coronal remnants                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7140  Extraction erupted tooth/exr                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7210  Rem imp tooth w mucoper flp                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7220  Impact tooth remov soft tiss                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7230  Impact tooth remov part bony                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7240  Impact tooth remov comp bony                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7241  Impact tooth rem bony w/comp                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7250  Tooth root removal                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7251  Coronectomy                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7260  Oral antral fistula closure                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7261  Primary closure sinus perf                        R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7270  Tooth reimplantation                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7272  Tooth transplantation                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7280  Exposure impact tooth orthod                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7282  Mobilize erupted/malpos toot                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7283  Place device impacted tooth                       R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7287  Exfoliative cytolog collect                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7288  Brush biopsy                                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7290  Repositioning of teeth                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7291  Transseptal fiberotomy                            R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7292  Screw retained plate                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7310  Alveoplasty w/ extraction                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7320  Alveoplasty w/o extraction                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7321  Alveoloplasty not w/extracts                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7340  Vestibuloplasty ridge extens                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7350  Vestibuloplasty exten graft                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7412  Excision benign lesion compl                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7415  Excision malig les complicat                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7465  Lesion destruction                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7471  Rem exostosis any site                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7472  Removal of torus palatinus                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7473  Remove torus mandibularis                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7485  Surg reduct osseoustuberosit                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7490  Maxilla or mandible resectio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7511  Incision/drain abscess intra                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7520  I&d abscess extraoral                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7521  Incision/drain abscess extra                      R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7540  Removal of fb reaction                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7560  Maxillary sinusotomy                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7610  Maxilla open reduct simple                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7670  Closd rductn splint alveolus                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7671  Alveolus open reduction                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7710  Maxilla open reduct compound                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7810  Tmj open reduct-dislocation                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7820  Closed tmp manipulation                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7830  Tmj manipulation under anest                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7840  Removal of tmj condyle                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7850  Tmj meniscectomy                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7858  Tmj reconstruction                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7860  Tmj cutting into joint                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7865  Tmj reshaping components                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7870  Tmj aspiration joint fluid                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7871  Lysis + lavage w catheters                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7872  Tmj diagnostic arthroscopy                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7873  Tmj arthroscopy lysis adhesn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7874  Tmj arthroscopy disc reposit                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7875  Tmj arthroscopy synovectomy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7876  Tmj arthroscopy discectomy                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7877  Tmj arthroscopy debridement                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7880  Occlusal orthotic appliance                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7881  Occ orthotic device adjust                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7899  Tmj unspecified therapy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7920  Dental skin graft                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7921  Collect & appl blood product                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7940  Reshaping bone orthognathic                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D7941  Bone cutting ramus closed                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7944  Bone cutting segmented                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7945  Bone cutting body mandible                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7946  Reconstruction maxilla total                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7947  Reconstruct maxilla segment                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7948  Reconstruct midface no graft                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7949  Reconstruct midface w/graft                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7950  Mandible graft                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7951  Sinus aug w bone or bone sub                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7952  Sinus augmentation vertical                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7953  Bone replacement graft                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7955  Repair maxillofacial defects                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7960  Frenulectomy/frenectomy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7963  Frenuloplasty                                     N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7970  Excision hyperplastic tissue                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7971  Excision pericoronal gingiva                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7972  Surg redct fibrous tuberosit                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7980  Sialolithotomy                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7981  Excision of salivary gland                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7982  Sialodochoplasty                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7983  Closure of salivary fistula                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7990  Emergency tracheotomy                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7991  Dental coronoidectomy                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7995  Synthetic graft facial bones                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7996  Implant mandible for augment                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7997  Appliance removal                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D7999  Oral surgery procedure                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8010  Limited dental tx primary                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8020  Limited dental tx transition                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8030  Limited dental tx adolescent                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8040  Limited dental tx adult                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8050  Intercep dental tx primary                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8060  Intercep dental tx transitn                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8070  Compre dental tx transition                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8080  Compre dental tx adolescent                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8090  Compre dental tx adult                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8210  Orthodontic rem appliance tx                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8220  Fixed appliance therapy habt                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8660  Preorthodontic tx visit                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8670  Periodic orthodontc tx visit                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8680  Orthodontic retention                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8681  Removable retainer adjust                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8690  Orthodontic treatment                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8691  Repair ortho appliance                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8692  Replacement retainer                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8693  Rebond/recement retainers                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8694  Repair fixed retainers                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D8999  Orthodontic procedure                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D9120  Fix partial denture section                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9211  Regional block anesthesia                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9212  Trigeminal block anesthesia                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9215  Local anesthesia                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9219  Eval for deep sed/gen anesth                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9223  General anesthesia each 15m                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9230  Analgesia                                         R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D9243  Iv sedation each 15m                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9248  Sedation (non-iv)                                 R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9310  Dental consultation                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9410  Dental house call                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9420  Hospital/asc call                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9430  Office visit during hours                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9440  Office visit after hours                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9450  Case presentation tx plan                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9610  Dent therapeutic drug inject                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9630  Other drugs/medicaments                           R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D9910  Dent appl desensitizing med                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9911  Appl desensitizing resin                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9920  Behavior management                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9930  Treatment of complications                        R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D9932  Clean & inspect rem dent max                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9933  Clean & inspect rem dent man                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9934  Clean rem part denture max                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9935  Clean rem part denture mand                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9940  Dental occlusal guard                             R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D9941  Fabrication athletic guard                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9942  Repair/reline occlusal guard                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9943  Occlusal guard adjustment                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9950  Occlusion analysis                                R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D9951  Limited occlusal adjustment                       R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D9952  Complete occlusal adjustment                      R   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
D9970  Enamel microabrasion                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9971  Odontoplasty 1-2 teeth                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9972  Extrnl bleaching per arch                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9973  Extrnl bleaching per tooth                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9974  Intrnl bleaching per tooth                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9975  External bleaching home app                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9985  Sales tax                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9986  Missed appointment                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9987  Cancelled appointment                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
D9999  Adjunctive procedure                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0008  Admin influenza virus vac                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0009  Admin pneumococcal vaccine                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0010  Admin hepatitis b vaccine                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0027  Semen analysis                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0101  Ca screen;pelvic/breast exam                      A   0.45   0.58     0.29    0.05   1.08  0.790XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0102  Prostate ca screening; dre                        A   0.17   0.37     0.07    0.01   0.55  0.250XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0103  Psa screening                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0104  Ca screen;flexi sigmoidscope                      A   0.84   3.78     0.67    0.12   4.74  1.630000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
G0105  Colorectal scrn; hi risk ind                      A   3.36   6.93     1.74    0.47  10.76  5.570000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
G010553Colorectal scrn; hi risk ind                      A   1.68   3.45     0.89    0.23   5.36  2.800000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
G0106  Colon ca screen;barium enema                      A   0.99   4.92     4.92NA  0.06   5.97  5.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0106TCColon ca screen;barium enema                      A   0.00   4.55     4.55NA  0.01   4.56  4.561XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
G010626Colon ca screen;barium enema                      A   0.99   0.37     0.37    0.05   1.41  1.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0108  Diab manage trn  per indiv                        A   0.90   0.54     0.54NA  0.05   1.49  1.490XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0109  Diab manage trn ind/group                         A   0.25   0.14     0.14NA  0.01   0.40  0.400XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0117  Glaucoma scrn hgh risk direc                      T   0.45   1.06     1.06NA  0.02   1.53  1.530XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0118  Glaucoma scrn hgh risk direc                      T   0.17   1.07     1.07NA  0.01   1.25  1.250XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0120  Colon ca scrn; barium enema                       A   0.99   4.92     4.92NA  0.11   6.02  6.021XXX.00.00.0000000             35.8043 090 99     10.14  10.14   0.12
G0120TCColon ca scrn; barium enema                       A   0.00   4.55     4.55NA  0.01   4.56  4.561XXX.00.00.0000000             35.8043 090 99      9.77   9.77   0.02
G012026Colon ca scrn; barium enema                       A   0.99   0.37     0.37    0.10   1.46  1.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0121  Colon ca scrn not hi rsk ind                      A   3.36   6.93     1.74    0.48  10.77  5.580000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
G012153Colon ca scrn not hi rsk ind                      A   1.68   3.46     0.88    0.23   5.37  2.790000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
G0122  Colon ca scrn; barium enema                       N+  0.99   6.51     6.51NA  0.05   7.55  7.551XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0122TCColon ca scrn; barium enema                       N+  0.00   6.13     6.13NA  0.02   6.15  6.151XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G012226Colon ca scrn; barium enema                       N+  0.99   0.38     0.38    0.03   1.40  1.401XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0124  Screen c/v thin layer by md                       A   0.42   0.48     0.48    0.02   0.92  0.920XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0127  Trim nail(s)                                      R   0.17   0.47     0.04    0.01   0.65  0.220000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
G0128  Corf skilled nursing service                      R   0.00   0.21     0.21NA  0.01   0.22  0.223XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0129  Partial hosp prog service                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0130  Single energy x-ray study                         A   0.22   0.72     0.72NA  0.02   0.96  0.961XXX.00.00.0000000             35.8043 090 99      1.76   1.76   0.04
G0130TCSingle energy x-ray study                         A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
G013026Single energy x-ray study                         A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0141  Scr c/v cyto,autosys and md                       A   0.42   0.48     0.48    0.02   0.92  0.920XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0151  Hhcp-serv of pt,ea 15 min                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0152  Hhcp-serv of ot,ea 15 min                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0153  Hhcp-svs of s/l path,ea 15mn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0155  Hhcp-svs of csw,ea 15 min                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0156  Hhcp-svs of aide,ea 15 min                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0166  Extrnl counterpulse, per tx                       A   0.07   3.78     3.78NA  0.04   3.89  3.890XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0168  Wound closure by adhesive                         A   0.45   2.39     0.29    0.06   2.90  0.800000.00.00.0020100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0176  Opps/php;activity therapy                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0179  Md recertification hha pt                         A   0.45   0.68     0.68NA  0.03   1.16  1.160XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0180  Md certification hha patient                      A   0.67   0.79     0.79NA  0.05   1.51  1.510XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0181  Home health care supervision                      A   1.73   1.19     1.19NA  0.12   3.04  3.040XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0182  Hospice care supervision                          A   1.73   1.21     1.21NA  0.11   3.05  3.050XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0186  Dstry eye lesn,fdr vssl tech                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
G0202  Screeningmammographydigital                       A   0.70   3.02     3.02NA  0.05   3.77  3.771XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
G0202TCScreeningmammographydigital                       A   0.00   2.77     2.77NA  0.01   2.78  2.781XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
G020226Screeningmammographydigital                       A   0.70   0.25     0.25    0.04   0.99  0.991XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
G0204  Diagnosticmammographydigital                      A   0.87   3.68     3.68NA  0.06   4.61  4.611XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
G0204TCDiagnosticmammographydigital                      A   0.00   3.36     3.36NA  0.01   3.37  3.371XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
G020426Diagnosticmammographydigital                      A   0.87   0.32     0.32    0.05   1.24  1.241XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
G0206  Diagnosticmammographydigital                      A   0.70   2.87     2.87NA  0.05   3.62  3.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0206TCDiagnosticmammographydigital                      A   0.00   2.62     2.62NA  0.01   2.63  2.631XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G020626Diagnosticmammographydigital                      A   0.70   0.25     0.25    0.04   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0219  Pet img wholbod melano nonco                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0219TCPet img wholbod melano nonco                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
G021926Pet img wholbod melano nonco                      N   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0235  Pet not otherwise specified                       N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0235TCPet not otherwise specified                       N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
G023526Pet not otherwise specified                       N   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0237  Therapeutic procd strg endur                      A   0.00   0.27     0.27NA  0.01   0.28  0.285XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0238  Oth resp proc, indiv                              A   0.00   0.29     0.29NA  0.01   0.30  0.305XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0239  Oth resp proc, group                              A   0.00   0.36     0.36NA  0.01   0.37  0.375XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0245  Initial foot exam pt lops                         R   0.88   0.92     0.28    0.06   1.86  1.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0246  Followup eval of foot pt lop                      R   0.45   0.60     0.13    0.03   1.08  0.610XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0247  Routine footcare pt w lops                        R   0.50   1.52     0.13    0.03   2.05  0.660ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0248  Demonstrate use home inr mon                      R   0.00   3.12     3.12NA  0.02   3.14  3.143XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
G0249  Provide inr test mater/equip                      R   0.00   3.13     3.13NA  0.01   3.14  3.143XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
G0250  Md inr test revie inter mgmt                      R   0.18   0.07     0.07NA  0.01   0.26  0.262XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0252  Pet imaging initial dx                            N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0252TCPet imaging initial dx                            N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G025226Pet imaging initial dx                            N+  1.50   0.57     0.57    0.04   2.11  2.111XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0255  Current percep threshold tst                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0255TCCurrent percep threshold tst                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
G025526Current percep threshold tst                      N   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0259  Inject for sacroiliac joint                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0268  Removal of impacted wax md                        A   0.61   0.82     0.27    0.09   1.52  0.970000.00.00.0022100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0270  Mnt subs tx for change dx                         A   0.45   0.38     0.31    0.02   0.85  0.780XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0271  Group mnt 2 or more 30 mins                       A   0.25   0.19     0.17    0.01   0.45  0.430XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0276  Pild/placebo control clin tr                      R   7.17   3.03NA   3.03    1.21  11.41 11.410000.00.00.0022210             35.8043 090 99      0.00   0.00   0.00
G0277  Hbot, full body chamber, 30m                      A   0.00   1.25     1.25NA  0.01   1.26  1.263XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0278  Iliac art angio,cardiac cath                      A   0.25   0.09NA   0.09    0.06   0.40  0.400ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0279  Tomosynthesis, mammo                              A   0.60   0.93     0.93NA  0.03   1.56  1.561ZZZ.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
G0279TCTomosynthesis, mammo                              A   0.00   0.71     0.71NA  0.00   0.71  0.711ZZZ.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
G027926Tomosynthesis, mammo                              A   0.60   0.22     0.22    0.03   0.85  0.851ZZZ.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
G0281  Elec stim unattend for press                      A   0.18   0.20     0.20NA  0.01   0.39  0.397XXX.00.00.0050000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0283  Elec stim other than wound                        A   0.18   0.20     0.20NA  0.01   0.39  0.397XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
G0288  Recon, cta for surg plan                          A   0.00   0.94     0.94NA  0.09   1.03  1.033XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
G0289  Arthro, loose body + chondro                      A   1.48   0.74NA   0.74    0.30   2.52  2.520ZZZ.00.00.0001000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0295  Electromagnetic therapy onc                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0296  Visit to determ ldct elig                         A   0.52   0.25     0.20    0.03   0.80  0.750XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
G0297  Ldct for lung ca screen                           A   1.02   6.06     6.06NA  0.04   7.12  7.121XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
G0297TCLow-dose computer tomography                      A   0.00   5.67     5.67NA  0.01   5.68  5.681XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
G029726Low-dose computer tomography                      A   1.02   0.39     0.39    0.03   1.44  1.441XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
G0299  Hhs/hospice of rn ea 15 min                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0300  Hhs/hospice of lpn ea 15 min                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0307  Cbc without platelet                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0328  Fecal blood scrn immunoassay                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0329  Electromagntic tx for ulcers                      A   0.06   0.20     0.20NA  0.01   0.27  0.277XXX.00.00.0050000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0337  Hospice evaluation preelecti                      X+  1.42   0.54     0.54    0.08   2.04  2.049XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0339  Robot lin-radsurg com, first                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0340  Robt lin-radsurg fractx 2-5                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0341  Percutaneous islet celltrans                      A   6.98  57.78     3.27    0.60  65.36 10.850000.00.00.0020010             35.8043 090 99      0.00   0.00   0.00
G0342  Laparoscopy islet cell trans                      A  11.92   6.62NA   6.62    1.63  20.17 20.170090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
G0343  Laparotomy islet cell transp                      A  19.85  11.12NA  11.12    4.84  35.81 35.810090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
G0364  Bone marrow aspirate &biopsy                      A   0.16   0.18     0.08    0.01   0.35  0.250ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0365  Vessel mapping hemo access                        A   0.25   5.37     5.37NA  0.05   5.67  5.671XXX.00.00.0000000             35.8043 090 99      4.33   4.33   0.05
G0365TCVessel mapping hemo access                        A   0.00   5.30     5.30NA  0.02   5.32  5.321XXX.00.00.0000000             35.8043 010 99      4.26   4.26   0.02
G036526Vessel mapping hemo access                        A   0.25   0.07     0.07    0.03   0.35  0.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0372  Md service required for pmd                       A   0.17   0.07     0.07    0.01   0.25  0.250XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0378  Hospital observation per hr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0379  Direct refer hospital observ                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0380  Lev 1 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0381  Lev 2 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0382  Lev 3 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0383  Lev 4 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0384  Lev 5 hosp type b ed visit                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0389  Ultrasound exam aaa screen                        A   0.58   2.64     2.64NA  0.05   3.27  3.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0389TCUltrasound exam aaa screen                        A   0.00   2.43     2.43NA  0.01   2.44  2.441XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
G038926Ultrasound exam aaa screen                        A   0.58   0.21     0.21    0.04   0.83  0.831XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0390  Trauma respons w/hosp criti                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0396  Alcohol/subs interv 15-30mn                       A   0.65   0.32     0.26    0.04   1.01  0.950XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0397  Alcohol/subs interv >30 min                       A   1.30   0.63     0.56    0.08   2.01  1.940XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0398  Home sleep test/type 2 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0398TCHome sleep test/type 2 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G039826Home sleep test/type 2 porta                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0399  Home sleep test/type 3 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0399TCHome sleep test/type 3 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G039926Home sleep test/type 3 porta                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0400  Home sleep test/type 4 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0400TCHome sleep test/type 4 porta                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G040026Home sleep test/type 4 porta                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0402  Initial preventive exam                           A   2.43   2.10     1.00    0.15   4.68  3.580XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0403  Ekg for initial prevent exam                      A   0.17   0.29     0.29NA  0.02   0.48  0.484XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0404  Ekg tracing for initial prev                      A   0.00   0.23     0.23NA  0.01   0.24  0.243XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0405  Ekg interpret & report preve                      A   0.17   0.06     0.06    0.01   0.24  0.242XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0406  Inpt/tele follow up 15                            A   0.76   0.29NA   0.29    0.05   1.10  1.100XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0407  Inpt/tele follow up 25                            A   1.39   0.55NA   0.55    0.07   2.01  2.010XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0408  Inpt/tele follow up 35                            A   2.00   0.79NA   0.79    0.10   2.89  2.890XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0409  Corf related serv 15 mins ea                      R   0.00   0.33     0.33NA  0.01   0.34  0.349XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0412  Open tx iliac spine uni/bil                       A  10.45   8.12NA   8.12    2.07  20.64 20.640090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
G0413  Pelvic ring fracture uni/bil                      A  15.73  11.86NA  11.86    3.20  30.79 30.790090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
G0414  Pelvic ring fx treat int fix                      A  14.65  11.09NA  11.09    2.18  27.92 27.920090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
G0415  Open tx post pelvic fxcture                       A  20.93  14.39NA  14.39    4.21  39.53 39.530090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
G0416  Prostate biopsy, any mthd                         A   3.09  11.74    11.74NA  0.09  14.92 14.921XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0416TCProstate biopsy, any mthd                         A   0.00  10.48    10.48NA  0.03  10.51 10.511XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G041626Prostate biopsy, any mthd                         A   3.09   1.26     1.26    0.06   4.41  4.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0420  Ed svc ckd ind per session                        A   2.12   0.82     0.82NA  0.14   3.08  3.080XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0421  Ed svc ckd grp per session                        A   0.50   0.18     0.18NA  0.03   0.71  0.710XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0422  Intens cardiac rehab w/exerc                      A   1.56   1.24     1.24    0.09   2.89  2.890XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0423  Intens cardiac rehab no exer                      A   1.56   1.24     1.24    0.09   2.89  2.890XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0424  Pulmonary rehab w exer                            A   0.28   0.54     0.09    0.02   0.84  0.390XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0425  Inpt/ed teleconsult30                             A   1.92   0.75NA   0.75    0.13   2.80  2.800XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0426  Inpt/ed teleconsult50                             A   2.61   1.04NA   1.04    0.16   3.81  3.810XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0427  Inpt/ed teleconsult70                             A   3.86   1.56NA   1.56    0.25   5.67  5.670XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0428  Collagen meniscus implant                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0429  Dermal filler injection(s)                        A   1.19   1.44     0.68    0.16   2.79  2.030000.00.00.0020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0436  Tobacco-use counsel 3-10 min                      A   0.24   0.15     0.09    0.02   0.41  0.350XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0437  Tobacco-use counsel>10min                         A   0.50   0.25     0.20    0.03   0.78  0.730XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0438  Ppps, initial visit                               A   2.43   2.24     2.24NA  0.15   4.82  4.820XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0439  Ppps, subseq visit                                A   1.50   1.67     1.67NA  0.10   3.27  3.270XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0442  Annual alcohol screen 15 min                      A   0.18   0.32     0.08    0.01   0.51  0.270XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0443  Brief alcohol misuse counsel                      A   0.45   0.25     0.19    0.03   0.73  0.670XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0444  Depression screen annual                          A   0.18   0.32     0.07    0.01   0.51  0.260XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0445  High inten beh couns std 30m                      A   0.45   0.28     0.19    0.03   0.76  0.670XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0446  Intens behave ther cardio dx                      A   0.45   0.25     0.19    0.03   0.73  0.670XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0447  Behavior counsel obesity 15m                      A   0.45   0.25     0.19    0.03   0.73  0.670XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0448  Place perm pacing cardiovert                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0451  Devlopment test interpt&rep                       A   0.00   0.24     0.24NA  0.01   0.25  0.255XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
G045226Molecular pathology interpr                       A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0453  Cont intraop neuro monitor                        A   0.60   0.28NA   0.28    0.05   0.93  0.930XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0454  Md document visit by npp                          A   0.18   0.07     0.07    0.01   0.26  0.260XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0455  Fecal microbiota prep instil                      A   1.34   2.13     0.59    0.17   3.64  2.100000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G0458  Ldr prostate brachy comp rat                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0459  Telehealth inpt pharm mgmt                        A   0.95   0.17NA   0.17    0.04   1.16  1.160XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
G0460  Autologous prp for ulcers                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
G0463  Hospital outpt clinic visit                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0464  Colorec ca scr, sto bas dna                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0466  Fqhc visit new patient                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0467  Fqhc visit, estab pt                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0468  Fqhc visit, ippe or awv                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0469  Fqhc visit, mh new pt                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0470  Fqhc visit, mh estab pt                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0471  Ven blood coll snf/hha                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0472  Hep c screen high risk/other                      X   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0473  Group behave couns 2-10                           A   0.23   0.11     0.09    0.01   0.35  0.339XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0475  Hiv combination assay                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0476  Hpv combo assay ca screen                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0477  Drug test presump optical                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0478  Drug test presump opt inst                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0479  Drug test presump not opt                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0480  Drug test def 1-7 classes                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0481  Drug test def 8-14 classes                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0482  Drug test def 15-21 classes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0483  Drug test def 22+ classes                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0913  Improve visual funct                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0914  Survey not complete                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0915  No improve visual funct                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0916  Satisfy with care                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0917  Satisfy survey not complete                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G0918  No satisfy with care                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G3001  Admin + supply, tositumomab                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G6001  Echo guidance radiotherapy                        A   0.58   0.85     0.85NA  0.03   1.46  1.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6001TCEcho guidance radiotherapy                        A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G600126Echo guidance radiotherapy                        A   0.58   0.24     0.24    0.02   0.84  0.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6002  Stereoscopic x-ray guidance                       A   0.39   1.70     1.70NA  0.03   2.12  2.121XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6002TCStereoscopic x-ray guidance                       A   0.00   1.54     1.54NA  0.01   1.55  1.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G600226Stereoscopic x-ray guidance                       A   0.39   0.16     0.16    0.02   0.57  0.571XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6003  Radiation treatment delivery                      A   0.00   5.25     5.25NA  0.01   5.26  5.263XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6004  Radiation treatment delivery                      A   0.00   4.06     4.06NA  0.01   4.07  4.073XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6005  Radiation treatment delivery                      A   0.00   4.05     4.05NA  0.01   4.06  4.063XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6006  Radiation treatment delivery                      A   0.00   4.04     4.04NA  0.01   4.05  4.053XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6007  Radiation treatment delivery                      A   0.00   8.45     8.45NA  0.01   8.46  8.463XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6008  Radiation treatment delivery                      A   0.00   5.62     5.62NA  0.01   5.63  5.633XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6009  Radiation treatment delivery                      A   0.00   5.56     5.56NA  0.01   5.57  5.573XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6010  Radiation treatment delivery                      A   0.00   5.55     5.55NA  0.01   5.56  5.563XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6011  Radiation treatment delivery                      A   0.00   9.03     9.03NA  0.01   9.04  9.043XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6012  Radiation treatment delivery                      A   0.00   7.41     7.41NA  0.01   7.42  7.423XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6013  Radiation treatment delivery                      A   0.00   7.42     7.42NA  0.01   7.43  7.433XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6014  Radiation treatment delivery                      A   0.00   7.42     7.42NA  0.01   7.43  7.433XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6015  Radiation tx delivery imrt                        A   0.00   9.66     9.66NA  0.04   9.70  9.703XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6016  Delivery comp imrt                                A   0.00   9.66     9.66NA  0.01   9.67  9.673XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G6017  Intrafraction track motion                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8396  Lvef not performed                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8399  Pt w/dxa results document                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8400  Pt w/dxa no results doc                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8410  Eval on foot documented                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8416  Pt inelig footwear evaluatio                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8420  Calc bmi norm parameters                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8421  Bmi not calculated                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8422  Pt inelig bmi calculation                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8428  Cur meds not document                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8430  Pt inelig med check                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8442  Pt inelig pain assessment                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8476  Bp sys <140 and dias <90                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8477  Bp sys>=140 and/or dias >=90                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8478  Bp not performed/doc                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8482  Flu immunize order/admin                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8483  Flu imm no admin doc rea                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8484  Flu immunize no admin                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8485  Report, diabetes measures                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8486  Report, prev care measures                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8487  Report ckd measures                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8489  Cad measures grp                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8490  Ra measures grp                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8491  Hiv/aids measures grp                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8506  Pt rec ace/arb                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8509  Pos pain assess no f/u doc                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8539  Doc funct and care plan                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8540  Pt inelig funct assess                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8542  Doc funct no deficiencies                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8544  Cabg measures grp                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8545  Hepc measures grp                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8548  Hf measures grp                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8559  Pt ref doc oto eval                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8560  Pt hx act drain prev 90 days                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8561  Pt inelig for ref oto eval                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8562  Pt no hx act drain 90 d                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8563  Pt no ref oto reas no spec                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8564  Pt ref oto eval                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8565  Ver doc hear loss                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8566  Pt inelig ref oto eval                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8567  Pt no doc hear loss                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8568  Pt no ref otolo no spec                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8569  Prol intubation req                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8570  No prol intub req                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8572  No ster wd ifx                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8573  Stk cabg                                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8574  No strk cabg                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8575  Postop ren fail                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8576  No postop ren fail                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8598  Asp therp used                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8599  No asp therp used                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8633  Pharm ther osteo rx                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8645  Asthma measures grp                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8694  Lvef <40%                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8696  Antithromb thx presc                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8697  Antithromb no presc doc reas                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8698  Antithromb no presc no reas                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8708  Antibiotic not pres                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8709  Med reas antibiotic pres                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8710  Pt pres antibiotic                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8711  Pres antibiotic                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8712  Not pres antibiotic                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8721  Pt, pn, hist grade doc                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8722  Med reas pt, pn, not doc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8723  Spec sit not prim tumor                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8724  Pt, pn, hist grade not doc                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8725  Lipid profile perf doc                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8726  Doc reas no lipid profile                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8728  Lipid profile not perf                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8730  Pain doc pos and plan                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8731  Pain neg no plan                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8732  No doc of pain                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8733  Doc pos elder mal scrn plan                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8734  Doc neg elder mal no plan                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8735  Eld mal scrn pos no plan                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8749  Signs of melanoma absent                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8752  Sys bp less 140                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8753  Sys bp > or = 140                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8754  Dias bp less 90                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8755  Dias bp > or = 90                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8756  No bp measure doc                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8757  Copd mg qual act perform                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8758  Ibd mg qual act perform                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8759  Osa mg qual act perform                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8761  Dementia mg qual act perform                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8762  Pd mg qual act perform                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8765  Cataract mg qual act perform                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8783  Bp scrn perf rec interval                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8784  Pt no elig for bp assess                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8785  Bp scrn no perf at interval                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8797  Specimen site not esophagus                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8798  Specimen site not prostate                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8806  Transab or transvag us                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8807  Doc reas no us                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8808  No transab or transvag us                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8809  Rh-immunoglobulin order                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8810  Doc reas no rh-immuno                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8811  No rh-immunoglobulin order                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8815  Doc reas no statin therapy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8816  Statin med pres at disch                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8817  Doc reas no statin med disch                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8818  Pt disch to home by day#7                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8825  Pt not disch to home day#7                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8826  Pt disch home day #2 evar                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8833  Pt not disch home day#2 evar                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8834  Pt disch home day #2 cea                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8838  Not disch home by day #2                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8839  Sleep apnea assess                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8840  Doc reas no sleep apnea                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8841  No sleep apnea assess                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8842  Ahi or rdi initial dx                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8843  Doc reas no ahi or rdi                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8844  No ahi or rdi initial dx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8845  Pos airway press prescribed                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8846  Mod or severe osa                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8848  Mild osa                                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8849  Doc reas no pos air press                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8850  No pap prescribed                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8851  Adhere pos air press therapy                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8852  Pos air press prescribe                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8853  Pos air press not prescribe                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8854  Reas no adhere pos air pres                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8855  Pos air press adhere no perf                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8856  Ref for oto eval                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8857  No elig ref for oto eval                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8858  Not ref for oto eval                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8861  Dxa ordered for osteo                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8863  No assess bone loss                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8864  Pneumococcal vaccine admin                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8865  Doc med reas no pneumococcal                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8866  Doc pt reas no pneumococcal                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8867  No pneumococcal admin                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8868  1st course antitnf                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8869  Doc immun hep b 1st antitnf                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8872  Intraop image confirm excise                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8873  Specimen not intraop image                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8874  Tissue not image intraop                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8875  Breast cancer dx min invsive                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8876  Doc reas no min inv dx                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8877  No brst cncr dx min invasive                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8878  Sent lymph node biopsy                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8879  Node neg inv brst cncr                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8880  Doc reas no lymph node biop                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8881  Brst cncr stage > t1n0m0                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8882  No sent lymph node biopsy                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8883  Rev, comm, track, doc biopsy                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8884  Doc reas biopsy not review                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8885  No rev, comm, track biopsy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8898  Copd measures group                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8899  Inflammatory bowel dis mg                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8900  Obstructive sleep apnea mg                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8902  Dementia measures group                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8903  Parkinson's disease mg                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8906  Cataract measures group                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8907  Pt doc no events on discharg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8908  Pt doc w burn prior to d/c                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8909  Pt doc no burn prior to d/c                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8910  Pt doc to have fall in asc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8911  Pt doc no fall in asc                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8912  Pt doc with wrong event                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8913  Pt doc no wrong event                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8914  Pt trans to hosp post d/c                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8915  Pt not trans to hosp at d/c                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8916  Pt w iv ab given on time                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8917  Pt w iv ab not given on time                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8918  Pt w/o preop order iv ab pro                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8923  Lvef < 40% or lvsd                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8924  Fev<60% pred & copd sym                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8925  Fev<60% pred & no copd sym                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8926  Spiro no perf or doc                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8927  Adj chem pres ajcc iii                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8928  Adj chem not pres rsn spec                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8929  Adj cmo not pres rsn not gvn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8934  Lvef <40% or dep lv sys fcn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8935  Rx ace or arb therapy                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8936  Pt not eligible ace/arb                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8937  No rx ace/arb therapy                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8938  Bmi calc, pt no f/u plan elg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8939  Pain assess doc, f/u no doc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8940  Srn clin dep doc no f/u pln                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8941  No doc elder scrn, pt no el                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8942  Doc fcn/care plan w/30 days                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8944  Ajcc mel cnr stg 0 - iic                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8946  Mibm but no dx of breast ca                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8947  1 or more neuropsych                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8948  No neuropsych symptoms                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8950  Pre-htn or htn doc, f/u indc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8952  Pre-htn/htn, no f/u, not gvn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8953  Oncology mg qual act perform                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8955  Most recent assess vol mgmt                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8956  Pt rcv hedia outpt dyls fac                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8958  Assess vol mgmt not doc                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8959  Clin tx mdd comm to tx clin                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8960  Clin tx mdd not comm                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8961  Csit lowrisk surg pts preop                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8962  Csit on pt any reas 30 days                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8963  Csi per asx pt w/pci 2 yrs                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8964  Csi any other than pci 2 yr                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8965  Csit perf on low chd rsk                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8966  Csit perf sx or high chd rsk                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8967  Wrfrn or oral antigoag pres                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8968  Md rsn no pres wrfrn or othr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8969  Pt rsn no pres wrfrn or othr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8970  No rsk fac or 1 mod risk te                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8971  Warfrn or othr antcog no rx                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8972  1>=risk or>= mod risk for te                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8973  Mst rcnt hbb < 10g/dl                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8974  Hgb not doc rns not gvn                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8975  Hgb <10g/dl, med rsn                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8976  Hgb >= 10 g/dl                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8977  Oncology measures grp                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8978  Mobility current status                           Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8979  Mobility goal status                              Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8980  Mobility d/c status                               Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8981  Body pos current status                           Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8982  Body pos goal status                              Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8983  Body pos d/c status                               Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8984  Carry current status                              Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8985  Carry goal status                                 Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8986  Carry d/c status                                  Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8987  Self care current status                          Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8988  Self care goal status                             Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8989  Self care d/c status                              Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8990  Other pt/ot current status                        Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8991  Other pt/ot goal status                           Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8992  Other pt/ot  d/c status                           Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8993  Sub pt/ot current status                          Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8994  Sub pt/ot goal status                             Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8995  Sub pt/ot d/c status                              Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8996  Swallow current status                            Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8997  Swallow goal status                               Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8998  Swallow d/c status                                Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G8999  Motor speech current status                       Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9001  Mccd, initial rate                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9002  Mccd,maintenance rate                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9005  Mccd, risk adj, maintenance                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9006  Mccd, home monitoring                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9007  Mccd, sch team conf                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9012  Other specified case mgmt                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9016  Demo-smoking cessation coun                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9017  Amantadine hcl 100mg oral                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9018  Zanamivir,inhalation pwd 10m                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9019  Oseltamivir phosphate 75mg                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9020  Rimantadine hcl 100mg oral                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9033  Amantadine hcl oral brand                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9034  Zanamivir, inh pwdr, brand                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9035  Oseltamivir phosp, brand                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9036  Rimantadine hcl, brand                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9050  Oncology work-up evaluation                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9051  Oncology tx decision-mgmt                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9052  Onc surveillance for disease                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9053  Onc expectant management pt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9054  Onc supervision palliative                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9055  Onc visit unspecified nos                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9099  Onc dx esophageal unknown                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9102  Onc dx gastric unresectable                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9103  Onc dx gastric recurrent                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9107  Onc dx pancreatic unresectab                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9116  Onc dx ovarian recurrence                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9126  Onc dx cml remission                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9140  Frontier extended stay demo                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9143  Warfarin respon genetic test                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9148  Medical home level 1                              R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9149  Medical home level ii                             R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9150  Medical home level iii                            R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9151  Mapcp demo state                                  R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9152  Mapcp demo community                              R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9153  Mapcp demo physician                              R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9156  Evaluation for wheelchair                         R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9157  Transesoph doppl cardiac mon                      A   2.20   0.38NA   0.38    0.17   2.75  2.752XXX.00.00.0099900             35.8043 090 99      0.00   0.00   0.00
G9158  Motor speech d/c status                           Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9159  Lang comp current status                          Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9160  Lang comp goal status                             Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9161  Lang comp d/c status                              Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9162  Lang express current status                       Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9163  Lang express goal status                          Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9164  Lang express d/c status                           Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9165  Atten current status                              Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9166  Atten goal status                                 Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9167  Atten d/c status                                  Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9168  Memory current status                             Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9169  Memory goal status                                Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9170  Memory d/c status                                 Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9171  Voice current status                              Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9172  Voice goal status                                 Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9173  Voice d/c status                                  Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9174  Speech lang current status                        Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9175  Speech lang goal status                           Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9176  Speech lang d/c status                            Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9186  Motor speech goal status                          Q   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9187  Bpci home visit                                   A   0.18   1.05     1.05NA  0.03   1.26  1.260XXX.00.00.0000999             35.8043 090 99      0.00   0.00   0.00
G9188  Beta not given no reason                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9189  Beta pres or already taking                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9190  Medical reason for no beta                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9191  Pt reason for no beta                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9192  System reason for no beta                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9196  Med reason for no ceph                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9197  Order for ceph                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9198  No order for ceph no reason                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9203  Hep c rna done prior to med                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9204  No reason for no hep c rna                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9205  Hep c antiviral started                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9206  Hep c therapy started                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9207  Hep c genotype prior to med                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9208  No reason for no hep c geno                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9209  Hep c rna 4to12 wk after med                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9210  No hepc rna after med docrsn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9211  No hepc rna after med no rsn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9212  Doc of dsm-iv init eval                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9213  No doc of dsm-iv                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9217  No pcp proph low cd4 norsn                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9219  No oder pjp for med reason                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9222  Pjp proph ordered low cd4                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9223  Pjp proph ordered cd4 low                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9225  Norsn no foot exam                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9226  3 comp foot exam completed                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9227  Docrsn no care plan                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9228  Gc chl syp documented                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9229  Ptrsn no gc chl syp test                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9230  Norsn for gc chl syp test                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9231  Doc esrd dia trans preg                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9232  Docrsn no comm comorb                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9233  Tkr composite                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9234  Tkr intent                                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9235  Gs mg composite                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9236  Op rad mg composite                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9237  Gs mg intent                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9238  Op rad mg intent                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9239  Docrsn for catheter                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9240  Doc pt w cath maint dia                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9241  Doc pt w out cath maint dia                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9242  Doc viral load >=200                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9243  Doc viral load <200                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9244  Antiviral not ordered                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9245  Antiviral ordered                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9246  No med visit in 24mo                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9247  1 med visit in 24mo                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9250  Doc of pain comfort 48hr                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9251  Doc no pain comfort 48hr                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9254  Doc pt dischg >2d                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9255  Doc pt dischg <=2d                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9256  Doc death after cas                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9257  Doc stroke after cas                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9258  Doc stroke after cea                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9259  Doc surv no stroke after cas                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9260  Doc death after cea                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9261  Doc surv no stroke after cea                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9262  Doc death in hosp aaa repair                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9263  Doc surv in hosp aaa repair                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9264  Docrsn for cath maint dia                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9265  Doc cath >90d for maint dia                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9266  Norsn pt cath >=90d                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9267  Doc comp or mort w in 30d                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9268  Doc comp or mort w in 90d                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9269  Doc no comp or mort w in 30d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9270  Doc no comp or mort w in 90d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9273  Sys<140 and dia<90                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9274  Bp out of nrml limits                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9275  Doc of non tobacco user                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9276  Doc of tobacco user                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9277  Doc daily aspirin or contra                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9278  Doc no daily aspirin                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9279  Pne scrn done doc vac done                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9280  Pne not given norsn                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9281  Pne scrn done doc not ind                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9282  Doc medrsn no histo type                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9283  Hist type doc on report                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9284  No hist type doc on report                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9285  Site not small cell lung ca                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9286  Antibio rx w in 10d of sympt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9287  No antibio w in 10d of sympt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9288  Doc medrsn no hist type rpt                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9289  Doc type nsm lung ca                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9290  No doc type nsm lung ca                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9291  Not nsm lung ca                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9292  Medrsn no pt category                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9293  No pt category on report                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9294  Pt cat and thck on report                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9295  Non cutaneous loc                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9296  Doc share dec prior proc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9297  No doc share dec prior proc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9298  Eval risk vte card 30d prior                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9299  No eval riskk vte card prior                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9300  Doc medrsn no compl antibio                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9301  Doc compl inf antibio                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9302  Norsn incomp inf antibio                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9303  Norsn no pros info op rpt                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9304  Pros info op rpt                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9305  No interv req for leak                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9306  Interv req for leak                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9307  No ret for surg w in 30d                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9308  Unplnd ret to surg w in 30d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9309  No unplnd hosp readm in 30d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9310  Unplnd hosp readm in 30d                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9311  No surg site infection                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9312  Surgical site infection                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9313  Docrsn not first line amox                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9314  Norsn not first line amox                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9315  Doc first line amox                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9316  Doc comm risk calc                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9317  No doc comm risk calc                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9318  Image std nomenclature                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9319  Image not std nomenclature                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9321  Doc count of ct in 12mo                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9322  No doc count of ct in 12mo                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9324  Not all data norsn                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9326  Norsn no ct rpt to reg                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9327  Ct rpt to reg                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9329  Norsn no dicom format doc                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9340  Dicom format doc on rpt                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9341  Srch for ct w in 12 mos                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9342  No srch for ct in 12mo norsn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9344  Sysrsn no dicom srch                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9345  Follow up pulm nod                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9347  No follow up pulm nod norsn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9348  Docrsn no sinus ct dx                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9349  Doc sinus ct 28d                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9350  No doc sinus ct 28d or dx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9351  Doc >1 sinus ct w 90d dx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9352  Not >1 sinus ct w 90d dx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9353  Medrsn >1 sinus ct w 90d dx                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9354  1 or no ct sinus w/in 90d dx                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9355  No early ind/delivery                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9356  Early ind/delivery                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9357  Pp eval/edu perf                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9358  Pp eval/edu not perf                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9359  Doc of neg or man pos tb scn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9360  No doc of neg or man pos tb                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9361  Med ind for induction                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9364  Sinus caus bac inx                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9365  1high risk med ord                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9366  1high risk no ord                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9367  2high risk med ord                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9368  2high risk no ord                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9380  Off assis eol iss                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9381  Doc med reas no offer eol                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9382  No off assis eol                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9383  Recd scrn hcv infec                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9384  Doc med reas no ann srn hcv                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9385  Doc pt reas not rec hcv srn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9386  Scrn hcv infec not recd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9389  Unpln rup post cap                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9390  No unpln rup post cap                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9393  Ini phq9 >9 remiss <5                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9394  Dx bipol, death, nhres, hosp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9395  Ini phq9 >9 no remiss >=5                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9396  Ini phq9 >9 not assess                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9399  Doc disc tx choices                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9400  Doc reas no disc tx opt                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9401  No disc tx choices                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9402  Recd f/u w/in 30d disch                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9403  Doc reas no 30 day f/u                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9404  No 30 day f/u                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9405  Recd f/u w/in 7d disch                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9406  Doc reas no 7d f/u                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9407  No 7d f/u                                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9408  Card tamp w/in 30d                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9409  No card tamp e/in 30d                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9410  Admit w/in 180d req remov                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9411  No admit w/in 180d req remov                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9412  Admit w/in 180d req surg rev                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9413  No admit req surg rev                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9414  1dose menig vac btwn 11 & 13                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9415  No 1dose meni vac btwn 11&13                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9416  Tdap or td or 1tet/dipth                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9417  No tdap or td or 1tet/dipth                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9418  Lungcx bx rpt docs class                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9419  Med reas not incl histo type                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9420  Spec site no lung                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9421  Lung cx bx rpt no doc class                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9422  Rpt doc class histo type                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9423  Med reas rpt no histo type                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9424  Site no lung or lung cx                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9425  Spec rpt no doc class histo                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9426  Impr med time edarr pain med                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9427  No impro med time pain med                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9428  Rpt pt cat and pt1                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9429  Doc med reas no pt cat                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9430  Spec site no cutaneous                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9431  No pt cat and  pt1                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9432  Asth controlled                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9434  Asth not controlled                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9435  Asp presc disch                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9436  Asp not presc doc reas                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9437  Asp not presc disch                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9438  P2y inhib presc                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9439  P2y inhib not presc doc reas                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9440  P2y inhib not presc                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9441  Statin presc disch                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9442  Statin not presc doc reas                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9443  Statin not presc disch                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9448  Born 1945-1965                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9449  Hx bld transf b/f 1992                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9450  Hx injec drug use                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9451  1x scrn hcv infect                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9452  Doc med reas no scrn hcv                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9453  Pt reas no hcv infect                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9454  No hcv infect srn                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9455  Abd imag w/us, ct or mri                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9456  Doc med pt reas no hcc scrn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9457  No abd imag w/o reason                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9458  Tob user recd cess interv                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9459  Tob non-user                                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9460  No tob assess or cess inter                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9463  Sinusitis intent                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9464  Sinusitis comp                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9465  Aoe intent                                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9466  Aoe comp                                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9467  Recd cortico >=10mg/day >60d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9468  No recd cortico>=10mg/d >60d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9469  Rec cortico>60d or 1rx 600mg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9470  No rec cortico>60d 1rx 600mg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9471  W/in 2yr dxa not order                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9472  No dxa no med hx no rv sx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9473  Chap services at hospice                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9474  Diet counsel at hospice                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9475  Other counselor at hospice                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9476  Volun service at hospice                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9477  Care coord at hospice                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9478  Othe therapist at hospice                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9479  Pharmacist at hospice                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9480  Admission to mccm                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9481  Remote E/M new pt 10mins                          A   0.48   0.00     0.00    0.05   0.53  0.530XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9482  Remote E/M new pt 20mins                          A   0.93   0.00     0.00    0.08   1.01  1.010XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9483  Remote E/M new pt 30mins                          A   1.42   0.00     0.00    0.15   1.57  1.570XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9484  Remote E/M new pt 45mins                          A   2.43   0.00     0.00    0.22   2.65  2.650XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9485  Remote E/M new pt 60mins                          A   3.17   0.00     0.00    0.29   3.46  3.460XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9486  Remote E/M est. pt 10mins                         A   0.48   0.00     0.00    0.04   0.52  0.520XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9487  Remote E/M est. pt 15mins                         A   0.97   0.00     0.00    0.07   1.04  1.040XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9488  Remote E/M est. pt 25mins                         A   1.50   0.00     0.00    0.10   1.60  1.600XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9489  Remote E/M est. pt 40mins                         A   2.11   0.00     0.00    0.15   2.26  2.260XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
G9490  Joint replac mod home visit                       A   0.18   1.05     1.05    0.03   1.26  1.260XXX.00.00.0000999             35.8043 090 99      0.00   0.00   0.00
G9496  Doc rsn no adeno/neopl detec                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9497  Preop anes or proxy b/4 surg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9498  Abx reg prescribed                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9499  No start/rec antvir tx hep c                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9500  Rad exp time w/fluor doc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9501  Rad exp time w/o fluor doc                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9502  Med reas no perf foot exam                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9503  Pt tk tams hcl                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9504  Doc reas no hbv status                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9505  Abx pres w/in 10 dys of symp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9506  Bio imm resp mod presc                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9507  Doc reas on statin or contra                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9508  Doc pt not on statin                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9509  Remis 12m phq-9 score <5                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9510  Remis 12m not phq-9 score <5                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9511  Phq-9 >9 during 12m time                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9512  Indiv pdc > 0.8                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9513  Indiv pdc not > 0.8                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9514  Req ret or w/in 90d of surg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9515  No reas, no ret or w/in 90d                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9516  Impr vis acuit w/in 90d                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9517  No impr vis acuit w/in 90d                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9518  Doc active inj drug use                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9519  Final refract +/- 1.0 in 90d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9520  Refract not +/- 1.0 w/in 90d                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9521  Er and ip hosp <2 in 12 mos                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9522  Er/ip hosp =/>2 in 12 mos                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9523  D/c hemo or perit dialysis                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9524  Refer to hospice                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9525  Doc pt reas no hospice refer                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9526  No reason, no refer hospice                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9529  Minor blunt trauma w/head ct                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9530  Min hd traum gcs=15 w/ct ed                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9531  Indic for head ct valid                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9532  Inj >24 hr in ed gcs <15                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9533  Indic for head ct not valid                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9534  Adv brain image not ordered                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9535  Normal neuro exam                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9536  Doc med reas adv brain image                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9537  Doc system reas adv imaging                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9538  Adv brain image ordered                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9539  Intent pot remv time placemt                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9540  Pt alive 3 mos post proc                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9541  Filter gone aft 3mos placmt                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9542  Doc reass appr remo filt 3ms                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9543  Doc 2x re-assess filt remov                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9544  No filt remov w/in 3mos plcm                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9547  Incid ct liver/kid/adre fdg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9548  Abd imag and followup rec                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9549  Doc med reas no follow imag                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9550  Abd imag and followup no rec                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9551  Abd imag w/o liv/kid/adr les                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9552  Inc thyr node <1.0 in rpt                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9553  Prior thyroid dise dx                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9554  Ct/mri chest/neck follup rec                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9555  Doc med reas no follow imag                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9556  Ct/mri chest follup not rec                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9557  Ct/mri chest/neck no thy nod                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9558  Tx beta-lactam abx therapy                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9559  Doc med reas no abx therapy                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9560  No beta-lactam abx ther, rng                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9561  Presc opiates >6 wks                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9562  Foll-up eval q3mo opiod tx                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9563  No f/u eval q3mo opiod tx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9572  Phq-scr >9 doc in 12m time                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9573  Remis 6m w/6mos phq-9 <5                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9574  Remis 6m w/o 6mos phq-9 <5                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9577  Presc opiates >6 wks                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9578  Doc opioid tx 1x during ther                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9579  No doc opioid tx 1x at ther                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9580  Door to punc time <2hrs                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9581  Md doc, door to punc tm >2hr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9582  Door to punc time >2hr, nrg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9583  Presc opiates >6 wks                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9584  Eval opioid use instr/pt int                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9585  No eval opi use instr/intv                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9593  Low pecarn ped head trauma                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9594  Gsc >15 & hd ct by ed md                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9595  Val rsn hd ct ord reg indic                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9596  Hd inj >24h/gcs >15/no res                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9597  No low pecarn ped head traum                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9598  Aor ane 5.5-5.9 cm max diam                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9599  Aor ane >=6.0 cm max diam                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9600  Symp aaa urgent repair                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9601  Pt dchg home post op day 7                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9602  Pt no dchg home postop day 7                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9603  Pt surv improv bsline tx                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9604  Pt surv results not avail                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9605  Surv score no improv w/tx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9606  Intraop cyst eval trac inj                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9607  Pt not elig                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9608  Intraop cyst eval not done                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9609  Doc order anti-plat or p2y12                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9610  Doc md rsn no antipla/p2y12                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9611  No antipla/p2y12 ord, rs nos                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9612  Pho doc >1 cecal ldmk com ex                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9613  Doc post surg anatomy                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9614  No photodoc cecal ldmk exam                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9615  Pre-op asst doc                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9616  Doc rsn no preop assmt                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9617  Pre-op asst not doc, rng                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9618  Doc scr uter mal or us/samp                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9619  Doc rsn no scr uter malig                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9620  No scr utr malig/us/samp rng                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9621  Scr unheal etoh w/counsel                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9622  No unheal etoh user                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9623  Doc med rsn no scr etoh use                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9624  No etoh scr/no counc/nrg                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9625  Bld inj at surg/1mos post                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9626  Pt not elig                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9627  No bld inj at surg/1mos post                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9628  Vis inj at surg/1mos post                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9629  Pt not elig                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9630  No vis inj at surg/1mos post                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9631  Urtr inj at surg/1mos post                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9632  Pt not elig                                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9633  No urtr inj at surg/1ms post                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9634  Qual life tool 2x same/impr                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9635  No doc rsn do qual life assm                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9636  No life asst 2x same/decr                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9637  Doc >1 dose reduc tech                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9638  No doc >1 dose reduc tech                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9639  Amp no reqd in48h ieler proc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9640  Doc plan hybrid/stage proc                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9641  Amp reqd w/in 48h ieler proc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9642  Current cig smoker                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9643  Elective surgery                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9644  No smok b/4 anes day of surg                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9645  Had smoke b/4 anes day surg                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9646  Pt w/90d mrs 0-2                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9647  No mrs score in 90d followup                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9648  Pt w/90d mrs >2                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9649  Psori tool doc w/benchmk                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9650  Doc pt no ther chg or contra                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9651  Psori tool doc/no bnchmk met                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9652  Pt tx sys bio med psori 6mth                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9653  Pt no tx sys bio rx 6 mths                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9654  Mon anesth care                                   M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9655  Toc tool incl key elem                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9656  Pt direct anesth loc to pacu                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9657  Toc dur aneth to icu                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9658  Toc tool incl elem not used                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9659  >85y no hx colo ca/rsn scope                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9660  Doc med rsn scope pt >85y                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9661  >85y scope othr rsn                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9662  Prior dx/active clin ascvd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9663  Fast/dir ldl = 190 mg/dl                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9664  Taking statin or rec'd order                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9665  No statin/no order statin                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9666  Fas/dir ldl 70-189mg/dl mst                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9667  Doc med rsn no stat tx/presc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9669  Intend rpt mult chr msr grp                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9670  Qty act mcc mg perf                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9671  Intend rpt dia retin msr grp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9672  Qty act diab retin mg perf                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9673  Intend rpt card prev msr grp                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9674  Pt w/clin ascvd dx                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9675  Pt w/fast/dir lab ldl-c >190                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9676  40-75y w/type 1/2 w/ldl-c rs                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9677  Qty act card prev mg perf                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
G9678  Oncology Care Model service                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H0043  Supported housing, per diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H0044  Supported housing, per month                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H0046  Mental health service, nos                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H0049  Alcohol/drug screening                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H1000  Prenatal care atrisk assessm                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H1001  Antepartum management                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H1002  Carecoordination prenatal                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H1003  Prenatal at risk education                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H1005  Prenatalcare enhanced srv pk                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H1010  Nonmed family planning ed                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H1011  Family assessment                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H2000  Comp multidisipln evaluation                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H2024  Supported employ, per diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
H2033  Multisys ther/juvenile 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0120  Tetracyclin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0129  Abatacept injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0130  Abciximab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0131  Acetaminophen injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0132  Acetylcysteine injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0133  Acyclovir injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0135  Adalimumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0153  Adenosine inj 1mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0171  Adrenalin epinephrine inject                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0178  Aflibercept injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0180  Agalsidase beta injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0200  Alatrofloxacin mesylate                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0202  Injection, alemtuzumab                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0205  Alglucerase injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0207  Amifostine                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0210  Methyldopate hcl injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0215  Alefacept                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0220  Alglucosidase alfa injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0221  Lumizyme injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0256  Alpha 1 proteinase inhibitor                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0257  Glassia injection                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0270  Alprostadil for injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0275  Alprostadil urethral suppos                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0278  Amikacin sulfate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0280  Aminophyllin 250 mg inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0282  Amiodarone hcl                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0285  Amphotericin b                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0287  Amphotericin b lipid complex                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0288  Ampho b cholesteryl sulfate                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0289  Amphotericin b liposome inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0290  Ampicillin 500 mg inj                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0300  Amobarbital 125 mg inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0330  Succinycholine chloride inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0348  Anidulafungin injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0350  Injection anistreplase 30 u                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0360  Hydralazine hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0364  Apomorphine hydrochloride                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0365  Aprotonin, 10,000 kiu                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0380  Inj metaraminol bitartrate                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0390  Chloroquine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0395  Arbutamine hcl injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0400  Aripiprazole injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0401  Inj aripiprazole ext rel 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0456  Azithromycin                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0461  Atropine sulfate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0470  Dimecaprol injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0475  Baclofen 10 mg injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0476  Baclofen intrathecal trial                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0480  Basiliximab                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0485  Belatacept injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0490  Belimumab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0500  Dicyclomine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0515  Inj benztropine mesylate                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0520  Bethanechol chloride inject                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0558  Peng benzathine/procaine inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0561  Penicillin g benzathine inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0571  Buprenorphine oral 1mg                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0572  Bupren/nal up to 3mg bupreno                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0573  Bupren/nal 3.1 to 6mg bupren                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0574  Bupren/nal 6.1 to 10mg bupre                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0575  Bupren/nal over 10mg bupreno                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0583  Bivalirudin                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0585  Injection,onabotulinumtoxina                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0586  Abobotulinumtoxina                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0587  Inj, rimabotulinumtoxinb                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0588  Incobotulinumtoxin a                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0592  Buprenorphine hydrochloride                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0594  Busulfan injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0595  Butorphanol tartrate 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0596  Injection, ruconest                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0597  C-1 esterase, berinert                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0598  C-1 esterase, cinryze                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0600  Edetate calcium disodium inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0610  Calcium gluconate injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0630  Calcitonin salmon injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0637  Caspofungin acetate                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0638  Canakinumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0640  Leucovorin calcium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0641  Levoleucovorin injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0690  Cefazolin sodium injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0692  Cefepime hcl for injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0694  Cefoxitin sodium injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0695  Inj ceftolozane tazobactam                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0696  Ceftriaxone sodium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0697  Sterile cefuroxime injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0698  Cefotaxime sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0702  Betamethasone acet&sod phosp                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0706  Caffeine citrate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0710  Cephapirin sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0712  Ceftaroline fosamil inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0714  Ceftazidime and avibactam                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0715  Ceftizoxime sodium / 500 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0716  Centruroides immune f(ab)                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0717  Certolizumab pegol inj 1mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0720  Chloramphenicol sodium injec                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0725  Chorionic gonadotropin/1000u                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0735  Clonidine hydrochloride                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0740  Cidofovir injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0743  Cilastatin sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0744  Ciprofloxacin iv                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0760  Colchicine injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0770  Colistimethate sodium inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0775  Collagenase, clost hist inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0780  Prochlorperazine injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0795  Corticorelin ovine triflutal                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0800  Corticotropin injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0833  Cosyntropin injection nos                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0834  Cosyntropin cortrosyn inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0840  Crotalidae poly immune fab                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0850  Cytomegalovirus imm iv /vial                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0875  Injection, dalbavancin                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0878  Daptomycin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0881  Darbepoetin alfa, non-esrd                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0882  Darbepoetin alfa, esrd use                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0885  Epoetin alfa, non-esrd                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0887  Epoetin beta esrd use                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0888  Epoetin beta non esrd                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0890  Peginesatide injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0894  Decitabine injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0895  Deferoxamine mesylate inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0897  Denosumab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J0945  Brompheniramine maleate inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1000  Depo-estradiol cypionate inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1020  Methylprednisolone 20 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1030  Methylprednisolone 40 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1040  Methylprednisolone 80 mg inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1050  Medroxyprogesterone acetate                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1071  Inj testosterone cypionate                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1094  Inj dexamethasone acetate                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1100  Dexamethasone sodium phos                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1110  Inj dihydroergotamine mesylt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1120  Acetazolamid sodium injectio                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1160  Digoxin injection                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1162  Digoxin immune fab (ovine)                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1165  Phenytoin sodium injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1170  Hydromorphone injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1180  Dyphylline injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1190  Dexrazoxane hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1200  Diphenhydramine hcl injectio                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1205  Chlorothiazide sodium inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1230  Methadone injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1240  Dimenhydrinate injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1245  Dipyridamole injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1260  Dolasetron mesylate                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1265  Dopamine injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1267  Doripenem injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1270  Injection, doxercalciferol                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1290  Ecallantide injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1300  Eculizumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1320  Amitriptyline injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1322  Elosulfase alfa, injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1324  Enfuvirtide injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1325  Epoprostenol injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1327  Eptifibatide injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1330  Ergonovine maleate injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1335  Ertapenem injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1364  Erythro lactobionate /500 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1430  Ethanolamine oleate 100 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1436  Etidronate disodium inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1438  Etanercept injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1439  Inj ferric carboxymaltos 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1442  Inj filgrastim excl biosimil                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1443  Inj ferric pyrophosphate cit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1447  Inj tbo filgrastim 1 microg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1450  Fluconazole                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1451  Fomepizole, 15 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1452  Intraocular fomivirsen na                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1453  Fosaprepitant injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1455  Foscarnet sodium injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1457  Gallium nitrate injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1458  Galsulfase injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1556  Inj, imm glob bivigam, 500mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1557  Gammaplex injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1559  Hizentra injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1561  Gamunex-c/gammaked                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1562  Vivaglobin, inj                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1566  Immune globulin, powder                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1568  Octagam injection                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1569  Gammagard liquid injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1570  Ganciclovir sodium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1571  Hepagam b im injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1572  Flebogamma injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1573  Hepagam b intravenous, inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1575  Hyqvia 100mg immuneglobulin                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1580  Garamycin gentamicin inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1590  Gatifloxacin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1595  Injection glatiramer acetate                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1599  Ivig non-lyophilized, nos                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1600  Gold sodium thiomaleate inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1602  Golimumab for iv use 1mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1610  Glucagon hydrochloride/1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1620  Gonadorelin hydroch/ 100 mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1626  Granisetron hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1630  Haloperidol injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1631  Haloperidol decanoate inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1640  Hemin, 1 mg                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1645  Dalteparin sodium                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1650  Inj enoxaparin sodium                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1652  Fondaparinux sodium                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1655  Tinzaparin sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1670  Tetanus immune globulin inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1675  Histrelin acetate                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1700  Hydrocortisone acetate inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1710  Hydrocortisone sodium ph inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1720  Hydrocortisone sodium succ i                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1725  Hydroxyprogesterone caproate                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1730  Diazoxide injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1740  Ibandronate sodium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1741  Ibuprofen injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1742  Ibutilide fumarate injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1743  Idursulfase injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1744  Icatibant injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1745  Infliximab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1750  Inj iron dextran                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1756  Iron sucrose injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1786  Imuglucerase injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1790  Droperidol injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1800  Propranolol injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1810  Droperidol/fentanyl inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1815  Insulin injection                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1826  Interferon beta-1a inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1833  Injection, isavuconazonium                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1835  Itraconazole injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1885  Ketorolac tromethamine inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1890  Cephalothin sodium injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1930  Lanreotide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1931  Laronidase injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1940  Furosemide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1945  Lepirudin                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1953  Levetiracetam injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1956  Levofloxacin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1960  Levorphanol tartrate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1980  Hyoscyamine sulfate inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J1990  Chlordiazepoxide injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2001  Lidocaine injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2010  Lincomycin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2020  Linezolid injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2060  Lorazepam injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2150  Mannitol injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2170  Mecasermin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2175  Meperidine hydrochl /100 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2180  Meperidine/promethazine inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2185  Meropenem                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2210  Methylergonovin maleate inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2212  Methylnaltrexone injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2248  Micafungin sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2250  Inj midazolam hydrochloride                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2265  Minocycline hydrochloride                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2270  Morphine sulfate injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2274  In morphine preservativ free                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2278  Ziconotide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2280  Inj, moxifloxacin 100 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2300  Inj nalbuphine hydrochloride                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2310  Inj naloxone hydrochloride                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2315  Naltrexone, depot form                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2320  Nandrolone decanoate 50 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2323  Natalizumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2325  Nesiritide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2353  Octreotide injection, depot                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2354  Octreotide inj, non-depot                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2355  Oprelvekin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2357  Omalizumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2358  Olanzapine long-acting inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2360  Orphenadrine injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2370  Phenylephrine hcl injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2400  Chloroprocaine hcl injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2405  Ondansetron hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2407  Injection, oritavancin                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2410  Oxymorphone hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2425  Palifermin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2426  Paliperidone palmitate inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2430  Pamidronate disodium /30 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2440  Papaverin hcl injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2460  Oxytetracycline injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2469  Palonosetron hcl                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2501  Paricalcitol                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2502  Inj, pasireotide long acting                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2503  Pegaptanib sodium injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2504  Pegademase bovine, 25 iu                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2505  Injection, pegfilgrastim 6mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2507  Pegloticase injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2510  Penicillin g procaine inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2513  Pentastarch 10% solution                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2515  Pentobarbital sodium inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2540  Penicillin g potassium inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2543  Piperacillin/tazobactam                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2545  Pentamidine non-comp unit                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2547  Injection, peramivir                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2550  Promethazine hcl injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2560  Phenobarbital sodium inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2562  Plerixafor injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2590  Oxytocin injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2597  Inj desmopressin acetate                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2650  Prednisolone acetate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2670  Totazoline hcl injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2680  Fluphenazine decanoate 25 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2690  Procainamide hcl injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2700  Oxacillin sodium injeciton                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2704  Inj, propofol, 10 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2710  Neostigmine methylslfte inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2724  Protein c concentrate                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2730  Pralidoxime chloride inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2760  Phentolaine mesylate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2765  Metoclopramide hcl injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2770  Quinupristin/dalfopristin                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2778  Ranibizumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2780  Ranitidine hydrochloride inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2783  Rasburicase                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2785  Regadenoson injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2791  Rhophylac injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2793  Rilonacept injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2794  Risperidone, long acting                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2795  Ropivacaine hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2796  Romiplostim injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2800  Methocarbamol injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2805  Sincalide injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2820  Sargramostim injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2850  Inj secretin synthetic human                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2860  Injection, siltuximab                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2910  Aurothioglucose injeciton                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2916  Na ferric gluconate complex                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2920  Methylprednisolone injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2930  Methylprednisolone injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2940  Somatrem injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2941  Somatropin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2950  Promazine hcl injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2993  Reteplase injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2995  Inj streptokinase /250000 iu                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J2997  Alteplase recombinant                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3000  Streptomycin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3010  Fentanyl citrate injeciton                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3030  Sumatriptan succinate / 6 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3060  Inj, taliglucerace alfa 10 u                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3070  Pentazocine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3090  Inj tedizolid phosphate                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3095  Telavancin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3101  Tenecteplase injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3105  Terbutaline sulfate inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3110  Teriparatide injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3121  Inj testostero enanthate 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3145  Testosterone undecanoate 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3230  Chlorpromazine hcl injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3240  Thyrotropin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3243  Tigecycline injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3246  Tirofiban hcl                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3250  Trimethobenzamide hcl inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3260  Tobramycin sulfate injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3262  Tocilizumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3280  Thiethylperazine maleate inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3285  Treprostinil injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3301  Triamcinolone acet inj nos                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3302  Triamcinolone diacetate inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3303  Triamcinolone hexacetonl inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3305  Inj trimetrexate glucoronate                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3310  Perphenazine injeciton                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3315  Triptorelin pamoate                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3320  Spectinomycn di-hcl inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3350  Urea injection                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3355  Urofollitropin, 75 iu                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3357  Ustekinumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3360  Diazepam injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3364  Urokinase 5000 iu injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3370  Vancomycin hcl injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3380  Injection, vedolizumab                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3385  Velaglucerase alfa                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3396  Verteporfin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3400  Triflupromazine hcl inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3410  Hydroxyzine hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3411  Thiamine hcl 100 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3415  Pyridoxine hcl 100 mg                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3420  Vitamin b12 injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3430  Vitamin k phytonadione inj                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3465  Injection, voriconazole                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3470  Hyaluronidase injection                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3472  Ovine, 1000 usp units                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3473  Hyaluronidase recombinant                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3475  Inj magnesium sulfate                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3480  Inj potassium chloride                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3485  Zidovudine                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3486  Ziprasidone mesylate                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3489  Zoledronic acid 1mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3490  Drugs unclassified injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3530  Nasal vaccine inhalation                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3535  Metered dose inhaler drug                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3570  Laetrile amygdalin vit b17                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J3590  Unclassified biologics                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7030  Normal saline solution infus                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7040  Normal saline solution infus                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7042  5% dextrose/normal saline                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7050  Normal saline solution infus                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7060  5% dextrose/water                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7070  D5w infusion                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7100  Dextran 40 infusion                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7110  Dextran 75 infusion                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7120  Ringers lactate infusion                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7121  5% dextrose in lac ringers                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7131  Hypertonic saline sol                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7178  Human fibrinogen conc inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7180  Factor xiii anti-hem factor                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7181  Factor xiii recomb a-subunit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7182  Factor viii recomb novoeight                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7183  Wilate injection                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7185  Xyntha inj                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7186  Antihemophilic viii/vwf comp                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7187  Humate-p, inj                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7188  Factor viii recomb obizur                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7189  Factor viia                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7190  Factor viii                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7191  Factor viii (porcine)                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7192  Factor viii recombinant nos                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7193  Factor ix non-recombinant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7194  Factor ix complex                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7195  Factor ix recombinant nos                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7196  Antithrombin recombinant                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7197  Antithrombin iii injection                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7198  Anti-inhibitor                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7199  Hemophilia clot factor noc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7200  Factor ix recombinan rixubis                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7201  Factor ix fc fusion recomb                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7205  Factor viii fc fusion recomb                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7297  Levonorgestrel iu 52mg 3 yr                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7298  Levonorgestrel iu 52mg 5 yr                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7300  Intraut copper contraceptive                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7301  Levonorgestrel iu 13.5 mg                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7303  Contraceptive vaginal ring                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7304  Contraceptive hormone patch                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7306  Levonorgestrel implant sys                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7307  Etonogestrel implant system                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7308  Aminolevulinic acid hcl top                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7309  Methyl aminolevulinate, top                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7310  Ganciclovir long act implant                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7311  Fluocinolone acetonide implt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7312  Dexamethasone intra implant                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7313  Fluocinol acet intravit imp                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7315  Ophthalmic mitomycin                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7316  Inj, ocriplasmin, 0.125 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7323  Euflexxa inj per dose                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7324  Orthovisc inj per dose                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7325  Synvisc or synvisc-one                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7326  Gel-one                                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7327  Monovisc inj per dose                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7328  Gel-syn injection 0.1 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7330  Cultured chondrocytes implnt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7336  Capsaicin 8% patch                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7340  Carbidopa levodopa enteral                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7500  Azathioprine oral 50mg                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7501  Azathioprine parenteral                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7502  Cyclosporine oral 100 mg                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7503  Tacrol envarsus ex rel oral                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7504  Lymphocyte immune globulin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7505  Monoclonal antibodies                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7507  Tacrolimus imme rel oral 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7508  Tacrol astagraf ex rel oral                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7509  Methylprednisolone oral                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7511  Antithymocyte globuln rabbit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7512  Prednisone ir or dr oral 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7513  Daclizumab, parenteral                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7515  Cyclosporine oral 25 mg                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7516  Cyclosporin parenteral 250mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7517  Mycophenolate mofetil oral                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7518  Mycophenolic acid                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7520  Sirolimus, oral                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7525  Tacrolimus injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7527  Oral everolimus                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7599  Immunosuppressive drug noc                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7604  Acetylcysteine comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7605  Arformoterol non-comp unit                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7606  Formoterol fumarate, inh                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7607  Levalbuterol comp con                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7608  Acetylcysteine non-comp unit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7609  Albuterol comp unit                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7610  Albuterol comp con                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7611  Albuterol non-comp con                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7612  Levalbuterol non-comp con                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7613  Albuterol non-comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7614  Levalbuterol non-comp unit                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7615  Levalbuterol comp unit                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7620  Albuterol ipratrop non-comp                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7622  Beclomethasone comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7624  Betamethasone comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7626  Budesonide non-comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7627  Budesonide comp unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7628  Bitolterol mesylate comp con                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7629  Bitolterol mesylate comp unt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7631  Cromolyn sodium noncomp unit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7632  Cromolyn sodium comp unit                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7633  Budesonide non-comp con                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7634  Budesonide comp con                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7635  Atropine comp con                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7636  Atropine comp unit                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7637  Dexamethasone comp con                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7638  Dexamethasone comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7640  Formoterol comp unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7641  Flunisolide comp unit                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7642  Glycopyrrolate comp con                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7643  Glycopyrrolate comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7644  Ipratropium bromide non-comp                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7645  Ipratropium bromide comp                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7647  Isoetharine comp con                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7648  Isoetharine non-comp con                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7649  Isoetharine non-comp unit                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7650  Isoetharine comp unit                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7657  Isoproterenol comp con                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7658  Isoproterenol non-comp con                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7659  Isoproterenol non-comp unit                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7660  Isoproterenol comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7665  Mannitol for inhaler                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7667  Metaproterenol comp con                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7668  Metaproterenol non-comp con                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7669  Metaproterenol non-comp unit                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7670  Metaproterenol comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7674  Methacholine chloride, neb                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7676  Pentamidine comp unit dose                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7680  Terbutaline sulf comp con                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7681  Terbutaline sulf comp unit                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7682  Tobramycin non-comp unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7683  Triamcinolone comp con                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7684  Triamcinolone comp unit                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7685  Tobramycin comp unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7686  Treprostinil, non-comp unit                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7699  Inhalation solution for dme                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J7999  Compounded drug, noc                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8498  Antiemetic rectal/supp nos                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8501  Oral aprepitant                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8510  Oral busulfan                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8515  Cabergoline, oral 0.25mg                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8520  Capecitabine, oral, 150 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8521  Capecitabine, oral, 500 mg                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8530  Cyclophosphamide oral 25 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8540  Oral dexamethasone                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8560  Etoposide oral 50 mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8562  Oral fludarabine phosphate                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8565  Gefitinib oral                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8597  Antiemetic drug oral nos                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8600  Melphalan oral 2 mg                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8650  Nabilone oral                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8655  Netupitant palonosetron oral                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8700  Temozolomide                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8705  Topotecan oral                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J8999  Oral prescription drug chemo                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9000  Doxorubicin hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9015  Aldesleukin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9017  Arsenic trioxide injection                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9019  Erwinaze injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9020  Asparaginase, nos                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9025  Azacitidine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9027  Clofarabine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9031  Bcg live intravesical vac                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9032  Injection, belinostat, 10mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9033  Bendamustine injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9035  Bevacizumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9039  Injection, blinatumomab                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9040  Bleomycin sulfate injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9041  Bortezomib injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9042  Brentuximab vedotin inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9043  Cabazitaxel injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9045  Carboplatin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9047  Injection, carfilzomib, 1 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9050  Carmustine injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9055  Cetuximab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9060  Cisplatin 10 mg injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9070  Cyclophosphamide 100 mg inj                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9098  Cytarabine liposome inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9120  Dactinomycin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9130  Dacarbazine 100 mg inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9150  Daunorubicin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9151  Daunorubicin citrate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9155  Degarelix injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9160  Denileukin diftitox inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9165  Diethylstilbestrol injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9171  Docetaxel injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9179  Eribulin mesylate injection                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9181  Etoposide injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9185  Fludarabine phosphate inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9190  Fluorouracil injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9200  Floxuridine injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9201  Gemcitabine hcl injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9202  Goserelin acetate implant                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9206  Irinotecan injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9207  Ixabepilone injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9208  Ifosfamide injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9209  Mesna injection                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9211  Idarubicin hcl injection                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9212  Interferon alfacon-1 inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9213  Interferon alfa-2a inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9214  Interferon alfa-2b inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9215  Interferon alfa-n3 inj                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9217  Leuprolide acetate suspnsion                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9218  Leuprolide acetate injeciton                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9219  Leuprolide acetate implant                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9225  Vantas implant                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9226  Supprelin la implant                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9228  Ipilimumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9230  Mechlorethamine hcl inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9250  Methotrexate sodium inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9260  Methotrexate sodium inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9261  Nelarabine injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9262  Inj, omacetaxine mep, 0.01mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9263  Oxaliplatin                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9264  Paclitaxel protein bound                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9266  Pegaspargase injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9267  Paclitaxel injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9268  Pentostatin injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9270  Plicamycin (mithramycin) inj                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9271  Inj pembrolizumab                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9280  Mitomycin injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9293  Mitoxantrone hydrochl / 5 mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9299  Injection, nivolumab                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9300  Gemtuzumab ozogamicin inj                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9301  Obinutuzumab inj                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9302  Ofatumumab injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9303  Panitumumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9305  Pemetrexed injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9306  Injection, pertuzumab, 1 mg                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9307  Pralatrexate injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9308  Injection, ramucirumab                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9310  Rituximab injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9315  Romidepsin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9320  Streptozocin injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9328  Temozolomide injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9330  Temsirolimus injection                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9340  Thiotepa injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9351  Topotecan injection                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9354  Inj, ado-trastuzumab emt 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9355  Trastuzumab injection                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9357  Valrubicin injection                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9360  Vinblastine sulfate inj                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9371  Inj, vincristine sul lip 1mg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9390  Vinorelbine tartrate inj                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9395  Injection, fulvestrant                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9400  Inj, ziv-aflibercept, 1mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9600  Porfimer sodium injection                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
J9999  Chemotherapy drug                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
M0075  Cellular therapy                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
M0076  Prolotherapy                                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
M0100  Intragastric hypothermia                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
M0300  Iv chelationtherapy                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
M0301  Fabric wrapping of aneurysm                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P2028  Cephalin floculation test                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P2029  Congo red blood test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P2031  Hair analysis                                     N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P2033  Blood thymol turbidity                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P2038  Blood mucoprotein                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P3001  Screening pap smear by phys                       A   0.42   0.48     0.48    0.02   0.92  0.920XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
P7001  Culture bacterial urine                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9010  Whole blood for transfusion                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9011  Blood split unit                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9012  Cryoprecipitate each unit                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9016  Rbc leukocytes reduced                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9019  Platelets, each unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9020  Plaelet rich plasma unit                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9021  Red blood cells unit                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9023  Frozen plasma, pooled, sd                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9031  Platelets leukocytes reduced                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9032  Platelets, irradiated                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9033  Platelets leukoreduced irrad                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9034  Platelets, pheresis                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9035  Platelet pheres leukoreduced                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9036  Platelet pheresis irradiated                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9037  Plate pheres leukoredu irrad                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9038  Rbc irradiated                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9039  Rbc deglycerolized                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9040  Rbc leukoreduced irradiated                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9041  Albumin (human),5%, 50ml                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9044  Cryoprecipitatereducedplasma                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9047  Albumin (human), 25%, 50ml                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9048  Plasmaprotein fract,5%,250ml                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9050  Granulocytes, pheresis unit                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9056  Blood, l/r, irradiated                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9070  Pathogen reduced plasma pool                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9071  Pathogen reduced plasma sing                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9072  Pathogen reduced platelets                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9612  Catheterize for urine spec                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
P9615  Urine specimen collect mult                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0035  Cardiokymography                                  A   0.17   0.40     0.40NA  0.02   0.59  0.591XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
Q0035TCCardiokymography                                  A   0.00   0.33     0.33NA  0.01   0.34  0.341XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
Q003526Cardiokymography                                  A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
Q0081  Infusion ther other than che                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0083  Chemo by other than infusion                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0084  Chemotherapy by infusion                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0085  Chemo by both infusion and o                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0091  Obtaining screen pap smear                        A   0.37   0.86     0.15    0.04   1.27  0.560XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
Q0092  Set up port xray equipment                        A   0.00   0.70     0.70    0.01   0.71  0.713XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
Q0111  Wet mounts/ w preparations                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0112  Potassium hydroxide preps                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0113  Pinworm examinations                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0114  Fern test                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0115  Post-coital mucous exam                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0138  Ferumoxytol, non-esrd                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0139  Ferumoxytol, esrd use                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0144  Azithromycin dihydrate, oral                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0161  Chlorpromazine hcl 5mg oral                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0162  Ondansetron oral                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0163  Diphenhydramine hcl 50mg                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0164  Prochlorperazine maleate 5mg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0167  Dronabinol 2.5mg oral                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0173  Trimethobenzamide hcl 250mg                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0174  Thiethylperazine maleate10mg                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0175  Perphenazine 4mg oral                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0177  Hydroxyzine pamoate 25mg                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0180  Dolasetron mesylate oral                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0181  Unspecified oral anti-emetic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0478  Power adapter, combo vad                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0480  Driver pneumatic vad, rep                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0483  Monitor elec vad, rep                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0503  Battery pneum vad replacemnt                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0507  Misc sup/acc ext vad                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0508  Mis sup/acc imp vad                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0509  Mis sup/ac imp vad nopay med                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0510  Dispens fee immunosupressive                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q0515  Sermorelin acetate injection                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q1004  Ntiol category 4                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q1005  Ntiol category 5                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2004  Bladder calculi irrig sol                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2009  Fosphenytoin inj pe                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2017  Teniposide, 50 mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2026  Radiesse injection                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2028  Inj, sculptra, 0.5mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2034  Agriflu vaccine                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2043  Sipuleucel-t auto cd54+                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2049  Imported lipodox inj                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2050  Doxorubicin inj 10mg                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q2052  Ivig demo, services/supplies                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q3001  Brachytherapy radioelements                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
Q3014  Telehealth facility fee                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q3027  Inj beta interferon im 1 mcg                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q3028  Inj beta interferon sq 1 mcg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q3031  Collagen skin test                                B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4013  Cast sup gauntlet plaster                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4014  Cast sup gauntlet fiberglass                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4049  Finger splint, static                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4050  Cast supplies unlisted                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4051  Splint supplies misc                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4100  Skin substitute, nos                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4101  Apligraf                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4102  Oasis wound matrix                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4103  Oasis burn matrix                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4104  Integra bmwd                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4105  Integra drt                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4106  Dermagraft                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4107  Graftjacket                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4108  Integra matrix                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4110  Primatrix                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4111  Gammagraft                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4112  Cymetra injectable                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4113  Graftjacket xpress                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4114  Integra flowable wound matri                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4115  Alloskin                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4116  Alloderm                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4117  Hyalomatrix                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4118  Matristem micromatrix                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4119  Matristem wound matrix                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4120  Matristem burn matrix                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4121  Theraskin                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4122  Dermacell                                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4123  Alloskin                                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4124  Oasis tri-layer wound matrix                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4125  Arthroflex                                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4126  Memoderm/derma/tranz/integup                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4127  Talymed                                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4128  Flexhd/allopatchhd/matrixhd                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4129  Unite biomatrix                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4130  Strattice tm                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4131  Epifix                                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4132  Grafix core                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4133  Grafix prime                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4134  Hmatrix                                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4135  Mediskin                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4136  Ezderm                                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4137  Amnioexcel or biodexcel, 1cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4138  Biodfence dryflex, 1cm                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4139  Amnio or biodmatrix, inj 1cc                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4140  Biodfence 1cm                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4141  Alloskin ac, 1 cm                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4142  Xcm biologic tiss matrix 1cm                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4143  Repriza, 1cm                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4145  Epifix, inj, 1mg                                  E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4146  Tensix, 1cm                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4147  Architect ecm px fx 1 sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4148  Neox 1k, 1cm                                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4149  Excellagen, 0.1 cc                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4150  Allowrap ds or dry 1 sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4151  Amnioband, guardian 1 sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4152  Dermapure 1 square cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4153  Dermavest, plurivest sq cm                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4154  Biovance 1 square cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4155  Neoxflo or clarixflo 1 mg                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4156  Neox 100 1 square cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4157  Revitalon 1 square cm                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4158  Marigen 1 square cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4159  Affinity1 square cm                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4160  Nushield 1 square cm                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4161  Bio-connekt per square cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4162  Amnio bio and woundex flow                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4163  Amnio bio and woundex sq cm                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4164  Helicoll, per square cm                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q4165  Keramatrix, per square cm                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5001  Hospice or home hlth in home                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5002  Hospice/home hlth in asst lv                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5004  Hospice in snf                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5005  Hospice, inpatient hospital                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5006  Hospice in hospice facility                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5007  Hospice in ltch                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5008  Hospice in inpatient psych                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5009  Hospice/home hlth, place nos                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q5101  Inj filgrastim gcsf biosimil                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q9950  Inj sulf hexa lipid microsph                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q9956  Inj octafluoropropane mic,ml                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q9968  Visualization adjunct                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q9969  Non-heu tc-99m add-on/dose                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
Q9980  Genvisc, inj, 1mg                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
R0070  Transport portable x-ray                          C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
R0075  Transport port x-ray multipl                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
R0076  Transport portable ekg                            B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0012  Butorphanol tartrate, nasal                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0014  Tacrine hydrochloride, 10 mg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0017  Injection, aminocaproic acid                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0020  Injection, bupivicaine hydro                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0021  Injection, cefoperazone sod                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0023  Injection, cimetidine hydroc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0028  Injection, famotidine, 20 mg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0030  Injection, metronidazole                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0032  Injection, nafcillin sodium                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0034  Injection, ofloxacin, 400 mg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0039  Injection, sulfamethoxazole                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0040  Injection, ticarcillin disod                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0073  Injection, aztreonam, 500 mg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0074  Injection, cefotetan disodiu                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0077  Injection, clindamycin phosp                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0078  Injection, fosphenytoin sodi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0080  Injection, pentamidine iseth                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0081  Injection, piperacillin sodi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0088  Imatinib 100 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0090  Sildenafil citrate, 25 mg                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0091  Granisetron 1mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0092  Hydromorphone 250 mg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0093  Morphine 500 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0104  Zidovudine, oral, 100 mg                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0108  Mercaptopurine 50 mg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0109  Methadone oral 5mg                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0117  Tretinoin topical 5 g                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0119  Ondansetron 4 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0122  Inj menotropins 75 iu                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0136  Clozapine, 25 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0137  Didanosine, 25 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0138  Finasteride, 5 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0139  Minoxidil, 10 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0140  Saquinavir, 200 mg                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0142  Colistimethate inh sol mg                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0155  Epoprostenol dilutant                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0156  Exemestane, 25 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0160  Dextroamphetamine                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0164  Injection pantroprazole                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0166  Inj olanzapine 2.5mg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0169  Calcitrol                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0170  Anastrozole 1 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0171  Bumetanide 0.5 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0172  Chlorambucil 2 mg                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0174  Dolasetron 50 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0175  Flutamide 125 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0176  Hydroxyurea 500 mg                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0177  Levamisole 50 mg                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0178  Lomustine 10 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0179  Megestrol 20 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0182  Procarbazine, oral                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0183  Prochlorperazine 5 mg                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0187  Tamoxifen 10 mg                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0189  Testosterone pellet 75 mg                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0190  Mifepristone, oral, 200 mg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0191  Misoprostol, oral, 200 mcg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0194  Vitamin suppl 100 caps                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0197  Prenatal vitamins 30 day                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0201  Partial hospitalization serv                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0207  Paramedicintercep nonhospals                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0208  Paramed intrcept nonvol                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0215  Nonemerg transp mileage                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0220  Medical conference by physic                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0221  Medical conference, 60 min                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0250  Comp geriatr assmt team                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0255  Hospice refer visit nonmd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0257  End of life counseling                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0260  H&p for surgery                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0265  Genetic counsel 15 mins                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0280  Medical home, initial plan                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0281  Medical home, maintenance                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0302  Completed epsdt                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0310  Hospitalist visit                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0315  Disease management program                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0316  Follow-up/reassessment                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0317  Disease mgmt per diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0340  Lifestyle mod 1st stage                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0342  Lifestyle mod 4th stage                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0353  Cancer treatmentplan initial                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0354  Cancer treatment plan change                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0395  Impression casting ft                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0400  Global eswl kidney                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0500  Dispos cont lens                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0504  Singl prscrp lens                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0506  Bifoc prscp lens                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0508  Trifoc prscrp lens                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0510  Non-prscrp lens                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0512  Daily cont lens                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0514  Color cont lens                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0515  Scleral lens liquid bandage                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0516  Safety frames                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0518  Sunglass frames                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0580  Polycarb lens                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0581  Nonstnd lens                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0590  Misc integral lens serv                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0592  Comp cont lens eval                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0596  Phakic iol refractive error                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0601  Screening proctoscopy                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0610  Annual gynecological examina                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0612  Annual gynecological examina                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0613  Ann breast exam                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0618  Audiometry for hearing aid                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0620  Routine ophthalmological exa                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0621  Routine ophthalmological exa                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0622  Phys exam for college                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0630  Removal of sutures                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0800  Laser in situ keratomileusis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0810  Photorefractive keratectomy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S0812  Phototherap keratect                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1001  Deluxe item                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1002  Custom item                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1015  Iv tubing extension set                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1016  Non-pvc intravenous administ                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1030  Gluc monitor purchase                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1031  Gluc monitor rental                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1034  Art pancreas system                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1035  Art pancreas inv disp sensor                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1036  Art pancreas ext transmitter                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1037  Art pancreas ext receiver                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1040  Cranial remolding orthosis                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S1090  Mometasone sinus implant                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2053  Transplantation of small int                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2054  Transplantation of multivisc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2055  Harvesting of donor multivis                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2060  Lobar lung transplantation                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2061  Donor lobectomy (lung)                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2065  Simult panc kidn trans                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2066  Breast gap flap reconst                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2067  Breast "stacked" diep/gap                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2079  Lap esophagomyotomy                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2080  Laup                                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2083  Adjustment gastric band                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2095  Transcath emboliz microspher                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2102  Islet cell tissue transplant                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2103  Adrenal tissue transplant                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2107  Adoptive immunotherapy                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2112  Knee arthroscp harv                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2115  Periacetabular osteotomy                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2117  Arthroereisis, subtalar                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2118  Total hip resurfacing                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2120  Low density lipoprotein(ldl)                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2140  Cord blood harvesting                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2152  Solid organ transpl pkg                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2202  Echosclerotherapy                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2205  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2206  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2207  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2208  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2209  Minimally invasive direct co                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2225  Myringotomy laser-assist                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2230  Implant semi-imp hear                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2235  Implant auditory brain imp                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2300  Arthroscopy, shoulder, surgi                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2325  Hip core decompression                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2340  Chemodenervation of abductor                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2341  Chemodenerv adduct vocal                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2342  Nasal endoscop po debrid                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2348  Decompress disc rf lumbar                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2350  Diskectomy, anterior, with d                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2351  Diskectomy, anterior, with d                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2400  Fetal surg congen hernia                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2403  Fetal surg pulmon sequest                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2404  Fetal surg myelomeningo                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2405  Fetal surg sacrococ teratoma                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2409  Fetal surg noc                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2411  Fetoscop laser ther ttts                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S2900  Robotic surgical system                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3000  Bilat dil retinal exam                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3005  Eval self-assess depression                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3600  Stat lab                                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3601  Stat lab home/nf                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3620  Newborn metabolic screening                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3630  Eosinophil blood count                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3650  Saliva test, hormone level;                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3652  Saliva test, hormone level;                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3655  Antisperm antibodies test                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3708  Gastrointestinal fat absorpt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3722  Dose optimization auc - 5fu                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3800  Genetic testing als                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3840  Dna analysis ret-oncogene                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3841  Gene test retinoblastoma                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3842  Gene test hippel-lindau                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3844  Dna analysis deafness                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3845  Gene test alpha-thalassemia                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3846  Gene test beta-thalassemia                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3849  Gene test niemann-pick                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3850  Gene test sickle cell                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3852  Dna analysis apoe alzheimer                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3861  Genetic test brugada                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3870  Cgh test developmental delay                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3900  Surface emg                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3902  Ballistocardiogram                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S3904  Masters two step                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4005  Interim labor facility globa                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4011  Ivf package                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4013  Compl gift case rate                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4014  Compl zift case rate                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4016  Frozen ivf case rate                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4026  Procure donor sperm                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4027  Store prev froz embryos                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4028  Microsurg epi sperm asp                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4030  Sperm procure init visit                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4031  Sperm procure subs visit                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4035  Stimulated iui case rate                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4042  Ovulation mgmt per cycle                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4981  Insert levonorgestrel ius                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4989  Contracept iud                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4990  Nicotine patch legend                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4991  Nicotine patch nonlegend                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4993  Contraceptive pills for bc                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S4995  Smoking cessation gum                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5000  Prescription drug, generic                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5001  Prescription drug,brand name                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5012  5% dextrose with potassium                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5035  Hit routine device maint                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5036  Hit device repair                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5100  Adult daycare services 15min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5105  Centerbased day care perdiem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5109  Homecare train pt session                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5110  Family homecare training 15m                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5111  Family homecare train/sessio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5115  Nonfamily homecare train/15m                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5116  Nonfamily hc train/session                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5121  Chore services per diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5125  Attendant care service /15m                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5126  Attendant care service /diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5131  Homemaker service nos /diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5135  Adult companioncare per 15m                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5136  Adult companioncare per diem                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5146  Ther fostercare child /month                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5150  Unskilled respite care /15m                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5151  Unskilled respitecare /diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5162  Emer rspns system purchase                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5165  Home modifications per serv                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5170  Homedelivered prepared meal                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5190  Wellness assessment by nonph                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5497  Hit cath care noc                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5498  Hit simple cath care                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5501  Hit complex cath care                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5502  Hit interim cath care                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5517  Hit declotting kit                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5518  Hit cath repair kit                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5520  Hit picc insert kit                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5550  Insulin rapid 5 u                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5552  Insulin intermed 5 u                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5565  Insulin cartridge 150 u                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S5566  Insulin cartridge 300 u                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8030  Tantalum ring application                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8032  Low dose ct lung screening                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8035  Magnetic source imaging                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8037  Mrcp                                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8040  Topographic brain mapping                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8042  Mri low field                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8055  Us guidance fetal reduct                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8080  Scintimammography                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8085  Fluorine-18 fluorodeoxygluco                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8092  Electron beam computed tomog                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8096  Portable peak flow meter                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8097  Asthma kit                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8100  Spacer without mask                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8101  Spacer with mask                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8121  O2 contents liquid lb                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8130  Interferential stim 2 chan                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8131  Interferential stim 4 chan                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8185  Flutter device                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8186  Swivel adaptor                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8189  Trach supply noc                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8210  Mucus trap                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8265  Haberman feeder                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8270  Enuresis alarm                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8301  Infect control supplies nos                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8415  Supplies for home delivery                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8420  Custom gradient sleev/glov                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8421  Ready gradient sleev/glov                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8422  Custom grad sleeve med                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8423  Custom grad sleeve heavy                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8424  Ready gradient sleeve                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8425  Custom grad glove med                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8426  Custom grad glove heavy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8427  Ready gradient glove                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8428  Ready gradient gauntlet                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8429  Gradient pressure wrap                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8430  Padding for comprssn bdg                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8431  Compression bandage                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8450  Splint digit                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8451  Splint wrist or ankle                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8452  Splint elbow                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8460  Camisole post-mast                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8490  100 insulin syringes                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8930  Auricular electrostimulation                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8940  Hippotherapy per session                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8950  Complex lymphedema therapy,                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S8999  Resuscitation bag                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9007  Ultrafiltration monitor                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9024  Paranasal sinus ultrasound                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9025  Omnicardiogram/cardiointegra                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9034  Eswl for gallstones                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9056  Coma stimulation per diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9061  Medical supplies and equipme                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9083  Urgent care center global                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9088  Services provided in urgent                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9090  Vertebral axial decompressio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9097  Home visit wound care                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9098  Home phototherapy visit                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9110  Telemonitoring/home per mnth                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9117  Back school visit                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9129  Occupational therapy, in the                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9140  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9141  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9145  Insulin pump initiation                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9150  Evaluation by ocularist                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9152  Speech therapy, re-eval                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9208  Home mgmt preterm labor                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9209  Home mgmt pprom                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9211  Home mgmt gest hypertension                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9213  Hm preeclamp per diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9329  Hit chemo per diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9330  Hit cont chem diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9331  Hit intermit chemo diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9335  Ht hemodialysis diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9336  Hit cont anticoag diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9338  Hit immunotherapy diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9339  Hit periton dialysis diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9340  Hit enteral per diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9341  Hit enteral grav diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9342  Hit enteral pump diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9343  Hit enteral bolus nurs                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9345  Hit anti-hemophil diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9347  Hit longterm infusion diem                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9348  Hit sympathomim diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9349  Hit tocolysis diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9351  Hit cont antiemetic diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9353  Hit cont insulin diem                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9355  Hit chelation diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9357  Hit enzyme replace diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9361  Hit diuretic infus diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9363  Hit anti-spasmotic diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9364  Hit tpn total diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9370  Ht inj antiemetic diem                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9372  Ht inj anticoag diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9373  Hit hydra total diem                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9379  Hit noc per diem                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9381  Hit high risk/escort                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9401  Anticoag clinic per session                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9430  Pharmacy comp/disp serv                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9434  Mod solid food suppl                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9436  Lamaze class                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9437  Childbirth refresher class                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9438  Cesarean birth class                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9439  Vbac class                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9441  Asthma education                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9442  Birthing class                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9443  Lactation class                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9444  Parenting class                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9445  Pt education noc individ                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9446  Pt education noc group                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9447  Infant safety class                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9449  Weight mgmt class                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9451  Exercise class                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9452  Nutrition class                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9453  Smoking cessation class                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9454  Stress mgmt class                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9455  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9460  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9465  Diabetic management program,                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9470  Nutritional counseling, diet                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9472  Cardiac rehabilitation progr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9473  Pulmonary rehabilitation pro                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9475  Ambulatory setting substance                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9476  Vestibular rehab per diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9480  Intensive outpatient psychia                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9482  Family stabilization 15 min                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9484  Crisis intervention per hour                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9485  Crisis intervention mental h                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9490  Hit corticosteroid/diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9494  Hit antibiotic total diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9497  Hit antibiotic q3h diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9500  Hit antibiotic q24h diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9501  Hit antibiotic q12h diem                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9502  Hit antibiotic q8h diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9503  Hit antibiotic q6h diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9504  Hit antibiotic q4h diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9529  Venipuncture home/snf                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9538  Hit blood products diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9559  Hit inj interferon diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9560  Ht inj hormone diem                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9562  Ht inj palivizumab diem                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9590  Ht irrigation diem                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9810  Ht pharm per hour                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9900  Christian sci pract visit                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9901  Christian sci nurse visit                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9960  Air ambulanc nonemerg fixed                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9961  Air ambulan nonemerg rotary                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9970  Health club membership yr                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9975  Transplant related per diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9976  Lodging per diem                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9977  Meals per diem                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9981  Med record copy admin                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9986  Not medically necessary svc                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9989  Services outside us                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9992  Transportation costs to and                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
S9999  Sales tax                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1000  Private duty/independent nsg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1001  Nursing assessment/evaluatn                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1006  Family/couple counseling                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1007  Treatment plan development                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1009  Child sitting services                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1010  Meals when receive services                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1012  Alcohol/substance abuse skil                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1013  Sign lang/oral interpreter                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1014  Telehealth transmit, per min                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1015  Clinic service                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1016  Case management                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1017  Targeted case management                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1022  Contracted services per day                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1023  Program intake assessment                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1024  Team evaluation & management                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1027  Family training & counseling                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1028  Home environment assessment                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1029  Dwelling lead investigation                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1502  Medication admin visit                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T1999  Noc retail items andsupplies                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2002  N-et; per diem                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2003  N-et; encounter/trip                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2005  N-et; stretcher van                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2010  Pasrr level i                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2011  Pasrr level ii                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2022  Case management, per month                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2025  Waiver service, nos                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2026  Special childcare waiver/d                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2028  Special supply, nos waiver                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2029  Special med equip, noswaiver                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2030  Assist living waiver/month                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2031  Assist living waiver/diem                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2034  Crisis interven waiver/diem                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2035  Utility services waiver                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2036  Camp overnite waiver/session                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2037  Camp day waiver/session                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2038  Comm trans waiver/service                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2039  Vehicle mod waiver/service                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2040  Financial mgt waiver/15min                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2042  Hospice routine home care                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2043  Hospice continuous home care                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2044  Hospice respite care                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T2045  Hospice general care                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4533  Youth size brief/diaper                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4534  Youth size pull-on                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4535  Disposable liner/shield/pad                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4537  Reusable underpad bed size                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4538  Diaper serv reusable diaper                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4540  Reusable underpad chair size                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4541  Large disposable underpad                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4542  Small disposable underpad                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4543  Adult disp brief/diap abv xl                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T4544  Adlt disp und/pull on abv xl                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
T5999  Supply, nos                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2020  Vision svcs frames purchases                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2025  Eyeglasses delux frames                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2114  Spherocylinder over 12.00d                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2115  Lens lenticular bifocal                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2118  Lens aniseikonic single                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2121  Lenticular lens, single                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2215  Lens lenticular bifocal                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2218  Lens aniseikonic bifocal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2221  Lenticular lens, bifocal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2299  Lens bifocal speciality                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2315  Lens lenticular trifocal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2318  Lens aniseikonic trifocal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2321  Lenticular lens, trifocal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2399  Lens trifocal speciality                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2410  Lens variab asphericity sing                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2430  Lens variable asphericity bi                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2499  Variable asphericity lens                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2500  Contact lens pmma spherical                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2502  Contact lens pmma bifocal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2510  Cntct gas permeable sphericl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2511  Cntct toric prism ballast                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2513  Contact lens extended wear                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2520  Contact lens hydrophilic                          P   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2521  Cntct lens hydrophilic toric                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2522  Cntct lens hydrophil bifocl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2523  Cntct lens hydrophil extend                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2530  Contact lens gas impermeable                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2531  Contact lens gas permeable                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2610  Single lens spectacle mount                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2615  Telescop/othr compound lens                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2623  Plastic eye prosth custom                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2624  Polishing artifical eye                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2625  Enlargemnt of eye prosthesis                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2626  Reduction of eye prosthesis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2627  Scleral cover shell                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2628  Fabrication & fitting                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2629  Prosthetic eye other type                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2630  Anter chamber intraocul lens                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2631  Iris support intraoclr lens                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2632  Post chmbr intraocular lens                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2700  Balance lens                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2702  Deluxe lens feature                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2715  Prism lens/es                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2730  Special base curve                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2744  Tint photochromatic lens/es                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2750  Anti-reflective coating                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2755  Uv lens/es                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2756  Eye glass case                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2760  Scratch resistant coating                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2761  Mirror coating                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2762  Polarization, any lens                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2770  Occluder lens/es                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2780  Oversize lens/es                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2781  Progressive lens per lens                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2784  Lens polycarb or equal                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2785  Corneal tissue processing                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2786  Occupational multifocal lens                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2787  Astigmatism-correct function                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2788  Presbyopia-correct function                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2790  Amniotic membrane                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V2799  Misc vision item or service                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5008  Hearing screening                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5010  Assessment for hearing aid                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5011  Hearing aid fitting/checking                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5014  Hearing aid repair/modifying                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5020  Conformity evaluation                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5060  Behind ear hearing aid                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5070  Glasses air conduction                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5080  Glasses bone conduction                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5090  Hearing aid dispensing fee                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5110  Hearing aid dispensing fee                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5150  Glasses binaural hearing aid                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5160  Dispensing fee binaural                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5190  Glasses cros hearing aid                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5230  Glasses bicros hearing aid                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5240  Dispensing fee bicros                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5241  Dispensing fee, monaural                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5242  Hearing aid, monaural, cic                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5243  Hearing aid, monaural, itc                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5248  Hearing aid, binaural, cic                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5249  Hearing aid, binaural, itc                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5262  Hearing aid, disp, monaural                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5263  Hearing aid, disp, binaural                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5264  Ear mold/insert                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5265  Ear mold/insert, disp                             N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5266  Battery for hearing device                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5267  Hearing aid sup/access/dev                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5268  Ald telephone amplifier                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5269  Alerting device, any type                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5271  Ald, tv caption decoder                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5272  Tdd                                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5273  Ald for cochlear implant                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5274  Ald unspecified                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5275  Ear impression                                    N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5281  Ald fm/dm system, monaural                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5282  Ald fm/dm system binaural                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5283  Ald neck, loop ind receiver                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5284  Ald fm/dm ear level receiver                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5285  Ald fm/dm aud input receiver                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5286  Ald blu tooth fm/dm receiver                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5287  Ald fm/dm receiver, nos                           N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5288  Ald fm/dm transmitter ald                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5289  Ald fm/dm adapt/boot couplin                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5290  Ald transmitter microphone                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5298  Hearing aid noc                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5299  Hearing service                                   R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
V5336  Repair communication device                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
V5362  Speech screening                                  N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
V5363  Language screening                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
V5364  Dysphagia screening                               N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
0001F  Heart failure composite                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0005F  Osteoarthritis composite                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00100  Anesth salivary gland                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00103  Anesth blepharoplasty                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00104  Anesth electroshock                               J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0012F  Cap bacterial assess                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00120  Anesth ear surgery                                J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00124  Anesth ear exam                                   J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00126  Anesth tympanotomy                                J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00140  Anesth procedures on eye                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00142  Anesth lens surgery                               J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00144  Anesth corneal transplant                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00145  Anesth vitreoretinal surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00147  Anesth iridectomy                                 J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00148  Anesth eye exam                                   J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0015F  Melan follow-up complete                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00160  Anesth nose/sinus surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00162  Anesth nose/sinus surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00164  Anesth biopsy of nose                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00170  Anesth procedure on mouth                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00172  Anesth cleft palate repair                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00174  Anesth pharyngeal surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00176  Anesth pharyngeal surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.000XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00192  Anesth facial bone surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00210  Anesth cranial surg nos                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00211  Anesth cran surg hemotoma                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00212  Anesth skull drainage                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00214  Anesth skull drainage                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00215  Anesth skull repair/fract                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00216  Anesth head vessel surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00218  Anesth special head surgery                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00220  Anesth intrcrn nerve                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00222  Anesth head nerve surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00300  Anesth head/neck/ptrunk                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00320  Anesth neck organ 1yr/>                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00322  Anesth biopsy of thyroid                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00350  Anesth neck vessel surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00352  Anesth neck vessel surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00402  Anesth surgery of breast                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00404  Anesth surgery of breast                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00406  Anesth surgery of breast                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00410  Anesth correct heart rhythm                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00450  Anesth surgery of shoulder                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00454  Anesth collar bone biopsy                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00470  Anesth removal of rib                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00472  Anesth chest wall repair                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00474  Anesth surgery of rib                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00500  Anesth esophageal surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0051T  Implant total heart system                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0052T  Replace thrc unit hrt syst                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00520  Anesth chest procedure                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00522  Anesth chest lining biopsy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00524  Anesth chest drainage                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00528  Anes mediascpy & dx thorscpy                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00529  Anes medscpy&thorscpy 1 lung                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0053T  Replace implantable hrt syst                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00530  Anesth pacemaker insertion                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00532  Anesth vascular access                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00534  Anesth cardioverter/defib                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00537  Anesth cardiac electrophys                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00539  Anesth trach-bronch reconst                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0054T  Bone srgry cmptr fluor image                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00540  Anesth chest surgery                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00541  Anesth one lung ventilation                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00542  Anesthesia removal pleura                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00548  Anesth trachea bronchi surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0055T  Bone srgry cmptr ct/mri imag                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00550  Anesth sternal debridement                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00567  Anesth cabg w/pump                                J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0058T  Cryopreservation ovary tiss                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00580  Anesth heart/lung transplnt                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00600  Anesth spine cord surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00604  Anesth sitting procedure                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00620  Anesth spine cord surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00630  Anesth spine cord surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00632  Anesth removal of nerves                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00635  Anesth lumbar puncture                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00640  Anesth spine manipulation                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00670  Anesth spine cord surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00700  Anesth abdominal wall surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00702  Anesth for liver biopsy                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0071T  Us leiomyomata ablate <200                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0072T  Us leiomyomata ablate >200                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00730  Anesth abdominal wall surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00740  Anesth upper gi visualize                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0075T  Perq stent/chest vert art                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0075TTCPerq stent/chest vert art                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0075T26Perq stent/chest vert art                         C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00750  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00752  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00754  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00756  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0076T  S&i stent/chest vert art                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0076TTCS&i stent/chest vert art                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0076T26S&i stent/chest vert art                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00770  Anesth blood vessel repair                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00790  Anesth surg upper abdomen                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00792  Anesth hemorr/excise liver                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00794  Anesth pancreas removal                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00796  Anesth for liver transplant                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00797  Anesth surgery for obesity                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00800  Anesth abdominal wall surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00802  Anesth fat layer removal                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00810  Anesth low intestine scope                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00820  Anesth abdominal wall surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00830  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00832  Anesth repair of hernia                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00836  Anesth hernia repair preemie                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00840  Anesth surg lower abdomen                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00842  Anesth amniocentesis                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00844  Anesth pelvis surgery                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00846  Anesth hysterectomy                               J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00848  Anesth pelvic organ surg                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0085T  Breath test heart reject                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00851  Anesth tubal ligation                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00860  Anesth surgery of abdomen                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00862  Anesth kidney/ureter surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00864  Anesth removal of bladder                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00865  Anesth removal of prostate                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00866  Anesth removal of adrenal                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00868  Anesth kidney transplant                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00870  Anesth bladder stone surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00872  Anesth kidney stone destruct                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00873  Anesth kidney stone destruct                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00880  Anesth abdomen vessel surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00882  Anesth major vein ligation                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00902  Anesth anorectal surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00904  Anesth perineal surgery                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00906  Anesth removal of vulva                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00908  Anesth removal of prostate                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00910  Anesth bladder surgery                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00912  Anesth bladder tumor surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00914  Anesth removal of prostate                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00916  Anesth bleeding control                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00918  Anesth stone removal                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00920  Anesth genitalia surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00921  Anesth vasectomy                                  J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00922  Anesth sperm duct surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00924  Anesth testis exploration                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00926  Anesth removal of testis                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00928  Anesth removal of testis                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00930  Anesth testis suspension                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00932  Anesth amputation of penis                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00934  Anesth penis nodes removal                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00936  Anesth penis nodes removal                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00938  Anesth insert penis device                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00940  Anesth vaginal procedures                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00944  Anesth vaginal hysterectomy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00948  Anesth repair of cervix                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0095T  Rmvl artific disc addl crvcl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
00950  Anesth vaginal endoscopy                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
00952  Anesth hysteroscope/graph                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0098T  Rev artific disc addl                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0100T  Prosth retina receive&gen                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 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  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0102T  Extracorp shockwv tx anesth                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0106T  Touch quant sensory test                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0107T  Vibrate quant sensory test                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0108T  Cool quant sensory test                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0109T  Heat quant sensory test                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0110T  Nos quant sensory test                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0111T  Rbc membranes fatty acids                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01112  Anesth bone aspirate/bx                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01120  Anesth pelvis surgery                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01130  Anesth body cast procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01140  Anesth amputation at pelvis                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01150  Anesth pelvic tumor surgery                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01160  Anesth pelvis procedure                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01170  Anesth pelvis surgery                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01173  Anesth fx repair pelvis                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01180  Anesth pelvis nerve removal                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01190  Anesth pelvis nerve removal                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01200  Anesth hip joint procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01202  Anesth arthroscopy of hip                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01210  Anesth hip joint surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01212  Anesth hip disarticulation                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01214  Anesth hip arthroplasty                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01215  Anesth revise hip repair                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01220  Anesth procedure on femur                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01230  Anesth surgery of femur                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01232  Anesth amputation of femur                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01234  Anesth radical femur surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01250  Anesth upper leg surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0126T  Chd risk imt study                                C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01270  Anesth thigh arteries surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01272  Anesth femoral artery surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01274  Anesth femoral embolectomy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01320  Anesth knee area surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01340  Anesth knee area procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01360  Anesth knee area surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01380  Anesth knee joint procedure                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01382  Anesth dx knee arthroscopy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01390  Anesth knee area procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01392  Anesth knee area surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01400  Anesth knee joint surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01402  Anesth knee arthroplasty                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01404  Anesth amputation at knee                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01420  Anesth knee joint casting                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01430  Anesth knee veins surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01432  Anesth knee vessel surg                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01440  Anesth knee arteries surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01442  Anesth knee artery surg                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01444  Anesth knee artery repair                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01462  Anesth lower leg procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01464  Anesth ankle/ft arthroscopy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01470  Anesth lower leg surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01472  Anesth achilles tendon surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01474  Anesth lower leg surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01482  Anesth radical leg surgery                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01484  Anesth lower leg revision                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01486  Anesth ankle replacement                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01490  Anesth lower leg casting                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01500  Anesth leg arteries surg                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01502  Anesth lwr leg embolectomy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0159T  Cad breast mri                                    C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0159TTCCad breast mri                                    C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0159T26Cad breast mri                                    C   0.00   0.00     0.00    0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01610  Anesth surgery of shoulder                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01620  Anesth shoulder procedure                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01622  Anes dx shoulder arthroscopy                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0163T  Lumb artif diskectomy addl                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01630  Anesth surgery of shoulder                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01634  Anesth shoulder joint amput                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01636  Anesth forequarter amput                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01638  Anesth shoulder replacement                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0164T  Remove lumb artif disc addl                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0165T  Revise lumb artif disc addl                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01650  Anesth shoulder artery surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01652  Anesth shoulder vessel surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01654  Anesth shoulder vessel surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01670  Anesth shoulder vein surg                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01680  Anesth shoulder casting                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01682  Anesth airplane cast                              J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0169T  Place stereo cath brain                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0171T  Lumbar spine proces distract                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01710  Anesth elbow area surgery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01716  Anesth biceps tendon repair                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0172T  Lumbar spine process addl                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01730  Anesth uppr arm procedure                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01732  Anesth dx elbow arthroscopy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0174T  Cad cxr with interp                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01740  Anesth upper arm surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01742  Anesth humerus surgery                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01744  Anesth humerus repair                             J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0175T  Cad cxr remote                                    C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01756  Anesth radical humerus surg                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01758  Anesth humeral lesion surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01760  Anesth elbow replacement                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01772  Anesth uppr arm embolectomy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.004XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.003XXX.00.00.0000000             35.8043 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  0.002XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01810  Anesth lower arm surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01820  Anesth lower arm procedure                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01829  Anesth dx wrist arthroscopy                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01830  Anesth lower arm surgery                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01832  Anesth wrist replacement                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0184T  Exc rectal tumor endoscopic                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01842  Anesth lwr arm embolectomy                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01844  Anesth vascular shunt surg                        J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01860  Anesth lower arm casting                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0190T  Place intraoc radiation src                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 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  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01916  Anesth dx arteriography                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01920  Anesth catheterize heart                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01924  Anes ther interven rad artrl                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01925  Anes ther interven rad card                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01930  Anes ther interven rad vein                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01931  Anes ther interven rad tips                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01933  Anes tx interv rad cran vein                      J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0195T  Prescrl fuse w/o instr l5/s1                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01958  Anesth antepartum manipul                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0196T  Prescrl fuse w/o instr l4/l5                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01960  Anesth vaginal delivery                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01961  Anesth cs delivery                                J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01962  Anesth emer hysterectomy                          J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01963  Anesth cs hysterectomy                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01966  Anesth induced ab procedure                       J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01967  Anesth/analg vag delivery                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0198T  Ocular blood flow measure                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
01990  Support for organ donor                           J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01991  Anesth nerve block/inj                            J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
01999  Unlisted anesth procedure                         J   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0200T  Perq sacral augmt unilat inj                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0201T  Perq sacral augmt bilat inj                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
0202T  Post vert arthrplst 1 lumbar                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 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  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0206T  Cptr dbs alys car elec dta                        C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0207T  Clear eyelid gland w/heat                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0208T  Audiometry air only                               C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0209T  Audiometry air & bone                             C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0210T  Speech audiometry threshold                       C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0211T  Speech audiom thresh & recog                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0212T  Compre audiometry evaluation                      C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0213T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0214T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0215T  Njx paravert w/us cer/thor                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0216T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0217T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0218T  Njx paravert w/us lumb/sac                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0219T  Plmt post facet implt cerv                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0220T  Plmt post facet implt thor                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0221T  Plmt post facet implt lumb                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0222T  Plmt post facet implt addl                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 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  0.000XXX.00.00.0001100             35.8043 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  0.000XXX.00.00.0001100             35.8043 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  0.000XXX.00.00.0001100             35.8043 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  0.000XXX.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
0232T  Njx platelet plasma                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
0234T  Trluml perip athrc renal art                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0235T  Trluml perip athrc visceral                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0236T  Trluml perip athrc abd aorta                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0237T  Trluml perip athrc brchiocph                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0238T  Trluml perip athrc iliac art                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0249T  Ligation hemorrhoid w/us                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0253T  Insert aqueous drain device                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 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  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0255T  Evasc rpr iliac art bifr s&i                      C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0255TTCEvasc rpr iliac art bifr s&i                      C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             35.8043 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  0.001YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0263T  Im b1 mrw cel ther cmpl                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0264T  Im b1 mrw cel ther xcl hrvst                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0265T  Im b1 mrw cel ther hrvst onl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0266T  Implt/rpl crtd sns dev total                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0267T  Implt/rpl crtd sns dev lead                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0268T  Implt/rpl crtd sns dev gen                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0269T  Rev/remvl crtd sns dev total                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0270T  Rev/remvl crtd sns dev lead                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0271T  Rev/remvl crtd sns dev gen                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0272T  Interrogate crtd sns dev                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0273T  Interrogate crtd sns w/pgrmg                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0274T  Perq lamot/lam crv/thrc                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0275T  Perq lamot/lam lumbar                             R   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0278T  Tempr                                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0281T  Laa closure w/implant                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0282T  Periph field stimul trial                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0283T  Periph field stimul perm                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
0284T  Periph field stimul revise                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0285T  Periph field stimul analys                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0286T  Near ifr spectrsc of wounds                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0287T  Near ifr guide of vasc site                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0288T  Anoscopy w/rf delivery                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0289T  Laser inc for pkp/lkp donor                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0290T  Laser inc for pkp/lkp recip                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0291T  Iv oct for proc init vessel                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0292T  Iv oct for proc addl vessel                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0293T  Ins lt atrl press monitor                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0294T  Ins lt atrl mont pres lead                        C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0295T  Ext ecg complete                                  C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0296T  Ext ecg recording                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0297T  Ext ecg scan w/report                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0298T  Ext ecg review and interp                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0299T  Esw wound healing init wound                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0300T  Esw wound healing addl wound                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0301T  Mw therapy for breast tumor                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0302T  Icar ischm mntrng sys compl                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020120             35.8043 090 99      0.00   0.00   0.00
0303T  Icar ischm mntrng sys eltrd                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
0304T  Icar ischm mntrng sys device                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
0305T  Icar ischm mntrng prgrm eval                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0306T  Icar ischm mntr interr eval                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0307T  Rmvl icar ischm mntrng dvce                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
0308T  Insj ocular telescope prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
0309T  Prescrl fuse w/ instr l4/l5                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0310T  Motor function mapping ntms                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0312T  Laps impltj nstim vagus                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0313T  Laps rmvl nstim array vagus                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0314T  Laps rmvl vgl arry&pls gen                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0315T  Rmvl vagus nerve pls gen                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0316T  Replc vagus nerve pls gen                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0317T  Elec alys vagus nrv pls gen                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0329T  Mntr io press 24hrs/> uni/bi                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0330T  Tear film img uni/bi w/i&r                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0331T  Heart symp image plnr                             C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0332T  Heart symp image plnr spect                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0333T  Visual ep acuity screen auto                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0335T  Extraosseous joint stblztion                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0336T  Lap ablat uterine fibroids                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0337T  Endothel fxnassmnt non-invas                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0338T  Trnscth renal symp denrv unl                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0339T  Trnscth renal symp denrv bil                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0340T  Ablate pulm tumors + extnsn                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0341T  Quant pupillometry w/ rprt                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0342T  Thxp apheresis w/hdl delip                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0345T  Transcath mtral vlve repair                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0346T  Ultrasound elastography                           C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0347T  Ins bone device for rsa                           C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0348T  Rsa spine exam                                    C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0349T  Rsa upper extr exam                               C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0350T  Rsa lower extr exam                               C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0351T  Intraop oct brst/node spec                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0352T  Oct brst/node i&r per spec                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0353T  Intraop oct breast cavity                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0354T  Oct breast surg cavity i&r                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0355T  Gi tract capsule endoscopy                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0356T  Insrt drug device for iop                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0357T  Cryopreservation oocyte(s)                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0358T  Bia whole body                                    C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0359T  Behavioral id assessment                          C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0360T  Observ behav assessment                           C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0361T  Observ behav assess addl                          C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0362T  Expose behav assessment                           C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0363T  Expose behav assess addl                          C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0364T  Adaptive behavior treatment                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0365T  Adaptive behavior tx addl                         C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0366T  Group behavior treatment                          C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0367T  Group behav treatment addl                        C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0368T  Behavior treatment modified                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0369T  Behav treatment modify addl                       C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0370T  Fam behav treatment guidance                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0371T  Mult fam behav treat guide                        C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0372T  Social skills training group                      C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0373T  Exposure behavior treatment                       C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0374T  Expose behav treatment addl                       C   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0375T  Total disc arthrp ant appr                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0376T  Insert ant segment drain int                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0377T  Anoscpy inj agent for incont                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0378T  Visual field assmnt rev/rprt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0379T  Vis field assmnt tech suppt                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0380T  Comp animat ret imag series                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0381T  Ext h rate epi sz 14 days                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0382T  Ext h rate sz 14 day ri only                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0383T  Ext h rate sz up to 30 days                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0384T  Ex h rate sz 30 day ri only                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0385T  Ex h rate for sz ovr 30 day                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0386T  Ex h rate sz 30+ day ri only                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0387T  Leadless c pm ins/rpl ventr                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0388T  Leadless c pm remove ventr                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0389T  Prog eval inper leadls pm                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0390T  Periproc eval inper ledls pm                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0391T  Intergt eval inper leadls pm                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0392T  Lap es sph augment dev place                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0393T  Es sph augmnt device removal                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0394T  Hdr elctrnc skn surf brchytx                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0395T  Hdr elctr ntrst/ntrcv brchtx                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0396T  Intraop kinetic balnce sensr                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0397T  Ercp w/optical endomicroscpy                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0398T  Mrgfus strtctc les abltj                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0399T  Myocardial strain imaging                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0400T  Mltispectrl digital les alys                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0401T  Mltispectrl digital les alys                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0402T  Collagen crosslinking cornea                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0403T  Diabetes prev standard curr                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0404T  Trnscrv uterin fibroid abltj                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0405T  Ovrsght xtrcorp liv asst pat                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0406T  Sin ndsc plmt drg elut mplnt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0407T  Sin ndsc plmt drg elut mplnt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0408T  Insj/rplc cardiac modulj sys                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0409T  Insj/rplc cardiac modulj pls                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0410T  Insj/rplc car modulj atr elt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0411T  Insj/rplc car modulj vnt elt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0412T  Rmvl cardiac modulj pls gen                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0413T  Rmvl car modulj tranvns elt                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0414T  Rmvl & rpl car modulj pls gn                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0415T  Repos car modulj tranvns elt                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0416T  Reloc skin pocket pls gen                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0417T  Prgrmg eval cardiac modulj                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0418T  Interro eval cardiac modulj                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0419T  Dstrj neurofibromata xtnsv                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0420T  Dstrj neurofibromata xtnsv                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0421T  Waterjet prostate abltj cmpl                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0422T  Tactile breast img uni/bi                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0423T  Assay secretory type ii pla2                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0424T  Insj/rplc nstim apnea compl                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0425T  Insj/rplc nstim apnea sen ld                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0426T  Insj/rplc nstim apnea stm ld                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0427T  Insj/rplc nstim apnea pls gn                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0428T  Rmvl nstim apnea pls gen                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0429T  Rmvl nstim apnea sen ld                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0430T  Rmvl nstim apnea stimj ld                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0431T  Rmvl/rplc nstim apnea pls gn                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0432T  Repos nstim apnea stimj ld                        C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0433T  Repos nstim apnea sensing ld                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0434T  Interro eval npgs sleep apne                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0435T  Prgrmg eval npgs apnea 1 ses                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0436T  Prgrmg eval npgs apnea study                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
0500F  Initial prenatal care visit                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0501F  Prenatal flow sheet                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0502F  Subsequent prenatal care                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0503F  Postpartum care visit                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0505F  Hemodialysis plan docd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0507F  Periton dialysis plan docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0509F  Urine incon plan docd                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0514F  Care plan hgb docd esa pt                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0525F  Initial visit for episode                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0526F  Subs visit for episode                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0528F  Rcmnd flw-up 10 yrs docd                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0529F  Intrvl 3/>yr pts clnscp docd                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0535F  Dyspnea mngmnt plan docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0540F  Gluco mngmnt plan docd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0550F  Cytopath report nongyn spcmn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0551F  Cytopath report non routine                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0555F  Symptom mgmnt plan care docd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0556F  Plan care lipid control docd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0557F  Plan caremng angnl symptdocd                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0575F  Hiv rna plan care docd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0580F  Multidisciplinary care plan                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0581F  Pt trnsfrd from anesth to cc                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0582F  No trnsfr from anesth to cc                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0583F  Transfer care checklist used                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
0584F  No transfercare chklist used                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1000F  Tobacco use assessed                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1002F  Assess anginal symptom/level                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
10021  Fna w/o image                                     A   1.27   2.05     0.56    0.17   3.49  2.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
10022  Fna w/image                                       A   1.27   2.60     0.48    0.13   4.00  1.880XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
1003F  Level of activity assess                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
10030  Guide cathet fluid drainage                       A   3.00  18.44     1.17    0.70  22.14  4.879000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
10035  Perq dev soft tiss 1st imag                       A   1.70  13.31     0.63    0.17  15.18  2.500000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
10036  Perq dev soft tiss add imag                       A   0.85  12.26     0.32    0.09  13.20  1.260ZZZ.00.00.0020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
10040  Acne surgery                                      A   1.21   1.50     1.13    0.17   2.88  2.510010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
1005F  Asthma symptoms evaluate                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1006F  Osteoarthritis assess                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
10060  Drainage of skin abscess                          A   1.22   1.97     1.41    0.13   3.32  2.760010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
10061  Drainage of skin abscess                          A   2.45   3.10     2.37    0.30   5.85  5.120010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
1007F  Anti-inflm/anlgsc otc assess                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1008F  Gi/renal risk assess                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
10080  Drainage of pilonidal cyst                        A   1.22   3.68     1.53    0.18   5.08  2.930010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
10081  Drainage of pilonidal cyst                        A   2.50   4.76     2.00    0.35   7.61  4.850010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
1010F  Severity angina by actvty                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1011F  Angina present                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1012F  Angina absent                                     M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
10120  Remove foreign body                               A   1.22   2.94     1.59    0.14   4.30  2.950010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
10121  Remove foreign body                               A   2.74   4.63     2.17    0.40   7.77  5.310010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
10140  Drainage of hematoma/fluid                        A   1.58   2.84     1.60    0.20   4.62  3.380010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
1015F  Copd symptoms assess                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
10160  Puncture drainage of lesion                       A   1.25   2.28     1.33    0.16   3.69  2.740010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
1018F  Assess dyspnea not present                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
10180  Complex drainage wound                            A   2.30   4.21     2.33    0.50   7.01  5.130010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
1019F  Assess dyspnea present                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1022F  Pneumo imm status assess                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1026F  Co-morbid condition assess                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1030F  Influenza imm status assess                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1031F  Smoking & 2nd hand assessed                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1032F  Smoker/exposed 2nd hnd smoke                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1033F  Tobacco nonsmoker nor 2ndhnd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1034F  Current tobacco smoker                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1035F  Smokeless tobacco user                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1036F  Tobacco non-user                                  M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1038F  Persistent asthma                                 M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1039F  Intermittent asthma                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1040F  Dsm-5 info mdd docd                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1050F  History of mole changes                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1052F  Type location activityassess                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1055F  Visual funct status assess                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1070F  Alarm symp assessed-absent                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1091F  Urine incon characterized                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11000  Debride infected skin                             A   0.60   0.89     0.17    0.05   1.54  0.820000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11001  Debride infected skin add-on                      A   0.30   0.28     0.08    0.03   0.61  0.410ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
11004  Debride genitalia & perineum                      A  10.80   3.93NA   3.93    2.03  16.76 16.760000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11005  Debride abdom wall                                A  14.24   5.23NA   5.23    3.22  22.69 22.690000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
11006  Debride genit/per/abdom wall                      A  13.10   4.72NA   4.72    2.52  20.34 20.340000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11008  Remove mesh from abd wall                         A   5.00   1.83NA   1.83    1.15   7.98  7.980ZZZ.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11010  Debride skin at fx site                           A   4.19   9.04     3.09    0.76  13.99  8.040010.10.80.1022100             35.8043 090 99      0.00   0.00   0.00
11011  Debride skin musc at fx site                      A   4.94   9.29     2.70    0.98  15.21  8.620000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
11012  Deb skin bone at fx site                          A   6.87  12.04     4.03    1.41  20.32 12.310000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
11042  Deb subq tissue 20 sq cm/<                        A   1.01   2.17     0.64    0.12   3.30  1.770000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11043  Deb musc/fascia 20 sq cm/<                        A   2.70   3.39     1.37    0.40   6.49  4.470000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11044  Deb bone 20 sq cm/<                               A   4.10   4.20     1.90    0.66   8.96  6.660000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11045  Deb subq tissue add-on                            A   0.50   0.59     0.18    0.07   1.16  0.750ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
11046  Deb musc/fascia add-on                            A   1.03   0.88     0.40    0.18   2.09  1.610ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
11047  Deb bone add-on                                   A   1.80   1.40     0.73    0.34   3.54  2.870ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
11055  Trim skin lesion                                  R   0.35   0.97     0.09    0.02   1.34  0.460000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11056  Trim skin lesions 2 to 4                          R   0.50   1.11     0.12    0.03   1.64  0.650000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11057  Trim skin lesions over 4                          R   0.65   1.16     0.16    0.04   1.85  0.850000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
1110F  Pt lft inpt fac w/in 60 days                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11100  Biopsy skin lesion                                A   0.81   2.00     0.48    0.11   2.92  1.400000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11101  Biopsy skin add-on                                A   0.41   0.46     0.25    0.06   0.93  0.720ZZZ.00.00.0000100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1116F  Auric/peri pain assessed                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1119F  Init eval for condition                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11200  Removal of skin tags <w/15                        A   0.82   1.56     1.16    0.11   2.49  2.090010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11201  Remove skin tags add-on                           A   0.29   0.21     0.15    0.04   0.54  0.480ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
1121F  Subs eval for condition                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1127F  New episode for condition                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1128F  Subs episode for condition                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1130F  Bk pain & fxn assessed                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11300  Shave skin lesion 0.5 cm/<                        A   0.60   2.06     0.33    0.08   2.74  1.010000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11301  Shave skin lesion 0.6-1.0 cm                      A   0.90   2.36     0.52    0.12   3.38  1.540000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11302  Shave skin lesion 1.1-2.0 cm                      A   1.05   2.78     0.61    0.15   3.98  1.810000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11303  Shave skin lesion >2.0 cm                         A   1.25   2.97     0.71    0.18   4.40  2.140000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11305  Shave skin lesion 0.5 cm/<                        A   0.80   1.93     0.26    0.07   2.80  1.130000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11306  Shave skin lesion 0.6-1.0 cm                      A   0.96   2.37     0.42    0.11   3.44  1.490000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11307  Shave skin lesion 1.1-2.0 cm                      A   1.20   2.71     0.57    0.15   4.06  1.920000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11308  Shave skin lesion >2.0 cm                         A   1.46   2.66     0.52    0.14   4.26  2.120000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11310  Shave skin lesion 0.5 cm/<                        A   0.80   2.29     0.45    0.11   3.20  1.360000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11311  Shave skin lesion 0.6-1.0 cm                      A   1.10   1.89     0.63    0.16   3.15  1.890000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11312  Shave skin lesion 1.1-2.0 cm                      A   1.30   3.04     0.76    0.19   4.53  2.250000.00.00.0029000             35.8043 090 99      0.00   0.00   0.00
11313  Shave skin lesion >2.0 cm                         A   1.68   3.32     0.96    0.25   5.25  2.890000.00.00.0029000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11400  Exc tr-ext b9+marg 0.5 cm<                        A   0.90   2.47     1.26    0.13   3.50  2.290010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11401  Exc tr-ext b9+marg 0.6-1 cm                       A   1.28   2.74     1.49    0.19   4.21  2.960010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11402  Exc tr-ext b9+marg 1.1-2 cm                       A   1.45   3.00     1.58    0.23   4.68  3.260010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11403  Exc tr-ext b9+marg 2.1-3cm/<                      A   1.84   3.27     2.06    0.32   5.43  4.220010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11404  Exc tr-ext b9+marg 3.1-4 cm                       A   2.11   3.67     2.15    0.39   6.17  4.650010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11406  Exc tr-ext b9+marg >4.0 cm                        A   3.52   4.67     2.85    0.71   8.90  7.080010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11420  Exc h-f-nk-sp b9+marg 0.5/<                       A   1.03   2.31     1.18    0.12   3.46  2.330010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11421  Exc h-f-nk-sp b9+marg 0.6-1                       A   1.47   2.76     1.47    0.20   4.43  3.140010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11422  Exc h-f-nk-sp b9+marg 1.1-2                       A   1.68   3.03     1.94    0.25   4.96  3.870010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11423  Exc h-f-nk-sp b9+marg 2.1-3                       A   2.06   3.33     2.11    0.33   5.72  4.500010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11424  Exc h-f-nk-sp b9+marg 3.1-4                       A   2.48   3.72     2.25    0.42   6.62  5.150010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11426  Exc h-f-nk-sp b9+marg >4 cm                       A   4.09   4.63     3.05    0.75   9.47  7.890010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11440  Exc face-mm b9+marg 0.5 cm/<                      A   1.05   2.63     1.76    0.13   3.81  2.940010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11441  Exc face-mm b9+marg 0.6-1 cm                      A   1.53   2.99     2.00    0.23   4.75  3.760010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11442  Exc face-mm b9+marg 1.1-2 cm                      A   1.77   3.27     2.11    0.28   5.32  4.160010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11443  Exc face-mm b9+marg 2.1-3 cm                      A   2.34   3.63     2.39    0.38   6.35  5.110010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11444  Exc face-mm b9+marg 3.1-4 cm                      A   3.19   4.27     2.80    0.52   7.98  6.510010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11446  Exc face-mm b9+marg >4 cm                         A   4.80   5.51     3.76    0.78  11.09  9.340010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11450  Removal sweat gland lesion                        A   3.22   6.89     3.31    0.70  10.81  7.230090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
11451  Removal sweat gland lesion                        A   4.43   8.41     3.95    0.94  13.78  9.320090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
11462  Removal sweat gland lesion                        A   3.00   6.92     3.27    0.63  10.55  6.900090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
11463  Removal sweat gland lesion                        A   4.43   8.60     4.01    0.91  13.94  9.350090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
11470  Removal sweat gland lesion                        A   3.74   7.23     3.57    0.76  11.73  8.070090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
11471  Removal sweat gland lesion                        A   4.89   8.69     4.23    0.90  14.48 10.020090.10.71.1920000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11600  Exc tr-ext mal+marg 0.5 cm/<                      A   1.63   3.58     1.55    0.23   5.44  3.410010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11601  Exc tr-ext mal+marg 0.6-1 cm                      A   2.07   4.09     1.89    0.31   6.47  4.270010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11602  Exc tr-ext mal+marg 1.1-2 cm                      A   2.27   4.41     2.08    0.34   7.02  4.690010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11603  Exc tr-ext mal+marg 2.1-3 cm                      A   2.82   4.77     2.36    0.44   8.03  5.620010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11604  Exc tr-ext mal+marg 3.1-4 cm                      A   3.17   5.24     2.50    0.52   8.93  6.190010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11606  Exc tr-ext mal+marg >4 cm                         A   5.02   6.87     3.29    0.91  12.80  9.220010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11620  Exc h-f-nk-sp mal+marg 0.5/<                      A   1.64   3.61     1.57    0.25   5.50  3.460010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11621  Exc s/n/h/f/g mal+mrg 0.6-1                       A   2.08   4.11     1.91    0.32   6.51  4.310010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11622  Exc s/n/h/f/g mal+mrg 1.1-2                       A   2.41   4.48     2.15    0.37   7.26  4.930010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11623  Exc s/n/h/f/g mal+mrg 2.1-3                       A   3.11   4.92     2.50    0.50   8.53  6.110010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11624  Exc s/n/h/f/g mal+mrg 3.1-4                       A   3.62   5.40     2.70    0.60   9.62  6.920010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11626  Exc s/n/h/f/g mal+mrg >4 cm                       A   4.61   6.17     3.06    0.82  11.60  8.490010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11640  Exc f/e/e/n/l mal+mrg 0.5cm<                      A   1.67   3.75     1.66    0.25   5.67  3.580010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11641  Exc f/e/e/n/l mal+mrg 0.6-1                       A   2.17   4.24     1.99    0.33   6.74  4.490010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11642  Exc f/e/e/n/l mal+mrg 1.1-2                       A   2.62   4.67     2.27    0.41   7.70  5.300010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11643  Exc f/e/e/n/l mal+mrg 2.1-3                       A   3.42   5.12     2.67    0.54   9.08  6.630010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11644  Exc f/e/e/n/l mal+mrg 3.1-4                       A   4.34   6.16     3.17    0.70  11.20  8.210010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11646  Exc f/e/e/n/l mal+mrg >4 cm                       A   6.26   7.35     4.11    1.04  14.65 11.410010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
1170F  Fxnl status assessed                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11719  Trim nail(s) any number                           R   0.17   0.21     0.04    0.01   0.39  0.220000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11720  Debride nail 1-5                                  A   0.32   0.57     0.08    0.02   0.91  0.420000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
11721  Debride nail 6 or more                            A   0.54   0.69     0.13    0.04   1.27  0.710000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
11730  Removal of nail plate                             A   1.10   1.62     0.28    0.08   2.80  1.460000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11732  Remove nail plate add-on                          A   0.44   0.54     0.11    0.03   1.01  0.580ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
11740  Drain blood from under nail                       A   0.37   1.00     0.53    0.03   1.40  0.930000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
1175F  Function stat assessed rvwd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11750  Removal of nail bed                               A   1.58   3.41     2.31    0.12   5.11  4.010010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11752  Remove nail bed/tip                               A   3.63   5.16     3.47    0.41   9.20  7.510010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11755  Biopsy nail unit                                  A   1.31   2.37     0.82    0.10   3.78  2.230000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11760  Repair of nail bed                                A   1.63   3.67     1.51    0.20   5.50  3.340010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11762  Reconstruction of nail bed                        A   2.94   4.73     2.05    0.27   7.94  5.260010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11765  Excision of nail fold toe                         A   1.22   3.42     1.37    0.09   4.73  2.680010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11770  Remove pilonidal cyst simple                      A   2.66   4.66     2.09    0.57   7.89  5.320010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
11771  Remove pilonidal cyst exten                       A   6.09   8.85     5.01    1.37  16.31 12.470090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
11772  Remove pilonidal cyst compl                       A   7.35  10.79     7.55    1.64  19.78 16.540090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
1180F  Thromboemb risk assessed                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1181F  Neuropsychia sympts assessed                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1182F  Neuropsychi sympt 1+present                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1183F  Neuropsychiatric symp absent                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
11900  Inject skin lesions </w 7                         A   0.52   0.98     0.31    0.07   1.57  0.900000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11901  Inject skin lesions >7                            A   0.80   1.07     0.48    0.11   1.98  1.390000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11920  Correct skin color 6.0 cm/<                       R   1.61   2.94     1.39    0.26   4.81  3.260000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11921  Correct skn color 6.1-20.0cm                      R   1.93   3.36     1.61    0.32   5.61  3.860000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11922  Correct skin color ea 20.0cm                      R   0.49   1.17     0.28    0.08   1.74  0.850ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
11950  Tx contour defects 1 cc/<                         R   0.84   1.17     0.55    0.07   2.08  1.460000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11951  Tx contour defects 1.1-5.0cc                      R   1.19   1.36     0.66    0.21   2.76  2.060000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11952  Tx contour defects 5.1-10cc                       R   1.69   1.77     0.84    0.25   3.71  2.780000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11954  Tx contour defects >10.0 cc                       R   1.85   2.31     1.13    0.31   4.47  3.290000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11960  Insert tissue expander(s)                         A  11.49  13.62NA  13.62    1.94  27.05 27.050090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
11970  Replace tissue expander                           A   8.01   8.05NA   8.05    1.38  17.44 17.440090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
11971  Remove tissue expander(s)                         A   3.41   9.32     5.13    0.57  13.30  9.110090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
11976  Remove contraceptive capsule                      R   1.78   2.05     0.70    0.21   4.04  2.690000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11980  Implant hormone pellet(s)                         A   1.10   1.44     0.39    0.12   2.66  1.610000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
11981  Insert drug implant device                        A   1.48   2.24     0.63    0.26   3.98  2.370XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11982  Remove drug implant device                        A   1.78   2.43     0.79    0.31   4.52  2.880XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
11983  Remove/insert drug implant                        A   3.30   2.57     1.25    0.44   6.31  4.990XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
1200F  Seizure type& frequ docd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
12001  Rpr s/n/ax/gen/trnk 2.5cm/<                       A   0.84   1.57     0.32    0.11   2.52  1.270000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12002  Rpr s/n/ax/gen/trnk2.6-7.5cm                      A   1.14   1.78     0.38    0.15   3.07  1.670000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12004  Rpr s/n/ax/gen/trk7.6-12.5cm                      A   1.44   1.98     0.45    0.20   3.62  2.090000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12005  Rpr s/n/a/gen/trk12.6-20.0cm                      A   1.97   2.32     0.47    0.28   4.57  2.720000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12006  Rpr s/n/a/gen/trk20.1-30.0cm                      A   2.39   2.68     0.60    0.35   5.42  3.340000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12007  Rpr s/n/ax/gen/trnk >30.0 cm                      A   2.90   2.96     0.85    0.47   6.33  4.220000.00.00.0020110             35.8043 090 99      0.00   0.00   0.00
12011  Rpr f/e/e/n/l/m 2.5 cm/<                          A   1.07   1.87     0.36    0.15   3.09  1.580000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12013  Rpr f/e/e/n/l/m 2.6-5.0 cm                        A   1.22   1.84     0.27    0.17   3.23  1.660000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12014  Rpr f/e/e/n/l/m 5.1-7.5 cm                        A   1.57   1.99     0.35    0.22   3.78  2.140000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12015  Rpr f/e/e/n/l/m 7.6-12.5 cm                       A   1.98   2.32     0.43    0.28   4.58  2.690000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12016  Rpr fe/e/en/l/m 12.6-20.0 cm                      A   2.68   2.75     0.61    0.39   5.82  3.680000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
12017  Rpr fe/e/en/l/m 20.1-30.0 cm                      A   3.18   0.72NA   0.72    0.51   4.41  4.410000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
12018  Rpr f/e/e/n/l/m >30.0 cm                          A   3.61   0.82NA   0.82    0.57   5.00  5.000000.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
12020  Closure of split wound                            A   2.67   5.01     2.37    0.55   8.23  5.590010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12021  Closure of split wound                            A   1.89   2.52     1.82    0.34   4.75  4.050010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12031  Intmd rpr s/a/t/ext 2.5 cm/<                      A   2.00   4.39     2.08    0.31   6.70  4.390010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12032  Intmd rpr s/a/t/ext 2.6-7.5                       A   2.52   5.68     2.70    0.38   8.58  5.600010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12034  Intmd rpr s/tr/ext 7.6-12.5                       A   2.97   5.37     2.49    0.48   8.82  5.940010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12035  Intmd rpr s/a/t/ext 12.6-20                       A   3.50   6.74     2.81    0.60  10.84  6.910010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12036  Intmd rpr s/a/t/ext 20.1-30                       A   4.23   6.93     3.01    0.79  11.95  8.030010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12037  Intmd rpr s/tr/ext >30.0 cm                       A   5.00   7.62     3.47    0.93  13.55  9.400010.10.80.1020010             35.8043 090 99      0.00   0.00   0.00
12041  Intmd rpr n-hf/genit 2.5cm/<                      A   2.10   4.29     1.91    0.31   6.70  4.320010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12042  Intmd rpr n-hf/genit2.6-7.5                       A   2.79   4.97     2.55    0.42   8.18  5.760010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12044  Intmd rpr n-hf/genit7.6-12.5                      A   3.19   6.49     2.50    0.48  10.16  6.170010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12045  Intmd rpr n-hf/genit12.6-20                       A   3.75   7.07     3.42    0.60  11.42  7.770010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12046  Intmd rpr n-hf/genit20.1-30                       A   4.30   8.26     3.62    1.01  13.57  8.930010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
12047  Intmd rpr n-hf/genit >30.0cm                      A   4.95   8.74     3.95    1.03  14.72  9.930010.10.80.1020210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
12051  Intmd rpr face/mm 2.5 cm/<                        A   2.33   4.62     2.24    0.36   7.31  4.930010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12052  Intmd rpr face/mm 2.6-5.0 cm                      A   2.87   5.03     2.56    0.43   8.33  5.860010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12053  Intmd rpr face/mm 5.1-7.5 cm                      A   3.17   6.12     2.61    0.48   9.77  6.260010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12054  Intmd rpr face/mm 7.6-12.5cm                      A   3.50   6.18     2.37    0.53  10.21  6.400010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12055  Intmd rpr face/mm 12.6-20 cm                      A   4.50   8.05     3.60    0.71  13.26  8.810010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
12056  Intmd rpr face/mm 20.1-30.0                       A   5.30   9.31     4.69    0.88  15.49 10.870010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
12057  Intmd rpr face/mm >30.0 cm                        A   6.00   8.83     4.56    1.15  15.98 11.710010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
1220F  Pt screened for depression                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
13100  Cmplx rpr trunk 1.1-2.5 cm                        A   3.00   6.01     2.47    0.46   9.47  5.930010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
13101  Cmplx rpr trunk 2.6-7.5 cm                        A   3.50   7.17     3.26    0.54  11.21  7.300010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
13102  Cmplx rpr trunk addl 5cm/<                        A   1.24   1.99     0.69    0.22   3.45  2.150ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
13120  Cmplx rpr s/a/l 1.1-2.5 cm                        A   3.23   6.18     3.07    0.50   9.91  6.800010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
13121  Cmplx rpr s/a/l 2.6-7.5 cm                        A   4.00   7.49     3.10    0.61  12.10  7.710010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
13122  Cmplx rpr s/a/l addl 5 cm/>                       A   1.44   2.10     0.79    0.24   3.78  2.470ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
13131  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   3.73   6.62     2.91    0.56  10.91  7.200010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
13132  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   4.78   8.00     3.58    0.72  13.50  9.080010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
13133  Cmplx rpr f/c/c/m/n/ax/g/h/f                      A   2.19   2.55     1.26    0.34   5.08  3.790ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
13151  Cmplx rpr e/n/e/l 1.1-2.5 cm                      A   4.34   6.96     3.28    0.66  11.96  8.280010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
13152  Cmplx rpr e/n/e/l 2.6-7.5 cm                      A   5.34   8.22     3.89    0.82  14.38 10.050010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
13153  Cmplx rpr e/n/e/l addl 5cm/<                      A   2.38   2.75     1.33    0.38   5.51  4.090ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
13160  Late closure of wound                             A  12.04   8.92NA   8.92    2.22  23.18 23.180090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
1400F  Prkns diag rviewed                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
14000  Tis trnfr trunk 10 sq cm/<                        A   6.37  10.18     6.95    1.11  17.66 14.430090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
14001  Tis trnfr trunk 10.1-30sqcm                       A   8.78  12.37     8.44    1.58  22.73 18.800090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
14020  Tis trnfr s/a/l 10 sq cm/<                        A   7.22  11.38     7.93    1.17  19.77 16.320090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
14021  Tis trnfr s/a/l 10.1-30 sqcm                      A   9.72  13.48     9.39    1.55  24.75 20.660090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
14040  Tis trnfr f/c/c/m/n/a/g/h/f                       A   8.60  11.75     8.28    1.30  21.65 18.180090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
14041  Tis trnfr f/c/c/m/n/a/g/h/f                       A  10.83  14.33     9.90    1.65  26.81 22.380090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
14060  Tis trnfr e/n/e/l 10 sq cm/<                      A   9.23  11.48     8.75    1.38  22.09 19.360090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
14061  Tis trnfr e/n/e/l10.1-30sqcm                      A  11.48  15.61    10.72    1.75  28.84 23.950090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
14301  Tis trnfr any 30.1-60 sq cm                       A  12.65  15.92    10.66    2.09  30.66 25.400090.10.71.1920200             35.8043 090 99      0.00   0.00   0.00
14302  Tis trnfr addl 30 sq cm/<                         A   3.73   2.02     2.02    0.65   6.40  6.400ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
14350  Filleted finger/toe flap                          A  11.05   7.67NA   7.67    1.23  19.95 19.950090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
1450F  Symptoms improved/consist                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1451F  Sympt show clin import drop                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1460F  Qual card diag prior 12 mons                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1461F  No qual card diag prior12mon                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1490F  Dem severity classified mild                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1491F  Dem severity classified mod                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1493F  Dem severity class severe                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1494F  Cognit assessed and reviewed                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1500F  Symptom+sign symm polyneuro                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
15002  Wound prep trk/arm/leg                            A   3.65   5.58     2.25    0.64   9.87  6.540000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
15003  Wound prep addl 100 cm                            A   0.80   1.20     0.37    0.15   2.15  1.320ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
15004  Wound prep f/n/hf/g                               A   4.58   6.19     2.58    0.63  11.40  7.790000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
15005  Wnd prep f/n/hf/g addl cm                         A   1.60   1.66     0.74    0.29   3.55  2.630ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
1501F  Not initial eval for cond                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1502F  Pt queried pain fxn w/ instr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1503F  Pt queried symp resp insuff                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
1504F  Pt has resp insufficiency                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
15040  Harvest cultured skin graft                       A   2.00   4.89     1.30    0.39   7.28  3.690000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
1505F  Pt has no resp insufficiency                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
15050  Skin pinch graft                                  A   5.57   9.56     6.31    0.88  16.01 12.760090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15100  Skin splt grft trnk/arm/leg                       A   9.90  12.63     8.76    1.91  24.44 20.570090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15101  Skin splt grft t/a/l add-on                       A   1.72   3.21     1.13    0.36   5.29  3.210ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15110  Epidrm autogrft trnk/arm/leg                      A  10.97  10.16     7.28    1.75  22.88 20.000090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15111  Epidrm autogrft t/a/l add-on                      A   1.85   1.06     0.75    0.41   3.32  3.010ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15115  Epidrm a-grft face/nck/hf/g                       A  11.28  10.55     7.65    1.65  23.48 20.580090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15116  Epidrm a-grft f/n/hf/g addl                       A   2.50   1.31     0.89    0.59   4.40  3.980ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
15120  Skn splt a-grft fac/nck/hf/g                      A  10.15  12.38     8.22    1.72  24.25 20.090090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15121  Skn splt a-grft f/n/hf/g add                      A   2.00   3.54     1.44    0.39   5.93  3.830ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
15130  Derm autograft trnk/arm/leg                       A   7.53  10.20     7.25    1.43  19.16 16.210090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15131  Derm autograft t/a/l add-on                       A   1.50   1.09     0.86    0.26   2.85  2.620ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
15135  Derm autograft face/nck/hf/g                      A  11.03  11.46     8.57    1.57  24.06 21.170090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15136  Derm autograft f/n/hf/g add                       A   1.50   0.97     0.80    0.24   2.71  2.540ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
15150  Cult skin grft t/arm/leg                          A   9.39   8.33     6.67    2.23  19.95 18.290090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15151  Cult skin grft t/a/l addl                         A   2.00   1.05     0.79    0.46   3.51  3.250ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15152  Cult skin graft t/a/l +%                          A   2.50   1.23     0.96    0.58   4.31  4.040ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15155  Cult skin graft f/n/hf/g                          A  10.14   9.07     7.56    1.41  20.62 19.110090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15156  Cult skin grft f/n/hfg add                        A   2.75   1.22     0.99    0.57   4.54  4.310ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
15157  Cult epiderm grft f/n/hfg +%                      A   3.00   1.57     1.25    0.42   4.99  4.670ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
15200  Skin full graft trunk                             A   9.15  12.86     8.55    1.61  23.62 19.310090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15201  Skin full graft trunk add-on                      A   1.32   2.64     0.71    0.24   4.20  2.270ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15220  Skin full graft sclp/arm/leg                      A   8.09  12.47     8.25    1.33  21.89 17.670090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15221  Skin full graft add-on                            A   1.19   2.48     0.66    0.21   3.88  2.060ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15240  Skin full grft face/genit/hf                      A  10.41  14.47    10.95    1.67  26.55 23.030090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15241  Skin full graft add-on                            A   1.86   3.08     1.05    0.31   5.25  3.220ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15260  Skin full graft een & lips                        A  11.64  15.45    11.36    1.71  28.80 24.710090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15261  Skin full graft add-on                            A   2.23   3.56     1.47    0.35   6.14  4.050ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15271  Skin sub graft trnk/arm/leg                       A   1.50   2.28     0.73    0.21   3.99  2.440000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
15272  Skin sub graft t/a/l add-on                       A   0.33   0.39     0.12    0.05   0.77  0.500ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15273  Skin sub grft t/arm/lg child                      A   3.50   4.32     1.70    0.64   8.46  5.840000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
15274  Skn sub grft t/a/l child add                      A   0.80   1.06     0.36    0.17   2.03  1.330ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15275  Skin sub graft face/nk/hf/g                       A   1.83   2.22     0.74    0.18   4.23  2.750000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
15276  Skin sub graft f/n/hf/g addl                      A   0.50   0.42     0.16    0.06   0.98  0.720ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15277  Skn sub grft f/n/hf/g child                       A   4.00   4.52     1.84    0.65   9.17  6.490000.00.00.0020110             35.8043 090 99      0.00   0.00   0.00
15278  Skn sub grft f/n/hf/g ch add                      A   1.00   1.22     0.45    0.20   2.42  1.650ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
15570  Skin pedicle flap trunk                           A  10.21  13.92     9.07    1.86  25.99 21.140090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15572  Skin pedicle flap arms/legs                       A  10.12  13.38     9.57    1.73  25.23 21.420090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15574  Pedcle fh/ch/ch/m/n/ax/g/h/f                      A  10.70  13.58     9.62    1.73  26.01 22.050090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15576  Pedicle e/n/e/l/ntroral                           A   9.37  12.18     8.52    1.39  22.94 19.280090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15600  Delay flap trunk                                  A   2.01   6.78     3.57    0.34   9.13  5.920090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15610  Delay flap arms/legs                              A   2.52   7.11     3.95    0.43  10.06  6.900090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15620  Delay flap f/c/c/n/ax/g/h/f                       A   3.75   8.12     5.00    0.60  12.47  9.350090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15630  Delay flap eye/nos/ear/lip                        A   4.08   8.31     5.22    0.64  13.03  9.940090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15650  Transfer skin pedicle flap                        A   4.77   8.76     5.43    0.76  14.29 10.960090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15731  Forehead flap w/vasc pedicle                      A  14.38  15.52    12.35    2.26  32.16 28.990090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15732  Muscle-skin graft head/neck                       A  16.38  18.04    13.46    2.24  36.66 32.080090.10.71.1920110             35.8043 090 99      0.00   0.00   0.00
15734  Muscle-skin graft trunk                           A  19.86  19.16    14.15    3.96  42.98 37.970090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15736  Muscle-skin graft arm                             A  17.04  17.55    12.62    3.11  37.70 32.770090.10.71.1920110             35.8043 090 99      0.00   0.00   0.00
15738  Muscle-skin graft leg                             A  19.04  17.54    12.91    3.50  40.08 35.450090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15740  Island pedicle flap graft                         A  11.80  15.36    10.91    1.84  29.00 24.550090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15750  Neurovascular pedicle flap                        A  12.96  11.16NA  11.16    2.26  26.38 26.380090.10.71.1920200             35.8043 090 99      0.00   0.00   0.00
15756  Free myo/skin flap microvasc                      A  36.94  24.01NA  24.01    6.08  67.03 67.030090.10.71.1920220             35.8043 090 99      0.00   0.00   0.00
15757  Free skin flap microvasc                          A  37.15  23.23NA  23.23    5.84  66.22 66.220090.10.71.1920220             35.8043 090 99      0.00   0.00   0.00
15758  Free fascial flap microvasc                       A  36.90  23.49NA  23.49    5.93  66.32 66.320090.10.71.1920220             35.8043 090 99      0.00   0.00   0.00
15760  Composite skin graft                              A   9.86  12.98     9.06    1.46  24.30 20.380090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15770  Derma-fat-fascia graft                            A   8.96   8.84NA   8.84    1.48  19.28 19.280090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15775  Hair trnspl 1-15 punch grfts                      R   3.95   4.07     1.93    0.54   8.56  6.420000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
15776  Hair trnspl >15 punch grafts                      R   5.53   7.65     3.81    0.92  14.10 10.260000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
15777  Acellular derm matrix implt                       A   3.65   1.82     1.82    0.69   6.16  6.160ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
15780  Dermabrasion total face                           A   8.73  14.02     8.25    1.17  23.92 18.150090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15781  Dermabrasion segmental face                       A   5.02   9.91     6.58    0.84  15.77 12.440090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15782  Dermabrasion other than face                      A   4.44  12.92     7.66    0.68  18.04 12.780090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15783  Dermabrasion suprfl any site                      A   4.41   8.16     5.26    0.67  13.24 10.340090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15786  Abrasion lesion single                            A   2.08   4.61     1.57    0.24   6.93  3.890010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
15787  Abrasion lesions add-on                           A   0.33   1.03     0.14    0.03   1.39  0.500ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
15788  Chemical peel face epiderm                        R   2.09  10.67     4.68    0.30  13.06  7.070090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15789  Chemical peel face dermal                         R   4.91   9.89     6.16    0.79  15.59 11.860090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15792  Chemical peel nonfacial                           R   1.86  10.39     5.35    0.32  12.57  7.530090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15793  Chemical peel nonfacial                           A   3.96   9.43     5.96    0.60  13.99 10.520090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15819  Plastic surgery neck                              A  10.65   8.83NA   8.83    1.63  21.11 21.110090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15820  Revision of lower eyelid                          A   6.27   9.16     7.62    0.52  15.95 14.410090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
15821  Revision of lower eyelid                          A   6.84   9.71     7.99    0.64  17.19 15.470090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
15822  Revision of upper eyelid                          A   4.62   7.52     6.00    0.48  12.62 11.100090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
15823  Revision of upper eyelid                          A   6.81   9.82     8.07    0.56  17.19 15.440090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
15824  Removal of forehead wrinkles                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
15825  Removal of neck wrinkles                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
15826  Removal of brow wrinkles                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
15828  Removal of face wrinkles                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
15829  Removal of skin wrinkles                          R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
15830  Exc skin abd                                      R  17.11  13.38NA  13.38    3.18  33.67 33.670090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15832  Excise excessive skin thigh                       A  12.85  11.22NA  11.22    2.26  26.33 26.330090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
15833  Excise excessive skin leg                         A  11.90  10.72NA  10.72    2.07  24.69 24.690090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
15834  Excise excessive skin hip                         A  12.17  11.19NA  11.19    2.08  25.44 25.440090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
15835  Excise excessive skin buttck                      A  12.99  11.33NA  11.33    2.31  26.63 26.630090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15836  Excise excessive skin arm                         A  10.61   9.23NA   9.23    2.01  21.85 21.850090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
15837  Excise excess skin arm/hand                       A   9.55  11.51     7.80    1.92  22.98 19.270090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15838  Excise excess skin fat pad                        A   8.25   6.96NA   6.96    1.23  16.44 16.440090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15839  Excise excess skin & tissue                       A  10.50  12.86     8.85    1.83  25.19 21.180090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15840  Nerve palsy fascial graft                         A  14.99  11.81NA  11.81    2.20  29.00 29.000090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15841  Nerve palsy muscle graft                          A  25.99  16.11NA  16.11    4.45  46.55 46.550090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15842  Nerve palsy microsurg graft                       A  41.01  27.71NA  27.71    7.01  75.73 75.730090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15845  Skin and muscle repair face                       A  14.32  13.07NA  13.07    1.37  28.76 28.760090.10.71.1920200             35.8043 090 99      0.00   0.00   0.00
15847  Exc skin abd add-on                               C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
15850  Remove sutures same surgeon                       B+  0.78   1.63     0.30    0.11   2.52  1.199XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
15851  Remove sutures diff surgeon                       A   0.86   1.85     0.36    0.09   2.80  1.310000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
15852  Dressing change not for burn                      A   0.86   0.35NA   0.35    0.14   1.35  1.350000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
15860  Test for blood flow in graft                      A   1.95   0.89NA   0.89    0.35   3.19  3.190000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
15876  Suction lipectomy head&neck                       R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
15877  Suction lipectomy trunk                           R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
15878  Suction lipectomy upr extrem                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
15879  Suction lipectomy lwr extrem                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
15920  Removal of tail bone ulcer                        A   8.29   7.27NA   7.27    1.78  17.34 17.340090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15922  Removal of tail bone ulcer                        A  10.38  10.21NA  10.21    1.77  22.36 22.360090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15931  Remove sacrum pressure sore                       A  10.07   7.41NA   7.41    2.25  19.73 19.730090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15933  Remove sacrum pressure sore                       A  11.77  10.15NA  10.15    2.42  24.34 24.340090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15934  Remove sacrum pressure sore                       A  13.68  10.09NA  10.09    2.87  26.64 26.640090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15935  Remove sacrum pressure sore                       A  15.78  12.44NA  12.44    3.17  31.39 31.390090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15936  Remove sacrum pressure sore                       A  13.16   9.80NA   9.80    2.63  25.59 25.590090.10.71.1920110             35.8043 090 99      0.00   0.00   0.00
15937  Remove sacrum pressure sore                       A  15.14  11.60NA  11.60    2.93  29.67 29.670090.10.71.1920110             35.8043 090 99      0.00   0.00   0.00
15940  Remove hip pressure sore                          A  10.20   7.80NA   7.80    2.12  20.12 20.120090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15941  Remove hip pressure sore                          A  12.41  10.98NA  10.98    2.39  25.78 25.780090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15944  Remove hip pressure sore                          A  12.44  10.59NA  10.59    2.37  25.40 25.400090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15945  Remove hip pressure sore                          A  13.75  11.65NA  11.65    2.59  27.99 27.990090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
15946  Remove hip pressure sore                          A  24.12  18.37NA  18.37    4.47  46.96 46.960090.10.71.1920110             35.8043 090 99      0.00   0.00   0.00
15950  Remove thigh pressure sore                        A   8.03   7.24NA   7.24    1.70  16.97 16.970090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
15951  Remove thigh pressure sore                        A  11.58  11.59NA  11.59    1.98  25.15 25.150090.10.71.1920010             35.8043 090 99      0.00   0.00   0.00
15952  Remove thigh pressure sore                        A  12.31  11.28NA  11.28    2.09  25.68 25.680090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
15953  Remove thigh pressure sore                        A  13.57  12.59NA  12.59    2.32  28.48 28.480090.10.71.1920110             35.8043 090 99      0.00   0.00   0.00
15956  Remove thigh pressure sore                        A  16.79  13.08NA  13.08    3.22  33.09 33.090090.10.71.1920110             35.8043 090 99      0.00   0.00   0.00
15958  Remove thigh pressure sore                        A  16.75  13.75NA  13.75    3.14  33.64 33.640090.10.71.1920110             35.8043 090 99      0.00   0.00   0.00
15999  Removal of pressure sore                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
16000  Initial treatment of burn(s)                      A   0.89   0.95     0.32    0.11   1.95  1.320000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
16020  Dress/debrid p-thick burn s                       A   0.71   1.51     0.75    0.09   2.31  1.550000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
16025  Dress/debrid p-thick burn m                       A   1.74   2.19     1.20    0.25   4.18  3.190000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
16030  Dress/debrid p-thick burn l                       A   2.08   2.85     1.42    0.34   5.27  3.840000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
16035  Incision of burn scab initi                       A   3.74   1.36NA   1.36    0.51   5.61  5.610000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
16036  Escharotomy addl incision                         A   1.50   0.57NA   0.57    0.26   2.33  2.330ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
17000  Destruct premalg lesion                           A   0.61   1.19     0.82    0.09   1.89  1.520010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17003  Destruct premalg les 2-14                         A   0.04   0.11     0.02    0.01   0.16  0.070ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
17004  Destroy premal lesions 15/>                       A   1.37   2.68     1.29    0.20   4.25  2.860010.10.80.1000100             35.8043 090 99      0.00   0.00   0.00
17106  Destruction of skin lesions                       A   3.69   5.47     3.69    0.52   9.68  7.900090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
17107  Destruction of skin lesions                       A   4.79   6.84     4.47    0.68  12.31  9.940090.10.71.1920100             35.8043 090 99      0.00   0.00   0.00
17108  Destruction of skin lesions                       A   7.49   9.51     6.44    1.15  18.15 15.080090.10.71.1920000             35.8043 090 99      0.00   0.00   0.00
17110  Destruct b9 lesion 1-14                           A   0.70   2.34     1.20    0.09   3.13  1.990010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17111  Destruct lesion 15 or more                        A   0.97   2.61     1.35    0.13   3.71  2.450010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17250  Chemical cautery tissue                           A   0.50   1.67     0.49    0.07   2.24  1.060000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
17260  Destruction of skin lesions                       A   0.96   1.58     0.91    0.14   2.68  2.010010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17261  Destruction of skin lesions                       A   1.22   2.66     1.22    0.18   4.06  2.620010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17262  Destruction of skin lesions                       A   1.63   3.08     1.47    0.24   4.95  3.340010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17263  Destruction of skin lesions                       A   1.84   3.30     1.60    0.27   5.41  3.710010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17264  Destruction of skin lesions                       A   1.99   3.52     1.68    0.29   5.80  3.960010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17266  Destruction of skin lesions                       A   2.39   3.85     1.90    0.34   6.58  4.630010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17270  Destruction of skin lesions                       A   1.37   2.69     1.29    0.20   4.26  2.860010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17271  Destruction of skin lesions                       A   1.54   2.85     1.42    0.22   4.61  3.180010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17272  Destruction of skin lesions                       A   1.82   3.18     1.59    0.27   5.27  3.680010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17273  Destruction of skin lesions                       A   2.10   3.48     1.75    0.30   5.88  4.150010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17274  Destruction of skin lesions                       A   2.64   3.93     2.05    0.38   6.95  5.070010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17276  Destruction of skin lesions                       A   3.25   4.34     2.38    0.46   8.05  6.090010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17280  Destruction of skin lesions                       A   1.22   2.58     1.20    0.18   3.98  2.600010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17281  Destruction of skin lesions                       A   1.77   3.00     1.55    0.26   5.03  3.580010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17282  Destruction of skin lesions                       A   2.09   3.39     1.74    0.31   5.79  4.140010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17283  Destruction of skin lesions                       A   2.69   3.85     2.09    0.39   6.93  5.170010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17284  Destruction of skin lesions                       A   3.20   4.26     2.37    0.46   7.92  6.030010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17286  Destruction of skin lesions                       A   4.48   5.02     2.94    0.67  10.17  8.090010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17311  Mohs 1 stage h/n/hf/g                             A   6.20  11.58     3.77    0.94  18.72 10.910000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
17312  Mohs addl stage                                   A   3.30   7.20     2.00    0.50  11.00  5.800ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
17313  Mohs 1 stage t/a/l                                A   5.56  11.10     3.38    0.84  17.50  9.780000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
17314  Mohs addl stage t/a/l                             A   3.06   7.03     1.86    0.46  10.55  5.380ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
17315  Mohs surg addl block                              A   0.87   1.26     0.53    0.13   2.26  1.530ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
17340  Cryotherapy of skin                               A   0.77   0.60     0.54    0.09   1.46  1.400010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17360  Skin peel therapy                                 A   1.46   1.98     1.15    0.21   3.65  2.820010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
17380  Hair removal by electrolysis                      R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
17999  Skin tissue procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
19000  Drainage of breast lesion                         A   0.84   2.26     0.31    0.11   3.21  1.260000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
19001  Drain breast lesion add-on                        A   0.42   0.30     0.16    0.05   0.77  0.630ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
19020  Incision of breast lesion                         A   3.83   8.73     4.08    0.86  13.42  8.770090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19030  Injection for breast x-ray                        A   1.53   3.02     0.57    0.14   4.69  2.240000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
19081  Bx breast 1st lesion strtctc                      A   3.29  16.02     1.22    0.39  19.70  4.900000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19082  Bx breast add lesion strtctc                      A   1.65  14.44     0.61    0.19  16.28  2.450ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
19083  Bx breast 1st lesion us imag                      A   3.10  15.61     1.15    0.34  19.05  4.590000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19084  Bx breast add lesion us imag                      A   1.55  13.94     0.58    0.17  15.66  2.300ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
19085  Bx breast 1st lesion mr imag                      A   3.64  25.22     1.35    0.40  29.26  5.390000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19086  Bx breast add lesion mr imag                      A   1.82  21.19     0.68    0.17  23.18  2.670ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
19100  Bx breast percut w/o image                        A   1.27   2.72     0.46    0.29   4.28  2.020000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
19101  Biopsy of breast open                             A   3.23   5.74     2.40    0.74   9.71  6.370010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
19105  Cryosurg ablate fa each                           A   3.69  56.67     1.54    0.38  60.74  5.610000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
19110  Nipple exploration                                A   4.44   8.31     4.33    1.05  13.80  9.820090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19112  Excise breast duct fistula                        A   3.81   8.24     4.19    0.92  12.97  8.920090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
19120  Removal of breast lesion                          A   5.92   6.79     4.57    1.40  14.11 11.890090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19125  Excision breast lesion                            A   6.69   7.35     4.92    1.61  15.65 13.220090.10.71.1921110             35.8043 090 99      0.00   0.00   0.00
19126  Excision addl breast lesion                       A   2.93   1.05NA   1.05    0.70   4.68  4.680ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
19260  Removal of chest wall lesion                      A  17.78  12.78NA  12.78    4.14  34.70 34.700090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
19271  Revision of chest wall                            A  22.19  19.61NA  19.61    5.16  46.96 46.960090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
19272  Extensive chest wall surgery                      A  25.17  20.42NA  20.42    5.75  51.34 51.340090.10.71.1920210             35.8043 090 99      0.00   0.00   0.00
19281  Perq device breast 1st imag                       A   2.00   4.62     0.75    0.18   6.80  2.930000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19282  Perq device breast ea imag                        A   1.00   3.66     0.37    0.10   4.76  1.470ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
19283  Perq dev breast 1st strtctc                       A   2.00   5.44     0.74    0.21   7.65  2.950000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19284  Perq dev breast add strtctc                       A   1.00   4.65     0.37    0.12   5.77  1.490ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
19285  Perq dev breast 1st us imag                       A   1.70  12.75     0.63    0.17  14.62  2.500000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19286  Perq dev breast add us imag                       A   0.85  11.90     0.32    0.09  12.84  1.260ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
19287  Perq dev breast 1st mr guide                      A   2.55  21.64     0.95    0.25  24.44  3.750000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19288  Perq dev breast add mr guide                      A   1.28  18.32     0.48    0.11  19.71  1.870ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
19296  Place po breast cath for rad                      A   3.63 107.71     1.63    0.84 112.18  6.100000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19297  Place breast cath for rad                         A   1.72   0.62NA   0.62    0.41   2.75  2.750ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
19298  Place breast rad tube/caths                       A   6.00  23.05     2.60    0.83  29.88  9.430000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19300  Removal of breast tissue                          A   5.31   8.38     5.32    1.22  14.91 11.850090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19301  Partial mastectomy                                A  10.13   6.27NA   6.27    2.41  18.81 18.810090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
19302  P-mastectomy w/ln removal                         A  13.99   8.58NA   8.58    3.35  25.92 25.920090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19303  Mast simple complete                              A  15.85   9.50NA   9.50    3.78  29.13 29.130090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19304  Mast subq                                         A   7.95   6.69NA   6.69    1.87  16.51 16.510090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19305  Mast radical                                      A  17.46  10.95NA  10.95    4.10  32.51 32.510090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19306  Mast rad urban type                               A  18.13  12.06NA  12.06    4.39  34.58 34.580090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19307  Mast mod rad                                      A  18.23  11.90NA  11.90    4.36  34.49 34.490090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19316  Suspension of breast                              A  11.09   8.98NA   8.98    2.02  22.09 22.090090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19318  Reduction of large breast                         A  16.03  12.86NA  12.86    2.74  31.63 31.630090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19324  Enlarge breast                                    A   6.80   5.66NA   5.66    1.62  14.08 14.080090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
19325  Enlarge breast with implant                       A   8.64   8.28NA   8.28    1.43  18.35 18.350090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
19328  Removal of breast implant                         A   6.48   6.57NA   6.57    1.15  14.20 14.200090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19330  Removal of implant material                       A   8.54   8.14NA   8.14    1.51  18.19 18.190090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19340  Immediate breast prosthesis                       A  13.99  12.39NA  12.39    2.41  28.79 28.790090.10.71.1921110             35.8043 090 99      0.00   0.00   0.00
19342  Delayed breast prosthesis                         A  12.63  11.69NA  11.69    2.13  26.45 26.450090.10.71.1921010             35.8043 090 99      0.00   0.00   0.00
19350  Breast reconstruction                             A   9.11  12.77     8.61    1.58  23.46 19.300090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19355  Correct inverted nipple(s)                        A   8.52   9.51     5.87    2.08  20.11 16.470090.10.71.1921000             35.8043 090 99      0.00   0.00   0.00
19357  Breast reconstruction                             A  18.50  21.47NA  21.47    3.18  43.15 43.150090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19361  Breast reconstr w/lat flap                        A  23.36  17.88NA  17.88    4.00  45.24 45.240090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19364  Breast reconstruction                             A  42.58  29.36NA  29.36    7.30  79.24 79.240090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19366  Breast reconstruction                             A  21.84  14.53NA  14.53    4.11  40.48 40.480090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19367  Breast reconstruction                             A  26.80  20.06NA  20.06    4.58  51.44 51.440090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19368  Breast reconstruction                             A  33.90  23.62NA  23.62    5.79  63.31 63.310090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19369  Breast reconstruction                             A  31.31  22.00NA  22.00    5.50  58.81 58.810090.10.71.1921210             35.8043 090 99      0.00   0.00   0.00
19370  Surgery of breast capsule                         A   9.17   8.90NA   8.90    1.59  19.66 19.660090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19371  Removal of breast capsule                         A  10.62  10.02NA  10.02    1.84  22.48 22.480090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19380  Revise breast reconstruction                      A  10.41   9.95NA   9.95    1.80  22.16 22.160090.10.71.1921100             35.8043 090 99      0.00   0.00   0.00
19396  Design custom breast implant                      A   2.17   5.36     1.51    0.35   7.88  4.030000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
19499  Breast surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
2000F  Blood pressure measure                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20005  I&d abscess subfascial                            A   3.58   4.68     2.57    0.57   8.83  6.720010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
2001F  Weight record                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2004F  Initial exam involved joints                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2010F  Vital signs recorded                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20100  Explore wound neck                                A  10.38   5.03NA   5.03    2.14  17.55 17.550010.10.80.1021200             35.8043 090 99      0.00   0.00   0.00
20101  Explore wound chest                               A   3.23   8.79     2.02    0.77  12.79  6.020010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20102  Explore wound abdomen                             A   3.98   9.11     2.50    0.91  14.00  7.390010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20103  Explore wound extremity                           A   5.34  10.30     3.74    0.94  16.58 10.020010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
2014F  Mental status assess                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2015F  Asthma impairment assessed                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20150  Excise epiphyseal bar                             A  14.75   8.94NA   8.94    2.28  25.97 25.970090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
2016F  Asthma risk assessed                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2018F  Hydration status assess                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2019F  Dilated macul exam done                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2020F  Dilated fundus eval done                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20200  Muscle biopsy                                     A   1.46   4.07     0.93    0.37   5.90  2.760000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20205  Deep muscle biopsy                                A   2.35   5.26     1.52    0.64   8.25  4.510000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20206  Needle biopsy muscle                              A   0.99   5.63     0.62    0.10   6.72  1.710000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
2021F  Dilat macular exam done                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20220  Bone biopsy trocar/needle                         A   1.27   3.41     0.71    0.12   4.80  2.100000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20225  Bone biopsy trocar/needle                         A   1.87  12.91     1.08    0.19  14.97  3.140000.00.00.0020100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20240  Bone biopsy excisional                            A   2.61   1.46NA   1.46    0.38   4.45  4.450000.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20245  Bone biopsy excisional                            A   8.95   4.46NA   4.46    1.52  14.93 14.930010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20250  Open bone biopsy                                  A   5.19   4.67NA   4.67    1.41  11.27 11.270010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20251  Open bone biopsy                                  A   5.72   4.99NA   4.99    1.53  12.24 12.240010.10.80.1020200             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2028F  Foot exam performed                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2030F  H2o stat docd normal                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2031F  H2o stat docd dehydrated                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2035F  Tymp memb motion examd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
2040F  Bk pn xm on init visit date                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20500  Injection of sinus tract                          A   1.28   1.56     1.02    0.12   2.96  2.420010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20501  Inject sinus tract for x-ray                      A   0.76   2.53     0.27    0.07   3.36  1.100000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20520  Removal of foreign body                           A   1.90   3.62     2.02    0.27   5.79  4.190010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20525  Removal of foreign body                           A   3.54   9.46     2.96    0.65  13.65  7.150010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20526  Ther injection carp tunnel                        A   0.94   1.09     0.55    0.16   2.19  1.650000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20527  Inj dupuytren cord w/enzyme                       A   1.00   1.21     0.73    0.18   2.39  1.910000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20550  Inj tendon sheath/ligament                        A   0.75   0.83     0.36    0.09   1.67  1.200000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20551  Inj tendon origin/insertion                       A   0.75   0.88     0.39    0.08   1.71  1.220000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20552  Inj trigger point 1/2 muscl                       A   0.66   0.84     0.36    0.07   1.57  1.090000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20553  Inject trigger points 3/>                         A   0.75   0.98     0.41    0.08   1.81  1.240000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20555  Place ndl musc/tis for rt                         A   6.00   2.61NA   2.61    0.82   9.43  9.430000.00.00.0020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20600  Drain/inj joint/bursa w/o us                      A   0.66   0.62     0.29    0.07   1.35  1.020000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20604  Drain/inj joint/bursa w/us                        A   0.89   1.06     0.33    0.10   2.05  1.320000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20605  Drain/inj joint/bursa w/o us                      A   0.68   0.66     0.31    0.08   1.42  1.070000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20606  Drain/inj joint/bursa w/us                        A   1.00   1.15     0.39    0.12   2.27  1.510000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20610  Drain/inj joint/bursa w/o us                      A   0.79   0.80     0.41    0.12   1.71  1.320000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20611  Drain/inj joint/bursa w/us                        A   1.10   1.34     0.51    0.16   2.60  1.770000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20612  Aspirate/inj ganglion cyst                        A   0.70   0.93     0.41    0.09   1.72  1.200000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20615  Treatment of bone cyst                            A   2.33   4.33     2.06    0.30   6.96  4.690010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20650  Insert and remove bone pin                        A   2.28   3.31     1.90    0.31   5.90  4.490010.10.80.1020110             35.8043 090 99      0.00   0.00   0.00
20660  Apply rem fixation device                         A   4.00   1.86NA   1.86    1.27   7.13  7.130000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
20661  Application of head brace                         A   5.26   7.46NA   7.46    1.87  14.59 14.590090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
20662  Application of pelvis brace                       A   6.38   5.62NA   5.62    0.41  12.41 12.410090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
20663  Application of thigh brace                        A   5.74   6.54NA   6.54    1.18  13.46 13.460090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
20664  Application of halo                               A  10.06  11.16NA  11.16    4.19  25.41 25.410090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
20665  Removal of fixation device                        A   1.36   1.54     1.13    0.10   3.00  2.590010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
20670  Removal of support implant                        A   1.79   8.71     2.15    0.28  10.78  4.220010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
20680  Removal of support implant                        A   5.96  10.67     5.20    1.02  17.65 12.180090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
20690  Apply bone fixation device                        A   8.78   6.61NA   6.61    1.71  17.10 17.100090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
20692  Apply bone fixation device                        A  16.27  13.07NA  13.07    2.84  32.18 32.180090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20693  Adjust bone fixation device                       A   6.06   5.74NA   5.74    1.01  12.81 12.810090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
20694  Remove bone fixation device                       A   4.28   7.08     4.65    0.79  12.15  9.720090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
20696  Comp multiplane ext fixation                      A  17.56  13.75NA  13.75    3.34  34.65 34.650090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20697  Comp ext fixate strut change                      A   0.00  56.23    56.23NA  0.02  56.25 56.253000.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
20802  Replantation arm complete                         A  42.62  20.82NA  20.82    5.83  69.27 69.270090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
20805  Replant forearm complete                          A  51.46  33.59NA  33.59   10.17  95.22 95.220090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
20808  Replantation hand complete                        A  63.09  41.07NA  41.07   11.78 115.94115.940090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
20816  Replantation digit complete                       A  31.95  21.25NA  21.25    6.51  59.71 59.710090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20822  Replantation digit complete                       A  26.66  20.57NA  20.57    4.34  51.57 51.570090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20824  Replantation thumb complete                       A  31.95  20.39NA  20.39    6.35  58.69 58.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
20827  Replantation thumb complete                       A  27.48  19.66NA  19.66    5.53  52.67 52.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
20838  Replantation foot complete                        A  42.88  21.23NA  21.23    5.87  69.98 69.980090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
20900  Removal of bone for graft                         A   3.00   8.38     1.93    0.55  11.93  5.480000.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
20902  Removal of bone for graft                         A   4.58   2.80NA   2.80    0.88   8.26  8.260000.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
20910  Remove cartilage for graft                        A   5.53   5.47NA   5.47    0.81  11.81 11.810090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
20912  Remove cartilage for graft                        A   6.54   6.28NA   6.28    1.00  13.82 13.820090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
20920  Removal of fascia for graft                       A   5.51   5.03NA   5.03    0.79  11.33 11.330090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
20922  Removal of fascia for graft                       A   6.93   8.87     5.88    1.62  17.42 14.430090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20924  Removal of tendon for graft                       A   6.68   6.61NA   6.61    1.24  14.53 14.530090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20926  Removal of tissue for graft                       A   5.79   5.52NA   5.52    1.06  12.37 12.370090.10.69.2120100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20931  Sp bone algrft struct add-on                      A   1.81   0.87NA   0.87    0.61   3.29  3.290ZZZ.00.00.0000110             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
20937  Sp bone agrft morsel add-on                       A   2.79   1.37NA   1.37    0.73   4.89  4.890ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
20938  Sp bone agrft struct add-on                       A   3.02   1.46NA   1.46    0.92   5.40  5.400ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
20950  Fluid pressure muscle                             A   1.26   5.69     1.14    0.23   7.18  2.630000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
20955  Fibula bone graft microvasc                       A  40.26  25.58NA  25.58    6.57  72.41 72.410090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20956  Iliac bone graft microvasc                        A  41.18  26.87NA  26.87    8.63  76.68 76.680090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20957  Mt bone graft microvasc                           A  42.61  22.61NA  22.61    5.57  70.79 70.790090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20962  Other bone graft microvasc                        A  39.21  18.11NA  18.11    3.73  61.05 61.050090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20969  Bone/skin graft microvasc                         A  45.43  27.50NA  27.50    7.07  80.00 80.000090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20970  Bone/skin graft iliac crest                       A  44.58  29.05NA  29.05   10.91  84.54 84.540090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
20972  Bone/skin graft metatarsal                        A  44.51  19.40NA  19.40    4.35  68.26 68.260090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
20973  Bone/skin graft great toe                         A  47.27  22.42NA  22.42    6.47  76.16 76.160090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
20974  Electrical bone stimulation                       A   0.62   1.42     0.69    0.14   2.18  1.450000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
20975  Electrical bone stimulation                       A   2.60   1.90NA   1.90    0.65   5.15  5.150000.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
20979  Us bone stimulation                               A   0.62   0.79     0.23    0.08   1.49  0.930000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
20982  Ablate bone tumor(s) perq                         A   7.27  77.86     2.95    0.82  85.95 11.040000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20983  Ablate bone tumor(s) perq                         A   7.13 198.30     3.55    1.08 206.51 11.760000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
20985  Cptr-asst dir ms px                               A   2.50   1.26NA   1.26    0.50   4.26  4.260ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
20999  Musculoskeletal surgery                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
21010  Incision of jaw joint                             A  11.04   8.72NA   8.72    1.64  21.40 21.400090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21011  Exc face les sc <2 cm                             A   2.99   6.40     3.91    0.55   9.94  7.450090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21012  Exc face les sbq 2 cm/>                           A   4.45   4.39NA   4.39    0.91   9.75  9.750090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21013  Exc face tum deep < 2 cm                          A   5.42   8.44     5.16    0.96  14.82 11.540090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21014  Exc face tum deep 2 cm/>                          A   7.13   6.53NA   6.53    1.34  15.00 15.000090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21015  Resect face/scalp tum < 2 cm                      A   9.89   8.74NA   8.74    1.81  20.44 20.440090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21016  Resect face/scalp tum 2 cm/>                      A  15.26  11.47NA  11.47    2.77  29.50 29.500090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21025  Excision of bone lower jaw                        A  10.03  14.10    10.15    1.68  25.81 21.860090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21026  Excision of facial bone(s)                        A   5.70  11.19     7.83    0.93  17.82 14.460090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21029  Contour of face bone lesion                       A   8.39  12.33     8.69    1.32  22.04 18.400090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21030  Excise max/zygoma b9 tumor                        A   4.91   9.27     6.41    0.83  15.01 12.150090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
21031  Remove exostosis mandible                         A   3.30   7.57     4.73    0.56  11.43  8.590090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
21032  Remove exostosis maxilla                          A   3.34   7.71     4.60    0.57  11.62  8.510090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21034  Excise max/zygoma mal tumor                       A  17.38  17.91    13.47    2.69  37.98 33.540090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21040  Excise mandible lesion                            A   4.91   9.38     6.43    0.83  15.12 12.170090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21044  Removal of jaw bone lesion                        A  12.80  10.63NA  10.63    1.95  25.38 25.380090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21045  Extensive jaw surgery                             A  18.37  14.36NA  14.36    2.85  35.58 35.580090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21046  Remove mandible cyst complex                      A  14.21  15.89NA  15.89    2.41  32.51 32.510090.10.69.2120010             35.8043 090 99      0.00   0.00   0.00
21047  Excise lwr jaw cyst w/repair                      A  20.07  15.00NA  15.00    3.28  38.35 38.350090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21048  Remove maxilla cyst complex                       A  14.71  16.14NA  16.14    2.48  33.33 33.330090.10.69.2120010             35.8043 090 99      0.00   0.00   0.00
21049  Excis uppr jaw cyst w/repair                      A  19.32  12.97NA  12.97    2.84  35.13 35.130090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21050  Removal of jaw joint                              A  11.76  10.77NA  10.77    1.80  24.33 24.330090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21060  Remove jaw joint cartilage                        A  11.07  10.26NA  10.26    1.71  23.04 23.040090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21070  Remove coronoid process                           A   8.62   7.80NA   7.80    1.24  17.66 17.660090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21073  Mnpj of tmj w/anesth                              A   3.45   7.13     3.32    0.58  11.16  7.350090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21076  Prepare face/oral prosthesis                      A  13.40  13.42     8.78    2.28  29.10 24.460010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
21077  Prepare face/oral prosthesis                      A  33.70  33.56    22.01    5.73  72.99 61.440090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21079  Prepare face/oral prosthesis                      A  22.31  23.01    14.78    3.80  49.12 40.890090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21080  Prepare face/oral prosthesis                      A  25.06  25.88    16.26    4.19  55.13 45.510090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21081  Prepare face/oral prosthesis                      A  22.85  24.19    15.14    3.88  50.92 41.870090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21082  Prepare face/oral prosthesis                      A  20.84  23.74    14.89    3.55  48.13 39.280090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21083  Prepare face/oral prosthesis                      A  19.27  23.31    13.91    3.28  45.86 36.460090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21084  Prepare face/oral prosthesis                      A  22.48  26.40    15.97    3.84  52.72 42.290090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21085  Prepare face/oral prosthesis                      A   8.99  11.54     6.06    1.52  22.05 16.570010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
21086  Prepare face/oral prosthesis                      A  24.88  25.16    16.39    4.25  54.29 45.520090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21087  Prepare face/oral prosthesis                      A  24.88  25.08    16.30    4.24  54.20 45.420090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21088  Prepare face/oral prosthesis                      C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.2100000             35.8043 090 99      0.00   0.00   0.00
21089  Prepare face/oral prosthesis                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000111             35.8043 090 99      0.00   0.00   0.00
21100  Maxillofacial fixation                            A   4.73  23.38     8.26    1.47  29.58 14.460090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21110  Interdental fixation                              A   5.99  16.28    12.55    1.02  23.29 19.560090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21116  Injection jaw joint x-ray                         A   0.81   3.25     0.36    0.10   4.16  1.270000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
21120  Reconstruction of chin                            A   5.10  13.00     9.09    0.87  18.97 15.060090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
21121  Reconstruction of chin                            A   7.81  14.26    10.43    1.33  23.40 19.570090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21122  Reconstruction of chin                            A   8.71   9.11NA   9.11    1.19  19.01 19.010090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21123  Reconstruction of chin                            A  11.34  13.76NA  13.76    1.94  27.04 27.040090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21125  Augmentation lower jaw bone                       A  10.80  75.07    10.19    1.75  87.62 22.740090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21127  Augmentation lower jaw bone                       A  12.44 112.16    11.37    2.13 126.73 25.940090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21137  Reduction of forehead                             A  10.24   9.16NA   9.16    2.40  21.80 21.800090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21138  Reduction of forehead                             A  12.87  11.31NA  11.31    1.43  25.61 25.610090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21139  Reduction of forehead                             A  15.02  10.36NA  10.36    2.05  27.43 27.430090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21141  Lefort i-1 piece w/o graft                        A  19.57  16.04NA  16.04    3.24  38.85 38.850090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21142  Lefort i-2 piece w/o graft                        A  20.28  16.98NA  16.98    3.47  40.73 40.730090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21143  Lefort i-3/> piece w/o graft                      A  21.05  16.57NA  16.57    3.37  40.99 40.990090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21145  Lefort i-1 piece w/ graft                         A  23.94  17.45NA  17.45    4.35  45.74 45.740090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21146  Lefort i-2 piece w/ graft                         A  24.87  16.33NA  16.33    3.59  44.79 44.790090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21147  Lefort i-3/> piece w/ graft                       A  26.47  19.79NA  19.79    4.37  50.63 50.630090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21150  Lefort ii anterior intrusion                      A  25.96  18.93NA  18.93    3.75  48.64 48.640090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21151  Lefort ii w/bone grafts                           A  29.02  25.51NA  25.51    4.04  58.57 58.570090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21154  Lefort iii w/o lefort i                           A  31.29  23.25NA  23.25    5.83  60.37 60.370090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21155  Lefort iii w/ lefort i                            A  35.22  23.50NA  23.50    3.83  62.55 62.550090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21159  Lefort iii w/fhdw/o lefort i                      A  43.14  23.32NA  23.32    5.90  72.36 72.360090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21160  Lefort iii w/fhd w/ lefort i                      A  47.19  36.58NA  36.58    8.08  91.85 91.850090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21172  Reconstruct orbit/forehead                        A  28.20  21.99NA  21.99    2.06  52.25 52.250090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21175  Reconstruct orbit/forehead                        A  33.56  24.37NA  24.37    4.09  62.02 62.020090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21179  Reconstruct entire forehead                       A  22.65  17.26NA  17.26    1.95  41.86 41.860090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21180  Reconstruct entire forehead                       A  25.58  15.54NA  15.54    3.49  44.61 44.610090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21181  Contour cranial bone lesion                       A  10.28   9.23NA   9.23    1.76  21.27 21.270090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21182  Reconstruct cranial bone                          A  32.58  18.41NA  18.41    5.15  56.14 56.140090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21183  Reconstruct cranial bone                          A  35.70  24.92NA  24.92    6.10  66.72 66.720090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21184  Reconstruct cranial bone                          A  38.62  17.78NA  17.78    5.28  61.68 61.680090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21188  Reconstruction of midface                         A  23.15  19.68NA  19.68    3.87  46.70 46.700090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21193  Reconst lwr jaw w/o graft                         A  18.90  13.25NA  13.25    3.01  35.16 35.160090.10.69.2122210             35.8043 090 99      0.00   0.00   0.00
21194  Reconst lwr jaw w/graft                           A  21.82  16.30NA  16.30    3.49  41.61 41.610090.10.69.2122200             35.8043 090 99      0.00   0.00   0.00
21195  Reconst lwr jaw w/o fixation                      A  19.16  16.90NA  16.90    2.73  38.79 38.790090.10.69.2122200             35.8043 090 99      0.00   0.00   0.00
21196  Reconst lwr jaw w/fixation                        A  20.83  18.88NA  18.88    3.30  43.01 43.010090.10.69.2122210             35.8043 090 99      0.00   0.00   0.00
21198  Reconstr lwr jaw segment                          A  15.71  15.67NA  15.67    2.52  33.90 33.900090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21199  Reconstr lwr jaw w/advance                        A  16.73  11.43NA  11.43    2.86  31.02 31.020090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21206  Reconstruct upper jaw bone                        A  15.59  15.96NA  15.96    2.53  34.08 34.080090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21208  Augmentation of facial bones                      A  11.42  41.32    11.10    1.72  54.46 24.240090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21209  Reduction of facial bones                         A   7.82  14.42     8.89    1.14  23.38 17.850090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21210  Face bone graft                                   A  11.69  52.39    11.54    1.98  66.06 25.210090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21215  Lower jaw bone graft                              A  12.23 102.98    11.90    2.08 117.29 26.210090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
21230  Rib cartilage graft                               A  11.17   7.81NA   7.81    1.61  20.59 20.590090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21235  Ear cartilage graft                               A   7.50  12.22     7.74    1.13  20.85 16.370090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21240  Reconstruction of jaw joint                       A  16.07  13.75NA  13.75    2.74  32.56 32.560090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21242  Reconstruction of jaw joint                       A  14.59  12.74NA  12.74    2.49  29.82 29.820090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21243  Reconstruction of jaw joint                       A  24.53  20.61NA  20.61    4.19  49.33 49.330090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21244  Reconstruction of lower jaw                       A  13.62  15.13NA  15.13    2.15  30.90 30.900090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21245  Reconstruction of jaw                             A  13.12  16.98    10.61    1.91  32.01 25.640090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21246  Reconstruction of jaw                             A  12.92  10.21NA  10.21    2.09  25.22 25.220090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21247  Reconstruct lower jaw bone                        A  24.37  16.93NA  16.93    3.63  44.93 44.930090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21248  Reconstruction of jaw                             A  12.74  17.31    11.50    2.15  32.20 26.390090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21249  Reconstruction of jaw                             A  18.77  22.15    15.55    3.20  44.12 37.520090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21255  Reconstruct lower jaw bone                        A  18.46  18.71NA  18.71    3.04  40.21 40.210090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21256  Reconstruction of orbit                           A  17.66  15.14NA  15.14    1.82  34.62 34.620090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21260  Revise eye sockets                                A  17.90  19.32NA  19.32    2.94  40.16 40.160090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21261  Revise eye sockets                                A  34.07  22.11NA  22.11    4.66  60.84 60.840090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21263  Revise eye sockets                                A  31.01  20.94NA  20.94    4.24  56.19 56.190090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21267  Revise eye sockets                                A  20.69  22.78NA  22.78    1.63  45.10 45.100090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21268  Revise eye sockets                                A  27.07  19.43NA  19.43    3.70  50.20 50.200090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21270  Augmentation cheek bone                           A  10.63  15.77     8.93    1.13  27.53 20.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21275  Revision orbitofacial bones                       A  11.76  10.29NA  10.29    2.01  24.06 24.060090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21280  Revision of eyelid                                A   7.13   8.38NA   8.38    0.70  16.21 16.210090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21282  Revision of eyelid                                A   4.27   6.08NA   6.08    0.52  10.87 10.870090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
21295  Revision of jaw muscle/bone                       A   1.90   3.01NA   3.01    0.27   5.18  5.180090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21296  Revision of jaw muscle/bone                       A   4.78   6.93NA   6.93    0.72  12.43 12.430090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21299  Cranio/maxillofacial surgery                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
21310  Closed tx nose fx w/o manj                        A   0.58   3.10     0.12    0.08   3.76  0.780000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
21315  Closed tx nose fx w/o stablj                      A   1.83   5.84     2.27    0.27   7.94  4.370010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
21320  Closed tx nose fx w/ stablj                       A   1.88   5.20     1.74    0.28   7.36  3.900010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
21325  Open tx nose fx uncomplicatd                      A   4.18   8.78NA   8.78    0.66  13.62 13.620090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21330  Open tx nose fx w/skele fixj                      A   5.79   9.63NA   9.63    0.90  16.32 16.320090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21335  Open tx nose & septal fx                          A   9.02  10.61NA  10.61    1.33  20.96 20.960090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21336  Open tx septal fx w/wo stabj                      A   6.77  10.77NA  10.77    1.01  18.55 18.550090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21337  Closed tx septal&nose fx                          A   3.39   7.68     4.58    0.53  11.60  8.500090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21338  Open nasoethmoid fx w/o fixj                      A   6.87  12.70NA  12.70    1.21  20.78 20.780090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21339  Open nasoethmoid fx w/ fixj                       A   8.50  12.49NA  12.49    1.18  22.17 22.170090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21340  Perq tx nasoethmoid fx                            A  11.49   8.76NA   8.76    1.49  21.74 21.740090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21343  Open tx dprsd front sinus fx                      A  14.32  17.95NA  17.95    2.41  34.68 34.680090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21344  Open tx compl front sinus fx                      A  21.57  15.58NA  15.58    3.13  40.28 40.280090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
21345  Closed tx nose/jaw fx                             A   9.06  12.90     8.45    1.35  23.31 18.860090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21346  Opn tx nasomax fx w/fixj                          A  11.45  13.17NA  13.17    1.62  26.24 26.240090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
21347  Opn tx nasomax fx multple                         A  13.53  16.90NA  16.90    2.31  32.74 32.740090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21348  Opn tx nasomax fx w/graft                         A  17.52  14.26NA  14.26    2.99  34.77 34.770090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
21355  Perq tx malar fracture                            A   4.45   7.25     4.17    0.64  12.34  9.260010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
21356  Opn tx dprsd zygomatic arch                       A   4.83   8.79     5.31    0.78  14.40 10.920010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
21360  Opn tx dprsd malar fracture                       A   7.19   7.22NA   7.22    1.13  15.54 15.540090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
21365  Opn tx complx malar fx                            A  16.77  12.68NA  12.68    2.67  32.12 32.120090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21366  Opn tx complx malar w/grft                        A  18.60  12.07NA  12.07    2.73  33.40 33.400090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
21385  Opn tx orbit fx transantral                       A   9.57   8.77NA   8.77    1.31  19.65 19.650090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21386  Opn tx orbit fx periorbital                       A   9.57   8.81NA   8.81    1.60  19.98 19.980090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
21387  Opn tx orbit fx combined                          A  10.11   8.96NA   8.96    1.47  20.54 20.540090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
21390  Opn tx orbit periorbtl implt                      A  11.23  10.12NA  10.12    1.50  22.85 22.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21395  Opn tx orbit periorbt w/grft                      A  14.70  11.77NA  11.77    2.40  28.87 28.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21400  Closed tx orbit w/o manipulj                      A   1.50   3.78     2.75    0.24   5.52  4.490090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21401  Closed tx orbit w/manipulj                        A   3.68   8.44     4.00    0.57  12.69  8.250090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
21406  Opn tx orbit fx w/o implant                       A   7.42   6.45NA   6.45    1.09  14.96 14.960090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21407  Opn tx orbit fx w/implant                         A   9.02   8.28NA   8.28    1.28  18.58 18.580090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21408  Opn tx orbit fx w/bone grft                       A  12.78  10.33NA  10.33    2.10  25.21 25.210090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
21421  Treat mouth roof fracture                         A   6.02  14.76    11.37    1.03  21.81 18.420090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21422  Treat mouth roof fracture                         A   8.73   9.32NA   9.32    1.41  19.46 19.460090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21423  Treat mouth roof fracture                         A  10.85  10.94NA  10.94    1.81  23.60 23.600090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
21431  Treat craniofacial fracture                       A   7.90  12.18NA  12.18    1.28  21.36 21.360090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21432  Treat craniofacial fracture                       A   8.82   8.77NA   8.77    1.34  18.93 18.930090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21433  Treat craniofacial fracture                       A  26.29  19.34NA  19.34    4.36  49.99 49.990090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21435  Treat craniofacial fracture                       A  20.26  13.27NA  13.27    2.93  36.46 36.460090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21436  Treat craniofacial fracture                       A  30.30  22.07NA  22.07    7.81  60.18 60.180090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
21440  Treat dental ridge fracture                       A   3.44  12.71     9.56    0.58  16.73 13.580090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21445  Treat dental ridge fracture                       A   6.26  14.99    10.86    1.07  22.32 18.190090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21450  Treat lower jaw fracture                          A   3.71  13.61    10.04    0.62  17.94 14.370090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21451  Treat lower jaw fracture                          A   5.65  15.48    11.95    0.95  22.08 18.550090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21452  Treat lower jaw fracture                          A   2.40  14.49     7.41    0.38  17.27 10.190090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21453  Treat lower jaw fracture                          A   6.64  18.71    14.95    1.10  26.45 22.690090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21454  Treat lower jaw fracture                          A   7.36   8.55NA   8.55    1.25  17.16 17.160090.10.69.2120010             35.8043 090 99      0.00   0.00   0.00
21461  Treat lower jaw fracture                          A   9.31  51.01    16.44    1.51  61.83 27.260090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
21462  Treat lower jaw fracture                          A  11.01  52.79    17.55    1.81  65.61 30.370090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21465  Treat lower jaw fracture                          A  13.12  12.41NA  12.41    2.22  27.75 27.750090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21470  Treat lower jaw fracture                          A  17.54  14.49NA  14.49    2.89  34.92 34.920090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21480  Reset dislocated jaw                              A   0.61   2.13     0.22    0.09   2.83  0.920000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
21485  Reset dislocated jaw                              A   4.77  14.76    11.44    0.81  20.34 17.020090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
21490  Repair dislocated jaw                             A  12.95  11.34NA  11.34    2.21  26.50 26.500090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21495  Treat hyoid bone fracture                         A   6.79  12.62NA  12.62    0.98  20.39 20.390090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21497  Interdental wiring                                A   4.64  15.86    12.29    0.79  21.29 17.720090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21499  Head surgery procedure                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
21501  Drain neck/chest lesion                           A   3.98   8.23     4.50    0.79  13.00  9.270090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21502  Drain chest lesion                                A   7.55   6.01NA   6.01    1.80  15.36 15.360090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21510  Drainage of bone lesion                           A   6.20   5.21NA   5.21    1.51  12.92 12.920090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
21550  Biopsy of neck/chest                              A   2.11   5.09     2.12    0.32   7.52  4.550010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
21552  Exc neck les sc 3 cm/>                            A   6.49   4.94NA   4.94    1.46  12.89 12.890090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21554  Exc neck tum deep 5 cm/>                          A  11.13   7.65NA   7.65    2.36  21.14 21.140090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21555  Exc neck les sc < 3 cm                            A   3.96   7.11     4.04    0.82  11.89  8.820090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21556  Exc neck tum deep < 5 cm                          A   7.66   6.16NA   6.16    1.47  15.29 15.290090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21557  Resect neck thorax tumor<5cm                      A  14.75   9.99NA   9.99    2.94  27.68 27.680090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21558  Resect neck tumor 5 cm/>                          A  21.58  12.95NA  12.95    4.42  38.95 38.950090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21600  Partial removal of rib                            A   7.26   7.29NA   7.29    1.54  16.09 16.090090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21610  Partial removal of rib                            A  15.91  12.45NA  12.45    6.35  34.71 34.710090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21615  Removal of rib                                    A  10.45   5.08NA   5.08    2.40  17.93 17.930090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
21616  Removal of rib and nerves                         A  12.69   6.44NA   6.44    2.64  21.77 21.770090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
21620  Partial removal of sternum                        A   7.28   5.69NA   5.69    1.59  14.56 14.560090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21627  Sternal debridement                               A   7.30   6.69NA   6.69    1.60  15.59 15.590090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21630  Extensive sternum surgery                         A  19.18  11.83NA  11.83    3.99  35.00 35.000090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21632  Extensive sternum surgery                         A  19.68  10.90NA  10.90    4.43  35.01 35.010090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21685  Hyoid myotomy & suspension                        A  15.26  11.47NA  11.47    2.22  28.95 28.950090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
21700  Revision of neck muscle                           A   6.31   3.06NA   3.06    1.38  10.75 10.750090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
21705  Revision of neck muscle/rib                       A   9.92   3.82NA   3.82    2.28  16.02 16.020090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
21720  Revision of neck muscle                           A   5.80   6.04NA   6.04    1.22  13.06 13.060090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21725  Revision of neck muscle                           A   7.19   6.17NA   6.17    1.93  15.29 15.290090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21740  Reconstruction of sternum                         A  17.57   8.28NA   8.28    3.76  29.61 29.610090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21742  Repair stern/nuss w/o scope                       C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21743  Repair sternum/nuss w/scope                       C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21750  Repair of sternum separation                      A  11.40   5.80NA   5.80    2.62  19.82 19.820090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21811  Optx of rib fx w/fixj scope                       A  10.79   4.44NA   4.44    2.49  17.72 17.720000.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
21812  Treatment of rib fracture                         A  13.00   5.23NA   5.23    3.02  21.25 21.250000.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
21813  Treatment of rib fracture                         A  17.61   6.20NA   6.20    3.90  27.71 27.710000.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
21820  Treat sternum fracture                            A   1.36   2.42     2.52    0.24   4.02  4.120090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21825  Treat sternum fracture                            A   7.76   6.11NA   6.11    1.76  15.63 15.630090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
21899  Neck/chest surgery procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
21920  Biopsy soft tissue of back                        A   2.11   4.91     2.18    0.33   7.35  4.620010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
21925  Biopsy soft tissue of back                        A   4.63   7.17     4.60    0.97  12.77 10.200090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21930  Exc back les sc < 3 cm                            A   4.94   7.53     4.51    1.06  13.53 10.510090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
21931  Exc back les sc 3 cm/>                            A   6.88   5.10NA   5.10    1.58  13.56 13.560090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21932  Exc back tum deep < 5 cm                          A   9.82   7.04NA   7.04    2.25  19.11 19.110090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21933  Exc back tum deep 5 cm/>                          A  11.13   7.61NA   7.61    2.54  21.28 21.280090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
21935  Resect back tum < 5 cm                            A  15.72  10.43NA  10.43    3.46  29.61 29.610090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
21936  Resect back tum 5 cm/>                            A  22.55  13.27NA  13.27    4.95  40.77 40.770090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22010  I&d p-spine c/t/cerv-thor                         A  12.75  11.19NA  11.19    3.62  27.56 27.560090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
22015  I&d abscess p-spine l/s/ls                        A  12.64  10.70NA  10.70    3.34  26.68 26.680090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
22100  Remove part of neck vertebra                      A  11.00  10.73NA  10.73    3.54  25.27 25.270090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22101  Remove part thorax vertebra                       A  11.08  10.47NA  10.47    3.07  24.62 24.620090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22102  Remove part lumbar vertebra                       A  11.08   9.43NA   9.43    2.29  22.80 22.800090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22103  Remove extra spine segment                        A   2.34   1.12NA   1.12    0.61   4.07  4.070ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
22110  Remove part of neck vertebra                      A  14.00  11.96NA  11.96    4.41  30.37 30.370090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22112  Remove part thorax vertebra                       A  14.07  11.57NA  11.57    2.93  28.57 28.570090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22114  Remove part lumbar vertebra                       A  14.07  11.72NA  11.72    2.90  28.69 28.690090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22116  Remove extra spine segment                        A   2.32   1.11NA   1.11    0.71   4.14  4.140ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
22206  Incis spine 3 column thorac                       A  37.18  23.32NA  23.32   10.49  70.99 70.990090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22207  Incis spine 3 column lumbar                       A  36.68  23.03NA  23.03    9.85  69.56 69.560090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22208  Incis spine 3 column adl seg                      A   9.66   4.72NA   4.72    2.62  17.00 17.000ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
22210  Incis 1 vertebral seg cerv                        A  25.38  18.86NA  18.86    7.65  51.89 51.890090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22212  Incis 1 vertebral seg thorac                      A  20.99  16.43NA  16.43    5.52  42.94 42.940090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22214  Incis 1 vertebral seg lumbar                      A  21.02  16.50NA  16.50    5.58  43.10 43.100090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22216  Incis addl spine segment                          A   6.03   2.96NA   2.96    1.61  10.60 10.600ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
22220  Incis w/discectomy cervical                       A  22.94  17.11NA  17.11    6.30  46.35 46.350090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22222  Incis w/discectomy thoracic                       A  23.09  17.07NA  17.07    4.82  44.98 44.980090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22224  Incis w/discectomy lumbar                         A  23.09  17.11NA  17.11    5.64  45.84 45.840090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22226  Revise extra spine segment                        A   6.03   2.93NA   2.93    1.62  10.58 10.580ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
22305  Closed tx spine process fx                        A   2.13   2.93     2.43    0.40   5.46  4.960090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
22310  Closed tx vert fx w/o manj                        A   3.89   4.11     3.43    0.82   8.82  8.140090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
22315  Closed tx vert fx w/manj                          A  10.11  12.75     9.60    2.58  25.44 22.290090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
22318  Treat odontoid fx w/o graft                       A  22.72  16.55NA  16.55    8.69  47.96 47.960090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22319  Treat odontoid fx w/graft                         A  25.33  17.75NA  17.75   10.20  53.28 53.280090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22325  Treat spine fracture                              A  19.87  15.87NA  15.87    6.03  41.77 41.770090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22326  Treat neck spine fracture                         A  20.84  15.60NA  15.60    6.98  43.42 43.420090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22327  Treat thorax spine fracture                       A  20.77  16.35NA  16.35    6.57  43.69 43.690090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22328  Treat each add spine fx                           A   4.60   2.21NA   2.21    1.46   8.27  8.270ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
22505  Manipulation of spine                             A   1.87   1.44NA   1.44    0.37   3.68  3.680010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
22510  Perq cervicothoracic inject                       A   8.15  41.25     3.95    0.99  50.39 13.090010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
22511  Perq lumbosacral injection                        A   7.58  41.35     3.77    0.94  49.87 12.290010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
22512  Vertebroplasty addl inject                        A   4.00  23.36     1.50    0.59  27.95  6.090ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
22513  Perq vertebral augmentation                       A   8.90 198.04     4.99    1.72 208.66 15.610010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
22514  Perq vertebral augmentation                       A   8.24 198.58     4.73    1.58 208.40 14.550010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
22515  Perq vertebral augmentation                       A   4.00 121.35     1.75    0.84 126.19  6.590ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
22526  Idet single level                                 N+  6.10  60.90     3.18    0.83  67.83 10.119010.10.80.1099999             35.8043 090 99      0.00   0.00   0.00
22527  Idet 1 or more levels                             N+  3.03  52.84     1.16    0.41  56.28  4.609ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
22532  Lat thorax spine fusion                           A  25.99  17.97NA  17.97    7.84  51.80 51.800090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22533  Lat lumbar spine fusion                           A  24.79  17.25NA  17.25    5.92  47.96 47.960090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22534  Lat thor/lumb addl seg                            A   5.99   2.90NA   2.90    1.64  10.53 10.530ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22548  Neck spine fusion                                 A  27.06  19.48NA  19.48   11.28  57.82 57.820090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22551  Neck spine fuse&remov bel c2                      A  25.00  16.80NA  16.80    8.20  50.00 50.000090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22552  Addl neck spine fusion                            A   6.50   3.11NA   3.11    2.11  11.72 11.720ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22554  Neck spine fusion                                 A  17.69  13.38NA  13.38    5.49  36.56 36.560090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22556  Thorax spine fusion                               A  24.70  16.62NA  16.62    7.18  48.50 48.500090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22558  Lumbar spine fusion                               A  23.53  15.15NA  15.15    6.08  44.76 44.760090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22585  Additional spinal fusion                          A   5.52   2.57NA   2.57    1.55   9.64  9.640ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22586  Prescrl fuse w/ instr l5-s1                       A  28.12  18.62NA  18.62    5.96  52.70 52.700090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22590  Spine & skull spinal fusion                       A  21.76  16.57NA  16.57    7.81  46.14 46.140090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22595  Neck spinal fusion                                A  20.64  16.03NA  16.03    7.34  44.01 44.010090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22600  Neck spine fusion                                 A  17.40  14.35NA  14.35    5.79  37.54 37.540090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22610  Thorax spine fusion                               A  17.28  14.13NA  14.13    5.34  36.75 36.750090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22612  Lumbar spine fusion                               A  23.53  16.18NA  16.18    6.51  46.22 46.220090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22614  Spine fusion extra segment                        A   6.43   3.11NA   3.11    1.93  11.47 11.470ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22630  Lumbar spine fusion                               A  22.09  16.27NA  16.27    7.34  45.70 45.700090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22632  Spine fusion extra segment                        A   5.22   2.50NA   2.50    1.70   9.42  9.420ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22633  Lumbar spine fusion combined                      A  27.75  18.06NA  18.06    8.18  53.99 53.990090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22634  Spine fusion extra segment                        A   8.16   3.94NA   3.94    2.46  14.56 14.560ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22800  Post fusion </6 vert seg                          A  19.50  14.67NA  14.67    5.05  39.22 39.220090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22802  Post fusion 7-12 vert seg                         A  32.11  20.81NA  20.81    7.99  60.91 60.910090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22804  Post fusion 13/> vert seg                         A  37.50  23.47NA  23.47    9.48  70.45 70.450090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22808  Ant fusion 2-3 vert seg                           A  27.51  18.13NA  18.13    7.78  53.42 53.420090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22810  Ant fusion 4-7 vert seg                           A  31.50  19.17NA  19.17    8.32  58.99 58.990090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22812  Ant fusion 8/> vert seg                           A  34.25  22.62NA  22.62   13.19  70.06 70.060090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22818  Kyphectomy 1-2 segments                           A  34.33  21.47NA  21.47    7.12  62.92 62.920090.11.76.1320222             35.8043 090 99      0.00   0.00   0.00
22819  Kyphectomy 3 or more                              A  39.38  25.23NA  25.23   16.41  81.02 81.020090.11.76.1320222             35.8043 090 99      0.00   0.00   0.00
22830  Exploration of spinal fusion                      A  11.22   9.25NA   9.25    3.12  23.59 23.590090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22840  Insert spine fixation device                      A  12.52   6.05NA   6.05    3.72  22.29 22.290ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
22841  Insert spine fixation device                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
22842  Insert spine fixation device                      A  12.56   6.08NA   6.08    3.72  22.36 22.360ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22843  Insert spine fixation device                      A  13.44   6.52NA   6.52    3.93  23.89 23.890ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22844  Insert spine fixation device                      A  16.42   8.07NA   8.07    4.27  28.76 28.760ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22845  Insert spine fixation device                      A  11.94   5.71NA   5.71    3.81  21.46 21.460ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22846  Insert spine fixation device                      A  12.40   5.94NA   5.94    3.95  22.29 22.290ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22847  Insert spine fixation device                      A  13.78   6.74NA   6.74    3.68  24.20 24.200ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22848  Insert pelv fixation device                       A   5.99   2.95NA   2.95    1.57  10.51 10.510ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22849  Reinsert spinal fixation                          A  19.17  13.20NA  13.20    5.45  37.82 37.820090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22850  Remove spine fixation device                      A   9.82   8.37NA   8.37    2.80  20.99 20.990090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22851  Apply spine prosth device                         A   6.70   3.23NA   3.23    2.02  11.95 11.950ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22852  Remove spine fixation device                      A   9.37   8.13NA   8.13    2.62  20.12 20.120090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22855  Remove spine fixation device                      A  15.86  11.55NA  11.55    4.85  32.26 32.260090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22856  Cerv artific diskectomy                           A  24.05  16.01NA  16.01    7.19  47.25 47.250090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22857  Lumbar artif diskectomy                           R  27.13  19.53NA  19.53   10.53  57.19 57.190090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22858  Second level cer diskectomy                       A   8.40   3.69NA   3.69    2.63  14.72 14.720ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
22861  Revise cerv artific disc                          A  33.36  18.26NA  18.26    6.87  58.49 58.490090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22862  Revise lumbar artif disc                          R  32.63  14.69NA  14.69   10.59  57.91 57.910090.10.71.1920222             35.8043 090 99      0.00   0.00   0.00
22864  Remove cerv artif disc                            A  29.40  19.50NA  19.50   11.37  60.27 60.270090.10.69.2120220             35.8043 090 99      0.00   0.00   0.00
22865  Remove lumb artif disc                            R  31.75  21.03NA  21.03    6.55  59.33 59.330090.10.71.1920222             35.8043 090 99      0.00   0.00   0.00
22899  Spine surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
22900  Exc abdl tum deep < 5 cm                          A   8.32   6.07NA   6.07    1.90  16.29 16.290090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22901  Exc abdl tum deep 5 cm/>                          A  10.11   6.76NA   6.76    2.32  19.19 19.190090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22902  Exc abd les sc < 3 cm                             A   4.42   7.13     4.11    1.01  12.56  9.540090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22903  Exc abd les sc 3 cm/>                             A   6.39   4.78NA   4.78    1.49  12.66 12.660090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
22904  Radical resect abd tumor<5cm                      A  16.69   9.87NA   9.87    3.73  30.29 30.290090.09.81.1020211             35.8043 090 99      0.00   0.00   0.00
22905  Rad resect abd tumor 5 cm/>                       A  21.58  12.01NA  12.01    4.83  38.42 38.420090.09.81.1020211             35.8043 090 99      0.00   0.00   0.00
22999  Abdomen surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
23000  Removal of calcium deposits                       A   4.48  11.33     5.29    0.88  16.69 10.650090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23020  Release shoulder joint                            A   9.36   8.58NA   8.58    1.84  19.78 19.780090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23030  Drain shoulder lesion                             A   3.47   8.41     3.18    0.71  12.59  7.360010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
23031  Drain shoulder bursa                              A   2.79   8.81     2.97    0.54  12.14  6.300010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
23035  Drain shoulder bone lesion                        A   9.16   8.47NA   8.47    1.81  19.44 19.440090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23040  Exploratory shoulder surgery                      A   9.75   8.96NA   8.96    1.96  20.67 20.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23044  Exploratory shoulder surgery                      A   7.59   7.17NA   7.17    1.58  16.34 16.340090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23065  Biopsy shoulder tissues                           A   2.30   3.53     2.15    0.37   6.20  4.820010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
23066  Biopsy shoulder tissues                           A   4.30  10.67     5.04    0.90  15.87 10.240090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23071  Exc shoulder les sc 3 cm/>                        A   5.91   4.84NA   4.84    1.35  12.10 12.100090.10.80.1021200             35.8043 090 99      0.00   0.00   0.00
23073  Exc shoulder tum deep 5 cm/>                      A  10.13   7.64NA   7.64    2.22  19.99 19.990090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23075  Exc shoulder les sc < 3 cm                        A   4.21   8.26     4.26    0.92  13.39  9.390090.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
23076  Exc shoulder tum deep < 5 cm                      A   7.41   6.52NA   6.52    1.62  15.55 15.550090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23077  Resect shoulder tumor < 5 cm                      A  17.66  11.55NA  11.55    3.84  33.05 33.050090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23078  Resect shoulder tumor 5 cm/>                      A  22.55  14.05NA  14.05    4.83  41.43 41.430090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23100  Biopsy of shoulder joint                          A   6.20   6.82NA   6.82    1.27  14.29 14.290090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23101  Shoulder joint surgery                            A   5.72   6.13NA   6.13    1.19  13.04 13.040090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23105  Remove shoulder joint lining                      A   8.48   8.15NA   8.15    1.68  18.31 18.310090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23106  Incision of collarbone joint                      A   6.13   6.72NA   6.72    1.26  14.11 14.110090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23107  Explore treat shoulder joint                      A   8.87   8.33NA   8.33    1.72  18.92 18.920090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23120  Partial removal collar bone                       A   7.39   7.91NA   7.91    1.46  16.76 16.760090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23125  Removal of collar bone                            A   9.64   8.75NA   8.75    1.99  20.38 20.380090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23130  Remove shoulder bone part                         A   7.77   8.15NA   8.15    1.59  17.51 17.510090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23140  Removal of bone lesion                            A   7.12   6.74NA   6.74    1.47  15.33 15.330090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23145  Removal of bone lesion                            A   9.40   8.63NA   8.63    1.94  19.97 19.970090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23146  Removal of bone lesion                            A   8.08   8.10NA   8.10    1.62  17.80 17.800090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
23150  Removal of humerus lesion                         A   8.91   8.24NA   8.24    1.70  18.85 18.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23155  Removal of humerus lesion                         A  10.86   9.70NA   9.70    2.24  22.80 22.800090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23156  Removal of humerus lesion                         A   9.11   8.49NA   8.49    1.81  19.41 19.410090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23170  Remove collar bone lesion                         A   7.21   7.22NA   7.22    1.50  15.93 15.930090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23172  Remove shoulder blade lesion                      A   7.31   7.47NA   7.47    1.46  16.24 16.240090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23174  Remove humerus lesion                             A  10.05   9.50NA   9.50    1.99  21.54 21.540090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23180  Remove collar bone lesion                         A   8.99   8.27NA   8.27    1.89  19.15 19.150090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23182  Remove shoulder blade lesion                      A   8.61   8.40NA   8.40    1.69  18.70 18.700090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23184  Remove humerus lesion                             A   9.90   9.22NA   9.22    1.98  21.10 21.100090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23190  Partial removal of scapula                        A   7.47   7.34NA   7.34    1.50  16.31 16.310090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23195  Removal of head of humerus                        A  10.36   9.16NA   9.16    2.10  21.62 21.620090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23200  Resect clavicle tumor                             A  22.71  15.28NA  15.28    4.91  42.90 42.900090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23210  Resect scapula tumor                              A  27.21  18.42NA  18.42    5.53  51.16 51.160090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23220  Resect prox humerus tumor                         A  30.21  19.82NA  19.82    5.96  55.99 55.990090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23330  Remove shoulder foreign body                      A   1.90   4.59     2.11    0.31   6.80  4.320010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
23333  Remove shoulder fb deep                           A   6.00   5.92NA   5.92    1.07  12.99 12.990090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
23334  Shoulder prosthesis removal                       A  15.50  12.37NA  12.37    3.13  31.00 31.000090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23335  Shoulder prosthesis removal                       A  19.00  14.06NA  14.06    3.83  36.89 36.890090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23350  Injection for shoulder x-ray                      A   1.00   2.62     0.38    0.09   3.71  1.470000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
23395  Muscle transfer shoulder/arm                      A  18.54  14.82NA  14.82    3.64  37.00 37.000090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
23397  Muscle transfers                                  A  16.76  12.68NA  12.68    3.40  32.84 32.840090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
23400  Fixation of shoulder blade                        A  13.87  11.22NA  11.22    2.86  27.95 27.950090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23405  Incision of tendon & muscle                       A   8.54   7.75NA   7.75    1.65  17.94 17.940090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
23406  Incise tendon(s) & muscle(s)                      A  11.01   9.07NA   9.07    2.00  22.08 22.080090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
23410  Repair rotator cuff acute                         A  11.39   9.97NA   9.97    2.27  23.63 23.630090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23412  Repair rotator cuff chronic                       A  11.93  10.22NA  10.22    2.36  24.51 24.510090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23415  Release of shoulder ligament                      A   9.23   8.89NA   8.89    1.89  20.01 20.010090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23420  Repair of shoulder                                A  13.54  11.63NA  11.63    2.70  27.87 27.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23430  Repair biceps tendon                              A  10.17   9.28NA   9.28    1.98  21.43 21.430090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23440  Remove/transplant tendon                          A  10.64   8.98NA   8.98    2.09  21.71 21.710090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23450  Repair shoulder capsule                           A  13.70  10.76NA  10.76    2.72  27.18 27.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23455  Repair shoulder capsule                           A  14.67  11.23NA  11.23    2.86  28.76 28.760090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23460  Repair shoulder capsule                           A  15.82  12.32NA  12.32    3.26  31.40 31.400090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23462  Repair shoulder capsule                           A  15.72  11.71NA  11.71    3.08  30.51 30.510090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23465  Repair shoulder capsule                           A  16.30  12.60NA  12.60    3.11  32.01 32.010090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23466  Repair shoulder capsule                           A  15.80  13.36NA  13.36    3.02  32.18 32.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23470  Reconstruct shoulder joint                        A  17.89  13.26NA  13.26    3.51  34.66 34.660090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23472  Reconstruct shoulder joint                        A  22.13  15.58NA  15.58    4.29  42.00 42.000090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23473  Revis reconst shoulder joint                      A  25.00  17.04NA  17.04    4.87  46.91 46.910090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23474  Revis reconst shoulder joint                      A  27.21  18.18NA  18.18    5.29  50.68 50.680090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23480  Revision of collar bone                           A  11.54   9.70NA   9.70    2.37  23.61 23.610090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
23485  Revision of collar bone                           A  13.91  10.81NA  10.81    2.74  27.46 27.460090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23490  Reinforce clavicle                                A  12.16   9.80NA   9.80    2.25  24.21 24.210090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23491  Reinforce shoulder bones                          A  14.54  11.62NA  11.62    2.98  29.14 29.140090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23500  Treat clavicle fracture                           A   2.21   3.62     3.73    0.39   6.22  6.330090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23505  Treat clavicle fracture                           A   3.83   5.51     4.96    0.73  10.07  9.520090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23515  Treat clavicle fracture                           A   9.69   9.09NA   9.09    1.91  20.69 20.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23520  Treat clavicle dislocation                        A   2.29   3.66     3.76    0.44   6.39  6.490090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
23525  Treat clavicle dislocation                        A   3.79   6.19     5.39    0.74  10.72  9.920090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
23530  Treat clavicle dislocation                        A   7.48   6.89NA   6.89    1.44  15.81 15.810090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23532  Treat clavicle dislocation                        A   8.20   8.07NA   8.07    1.52  17.79 17.790090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
23540  Treat clavicle dislocation                        A   2.36   3.63     3.74    0.40   6.39  6.500090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23545  Treat clavicle dislocation                        A   3.43   5.70     4.83    0.54   9.67  8.800090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
23550  Treat clavicle dislocation                        A   7.59   7.18NA   7.18    1.41  16.18 16.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23552  Treat clavicle dislocation                        A   8.82   8.26NA   8.26    1.72  18.80 18.800090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23570  Treat shoulder blade fx                           A   2.36   3.80     4.00    0.45   6.61  6.810090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23575  Treat shoulder blade fx                           A   4.23   6.30     5.60    0.86  11.39 10.690090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
23585  Treat scapula fracture                            A  14.23  11.21NA  11.21    2.78  28.22 28.220090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23600  Treat humerus fracture                            A   3.00   5.73     5.20    0.56   9.29  8.760090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23605  Treat humerus fracture                            A   5.06   7.19     6.10    0.97  13.22 12.130090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23615  Treat humerus fracture                            A  12.30  10.70NA  10.70    2.43  25.43 25.430090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23616  Treat humerus fracture                            A  18.37  13.77NA  13.77    3.63  35.77 35.770090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
23620  Treat humerus fracture                            A   2.55   4.64     4.27    0.48   7.67  7.300090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23625  Treat humerus fracture                            A   4.10   5.92     5.18    0.78  10.80 10.060090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23630  Treat humerus fracture                            A  10.57   9.80NA   9.80    2.08  22.45 22.450090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23650  Treat shoulder dislocation                        A   3.53   4.84     4.12    0.54   8.91  8.190090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23655  Treat shoulder dislocation                        A   4.76   5.79NA   5.79    0.92  11.47 11.470090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23660  Treat shoulder dislocation                        A   7.66   7.53NA   7.53    1.49  16.68 16.680090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23665  Treat dislocation/fracture                        A   4.66   6.56     5.74    0.89  12.11 11.290090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23670  Treat dislocation/fracture                        A  12.28  10.47NA  10.47    2.43  25.18 25.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23675  Treat dislocation/fracture                        A   6.27   8.24     6.86    1.21  15.72 14.340090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23680  Treat dislocation/fracture                        A  13.15  10.96NA  10.96    2.58  26.69 26.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23700  Fixation of shoulder                              A   2.57   2.55NA   2.55    0.52   5.64  5.640010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
23800  Fusion of shoulder joint                          A  14.73  11.77NA  11.77    3.04  29.54 29.540090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23802  Fusion of shoulder joint                          A  18.42  14.38NA  14.38    3.56  36.36 36.360090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23900  Amputation of arm & girdle                        A  20.72  15.09NA  15.09    4.21  40.02 40.020090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
23920  Amputation at shoulder joint                      A  16.23  12.77NA  12.77    3.36  32.36 32.360090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
23921  Amputation follow-up surgery                      A   5.72   6.53NA   6.53    1.18  13.43 13.430090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
23929  Shoulder surgery procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
23930  Drainage of arm lesion                            A   2.99   6.45     2.58    0.63  10.07  6.200010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
23931  Drainage of arm bursa                             A   1.84   6.00     2.40    0.34   8.18  4.580010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
23935  Drain arm/elbow bone lesion                       A   6.38   6.89NA   6.89    1.24  14.51 14.510090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
24000  Exploratory elbow surgery                         A   6.08   6.41NA   6.41    1.17  13.66 13.660090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
24006  Release elbow joint                               A   9.74   8.69NA   8.69    1.84  20.27 20.270090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
24065  Biopsy arm/elbow soft tissue                      A   2.13   4.84     2.35    0.34   7.31  4.820010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
24066  Biopsy arm/elbow soft tissue                      A   5.35  11.32     5.43    1.17  17.84 11.950090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24071  Exc arm/elbow les sc 3 cm/>                       A   5.70   4.73NA   4.73    1.27  11.70 11.700090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24073  Ex arm/elbow tum deep 5 cm/>                      A  10.13   7.64NA   7.64    2.17  19.94 19.940090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24075  Exc arm/elbow les sc < 3 cm                       A   4.24   8.86     4.34    0.91  14.01  9.490090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24076  Ex arm/elbow tum deep < 5 cm                      A   7.41   6.64NA   6.64    1.57  15.62 15.620090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24077  Resect arm/elbow tum < 5 cm                       A  15.72  10.72NA  10.72    3.42  29.86 29.860090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
24079  Resect arm/elbow tum 5 cm/>                       A  20.61  13.18NA  13.18    4.37  38.16 38.160090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24100  Biopsy elbow joint lining                         A   5.07   5.86NA   5.86    1.05  11.98 11.980090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24101  Explore/treat elbow joint                         A   6.30   6.81NA   6.81    1.23  14.34 14.340090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24102  Remove elbow joint lining                         A   8.26   7.83NA   7.83    1.59  17.68 17.680090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24105  Removal of elbow bursa                            A   3.78   5.49NA   5.49    0.76  10.03 10.030090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24110  Remove humerus lesion                             A   7.58   7.59NA   7.59    1.47  16.64 16.640090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
24115  Remove/graft bone lesion                          A  10.12   8.99NA   8.99    2.09  21.20 21.200090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24116  Remove/graft bone lesion                          A  12.23  10.06NA  10.06    2.52  24.81 24.810090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24120  Remove elbow lesion                               A   6.82   7.03NA   7.03    1.31  15.16 15.160090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
24125  Remove/graft bone lesion                          A   8.14   8.01NA   8.01    1.45  17.60 17.600090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24126  Remove/graft bone lesion                          A   8.62   8.25NA   8.25    1.78  18.65 18.650090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24130  Removal of head of radius                         A   6.42   6.88NA   6.88    1.26  14.56 14.560090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
24134  Removal of arm bone lesion                        A  10.22   9.16NA   9.16    2.07  21.45 21.450090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24136  Remove radius bone lesion                         A   8.40   8.21NA   8.21    1.34  17.95 17.950090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24138  Remove elbow bone lesion                          A   8.50   9.05NA   9.05    1.74  19.29 19.290090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24140  Partial removal of arm bone                       A   9.55   8.69NA   8.69    1.86  20.10 20.100090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24145  Partial removal of radius                         A   7.81   7.58NA   7.58    1.61  17.00 17.000090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
24147  Partial removal of elbow                          A   7.84   8.41NA   8.41    1.57  17.82 17.820090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
24149  Radical resection of elbow                        A  16.22  14.46NA  14.46    3.08  33.76 33.760090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24150  Resect distal humerus tumor                       A  23.46  16.64NA  16.64    4.84  44.94 44.940090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24152  Resect radius tumor                               A  19.99  14.92NA  14.92    3.22  38.13 38.130090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24155  Removal of elbow joint                            A  12.09   9.74NA   9.74    2.44  24.27 24.270090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24160  Remove elbow joint implant                        A  18.63  14.12NA  14.12    3.66  36.41 36.410090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
24164  Remove radius head implant                        A  10.00   8.94NA   8.94    2.06  21.00 21.000090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
24200  Removal of arm foreign body                       A   1.81   3.79     1.90    0.30   5.90  4.010010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
24201  Removal of arm foreign body                       A   4.70   9.88     4.68    0.99  15.57 10.370090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24220  Injection for elbow x-ray                         A   1.31   3.12     0.55    0.13   4.56  1.990000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
24300  Manipulate elbow w/anesth                         A   4.04   7.13NA   7.13    0.77  11.94 11.940090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24301  Muscle/tendon transfer                            A  10.38   9.16NA   9.16    1.98  21.52 21.520090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
24305  Arm tendon lengthening                            A   7.62   7.53NA   7.53    1.37  16.52 16.520090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
24310  Revision of arm tendon                            A   6.12   6.29NA   6.29    1.10  13.51 13.510090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
24320  Repair of arm tendon                              A  10.86   9.36NA   9.36    2.24  22.46 22.460090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
24330  Revision of arm muscles                           A   9.79   8.82NA   8.82    2.02  20.63 20.630090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24331  Revision of arm muscles                           A  10.95   9.40NA   9.40    2.26  22.61 22.610090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24332  Tenolysis triceps                                 A   7.91   8.01NA   8.01    1.64  17.56 17.560090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24340  Repair of biceps tendon                           A   8.08   7.91NA   7.91    1.58  17.57 17.570090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24341  Repair arm tendon/muscle                          A   9.49  10.07NA  10.07    1.86  21.42 21.420090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24342  Repair of ruptured tendon                         A  10.86   9.33NA   9.33    2.09  22.28 22.280090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24343  Repr elbow lat ligmnt w/tiss                      A   9.16   9.34NA   9.34    1.75  20.25 20.250090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24344  Reconstruct elbow lat ligmnt                      A  15.21  13.19NA  13.19    3.12  31.52 31.520090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24345  Repr elbw med ligmnt w/tissu                      A   9.16   9.25NA   9.25    1.77  20.18 20.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24346  Reconstruct elbow med ligmnt                      A  15.21  13.26NA  13.26    2.99  31.46 31.460090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24357  Repair elbow perc                                 A   5.44   5.95NA   5.95    0.90  12.29 12.290090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
24358  Repair elbow w/deb open                           A   6.66   7.04NA   7.04    1.26  14.96 14.960090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
24359  Repair elbow deb/attch open                       A   8.98   8.24NA   8.24    1.69  18.91 18.910090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
24360  Reconstruct elbow joint                           A  12.67  10.31NA  10.31    2.48  25.46 25.460090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24361  Reconstruct elbow joint                           A  14.41  11.35NA  11.35    2.94  28.70 28.700090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24362  Reconstruct elbow joint                           A  15.32  12.05NA  12.05    3.16  30.53 30.530090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24363  Replace elbow joint                               A  22.00  15.74NA  15.74    4.18  41.92 41.920090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24365  Reconstruct head of radius                        A   8.62   7.91NA   7.91    1.74  18.27 18.270090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24366  Reconstruct head of radius                        A   9.36   8.36NA   8.36    1.79  19.51 19.510090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24370  Revise reconst elbow joint                        A  23.55  16.42NA  16.42    4.82  44.79 44.790090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24371  Revise reconst elbow joint                        A  27.50  18.66NA  18.66    5.22  51.38 51.380090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24400  Revision of humerus                               A  11.33   9.89NA   9.89    2.24  23.46 23.460090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24410  Revision of humerus                               A  15.11  12.21NA  12.21    3.12  30.44 30.440090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24420  Revision of humerus                               A  13.73  11.98NA  11.98    2.48  28.19 28.190090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24430  Repair of humerus                                 A  15.25  12.16NA  12.16    2.98  30.39 30.390090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24435  Repair humerus with graft                         A  14.99  13.03NA  13.03    2.95  30.97 30.970090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24470  Revision of elbow joint                           A   8.93   6.11NA   6.11    1.22  16.26 16.260090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24495  Decompression of forearm                          A   8.41   8.47NA   8.47    1.84  18.72 18.720090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
24498  Reinforce humerus                                 A  12.28  10.19NA  10.19    2.43  24.90 24.900090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24500  Treat humerus fracture                            A   3.41   6.15     5.25    0.63  10.19  9.290090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24505  Treat humerus fracture                            A   5.39   7.80     6.46    1.04  14.23 12.890090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24515  Treat humerus fracture                            A  12.12  10.67NA  10.67    2.39  25.18 25.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24516  Treat humerus fracture                            A  12.19  10.11NA  10.11    2.44  24.74 24.740090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
24530  Treat humerus fracture                            A   3.69   6.44     5.43    0.70  10.83  9.820090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24535  Treat humerus fracture                            A   7.11   9.02     7.70    1.40  17.53 16.210090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24538  Treat humerus fracture                            A   9.77   9.57NA   9.57    2.00  21.34 21.340090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24545  Treat humerus fracture                            A  13.15  10.98NA  10.98    2.59  26.72 26.720090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24546  Treat humerus fracture                            A  14.91  12.05NA  12.05    2.93  29.89 29.890090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
24560  Treat humerus fracture                            A   2.98   5.61     4.67    0.51   9.10  8.160090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24565  Treat humerus fracture                            A   5.78   8.15     6.93    1.19  15.12 13.900090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24566  Treat humerus fracture                            A   9.06   9.66NA   9.66    1.87  20.59 20.590090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24575  Treat humerus fracture                            A   9.71   9.36NA   9.36    1.89  20.96 20.960090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24576  Treat humerus fracture                            A   3.06   6.04     5.07    0.56   9.66  8.690090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24577  Treat humerus fracture                            A   6.01   8.31     7.05    1.20  15.52 14.260090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24579  Treat humerus fracture                            A  11.44  10.32NA  10.32    2.25  24.01 24.010090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24582  Treat humerus fracture                            A  10.14  10.98NA  10.98    1.99  23.11 23.110090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24586  Treat elbow fracture                              A  15.78  12.32NA  12.32    3.06  31.16 31.160090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24587  Treat elbow fracture                              A  15.79  12.33NA  12.33    2.97  31.09 31.090090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24600  Treat elbow dislocation                           A   4.37   5.29     4.43    0.69  10.35  9.490090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24605  Treat elbow dislocation                           A   5.64   6.69NA   6.69    1.12  13.45 13.450090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24615  Treat elbow dislocation                           A   9.83   8.70NA   8.70    1.92  20.45 20.450090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24620  Treat elbow fracture                              A   7.22   7.19NA   7.19    1.31  15.72 15.720090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
24635  Treat elbow fracture                              A   8.80   8.78NA   8.78    1.73  19.31 19.310090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24640  Treat elbow dislocation                           A   1.25   2.38     1.18    0.20   3.83  2.630010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
24650  Treat radius fracture                             A   2.31   4.71     4.11    0.41   7.43  6.830090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24655  Treat radius fracture                             A   4.62   6.94     5.85    0.82  12.38 11.290090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24665  Treat radius fracture                             A   8.36   8.71NA   8.71    1.62  18.69 18.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24666  Treat radius fracture                             A   9.86   9.26NA   9.26    1.92  21.04 21.040090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24670  Treat ulnar fracture                              A   2.69   5.09     4.30    0.49   8.27  7.480090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24675  Treat ulnar fracture                              A   4.91   7.11     5.99    0.91  12.93 11.810090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
24685  Treat ulnar fracture                              A   8.37   8.74NA   8.74    1.65  18.76 18.760090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24800  Fusion of elbow joint                             A  11.41  10.09NA  10.09    2.35  23.85 23.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24802  Fusion/graft of elbow joint                       A  14.32  11.14NA  11.14    2.69  28.15 28.150090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24900  Amputation of upper arm                           A  10.18   8.77NA   8.77    2.07  21.02 21.020090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24920  Amputation of upper arm                           A  10.13   8.85NA   8.85    2.03  21.01 21.010090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
24925  Amputation follow-up surgery                      A   7.30   6.92NA   6.92    1.53  15.75 15.750090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24930  Amputation follow-up surgery                      A  10.83   9.01NA   9.01    2.26  22.10 22.100090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24931  Amputate upper arm & implant                      A  13.44   7.76NA   7.76    1.84  23.04 23.040090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24935  Revision of amputation                            A  16.45  11.81NA  11.81    3.70  31.96 31.960090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
24940  Revision of upper arm                             C   0.00   0.00     0.00    0.00   0.00  0.000090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
24999  Upper arm/elbow surgery                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
25000  Incision of tendon sheath                         A   3.55   5.39NA   5.39    0.68   9.62  9.620090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25001  Incise flexor carpi radialis                      A   3.79   5.28NA   5.28    0.70   9.77  9.770090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25020  Decompress forearm 1 space                        A   6.06   9.23NA   9.23    1.12  16.41 16.410090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25023  Decompress forearm 1 space                        A  13.83  15.02NA  15.02    2.68  31.53 31.530090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25024  Decompress forearm 2 spaces                       A  10.79   9.23NA   9.23    2.17  22.19 22.190090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25025  Decompress forearm 2 spaces                       A  17.94  13.34NA  13.34    3.39  34.67 34.670090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25028  Drainage of forearm lesion                        A   5.39   8.48NA   8.48    1.08  14.95 14.950090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25031  Drainage of forearm bursa                         A   4.26   5.17NA   5.17    0.84  10.27 10.270090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25035  Treat forearm bone lesion                         A   7.65   7.49NA   7.49    1.44  16.58 16.580090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25040  Explore/treat wrist joint                         A   7.50   7.23NA   7.23    1.38  16.11 16.110090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25065  Biopsy forearm soft tissues                       A   2.04   4.89     2.34    0.31   7.24  4.690010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
25066  Biopsy forearm soft tissues                       A   4.27   5.16NA   5.16    0.85  10.28 10.280090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25071  Exc forearm les sc 3 cm/>                         A   5.91   5.07NA   5.07    1.27  12.25 12.250090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25073  Exc forearm tum deep 3 cm/>                       A   7.13   6.71NA   6.71    1.43  15.27 15.270090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25075  Exc forearm les sc < 3 cm                         A   3.96   8.86     4.31    0.82  13.64  9.090090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25076  Exc forearm tum deep < 3 cm                       A   6.74   6.77NA   6.77    1.30  14.81 14.810090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25077  Resect forearm/wrist tum<3cm                      A  12.93   9.81NA   9.81    2.73  25.47 25.470090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25078  Resect forarm/wrist tum 3cm>                      A  17.69  12.14NA  12.14    3.69  33.52 33.520090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25085  Incision of wrist capsule                         A   5.64   6.16NA   6.16    1.06  12.86 12.860090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25100  Biopsy of wrist joint                             A   4.02   5.04NA   5.04    0.81   9.87  9.870090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25101  Explore/treat wrist joint                         A   4.83   5.80NA   5.80    0.89  11.52 11.520090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25105  Remove wrist joint lining                         A   6.02   6.68NA   6.68    1.09  13.79 13.790090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
25107  Remove wrist joint cartilage                      A   7.70   8.50NA   8.50    1.41  17.61 17.610090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25109  Excise tendon forearm/wrist                       A   6.94   7.21NA   7.21    1.23  15.38 15.380090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25110  Remove wrist tendon lesion                        A   4.04   4.96NA   4.96    0.79   9.79  9.790090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25111  Remove wrist tendon lesion                        A   3.53   4.93NA   4.93    0.69   9.15  9.150090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25112  Reremove wrist tendon lesion                      A   4.67   5.48NA   5.48    0.90  11.05 11.050090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25115  Remove wrist/forearm lesion                       A  10.09   9.78NA   9.78    1.85  21.72 21.720090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25116  Remove wrist/forearm lesion                       A   7.56   8.24NA   8.24    1.35  17.15 17.150090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
25118  Excise wrist tendon sheath                        A   4.51   5.55NA   5.55    0.84  10.90 10.900090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25119  Partial removal of ulna                           A   6.21   6.80NA   6.80    1.13  14.14 14.140090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25120  Removal of forearm lesion                         A   6.27   6.79NA   6.79    1.16  14.22 14.220090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
25125  Remove/graft forearm lesion                       A   7.67   7.43NA   7.43    1.54  16.64 16.640090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25126  Remove/graft forearm lesion                       A   7.74   7.71NA   7.71    1.58  17.03 17.030090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25130  Removal of wrist lesion                           A   5.43   6.36NA   6.36    0.96  12.75 12.750090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25135  Remove & graft wrist lesion                       A   7.08   7.34NA   7.34    1.43  15.85 15.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25136  Remove & graft wrist lesion                       A   6.14   6.62NA   6.62    1.26  14.02 14.020090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25145  Remove forearm bone lesion                        A   6.54   6.94NA   6.94    1.34  14.82 14.820090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25150  Partial removal of ulna                           A   7.38   7.39NA   7.39    1.45  16.22 16.220090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
25151  Partial removal of radius                         A   7.68   7.50NA   7.50    1.54  16.72 16.720090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25170  Resect radius/ulnar tumor                         A  22.21  15.89NA  15.89    4.58  42.68 42.680090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25210  Removal of wrist bone                             A   6.12   6.74NA   6.74    1.07  13.93 13.930090.10.69.2120010             35.8043 090 99      0.00   0.00   0.00
25215  Removal of wrist bones                            A   8.14   8.05NA   8.05    1.48  17.67 17.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25230  Partial removal of radius                         A   5.37   6.00NA   6.00    1.00  12.37 12.370090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
25240  Partial removal of ulna                           A   5.31   5.99NA   5.99    0.92  12.22 12.220090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
25246  Injection for wrist x-ray                         A   1.45   3.02     0.58    0.14   4.61  2.170000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
25248  Remove forearm foreign body                       A   5.31   5.52NA   5.52    1.08  11.91 11.910090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25250  Removal of wrist prosthesis                       A   6.77   7.12NA   7.12    1.09  14.98 14.980090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25251  Removal of wrist prosthesis                       A   9.82   8.73NA   8.73    2.04  20.59 20.590090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25259  Manipulate wrist w/anesthes                       A   4.04   7.05NA   7.05    0.76  11.85 11.850090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25260  Repair forearm tendon/muscle                      A   8.04   8.50NA   8.50    1.49  18.03 18.030090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
25263  Repair forearm tendon/muscle                      A   8.04   8.28NA   8.28    1.46  17.78 17.780090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
25265  Repair forearm tendon/muscle                      A  10.10   9.32NA   9.32    2.03  21.45 21.450090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
25270  Repair forearm tendon/muscle                      A   6.17   6.72NA   6.72    1.10  13.99 13.990090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
25272  Repair forearm tendon/muscle                      A   7.21   7.26NA   7.26    1.35  15.82 15.820090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
25274  Repair forearm tendon/muscle                      A   8.94   8.43NA   8.43    1.64  19.01 19.010090.10.69.2120010             35.8043 090 99      0.00   0.00   0.00
25275  Repair forearm tendon sheath                      A   8.96   8.63NA   8.63    1.65  19.24 19.240090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
25280  Revise wrist/forearm tendon                       A   7.39   7.43NA   7.43    1.29  16.11 16.110090.10.69.2120010             35.8043 090 99      0.00   0.00   0.00
25290  Incise wrist/forearm tendon                       A   5.43   6.05NA   6.05    1.00  12.48 12.480090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
25295  Release wrist/forearm tendon                      A   6.72   7.01NA   7.01    1.24  14.97 14.970090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
25300  Fusion of tendons at wrist                        A   9.02   8.86NA   8.86    1.64  19.52 19.520090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25301  Fusion of tendons at wrist                        A   8.59   8.22NA   8.22    1.61  18.42 18.420090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25310  Transplant forearm tendon                         A   8.08   8.19NA   8.19    1.47  17.74 17.740090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
25312  Transplant forearm tendon                         A   9.82   8.90NA   8.90    1.77  20.49 20.490090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
25315  Revise palsy hand tendon(s)                       A  10.68   9.29NA   9.29    2.16  22.13 22.130090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25316  Revise palsy hand tendon(s)                       A  12.90  10.72NA  10.72    2.66  26.28 26.280090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25320  Repair/revise wrist joint                         A  12.75  13.17NA  13.17    2.35  28.27 28.270090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25332  Revise wrist joint                                A  11.74  10.24NA  10.24    2.15  24.13 24.130090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25335  Realignment of hand                               A  13.39   7.96NA   7.96    1.83  23.18 23.180090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25337  Reconstruct ulna/radioulnar                       A  11.73  11.59NA  11.59    2.15  25.47 25.470090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25350  Revision of radius                                A   9.09   8.55NA   8.55    1.66  19.30 19.300090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25355  Revision of radius                                A  10.53   9.01NA   9.01    2.05  21.59 21.590090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25360  Revision of ulna                                  A   8.74   8.35NA   8.35    1.64  18.73 18.730090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25365  Revise radius & ulna                              A  12.91  10.74NA  10.74    2.55  26.20 26.200090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25370  Revise radius or ulna                             A  14.10  12.04NA  12.04    2.78  28.92 28.920090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25375  Revise radius & ulna                              A  13.55  11.06NA  11.06    2.79  27.40 27.400090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25390  Shorten radius or ulna                            A  10.70   9.40NA   9.40    1.96  22.06 22.060090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25391  Lengthen radius or ulna                           A  14.28  11.43NA  11.43    2.94  28.65 28.650090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25392  Shorten radius & ulna                             A  14.58   8.41NA   8.41    1.99  24.98 24.980090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25393  Lengthen radius & ulna                            A  16.56  13.15NA  13.15    2.82  32.53 32.530090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25394  Repair carpal bone shorten                        A  10.85   9.36NA   9.36    2.17  22.38 22.380090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25400  Repair radius or ulna                             A  11.28   9.64NA   9.64    2.14  23.06 23.060090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25405  Repair/graft radius or ulna                       A  15.01  11.95NA  11.95    2.82  29.78 29.780090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25415  Repair radius & ulna                              A  13.80  11.09NA  11.09    2.78  27.67 27.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25420  Repair/graft radius & ulna                        A  17.04  13.10NA  13.10    3.42  33.56 33.560090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25425  Repair/graft radius or ulna                       A  13.72  11.15NA  11.15    2.83  27.70 27.700090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25426  Repair/graft radius & ulna                        A  16.45  12.52NA  12.52    3.39  32.36 32.360090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25430  Vasc graft into carpal bone                       A   9.71   9.29NA   9.29    2.00  21.00 21.000090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25431  Repair nonunion carpal bone                       A  10.89   9.54NA   9.54    2.14  22.57 22.570090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25440  Repair/graft wrist bone                           A  10.68   9.34NA   9.34    1.95  21.97 21.970090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25441  Reconstruct wrist joint                           A  13.29  11.38NA  11.38    2.12  26.79 26.790090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25442  Reconstruct wrist joint                           A  11.12  10.00NA  10.00    1.98  23.10 23.100090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25443  Reconstruct wrist joint                           A  10.66   9.59NA   9.59    2.20  22.45 22.450090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25444  Reconstruct wrist joint                           A  11.42   9.97NA   9.97    2.35  23.74 23.740090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25445  Reconstruct wrist joint                           A   9.88   8.93NA   8.93    1.89  20.70 20.700090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
25446  Wrist replacement                                 A  17.30  13.20NA  13.20    3.11  33.61 33.610090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25447  Repair wrist joints                               A  11.14  10.54NA  10.54    2.03  23.71 23.710090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25449  Remove wrist joint implant                        A  14.94  12.01NA  12.01    2.70  29.65 29.650090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25450  Revision of wrist joint                           A   8.06   5.70NA   5.70    1.10  14.86 14.860090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25455  Revision of wrist joint                           A   9.71   6.56NA   6.56    1.33  17.60 17.600090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25490  Reinforce radius                                  A   9.73   8.91NA   8.91    2.01  20.65 20.650090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25491  Reinforce ulna                                    A  10.15   9.01NA   9.01    2.09  21.25 21.250090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25492  Reinforce radius and ulna                         A  12.66  10.73NA  10.73    2.61  26.00 26.000090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25500  Treat fracture of radius                          A   2.60   4.72     4.09    0.45   7.77  7.140090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25505  Treat fracture of radius                          A   5.45   7.89     6.70    0.99  14.33 13.140090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25515  Treat fracture of radius                          A   8.80   8.66NA   8.66    1.73  19.19 19.190090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25520  Treat fracture of radius                          A   6.50   8.17     7.37    1.29  15.96 15.160090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25525  Treat fracture of radius                          A  10.55   9.91NA   9.91    2.05  22.51 22.510090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
25526  Treat fracture of radius                          A  13.15  11.60NA  11.60    2.57  27.32 27.320090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
25530  Treat fracture of ulna                            A   2.24   4.80     4.11    0.41   7.45  6.760090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25535  Treat fracture of ulna                            A   5.36   7.56     6.54    1.02  13.94 12.920090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25545  Treat fracture of ulna                            A   7.94   8.37NA   8.37    1.54  17.85 17.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25560  Treat fracture radius & ulna                      A   2.59   4.86     4.11    0.44   7.89  7.140090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25565  Treat fracture radius & ulna                      A   5.85   7.88     6.49    1.07  14.80 13.410090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25574  Treat fracture radius & ulna                      A   8.80   8.75NA   8.75    1.73  19.28 19.280090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
25575  Treat fracture radius/ulna                        A  12.29  11.15NA  11.15    2.43  25.87 25.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25600  Treat fracture radius/ulna                        A   2.78   6.04     5.54    0.50   9.32  8.820090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25605  Treat fracture radius/ulna                        A   6.25   8.16     7.25    1.15  15.56 14.650090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25606  Treat fx distal radial                            A   8.31   9.00NA   9.00    1.69  19.00 19.000090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25607  Treat fx rad extra-articul                        A   9.56   9.65NA   9.65    1.86  21.07 21.070090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25608  Treat fx rad intra-articul                        A  11.07  10.42NA  10.42    2.14  23.63 23.630090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25609  Treat fx radial 3+ frag                           A  14.38  12.92NA  12.92    2.75  30.05 30.050090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25622  Treat wrist bone fracture                         A   2.79   5.37     4.61    0.48   8.64  7.880090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25624  Treat wrist bone fracture                         A   4.77   7.83     6.65    0.94  13.54 12.360090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25628  Treat wrist bone fracture                         A   9.67   9.18NA   9.18    1.81  20.66 20.660090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25630  Treat wrist bone fracture                         A   3.03   5.11     4.42    0.53   8.67  7.980090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25635  Treat wrist bone fracture                         A   4.61   6.78     5.50    0.74  12.13 10.850090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25645  Treat wrist bone fracture                         A   7.42   7.35NA   7.35    1.49  16.26 16.260090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25650  Treat wrist bone fracture                         A   3.23   5.32     4.76    0.55   9.10  8.540090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25651  Pin ulnar styloid fracture                        A   5.82   6.98NA   6.98    1.05  13.85 13.850090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25652  Treat fracture ulnar styloid                      A   8.06   8.25NA   8.25    1.57  17.88 17.880090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
25660  Treat wrist dislocation                           A   4.98   5.81NA   5.81    0.85  11.64 11.640090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25670  Treat wrist dislocation                           A   8.09   7.75NA   7.75    1.53  17.37 17.370090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25671  Pin radioulnar dislocation                        A   6.46   7.42NA   7.42    1.30  15.18 15.180090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25675  Treat wrist dislocation                           A   4.89   6.67     5.60    0.78  12.34 11.270090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25676  Treat wrist dislocation                           A   8.29   8.10NA   8.10    1.57  17.96 17.960090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25680  Treat wrist fracture                              A   6.23   6.28NA   6.28    1.00  13.51 13.510090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25685  Treat wrist fracture                              A  10.09   8.91NA   8.91    2.03  21.03 21.030090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25690  Treat wrist dislocation                           A   5.72   6.77NA   6.77    1.12  13.61 13.610090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25695  Treat wrist dislocation                           A   8.51   7.93NA   7.93    1.74  18.18 18.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25800  Fusion of wrist joint                             A  10.07   9.06NA   9.06    1.85  20.98 20.980090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25805  Fusion/graft of wrist joint                       A  11.73  10.14NA  10.14    2.40  24.27 24.270090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25810  Fusion/graft of wrist joint                       A  11.95  10.76NA  10.76    2.16  24.87 24.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25820  Fusion of hand bones                              A   7.64   8.55NA   8.55    1.40  17.59 17.590090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25825  Fuse hand bones with graft                        A   9.69  10.24NA  10.24    1.74  21.67 21.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25830  Fusion radioulnar jnt/ulna                        A  10.88  14.17NA  14.17    1.99  27.04 27.040090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
25900  Amputation of forearm                             A   9.61   8.84NA   8.84    1.87  20.32 20.320090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25905  Amputation of forearm                             A   9.59   6.70NA   6.70    2.32  18.61 18.610090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25907  Amputation follow-up surgery                      A   8.09   6.99NA   6.99    1.61  16.69 16.690090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25909  Amputation follow-up surgery                      A   9.31   8.44NA   8.44    1.92  19.67 19.670090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25915  Amputation of forearm                             A  17.52  13.10NA  13.10    3.30  33.92 33.920090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25920  Amputate hand at wrist                            A   9.03   9.01NA   9.01    1.87  19.91 19.910090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25922  Amputate hand at wrist                            A   7.65   7.20NA   7.20    1.59  16.44 16.440090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25924  Amputation follow-up surgery                      A   8.81   7.00NA   7.00    1.65  17.46 17.460090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25927  Amputation of hand                                A   9.09  12.27NA  12.27    1.90  23.26 23.260090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
25929  Amputation follow-up surgery                      A   7.82   7.48NA   7.48    1.65  16.95 16.950090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
25931  Amputation follow-up surgery                      A   8.04   9.02NA   9.02    1.95  19.01 19.010090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
25999  Forearm or wrist surgery                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
26010  Drainage of finger abscess                        A   1.59   5.66     2.10    0.23   7.48  3.920010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
26011  Drainage of finger abscess                        A   2.24   8.41     2.65    0.40  11.05  5.290010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
26020  Drain hand tendon sheath                          A   5.08   6.36NA   6.36    0.96  12.40 12.400090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26025  Drainage of palm bursa                            A   5.08   6.04NA   6.04    0.96  12.08 12.080090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26030  Drainage of palm bursas                           A   6.25   6.68NA   6.68    1.14  14.07 14.070090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26034  Treat hand bone lesion                            A   6.63   7.47NA   7.47    1.27  15.37 15.370090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26035  Decompress fingers/hand                           A  11.37  11.17NA  11.17    1.93  24.47 24.470090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26037  Decompress fingers/hand                           A   7.57   7.26NA   7.26    1.41  16.24 16.240090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26040  Release palm contracture                          A   3.46   4.81NA   4.81    0.62   8.89  8.890090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26045  Release palm contracture                          A   5.73   6.55NA   6.55    1.13  13.41 13.410090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26055  Incise finger tendon sheath                       A   3.11  12.13     5.15    0.59  15.83  8.850090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26060  Incision of finger tendon                         A   2.91   4.12NA   4.12    0.53   7.56  7.560090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26070  Explore/treat hand joint                          A   3.81   4.51NA   4.51    0.64   8.96  8.960090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26075  Explore/treat finger joint                        A   3.91   4.88NA   4.88    0.71   9.50  9.500090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26080  Explore/treat finger joint                        A   4.47   5.85NA   5.85    0.83  11.15 11.150090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26100  Biopsy hand joint lining                          A   3.79   4.98NA   4.98    0.76   9.53  9.530090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26105  Biopsy finger joint lining                        A   3.83   4.97NA   4.97    0.71   9.51  9.510090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26110  Biopsy finger joint lining                        A   3.65   4.85NA   4.85    0.67   9.17  9.170090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26111  Exc hand les sc 1.5 cm/>                          A   5.42   5.53NA   5.53    1.02  11.97 11.970090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26113  Exc hand tum deep 1.5 cm/>                        A   7.13   7.26NA   7.26    1.31  15.70 15.700090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26115  Exc hand les sc < 1.5 cm                          A   3.96   9.63     4.82    0.74  14.33  9.520090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26116  Exc hand tum deep < 1.5 cm                        A   6.74   7.10NA   7.10    1.25  15.09 15.090090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26117  Rad resect hand tumor < 3 cm                      A  10.13   9.45NA   9.45    1.90  21.48 21.480090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26118  Rad resect hand tumor 3 cm/>                      A  14.81  12.57NA  12.57    2.80  30.18 30.180090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26121  Release palm contracture                          A   7.73   7.91NA   7.91    1.45  17.09 17.090090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26123  Release palm contracture                          A  10.88  10.98NA  10.98    2.02  23.88 23.880090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26125  Release palm contracture                          A   4.60   2.46NA   2.46    0.85   7.91  7.910ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
26130  Remove wrist joint lining                         A   5.59   6.51NA   6.51    1.14  13.24 13.240090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26135  Revise finger joint each                          A   7.13   7.31NA   7.31    1.27  15.71 15.710090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26140  Revise finger joint each                          A   6.34   6.91NA   6.91    1.16  14.41 14.410090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26145  Tendon excision palm/finger                       A   6.49   6.92NA   6.92    1.22  14.63 14.630090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26160  Remove tendon sheath lesion                       A   3.57  12.05     5.29    0.67  16.29  9.530090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26170  Removal of palm tendon each                       A   4.91   5.79NA   5.79    0.86  11.56 11.560090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26180  Removal of finger tendon                          A   5.35   6.36NA   6.36    0.93  12.64 12.640090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26185  Remove finger bone                                A   6.52   7.98NA   7.98    1.03  15.53 15.530090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
26200  Remove hand bone lesion                           A   5.65   6.19NA   6.19    1.03  12.87 12.870090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26205  Remove/graft bone lesion                          A   7.93   7.72NA   7.72    1.64  17.29 17.290090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26210  Removal of finger lesion                          A   5.32   6.33NA   6.33    0.98  12.63 12.630090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26215  Remove/graft finger lesion                        A   7.27   7.38NA   7.38    1.50  16.15 16.150090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26230  Partial removal of hand bone                      A   6.47   6.63NA   6.63    1.16  14.26 14.260090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26235  Partial removal finger bone                       A   6.33   6.64NA   6.64    1.14  14.11 14.110090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26236  Partial removal finger bone                       A   5.46   6.15NA   6.15    1.01  12.62 12.620090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26250  Extensive hand surgery                            A  15.21  13.12NA  13.12    2.60  30.93 30.930090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26260  Resect prox finger tumor                          A  11.16   9.90NA   9.90    1.91  22.97 22.970090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26262  Resect distal finger tumor                        A   8.29   8.34NA   8.34    1.28  17.91 17.910090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26320  Removal of implant from hand                      A   4.10   5.06NA   5.06    0.75   9.91  9.910090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26340  Manipulate finger w/anesth                        A   2.80   6.19NA   6.19    0.52   9.51  9.510090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26341  Manipulat palm cord post inj                      A   0.91   1.73     1.06    0.17   2.81  2.140010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
26350  Repair finger/hand tendon                         A   6.21  12.66NA  12.66    1.15  20.02 20.020090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26352  Repair/graft hand tendon                          A   7.87  13.60NA  13.60    1.63  23.10 23.100090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26356  Repair finger/hand tendon                         A   9.56  13.70NA  13.70    1.75  25.01 25.010090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26357  Repair finger/hand tendon                         A  10.53  11.94NA  11.94    2.13  24.60 24.600090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26358  Repair/graft hand tendon                          A  12.13  12.74NA  12.74    2.47  27.34 27.340090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26370  Repair finger/hand tendon                         A   7.28  12.71NA  12.71    1.32  21.31 21.310090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26372  Repair/graft hand tendon                          A   9.01  14.06NA  14.06    1.75  24.82 24.820090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26373  Repair finger/hand tendon                         A   8.41  13.75NA  13.75    1.68  23.84 23.840090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26390  Revise hand/finger tendon                         A   9.43  12.32NA  12.32    1.94  23.69 23.690090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26392  Repair/graft hand tendon                          A  10.50  14.75NA  14.75    2.09  27.34 27.340090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26410  Repair hand tendon                                A   4.77  10.24NA  10.24    0.90  15.91 15.910090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26412  Repair/graft hand tendon                          A   6.48  11.49NA  11.49    1.21  19.18 19.180090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26415  Excision hand/finger tendon                       A   8.51  11.62NA  11.62    1.56  21.69 21.690090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26416  Graft hand or finger tendon                       A   9.56   9.31NA   9.31    1.58  20.45 20.450090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26418  Repair finger tendon                              A   4.47  10.93NA  10.93    0.83  16.23 16.230090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26420  Repair/graft finger tendon                        A   6.94  11.72NA  11.72    1.25  19.91 19.910090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26426  Repair finger/hand tendon                         A   6.32   6.83NA   6.83    1.17  14.32 14.320090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26428  Repair/graft finger tendon                        A   7.40  12.43NA  12.43    1.43  21.26 21.260090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26432  Repair finger tendon                              A   4.16   9.09NA   9.09    0.77  14.02 14.020090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26433  Repair finger tendon                              A   4.70   9.37NA   9.37    0.87  14.94 14.940090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26434  Repair/graft finger tendon                        A   6.26  10.73NA  10.73    1.24  18.23 18.230090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26437  Realignment of tendons                            A   5.99  10.42NA  10.42    1.11  17.52 17.520090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26440  Release palm/finger tendon                        A   5.16  11.30NA  11.30    0.93  17.39 17.390090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26442  Release palm & finger tendon                      A   9.75  15.64NA  15.64    1.78  27.17 27.170090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26445  Release hand/finger tendon                        A   4.45  10.92NA  10.92    0.82  16.19 16.190090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26449  Release forearm/hand tendon                       A   8.59   9.73NA   9.73    1.53  19.85 19.850090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26450  Incision of palm tendon                           A   3.79   7.00NA   7.00    0.70  11.49 11.490090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26455  Incision of finger tendon                         A   3.76   6.90NA   6.90    0.65  11.31 11.310090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26460  Incise hand/finger tendon                         A   3.58   6.85NA   6.85    0.66  11.09 11.090090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26471  Fusion of finger tendons                          A   5.90  10.33NA  10.33    1.03  17.26 17.260090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26474  Fusion of finger tendons                          A   5.49  10.34NA  10.34    1.11  16.94 16.940090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26476  Tendon lengthening                                A   5.35  10.05NA  10.05    0.86  16.26 16.260090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26477  Tendon shortening                                 A   5.32  10.05NA  10.05    0.95  16.32 16.320090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
26478  Lengthening of hand tendon                        A   5.97  10.41NA  10.41    1.07  17.45 17.450090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26479  Shortening of hand tendon                         A   5.91  10.37NA  10.37    0.94  17.22 17.220090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26480  Transplant hand tendon                            A   6.90  13.05NA  13.05    1.17  21.12 21.120090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26483  Transplant/graft hand tendon                      A   8.48  13.71NA  13.71    1.56  23.75 23.750090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26485  Transplant palm tendon                            A   7.89  13.41NA  13.41    1.43  22.73 22.730090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26489  Transplant/graft palm tendon                      A   9.86  14.26NA  14.26    1.55  25.67 25.670090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26490  Revise thumb tendon                               A   8.60  12.06NA  12.06    1.50  22.16 22.160090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26492  Tendon transfer with graft                        A   9.84  13.14NA  13.14    1.61  24.59 24.590090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26494  Hand tendon/muscle transfer                       A   8.66  12.03NA  12.03    1.57  22.26 22.260090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26496  Revise thumb tendon                               A   9.78  12.71NA  12.71    1.70  24.19 24.190090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26497  Finger tendon transfer                            A   9.76  12.75NA  12.75    2.01  24.52 24.520090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26498  Finger tendon transfer                            A  14.21  15.33NA  15.33    2.91  32.45 32.450090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26499  Revision of finger                                A   9.17  12.45NA  12.45    1.87  23.49 23.490090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26500  Hand tendon reconstruction                        A   6.13  10.28NA  10.28    1.11  17.52 17.520090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26502  Hand tendon reconstruction                        A   7.31  11.13NA  11.13    1.16  19.60 19.600090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26508  Release thumb contracture                         A   6.18  10.68NA  10.68    1.24  18.10 18.100090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26510  Thumb tendon transfer                             A   5.60  10.16NA  10.16    0.93  16.69 16.690090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26516  Fusion of knuckle joint                           A   7.32  11.12NA  11.12    1.25  19.69 19.690090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26517  Fusion of knuckle joints                          A   9.08  12.41NA  12.41    1.79  23.28 23.280090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
26518  Fusion of knuckle joints                          A   9.27  12.49NA  12.49    1.48  23.24 23.240090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
26520  Release knuckle contracture                       A   5.47  11.81NA  11.81    1.00  18.28 18.280090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26525  Release finger contracture                        A   5.50  11.79NA  11.79    1.01  18.30 18.300090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
26530  Revise knuckle joint                              A   6.88   7.21NA   7.21    1.25  15.34 15.340090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26531  Revise knuckle with implant                       A   8.13   8.25NA   8.25    1.47  17.85 17.850090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26535  Revise finger joint                               A   5.41   5.75NA   5.75    0.87  12.03 12.030090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26536  Revise/implant finger joint                       A   6.56  12.35NA  12.35    1.13  20.04 20.040090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26540  Repair hand joint                                 A   6.60  10.70NA  10.70    1.18  18.48 18.480090.10.69.2120010             35.8043 090 99      0.00   0.00   0.00
26541  Repair hand joint with graft                      A   8.81  12.17NA  12.17    1.60  22.58 22.580090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26542  Repair hand joint with graft                      A   6.95  10.89NA  10.89    1.22  19.06 19.060090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26545  Reconstruct finger joint                          A   7.11  11.06NA  11.06    1.24  19.41 19.410090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26546  Repair nonunion hand                              A  10.83  15.22NA  15.22    1.96  28.01 28.010090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
26548  Reconstruct finger joint                          A   8.22  11.73NA  11.73    1.45  21.40 21.400090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26550  Construct thumb replacement                       A  21.68  18.78NA  18.78    3.47  43.93 43.930090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
26551  Great toe-hand transfer                           A  48.48  26.41NA  26.41    6.63  81.52 81.520090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
26553  Single transfer toe-hand                          A  48.17  35.89NA  35.89    9.94  94.00 94.000090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
26554  Double transfer toe-hand                          A  57.01  30.00NA  30.00    7.81  94.82 94.820090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
26555  Positional change of finger                       A  17.08  17.95NA  17.95    3.09  38.12 38.120090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26556  Toe joint transfer                                A  49.75  37.65NA  37.65   10.27  97.67 97.670090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26560  Repair of web finger                              A   5.52   9.32NA   9.32    0.93  15.77 15.770090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26561  Repair of web finger                              A  11.10  13.29NA  13.29    1.90  26.29 26.290090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26562  Repair of web finger                              A  16.68  18.07NA  18.07    3.44  38.19 38.190090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26565  Correct metacarpal flaw                           A   6.91  10.90NA  10.90    1.24  19.05 19.050090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26567  Correct finger deformity                          A   6.99  10.93NA  10.93    1.24  19.16 19.160090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26568  Lengthen metacarpal/finger                        A   9.27  14.30NA  14.30    1.86  25.43 25.430090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26580  Repair hand deformity                             A  19.75  18.56NA  18.56    3.33  41.64 41.640090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
26587  Reconstruct extra finger                          A  14.50   9.44NA   9.44    2.18  26.12 26.120090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26590  Repair finger deformity                           A  18.67  15.87NA  15.87    3.92  38.46 38.460090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26591  Repair muscles of hand                            A   3.38   8.26NA   8.26    0.59  12.23 12.230090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26593  Release muscles of hand                           A   5.50  10.38NA  10.38    0.97  16.85 16.850090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26596  Excision constricting tissue                      A   9.14  10.71NA  10.71    1.43  21.28 21.280090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26600  Treat metacarpal fracture                         A   2.60   5.30     4.82    0.45   8.35  7.870090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26605  Treat metacarpal fracture                         A   3.03   5.56     4.76    0.55   9.14  8.340090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26607  Treat metacarpal fracture                         A   5.48   6.49NA   6.49    1.02  12.99 12.990090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26608  Treat metacarpal fracture                         A   5.55   7.02NA   7.02    1.04  13.61 13.610090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26615  Treat metacarpal fracture                         A   7.07   8.08NA   8.08    1.34  16.49 16.490090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26641  Treat thumb dislocation                           A   4.13   5.67     4.77    0.65  10.45  9.550090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26645  Treat thumb fracture                              A   4.58   6.55     5.59    0.88  12.01 11.050090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
26650  Treat thumb fracture                              A   5.35   7.27NA   7.27    1.02  13.64 13.640090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
26665  Treat thumb fracture                              A   7.94   8.54NA   8.54    1.64  18.12 18.120090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
26670  Treat hand dislocation                            A   3.83   5.19     4.31    0.61   9.63  8.750090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26675  Treat hand dislocation                            A   4.83   7.05     6.02    0.98  12.86 11.830090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26676  Pin hand dislocation                              A   5.74   7.47NA   7.47    1.08  14.29 14.290090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26685  Treat hand dislocation                            A   7.07   8.10NA   8.10    1.32  16.49 16.490090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
26686  Treat hand dislocation                            A   8.17   8.04NA   8.04    1.68  17.89 17.890090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
26700  Treat knuckle dislocation                         A   3.83   4.74     4.19    0.58   9.15  8.600090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26705  Treat knuckle dislocation                         A   4.38   6.68     5.70    0.80  11.86 10.880090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26706  Pin knuckle dislocation                           A   5.31   6.28NA   6.28    0.98  12.57 12.570090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26715  Treat knuckle dislocation                         A   7.03   8.05NA   8.05    1.28  16.36 16.360090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26720  Treat finger fracture each                        A   1.76   3.57     3.18    0.29   5.62  5.230090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26725  Treat finger fracture each                        A   3.48   5.48     4.55    0.61   9.57  8.640090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26727  Treat finger fracture each                        A   5.42   6.95NA   6.95    1.02  13.39 13.390090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26735  Treat finger fracture each                        A   7.42   8.25NA   8.25    1.40  17.07 17.070090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26740  Treat finger fracture each                        A   2.07   4.09     3.70    0.37   6.53  6.140090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26742  Treat finger fracture each                        A   3.99   5.77     4.82    0.71  10.47  9.520090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26746  Treat finger fracture each                        A   9.80   9.62NA   9.62    1.82  21.24 21.240090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26750  Treat finger fracture each                        A   1.80   3.14     3.15    0.28   5.22  5.230090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26755  Treat finger fracture each                        A   3.23   5.15     4.00    0.52   8.90  7.750090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26756  Pin finger fracture each                          A   4.58   6.49NA   6.49    0.84  11.91 11.910090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26765  Treat finger fracture each                        A   5.86   7.37NA   7.37    1.09  14.32 14.320090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26770  Treat finger dislocation                          A   3.15   4.20     3.63    0.45   7.80  7.230090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26775  Treat finger dislocation                          A   3.90   6.29     5.27    0.68  10.87  9.850090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26776  Pin finger dislocation                            A   4.99   6.70NA   6.70    0.94  12.63 12.630090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26785  Treat finger dislocation                          A   6.60   7.82NA   7.82    1.24  15.66 15.660090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26820  Thumb fusion with graft                           A   8.45  12.09NA  12.09    1.68  22.22 22.220090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
26841  Fusion of thumb                                   A   7.35  11.73NA  11.73    1.36  20.44 20.440090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
26842  Thumb fusion with graft                           A   8.49  12.06NA  12.06    1.59  22.14 22.140090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
26843  Fusion of hand joint                              A   7.78  11.49NA  11.49    1.60  20.87 20.870090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26844  Fusion/graft of hand joint                        A   8.98  12.37NA  12.37    1.51  22.86 22.860090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26850  Fusion of knuckle                                 A   7.14  11.06NA  11.06    1.26  19.46 19.460090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26852  Fusion of knuckle with graft                      A   8.71  12.14NA  12.14    1.55  22.40 22.400090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26860  Fusion of finger joint                            A   4.88  10.09NA  10.09    0.90  15.87 15.870090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26861  Fusion of finger jnt add-on                       A   1.74   0.92NA   0.92    0.32   2.98  2.980ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
26862  Fusion/graft of finger joint                      A   7.56  11.52NA  11.52    1.36  20.44 20.440090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
26863  Fuse/graft added joint                            A   3.89   1.96NA   1.96    0.80   6.65  6.650ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
26910  Amputate metacarpal bone                          A   7.79  11.02NA  11.02    1.50  20.31 20.310090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26951  Amputation of finger/thumb                        A   6.04  11.21NA  11.21    1.16  18.41 18.410090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26952  Amputation of finger/thumb                        A   6.48  10.50NA  10.50    1.18  18.16 18.160090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26989  Hand/finger surgery                               C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
26990  Drainage of pelvis lesion                         A   7.95   8.31NA   8.31    1.66  17.92 17.920090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
26991  Drainage of pelvis bursa                          A   7.06  11.63     6.53    1.37  20.06 14.960090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
26992  Drainage of bone lesion                           A  13.48  11.50NA  11.50    2.57  27.55 27.550090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
27000  Incision of hip tendon                            A   5.74   5.26NA   5.26    0.94  11.94 11.940090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27001  Incision of hip tendon                            A   7.14   6.86NA   6.86    1.39  15.39 15.390090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27003  Incision of hip tendon                            A   7.81   7.70NA   7.70    1.58  17.09 17.090090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27005  Incision of hip tendon                            A  10.07   8.76NA   8.76    1.95  20.78 20.780090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27006  Incision of hip tendons                           A  10.11   9.05NA   9.05    1.95  21.11 21.110090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27025  Incision of hip/thigh fascia                      A  12.89  10.92NA  10.92    2.49  26.30 26.300090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
27027  Buttock fasciotomy                                A  13.04  10.24NA  10.24    2.62  25.90 25.900090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27030  Drainage of hip joint                             A  13.65  10.57NA  10.57    2.71  26.93 26.930090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27033  Exploration of hip joint                          A  14.11  11.05NA  11.05    2.81  27.97 27.970090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27035  Denervation of hip joint                          A  17.37  12.46NA  12.46    3.23  33.06 33.060090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27036  Excision of hip joint/muscle                      A  14.38  11.82NA  11.82    2.84  29.04 29.040090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27040  Biopsy of soft tissues                            A   2.92   6.42     2.36    0.47   9.81  5.750010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
27041  Biopsy of soft tissues                            A  10.18   7.74NA   7.74    1.90  19.82 19.820090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27043  Exc hip pelvis les sc 3 cm/>                      A   6.88   5.08NA   5.08    1.60  13.56 13.560090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27045  Exc hip/pelv tum deep 5 cm/>                      A  11.13   8.08NA   8.08    2.39  21.60 21.600090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27047  Exc hip/pelvis les sc < 3 cm                      A   4.94   7.33     4.40    1.08  13.35 10.420090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27048  Exc hip/pelv tum deep < 5 cm                      A   8.85   6.81NA   6.81    1.95  17.61 17.610090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27049  Resect hip/pelv tum < 5 cm                        A  21.55  12.82NA  12.82    4.55  38.92 38.920090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27050  Biopsy of sacroiliac joint                        A   4.74   5.42NA   5.42    0.84  11.00 11.000090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
27052  Biopsy of hip joint                               A   7.42   7.62NA   7.62    1.51  16.55 16.550090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27054  Removal of hip joint lining                       A   9.21   8.64NA   8.64    1.81  19.66 19.660090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27057  Buttock fasciotomy w/dbrdmt                       A  14.91  11.20NA  11.20    3.09  29.20 29.200090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27059  Resect hip/pelv tum 5 cm/>                        A  29.35  17.06NA  17.06    6.13  52.54 52.540090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27060  Removal of ischial bursa                          A   5.87   6.22NA   6.22    1.19  13.28 13.280090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27062  Remove femur lesion/bursa                         A   5.75   6.17NA   6.17    1.18  13.10 13.100090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27065  Remove hip bone les super                         A   6.55   6.85NA   6.85    1.27  14.67 14.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27066  Remove hip bone les deep                          A  11.20   9.90NA   9.90    2.19  23.29 23.290090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27067  Remove/graft hip bone lesion                      A  14.72  11.93NA  11.93    2.82  29.47 29.470090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27070  Part remove hip bone super                        A  11.56  10.51NA  10.51    2.27  24.34 24.340090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27071  Part removal hip bone deep                        A  12.39  11.46NA  11.46    2.49  26.34 26.340090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27075  Resect hip tumor                                  A  32.71  21.16NA  21.16    6.65  60.52 60.520090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27076  Resect hip tum incl acetabul                      A  40.21  24.70NA  24.70    8.13  73.04 73.040090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27077  Resect hip tum w/innom bone                       A  45.21  27.58NA  27.58    9.33  82.12 82.120090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27078  Rsect hip tum incl femur                          A  32.21  20.89NA  20.89    6.50  59.60 59.600090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27080  Removal of tail bone                              A   6.89   6.33NA   6.33    1.53  14.75 14.750090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27086  Remove hip foreign body                           A   1.92   5.95     2.45    0.39   8.26  4.760010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
27087  Remove hip foreign body                           A   8.83   7.43NA   7.43    1.74  18.00 18.000090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27090  Removal of hip prosthesis                         A  11.69   9.86NA   9.86    2.32  23.87 23.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27091  Removal of hip prosthesis                         A  24.35  16.92NA  16.92    4.82  46.09 46.090090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27093  Injection for hip x-ray                           A   1.30   3.90     0.58    0.14   5.34  2.020000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
27095  Injection for hip x-ray                           A   1.50   5.18     0.69    0.19   6.87  2.380000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
27096  Inject sacroiliac joint                           A   1.48   2.98     0.82    0.13   4.59  2.430000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
27097  Revision of hip tendon                            A   9.27   8.23NA   8.23    1.83  19.33 19.330090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27098  Transfer tendon to pelvis                         A   9.32   8.19NA   8.19    1.69  19.20 19.200090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27100  Transfer of abdominal muscle                      A  11.35   9.99NA   9.99    2.17  23.51 23.510090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27105  Transfer of spinal muscle                         A  12.04  10.41NA  10.41    2.48  24.93 24.930090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27110  Transfer of iliopsoas muscle                      A  13.77  11.28NA  11.28    2.78  27.83 27.830090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27111  Transfer of iliopsoas muscle                      A  12.60  10.69NA  10.69    2.60  25.89 25.890090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27120  Reconstruction of hip socket                      A  19.25  14.28NA  14.28    3.96  37.49 37.490090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27122  Reconstruction of hip socket                      A  16.09  12.37NA  12.37    3.20  31.66 31.660090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27125  Partial hip replacement                           A  16.64  12.69NA  12.69    3.34  32.67 32.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27130  Total hip arthroplasty                            A  20.72  14.33NA  14.33    4.07  39.12 39.120090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27132  Total hip arthroplasty                            A  25.69  17.58NA  17.58    5.05  48.32 48.320090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27134  Revise hip joint replacement                      A  30.28  19.12NA  19.12    5.94  55.34 55.340090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27137  Revise hip joint replacement                      A  22.70  15.34NA  15.34    4.47  42.51 42.510090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27138  Revise hip joint replacement                      A  23.70  15.82NA  15.82    4.65  44.17 44.170090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27140  Transplant femur ridge                            A  12.78  10.44NA  10.44    2.50  25.72 25.720090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27146  Incision of hip bone                              A  18.92  14.25NA  14.25    3.93  37.10 37.100090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27147  Revision of hip bone                              A  22.07  15.84NA  15.84    4.55  42.46 42.460090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27151  Incision of hip bones                             A  24.12  16.87NA  16.87    4.84  45.83 45.830090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27156  Revision of hip bones                             A  26.23  17.93NA  17.93    5.41  49.57 49.570090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27158  Revision of pelvis                                A  21.04  15.12NA  15.12    4.94  41.10 41.100090.10.69.2122200             35.8043 090 99      0.00   0.00   0.00
27161  Incision of neck of femur                         A  17.89  13.58NA  13.58    3.53  35.00 35.000090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27165  Incision/fixation of femur                        A  20.29  15.34NA  15.34    3.98  39.61 39.610090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27170  Repair/graft femur head/neck                      A  17.61  12.77NA  12.77    3.51  33.89 33.890090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27175  Treat slipped epiphysis                           A   9.38   7.89NA   7.89    1.93  19.20 19.200090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27176  Treat slipped epiphysis                           A  12.92  10.44NA  10.44    2.53  25.89 25.890090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27177  Treat slipped epiphysis                           A  16.09  12.70NA  12.70    3.32  32.11 32.110090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27178  Treat slipped epiphysis                           A  12.92  10.85NA  10.85    2.66  26.43 26.430090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27179  Revise head/neck of femur                         A  13.97  11.26NA  11.26    2.88  28.11 28.110090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27181  Treat slipped epiphysis                           A  16.18   9.35NA   9.35    2.21  27.74 27.740090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27185  Revision of femur epiphysis                       A   9.79   6.36NA   6.36    1.34  17.49 17.490090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27187  Reinforce hip bones                               A  14.23  11.46NA  11.46    2.85  28.54 28.540090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27193  Treat pelvic ring fracture                        A   6.09   6.20     6.38    1.20  13.49 13.670090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
27194  Treat pelvic ring fracture                        A  10.20   8.20NA   8.20    1.91  20.31 20.310090.10.69.2120020             35.8043 090 99      0.00   0.00   0.00
27200  Treat tail bone fracture                          A   1.92   2.89     3.11    0.34   5.15  5.370090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
27202  Treat tail bone fracture                          A   7.31   6.51NA   6.51    1.40  15.22 15.220090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
27215  Treat pelvic fracture(s)                          I+ 10.45   6.07NA   6.07    1.43  17.95 17.959090.10.69.2199999             35.8043 090 99      0.00   0.00   0.00
27216  Treat pelvic ring fracture                        I+ 15.73   8.72NA   8.72    2.15  26.60 26.609090.10.69.2199999             35.8043 090 99      0.00   0.00   0.00
27217  Treat pelvic ring fracture                        I+ 14.65   8.31NA   8.31    2.00  24.96 24.969090.10.69.2199999             35.8043 090 99      0.00   0.00   0.00
27218  Treat pelvic ring fracture                        I+ 20.93  10.71NA  10.71    2.86  34.50 34.509090.10.69.2199999             35.8043 090 99      0.00   0.00   0.00
27220  Treat hip socket fracture                         A   6.83   7.02     6.89    1.36  15.21 15.080090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27222  Treat hip socket fracture                         A  14.11  11.18NA  11.18    2.81  28.10 28.100090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27226  Treat hip wall fracture                           A  15.57  11.78NA  11.78    3.09  30.44 30.440090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27227  Treat hip fracture(s)                             A  25.41  17.37NA  17.37    5.10  47.88 47.880090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27228  Treat hip fracture(s)                             A  29.33  19.38NA  19.38    5.89  54.60 54.600090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27230  Treat thigh fracture                              A   5.81   6.64     6.56    1.13  13.58 13.500090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27232  Treat thigh fracture                              A  11.72   7.72NA   7.72    2.21  21.65 21.650090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27235  Treat thigh fracture                              A  13.00  10.53NA  10.53    2.66  26.19 26.190090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27236  Treat thigh fracture                              A  17.61  13.36NA  13.36    3.52  34.49 34.490090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27238  Treat thigh fracture                              A   5.75   6.30NA   6.30    1.13  13.18 13.180090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27240  Treat thigh fracture                              A  13.81  10.97NA  10.97    2.76  27.54 27.540090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27244  Treat thigh fracture                              A  18.18  13.67NA  13.67    3.65  35.50 35.500090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27245  Treat thigh fracture                              A  18.18  13.67NA  13.67    3.64  35.49 35.490090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27246  Treat thigh fracture                              A   4.83   5.24     5.30    0.96  11.03 11.090090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27248  Treat thigh fracture                              A  10.78   8.46NA   8.46    2.14  21.38 21.380090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27250  Treat hip dislocation                             A   3.82   0.79NA   0.79    0.60   5.21  5.210000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
27252  Treat hip dislocation                             A  11.03   8.62NA   8.62    2.17  21.82 21.820090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27253  Treat hip dislocation                             A  13.58  10.77NA  10.77    2.72  27.07 27.070090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27254  Treat hip dislocation                             A  18.94  13.84NA  13.84    3.75  36.53 36.530090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27256  Treat hip dislocation                             A   4.28   3.59     1.78    0.67   8.54  6.730010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
27257  Treat hip dislocation                             A   5.38   3.98NA   3.98    1.11  10.47 10.470010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
27258  Treat hip dislocation                             A  16.18  12.50NA  12.50    3.32  32.00 32.000090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27259  Treat hip dislocation                             A  23.26  16.78NA  16.78    4.80  44.84 44.840090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27265  Treat hip dislocation                             A   5.24   5.31NA   5.31    0.84  11.39 11.390090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27266  Treat hip dislocation                             A   7.78   7.34NA   7.34    1.58  16.70 16.700090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27267  Cltx thigh fx                                     A   5.50   5.89NA   5.89    1.07  12.46 12.460090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27268  Cltx thigh fx w/mnpj                              A   7.12   6.78NA   6.78    1.38  15.28 15.280090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27269  Optx thigh fx                                     A  18.89  13.13NA  13.13    3.76  35.78 35.780090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27275  Manipulation of hip joint                         A   2.32   2.45NA   2.45    0.44   5.21  5.210010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
27279  Arthrodesis sacroiliac joint                      A   9.03   8.53NA   8.53    2.48  20.04 20.040090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27280  Fusion of sacroiliac joint                        A  20.00  13.95NA  13.95    5.51  39.46 39.460090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27282  Fusion of pubic bones                             A  11.85   9.71NA   9.71    2.17  23.73 23.730090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27284  Fusion of hip joint                               A  25.06  15.30NA  15.30    4.61  44.97 44.970090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27286  Fusion of hip joint                               A  25.17  17.40NA  17.40    4.60  47.17 47.170090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27290  Amputation of leg at hip                          A  24.55  16.83NA  16.83    5.07  46.45 46.450090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27295  Amputation of leg at hip                          A  19.66  12.63NA  12.63    4.06  36.35 36.350090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27299  Pelvis/hip joint surgery                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
27301  Drain thigh/knee lesion                           A   6.78  10.98     6.20    1.43  19.19 14.410090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27303  Drainage of bone lesion                           A   8.63   7.95NA   7.95    1.72  18.30 18.300090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27305  Incise thigh tendon & fascia                      A   6.18   6.44NA   6.44    1.18  13.80 13.800090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27306  Incision of thigh tendon                          A   4.74   4.80NA   4.80    0.64  10.18 10.180090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27307  Incision of thigh tendons                         A   6.06   6.03NA   6.03    1.14  13.23 13.230090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
27310  Exploration of knee joint                         A  10.00   9.01NA   9.01    2.00  21.01 21.010090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27323  Biopsy thigh soft tissues                         A   2.33   4.99     2.38    0.41   7.73  5.120010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
27324  Biopsy thigh soft tissues                         A   5.04   5.28NA   5.28    1.13  11.45 11.450090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27325  Neurectomy hamstring                              A   7.20   7.09NA   7.09    1.40  15.69 15.690090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27326  Neurectomy popliteal                              A   6.47   6.97NA   6.97    1.44  14.88 14.880090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27327  Exc thigh/knee les sc < 3 cm                      A   3.96   8.30     4.21    0.86  13.12  9.030090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27328  Exc thigh/knee tum deep <5cm                      A   8.85   7.11NA   7.11    1.91  17.87 17.870090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27329  Resect thigh/knee tum < 5 cm                      A  15.72  10.81NA  10.81    3.35  29.88 29.880090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27330  Biopsy knee joint lining                          A   5.11   5.84NA   5.84    1.05  12.00 12.000090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27331  Explore/treat knee joint                          A   6.02   6.40NA   6.40    1.20  13.62 13.620090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27332  Removal of knee cartilage                         A   8.46   8.23NA   8.23    1.70  18.39 18.390090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27333  Removal of knee cartilage                         A   7.55   7.71NA   7.71    1.56  16.82 16.820090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27334  Remove knee joint lining                          A   9.19   8.61NA   8.61    1.82  19.62 19.620090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27335  Remove knee joint lining                          A  10.55   9.30NA   9.30    2.08  21.93 21.930090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27337  Exc thigh/knee les sc 3 cm/>                      A   5.91   4.81NA   4.81    1.34  12.06 12.060090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27339  Exc thigh/knee tum dep 5cm/>                      A  11.13   8.17NA   8.17    2.43  21.73 21.730090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27340  Removal of kneecap bursa                          A   4.32   5.45NA   5.45    0.89  10.66 10.660090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27345  Removal of knee cyst                              A   6.09   6.49NA   6.49    1.21  13.79 13.790090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27347  Remove knee cyst                                  A   6.73   7.12NA   7.12    1.35  15.20 15.200090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27350  Removal of kneecap                                A   8.66   8.32NA   8.32    1.71  18.69 18.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27355  Remove femur lesion                               A   8.00   7.68NA   7.68    1.59  17.27 17.270090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27356  Remove femur lesion/graft                         A  10.09   9.06NA   9.06    2.00  21.15 21.150090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27357  Remove femur lesion/graft                         A  11.16   9.97NA   9.97    2.26  23.39 23.390090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27358  Remove femur lesion/fixation                      A   4.73   2.39NA   2.39    0.92   8.04  8.040ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
27360  Partial removal leg bone(s)                       A  11.46  10.70NA  10.70    2.28  24.44 24.440090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27364  Resect thigh/knee tum 5 cm/>                      A  24.49  15.44NA  15.44    5.19  45.12 45.120090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27365  Resect femur/knee tumor                           A  32.21  21.09NA  21.09    6.49  59.79 59.790090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27370  Injection for knee x-ray                          A   0.96   3.34     0.39    0.11   4.41  1.460000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
27372  Removal of foreign body                           A   5.21  11.06     5.34    1.03  17.30 11.580090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27380  Repair of kneecap tendon                          A   7.45   8.10NA   8.10    1.48  17.03 17.030090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27381  Repair/graft kneecap tendon                       A  10.76  10.00NA  10.00    2.11  22.87 22.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27385  Repair of thigh muscle                            A   6.93   8.18NA   8.18    1.37  16.48 16.480090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27386  Repair/graft of thigh muscle                      A  11.13  10.49NA  10.49    2.19  23.81 23.810090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27390  Incision of thigh tendon                          A   5.53   6.20NA   6.20    1.11  12.84 12.840090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27391  Incision of thigh tendons                         A   7.49   7.53NA   7.53    1.54  16.56 16.560090.10.69.2120010             35.8043 090 99      0.00   0.00   0.00
27392  Incision of thigh tendons                         A   9.63   8.94NA   8.94    1.82  20.39 20.390090.10.69.2122210             35.8043 090 99      0.00   0.00   0.00
27393  Lengthening of thigh tendon                       A   6.59   6.67NA   6.67    1.27  14.53 14.530090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27394  Lengthening of thigh tendons                      A   8.79   8.18NA   8.18    1.30  18.27 18.270090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
27395  Lengthening of thigh tendons                      A  12.24  10.51NA  10.51    2.52  25.27 25.270090.10.69.2122210             35.8043 090 99      0.00   0.00   0.00
27396  Transplant of thigh tendon                        A   8.15   7.86NA   7.86    1.68  17.69 17.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27397  Transplants of thigh tendons                      A  12.66  10.72NA  10.72    2.60  25.98 25.980090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27400  Revise thigh muscles/tendons                      A   9.33   8.70NA   8.70    1.92  19.95 19.950090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27403  Repair of knee cartilage                          A   8.62   8.05NA   8.05    1.71  18.38 18.380090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27405  Repair of knee ligament                           A   9.08   8.50NA   8.50    1.78  19.36 19.360090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27407  Repair of knee ligament                           A  10.85   9.32NA   9.32    2.16  22.33 22.330090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27409  Repair of knee ligaments                          A  13.71  11.03NA  11.03    2.68  27.42 27.420090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27412  Autochondrocyte implant knee                      A  24.74  17.94NA  17.94    5.02  47.70 47.700090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27415  Osteochondral knee allograft                      A  20.00  15.46NA  15.46    4.05  39.51 39.510090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27416  Osteochondral knee autograft                      A  14.16  11.17NA  11.17    2.84  28.17 28.170090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27418  Repair degenerated kneecap                        A  11.60   9.95NA   9.95    2.27  23.82 23.820090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27420  Revision of unstable kneecap                      A  10.26   9.08NA   9.08    2.04  21.38 21.380090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27422  Revision of unstable kneecap                      A  10.21   9.09NA   9.09    2.01  21.31 21.310090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27424  Revision/removal of kneecap                       A  10.24   9.16NA   9.16    2.11  21.51 21.510090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27425  Lat retinacular release open                      A   5.39   6.35NA   6.35    1.11  12.85 12.850090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27427  Reconstruction knee                               A   9.79   8.76NA   8.76    1.90  20.45 20.450090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27428  Reconstruction knee                               A  15.58  13.36NA  13.36    3.11  32.05 32.050090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27429  Reconstruction knee                               A  17.54  14.90NA  14.90    3.40  35.84 35.840090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27430  Revision of thigh muscles                         A  10.16   9.09NA   9.09    1.99  21.24 21.240090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27435  Incision of knee joint                            A  10.88  10.17NA  10.17    2.12  23.17 23.170090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27437  Revise kneecap                                    A   8.93   8.22NA   8.22    1.83  18.98 18.980090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27438  Revise kneecap with implant                       A  11.89   9.95NA   9.95    2.33  24.17 24.170090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27440  Revision of knee joint                            A  11.09   9.58NA   9.58    2.29  22.96 22.960090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27441  Revision of knee joint                            A  11.54   9.80NA   9.80    2.33  23.67 23.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27442  Revision of knee joint                            A  12.37  10.19NA  10.19    2.44  25.00 25.000090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27443  Revision of knee joint                            A  11.41   9.54NA   9.54    2.25  23.20 23.200090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27445  Revision of knee joint                            A  18.66  13.62NA  13.62    3.69  35.97 35.970090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27446  Revision of knee joint                            A  17.48  12.52NA  12.52    3.43  33.43 33.430090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27447  Total knee arthroplasty                           A  20.72  14.32NA  14.32    4.07  39.11 39.110090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27448  Incision of thigh                                 A  11.60   8.75NA   8.75    1.95  22.30 22.300090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27450  Incision of thigh                                 A  14.61  11.61NA  11.61    2.86  29.08 29.080090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27454  Realignment of thigh bone                         A  19.17  14.38NA  14.38    3.95  37.50 37.500090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27455  Realignment of knee                               A  13.36  11.03NA  11.03    2.70  27.09 27.090090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27457  Realignment of knee                               A  14.03  10.57NA  10.57    2.64  27.24 27.240090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27465  Shortening of thigh bone                          A  18.60  13.39NA  13.39    3.62  35.61 35.610090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27466  Lengthening of thigh bone                         A  17.28  13.29NA  13.29    3.37  33.94 33.940090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27468  Shorten/lengthen thighs                           A  19.97  12.29NA  12.29    3.23  35.49 35.490090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27470  Repair of thigh                                   A  17.14  13.33NA  13.33    3.39  33.86 33.860090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27472  Repair/graft of thigh                             A  18.72  13.95NA  13.95    3.72  36.39 36.390090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27475  Surgery to stop leg growth                        A   8.93   8.25NA   8.25    1.84  19.02 19.020090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27477  Surgery to stop leg growth                        A  10.14   8.85NA   8.85    2.03  21.02 21.020090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27479  Surgery to stop leg growth                        A  13.16   7.73NA   7.73    1.80  22.69 22.690090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27485  Surgery to stop leg growth                        A   9.13   8.26NA   8.26    1.88  19.27 19.270090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27486  Revise/replace knee joint                         A  21.12  15.30NA  15.30    4.15  40.57 40.570090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27487  Revise/replace knee joint                         A  27.11  18.31NA  18.31    5.32  50.74 50.740090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27488  Removal of knee prosthesis                        A  17.60  13.52NA  13.52    3.48  34.60 34.600090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27495  Reinforce thigh                                   A  16.54  12.63NA  12.63    3.32  32.49 32.490090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27496  Decompression of thigh/knee                       A   6.78   7.37NA   7.37    1.39  15.54 15.540090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27497  Decompression of thigh/knee                       A   7.79   7.35NA   7.35    1.48  16.62 16.620090.10.69.2121020             35.8043 090 99      0.00   0.00   0.00
27498  Decompression of thigh/knee                       A   8.66   8.11NA   8.11    1.78  18.55 18.550090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27499  Decompression of thigh/knee                       A   9.43   8.75NA   8.75    1.86  20.04 20.040090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27500  Treatment of thigh fracture                       A   6.30   7.32     6.23    1.23  14.85 13.760090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27501  Treatment of thigh fracture                       A   6.45   6.68     6.57    1.30  14.43 14.320090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27502  Treatment of thigh fracture                       A  11.36   8.49NA   8.49    2.14  21.99 21.990090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27503  Treatment of thigh fracture                       A  11.27   9.55NA   9.55    2.26  23.08 23.080090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27506  Treatment of thigh fracture                       A  19.65  14.98NA  14.98    3.93  38.56 38.560090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27507  Treatment of thigh fracture                       A  14.48  10.67NA  10.67    2.88  28.03 28.030090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27508  Treatment of thigh fracture                       A   6.20   7.63     6.76    1.19  15.02 14.150090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27509  Treatment of thigh fracture                       A   8.14   8.71NA   8.71    1.57  18.42 18.420090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27510  Treatment of thigh fracture                       A   9.80   7.95NA   7.95    1.86  19.61 19.610090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27511  Treatment of thigh fracture                       A  15.11  10.62NA  10.62    3.01  28.74 28.740090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27513  Treatment of thigh fracture                       A  19.25  12.70NA  12.70    3.85  35.80 35.800090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27514  Treatment of thigh fracture                       A  14.60  10.36NA  10.36    2.91  27.87 27.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27516  Treat thigh fx growth plate                       A   5.59   7.80     6.93    1.15  14.54 13.670090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27517  Treat thigh fx growth plate                       A   9.12   8.32NA   8.32    1.95  19.39 19.390090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27519  Treat thigh fx growth plate                       A  13.25   9.72NA   9.72    2.73  25.70 25.700090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27520  Treat kneecap fracture                            A   3.04   5.60     4.80    0.56   9.20  8.400090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27524  Treat kneecap fracture                            A  10.37   9.19NA   9.19    2.07  21.63 21.630090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27530  Treat knee fracture                               A   2.65   5.44     4.84    0.51   8.60  8.000090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27532  Treat knee fracture                               A   7.55   8.54     7.48    1.52  17.61 16.550090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27535  Treat knee fracture                               A  13.41   9.77NA   9.77    2.68  25.86 25.860090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27536  Treat knee fracture                               A  17.39  13.43NA  13.43    3.48  34.30 34.300090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27538  Treat knee fracture(s)                            A   5.09   7.41     6.57    0.99  13.49 12.650090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27540  Treat knee fracture                               A  11.30   9.76NA   9.76    2.22  23.28 23.280090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27550  Treat knee dislocation                            A   5.98   7.37     6.34    1.07  14.42 13.390090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27552  Treat knee dislocation                            A   8.18   8.14NA   8.14    1.63  17.95 17.950090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27556  Treat knee dislocation                            A  13.00   9.61NA   9.61    2.59  25.20 25.200090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27557  Treat knee dislocation                            A  15.90  11.03NA  11.03    3.31  30.24 30.240090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27558  Treat knee dislocation                            A  18.39  12.31NA  12.31    3.63  34.33 34.330090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27560  Treat kneecap dislocation                         A   3.99   5.64     4.85    0.67  10.30  9.510090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27562  Treat kneecap dislocation                         A   5.98   6.31NA   6.31    1.14  13.43 13.430090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27566  Treat kneecap dislocation                         A  12.71  10.41NA  10.41    2.54  25.66 25.660090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27570  Fixation of knee joint                            A   1.79   2.18NA   2.18    0.37   4.34  4.340010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
27580  Fusion of knee                                    A  21.10  16.11NA  16.11    4.19  41.40 41.400090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27590  Amputate leg at thigh                             A  13.47   6.88NA   6.88    3.06  23.41 23.410090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27591  Amputate leg at thigh                             A  13.94  10.99NA  10.99    2.84  27.77 27.770090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27592  Amputate leg at thigh                             A  10.98   6.45NA   6.45    2.44  19.87 19.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27594  Amputation follow-up surgery                      A   7.29   5.81NA   5.81    1.62  14.72 14.720090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27596  Amputation follow-up surgery                      A  11.29   7.23NA   7.23    2.53  21.05 21.050090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27598  Amputate lower leg at knee                        A  11.22   7.32NA   7.32    2.47  21.01 21.010090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27599  Leg surgery procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
27600  Decompression of lower leg                        A   6.03   4.61NA   4.61    1.25  11.89 11.890090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27601  Decompression of lower leg                        A   6.05   5.47NA   5.47    1.25  12.77 12.770090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27602  Decompression of lower leg                        A   7.82   4.72NA   4.72    1.75  14.29 14.290090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27603  Drain lower leg lesion                            A   5.23   8.92     4.92    1.04  15.19 11.190090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27604  Drain lower leg bursa                             A   4.59   8.81     4.59    0.78  14.18  9.960090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27605  Incision of achilles tendon                       A   2.92   6.56     2.09    0.29   9.77  5.300010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
27606  Incision of achilles tendon                       A   4.18   3.28NA   3.28    0.69   8.15  8.150010.10.80.1021110             35.8043 090 99      0.00   0.00   0.00
27607  Treat lower leg bone lesion                       A   8.62   7.26NA   7.26    1.59  17.47 17.470090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27610  Explore/treat ankle joint                         A   9.13   7.95NA   7.95    1.65  18.73 18.730090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27612  Exploration of ankle joint                        A   8.15   6.72NA   6.72    1.13  16.00 16.000090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27613  Biopsy lower leg soft tissue                      A   2.22   4.68     2.15    0.30   7.20  4.670010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
27614  Biopsy lower leg soft tissue                      A   5.80   9.83     4.91    0.93  16.56 11.640090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27615  Resect leg/ankle tum < 5 cm                       A  15.72  10.60NA  10.60    3.19  29.51 29.510090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
27616  Resect leg/ankle tum 5 cm/>                       A  19.63  12.97NA  12.97    4.08  36.68 36.680090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
27618  Exc leg/ankle tum < 3 cm                          A   3.96   8.10     4.09    0.78  12.84  8.830090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27619  Exc leg/ankle tum deep <5 cm                      A   6.91   5.48NA   5.48    1.10  13.49 13.490090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27620  Explore/treat ankle joint                         A   6.15   5.90NA   5.90    1.00  13.05 13.050090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27625  Remove ankle joint lining                         A   8.49   7.02NA   7.02    1.33  16.84 16.840090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27626  Remove ankle joint lining                         A   9.10   7.26NA   7.26    1.41  17.77 17.770090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27630  Removal of tendon lesion                          A   4.94  10.36     4.82    0.77  16.07 10.530090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27632  Exc leg/ankle les sc 3 cm/>                       A   5.91   4.80NA   4.80    1.24  11.95 11.950090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27634  Exc leg/ankle tum dep 5 cm/>                      A  10.13   7.62NA   7.62    2.04  19.79 19.790090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27635  Remove lower leg bone lesion                      A   8.03   7.39NA   7.39    1.47  16.89 16.890090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27637  Remove/graft leg bone lesion                      A  10.31   9.33NA   9.33    1.90  21.54 21.540090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27638  Remove/graft leg bone lesion                      A  10.99   8.98NA   8.98    1.99  21.96 21.960090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27640  Partial removal of tibia                          A  12.24   9.54NA   9.54    2.23  24.01 24.010090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27641  Partial removal of fibula                         A   9.84   7.75NA   7.75    1.65  19.24 19.240090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27645  Resect tibia tumor                                A  27.21  18.49NA  18.49    5.52  51.22 51.220090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27646  Resect fibula tumor                               A  23.21  16.31NA  16.31    4.87  44.39 44.390090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27647  Resect talus/calcaneus tum                        A  20.26   7.79NA   7.79    1.39  29.44 29.440090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27648  Injection for ankle x-ray                         A   0.96   3.58     0.43    0.13   4.67  1.520000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
27650  Repair achilles tendon                            A   9.21   8.30NA   8.30    1.43  18.94 18.940090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27652  Repair/graft achilles tendon                      A  10.78   7.46NA   7.46    1.42  19.66 19.660090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27654  Repair of achilles tendon                         A  10.53   8.35NA   8.35    1.47  20.35 20.350090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27656  Repair leg fascia defect                          A   4.71  12.48     5.70    0.97  18.16 11.380090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27658  Repair of leg tendon each                         A   5.12   4.87NA   4.87    0.73  10.72 10.720090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27659  Repair of leg tendon each                         A   7.10   5.78NA   5.78    0.97  13.85 13.850090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27664  Repair of leg tendon each                         A   4.73   4.92NA   4.92    0.72  10.37 10.370090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
27665  Repair of leg tendon each                         A   5.57   5.44NA   5.44    0.82  11.83 11.830090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
27675  Repair lower leg tendons                          A   7.35   5.69NA   5.69    0.95  13.99 13.990090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27676  Repair lower leg tendons                          A   8.73   7.22NA   7.22    1.39  17.34 17.340090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27680  Release of lower leg tendon                       A   5.88   5.51NA   5.51    0.96  12.35 12.350090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
27681  Release of lower leg tendons                      A   7.05   7.15NA   7.15    1.44  15.64 15.640090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27685  Revision of lower leg tendon                      A   6.69  11.47     5.77    0.89  19.05 13.350090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27686  Revise lower leg tendons                          A   7.75   6.94NA   6.94    1.35  16.04 16.040090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27687  Revision of calf tendon                           A   6.41   5.71NA   5.71    0.93  13.05 13.050090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27690  Revise lower leg tendon                           A   9.17   7.69NA   7.69    1.24  18.10 18.100090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27691  Revise lower leg tendon                           A  10.49   9.28NA   9.28    1.77  21.54 21.540090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27692  Revise additional leg tendon                      A   1.87   0.84NA   0.84    0.32   3.03  3.030ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
27695  Repair of ankle ligament                          A   6.70   5.99NA   5.99    0.97  13.66 13.660090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27696  Repair of ankle ligaments                         A   8.58   6.31NA   6.31    1.10  15.99 15.990090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27698  Repair of ankle ligament                          A   9.61   7.38NA   7.38    1.46  18.45 18.450090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27700  Revision of ankle joint                           A   9.66   6.32NA   6.32    1.12  17.10 17.100090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27702  Reconstruct ankle joint                           A  14.42  10.81NA  10.81    2.60  27.83 27.830090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27703  Reconstruction ankle joint                        A  16.94  12.05NA  12.05    2.97  31.96 31.960090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27704  Removal of ankle implant                          A   7.81   7.34NA   7.34    1.43  16.58 16.580090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27705  Incision of tibia                                 A  10.86   8.98NA   8.98    2.01  21.85 21.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27707  Incision of fibula                                A   4.78   5.90NA   5.90    0.91  11.59 11.590090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27709  Incision of tibia & fibula                        A  17.48  12.82NA  12.82    3.34  33.64 33.640090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27712  Realignment of lower leg                          A  15.87  12.72NA  12.72    3.13  31.72 31.720090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27715  Revision of lower leg                             A  15.50  12.18NA  12.18    3.17  30.85 30.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27720  Repair of tibia                                   A  12.36  10.40NA  10.40    2.42  25.18 25.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27722  Repair/graft of tibia                             A  12.45  10.36NA  10.36    2.48  25.29 25.290090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27724  Repair/graft of tibia                             A  19.31  13.35NA  13.35    3.81  36.47 36.470090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27725  Repair of lower leg                               A  17.41  13.95NA  13.95    3.40  34.76 34.760090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27726  Repair fibula nonunion                            A  14.34  10.71NA  10.71    2.82  27.87 27.870090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27727  Repair of lower leg                               A  14.84  11.97NA  11.97    3.06  29.87 29.870090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27730  Repair of tibia epiphysis                         A   7.70   7.17NA   7.17    1.52  16.39 16.390090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27732  Repair of fibula epiphysis                        A   5.46   5.25NA   5.25    0.94  11.65 11.650090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27734  Repair lower leg epiphyses                        A   8.83   8.21NA   8.21    1.82  18.86 18.860090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27740  Repair of leg epiphyses                           A   9.61   8.77NA   8.77    1.98  20.36 20.360090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27742  Repair of leg epiphyses                           A  10.63   9.89NA   9.89    1.70  22.22 22.220090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27745  Reinforce tibia                                   A  10.49   9.17NA   9.17    2.06  21.72 21.720090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27750  Treatment of tibia fracture                       A   3.37   5.87     5.07    0.63   9.87  9.070090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27752  Treatment of tibia fracture                       A   6.27   7.87     6.71    1.23  15.37 14.210090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27756  Treatment of tibia fracture                       A   7.45   7.56NA   7.56    1.43  16.44 16.440090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27758  Treatment of tibia fracture                       A  12.54  10.59NA  10.59    2.50  25.63 25.630090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27759  Treatment of tibia fracture                       A  14.45  11.42NA  11.42    2.90  28.77 28.770090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27760  Cltx medial ankle fx                              A   3.21   5.75     4.93    0.54   9.50  8.680090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27762  Cltx med ankle fx w/mnpj                          A   5.47   7.15     5.97    0.94  13.56 12.380090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27766  Optx medial ankle fx                              A   7.89   8.11NA   8.11    1.55  17.55 17.550090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27767  Cltx post ankle fx                                A   2.64   4.90     4.95    0.47   8.01  8.060090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27768  Cltx post ankle fx w/mnpj                         A   5.14   6.42NA   6.42    1.04  12.60 12.600090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27769  Optx post ankle fx                                A  10.14   8.83NA   8.83    2.03  21.00 21.000090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27780  Treatment of fibula fracture                      A   2.83   5.39     4.61    0.51   8.73  7.950090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27781  Treatment of fibula fracture                      A   4.59   6.61     5.74    0.85  12.05 11.180090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27784  Treatment of fibula fracture                      A   9.67   9.01NA   9.01    1.91  20.59 20.590090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27786  Treatment of ankle fracture                       A   3.02   5.47     4.62    0.52   9.01  8.160090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27788  Treatment of ankle fracture                       A   4.64   6.55     5.53    0.82  12.01 10.990090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27792  Treatment of ankle fracture                       A   8.75   8.33NA   8.33    1.69  18.77 18.770090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27808  Treatment of ankle fracture                       A   3.03   5.95     4.99    0.54   9.52  8.560090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27810  Treatment of ankle fracture                       A   5.32   7.07     5.86    0.93  13.32 12.110090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27814  Treatment of ankle fracture                       A  10.62   9.52NA   9.52    2.07  22.21 22.210090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27816  Treatment of ankle fracture                       A   3.07   5.52     4.59    0.53   9.12  8.190090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27818  Treatment of ankle fracture                       A   5.69   7.15     5.74    0.97  13.81 12.400090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27822  Treatment of ankle fracture                       A  11.21  10.80NA  10.80    2.17  24.18 24.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27823  Treatment of ankle fracture                       A  13.16  11.76NA  11.76    2.55  27.47 27.470090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27824  Treat lower leg fracture                          A   3.31   5.04     4.79    0.60   8.95  8.700090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27825  Treat lower leg fracture                          A   6.69   7.64     6.21    1.25  15.58 14.150090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27826  Treat lower leg fracture                          A  11.10  10.69NA  10.69    2.12  23.91 23.910090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27827  Treat lower leg fracture                          A  14.79  13.40NA  13.40    2.90  31.09 31.090090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27828  Treat lower leg fracture                          A  18.43  15.24NA  15.24    3.62  37.29 37.290090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27829  Treat lower leg joint                             A   8.80   9.17NA   9.17    1.68  19.65 19.650090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
27830  Treat lower leg dislocation                       A   3.96   6.10     5.37    0.81  10.87 10.140090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27831  Treat lower leg dislocation                       A   4.73   5.53NA   5.53    0.97  11.23 11.230090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27832  Treat lower leg dislocation                       A  10.17   9.49NA   9.49    2.10  21.76 21.760090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27840  Treat ankle dislocation                           A   4.77   5.00NA   5.00    0.75  10.52 10.520090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27842  Treat ankle dislocation                           A   6.46   6.53NA   6.53    1.23  14.22 14.220090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27846  Treat ankle dislocation                           A  10.28   8.71NA   8.71    1.89  20.88 20.880090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27848  Treat ankle dislocation                           A  11.68   9.48NA   9.48    2.19  23.35 23.350090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27860  Fixation of ankle joint                           A   2.39   2.24NA   2.24    0.40   5.03  5.030010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
27870  Fusion of ankle joint open                        A  15.41  11.54NA  11.54    2.74  29.69 29.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27871  Fusion of tibiofibular joint                      A   9.54   8.37NA   8.37    1.76  19.67 19.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27880  Amputation of lower leg                           A  15.37   7.98NA   7.98    3.44  26.79 26.790090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27881  Amputation of lower leg                           A  13.47   8.98NA   8.98    2.88  25.33 25.330090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27882  Amputation of lower leg                           A   9.79   5.57NA   5.57    2.20  17.56 17.560090.10.69.2121010             35.8043 090 99      0.00   0.00   0.00
27884  Amputation follow-up surgery                      A   8.76   6.09NA   6.09    1.96  16.81 16.810090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
27886  Amputation follow-up surgery                      A  10.02   6.95NA   6.95    2.23  19.20 19.200090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27888  Amputation of foot at ankle                       A  10.37   7.39NA   7.39    2.04  19.80 19.800090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
27889  Amputation of foot at ankle                       A  10.86   5.71NA   5.71    2.42  18.99 18.990090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
27892  Decompression of leg                              A   7.94   6.46NA   6.46    1.54  15.94 15.940090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27893  Decompression of leg                              A   7.90   7.83NA   7.83    1.64  17.37 17.370090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
27894  Decompression of leg                              A  12.67   9.38NA   9.38    2.61  24.66 24.660090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
27899  Leg/ankle surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
28001  Drainage of bursa of foot                         A   2.78   4.96     1.87    0.22   7.96  4.870010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
28002  Treatment of foot infection                       A   5.34   6.90     3.32    0.50  12.74  9.160010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
28003  Treatment of foot infection                       A   9.06  10.39     6.31    0.96  20.41 16.330090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28005  Treat foot bone lesion                            A   9.44   6.28NA   6.28    0.92  16.64 16.640090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28008  Incision of foot fascia                           A   4.59   7.47     3.45    0.38  12.44  8.420090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28010  Incision of toe tendon                            A   2.97   3.45     2.79    0.24   6.66  6.000090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28011  Incision of toe tendons                           A   4.28   4.57     3.58    0.41   9.26  8.270090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28020  Exploration of foot joint                         A   5.15   9.79     4.60    0.67  15.61 10.420090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28022  Exploration of foot joint                         A   4.81   8.78     4.05    0.50  14.09  9.360090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28024  Exploration of toe joint                          A   4.52   8.36     3.82    0.43  13.31  8.770090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28035  Decompression of tibia nerve                      A   5.23   9.35     4.38    0.59  15.17 10.200090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28039  Exc foot/toe tum sc 1.5 cm/>                      A   5.42   8.65     4.04    0.65  14.72 10.110090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
28041  Exc foot/toe tum dep 1.5cm/>                      A   7.13   5.32NA   5.32    0.84  13.29 13.290090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28043  Exc foot/toe tum sc < 1.5 cm                      A   3.96   7.22     3.24    0.35  11.53  7.550090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28045  Exc foot/toe tum deep <1.5cm                      A   5.45   8.37     4.08    0.47  14.29 10.000090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28046  Resect foot/toe tumor < 3 cm                      A  12.38   7.26NA   7.26    1.40  21.04 21.040090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28047  Resect foot/toe tumor 3 cm/>                      A  17.45  10.64NA  10.64    2.80  30.89 30.890090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28050  Biopsy of foot joint lining                       A   4.39   7.56     3.35    0.30  12.25  8.040090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28052  Biopsy of foot joint lining                       A   4.06   8.41     3.70    0.46  12.93  8.220090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28054  Biopsy of toe joint lining                        A   3.57   7.44     3.17    0.29  11.30  7.030090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28055  Neurectomy foot                                   A   6.29   4.01NA   4.01    0.49  10.79 10.790090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28060  Partial removal foot fascia                       A   5.40   9.02     4.33    0.54  14.96 10.270090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28062  Removal of foot fascia                            A   6.69   9.65     4.46    0.57  16.91 11.720090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28070  Removal of foot joint lining                      A   5.24   9.55     4.40    0.60  15.39 10.240090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28072  Removal of foot joint lining                      A   4.72   9.32     4.26    0.57  14.61  9.550090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28080  Removal of foot lesion                            A   4.86   9.79     5.22    0.46  15.11 10.540090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
28086  Excise foot tendon sheath                         A   4.92  10.20     4.78    0.71  15.83 10.410090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28088  Excise foot tendon sheath                         A   3.98   8.50     3.70    0.45  12.93  8.130090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28090  Removal of foot lesion                            A   4.55   8.59     3.87    0.45  13.59  8.870090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28092  Removal of toe lesions                            A   3.78   8.07     3.59    0.36  12.21  7.730090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28100  Removal of ankle/heel lesion                      A   5.83  10.91     5.27    0.78  17.52 11.880090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28102  Remove/graft foot lesion                          A   7.92   7.88NA   7.88    1.59  17.39 17.390090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
28103  Remove/graft foot lesion                          A   6.67   4.13NA   4.13    0.47  11.27 11.270090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
28104  Removal of foot lesion                            A   5.26   9.39     4.32    0.58  15.23 10.160090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
28106  Remove/graft foot lesion                          A   7.35   5.25NA   5.25    0.74  13.34 13.340090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
28107  Remove/graft foot lesion                          A   5.73   9.85     4.48    0.55  16.13 10.760090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
28108  Removal of toe lesions                            A   4.30   8.05     3.62    0.37  12.72  8.290090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28110  Part removal of metatarsal                        A   4.22   8.75     3.71    0.40  13.37  8.330090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28111  Part removal of metatarsal                        A   5.15   8.53     3.69    0.56  14.24  9.400090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28112  Part removal of metatarsal                        A   4.63   9.01     3.90    0.49  14.13  9.020090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28113  Part removal of metatarsal                        A   6.11  10.39     5.55    0.57  17.07 12.230090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28114  Removal of metatarsal heads                       A  12.00  17.40    10.52    1.59  30.99 24.110090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28116  Revision of foot                                  A   9.14  11.67     6.31    0.97  21.78 16.420090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28118  Removal of heel bone                              A   6.13  10.27     5.02    0.74  17.14 11.890090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28119  Removal of heel spur                              A   5.56   9.10     4.32    0.51  15.17 10.390090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28120  Part removal of ankle/heel                        A   7.31  11.31     6.09    0.95  19.57 14.350090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28122  Partial removal of foot bone                      A   6.76   9.84     5.23    0.68  17.28 12.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28124  Partial removal of toe                            A   5.00   8.37     4.10    0.39  13.76  9.490090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28126  Partial removal of toe                            A   3.64   7.47     3.19    0.32  11.43  7.150090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28130  Removal of ankle bone                             A   9.50   7.64NA   7.64    1.31  18.45 18.450090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28140  Removal of metatarsal                             A   7.14   9.23     4.67    0.90  17.27 12.710090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28150  Removal of toe                                    A   4.23   7.72     3.46    0.40  12.35  8.090090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28153  Partial removal of toe                            A   3.80   7.75     3.45    0.33  11.88  7.580090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28160  Partial removal of toe                            A   3.88   7.93     3.53    0.36  12.17  7.770090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28171  Resect tarsal tumor                               A  16.41   6.85NA   6.85    1.13  24.39 24.390090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
28173  Resect metatarsal tumor                           A  14.16   6.62NA   6.62    1.19  21.97 21.970090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28175  Resect phalanx of toe tumor                       A   8.29   5.10NA   5.10    0.68  14.07 14.070090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28190  Removal of foot foreign body                      A   2.01   5.21     1.66    0.18   7.40  3.850010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
28192  Removal of foot foreign body                      A   4.78   8.37     3.81    0.46  13.61  9.050090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28193  Removal of foot foreign body                      A   5.90   8.89     4.19    0.51  15.30 10.600090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28200  Repair of foot tendon                             A   4.74   8.91     4.02    0.49  14.14  9.250090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28202  Repair/graft of foot tendon                       A   7.07   9.55     4.59    0.61  17.23 12.270090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
28208  Repair of foot tendon                             A   4.51   8.70     3.98    0.47  13.68  8.960090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28210  Repair/graft of foot tendon                       A   6.52   9.39     4.61    0.62  16.53 11.750090.10.69.2120200             35.8043 090 99      0.00   0.00   0.00
28220  Release of foot tendon                            A   4.67   7.94     3.62    0.38  12.99  8.670090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28222  Release of foot tendons                           A   5.76   8.41     3.83    0.44  14.61 10.030090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28225  Release of foot tendon                            A   3.78   7.70     3.33    0.35  11.83  7.460090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28226  Release of foot tendons                           A   4.67  11.90     5.65    0.95  17.52 11.270090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28230  Incision of foot tendon(s)                        A   4.36   7.83     3.41    0.37  12.56  8.140090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28232  Incision of toe tendon                            A   3.51   7.38     3.18    0.30  11.19  6.990090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28234  Incision of foot tendon                           A   3.54   7.94     3.72    0.32  11.80  7.580090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28238  Revision of foot tendon                           A   7.96  10.59     5.25    0.81  19.36 14.020090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28240  Release of big toe                                A   4.48   7.89     3.48    0.39  12.76  8.350090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28250  Revision of foot fascia                           A   6.06   9.98     4.87    0.76  16.80 11.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28260  Release of midfoot joint                          A   8.19  10.69     5.57    0.93  19.81 14.690090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28261  Revision of foot tendon                           A  13.11  13.76     7.82    1.40  28.27 22.330090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28262  Revision of foot and ankle                        A  17.21  21.66    13.38    3.53  42.40 34.120090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28264  Release of midfoot joint                          A  10.65  16.07     9.19    2.14  28.86 21.980090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
28270  Release of foot contracture                       A   4.93   8.79     4.20    0.47  14.19  9.600090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28272  Release of toe joint each                         A   3.92   7.19     3.11    0.29  11.40  7.320090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28280  Fusion of toes                                    A   5.33   9.08     4.20    0.55  14.96 10.080090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28285  Repair of hammertoe                               A   5.62   9.29     4.72    0.52  15.43 10.860090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28286  Repair of hammertoe                               A   4.70   8.00     3.56    0.36  13.06  8.620090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28288  Partial removal of foot bone                      A   6.02  10.81     5.72    0.63  17.46 12.370090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28289  Repair hallux rigidus                             A   8.31  11.87     6.47    0.95  21.13 15.730090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28290  Correction of bunion                              A   5.83  10.50     4.88    0.68  17.01 11.390090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28292  Correction of bunion                              A   9.05  12.89     7.43    0.81  22.75 17.290090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28293  Correction of bunion                              A  11.48  17.87     8.06    0.87  30.22 20.410090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28294  Correction of bunion                              A   8.75  12.44     6.02    0.99  22.18 15.760090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28296  Correction of bunion                              A   8.35  11.49     5.91    0.72  20.56 14.980090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28297  Correction of bunion                              A   9.43  12.93     6.25    1.07  23.43 16.750090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28298  Correction of bunion                              A   8.13  11.85     5.58    0.85  20.83 14.560090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28299  Correction of bunion                              A  11.57  13.17     6.80    1.11  25.85 19.480090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28300  Incision of heel bone                             A   9.73   7.54NA   7.54    1.51  18.78 18.780090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28302  Incision of ankle bone                            A   9.74   8.83NA   8.83    2.01  20.58 20.580090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28304  Incision of midfoot bones                         A   9.41  13.17     6.79    1.26  23.84 17.460090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28305  Incise/graft midfoot bones                        A  10.77   7.12NA   7.12    1.29  19.18 19.180090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28306  Incision of metatarsal                            A   6.00  10.97     4.87    0.76  17.73 11.630090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28307  Incision of metatarsal                            A   6.50  12.26     5.55    0.91  19.67 12.960090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28308  Incision of metatarsal                            A   5.48  10.27     4.79    0.58  16.33 10.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28309  Incision of metatarsals                           A  14.16   9.80NA   9.80    2.13  26.09 26.090090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28310  Revision of big toe                               A   5.57   9.69     4.19    0.55  15.81 10.310090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28312  Revision of toe                                   A   4.69   9.54     4.02    0.48  14.71  9.190090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28313  Repair deformity of toe                           A   5.15   9.49     4.54    0.64  15.28 10.330090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28315  Removal of sesamoid bone                          A   5.00   8.44     3.89    0.47  13.91  9.360090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28320  Repair of foot bones                              A   9.37   6.91NA   6.91    1.29  17.57 17.570090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28322  Repair of metatarsals                             A   8.53  13.01     6.87    1.27  22.81 16.670090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
28340  Resect enlarged toe tissue                        A   7.15   9.06     4.24    0.49  16.70 11.880090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28341  Resect enlarged toe                               A   8.72  10.05     4.83    0.60  19.37 14.150090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28344  Repair extra toe(s)                               A   4.40   8.45     3.93    0.68  13.53  9.010090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28345  Repair webbed toe(s)                              A   6.09   8.57     3.98    0.42  15.08 10.490090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
28360  Reconstruct cleft foot                            A  14.92   9.55NA   9.55    2.04  26.51 26.510090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
28400  Treatment of heel fracture                        A   2.31   4.45     3.85    0.36   7.12  6.520090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28405  Treatment of heel fracture                        A   4.74   5.87     4.83    0.68  11.29 10.250090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28406  Treatment of heel fracture                        A   6.56   7.30NA   7.30    1.16  15.02 15.020090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28415  Treat heel fracture                               A  16.19  12.90NA  12.90    2.76  31.85 31.850090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28420  Treat/graft heel fracture                         A  17.52  15.01NA  15.01    3.63  36.16 36.160090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28430  Treatment of ankle fracture                       A   2.22   4.22     3.47    0.35   6.79  6.040090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28435  Treatment of ankle fracture                       A   3.54   5.08     4.11    0.50   9.12  8.150090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28436  Treatment of ankle fracture                       A   4.90   6.99NA   6.99    1.00  12.89 12.890090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28445  Treat ankle fracture                              A  15.76  12.11NA  12.11    2.73  30.60 30.600090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28446  Osteochondral talus autogrft                      A  17.71  13.65NA  13.65    3.53  34.89 34.890090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28450  Treat midfoot fracture each                       A   2.03   3.87     3.20    0.29   6.19  5.520090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28455  Treat midfoot fracture each                       A   3.24   4.69     3.86    0.37   8.30  7.470090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
28456  Treat midfoot fracture                            A   2.86   5.71NA   5.71    0.59   9.16  9.160090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28465  Treat midfoot fracture each                       A   8.80   7.81NA   7.81    1.32  17.93 17.930090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28470  Treat metatarsal fracture                         A   2.03   3.95     3.54    0.30   6.28  5.870090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28475  Treat metatarsal fracture                         A   3.01   3.99     3.16    0.37   7.37  6.540090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28476  Treat metatarsal fracture                         A   3.60   5.92NA   5.92    0.59  10.11 10.110090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
28485  Treat metatarsal fracture                         A   7.44   6.75NA   6.75    0.91  15.10 15.100090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28490  Treat big toe fracture                            A   1.17   2.85     2.27    0.15   4.17  3.590090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28495  Treat big toe fracture                            A   1.68   3.24     2.43    0.18   5.10  4.290090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28496  Treat big toe fracture                            A   2.48   9.80     3.88    0.36  12.64  6.720090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28505  Treat big toe fracture                            A   7.44  10.89     6.02    0.91  19.24 14.370090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
28510  Treatment of toe fracture                         A   1.17   2.24     2.15    0.14   3.55  3.460090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28515  Treatment of toe fracture                         A   1.56   2.91     2.37    0.16   4.63  4.090090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28525  Treat toe fracture                                A   5.62  10.08     5.21    0.64  16.34 11.470090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
28530  Treat sesamoid bone fracture                      A   1.11   2.09     1.72    0.11   3.31  2.940090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28531  Treat sesamoid bone fracture                      A   2.57   7.22     2.53    0.19   9.98  5.290090.10.69.2121120             35.8043 090 99      0.00   0.00   0.00
28540  Treat foot dislocation                            A   2.19   3.53     2.95    0.22   5.94  5.360090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28545  Treat foot dislocation                            A   2.60   5.27     4.33    0.50   8.37  7.430090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28546  Treat foot dislocation                            A   3.40  12.05     5.42    0.64  16.09  9.460090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28555  Repair foot dislocation                           A   9.65  14.22     8.09    1.53  25.40 19.270090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28570  Treat foot dislocation                            A   1.76   4.28     3.31    0.34   6.38  5.410090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28575  Treat foot dislocation                            A   3.49   6.26     5.27    0.72  10.47  9.480090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28576  Treat foot dislocation                            A   4.60   5.69NA   5.69    0.91  11.20 11.200090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28585  Repair foot dislocation                           A  11.13  12.43     7.09    1.07  24.63 19.290090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28600  Treat foot dislocation                            A   2.02   3.96     3.09    0.28   6.26  5.390090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
28605  Treat foot dislocation                            A   2.89   5.86     4.93    0.59   9.34  8.410090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
28606  Treat foot dislocation                            A   5.09   5.42NA   5.42    0.85  11.36 11.360090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28615  Repair foot dislocation                           A  10.70  10.25NA  10.25    1.77  22.72 22.720090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
28630  Treat toe dislocation                             A   1.75   2.53     1.18    0.22   4.50  3.150010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
28635  Treat toe dislocation                             A   1.96   2.85     1.61    0.20   5.01  3.770010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
28636  Treat toe dislocation                             A   2.77   5.20     2.26    0.21   8.18  5.240010.10.80.1020120             35.8043 090 99      0.00   0.00   0.00
28645  Repair toe dislocation                            A   7.44  10.71     5.72    0.81  18.96 13.970090.10.69.2120110             35.8043 090 99      0.00   0.00   0.00
28660  Treat toe dislocation                             A   1.28   1.89     1.10    0.17   3.34  2.550010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
28665  Treat toe dislocation                             A   1.97   2.24     1.59    0.20   4.41  3.760010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
28666  Treat toe dislocation                             A   2.66   2.35NA   2.35    0.38   5.39  5.390010.10.80.1020120             35.8043 090 99      0.00   0.00   0.00
28675  Repair of toe dislocation                         A   5.62  10.51     5.51    0.72  16.85 11.850090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28705  Fusion of foot bones                              A  20.33  12.67NA  12.67    3.13  36.13 36.130090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28715  Fusion of foot bones                              A  13.42  11.31NA  11.31    2.28  27.01 27.010090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28725  Fusion of foot bones                              A  11.22   9.36NA   9.36    1.82  22.40 22.400090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28730  Fusion of foot bones                              A  10.70   8.78NA   8.78    1.62  21.10 21.100090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28735  Fusion of foot bones                              A  12.23   8.59NA   8.59    1.69  22.51 22.510090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28737  Revision of foot bones                            A  11.03   7.51NA   7.51    1.32  19.86 19.860090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28740  Fusion of foot bones                              A   9.29  13.88     7.40    1.25  24.42 17.940090.10.69.2120210             35.8043 090 99      0.00   0.00   0.00
28750  Fusion of big toe joint                           A   8.57  13.73     7.28    1.18  23.48 17.030090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28755  Fusion of big toe joint                           A   4.88   9.29     4.12    0.52  14.69  9.520090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28760  Fusion of big toe joint                           A   9.14  12.68     6.51    0.97  22.79 16.620090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28800  Amputation of midfoot                             A   8.79   5.71NA   5.71    1.17  15.67 15.670090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
28805  Amputation thru metatarsal                        A  12.71   6.64NA   6.64    1.86  21.21 21.210090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
28810  Amputation toe & metatarsal                       A   6.64   4.75NA   4.75    1.12  12.51 12.510090.10.69.2120000             35.8043 090 99      0.00   0.00   0.00
28820  Amputation of toe                                 A   5.82   9.77     4.85    0.78  16.37 11.450090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28825  Partial amputation of toe                         A   5.37   9.54     4.66    0.70  15.61 10.730090.10.69.2120100             35.8043 090 99      0.00   0.00   0.00
28890  Hi enrgy eswt plantar fascia                      A   3.45   5.53     2.69    0.30   9.28  6.440090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
28899  Foot/toes surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
29000  Application of body cast                          A   2.25   5.28     2.07    0.72   8.25  5.040000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29010  Application of body cast                          A   2.06   4.39     1.83    0.35   6.80  4.240000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29015  Application of body cast                          A   2.41   5.35     2.34    0.39   8.15  5.140000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29035  Application of body cast                          A   1.77   3.56     1.44    0.24   5.57  3.450000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29040  Application of body cast                          A   2.22   3.94     1.67    0.30   6.46  4.190000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29044  Application of body cast                          A   2.12   5.71     1.97    0.26   8.09  4.350000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29046  Application of body cast                          A   2.41   4.21     1.81    0.33   6.95  4.550000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29049  Application of figure eight                       A   0.89   1.36     0.75    0.15   2.40  1.790000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29055  Application of shoulder cast                      A   1.78   4.23     1.85    0.37   6.38  4.000000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29058  Application of shoulder cast                      A   1.31   1.96     1.13    0.23   3.50  2.670000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29065  Application of long arm cast                      A   0.87   1.72     0.94    0.16   2.75  1.970000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29075  Application of forearm cast                       A   0.77   1.57     0.88    0.14   2.48  1.790000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29085  Apply hand/wrist cast                             A   0.87   1.71     0.92    0.15   2.73  1.940000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29086  Apply finger cast                                 A   0.62   1.54     0.77    0.08   2.24  1.470000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29105  Apply long arm splint                             A   0.87   1.51     0.70    0.13   2.51  1.700000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29125  Apply forearm splint                              A   0.50   1.27     0.56    0.07   1.84  1.130000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29126  Apply forearm splint                              A   0.68   1.42     0.62    0.09   2.19  1.390000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29130  Application of finger splint                      A   0.50   0.60     0.25    0.07   1.17  0.820000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29131  Application of finger splint                      A   0.55   0.83     0.32    0.07   1.45  0.940000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29200  Strapping of chest                                A   0.39   0.43     0.11    0.02   0.84  0.520000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
29240  Strapping of shoulder                             A   0.39   0.41     0.12    0.02   0.82  0.530000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29260  Strapping of elbow or wrist                       A   0.39   0.40     0.13    0.04   0.83  0.560000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29280  Strapping of hand or finger                       A   0.39   0.41     0.15    0.04   0.84  0.580000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29305  Application of hip cast                           A   2.03   4.64     2.15    0.41   7.08  4.590000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29325  Application of hip casts                          A   2.32   4.98     2.32    0.49   7.79  5.130000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
29345  Application of long leg cast                      A   1.40   2.24     1.24    0.26   3.90  2.900000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29355  Application of long leg cast                      A   1.53   2.22     1.25    0.28   4.03  3.060000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29358  Apply long leg cast brace                         A   1.43   2.88     1.28    0.29   4.60  3.000000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29365  Application of long leg cast                      A   1.18   2.11     1.12    0.22   3.51  2.520000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29405  Apply short leg cast                              A   0.80   1.42     0.80    0.12   2.34  1.720000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29425  Apply short leg cast                              A   0.80   1.34     0.72    0.11   2.25  1.630000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29435  Apply short leg cast                              A   1.18   1.95     1.00    0.20   3.33  2.380000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29440  Addition of walker to cast                        A   0.57   0.64     0.22    0.04   1.25  0.830000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29445  Apply rigid leg cast                              A   1.78   1.87     1.01    0.20   3.85  2.990000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29450  Application of leg cast                           A   2.08   1.83     0.96    0.19   4.10  3.230000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29505  Application long leg splint                       A   0.69   1.59     0.64    0.10   2.38  1.430000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29515  Application lower leg splint                      A   0.73   1.23     0.60    0.09   2.05  1.420000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29520  Strapping of hip                                  A   0.39   0.48     0.12    0.02   0.89  0.530000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
29530  Strapping of knee                                 A   0.39   0.40     0.11    0.03   0.82  0.530000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29540  Strapping of ankle and/or ft                      A   0.39   0.32     0.10    0.03   0.74  0.520000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29550  Strapping of toes                                 A   0.25   0.27     0.06    0.02   0.54  0.330000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29580  Application of paste boot                         A   0.55   0.88     0.40    0.07   1.50  1.020000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29581  Apply multlay comprs lwr leg                      A   0.25   1.49     0.10    0.01   1.75  0.360000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
29582  Apply multlay comprs upr leg                      A   0.35   1.63     0.09    0.01   1.99  0.450000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
29583  Apply multlay comprs upr arm                      A   0.25   0.98     0.06    0.01   1.24  0.320000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
29584  Appl multlay comprs arm/hand                      A   0.35   1.63     0.09    0.01   1.99  0.450000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
29700  Removal/revision of cast                          A   0.57   1.13     0.30    0.09   1.79  0.960000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
29705  Removal/revision of cast                          A   0.76   1.02     0.47    0.13   1.91  1.360000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
29710  Removal/revision of cast                          A   1.34   1.89     0.79    0.26   3.49  2.390000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
29720  Repair of body cast                               A   0.68   1.61     0.46    0.14   2.43  1.280000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
29730  Windowing of cast                                 A   0.75   0.98     0.43    0.12   1.85  1.300000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
29740  Wedging of cast                                   A   1.12   1.50     0.68    0.23   2.85  2.030000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
29750  Wedging of clubfoot cast                          A   1.26   1.14     0.52    0.15   2.55  1.930000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
29799  Casting/strapping procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
29800  Jaw arthroscopy/surgery                           A   6.84   6.65NA   6.65    1.18  14.67 14.670090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
29804  Jaw arthroscopy/surgery                           A   8.87   8.19NA   8.19    1.54  18.60 18.600090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
29805  Shoulder arthroscopy dx                           A   6.03   6.32NA   6.32    1.23  13.58 13.580090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
29806  Shoulder arthroscopy/surgery                      A  15.14  12.37NA  12.37    3.08  30.59 30.590090.10.69.2131110       29805 35.8043 090 99      0.00   0.00   0.00
29807  Shoulder arthroscopy/surgery                      A  14.67  12.18NA  12.18    3.00  29.85 29.850090.10.69.2131110       29805 35.8043 090 99      0.00   0.00   0.00
29819  Shoulder arthroscopy/surgery                      A   7.79   7.49NA   7.49    1.58  16.86 16.860090.10.69.2131110       29805 35.8043 090 99      0.00   0.00   0.00
29820  Shoulder arthroscopy/surgery                      A   7.21   6.88NA   6.88    1.27  15.36 15.360090.10.69.2131210       29805 35.8043 090 99      0.00   0.00   0.00
29821  Shoulder arthroscopy/surgery                      A   7.89   7.52NA   7.52    1.37  16.78 16.780090.10.69.2131210       29805 35.8043 090 99      0.00   0.00   0.00
29822  Shoulder arthroscopy/surgery                      A   7.60   7.41NA   7.41    1.29  16.30 16.300090.10.69.2131200       29805 35.8043 090 99      0.00   0.00   0.00
29823  Shoulder arthroscopy/surgery                      A   8.36   8.02NA   8.02    1.41  17.79 17.790090.10.69.2131210       29805 35.8043 090 99      0.00   0.00   0.00
29824  Shoulder arthroscopy/surgery                      A   8.98   8.69NA   8.69    1.51  19.18 19.180090.10.69.2131210       29805 35.8043 090 99      0.00   0.00   0.00
29825  Shoulder arthroscopy/surgery                      A   7.79   7.49NA   7.49    1.33  16.61 16.610090.10.69.2131210       29805 35.8043 090 99      0.00   0.00   0.00
29826  Shoulder arthroscopy/surgery                      A   3.00   1.50NA   1.50    0.59   5.09  5.090ZZZ.00.00.0001210             35.8043 090 99      0.00   0.00   0.00
29827  Arthroscop rotator cuff repr                      A  15.59  12.22NA  12.22    2.60  30.41 30.410090.10.69.2131210       29805 35.8043 090 99      0.00   0.00   0.00
29828  Arthroscopy biceps tenodesis                      A  13.16  10.81NA  10.81    2.27  26.24 26.240090.10.69.2131210       29805 35.8043 090 99      0.00   0.00   0.00
29830  Elbow arthroscopy                                 A   5.88   6.06NA   6.06    1.08  13.02 13.020090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
29834  Elbow arthroscopy/surgery                         A   6.42   6.45NA   6.45    1.09  13.96 13.960090.10.69.2131210       29830 35.8043 090 99      0.00   0.00   0.00
29835  Elbow arthroscopy/surgery                         A   6.62   6.57NA   6.57    1.35  14.54 14.540090.10.69.2131210       29830 35.8043 090 99      0.00   0.00   0.00
29836  Elbow arthroscopy/surgery                         A   7.72   7.34NA   7.34    1.29  16.35 16.350090.10.69.2131210       29830 35.8043 090 99      0.00   0.00   0.00
29837  Elbow arthroscopy/surgery                         A   7.01   6.78NA   6.78    1.24  15.03 15.030090.10.69.2131210       29830 35.8043 090 99      0.00   0.00   0.00
29838  Elbow arthroscopy/surgery                         A   7.88   7.53NA   7.53    1.45  16.86 16.860090.10.69.2131000       29830 35.8043 090 99      0.00   0.00   0.00
29840  Wrist arthroscopy                                 A   5.68   6.16NA   6.16    1.17  13.01 13.010090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
29843  Wrist arthroscopy/surgery                         A   6.15   6.51NA   6.51    1.26  13.92 13.920090.10.69.2131210       29840 35.8043 090 99      0.00   0.00   0.00
29844  Wrist arthroscopy/surgery                         A   6.51   6.60NA   6.60    1.11  14.22 14.220090.10.69.2131200       29840 35.8043 090 99      0.00   0.00   0.00
29845  Wrist arthroscopy/surgery                         A   7.69   7.54NA   7.54    1.29  16.52 16.520090.10.69.2131210       29840 35.8043 090 99      0.00   0.00   0.00
29846  Wrist arthroscopy/surgery                         A   6.89   6.82NA   6.82    1.21  14.92 14.920090.10.69.2131000       29840 35.8043 090 99      0.00   0.00   0.00
29847  Wrist arthroscopy/surgery                         A   7.22   6.93NA   6.93    1.16  15.31 15.310090.10.69.2131200       29840 35.8043 090 99      0.00   0.00   0.00
29848  Wrist endoscopy/surgery                           A   6.39   7.06NA   7.06    1.21  14.66 14.660090.10.69.2121100             35.8043 090 99      0.00   0.00   0.00
29850  Knee arthroscopy/surgery                          A   8.27   7.89NA   7.89    1.60  17.76 17.760090.10.69.2121020             35.8043 090 99      0.00   0.00   0.00
29851  Knee arthroscopy/surgery                          A  13.26   9.88NA   9.88    2.33  25.47 25.470090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
29855  Tibial arthroscopy/surgery                        A  10.76   9.63NA   9.63    2.12  22.51 22.510090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
29856  Tibial arthroscopy/surgery                        A  14.28  11.51NA  11.51    2.94  28.73 28.730090.10.69.2121220             35.8043 090 99      0.00   0.00   0.00
29860  Hip arthroscopy dx                                A   9.00   8.24NA   8.24    1.77  19.01 19.010090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
29861  Hip arthro w/fb removal                           A  10.10   8.78NA   8.78    1.82  20.70 20.700090.10.69.2131210       29860 35.8043 090 99      0.00   0.00   0.00
29862  Hip arthr0 w/debridement                          A  11.17  10.12NA  10.12    1.93  23.22 23.220090.10.69.2131210       29860 35.8043 090 99      0.00   0.00   0.00
29863  Hip arthr0 w/synovectomy                          A  11.17  10.10NA  10.10    1.95  23.22 23.220090.10.69.2131210       29860 35.8043 090 99      0.00   0.00   0.00
29866  Autgrft implnt knee w/scope                       A  14.67  12.43NA  12.43    2.93  30.03 30.030090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
29867  Allgrft implnt knee w/scope                       A  18.39  14.32NA  14.32    3.72  36.43 36.430090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
29868  Meniscal trnspl knee w/scpe                       A  25.10  16.51NA  16.51    4.71  46.32 46.320090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
29870  Knee arthroscopy dx                               A   5.19  10.48     5.62    1.05  16.72 11.860090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
29871  Knee arthroscopy/drainage                         A   6.69   6.75NA   6.75    1.37  14.81 14.810090.10.69.2131100       29870 35.8043 090 99      0.00   0.00   0.00
29873  Knee arthroscopy/surgery                          A   6.24   7.57NA   7.57    1.28  15.09 15.090090.10.69.2131110       29870 35.8043 090 99      0.00   0.00   0.00
29874  Knee arthroscopy/surgery                          A   7.19   6.86NA   6.86    1.41  15.46 15.460090.10.69.2131000       29870 35.8043 090 99      0.00   0.00   0.00
29875  Knee arthroscopy/surgery                          A   6.45   6.52NA   6.52    1.28  14.25 14.250090.10.69.2131000       29870 35.8043 090 99      0.00   0.00   0.00
29876  Knee arthroscopy/surgery                          A   8.87   8.26NA   8.26    1.82  18.95 18.950090.10.69.2131100       29870 35.8043 090 99      0.00   0.00   0.00
29877  Knee arthroscopy/surgery                          A   8.30   7.97NA   7.97    1.64  17.91 17.910090.10.69.2131000       29870 35.8043 090 99      0.00   0.00   0.00
29879  Knee arthroscopy/surgery                          A   8.99   8.30NA   8.30    1.78  19.07 19.070090.10.69.2131000       29870 35.8043 090 99      0.00   0.00   0.00
29880  Knee arthroscopy/surgery                          A   7.39   7.34NA   7.34    1.45  16.18 16.180090.10.69.2131010       29870 35.8043 090 99      0.00   0.00   0.00
29881  Knee arthroscopy/surgery                          A   7.03   7.17NA   7.17    1.39  15.59 15.590090.10.69.2131000       29870 35.8043 090 99      0.00   0.00   0.00
29882  Knee arthroscopy/surgery                          A   9.60   8.61NA   8.61    1.97  20.18 20.180090.10.69.2131100       29870 35.8043 090 99      0.00   0.00   0.00
29883  Knee arthroscopy/surgery                          A  11.77  10.12NA  10.12    2.35  24.24 24.240090.10.69.2131000       29870 35.8043 090 99      0.00   0.00   0.00
29884  Knee arthroscopy/surgery                          A   8.28   7.93NA   7.93    1.48  17.69 17.690090.10.69.2131210       29870 35.8043 090 99      0.00   0.00   0.00
29885  Knee arthroscopy/surgery                          A  10.21   9.38NA   9.38    2.05  21.64 21.640090.10.69.2131210       29870 35.8043 090 99      0.00   0.00   0.00
29886  Knee arthroscopy/surgery                          A   8.49   8.11NA   8.11    1.75  18.35 18.350090.10.69.2131100       29870 35.8043 090 99      0.00   0.00   0.00
29887  Knee arthroscopy/surgery                          A  10.16   9.27NA   9.27    2.07  21.50 21.500090.10.69.2131210       29870 35.8043 090 99      0.00   0.00   0.00
29888  Knee arthroscopy/surgery                          A  14.30  11.30NA  11.30    2.82  28.42 28.420090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
29889  Knee arthroscopy/surgery                          A  17.41  14.27NA  14.27    3.54  35.22 35.220090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
29891  Ankle arthroscopy/surgery                         A   9.67   8.26NA   8.26    1.55  19.48 19.480090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
29892  Ankle arthroscopy/surgery                         A  10.27   5.75NA   5.75    0.74  16.76 16.760090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
29893  Scope plantar fasciotomy                          A   6.32  10.82     5.51    0.46  17.60 12.290090.10.69.2121110             35.8043 090 99      0.00   0.00   0.00
29894  Ankle arthroscopy/surgery                         A   7.35   5.94NA   5.94    1.13  14.42 14.420090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
29895  Ankle arthroscopy/surgery                         A   7.13   5.59NA   5.59    1.01  13.73 13.730090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
29897  Ankle arthroscopy/surgery                         A   7.32   6.10NA   6.10    1.17  14.59 14.590090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
29898  Ankle arthroscopy/surgery                         A   8.49   6.55NA   6.55    1.25  16.29 16.290090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
29899  Ankle arthroscopy/surgery                         A  15.41  11.63NA  11.63    2.80  29.84 29.840090.10.69.2121210             35.8043 090 99      0.00   0.00   0.00
29900  Mcp joint arthroscopy dx                          A   5.88   6.61NA   6.61    0.57  13.06 13.060090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
29901  Mcp joint arthroscopy surg                        A   6.59   7.38NA   7.38    1.35  15.32 15.320090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
29902  Mcp joint arthroscopy surg                        A   7.16   7.81NA   7.81    1.14  16.11 16.110090.10.69.2121000             35.8043 090 99      0.00   0.00   0.00
29904  Subtalar arthro w/fb rmvl                         A   8.65   7.95NA   7.95    1.78  18.38 18.380090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
29905  Subtalar arthro w/exc                             A   9.18   8.70NA   8.70    1.86  19.74 19.740090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
29906  Subtalar arthro w/deb                             A   9.65   9.15NA   9.15    1.95  20.75 20.750090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
29907  Subtalar arthro w/fusion                          A  12.18  10.57NA  10.57    2.51  25.26 25.260090.10.69.2121200             35.8043 090 99      0.00   0.00   0.00
29914  Hip arthro w/femoroplasty                         A  14.67  11.44NA  11.44    2.55  28.66 28.660090.10.69.2131210       29860 35.8043 090 99      0.00   0.00   0.00
29915  Hip arthro acetabuloplasty                        A  15.00  11.61NA  11.61    2.54  29.15 29.150090.10.69.2131210       29860 35.8043 090 99      0.00   0.00   0.00
29916  Hip arthro w/labral repair                        A  15.00  11.65NA  11.65    2.54  29.19 29.190090.10.69.2131210       29860 35.8043 090 99      0.00   0.00   0.00
29999  Arthroscopy of joint                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
30000  Drainage of nose lesion                           A   1.48   4.89     1.70    0.21   6.58  3.390010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
30020  Drainage of nose lesion                           A   1.48   4.97     1.72    0.22   6.67  3.420010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
3006F  Cxr doc rev                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3008F  Body mass index docd                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30100  Intranasal biopsy                                 A   0.94   2.97     0.91    0.13   4.04  1.980000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
3011F  Lipid panel doc rev                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30110  Removal of nose polyp(s)                          A   1.68   4.68     1.82    0.24   6.60  3.740010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
30115  Removal of nose polyp(s)                          A   4.44   7.31NA   7.31    0.64  12.39 12.390090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
30117  Removal of intranasal lesion                      A   3.26  21.38     6.04    0.47  25.11  9.770090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
30118  Removal of intranasal lesion                      A   9.92  10.66NA  10.66    1.46  22.04 22.040090.10.76.1420110             35.8043 090 99      0.00   0.00   0.00
30120  Revision of nose                                  A   5.39   8.62     6.33    0.84  14.85 12.560090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
30124  Removal of nose lesion                            A   3.20   4.53NA   4.53    0.46   8.19  8.190090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
30125  Removal of nose lesion                            A   7.30   9.04NA   9.04    1.08  17.42 17.420090.10.76.1420200             35.8043 090 99      0.00   0.00   0.00
30130  Excise inferior turbinate                         A   3.47   6.95NA   6.95    0.48  10.90 10.900090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
3014F  Screen mammo doc rev                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30140  Resect inferior turbinate                         A   3.57   8.53NA   8.53    0.52  12.62 12.620090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
3015F  Cerv cancer screen docd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30150  Partial removal of nose                           A   9.55  11.02NA  11.02    1.49  22.06 22.060090.10.76.1420110             35.8043 090 99      0.00   0.00   0.00
3016F  Pt scrnd unhlthy oh use                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30160  Removal of nose                                   A   9.99  10.64NA  10.64    1.49  22.12 22.120090.10.76.1420210             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3019F  Lvef assess planpost dschrge                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3020F  Lvf assess                                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30200  Injection treatment of nose                       A   0.78   2.37     0.82    0.11   3.26  1.710000.00.00.0020100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30210  Nasal sinus therapy                               A   1.13   3.00     1.56    0.16   4.29  2.850010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
3022F  Lvef >/=40% systolic                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30220  Insert nasal septal button                        A   1.59   6.86     1.77    0.23   8.68  3.590010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
3023F  Spirom doc rev                                    M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3025F  Spirom fev/fvc <70% w/copd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3027F  Spirom fev/fvc>/=70%/w/ocopd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3028F  O2 saturation doc rev                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30300  Remove nasal foreign body                         A   1.09   4.09     1.80    0.14   5.32  3.030010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
30310  Remove nasal foreign body                         A   2.01   3.62NA   3.62    0.28   5.91  5.910010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
30320  Remove nasal foreign body                         A   4.64   7.40NA   7.40    0.67  12.71 12.710090.10.76.1420000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3037F  O2 saturation >88%/pao>55 hg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3038F  Pulm fx w/in 12 mon b/4 surg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3040F  Fev <40% predicted value                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30400  Reconstruction of nose                            R  10.86  16.49NA  16.49    1.59  28.94 28.940090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
30410  Reconstruction of nose                            R  14.00  17.84NA  17.84    2.02  33.86 33.860090.10.76.1420200             35.8043 090 99      0.00   0.00   0.00
3042F  Fev >/=40% predicted value                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30420  Reconstruction of nose                            R  16.90  19.82NA  19.82    2.53  39.25 39.250090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
30430  Revision of nose                                  R   8.24  17.88NA  17.88    1.38  27.50 27.500090.10.76.1420200             35.8043 090 99      0.00   0.00   0.00
30435  Revision of nose                                  R  12.73  17.22NA  17.22    1.84  31.79 31.790090.10.76.1420200             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30450  Revision of nose                                  R  19.66  20.35NA  20.35    2.82  42.83 42.830090.10.76.1420200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30460  Revision of nose                                  A  10.32   8.72NA   8.72    1.37  20.41 20.410090.10.76.1420220             35.8043 090 99      0.00   0.00   0.00
30462  Revision of nose                                  A  20.28  20.87NA  20.87    3.47  44.62 44.620090.10.76.1420220             35.8043 090 99      0.00   0.00   0.00
30465  Repair nasal stenosis                             A  12.36  13.88NA  13.88    1.84  28.08 28.080090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
3048F  Ldl-c <100 mg/dl                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3049F  Ldl-c 100-129 mg/dl                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3050F  Ldl-c >/= 130 mg/dl                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30520  Repair of nasal septum                            A   7.01   9.83NA   9.83    1.01  17.85 17.850090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
30540  Repair nasal defect                               A   7.92  10.77NA  10.77    1.16  19.85 19.850090.10.76.1420200             35.8043 090 99      0.00   0.00   0.00
30545  Repair nasal defect                               A  11.62  11.98NA  11.98    1.59  25.19 25.190090.10.76.1420200             35.8043 090 99      0.00   0.00   0.00
3055F  Lvef less than/equal to 35%                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3056F  Lvef greater than 35%                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30560  Release of nasal adhesions                        A   1.31   6.19     2.44    0.19   7.69  3.940010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
30580  Repair upper jaw fistula                          A   6.88  10.74     6.73    1.14  18.76 14.750090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
3060F  Pos microalbuminuria rev                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30600  Repair mouth/nose fistula                         A   6.16   9.75     5.68    0.98  16.89 12.820090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
3061F  Neg microalbuminuria rev                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3062F  Pos macroalbuminuria rev                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30620  Intranasal reconstruction                         A   6.16  10.78NA  10.78    0.93  17.87 17.870090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
30630  Repair nasal septum defect                        A   7.29   9.47NA   9.47    1.06  17.82 17.820090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
3066F  Nephropathy doc tx                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3072F  Low risk for retinopathy                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3074F  Syst bp lt 130 mm hg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3075F  Syst bp ge 130 - 139mm hg                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3077F  Syst bp >/= 140 mm hg                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3078F  Diast bp <80 mm hg                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3079F  Diast bp 80-89 mm hg                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3080F  Diast bp >/= 90 mm hg                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30801  Ablate inf turbinate superf                       A   1.14   5.27     2.62    0.15   6.56  3.910010.10.80.1022100             35.8043 090 99      0.00   0.00   0.00
30802  Ablate inf turbinate submuc                       A   2.08   5.94     3.07    0.30   8.32  5.450010.10.80.1022100             35.8043 090 99      0.00   0.00   0.00
3082F  Kt/v <1.2                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3083F  Kt/v =/> 1.2 & <1.7                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3084F  Kt/v >/= 1.7                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3085F  Suicide risk assessed                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3088F  Mdd mild                                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3089F  Mdd moderate                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30901  Control of nosebleed                              A   1.10   1.46     0.37    0.16   2.72  1.630000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
30903  Control of nosebleed                              A   1.54   4.55     0.56    0.22   6.31  2.320000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
30905  Control of nosebleed                              A   1.97   5.48     0.82    0.29   7.74  3.080000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
30906  Repeat control of nosebleed                       A   2.45   7.16     1.16    0.35   9.96  3.960000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
3091F  Mdd severe w/psych                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30915  Ligation nasal sinus artery                       A   7.44   7.99NA   7.99    1.07  16.50 16.500090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
3092F  Mdd in remission                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30920  Ligation upper jaw artery                         A  11.14  11.17NA  11.17    1.63  23.94 23.940090.10.76.1420100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30930  Ther fx nasal inf turbinate                       A   1.31   2.04NA   2.04    0.18   3.53  3.530010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
3095F  Central dexa results docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3096F  Central dexa ordered                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
30999  Nasal surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31000  Irrigation maxillary sinus                        A   1.20   3.89     1.67    0.17   5.26  3.040010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
31002  Irrigation sphenoid sinus                         A   1.96   3.33NA   3.33    0.25   5.54  5.540010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
31020  Exploration maxillary sinus                       A   3.07  10.36     6.79    0.44  13.87 10.300090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
31030  Exploration maxillary sinus                       A   6.01  12.89     8.26    0.92  19.82 15.190090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
31032  Explore sinus remove polyps                       A   6.69   8.79NA   8.79    0.99  16.47 16.470090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
31040  Exploration behind upper jaw                      A   9.77  10.62NA  10.62    1.45  21.84 21.840090.10.76.1421110             35.8043 090 99      0.00   0.00   0.00
31050  Exploration sphenoid sinus                        A   5.37   7.77NA   7.77    0.81  13.95 13.950090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
31051  Sphenoid sinus surgery                            A   7.25  10.18NA  10.18    1.05  18.48 18.480090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
31070  Exploration of frontal sinus                      A   4.40   7.55NA   7.55    0.64  12.59 12.590090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
31075  Exploration of frontal sinus                      A   9.51  11.53NA  11.53    1.47  22.51 22.510090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31080  Removal of frontal sinus                          A  12.74  15.16NA  15.16    1.79  29.69 29.690090.10.76.1421200             35.8043 090 99      0.00   0.00   0.00
31081  Removal of frontal sinus                          A  14.19  22.58NA  22.58    5.60  42.37 42.370090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31084  Removal of frontal sinus                          A  14.95  16.14NA  16.14    2.09  33.18 33.180090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31085  Removal of frontal sinus                          A  15.64  23.27NA  23.27    6.28  45.19 45.190090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31086  Removal of frontal sinus                          A  14.36  15.98NA  15.98    1.97  32.31 32.310090.10.76.1421200             35.8043 090 99      0.00   0.00   0.00
31087  Removal of frontal sinus                          A  14.57  14.18NA  14.18    2.29  31.04 31.040090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31090  Exploration of sinuses                            A  11.17  16.59NA  16.59    1.58  29.34 29.340090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
3110F  Pres/absn hmrhg/lesion docd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3111F  Ct/mri brain done w/in 24hrs                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3112F  Ct/mri brain done 24 hrs                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3115F  Quant results activity &symp                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3117F  Hf assessment tool completed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3118F  Ny heart assoc class docd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3119F  No eval activity clin symp                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3120F  12-lead ecg performed                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31200  Removal of ethmoid sinus                          A   5.14  10.64NA  10.64    0.44  16.22 16.220090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
31201  Removal of ethmoid sinus                          A   8.60  11.36NA  11.36    1.23  21.19 21.190090.10.76.1421100             35.8043 090 99      0.00   0.00   0.00
31205  Removal of ethmoid sinus                          A  10.58  13.99NA  13.99    0.94  25.51 25.510090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31225  Removal of upper jaw                              A  26.70  23.17NA  23.17    3.95  53.82 53.820090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31230  Removal of upper jaw                              A  30.82  24.28NA  24.28    4.66  59.76 59.760090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31231  Nasal endoscopy dx                                A   1.10   4.75     0.62    0.15   6.00  1.870000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
31233  Nasal/sinus endoscopy dx                          A   2.18   5.03     1.45    0.31   7.52  3.940000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
31235  Nasal/sinus endoscopy dx                          A   2.64   5.56     1.66    0.37   8.57  4.670000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
31237  Nasal/sinus endoscopy surg                        A   2.60   4.44     1.69    0.37   7.41  4.660000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
31238  Nasal/sinus endoscopy surg                        A   2.74   4.27     1.75    0.39   7.40  4.880000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
31239  Nasal/sinus endoscopy surg                        A   9.04   7.62NA   7.62    0.96  17.62 17.620010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
31240  Nasal/sinus endoscopy surg                        A   2.61   1.66NA   1.66    0.38   4.65  4.650000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
31254  Revision of ethmoid sinus                         A   4.64   2.57NA   2.57    0.67   7.88  7.880000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
31255  Removal of ethmoid sinus                          A   6.95   3.60NA   3.60    1.00  11.55 11.550000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
31256  Exploration maxillary sinus                       A   3.29   1.95NA   1.95    0.47   5.71  5.710000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
3126F  Esoph bx rprt w/dyspl info                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31267  Endoscopy maxillary sinus                         A   5.45   2.93NA   2.93    0.79   9.17  9.170000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
31276  Sinus endoscopy surgical                          A   8.84   4.46NA   4.46    1.28  14.58 14.580000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
31287  Nasal/sinus endoscopy surg                        A   3.91   2.23NA   2.23    0.56   6.70  6.700000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
31288  Nasal/sinus endoscopy surg                        A   4.57   2.53NA   2.53    0.66   7.76  7.760000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
31290  Nasal/sinus endoscopy surg                        A  18.61  11.79NA  11.79    2.92  33.32 33.320010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
31291  Nasal/sinus endoscopy surg                        A  19.56  12.50NA  12.50    3.49  35.55 35.550010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
31292  Nasal/sinus endoscopy surg                        A  15.90  10.60NA  10.60    2.33  28.83 28.830010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
31293  Nasal/sinus endoscopy surg                        A  17.47  11.30NA  11.30    2.51  31.28 31.280010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
31294  Nasal/sinus endoscopy surg                        A  20.31  12.51NA  12.51    2.93  35.75 35.750010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
31295  Sinus endo w/balloon dil                          A   2.70  55.28     1.65    0.39  58.37  4.740000.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
31296  Sinus endo w/balloon dil                          A   3.29  55.74     1.91    0.48  59.51  5.680000.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
31297  Sinus endo w/balloon dil                          A   2.64  55.43     1.62    0.38  58.45  4.640000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
31299  Sinus surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
3130F  Upper gi endoscopy performed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31300  Removal of larynx lesion                          A  15.91  19.31NA  19.31    2.41  37.63 37.630090.10.76.1420210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31320  Diagnostic incision larynx                        A   5.73  13.32NA  13.32    0.83  19.88 19.880090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
31360  Removal of larynx                                 A  29.91  26.75NA  26.75    4.36  61.02 61.020090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31365  Removal of larynx                                 A  38.81  30.82NA  30.82    5.67  75.30 75.300090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31367  Partial removal of larynx                         A  30.57  29.72NA  29.72    4.37  64.66 64.660090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31368  Partial removal of larynx                         A  34.19  32.98NA  32.98    4.98  72.15 72.150090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31370  Partial removal of larynx                         A  27.57  29.36NA  29.36    4.00  60.93 60.930090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31375  Partial removal of larynx                         A  26.07  27.55NA  27.55    3.89  57.51 57.510090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31380  Partial removal of larynx                         A  25.57  27.66NA  27.66    3.69  56.92 56.920090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31382  Partial removal of larynx                         A  28.57  29.97NA  29.97    4.15  62.69 62.690090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31390  Removal of larynx & pharynx                       A  42.51  35.31NA  35.31    6.16  83.98 83.980090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31395  Reconstruct larynx & pharynx                      A  43.80  38.63NA  38.63    6.33  88.76 88.760090.10.76.1420210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31400  Revision of larynx                                A  11.60  15.01NA  15.01    1.67  28.28 28.280090.10.76.1420200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3142F  Barium swallow test ordered                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31420  Removal of epiglottis                             A  11.43  10.91NA  10.91    1.65  23.99 23.990090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
3150F  Forceps esoph biopsy done                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31500  Insert emergency airway                           A   2.33   0.55NA   0.55    0.28   3.16  3.160000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
31502  Change of windpipe airway                         A   0.65   0.28NA   0.28    0.08   1.01  1.010000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31505  Diagnostic laryngoscopy                           A   0.61   1.69     0.73    0.08   2.38  1.420000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31510  Laryngoscopy with biopsy                          A   1.92   3.84     1.31    0.28   6.04  3.510000.00.00.0030000       31505 35.8043 090 99      0.00   0.00   0.00
31511  Remove foreign body larynx                        A   2.16   3.59     1.28    0.32   6.07  3.760000.00.00.0030100       31505 35.8043 090 99      0.00   0.00   0.00
31512  Removal of larynx lesion                          A   2.07   3.51     1.38    0.29   5.87  3.740000.00.00.0030000       31505 35.8043 090 99      0.00   0.00   0.00
31513  Injection into vocal cord                         A   2.10   1.42NA   1.42    0.30   3.82  3.820000.00.00.0030000       31505 35.8043 090 99      0.00   0.00   0.00
31515  Laryngoscopy for aspiration                       A   1.80   3.31     1.04    0.19   5.30  3.030000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31520  Dx laryngoscopy newborn                           A   2.56   1.62NA   1.62    0.35   4.53  4.530000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
31525  Dx laryngoscopy excl nb                           A   2.63   4.26     1.64    0.38   7.27  4.650000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31526  Dx laryngoscopy w/oper scope                      A   2.57   1.63NA   1.63    0.37   4.57  4.570000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31527  Laryngoscopy for treatment                        A   3.27   1.89NA   1.89    0.48   5.64  5.640000.00.00.0030000       31525 35.8043 090 99      0.00   0.00   0.00
31528  Laryngoscopy and dilation                         A   2.37   1.49NA   1.49    0.34   4.20  4.200000.00.00.0030000       31525 35.8043 090 99      0.00   0.00   0.00
31529  Laryngoscopy and dilation                         A   2.68   1.63NA   1.63    0.39   4.70  4.700000.00.00.0030000       31525 35.8043 090 99      0.00   0.00   0.00
31530  Laryngoscopy w/fb removal                         A   3.38   1.88NA   1.88    0.49   5.75  5.750000.00.00.0030100       31525 35.8043 090 99      0.00   0.00   0.00
31531  Laryngoscopy w/fb & op scope                      A   3.58   2.08NA   2.08    0.52   6.18  6.180000.00.00.0030000       31526 35.8043 090 99      0.00   0.00   0.00
31535  Laryngoscopy w/biopsy                             A   3.16   1.89NA   1.89    0.46   5.51  5.510000.00.00.0030100       31525 35.8043 090 99      0.00   0.00   0.00
31536  Laryngoscopy w/bx & op scope                      A   3.55   2.07NA   2.07    0.51   6.13  6.130000.00.00.0030100       31526 35.8043 090 99      0.00   0.00   0.00
31540  Laryngoscopy w/exc of tumor                       A   4.12   2.31NA   2.31    0.60   7.03  7.030000.00.00.0030100       31525 35.8043 090 99      0.00   0.00   0.00
31541  Larynscop w/tumr exc + scope                      A   4.52   2.51NA   2.51    0.65   7.68  7.680000.00.00.0030100       31526 35.8043 090 99      0.00   0.00   0.00
31545  Remove vc lesion w/scope                          A   6.30   3.34NA   3.34    0.90  10.54 10.540000.00.00.0031100       31526 35.8043 090 99      0.00   0.00   0.00
31546  Remove vc lesion scope/graft                      A   9.73   4.85NA   4.85    1.46  16.04 16.040000.00.00.0031100       31526 35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31560  Laryngoscop w/arytenoidectom                      A   5.45   2.88NA   2.88    0.78   9.11  9.110000.00.00.0030000       31525 35.8043 090 99      0.00   0.00   0.00
31561  Larynscop remve cart + scop                       A   5.99   3.12NA   3.12    0.87   9.98  9.980000.00.00.0030000       31526 35.8043 090 99      0.00   0.00   0.00
31570  Laryngoscope w/vc inj                             A   3.86   5.30     2.22    0.60   9.76  6.680000.00.00.0030100       31525 35.8043 090 99      0.00   0.00   0.00
31571  Laryngoscop w/vc inj + scope                      A   4.26   2.39NA   2.39    0.62   7.27  7.270000.00.00.0030100       31526 35.8043 090 99      0.00   0.00   0.00
31575  Diagnostic laryngoscopy                           A   1.10   2.02     0.96    0.15   3.27  2.210000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31576  Laryngoscopy with biopsy                          A   1.97   4.19     1.34    0.27   6.43  3.580000.00.00.0030100       31575 35.8043 090 99      0.00   0.00   0.00
31577  Remove foreign body larynx                        A   2.47   4.12     1.52    0.35   6.94  4.340000.00.00.0030000       31575 35.8043 090 99      0.00   0.00   0.00
31578  Removal of larynx lesion                          A   2.84   4.76     1.74    0.41   8.01  4.990000.00.00.0030000       31575 35.8043 090 99      0.00   0.00   0.00
31579  Diagnostic laryngoscopy                           A   2.26   3.46     1.50    0.32   6.04  4.080000.00.00.0030100       31575 35.8043 090 99      0.00   0.00   0.00
31580  Revision of larynx                                A  14.66  18.35NA  18.35    2.12  35.13 35.130090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31582  Revision of larynx                                A  23.22  27.95NA  27.95    3.35  54.52 54.520090.10.76.1420110             35.8043 090 99      0.00   0.00   0.00
31584  Treat larynx fracture                             A  20.47  19.97NA  19.97    3.10  43.54 43.540090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31587  Revision of larynx                                A  15.27  11.33NA  11.33    2.23  28.83 28.830090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31588  Revision of larynx                                A  14.99  15.63NA  15.63    2.16  32.78 32.780090.10.76.1420200             35.8043 090 99      0.00   0.00   0.00
31590  Reinnervate larynx                                A   7.85  16.68NA  16.68    1.20  25.73 25.730090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31595  Larynx nerve surgery                              A   8.84  11.87NA  11.87    1.28  21.99 21.990090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
31599  Larynx surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31600  Incision of windpipe                              A   7.17   2.97NA   2.97    1.37  11.51 11.510000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31601  Incision of windpipe                              A   4.44   2.39NA   2.39    0.48   7.31  7.310000.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
31603  Incision of windpipe                              A   4.14   1.62NA   1.62    0.72   6.48  6.480000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31605  Incision of windpipe                              A   3.57   1.10NA   1.10    0.65   5.32  5.320000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31610  Incision of windpipe                              A   9.38   9.76NA   9.76    1.45  20.59 20.590090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
31611  Surgery/speech prosthesis                         A   6.00   8.66NA   8.66    0.87  15.53 15.530090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31612  Puncture/clear windpipe                           A   0.91   1.35     0.35    0.15   2.41  1.410000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
31613  Repair windpipe opening                           A   4.71   7.59NA   7.59    0.78  13.08 13.080090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
31614  Repair windpipe opening                           A   8.63  11.78NA  11.78    1.32  21.73 21.730090.10.76.1420100             35.8043 090 99      0.00   0.00   0.00
31615  Visualization of windpipe                         A   2.09   2.85     1.34    0.28   5.22  3.710000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31622  Dx bronchoscope/wash                              A   2.78   5.58     1.07    0.31   8.67  4.160000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31623  Dx bronchoscope/brush                             A   2.88   6.30     1.09    0.25   9.43  4.220000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31624  Dx bronchoscope/lavage                            A   2.88   5.80     1.13    0.25   8.93  4.260000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31625  Bronchoscopy w/biopsy(s)                          A   3.36   7.61     1.21    0.31  11.28  4.880000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31626  Bronchoscopy w/markers                            A   4.16  21.26     1.47    0.47  25.89  6.100000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
31627  Navigational bronchoscopy                         A   2.00  37.98     0.60    0.21  40.19  2.810ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
31628  Bronchoscopy/lung bx each                         A   3.80   7.78     1.33    0.30  11.88  5.430000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31629  Bronchoscopy/needle bx each                       A   4.00   9.81     1.39    0.36  14.17  5.750000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31630  Bronchoscopy dilate/fx repr                       A   3.81   1.50NA   1.50    0.47   5.78  5.780000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31631  Bronchoscopy dilate w/stent                       A   4.36   1.69NA   1.69    0.60   6.65  6.650000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31632  Bronchoscopy/lung bx addl                         A   1.03   1.02     0.31    0.08   2.13  1.420ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
31633  Bronchoscopy/needle bx addl                       A   1.32   1.20     0.40    0.11   2.63  1.830ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
31634  Bronch w/balloon occlusion                        A   4.00  48.41     1.46    0.50  52.91  5.960000.00.00.0030200       31622 35.8043 090 99      0.00   0.00   0.00
31635  Bronchoscopy w/fb removal                         A   3.67   5.87     1.37    0.40   9.94  5.440000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31636  Bronchoscopy bronch stents                        A   4.30   1.57NA   1.57    0.53   6.40  6.400000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31637  Bronchoscopy stent add-on                         A   1.58   0.44NA   0.44    0.12   2.14  2.140ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
31638  Bronchoscopy revise stent                         A   4.88   1.81NA   1.81    0.62   7.31  7.310000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31640  Bronchoscopy w/tumor excise                       A   4.93   1.82NA   1.82    0.60   7.35  7.350000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31641  Bronchoscopy treat blockage                       A   5.02   1.87NA   1.87    0.56   7.45  7.450000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31643  Diag bronchoscope/catheter                        A   3.49   1.30NA   1.30    0.31   5.10  5.100000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31645  Bronchoscopy clear airways                        A   3.16   5.78     1.21    0.28   9.22  4.650000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31646  Bronchoscopy reclear airway                       A   2.72   5.31     1.06    0.24   8.27  4.020000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31647  Bronchial valve init insert                       A   4.40   1.58NA   1.58    0.41   6.39  6.390000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31648  Bronchial valve remov init                        A   4.20   1.35NA   1.35    0.36   5.91  5.910000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31649  Bronchial valve remov addl                        A   1.44   0.42     0.42    0.15   2.01  2.010ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
31651  Bronchial valve addl insert                       A   1.58   0.49     0.49    0.22   2.29  2.290ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
31652  Bronch ebus samplng 1/2 node                      A   4.71  20.57     1.61    0.43  25.71  6.750000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31653  Bronch ebus samplng 3/> node                      A   5.21  21.64     1.76    0.48  27.33  7.450000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31654  Bronch ebus ivntj perph les                       A   1.40   2.57     0.42    0.13   4.10  1.950ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
31660  Bronch thermoplsty 1 lobe                         A   4.25   1.47NA   1.47    0.33   6.05  6.050000.00.00.0030100       31622 35.8043 090 99      0.00   0.00   0.00
31661  Bronch thermoplsty 2/> lobes                      A   4.50   1.51NA   1.51    0.34   6.35  6.350000.00.00.0030100       31622 35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
31717  Bronchial brush biopsy                            A   2.12   5.14     0.84    0.16   7.42  3.120000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31720  Clearance of airways                              A   1.06   0.33NA   0.33    0.09   1.48  1.480000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31725  Clearance of airways                              A   1.96   0.44NA   0.44    0.18   2.58  2.580000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31730  Intro windpipe wire/tube                          A   2.85  31.67     0.93    0.51  35.03  4.290000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
31750  Repair of windpipe                                A  15.39  22.76NA  22.76    2.53  40.68 40.680090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31755  Repair of windpipe                                A  17.54  30.80NA  30.80    2.62  50.96 50.960090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31760  Repair of windpipe                                A  23.48  11.30NA  11.30    5.64  40.42 40.420090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31766  Reconstruction of windpipe                        A  31.67  12.63NA  12.63    7.56  51.86 51.860090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31770  Repair/graft of bronchus                          A  23.54   9.75NA   9.75    5.62  38.91 38.910090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31775  Reconstruct bronchus                              A  24.59  10.60NA  10.60    2.34  37.53 37.530090.10.76.1420200             35.8043 090 99      0.00   0.00   0.00
31780  Reconstruct windpipe                              A  19.84  10.76NA  10.76    3.59  34.19 34.190090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31781  Reconstruct windpipe                              A  24.85  13.21NA  13.21    3.80  41.86 41.860090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31785  Remove windpipe lesion                            A  18.35  10.11NA  10.11    2.97  31.43 31.430090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31786  Remove windpipe lesion                            A  25.42  10.54NA  10.54    5.78  41.74 41.740090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31800  Repair of windpipe injury                         A   8.18  11.78NA  11.78    1.24  21.20 21.200090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
31805  Repair of windpipe injury                         A  13.42   7.40NA   7.40    3.14  23.96 23.960090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
31820  Closure of windpipe lesion                        A   4.64   7.13     4.12    0.71  12.48  9.470090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
31825  Repair of windpipe defect                         A   7.07   9.13     5.70    1.05  17.25 13.820090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
31830  Revise windpipe scar                              A   4.62   7.36     4.52    0.77  12.75  9.910090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
31899  Airways surgical procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32035  Thoracostomy w/rib resection                      A  11.29   6.96NA   6.96    2.58  20.83 20.830090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32036  Thoracostomy w/flap drainage                      A  12.30   7.39NA   7.39    2.81  22.50 22.500090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32096  Open wedge/bx lung infiltr                        A  13.75   6.46NA   6.46    3.17  23.38 23.380090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32097  Open wedge/bx lung nodule                         A  13.75   6.47NA   6.47    3.15  23.37 23.370090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32098  Open biopsy of lung pleura                        A  12.91   6.28NA   6.28    2.98  22.17 22.170090.10.76.1420210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32100  Exploration of chest                              A  13.75   6.55NA   6.55    3.18  23.48 23.480090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32110  Explore/repair chest                              A  25.28  11.37NA  11.37    5.78  42.43 42.430090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32120  Re-exploration of chest                           A  14.39   7.57NA   7.57    3.30  25.26 25.260090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32124  Explore chest free adhesions                      A  15.45   7.85NA   7.85    3.57  26.87 26.870090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32140  Removal of lung lesion(s)                         A  16.66   8.31NA   8.31    3.97  28.94 28.940090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32141  Remove/treat lung lesions                         A  27.18  10.87NA  10.87    6.25  44.30 44.300090.10.76.1420210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32150  Removal of lung lesion(s)                         A  16.82   8.43NA   8.43    3.91  29.16 29.160090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32151  Remove lung foreign body                          A  16.94   8.37NA   8.37    3.80  29.11 29.110090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
3216F  Pt immunity to hep b docd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32160  Open chest heart massage                          A  13.10   6.87NA   6.87    2.91  22.88 22.880090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
3218F  Rna tstng hep c docd done                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3220F  Hep c quant rna tstng docd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32200  Drain open lung lesion                            A  18.68  10.07NA  10.07    4.22  32.97 32.970090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32215  Treat chest lining                                A  13.05   7.28NA   7.28    2.79  23.12 23.120090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32220  Release of lung                                   A  26.65  13.18NA  13.18    6.14  45.97 45.970090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32225  Partial release of lung                           A  16.75   8.26NA   8.26    3.86  28.87 28.870090.10.76.1421210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32310  Removal of chest lining                           A  15.28   7.75NA   7.75    3.40  26.43 26.430090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32320  Free/remove chest lining                          A  27.25  12.88NA  12.88    6.25  46.38 46.380090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32400  Needle biopsy chest lining                        A   1.76   2.40     0.60    0.16   4.32  2.520000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
32405  Percut bx lung/mediastinum                        A   1.93  10.70     0.90    0.17  12.80  3.000000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
32440  Remove lung pneumonectomy                         A  27.28  11.90NA  11.90    6.30  45.48 45.480090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32442  Sleeve pneumonectomy                              A  56.47  22.96NA  22.96   13.70  93.13 93.130090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32445  Removal of lung extrapleural                      A  63.84  24.78NA  24.78   14.44 103.06103.060090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32480  Partial removal of lung                           A  25.82  11.15NA  11.15    5.95  42.92 42.920090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32482  Bilobectomy                                       A  27.44  12.24NA  12.24    6.25  45.93 45.930090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32484  Segmentectomy                                     A  25.38  10.47NA  10.47    5.90  41.75 41.750090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32486  Sleeve lobectomy                                  A  42.88  15.50NA  15.50   10.02  68.40 68.400090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32488  Completion pneumonectomy                          A  42.99  16.73NA  16.73    9.82  69.54 69.540090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32491  Lung volume reduction                             R  25.24  11.66NA  11.66    5.92  42.82 42.820090.10.76.1421210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32501  Repair bronchus add-on                            A   4.68   1.37NA   1.37    1.09   7.14  7.140ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
32503  Resect apical lung tumor                          A  31.74  13.40NA  13.40    7.39  52.53 52.530090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32504  Resect apical lung tum/chest                      A  36.54  14.92NA  14.92    8.48  59.94 59.940090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32505  Wedge resect of lung initial                      A  15.75   7.68NA   7.68    3.64  27.07 27.070090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32506  Wedge resect of lung add-on                       A   3.00   0.87NA   0.87    0.70   4.57  4.570ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
32507  Wedge resect of lung diag                         A   3.00   0.87NA   0.87    0.69   4.56  4.560ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
32540  Removal of lung lesion                            A  30.35  13.02NA  13.02    7.07  50.44 50.440090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32550  Insert pleural cath                               A   4.17  17.46     1.63    0.63  22.26  6.430000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
32551  Insertion of chest tube                           A   3.29   1.10NA   1.10    0.53   4.92  4.920000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
32552  Remove lung catheter                              A   2.53   2.40     1.69    0.39   5.32  4.610010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
32553  Ins mark thor for rt perq                         A   3.80  12.71     1.48    0.34  16.85  5.620000.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
32554  Aspirate pleura w/o imaging                       A   1.82   3.70     0.59    0.18   5.70  2.590000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
32555  Aspirate pleura w/ imaging                        A   2.27   5.78     0.78    0.20   8.25  3.250000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
32556  Insert cath pleura w/o image                      A   2.50  12.63     0.83    0.24  15.37  3.570000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
32557  Insert cath pleura w/ image                       A   3.12  11.27     1.04    0.29  14.68  4.450000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
32560  Treat pleurodesis w/agent                         A   1.54   5.17     0.47    0.25   6.96  2.260000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
32561  Lyse chest fibrin init day                        A   1.39   1.10     0.43    0.16   2.65  1.980000.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
32562  Lyse chest fibrin subq day                        A   1.24   0.98     0.38    0.17   2.39  1.790000.00.00.0020200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32601  Thoracoscopy diagnostic                           A   5.50   2.24NA   2.24    1.23   8.97  8.970000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
32604  Thoracoscopy wbx sac                              A   8.77   3.21NA   3.21    2.05  14.03 14.030000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
32606  Thoracoscopy w/bx med space                       A   8.39   3.13NA   3.13    1.93  13.45 13.450000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
32607  Thoracoscopy w/bx infiltrate                      A   5.50   2.23NA   2.23    1.25   8.98  8.980000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
32608  Thoracoscopy w/bx nodule                          A   6.84   2.62NA   2.62    1.55  11.01 11.010000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
32609  Thoracoscopy w/bx pleura                          A   4.58   1.95NA   1.95    1.00   7.53  7.530000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
3265F  Rna tstng hepc vir ord/docd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32650  Thoracoscopy w/pleurodesis                        A  10.83   6.03NA   6.03    2.46  19.32 19.320090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32651  Thoracoscopy remove cortex                        A  18.78   8.69NA   8.69    4.37  31.84 31.840090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32652  Thoracoscopy rem totl cortex                      A  29.13  12.40NA  12.40    6.78  48.31 48.310090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32653  Thoracoscopy remov fb/fibrin                      A  18.17   8.42NA   8.42    4.17  30.76 30.760090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32654  Thoracoscopy contrl bleeding                      A  20.52   9.01NA   9.01    4.89  34.42 34.420090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32655  Thoracoscopy resect bullae                        A  16.17   7.85NA   7.85    3.75  27.77 27.770090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32656  Thoracoscopy w/pleurectomy                        A  13.26   6.97NA   6.97    3.09  23.32 23.320090.10.76.1421210             35.8043 090 99      0.00   0.00   0.00
32658  Thoracoscopy w/sac fb remove                      A  11.71   6.26NA   6.26    2.76  20.73 20.730090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
32659  Thoracoscopy w/sac drainage                       A  11.94   6.53NA   6.53    2.77  21.24 21.240090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
3266F  Hepc gn tstng docd b/4txmnt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32661  Thoracoscopy w/pericard exc                       A  13.33   6.76NA   6.76    3.18  23.27 23.270090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
32662  Thoracoscopy w/mediast exc                        A  14.99   7.46NA   7.46    3.47  25.92 25.920090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
32663  Thoracoscopy w/lobectomy                          A  24.64  10.37NA  10.37    5.72  40.73 40.730090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
32664  Thoracoscopy w/ th nrv exc                        A  14.28   7.15NA   7.15    3.32  24.75 24.750090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
32665  Thoracoscop w/esoph musc exc                      A  21.53   9.18NA   9.18    4.88  35.59 35.590090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
32666  Thoracoscopy w/wedge resect                       A  14.50   7.43NA   7.43    3.37  25.30 25.300090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32667  Thoracoscopy w/w resect addl                      A   3.00   0.88NA   0.88    0.70   4.58  4.580ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
32668  Thoracoscopy w/w resect diag                      A   3.00   0.87NA   0.87    0.70   4.57  4.570ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
32669  Thoracoscopy remove segment                       A  23.53  10.11NA  10.11    5.51  39.15 39.150090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
3267F  Path rprt w/ pt pn cat et al                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32670  Thoracoscopy bilobectomy                          A  28.52  11.45NA  11.45    6.58  46.55 46.550090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32671  Thoracoscopy pneumonectomy                        A  31.92  12.25NA  12.25    7.33  51.50 51.500090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32672  Thoracoscopy for lvrs                             A  27.00  11.02NA  11.02    6.26  44.28 44.280090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32673  Thoracoscopy w/thymus resect                      A  21.13   9.43NA   9.43    4.86  35.42 35.420090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
32674  Thoracoscopy lymph node exc                       A   4.12   1.21NA   1.21    0.96   6.29  6.290ZZZ.00.00.0000210             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32701  Thorax stereo rad targetw/tx                      A   4.18   1.21NA   1.21    0.93   6.32  6.322XXX.00.00.0000010             35.8043 090 99      0.00   0.00   0.00
3271F  Low risk prostate cancer                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3272F  Med risk prostate cancer                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3273F  High risk prostate cancer                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3274F  Prost cncr rsk not lw/md/hgh                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3278F  Serum lvls ca/ipth/lpd ord                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3279F  Hgb lvl >/= 13 g/dl                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3280F  Hgb lvl 11-12.9 g/dl                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32800  Repair lung hernia                                A  15.71   8.00NA   8.00    3.75  27.46 27.460090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
3281F  Hgb lvl <11 g/dl                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32810  Close chest after drainage                        A  14.95   7.68NA   7.68    3.56  26.19 26.190090.10.76.1420200             35.8043 090 99      0.00   0.00   0.00
32815  Close bronchial fistula                           A  50.03  19.84NA  19.84   11.48  81.35 81.350090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32820  Reconstruct injured chest                         A  22.51  11.04NA  11.04    5.24  38.79 38.790090.10.76.1420210             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32850  Donor pneumonectomy                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32851  Lung transplant single                            A  59.64  22.16NA  22.16   14.10  95.90 95.900090.10.76.1420212             35.8043 090 99      0.00   0.00   0.00
32852  Lung transplant with bypass                       A  65.50  23.79NA  23.79   15.62 104.91104.910090.10.76.1420212             35.8043 090 99      0.00   0.00   0.00
32853  Lung transplant double                            A  84.48  29.27NA  29.27   19.86 133.61133.610090.10.76.1422212             35.8043 090 99      0.00   0.00   0.00
32854  Lung transplant with bypass                       A  90.00  31.01NA  31.01   21.04 142.05142.050090.10.76.1422212             35.8043 090 99      0.00   0.00   0.00
32855  Prepare donor lung single                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
32856  Prepare donor lung double                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
3288F  Fall risk assessment docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32900  Removal of rib(s)                                 A  23.81  11.58NA  11.58    5.36  40.75 40.750090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32905  Revise & repair chest wall                        A  23.29  10.21NA  10.21    5.49  38.99 38.990090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32906  Revise & repair chest wall                        A  29.30  11.98NA  11.98    6.90  48.18 48.180090.10.76.1420210             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
32940  Revision of lung                                  A  21.34   9.45NA   9.45    5.08  35.87 35.870090.10.76.1420210             35.8043 090 99      0.00   0.00   0.00
32960  Therapeutic pneumothorax                          A   1.84   1.87     0.71    0.34   4.05  2.890000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
32997  Total lung lavage                                 A   7.31   2.02NA   2.02    0.58   9.91  9.910000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
32998  Perq rf ablate tx pul tumor                       A   5.68  61.84     2.05    0.51  68.03  8.240000.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
32999  Chest surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
3300F  Ajcc stage docd b/4 thxpy                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3301F  Cancer stage docd metast                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33010  Drainage of heart sac                             A   2.24   0.76NA   0.76    0.49   3.49  3.490000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
33011  Repeat drainage of heart sac                      A   2.24   0.77NA   0.77    0.50   3.51  3.510000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33015  Incision of heart sac                             A   8.52   4.53NA   4.53    1.72  14.77 14.770090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33020  Incision of heart sac                             A  14.95   7.16NA   7.16    3.43  25.54 25.540090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33025  Incision of heart sac                             A  13.70   6.34NA   6.34    3.15  23.19 23.190090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33030  Partial removal of heart sac                      A  36.00  13.90NA  13.90    8.35  58.25 58.250090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33031  Partial removal of heart sac                      A  45.00  16.65NA  16.65   10.25  71.90 71.900090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33050  Resect heart sac lesion                           A  16.97   8.21NA   8.21    3.82  29.00 29.000090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33120  Removal of heart lesion                           A  38.45  13.82NA  13.82    8.77  61.04 61.040090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33130  Removal of heart lesion                           A  24.17  10.41NA  10.41    5.52  40.10 40.100090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33140  Heart revascularize (tmr)                         A  28.34  10.69NA  10.69    6.71  45.74 45.740090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33141  Heart tmr w/other procedure                       A   2.54   0.72NA   0.72    0.58   3.84  3.840ZZZ.00.00.0000210             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33202  Insert epicard eltrd open                         A  13.20   6.22NA   6.22    3.13  22.55 22.550090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33203  Insert epicard eltrd endo                         A  13.97   6.16NA   6.16    3.30  23.43 23.430090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33206  Insert heart pm atrial                            A   7.39   4.30NA   4.30    1.69  13.38 13.380090.09.84.0720120             35.8043 090 99      0.00   0.00   0.00
33207  Insert heart pm ventricular                       A   8.05   4.36NA   4.36    1.87  14.28 14.280090.09.84.0720120             35.8043 090 99      0.00   0.00   0.00
33208  Insrt heart pm atrial & vent                      A   8.77   4.65NA   4.65    2.04  15.46 15.460090.09.84.0720120             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33210  Insert electrd/pm cath sngl                       A   3.30   1.16NA   1.16    0.74   5.20  5.200000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
33211  Insert card electrodes dual                       A   3.39   1.17NA   1.17    0.76   5.32  5.320000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
33212  Insert pulse gen sngl lead                        A   5.26   3.19NA   3.19    1.22   9.67  9.670090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33213  Insert pulse gen dual leads                       A   5.53   3.27NA   3.27    1.28  10.08 10.080090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33214  Upgrade of pacemaker system                       A   7.84   4.57NA   4.57    1.78  14.19 14.190090.09.84.0720020             35.8043 090 99      0.00   0.00   0.00
33215  Reposition pacing-defib lead                      A   4.92   2.91NA   2.91    1.15   8.98  8.980090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33216  Insert 1 electrode pm-defib                       A   5.87   3.86NA   3.86    1.36  11.09 11.090090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33217  Insert 2 electrode pm-defib                       A   5.84   3.69NA   3.69    1.35  10.88 10.880090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33218  Repair lead pace-defib one                        A   6.07   4.12NA   4.12    1.42  11.61 11.610090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
3322F  Melanomaajcc stage 0 or ia                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33220  Repair lead pace-defib dual                       A   6.15   4.05NA   4.05    1.43  11.63 11.630090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33221  Insert pulse gen mult leads                       A   5.80   3.66NA   3.66    1.35  10.81 10.810090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33222  Relocation pocket pacemaker                       A   5.10   3.82NA   3.82    1.18  10.10 10.100090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33223  Relocate pocket for defib                         A   6.55   4.10NA   4.10    1.52  12.17 12.170090.09.84.0720000             35.8043 090 99      0.00   0.00   0.00
33224  Insert pacing lead & connect                      A   9.04   3.81NA   3.81    2.11  14.96 14.960000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
33225  L ventric pacing lead add-on                      A   8.33   3.32NA   3.32    1.94  13.59 13.590ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
33226  Reposition l ventric lead                         A   8.68   3.66NA   3.66    2.00  14.34 14.340000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
33227  Remove&replace pm gen singl                       A   5.50   3.38NA   3.38    1.28  10.16 10.160090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33228  Remv&replc pm gen dual lead                       A   5.77   3.49NA   3.49    1.34  10.60 10.600090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33229  Remv&replc pm gen mult leads                      A   6.04   3.72NA   3.72    1.41  11.17 11.170090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
3323F  Clin node stgng docdb/4 surg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33230  Insrt pulse gen w/dual leads                      A   6.32   3.69NA   3.69    1.49  11.50 11.500090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33231  Insrt pulse gen w/mult leads                      A   6.59   3.84NA   3.84    1.54  11.97 11.970090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33233  Removal of pm generator                           A   3.39   2.84NA   2.84    0.79   7.02  7.020090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33234  Removal of pacemaker system                       A   7.91   4.64NA   4.64    1.84  14.39 14.390090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33235  Removal pacemaker electrode                       A  10.15   6.25NA   6.25    2.36  18.76 18.760090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33236  Remove electrode/thoracotomy                      A  12.73   7.00NA   7.00    3.01  22.74 22.740090.09.84.0720020             35.8043 090 99      0.00   0.00   0.00
33237  Remove electrode/thoracotomy                      A  13.84   7.38NA   7.38    3.22  24.44 24.440090.09.84.0720020             35.8043 090 99      0.00   0.00   0.00
33238  Remove electrode/thoracotomy                      A  15.40   8.21NA   8.21    3.47  27.08 27.080090.09.84.0720020             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33240  Insrt pulse gen w/singl lead                      A   6.05   3.51NA   3.51    1.40  10.96 10.960090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33241  Remove pulse generator                            A   3.29   2.55NA   2.55    0.77   6.61  6.610090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33243  Remove eltrd/thoracotomy                          A  23.57  10.76NA  10.76    5.41  39.74 39.740090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33244  Remove elctrd transvenously                       A  13.99   7.95NA   7.95    3.26  25.20 25.200090.09.84.0720110             35.8043 090 99      0.00   0.00   0.00
33249  Insj/rplcmt defib w/lead(s)                       A  15.17   8.18NA   8.18    3.53  26.88 26.880090.09.84.0720110             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33250  Ablate heart dysrhythm focus                      A  25.90  10.59NA  10.59    6.13  42.62 42.620090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33251  Ablate heart dysrhythm focus                      A  28.92  11.77NA  11.77    6.53  47.22 47.220090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33254  Ablate atria lmtd                                 A  23.71  10.60NA  10.60    5.58  39.89 39.890090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33255  Ablate atria w/o bypass ext                       A  29.04  11.66NA  11.66    6.37  47.07 47.070090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33256  Ablate atria w/bypass exten                       A  34.90  13.77NA  13.77    8.18  56.85 56.850090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33257  Ablate atria lmtd add-on                          A   9.63   5.10NA   5.10    2.19  16.92 16.920ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33258  Ablate atria x10sv add-on                         A  11.00   5.53NA   5.53    2.46  18.99 18.990ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33259  Ablate atria w/bypass add-on                      A  14.14   7.18NA   7.18    3.21  24.53 24.530ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33261  Ablate heart dysrhythm focus                      A  28.92  12.04NA  12.04    6.73  47.69 47.690090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33262  Rmvl& replc pulse gen 1 lead                      A   6.06   3.69NA   3.69    1.41  11.16 11.160090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33263  Rmvl & rplcmt dfb gen 2 lead                      A   6.33   3.80NA   3.80    1.47  11.60 11.600090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33264  Rmvl & rplcmt dfb gen mlt ld                      A   6.60   3.95NA   3.95    1.54  12.09 12.090090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33265  Ablate atria lmtd endo                            A  23.71  10.50NA  10.50    5.33  39.54 39.540090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33266  Ablate atria x10sv endo                           A  33.04  13.07NA  13.07    7.62  53.73 53.730090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33270  Ins/rep subq defibrillator                        A   9.10   5.88NA   5.88    2.16  17.14 17.140090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33271  Insj subq impltbl dfb elctrd                      A   7.50   5.15NA   5.15    1.78  14.43 14.430090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33272  Rmvl of subq defibrillator                        A   5.42   3.47NA   3.47    1.29  10.18 10.180090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33273  Repos prev impltbl subq dfb                       A   6.50   4.20NA   4.20    0.98  11.68 11.680090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
3328F  Prfrmnc docd 2 wks b/4 surg                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33282  Implant pat-active ht record                      A   3.50   2.60NA   2.60    0.81   6.91  6.910090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33284  Remove pat-active ht record                       A   3.00   2.41NA   2.41    0.70   6.11  6.110090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
3330F  Imaging study ordered (bkp)                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33300  Repair of heart wound                             A  44.97  15.96NA  15.96   10.37  71.30 71.300090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33305  Repair of heart wound                             A  76.93  24.82NA  24.82   17.67 119.42119.420090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33310  Exploratory heart surgery                         A  20.34   9.04NA   9.04    4.81  34.19 34.190090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33315  Exploratory heart surgery                         A  35.00  12.71NA  12.71    7.91  55.62 55.620090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33320  Repair major blood vessel(s)                      A  18.54   8.08NA   8.08    4.28  30.90 30.900090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33321  Repair major vessel                               A  20.81   9.95NA   9.95    5.03  35.79 35.790090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33322  Repair major blood vessel(s)                      A  24.42  10.36NA  10.36    5.63  40.41 40.410090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33330  Insert major vessel graft                         A  25.29  10.44NA  10.44    5.72  41.45 41.450090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33335  Insert major vessel graft                         A  33.91  13.12NA  13.12    7.39  54.42 54.420090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33361  Replace aortic valve perq                         A  25.13   8.62NA   8.62    5.81  39.56 39.560000.00.00.0020021             35.8043 090 99      0.00   0.00   0.00
33362  Replace aortic valve open                         A  27.52   9.31NA   9.31    6.41  43.24 43.240000.00.00.0020021             35.8043 090 99      0.00   0.00   0.00
33363  Replace aortic valve open                         A  28.50   9.84NA   9.84    6.58  44.92 44.920000.00.00.0020021             35.8043 090 99      0.00   0.00   0.00
33364  Replace aortic valve open                         A  30.00  10.10NA  10.10    6.99  47.09 47.090000.00.00.0020021             35.8043 090 99      0.00   0.00   0.00
33365  Replace aortic valve open                         A  33.12  11.03NA  11.03    7.70  51.85 51.850000.00.00.0020021             35.8043 090 99      0.00   0.00   0.00
33366  Trcath replace aortic valve                       A  35.88  11.83NA  11.83    8.40  56.11 56.110000.00.00.0020021             35.8043 090 99      0.00   0.00   0.00
33367  Replace aortic valve w/byp                        A  11.88   3.66NA   3.66    2.67  18.21 18.210ZZZ.00.00.0000001             35.8043 090 99      0.00   0.00   0.00
33368  Replace aortic valve w/byp                        A  14.39   4.00NA   4.00    3.40  21.79 21.790ZZZ.00.00.0000001             35.8043 090 99      0.00   0.00   0.00
33369  Replace aortic valve w/byp                        A  19.00   5.30NA   5.30    4.50  28.80 28.800ZZZ.00.00.0000001             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33400  Repair of aortic valve                            A  41.50  15.43NA  15.43    9.33  66.26 66.260090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33401  Valvuloplasty open                                A  24.63  11.51NA  11.51    5.87  42.01 42.010090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33403  Valvuloplasty w/cp bypass                         A  25.61  11.47NA  11.47    6.06  43.14 43.140090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33404  Prepare heart-aorta conduit                       A  31.37  12.43NA  12.43    7.42  51.22 51.220090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33405  Replacement of aortic valve                       A  41.32  15.33NA  15.33    9.40  66.05 66.050090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33406  Replacement of aortic valve                       A  52.68  19.01NA  19.01   12.06  83.75 83.750090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
3341F  Mammo assess negative docd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33410  Replacement of aortic valve                       A  46.41  17.02NA  17.02   10.33  73.76 73.760090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33411  Replacement of aortic valve                       A  62.07  21.54NA  21.54   14.09  97.70 97.700090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33412  Replacement of aortic valve                       A  59.00  19.43NA  19.43   13.98  92.41 92.410090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33413  Replacement of aortic valve                       A  59.87  20.65NA  20.65   14.18  94.70 94.700090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33414  Repair of aortic valve                            A  39.37  14.22NA  14.22    9.40  62.99 62.990090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33415  Revision subvalvular tissue                       A  37.27  13.68NA  13.68    7.98  58.93 58.930090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33416  Revise ventricle muscle                           A  36.56  14.17NA  14.17    8.42  59.15 59.150090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33417  Repair of aortic valve                            A  29.33  12.47NA  12.47    6.99  48.79 48.790090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33418  Repair tcat mitral valve                          A  32.25  13.10NA  13.10    6.91  52.26 52.260090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33419  Repair tcat mitral valve                          A   7.93   2.76NA   2.76    1.61  12.30 12.300ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
3342F  Mammo assess bengn docd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33420  Revision of mitral valve                          A  25.79  10.57NA  10.57    6.10  42.46 42.460090.09.84.0720110             35.8043 090 99      0.00   0.00   0.00
33422  Revision of mitral valve                          A  29.73  12.22NA  12.22    6.73  48.68 48.680090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33425  Repair of mitral valve                            A  49.96  18.20NA  18.20   11.43  79.59 79.590090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33426  Repair of mitral valve                            A  43.28  16.22NA  16.22    9.82  69.32 69.320090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33427  Repair of mitral valve                            A  44.83  16.15NA  16.15   10.16  71.14 71.140090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
3343F  Mammo probably bengn docd                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33430  Replacement of mitral valve                       A  50.93  18.91NA  18.91   11.59  81.43 81.430090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
3344F  Mammo assess susp docd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3345F  Mammo assess hghlymalig doc                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33460  Revision of tricuspid valve                       A  44.70  15.72NA  15.72   10.67  71.09 71.090090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33463  Valvuloplasty tricuspid                           A  57.08  19.97NA  19.97   12.92  89.97 89.970090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33464  Valvuloplasty tricuspid                           A  44.62  16.44NA  16.44   10.00  71.06 71.060090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33465  Replace tricuspid valve                           A  50.72  18.03NA  18.03   11.50  80.25 80.250090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33468  Revision of tricuspid valve                       A  45.13  15.92NA  15.92   10.77  71.82 71.820090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33470  Revision of pulmonary valve                       A  21.54  11.05NA  11.05    5.14  37.73 37.730090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33471  Valvotomy pulmonary valve                         A  22.96  11.90NA  11.90    5.47  40.33 40.330090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33474  Revision of pulmonary valve                       A  39.40  14.98NA  14.98    9.41  63.79 63.790090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33475  Replacement pulmonary valve                       A  42.40  15.82NA  15.82    9.60  67.82 67.820090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33476  Revision of heart chamber                         A  26.57  11.63NA  11.63    6.34  44.54 44.540090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33477  Implant tcat pulm vlv perq                        A  25.00   8.81NA   8.81    3.76  37.57 37.570000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33478  Revision of heart chamber                         A  27.54  11.91NA  11.91    6.57  46.02 46.020090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33496  Repair prosth valve clot                          A  29.84  11.85NA  11.85    6.95  48.64 48.640090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33500  Repair heart vessel fistula                       A  27.94  11.51NA  11.51    6.14  45.59 45.590090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33501  Repair heart vessel fistula                       A  19.51   8.80NA   8.80    4.66  32.97 32.970090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
33502  Coronary artery correction                        A  21.85  10.27NA  10.27    5.21  37.33 37.330090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33503  Coronary artery graft                             A  22.51  10.92NA  10.92    5.37  38.80 38.800090.09.84.0720010             35.8043 090 99      0.00   0.00   0.00
33504  Coronary artery graft                             A  25.46  11.36NA  11.36    6.07  42.89 42.890090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33505  Repair artery w/tunnel                            A  38.40  12.89NA  12.89    9.17  60.46 60.460090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33506  Repair artery translocation                       A  37.85  13.31NA  13.31    9.04  60.20 60.200090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33507  Repair art intramural                             A  31.40  11.60NA  11.60    7.50  50.50 50.500090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33508  Endoscopic vein harvest                           A   0.31   0.09NA   0.09    0.07   0.47  0.470ZZZ.00.00.0000210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33510  Cabg vein single                                  A  34.98  13.33NA  13.33    7.92  56.23 56.230090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33511  Cabg vein two                                     A  38.45  14.62NA  14.62    8.73  61.80 61.800090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33512  Cabg vein three                                   A  43.98  16.27NA  16.27   10.00  70.25 70.250090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33513  Cabg vein four                                    A  45.37  16.60NA  16.60   10.31  72.28 72.280090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33514  Cabg vein five                                    A  48.08  17.23NA  17.23   10.77  76.08 76.080090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33516  Cabg vein six or more                             A  49.76  17.89NA  17.89   11.80  79.45 79.450090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33517  Cabg artery-vein single                           A   3.61   1.03NA   1.03    0.82   5.46  5.460ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33518  Cabg artery-vein two                              A   7.93   2.27NA   2.27    1.80  12.00 12.000ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33519  Cabg artery-vein three                            A  10.49   3.00NA   3.00    2.38  15.87 15.870ZZZ.00.00.0000200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33521  Cabg artery-vein four                             A  12.59   3.59NA   3.59    2.85  19.03 19.030ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33522  Cabg artery-vein five                             A  14.14   4.02NA   4.02    3.19  21.35 21.350ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33523  Cabg art-vein six or more                         A  16.08   4.60NA   4.60    3.60  24.28 24.280ZZZ.00.00.0000200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33530  Coronary artery bypass/reop                       A  10.13   2.89NA   2.89    2.32  15.34 15.340ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33533  Cabg arterial single                              A  33.75  12.97NA  12.97    7.66  54.38 54.380090.09.82.0920200             35.8043 090 99      0.00   0.00   0.00
33534  Cabg arterial two                                 A  39.88  15.05NA  15.05    9.06  63.99 63.990090.09.82.0920200             35.8043 090 99      0.00   0.00   0.00
33535  Cabg arterial three                               A  44.75  16.48NA  16.48   10.12  71.35 71.350090.09.82.0920200             35.8043 090 99      0.00   0.00   0.00
33536  Cabg arterial four or more                        A  48.43  17.59NA  17.59   10.90  76.92 76.920090.09.82.0920200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33542  Removal of heart lesion                           A  48.21  17.26NA  17.26   11.01  76.48 76.480090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33545  Repair of heart damage                            A  57.06  19.88NA  19.88   13.30  90.24 90.240090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33548  Restore/remodel ventricle                         A  54.14  19.81NA  19.81   12.27  86.22 86.220090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33572  Open coronary endarterectomy                      A   4.44   1.27NA   1.27    1.01   6.72  6.720ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
33600  Closure of valve                                  A  30.31  12.76NA  12.76    7.23  50.30 50.300090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33602  Closure of valve                                  A  29.34  12.48NA  12.48    7.00  48.82 48.820090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33606  Anastomosis/artery-aorta                          A  31.53  15.37NA  15.37    7.53  54.43 54.430090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33608  Repair anomaly w/conduit                          A  31.88  13.21NA  13.21    7.61  52.70 52.700090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33610  Repair by enlargement                             A  31.40  13.07NA  13.07    7.50  51.97 51.970090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33611  Repair double ventricle                           A  35.57  16.04NA  16.04    8.49  60.10 60.100090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33612  Repair double ventricle                           A  36.57  13.41NA  13.41    8.73  58.71 58.710090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33615  Repair modified fontan                            A  35.89  14.01NA  14.01    8.57  58.47 58.470090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33617  Repair single ventricle                           A  39.09  14.94NA  14.94    9.33  63.36 63.360090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33619  Repair single ventricle                           A  48.76  19.43NA  19.43   11.64  79.83 79.830090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33620  Apply r&l pulm art bands                          A  30.00  11.19NA  11.19    7.15  48.34 48.340090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33621  Transthor cath for stent                          A  16.18   7.22NA   7.22    3.86  27.26 27.260090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33622  Redo compl cardiac anomaly                        A  64.00  26.93NA  26.93   15.27 106.20106.200090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33641  Repair heart septum defect                        A  29.58  11.40NA  11.40    7.05  48.03 48.030090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33645  Revision of heart veins                           A  31.30  11.93NA  11.93    7.46  50.69 50.690090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33647  Repair heart septum defects                       A  33.00  12.39NA  12.39    7.88  53.27 53.270090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33660  Repair of heart defects                           A  31.83  12.05NA  12.05    7.60  51.48 51.480090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33665  Repair of heart defects                           A  34.85  12.92NA  12.92    8.32  56.09 56.090090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33670  Repair of heart chambers                          A  36.63  12.47NA  12.47    8.74  57.84 57.840090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33675  Close mult vsd                                    A  35.95  13.27NA  13.27    8.58  57.80 57.800090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33676  Close mult vsd w/resection                        A  36.95  16.60NA  16.60    8.82  62.37 62.370090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33677  Cl mult vsd w/rem pul band                        A  38.45  17.17NA  17.17    9.18  64.80 64.800090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33681  Repair heart septum defect                        A  32.34  13.78NA  13.78    7.72  53.84 53.840090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33684  Repair heart septum defect                        A  34.37  15.58NA  15.58    8.21  58.16 58.160090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33688  Repair heart septum defect                        A  34.75  12.18NA  12.18    8.30  55.23 55.230090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33690  Reinforce pulmonary artery                        A  20.36   9.89NA   9.89    4.85  35.10 35.100090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33692  Repair of heart defects                           A  36.15  15.66NA  15.66    8.63  60.44 60.440090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33694  Repair of heart defects                           A  35.57  16.04NA  16.04    8.49  60.10 60.100090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33697  Repair of heart defects                           A  37.57  13.70NA  13.70    8.97  60.24 60.240090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33702  Repair of heart defects                           A  27.24  11.52NA  11.52    6.50  45.26 45.260090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33710  Repair of heart defects                           A  37.50  16.78NA  16.78    8.95  63.23 63.230090.09.84.0720200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33720  Repair of heart defect                            A  27.26  11.52NA  11.52    6.50  45.28 45.280090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33722  Repair of heart defect                            A  29.21  11.43NA  11.43    6.97  47.61 47.610090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33724  Repair venous anomaly                             A  27.63  10.87NA  10.87    6.59  45.09 45.090090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33726  Repair pul venous stenosis                        A  37.12  13.61NA  13.61    8.86  59.59 59.590090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33730  Repair heart-vein defect(s)                       A  36.14  13.96NA  13.96    8.63  58.73 58.730090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33732  Repair heart-vein defect                          A  28.96  12.37NA  12.37    6.91  48.24 48.240090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33735  Revision of heart chamber                         A  22.20  10.42NA  10.42    5.29  37.91 37.910090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33736  Revision of heart chamber                         A  24.32  11.03NA  11.03    5.80  41.15 41.150090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33737  Revision of heart chamber                         A  22.47  11.71NA  11.71    5.36  39.54 39.540090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33750  Major vessel shunt                                A  22.22   9.42NA   9.42    5.30  36.94 36.940090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33755  Major vessel shunt                                A  22.60  10.53NA  10.53    5.39  38.52 38.520090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33762  Major vessel shunt                                A  22.60  11.20NA  11.20    5.39  39.19 39.190090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33764  Major vessel shunt & graft                        A  22.60  10.53NA  10.53    5.39  38.52 38.520090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33766  Major vessel shunt                                A  23.57   9.80NA   9.80    5.62  38.99 38.990090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33767  Major vessel shunt                                A  25.30  10.30NA  10.30    6.03  41.63 41.630090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33768  Cavopulmonary shunting                            A   8.00   2.31NA   2.31    1.91  12.22 12.220ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
33770  Repair great vessels defect                       A  39.07  16.97NA  16.97    9.33  65.37 65.370090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33771  Repair great vessels defect                       A  40.63  17.07NA  17.07    9.70  67.40 67.400090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33774  Repair great vessels defect                       A  31.73  13.37NA  13.37    7.58  52.68 52.680090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33775  Repair great vessels defect                       A  32.99  15.92NA  15.92    7.88  56.79 56.790090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33776  Repair great vessels defect                       A  34.75  16.95NA  16.95    8.30  60.00 60.000090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33777  Repair great vessels defect                       A  34.17  15.80NA  15.80    8.16  58.13 58.130090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33778  Repair great vessels defect                       A  42.75  19.35NA  19.35   10.20  72.30 72.300090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33779  Repair great vessels defect                       A  43.23  18.36NA  18.36   10.32  71.91 71.910090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33780  Repair great vessels defect                       A  43.90  15.05NA  15.05   10.48  69.43 69.430090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33781  Repair great vessels defect                       A  43.21  18.06NA  18.06   10.31  71.58 71.580090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33782  Nikaidoh proc                                     A  60.08  20.23NA  20.23   14.34  94.65 94.650090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33783  Nikaidoh proc w/ostia implt                       A  65.08  27.34NA  27.34   15.53 107.95107.950090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33786  Repair arterial trunk                             A  41.87  14.82NA  14.82    9.99  66.68 66.680090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33788  Revision of pulmonary artery                      A  27.42  13.04NA  13.04    6.54  47.00 47.000090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33800  Aortic suspension                                 A  17.28   7.51NA   7.51    4.12  28.91 28.910090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
33802  Repair vessel defect                              A  18.37   8.96NA   8.96    4.38  31.71 31.710090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33803  Repair vessel defect                              A  20.31   8.52NA   8.52    4.84  33.67 33.670090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33813  Repair septal defect                              A  21.36  11.28NA  11.28    5.09  37.73 37.730090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33814  Repair septal defect                              A  26.57  11.68NA  11.68    6.34  44.59 44.590090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33820  Revise major vessel                               A  16.69   7.69NA   7.69    3.98  28.36 28.360090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33822  Revise major vessel                               A  17.71   9.21NA   9.21    4.22  31.14 31.140090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33824  Revise major vessel                               A  20.23   9.45NA   9.45    4.82  34.50 34.500090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33840  Remove aorta constriction                         A  21.34   9.82NA   9.82    5.09  36.25 36.250090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33845  Remove aorta constriction                         A  22.93  10.63NA  10.63    5.47  39.03 39.030090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33851  Remove aorta constriction                         A  21.98  10.00NA  10.00    5.24  37.22 37.220090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33852  Repair septal defect                              A  24.41  10.70NA  10.70    5.82  40.93 40.930090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
33853  Repair septal defect                              A  32.51  13.39NA  13.39    7.76  53.66 53.660090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33860  Ascending aortic graft                            A  59.46  20.53NA  20.53   13.57  93.56 93.560090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33863  Ascending aortic graft                            A  58.79  19.56NA  19.56   13.42  91.77 91.770090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33864  Ascending aortic graft                            A  60.08  19.95NA  19.95   13.82  93.85 93.850090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33870  Transverse aortic arch graft                      A  46.06  16.78NA  16.78   10.48  73.32 73.320090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33875  Thoracic aortic graft                             A  50.72  17.73NA  17.73   11.70  80.15 80.150090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
33877  Thoracoabdominal graft                            A  69.03  21.33NA  21.33   16.02 106.38106.380090.09.84.0720220             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33880  Endovasc taa repr incl subcl                      A  34.58  10.61NA  10.61    7.76  52.95 52.950090.09.84.0722220             35.8043 090 99      0.00   0.00   0.00
33881  Endovasc taa repr w/o subcl                       A  29.58   9.26NA   9.26    6.64  45.48 45.480090.09.84.0722220             35.8043 090 99      0.00   0.00   0.00
33883  Insert endovasc prosth taa                        A  21.09   7.21NA   7.21    4.62  32.92 32.920090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
33884  Endovasc prosth taa add-on                        A   8.20   2.02NA   2.02    1.82  12.04 12.040ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
33886  Endovasc prosth delayed                           A  18.09   6.30NA   6.30    4.03  28.42 28.420090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
33889  Artery transpose/endovas taa                      A  15.92   3.66NA   3.66    3.64  23.22 23.220000.00.00.0021220             35.8043 090 99      0.00   0.00   0.00
33891  Car-car bp grft/endovas taa                       A  20.00   3.95NA   3.95    4.64  28.59 28.590000.00.00.0021220             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33910  Remove lung artery emboli                         A  48.21  17.43NA  17.43   10.95  76.59 76.590090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33915  Remove lung artery emboli                         A  24.95   6.69NA   6.69    5.49  37.13 37.130090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33916  Surgery of great vessel                           A  78.00  26.16NA  26.16   18.61 122.77122.770090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33917  Repair pulmonary artery                           A  25.30  11.31NA  11.31    6.03  42.64 42.640090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33920  Repair pulmonary atresia                          A  32.74  15.07NA  15.07    7.82  55.63 55.630090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33922  Transect pulmonary artery                         A  24.22  10.65NA  10.65    5.78  40.65 40.650090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33924  Remove pulmonary shunt                            A   5.49   1.58NA   1.58    1.31   8.38  8.380ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
33925  Rpr pul art unifocal w/o cpb                      A  31.30  11.57NA  11.57    7.46  50.33 50.330090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
33926  Repr pul art unifocal w/cpb                       A  44.73  19.26NA  19.26   10.68  74.67 74.670090.09.84.0720210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33933  Prepare donor heart/lung                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
33935  Transplantation heart/lung                        R  91.78  33.46NA  33.46   20.55 145.79145.790090.09.84.0720212             35.8043 090 99      0.00   0.00   0.00
3394F  Quant her2 ihc eval brst cx                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33940  Removal of donor heart                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33944  Prepare donor heart                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
33945  Transplantation of heart                          R  89.50  31.28NA  31.28   20.77 141.55141.550090.09.84.0720212             35.8043 090 99      0.00   0.00   0.00
33946  Ecmo/ecls initiation venous                       A   6.00   1.79NA   1.79    1.12   8.91  8.910XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
33947  Ecmo/ecls initiation artery                       A   6.63   1.98NA   1.98    1.24   9.85  9.850XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
33948  Ecmo/ecls daily mgmt-venous                       A   4.73   1.47NA   1.47    0.83   7.03  7.030XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
33949  Ecmo/ecls daily mgmt artery                       A   4.60   1.43NA   1.43    0.81   6.84  6.840XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
3395F  Quant nonher2 ihc brst cx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
33951  Ecmo/ecls insj prph cannula                       A   8.15   2.78NA   2.78    1.23  12.16 12.160000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33952  Ecmo/ecls insj prph cannula                       A   8.15   2.48NA   2.48    1.90  12.53 12.530000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33953  Ecmo/ecls insj prph cannula                       A   9.11   3.10NA   3.10    1.37  13.58 13.580000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33954  Ecmo/ecls insj prph cannula                       A   9.11   2.77NA   2.77    2.13  14.01 14.010000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33955  Ecmo/ecls insj ctr cannula                        A  16.00   6.20NA   6.20    2.19  24.39 24.390000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33956  Ecmo/ecls insj ctr cannula                        A  16.00   4.78NA   4.78    3.67  24.45 24.450000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33957  Ecmo/ecls repos perph cnula                       A   3.51   1.43NA   1.43    0.48   5.42  5.420000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33958  Ecmo/ecls repos perph cnula                       A   3.51   1.31NA   1.31    0.52   5.34  5.340000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33959  Ecmo/ecls repos perph cnula                       A   4.47   1.80NA   1.80    0.61   6.88  6.880000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33962  Ecmo/ecls repos perph cnula                       A   4.47   1.52NA   1.52    0.97   6.96  6.960000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33963  Ecmo/ecls repos perph cnula                       A   9.00   3.53NA   3.53    1.23  13.76 13.760000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33964  Ecmo/ecls repos perph cnula                       A   9.50   3.43NA   3.43    1.40  14.33 14.330000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33965  Ecmo/ecls rmvl perph cannula                      A   3.51   1.43NA   1.43    0.48   5.42  5.420000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33966  Ecmo/ecls rmvl prph cannula                       A   4.50   1.37NA   1.37    1.00   6.87  6.870000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33967  Insert i-aort percut device                       A   4.84   1.61NA   1.61    1.11   7.56  7.560000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33968  Remove aortic assist device                       A   0.64   0.21NA   0.21    0.13   0.98  0.980000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
33969  Ecmo/ecls rmvl perph cannula                      A   5.22   2.08NA   2.08    0.71   8.01  8.010000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33970  Aortic circulation assist                         A   6.74   2.07NA   2.07    1.54  10.35 10.350000.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
33971  Aortic circulation assist                         A  11.99   5.97NA   5.97    2.71  20.67 20.670090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33973  Insert balloon device                             A   9.75   3.05NA   3.05    2.20  15.00 15.000000.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
33974  Remove intra-aortic balloon                       A  15.03   7.50NA   7.50    3.34  25.87 25.870090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
33975  Implant ventricular device                        A  25.00   7.67NA   7.67    5.76  38.43 38.430XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33976  Implant ventricular device                        A  30.75   8.93NA   8.93    7.12  46.80 46.800XXX.00.00.0022200             35.8043 090 99      0.00   0.00   0.00
33977  Remove ventricular device                         A  20.86   7.26NA   7.26    4.85  32.97 32.970XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33978  Remove ventricular device                         A  25.00   8.23NA   8.23    5.77  39.00 39.000XXX.00.00.0022200             35.8043 090 99      0.00   0.00   0.00
33979  Insert intracorporeal device                      A  37.50  10.83NA  10.83    8.72  57.05 57.050XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33980  Remove intracorporeal device                      A  33.50  10.87NA  10.87    7.81  52.18 52.180XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33981  Replace vad pump ext                              A  16.11   4.50NA   4.50    3.81  24.42 24.420XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33982  Replace vad intra w/o bp                          A  37.86  11.44NA  11.44    8.56  57.86 57.860XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33983  Replace vad intra w/bp                            A  44.54  12.87NA  12.87   10.28  67.69 67.690XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33984  Ecmo/ecls rmvl prph cannula                       A   5.46   1.64NA   1.64    1.23   8.33  8.330000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
33985  Ecmo/ecls rmvl ctr cannula                        A   9.89   3.87NA   3.87    1.35  15.11 15.110000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33986  Ecmo/ecls rmvl ctr cannula                        A  10.00   3.28NA   3.28    2.18  15.46 15.460000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33987  Artery expos/graft artery                         A   4.04   1.14NA   1.14    0.90   6.08  6.080ZZZ.00.00.0000011             35.8043 090 99      0.00   0.00   0.00
33988  Insertion of left heart vent                      A  15.00   4.32NA   4.32    3.36  22.68 22.680000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33989  Removal of left heart vent                        A   9.50   3.08NA   3.08    2.09  14.67 14.670000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
33990  Insert vad artery access                          A   8.15   2.75NA   2.75    1.92  12.82 12.820XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33991  Insert vad art&vein access                        A  11.88   4.00NA   4.00    2.79  18.67 18.670XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33992  Remove vad different session                      A   4.00   1.14NA   1.14    0.91   6.05  6.050XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33993  Reposition vad diff session                       A   3.51   1.01NA   1.01    0.79   5.31  5.310XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
33999  Cardiac surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
34001  Removal of artery clot                            A  17.88   6.70NA   6.70    4.13  28.71 28.710090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34051  Removal of artery clot                            A  16.99   7.89NA   7.89    4.02  28.90 28.900090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34101  Removal of artery clot                            A  10.93   4.31NA   4.31    2.54  17.78 17.780090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34111  Removal of arm artery clot                        A  10.93   4.28NA   4.28    2.51  17.72 17.720090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34151  Removal of artery clot                            A  26.52   8.75NA   8.75    6.09  41.36 41.360090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34201  Removal of artery clot                            A  19.48   6.51NA   6.51    4.51  30.50 30.500090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34203  Removal of leg artery clot                        A  17.86   6.28NA   6.28    4.13  28.27 28.270090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34401  Removal of vein clot                              A  26.52  10.38NA  10.38    5.74  42.64 42.640090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34421  Removal of vein clot                              A  13.37   5.18NA   5.18    3.02  21.57 21.570090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34451  Removal of vein clot                              A  28.52   7.82NA   7.82    6.34  42.68 42.680090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34471  Removal of vein clot                              A  21.11   5.92NA   5.92    4.90  31.93 31.930090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
34490  Removal of vein clot                              A  10.91   4.54NA   4.54    2.54  17.99 17.990090.09.84.0721100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
34501  Repair valve femoral vein                         A  16.85   7.94NA   7.94    3.98  28.77 28.770090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34502  Reconstruct vena cava                             A  28.07  10.77NA  10.77    6.18  45.02 45.020090.09.84.0720200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
34510  Transposition of vein valve                       A  19.91  10.17NA  10.17    4.85  34.93 34.930090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3452F  Dyspnea not screened                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
34520  Cross-over vein graft                             A  19.18   6.06NA   6.06    4.40  29.64 29.640090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
34530  Leg vein fusion                                   A  17.93  10.12NA  10.12    4.07  32.12 32.120090.09.84.0721210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3470F  Ra disease activity low                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3471F  Ra disease activity mod                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3472F  Ra disease activity high                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
34800  Endovas aaa repr w/sm tube                        A  21.54   7.01NA   7.01    4.85  33.40 33.400090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
34802  Endovas aaa repr w/2-p part                       A  23.79   7.76NA   7.76    5.30  36.85 36.850090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
34803  Endovas aaa repr w/3-p part                       A  24.82   7.74NA   7.74    5.52  38.08 38.080090.09.84.0722220             35.8043 090 99      0.00   0.00   0.00
34804  Endovas aaa repr w/1-p part                       A  23.79   7.67NA   7.67    5.34  36.80 36.800090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
34805  Endovas aaa repr w/long tube                      A  22.67   7.32NA   7.32    5.27  35.26 35.260090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
34806  Aneurysm press sensor add-on                      A   2.06   0.43NA   0.43    0.47   2.96  2.960ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
34808  Endovas iliac a device addon                      A   4.12   1.02NA   1.02    0.98   6.12  6.120ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
34812  Xpose for endoprosth femorl                       A   6.74   1.67NA   1.67    1.56   9.97  9.970000.00.00.0021220             35.8043 090 99      0.00   0.00   0.00
34813  Femoral endovas graft add-on                      A   4.79   1.10NA   1.10    1.11   7.00  7.000ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
34820  Xpose for endoprosth iliac                        A   9.74   2.53NA   2.53    2.26  14.53 14.530000.00.00.0021220             35.8043 090 99      0.00   0.00   0.00
34825  Endovasc extend prosth init                       A  12.80   4.95NA   4.95    2.80  20.55 20.550090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
34826  Endovasc exten prosth addl                        A   4.12   1.02NA   1.02    0.93   6.07  6.070ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
34830  Open aortic tube prosth repr                      A  35.23   9.09NA   9.09    7.87  52.19 52.190090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
34831  Open aortoiliac prosth repr                       A  37.98   9.41NA   9.41    8.84  56.23 56.230090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
34832  Open aortofemor prosth repr                       A  37.98   9.54NA   9.54    8.33  55.85 55.850090.09.84.0720220             35.8043 090 99      0.00   0.00   0.00
34833  Xpose for endoprosth iliac                        A  11.98   3.24NA   3.24    2.77  17.99 17.990000.00.00.0021220             35.8043 090 99      0.00   0.00   0.00
34834  Xpose endoprosth brachial                         A   5.34   1.50NA   1.50    1.22   8.06  8.060000.00.00.0021220             35.8043 090 99      0.00   0.00   0.00
34839  Plnning pt spec fenest graft                      B   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
34841  Endovasc visc aorta 1 graft                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             35.8043 090 99      0.00   0.00   0.00
34842  Endovasc visc aorta 2 graft                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             35.8043 090 99      0.00   0.00   0.00
34843  Endovasc visc aorta 3 graft                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             35.8043 090 99      0.00   0.00   0.00
34844  Endovasc visc aorta 4 graft                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             35.8043 090 99      0.00   0.00   0.00
34845  Visc & infraren abd 1 prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             35.8043 090 99      0.00   0.00   0.00
34846  Visc & infraren abd 2 prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             35.8043 090 99      0.00   0.00   0.00
34847  Visc & infraren abd 3 prosth                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             35.8043 090 99      0.00   0.00   0.00
34848  Visc & infraren abd 4+ prost                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020220             35.8043 090 99      0.00   0.00   0.00
3490F  History aids-defining cond                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
34900  Endovasc iliac repr w/graft                       A  16.85   5.85NA   5.85    3.78  26.48 26.480090.09.84.0721220             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3492F  History cd4+ cell count <350                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3493F  No hist cd4+ cell count <350                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3497F  Cd4+ cell percentage <15%                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3498F  Cd4+ cell =15% (hiv)                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3500F  Cd4+cell cnt/% docd as done                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35001  Repair defect of artery                           A  20.81   7.51NA   7.51    4.80  33.12 33.120090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35002  Repair artery rupture neck                        A  22.23   6.22NA   6.22    5.16  33.61 33.610090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35005  Repair defect of artery                           A  19.29   8.99NA   8.99    3.63  31.91 31.910090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35011  Repair defect of artery                           A  18.58   6.73NA   6.73    4.34  29.65 29.650090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35013  Repair artery rupture arm                         A  23.23   8.45NA   8.45    5.39  37.07 37.070090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3502F  Hiv rna vrl ld <lmts quantif                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35021  Repair defect of artery                           A  22.17   9.35NA   9.35    5.25  36.77 36.770090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35022  Repair artery rupture chest                       A  25.70  10.24NA  10.24    5.01  40.95 40.950090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3503F  Hiv rna vrl ldnot<lmts quntf                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35045  Repair defect of arm artery                       A  18.01   7.22NA   7.22    4.10  29.33 29.330090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35081  Repair defect of artery                           A  33.53  10.42NA  10.42    7.75  51.70 51.700090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35082  Repair artery rupture aorta                       A  42.09  13.08NA  13.08    9.78  64.95 64.950090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35091  Repair defect of artery                           A  35.35   9.54NA   9.54    8.20  53.09 53.090090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35092  Repair artery rupture aorta                       A  50.97  14.29NA  14.29   11.65  76.91 76.910090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3510F  Doc tb scrng-rslts interpd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35102  Repair defect of artery                           A  36.53  10.97NA  10.97    8.47  55.97 55.970090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35103  Repair artery rupture aorta                       A  43.62  12.76NA  12.76   10.11  66.49 66.490090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3511F  Chlmyd/gonrh tsts docd done                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35111  Repair defect of artery                           A  26.28  12.33NA  12.33    6.30  44.91 44.910090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35112  Repair artery rupture spleen                      A  32.57  14.24NA  14.24    7.36  54.17 54.170090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3512F  Syph scrng docd as done                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35121  Repair defect of artery                           A  31.52   9.76NA   9.76    7.33  48.61 48.610090.09.84.0721200             35.8043 090 99      0.00   0.00   0.00
35122  Repair artery rupture belly                       A  37.89  16.42NA  16.42    8.87  63.18 63.180090.09.84.0721210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35131  Repair defect of artery                           A  26.40   8.62NA   8.62    6.07  41.09 41.090090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35132  Repair artery rupture groin                       A  32.57   8.40NA   8.40    7.30  48.27 48.270090.09.84.0721210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35141  Repair defect of artery                           A  20.91   7.01NA   7.01    4.84  32.76 32.760090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35142  Repair artery rupture thigh                       A  25.16   8.21NA   8.21    5.79  39.16 39.160090.09.84.0721210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35151  Repair defect of artery                           A  23.72   7.61NA   7.61    5.46  36.79 36.790090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35152  Repair ruptd popliteal art                        A  27.66   7.42NA   7.42    6.37  41.45 41.450090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3517F  Hbv assess&results intrp 1yr                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35180  Repair blood vessel lesion                        A  15.10   9.60NA   9.60    2.63  27.33 27.330090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35182  Repair blood vessel lesion                        A  31.71  13.02NA  13.02    7.57  52.30 52.300090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35184  Repair blood vessel lesion                        A  18.82   7.48NA   7.48    4.49  30.79 30.790090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35188  Repair blood vessel lesion                        A  18.00  12.69NA  12.69    3.12  33.81 33.810090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35189  Repair blood vessel lesion                        A  29.98   8.53NA   8.53    6.80  45.31 45.310090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35190  Repair blood vessel lesion                        A  13.42   5.89NA   5.89    3.14  22.45 22.450090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
3520F  Cdifficile testing performed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35201  Repair blood vessel lesion                        A  16.93   7.23NA   7.23    3.80  27.96 27.960090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35206  Repair blood vessel lesion                        A  13.84   5.88NA   5.88    3.14  22.86 22.860090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35207  Repair blood vessel lesion                        A  10.94   8.96NA   8.96    1.96  21.86 21.860090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
35211  Repair blood vessel lesion                        A  24.58  10.11NA  10.11    5.57  40.26 40.260090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35216  Repair blood vessel lesion                        A  36.61  14.85NA  14.85    8.46  59.92 59.920090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35221  Repair blood vessel lesion                        A  26.62   9.95NA   9.95    6.19  42.76 42.760090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35226  Repair blood vessel lesion                        A  15.30   5.76NA   5.76    3.53  24.59 24.590090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35231  Repair blood vessel lesion                        A  21.16  10.54NA  10.54    4.01  35.71 35.710090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35236  Repair blood vessel lesion                        A  18.02   6.87NA   6.87    4.03  28.92 28.920090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35241  Repair blood vessel lesion                        A  25.58  10.54NA  10.54    4.19  40.31 40.310090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35246  Repair blood vessel lesion                        A  28.23  11.40NA  11.40    6.45  46.08 46.080090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35251  Repair blood vessel lesion                        A  31.91  10.75NA  10.75    7.41  50.07 50.070090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35256  Repair blood vessel lesion                        A  19.06   6.69NA   6.69    4.36  30.11 30.110090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35261  Repair blood vessel lesion                        A  18.96   7.80NA   7.80    4.49  31.25 31.250090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35266  Repair blood vessel lesion                        A  15.83   6.21NA   6.21    3.69  25.73 25.730090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35271  Repair blood vessel lesion                        A  24.58  10.09NA  10.09    5.43  40.10 40.100090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35276  Repair blood vessel lesion                        A  25.83  10.63NA  10.63    6.11  42.57 42.570090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35281  Repair blood vessel lesion                        A  30.06  10.66NA  10.66    7.00  47.72 47.720090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35286  Repair blood vessel lesion                        A  17.19   6.49NA   6.49    3.98  27.66 27.660090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35301  Rechanneling of artery                            A  21.16   7.40NA   7.40    4.94  33.50 33.500090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35302  Rechanneling of artery                            A  21.35   7.07NA   7.07    4.91  33.33 33.330090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35303  Rechanneling of artery                            A  23.60   7.85NA   7.85    5.44  36.89 36.890090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35304  Rechanneling of artery                            A  24.60   7.80NA   7.80    5.63  38.03 38.030090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35305  Rechanneling of artery                            A  23.60   7.42NA   7.42    5.40  36.42 36.420090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35306  Rechanneling of artery                            A   9.25   2.17NA   2.17    2.13  13.55 13.550ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
35311  Rechanneling of artery                            A  28.60   7.79NA   7.79    6.69  43.08 43.080090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35321  Rechanneling of artery                            A  16.59   5.90NA   5.90    3.85  26.34 26.340090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35331  Rechanneling of artery                            A  27.72   8.83NA   8.83    6.36  42.91 42.910090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35341  Rechanneling of artery                            A  26.21   8.24NA   8.24    6.02  40.47 40.470090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35351  Rechanneling of artery                            A  24.61   7.64NA   7.64    5.67  37.92 37.920090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35355  Rechanneling of artery                            A  19.86   6.25NA   6.25    4.58  30.69 30.690090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35361  Rechanneling of artery                            A  30.24   8.30NA   8.30    6.98  45.52 45.520090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35363  Rechanneling of artery                            A  32.35  11.70NA  11.70    7.65  51.70 51.700090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35371  Rechanneling of artery                            A  15.31   5.42NA   5.42    3.54  24.27 24.270090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35372  Rechanneling of artery                            A  18.58   6.21NA   6.21    4.29  29.08 29.080090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35390  Reoperation carotid add-on                        A   3.19   0.79NA   0.79    0.73   4.71  4.710ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
35400  Angioscopy                                        A   3.00   0.71NA   0.71    0.70   4.41  4.410ZZZ.00.00.0000010             35.8043 090 99      0.00   0.00   0.00
35450  Repair arterial blockage                          A  10.05   2.56NA   2.56    2.34  14.95 14.950000.00.00.0021210             35.8043 090 99      0.00   0.00   0.00
35452  Repair arterial blockage                          A   6.90   1.62NA   1.62    1.56  10.08 10.080000.00.00.0021210             35.8043 090 99      0.00   0.00   0.00
35458  Repair arterial blockage                          A   9.48   2.85NA   2.85    2.23  14.56 14.560000.00.00.0021210             35.8043 090 99      0.00   0.00   0.00
35460  Repair venous blockage                            A   6.03   1.84NA   1.84    1.40   9.27  9.270000.00.00.0021110             35.8043 090 99      0.00   0.00   0.00
35471  Repair arterial blockage                          A  10.05  60.78     3.26    2.03  72.86 15.340000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
35472  Repair arterial blockage                          A   6.90  44.12     2.08    1.46  52.48 10.440000.00.00.0021010             35.8043 090 99      0.00   0.00   0.00
35475  Repair arterial blockage                          R   6.60  36.91     2.23    0.92  44.43  9.750000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
35476  Repair venous blockage                            A   5.10  34.92     2.06    0.71  40.73  7.870000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
3550F  Low rsk thromboembolism                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35500  Harvest vein for bypass                           A   6.44   1.51NA   1.51    1.48   9.43  9.430ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
35501  Art byp grft ipsilat carotid                      A  29.09   8.49NA   8.49    6.64  44.22 44.220090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35506  Art byp grft subclav-carotid                      A  25.33   6.56NA   6.56    5.88  37.77 37.770090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35508  Art byp grft carotid-vertbrl                      A  26.09   7.76NA   7.76    6.30  40.15 40.150090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35509  Art byp grft contral carotid                      A  28.09   7.32NA   7.32    6.36  41.77 41.770090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3551F  Intrmed rsk thromboembolism                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35510  Art byp grft carotid-brchial                      A  24.39   6.41NA   6.41    5.66  36.46 36.460090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35511  Art byp grft subclav-subclav                      A  22.20   5.85NA   5.85    5.16  33.21 33.210090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35512  Art byp grft subclav-brchial                      A  23.89   6.67NA   6.67    5.57  36.13 36.130090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35515  Art byp grft subclav-vertbrl                      A  26.09  12.75NA  12.75    3.57  42.41 42.410090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35516  Art byp grft subclav-axilary                      A  24.21   6.34NA   6.34    5.62  36.17 36.170090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35518  Art byp grft axillary-axilry                      A  22.65   6.39NA   6.39    5.31  34.35 34.350090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
3552F  Hgh risk for thromboembolism                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35521  Art byp grft axill-femoral                        A  24.13   6.85NA   6.85    5.62  36.60 36.600090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35522  Art byp grft axill-brachial                       A  23.15   7.35NA   7.35    5.29  35.79 35.790090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35523  Art byp grft brchl-ulnr-rdl                       A  24.13   8.43NA   8.43    5.42  37.98 37.980090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35525  Art byp grft brachial-brchl                       A  21.69   7.27NA   7.27    4.93  33.89 33.890090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35526  Art byp grft aor/carot/innom                      A  31.55  11.43NA  11.43    7.18  50.16 50.160090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35531  Art byp grft aorcel/aormesen                      A  39.11  11.81NA  11.81    8.97  59.89 59.890090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35533  Art byp grft axill/fem/fem                        A  29.92   7.75NA   7.75    6.68  44.35 44.350090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35535  Art byp grft hepatorenal                          A  38.13   9.74NA   9.74    8.88  56.75 56.750090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35536  Art byp grft splenorenal                          A  33.73   8.50NA   8.50    7.84  50.07 50.070090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35537  Art byp grft aortoiliac                           A  41.88  13.11NA  13.11    9.89  64.88 64.880090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35538  Art byp grft aortobi-iliac                        A  47.03  11.80NA  11.80   10.69  69.52 69.520090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35539  Art byp grft aortofemoral                         A  44.11  11.06NA  11.06    9.83  65.00 65.000090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35540  Art byp grft aortbifemoral                        A  49.33  11.95NA  11.95   11.40  72.68 72.680090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
3555F  Pt inr measurement performed                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35556  Art byp grft fem-popliteal                        A  26.75   8.66NA   8.66    6.14  41.55 41.550090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35558  Art byp grft fem-femoral                          A  23.13   8.15NA   8.15    5.26  36.54 36.540090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35560  Art byp grft aortorenal                           A  34.03   9.08NA   9.08    7.75  50.86 50.860090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35563  Art byp grft ilioiliac                            A  26.12   7.45NA   7.45    5.84  39.41 39.410090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35565  Art byp grft iliofemoral                          A  25.13   8.31NA   8.31    5.81  39.25 39.250090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35566  Art byp fem-ant-post tib/prl                      A  32.35   9.79NA   9.79    7.45  49.59 49.590090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35570  Art byp tibial-tib/peroneal                       A  29.15   9.14NA   9.14    6.79  45.08 45.080090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35571  Art byp pop-tibl-prl-other                        A  25.52   8.05NA   8.05    5.89  39.46 39.460090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35572  Harvest femoropopliteal vein                      A   6.81   1.82NA   1.82    1.59  10.22 10.220ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
35583  Vein byp grft fem-popliteal                       A  27.75   8.82NA   8.82    6.37  42.94 42.940090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35585  Vein byp fem-tibial peroneal                      A  32.35   9.99NA   9.99    7.49  49.83 49.830090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35587  Vein byp pop-tibl peroneal                        A  26.21   8.31NA   8.31    5.98  40.50 40.500090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35600  Harvest art for cabg add-on                       A   4.94   1.42NA   1.42    1.09   7.45  7.450ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
35601  Art byp common ipsi carotid                       A  27.09   8.27NA   8.27    6.22  41.58 41.580090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35606  Art byp carotid-subclavian                        A  22.46   7.17NA   7.17    5.17  34.80 34.800090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35612  Art byp subclav-subclavian                        A  20.35   6.69NA   6.69    4.76  31.80 31.800090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35616  Art byp subclav-axillary                          A  21.82   5.80NA   5.80    5.07  32.69 32.690090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35621  Art byp axillary-femoral                          A  21.03   6.71NA   6.71    4.85  32.59 32.590090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35623  Art byp axillary-pop-tibial                       A  25.92   7.02NA   7.02    6.02  38.96 38.960090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35626  Art byp aorsubcl/carot/innom                      A  29.14  10.57NA  10.57    6.74  46.45 46.450090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35631  Art byp aor-celiac-msn-renal                      A  36.03  10.50NA  10.50    8.33  54.86 54.860090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35632  Art byp ilio-celiac                               A  36.13   9.12NA   9.12    8.20  53.45 53.450090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35633  Art byp ilio-mesenteric                           A  39.11  11.39NA  11.39    8.92  59.42 59.420090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35634  Art byp iliorenal                                 A  35.33   8.96NA   8.96    8.07  52.36 52.360090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35636  Art byp spenorenal                                A  31.75   8.30NA   8.30    7.43  47.48 47.480090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35637  Art byp aortoiliac                                A  33.05  10.58NA  10.58    7.52  51.15 51.150090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35638  Art byp aortobi-iliac                             A  33.60  10.86NA  10.86    7.80  52.26 52.260090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35642  Art byp carotid-vertebral                         A  18.94   5.88NA   5.88    4.40  29.22 29.220090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35645  Art byp subclav-vertebrl                          A  18.43   7.32NA   7.32    4.35  30.10 30.100090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35646  Art byp aortobifemoral                            A  32.98  10.37NA  10.37    7.57  50.92 50.920090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35647  Art byp aortofemoral                              A  29.73   9.54NA   9.54    6.89  46.16 46.160090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35650  Art byp axillary-axillary                         A  20.16   7.21NA   7.21    4.63  32.00 32.000090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35654  Art byp axill-fem-femoral                         A  26.28   8.30NA   8.30    6.06  40.64 40.640090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35656  Art byp femoral-popliteal                         A  20.47   6.99NA   6.99    4.72  32.18 32.180090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35661  Art byp femoral-femoral                           A  20.35   7.15NA   7.15    4.69  32.19 32.190090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35663  Art byp ilioiliac                                 A  23.93   7.92NA   7.92    5.38  37.23 37.230090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35665  Art byp iliofemoral                               A  22.35   7.35NA   7.35    5.10  34.80 34.800090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35666  Art byp fem-ant-post tib/prl                      A  23.66   8.49NA   8.49    5.45  37.60 37.600090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35671  Art byp pop-tibl-prl-other                        A  20.77   7.64NA   7.64    4.74  33.15 33.150090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35681  Composite byp grft pros&vein                      A   1.60   0.41NA   0.41    0.36   2.37  2.370ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
35682  Composite byp grft 2 veins                        A   7.19   1.64NA   1.64    1.64  10.47 10.470ZZZ.00.00.0000010             35.8043 090 99      0.00   0.00   0.00
35683  Composite byp grft 3/> segmt                      A   8.49   1.76NA   1.76    1.96  12.21 12.210ZZZ.00.00.0000010             35.8043 090 99      0.00   0.00   0.00
35685  Bypass graft patency/patch                        A   4.04   0.92NA   0.92    0.93   5.89  5.890ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
35686  Bypass graft/av fist patency                      A   3.34   0.66NA   0.66    0.78   4.78  4.780ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
35691  Art trnsposj vertbrl carotid                      A  18.41   5.88NA   5.88    4.13  28.42 28.420090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35693  Art trnsposj subclavian                           A  15.73   5.32NA   5.32    3.09  24.14 24.140090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35694  Art trnsposj subclav carotid                      A  19.28   5.57NA   5.57    4.46  29.31 29.310090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35695  Art trnsposj carotid subclav                      A  20.06   6.46NA   6.46    4.58  31.10 31.100090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35697  Reimplant artery each                             A   3.00   0.68NA   0.68    0.69   4.37  4.370ZZZ.00.00.0000220             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35700  Reoperation bypass graft                          A   3.08   0.74NA   0.74    0.71   4.53  4.530ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
35701  Exploration carotid artery                        A   9.19   5.70NA   5.70    1.76  16.65 16.650090.09.84.0721210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35721  Exploration femoral artery                        A   7.72   3.96NA   3.96    1.78  13.46 13.460090.09.84.0721210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
35741  Exploration popliteal artery                      A   8.69   4.56NA   4.56    1.96  15.21 15.210090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35761  Exploration of artery/vein                        A   5.93   4.23NA   4.23    1.29  11.45 11.450090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35800  Explore neck vessels                              A  12.00   6.47NA   6.47    2.46  20.93 20.930090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35820  Explore chest vessels                             A  36.89  13.34NA  13.34    8.39  58.62 58.620090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35840  Explore abdominal vessels                         A  20.75   9.27NA   9.27    4.72  34.74 34.740090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35860  Explore limb vessels                              A  15.25   6.07NA   6.07    3.52  24.84 24.840090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35870  Repair vessel graft defect                        A  24.50   6.74NA   6.74    5.59  36.83 36.830090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35875  Removal of clot in graft                          A  10.72   4.39NA   4.39    2.51  17.62 17.620090.09.84.0720110             35.8043 090 99      0.00   0.00   0.00
35876  Removal of clot in graft                          A  17.82   6.10NA   6.10    4.09  28.01 28.010090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35879  Revise graft w/vein                               A  17.41   5.97NA   5.97    3.99  27.37 27.370090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35881  Revise graft w/vein                               A  19.35   6.46NA   6.46    4.45  30.26 30.260090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35883  Revise graft w/nonauto graft                      A  23.15   7.36NA   7.36    5.34  35.85 35.850090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35884  Revise graft w/vein                               A  24.65   6.40NA   6.40    5.65  36.70 36.700090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
35901  Excision graft neck                               A   8.38   3.69NA   3.69    1.92  13.99 13.990090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35903  Excision graft extremity                          A   9.53   4.96NA   4.96    2.22  16.71 16.710090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35905  Excision graft thorax                             A  33.52   8.68NA   8.68    7.68  49.88 49.880090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
35907  Excision graft abdomen                            A  37.27  10.74NA  10.74    8.66  56.67 56.670090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36000  Place needle in vein                              B+  0.18   0.53     0.07    0.02   0.73  0.279XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
36002  Pseudoaneurysm injection trt                      A   1.96   2.40     0.86    0.28   4.64  3.100000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36005  Injection ext venography                          A   0.95   8.13     0.31    0.15   9.23  1.410000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
36010  Place catheter in vein                            A   2.43  11.47     0.74    0.40  14.30  3.570XXX.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36011  Place catheter in vein                            A   3.14  20.15     0.97    0.47  23.76  4.580XXX.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36012  Place catheter in vein                            A   3.51  20.53     1.07    0.50  24.54  5.080XXX.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36013  Place catheter in artery                          A   2.52  19.52     0.80    0.33  22.37  3.650XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36014  Place catheter in artery                          A   3.02  19.70     0.97    0.38  23.10  4.370XXX.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36015  Place catheter in artery                          A   3.51  20.88     1.12    0.37  24.76  5.000XXX.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36100  Establish access to artery                        A   3.02  10.67     0.91    0.60  14.29  4.530XXX.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36120  Establish access to artery                        A   2.01   9.69     0.55    0.37  12.07  2.930XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36140  Establish access to artery                        A   2.01  10.07     0.60    0.40  12.48  3.010XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36147  Access av dial grft for eval                      A   3.72  19.66     1.19    0.52  23.90  5.430XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
36148  Access av dial grft for proc                      A   1.00   6.34     0.30    0.13   7.47  1.430ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
36160  Establish access to aorta                         A   2.52  11.26     0.79    0.29  14.07  3.600XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36200  Place catheter in aorta                           A   3.02  14.12     0.82    0.64  17.78  4.480000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36215  Place catheter in artery                          A   4.67  26.68     1.48    0.70  32.05  6.850XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36216  Place catheter in artery                          A   5.27  27.69     1.74    1.03  33.99  8.040XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36217  Place catheter in artery                          A   6.29  48.44     2.06    1.21  55.94  9.560XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36218  Place catheter in artery                          A   1.01   4.29     0.35    0.19   5.49  1.550ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36221  Place cath thoracic aorta                         A   4.17  26.25     1.26    0.86  31.28  6.290000.00.00.0022100             35.8043 090 99     73.30  73.30   2.42
36222  Place cath carotid/inom art                       A   5.53  30.80     1.91    1.18  37.51  8.620000.00.00.0021100             35.8043 090 99     72.89  72.89   2.83
36223  Place cath carotid/inom art                       A   6.00  36.59     2.14    1.28  43.87  9.420000.00.00.0021100             35.8043 090 99    102.09 102.09   3.62
36224  Place cath carotd art                             A   6.50  43.72     2.52    1.47  51.69 10.490000.00.00.0021100             35.8043 090 99    102.24 102.24   3.47
36225  Place cath subclavian art                         A   6.00  35.66     2.06    1.22  42.88  9.280000.00.00.0021100             35.8043 090 99     73.19  73.19   2.54
36226  Place cath vertebral art                          A   6.50  44.48     2.53    1.49  52.47 10.520000.00.00.0021100             35.8043 090 99    102.25 102.25   3.46
36227  Place cath xtrnl carotid                          A   2.09   4.64     0.77    0.46   7.19  3.320ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
36228  Place cath intracranial art                       A   4.25  29.47     1.59    0.95  34.67  6.790ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
36245  Ins cath abd/l-ext art 1st                        A   4.90  33.29     1.63    0.85  39.04  7.380XXX.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36246  Ins cath abd/l-ext art 2nd                        A   5.27  19.13     1.57    1.02  25.42  7.860000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36247  Ins cath abd/l-ext art 3rd                        A   6.29  37.60     1.89    1.11  45.00  9.290000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36248  Ins cath abd/l-ext art addl                       A   1.01   3.24     0.32    0.12   4.37  1.450ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36251  Ins cath ren art 1st unilat                       A   5.35  34.20     1.80    1.07  40.62  8.220000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36252  Ins cath ren art 1st bilat                        A   6.99  35.53     2.41    1.55  44.07 10.950000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
36253  Ins cath ren art 2nd+ unilat                      A   7.55  56.12     2.52    0.94  64.61 11.010000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36254  Ins cath ren art 2nd+ bilat                       A   8.15  52.87     2.78    1.79  62.81 12.720000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
36260  Insertion of infusion pump                        A   9.91   5.93NA   5.93    2.38  18.22 18.220090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
36261  Revision of infusion pump                         A   5.63   4.60NA   4.60    1.37  11.60 11.600090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
36262  Removal of infusion pump                          A   4.11   3.77NA   3.77    0.98   8.86  8.860090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
36299  Vessel injection procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
36400  Bl draw < 3 yrs fem/jugular                       A   0.38   0.42     0.15    0.05   0.85  0.580XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36405  Bl draw <3 yrs scalp vein                         A   0.31   0.41     0.13    0.03   0.75  0.470XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36406  Bl draw <3 yrs other vein                         A   0.18   0.27     0.04    0.02   0.47  0.240XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36410  Non-routine bl draw 3/> yrs                       A   0.18   0.28     0.07    0.02   0.48  0.270XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36415  Routine venipuncture                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
36416  Capillary blood draw                              B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
36420  Vein access cutdown < 1 yr                        A   1.01   0.36NA   0.36    0.14   1.51  1.510XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
36425  Vein access cutdown > 1 yr                        A   0.76   0.29NA   0.29    0.10   1.15  1.150XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36430  Blood transfusion service                         A   0.00   0.96     0.96NA  0.02   0.98  0.985XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36440  Bl push transfuse 2 yr/<                          A   1.03   0.52NA   0.52    0.10   1.65  1.650XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
36450  Bl exchange/transfuse nb                          A   2.23   0.85NA   0.85    0.29   3.37  3.370XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
36455  Bl exchange/transfuse non-nb                      A   2.43   0.73NA   0.73    0.49   3.65  3.650XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36460  Transfusion service fetal                         A   6.58   2.48NA   2.48    0.89   9.95  9.950XXX.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
36468  Injection(s) spider veins                         R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
36470  Injection therapy of vein                         A   1.10   2.97     1.12    0.20   4.27  2.420010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
36471  Injection therapy of veins                        A   1.65   3.04     0.96    0.30   4.99  2.910010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
36475  Endovenous rf 1st vein                            A   5.30  37.40     1.81    1.10  43.80  8.210000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36476  Endovenous rf vein add-on                         A   2.65   5.30     0.77    0.56   8.51  3.980ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
36478  Endovenous laser 1st vein                         A   5.30  28.04     1.81    1.05  34.39  8.160000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
36479  Endovenous laser vein addon                       A   2.65   5.66     0.81    0.52   8.83  3.980ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
36481  Insertion of catheter vein                        A   6.98  50.40     2.49    0.67  58.05 10.140000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
3650F  Eeg ordered rvwd reqstd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
36500  Insertion of catheter vein                        A   3.51   1.21NA   1.21    0.58   5.30  5.300000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36510  Insertion of catheter vein                        A   1.09   1.39     0.41    0.10   2.58  1.600000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
36511  Apheresis wbc                                     A   1.74   0.83NA   0.83    0.12   2.69  2.690000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36512  Apheresis rbc                                     A   1.74   0.85NA   0.85    0.12   2.71  2.710000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36513  Apheresis platelets                               A   1.74   0.81NA   0.81    0.25   2.80  2.800000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36514  Apheresis plasma                                  A   1.74  13.41     0.77    0.17  15.32  2.680000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36515  Apheresis adsorp/reinfuse                         A   1.74  56.77     0.57    0.22  58.73  2.530000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36516  Apheresis selective                               A   1.22  57.65     0.49    0.30  59.17  2.010000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36522  Photopheresis                                     A   1.67  37.99     1.14    0.12  39.78  2.930000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36555  Insert non-tunnel cv cath                         A   2.68   4.43     0.51    0.22   7.33  3.410000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36556  Insert non-tunnel cv cath                         A   2.50   3.87     0.70    0.29   6.66  3.490000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36557  Insert tunneled cv cath                           A   5.14  22.40     3.20    1.21  28.75  9.550010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
36558  Insert tunneled cv cath                           A   4.84  16.82     2.54    0.66  22.32  8.040010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
36560  Insert tunneled cv cath                           A   6.29  30.63     3.59    1.44  38.36 11.320010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
36561  Insert tunneled cv cath                           A   6.04  26.43     3.19    1.06  33.53 10.290010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
36563  Insert tunneled cv cath                           A   6.24  30.22     3.42    1.45  37.91 11.110010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36565  Insert tunneled cv cath                           A   6.04  20.41     2.80    1.34  27.79 10.180010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
36566  Insert tunneled cv cath                           A   6.54 147.27     3.35    1.31 155.12 11.200010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
36568  Insert picc cath                                  A   1.92   6.49     0.72    0.17   8.58  2.810000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36569  Insert picc cath                                  A   1.82   5.15     0.67    0.16   7.13  2.650000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36570  Insert picvad cath                                A   5.36  27.04     3.06    0.60  33.00  9.020010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
36571  Insert picvad cath                                A   5.34  30.80     3.01    1.04  37.18  9.390010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
36575  Repair tunneled cv cath                           A   0.67   3.99     0.26    0.09   4.75  1.020000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
36576  Repair tunneled cv cath                           A   3.24   7.25     1.89    0.62  11.11  5.750010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36578  Replace tunneled cv cath                          A   3.54  10.74     2.19    0.55  14.83  6.280010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36580  Replace cvad cath                                 A   1.31   4.67     0.48    0.15   6.13  1.940000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36581  Replace tunneled cv cath                          A   3.48  18.03     1.80    0.42  21.93  5.700010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36582  Replace tunneled cv cath                          A   5.24  25.26     2.75    0.91  31.41  8.900010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36583  Replace tunneled cv cath                          A   5.29  32.39     3.27    1.29  38.97  9.850010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36584  Replace picc cath                                 A   1.20   4.53     0.62    0.11   5.84  1.930000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36585  Replace picvad cath                               A   4.84  27.22     2.65    0.77  32.83  8.260010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36589  Removal tunneled cv cath                          A   2.28   2.12     1.38    0.33   4.73  3.990010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36590  Removal tunneled cv cath                          A   3.35   4.44     1.98    0.62   8.41  5.950010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
36591  Draw blood off venous device                      T   0.00   0.65     0.65NA  0.01   0.66  0.663XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
36592  Collect blood from picc                           T   0.00   0.73     0.73NA  0.01   0.74  0.743XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
36593  Declot vascular device                            A   0.00   0.86     0.86NA  0.02   0.88  0.883XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
36595  Mech remov tunneled cv cath                       A   3.59  12.72     1.37    0.39  16.70  5.350000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36596  Mech remov tunneled cv cath                       A   0.75   2.95     0.45    0.10   3.80  1.300000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36597  Reposition venous catheter                        A   1.21   2.30     0.45    0.12   3.63  1.780000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36598  Inj w/fluor eval cv device                        T   0.74   2.34     0.26    0.07   3.15  1.079000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
36600  Withdrawal of arterial blood                      A   0.32   0.55     0.10    0.03   0.90  0.450XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36620  Insertion catheter artery                         A   1.15   0.22NA   0.22    0.10   1.47  1.470000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36625  Insertion catheter artery                         A   2.11   0.56NA   0.56    0.35   3.02  3.020000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
36640  Insertion catheter artery                         A   2.10   1.16NA   1.16    0.16   3.42  3.420000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36660  Insertion catheter artery                         A   1.40   0.34NA   0.34    0.11   1.85  1.850000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
36680  Insert needle bone cavity                         A   1.20   0.31NA   0.31    0.18   1.69  1.690000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
36800  Insertion of cannula                              A   2.43   0.79NA   0.79    0.37   3.59  3.590000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36810  Insertion of cannula                              A   3.96   1.62NA   1.62    0.72   6.30  6.300000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36815  Insertion of cannula                              A   2.62   1.04NA   1.04    0.61   4.27  4.270000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36818  Av fuse uppr arm cephalic                         A  12.39   5.23NA   5.23    2.88  20.50 20.500090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36819  Av fuse uppr arm basilic                          A  13.29   5.29NA   5.29    3.09  21.67 21.670090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36820  Av fusion/forearm vein                            A  13.07   5.49NA   5.49    3.05  21.61 21.610090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
36821  Av fusion direct any site                         A  11.90   4.98NA   4.98    2.76  19.64 19.640090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36823  Insertion of cannula(s)                           A  22.98  10.95NA  10.95    5.27  39.20 39.200090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
36825  Artery-vein autograft                             A  14.17   6.22NA   6.22    3.29  23.68 23.680090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36830  Artery-vein nonautograft                          A  12.03   4.94NA   4.94    2.79  19.76 19.760090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36831  Open thrombect av fistula                         A  11.00   4.69NA   4.69    2.57  18.26 18.260090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36832  Av fistula revision open                          A  13.50   5.77NA   5.77    3.14  22.41 22.410090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36833  Av fistula revision                               A  14.50   6.15NA   6.15    3.38  24.03 24.030090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
36835  Artery to vein shunt                              A   7.51   5.11NA   5.11    1.82  14.44 14.440090.09.84.0720100             35.8043 090 99      0.00   0.00   0.00
36838  Dist revas ligation hemo                          A  21.69   7.13NA   7.13    5.02  33.84 33.840090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
36860  External cannula declotting                       A   2.01   3.76     1.01    0.17   5.94  3.190000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36861  Cannula declotting                                A   2.52   0.79NA   0.79    0.54   3.85  3.850000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
36870  Percut thrombect av fistula                       A   5.20  46.46     2.86    0.67  52.33  8.730090.09.84.0721120             35.8043 090 99      0.00   0.00   0.00
3700F  Psych disorders assessed                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37140  Revision of circulation                           A  40.00  17.19NA  17.19    9.60  66.79 66.790090.09.84.0720110             35.8043 090 99      0.00   0.00   0.00
37145  Revision of circulation                           A  37.00  16.49NA  16.49    9.03  62.52 62.520090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
37160  Revision of circulation                           A  38.00  16.95NA  16.95    9.27  64.22 64.220090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37180  Revision of circulation                           A  36.50  15.87NA  15.87    6.84  59.21 59.210090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37181  Splice spleen/kidney veins                        A  40.00  17.83NA  17.83    9.79  67.62 67.620090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37182  Insert hepatic shunt (tips)                       A  16.97   5.80NA   5.80    1.48  24.25 24.250000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
37183  Remove hepatic shunt (tips)                       A   7.99 159.88     2.76    0.70 168.57 11.450000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
37184  Prim art m-thrmbc 1st vsl                         A   8.66  54.54     3.05    1.77  64.97 13.480000.00.00.0021120             35.8043 090 99      0.00   0.00   0.00
37185  Prim art m-thrmbc sbsq vsl                        A   3.28  16.64     0.94    0.70  20.62  4.920ZZZ.00.00.0002120             35.8043 090 99      0.00   0.00   0.00
37186  Sec art thrombectomy add-on                       A   4.92  33.44     1.40    0.99  39.35  7.310ZZZ.00.00.0002120             35.8043 090 99      0.00   0.00   0.00
37187  Venous mech thrombectomy                          A   8.03  49.53     2.58    1.31  58.87 11.920000.00.00.0021120             35.8043 090 99      0.00   0.00   0.00
37188  Venous m-thrombectomy add-on                      A   5.71  44.17     2.04    0.82  50.70  8.570000.00.00.0021120             35.8043 090 99      0.00   0.00   0.00
37191  Ins endovas vena cava filtr                       A   4.71  69.66     1.58    0.68  75.05  6.970000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37192  Redo endovas vena cava filtr                      A   7.35  35.60     2.12    1.27  44.22 10.740000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37193  Rem endovas vena cava filter                      A   7.35  37.28     2.30    1.04  45.67 10.690000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37195  Thrombolytic therapy stroke                       C   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
37197  Remove intrvas foreign body                       A   6.29  36.09     1.95    1.00  43.38  9.240000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
3720F  Cognit impairment assessed                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37200  Transcatheter biopsy                              A   4.55   1.45NA   1.45    0.40   6.40  6.400000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37211  Thrombolytic art therapy                          A   8.00   2.32NA   2.32    1.37  11.69 11.690000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
37212  Thrombolytic venous therapy                       A   7.06   2.06NA   2.06    1.16  10.28 10.280000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
37213  Thromblytic art/ven therapy                       A   5.00   1.50NA   1.50    0.72   7.22  7.220000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37214  Cessj therapy cath removal                        A   2.74   0.82NA   0.82    0.40   3.96  3.960000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37215  Transcath stent cca w/eps                         R  18.00   7.27NA   7.27    4.15  29.42 29.420090.09.84.0721000             35.8043 090 99      0.00   0.00   0.00
37216  Transcath stent cca w/o eps                       N   0.00   0.00     0.00    0.00   0.00  0.009090.09.84.0799999             35.8043 090 99      0.00   0.00   0.00
37217  Stent placemt retro carotid                       A  20.38   7.34NA   7.34    4.48  32.20 32.200090.09.84.0721000             35.8043 090 99      0.00   0.00   0.00
37218  Stent placemt ante carotid                        A  15.00   6.02NA   6.02    3.04  24.06 24.060090.09.84.0721000             35.8043 090 99      0.00   0.00   0.00
37220  Iliac revasc                                      A   8.15  80.21     2.33    1.74  90.10 12.220000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
37221  Iliac revasc w/stent                              A  10.00 120.72     2.91    2.11 132.83 15.020000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37222  Iliac revasc add-on                               A   3.73  20.77     0.97    0.81  25.31  5.510ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
37223  Iliac revasc w/stent add-on                       A   4.25  68.71     1.16    0.91  73.87  6.320ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
37224  Fem/popl revas w/tla                              A   9.00  98.48     2.61    1.84 109.32 13.450000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37225  Fem/popl revas w/ather                            A  12.00 299.43     3.62    2.62 314.05 18.240000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37226  Fem/popl revasc w/stent                           A  10.49 245.54     3.07    2.25 258.28 15.810000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37227  Fem/popl revasc stnt & ather                      A  14.50 406.49     4.27    3.16 424.15 21.930000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37228  Tib/per revasc w/tla                              A  11.00 142.02     3.12    2.31 155.33 16.430000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37229  Tib/per revasc w/ather                            A  14.05 292.50     4.18    3.04 309.59 21.270000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37230  Tib/per revasc w/stent                            A  13.80 219.86     4.15    3.00 236.66 20.950000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37231  Tib/per revasc stent & ather                      A  15.00 362.68     4.55    3.24 380.92 22.790000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37232  Tib/per revasc add-on                             A   4.00  29.75     1.13    0.84  34.59  5.970ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
37233  Tibper revasc w/ather add-on                      A   6.50  33.90     1.83    1.39  41.79  9.720ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
37234  Revsc opn/prq tib/pero stent                      A   5.50 103.85     1.66    1.21 110.56  8.370ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
37235  Tib/per revasc stnt & ather                       A   7.80 107.02     2.49    1.62 116.44 11.910ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
37236  Open/perq place stent 1st                         A   9.00 106.82     2.75    1.55 117.37 13.300000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37237  Open/perq place stent ea add                      A   4.25  65.07     1.17    0.85  70.17  6.270ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
37238  Open/perq place stent same                        A   6.29 112.42     1.94    0.98 119.69  9.210000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
37239  Open/perq place stent ea add                      A   2.97  54.36     0.84    0.58  57.91  4.390ZZZ.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
37241  Vasc embolize/occlude venous                      A   9.00 125.75     2.80    1.40 136.15 13.200000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37242  Vasc embolize/occlude artery                      A  10.05 207.38     3.15    1.24 218.67 14.440000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37243  Vasc embolize/occlude organ                       A  11.99 264.52     3.85    1.20 277.71 17.040000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
37244  Vasc embolize/occlude bleed                       A  14.00 178.03     4.49    1.46 193.49 19.950000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
3725F  Screen depression performed                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37252  Intrvasc us noncoronary 1st                       A   1.80  37.62     0.50    0.40  39.82  2.700ZZZ.00.00.0000010             35.8043 090 99      0.00   0.00   0.00
37253  Intrvasc us noncoronary addl                      A   1.44   4.42     0.39    0.33   6.19  2.160ZZZ.00.00.0000010             35.8043 090 99      0.00   0.00   0.00
3750F  Ptnotrcvngsteroid>/=10mg/day                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37500  Endoscopy ligate perf veins                       A  11.67   7.77NA   7.77    2.81  22.25 22.250090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
37501  Vascular endoscopy procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021111             35.8043 090 99      0.00   0.00   0.00
3751F  Electrodiag polyneuro 6 mn                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3752F  No electrodiag polyneuro 6mn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3753F  Pt has symp&signs neuropathy                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3754F  Screening tests dm done                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3755F  Cog&behav imprmnt scrng done                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3756F  Pt w/pseudobulb affect/als                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37565  Ligation of neck vein                             A  12.05   6.83NA   6.83    2.28  21.16 21.160090.09.84.0721010             35.8043 090 99      0.00   0.00   0.00
3757F  Pt w/o pseudobulbaffect/als                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3758F  Pt ref pulm fx test/peakflow                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3759F  Pt scrn dysphag/wt loss/nutr                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3760F  Pt w/ dysphag/wt loss/nutr                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37600  Ligation of neck artery                           A  12.42   5.80NA   5.80    2.51  20.73 20.730090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37605  Ligation of neck artery                           A  14.28   5.82NA   5.82    3.31  23.41 23.410090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37606  Ligation of neck artery                           A   8.81   6.09NA   6.09    2.03  16.93 16.930090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
37607  Ligation of a-v fistula                           A   6.25   3.38NA   3.38    1.44  11.07 11.070090.09.84.0720110             35.8043 090 99      0.00   0.00   0.00
37609  Temporal artery procedure                         A   3.05   5.24     2.35    0.63   8.92  6.030010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
3761F  Pt w/o dysphag/wt loss/nutr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37615  Ligation of neck artery                           A   7.80   5.86NA   5.86    1.20  14.86 14.860090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37616  Ligation of chest artery                          A  18.97   8.75NA   8.75    4.39  32.11 32.110090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37617  Ligation of abdomen artery                        A  23.79   9.92NA   9.92    5.32  39.03 39.030090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37618  Ligation of extremity artery                      A   6.03   3.85NA   3.85    1.35  11.23 11.230090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37619  Ligation of inf vena cava                         A  30.00  11.07NA  11.07    6.83  47.90 47.900090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
3762F  Patient is dysarthric                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3763F  Patient is not dysarthric                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37650  Revision of major vein                            A   8.49   4.45NA   4.45    1.97  14.91 14.910090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
37660  Revision of major vein                            A  22.28   6.55NA   6.55    5.22  34.05 34.050090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
37700  Revise leg vein                                   A   3.82   2.63NA   2.63    0.88   7.33  7.330090.09.84.0721100             35.8043 090 99      0.00   0.00   0.00
37718  Ligate/strip short leg vein                       A   7.13   4.05NA   4.05    1.67  12.85 12.850090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
37722  Ligate/strip long leg vein                        A   8.16   4.04NA   4.04    1.92  14.12 14.120090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
37735  Removal of leg veins/lesion                       A  10.90   6.64NA   6.64    2.63  20.17 20.170090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
3775F  Adenoma detected screening                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
3776F  Adenoma not detect screening                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
37760  Ligate leg veins radical                          A  10.78   4.86NA   4.86    2.49  18.13 18.130090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
37761  Ligate leg veins open                             A   9.13   5.00NA   5.00    2.09  16.22 16.220090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
37765  Stab phleb veins xtr 10-20                        A   7.71   9.58     3.89    1.60  18.89 13.200090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
37766  Phleb veins - extrem 20+                          A   9.66  10.82     4.48    1.99  22.47 16.130090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
37780  Revision of leg vein                              A   3.93   2.63NA   2.63    0.91   7.47  7.470090.09.84.0721110             35.8043 090 99      0.00   0.00   0.00
37785  Ligate/divide/excise vein                         A   3.93   5.48     2.87    0.89  10.30  7.690090.09.84.0721100             35.8043 090 99      0.00   0.00   0.00
37788  Revascularization penis                           A  23.33  11.01NA  11.01    2.89  37.23 37.230090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
37790  Penile venous occlusion                           A   8.43   4.86NA   4.86    1.21  14.50 14.500090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
37799  Vascular surgery procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
38100  Removal of spleen total                           A  19.55   9.37NA   9.37    4.57  33.49 33.490090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38101  Removal of spleen partial                         A  19.55   9.59NA   9.59    4.45  33.59 33.590090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38102  Removal of spleen total                           A   4.79   1.74NA   1.74    1.09   7.62  7.620ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
38115  Repair of ruptured spleen                         A  21.88  10.07NA  10.07    4.80  36.75 36.750090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38120  Laparoscopy splenectomy                           A  17.07   9.43NA   9.43    4.05  30.55 30.550090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
38129  Laparoscope proc spleen                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
38200  Injection for spleen x-ray                        A   2.64   0.50NA   0.50    0.23   3.37  3.370000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38204  Bl donor search management                        B+  2.00   0.76NA   0.76    0.27   3.03  3.039XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38205  Harvest allogeneic stem cell                      R   1.50   0.78NA   0.78    0.10   2.38  2.380000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38206  Harvest auto stem cells                           R   1.50   0.79NA   0.79    0.10   2.39  2.390000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38207  Cryopreserve stem cells                           I+  0.89   0.34NA   0.34    0.12   1.35  1.359XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38208  Thaw preserved stem cells                         I+  0.56   0.21NA   0.21    0.08   0.85  0.859XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38209  Wash harvest stem cells                           I+  0.24   0.09NA   0.09    0.03   0.36  0.369XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38210  T-cell depletion of harvest                       I+  1.57   0.60NA   0.60    0.21   2.38  2.389XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38211  Tumor cell deplete of harvst                      I+  1.42   0.54NA   0.54    0.19   2.15  2.159XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38212  Rbc depletion of harvest                          I+  0.94   0.36NA   0.36    0.13   1.43  1.439XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38213  Platelet deplete of harvest                       I+  0.24   0.09NA   0.09    0.03   0.36  0.369XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38214  Volume deplete of harvest                         I+  0.81   0.31NA   0.31    0.11   1.23  1.239XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38215  Harvest stem cell concentrte                      I+  0.94   0.36NA   0.36    0.13   1.43  1.439XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
38220  Bone marrow aspiration                            A   1.08   3.46     0.55    0.14   4.68  1.770XXX.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
38221  Bone marrow biopsy                                A   1.37   3.30     0.69    0.09   4.76  2.150XXX.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
38230  Bone marrow harvest allogen                       A   3.50   1.78NA   1.78    0.44   5.72  5.720000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38232  Bone marrow harvest autolog                       A   3.50   1.76NA   1.76    0.44   5.70  5.700000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38240  Transplt allo hct/donor                           R   4.00   2.17NA   2.17    0.26   6.43  6.430XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38241  Transplt autol hct/donor                          R   3.00   1.63NA   1.63    0.19   4.82  4.820XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38242  Transplt allo lymphocytes                         A   2.11   1.14NA   1.14    0.13   3.38  3.380000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38243  Transplj hematopoietic boost                      A   2.13   1.11NA   1.11    0.13   3.37  3.370000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
38300  Drainage lymph node lesion                        A   2.36   5.08     2.50    0.47   7.91  5.330010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
38305  Drainage lymph node lesion                        A   6.68   5.54NA   5.54    1.54  13.76 13.760090.11.73.1620100             35.8043 090 99      0.00   0.00   0.00
38308  Incision of lymph channels                        A   6.81   4.52NA   4.52    1.57  12.90 12.900090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38380  Thoracic duct procedure                           A   8.46   6.76NA   6.76    1.24  16.46 16.460090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38381  Thoracic duct procedure                           A  13.38   6.79NA   6.79    3.11  23.28 23.280090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38382  Thoracic duct procedure                           A  10.65   4.96NA   4.96    2.26  17.87 17.870090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38500  Biopsy/removal lymph nodes                        A   3.79   4.85     2.68    0.88   9.52  7.350010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
38505  Needle biopsy lymph nodes                         A   1.14   2.37     0.81    0.11   3.62  2.060000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
38510  Biopsy/removal lymph nodes                        A   6.74   6.90     4.12    1.32  14.96 12.180010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
38520  Biopsy/removal lymph nodes                        A   7.03   4.89NA   4.89    1.50  13.42 13.420090.11.73.1621100             35.8043 090 99      0.00   0.00   0.00
38525  Biopsy/removal lymph nodes                        A   6.43   4.65NA   4.65    1.55  12.63 12.630090.11.73.1621100             35.8043 090 99      0.00   0.00   0.00
38530  Biopsy/removal lymph nodes                        A   8.34   5.75NA   5.75    1.80  15.89 15.890090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38542  Explore deep node(s) neck                         A   7.95   5.66NA   5.66    1.39  15.00 15.000090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38550  Removal neck/armpit lesion                        A   7.11   5.82NA   5.82    1.70  14.63 14.630090.11.73.1620000             35.8043 090 99      0.00   0.00   0.00
38555  Removal neck/armpit lesion                        A  15.59   9.74NA   9.74    3.73  29.06 29.060090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38562  Removal pelvic lymph nodes                        A  11.06   7.04NA   7.04    2.16  20.26 20.260090.11.73.1622210             35.8043 090 99      0.00   0.00   0.00
38564  Removal abdomen lymph nodes                       A  11.38   6.47NA   6.47    2.51  20.36 20.360090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38570  Laparoscopy lymph node biop                       A   8.49   4.61NA   4.61    1.44  14.54 14.540010.10.80.1030220       49320 35.8043 090 99      0.00   0.00   0.00
38571  Laparoscopy lymphadenectomy                       A  12.00   5.67NA   5.67    1.57  19.24 19.240010.10.80.1032220       49320 35.8043 090 99      0.00   0.00   0.00
38572  Laparoscopy lymphadenectomy                       A  15.60   8.20NA   8.20    3.08  26.88 26.880010.10.80.1032220       49320 35.8043 090 99      0.00   0.00   0.00
38589  Laparoscope proc lymphatic                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
38700  Removal of lymph nodes neck                       A  12.81   8.56NA   8.56    1.97  23.34 23.340090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38720  Removal of lymph nodes neck                       A  21.95  13.34NA  13.34    3.70  38.99 38.990090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38724  Removal of lymph nodes neck                       A  23.95  14.51NA  14.51    3.68  42.14 42.140090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38740  Remove armpit lymph nodes                         A  10.70   6.84NA   6.84    2.55  20.09 20.090090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38745  Remove armpit lymph nodes                         A  13.87   8.21NA   8.21    3.28  25.36 25.360090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38746  Remove thoracic lymph nodes                       A   4.12   1.20NA   1.20    0.95   6.27  6.270ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
38747  Remove abdominal lymph nodes                      A   4.88   1.74NA   1.74    1.14   7.76  7.760ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
38760  Remove groin lymph nodes                          A  13.62   7.73NA   7.73    3.00  24.35 24.350090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38765  Remove groin lymph nodes                          A  21.91  10.86NA  10.86    4.60  37.37 37.370090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38770  Remove pelvis lymph nodes                         A  14.06   7.10NA   7.10    2.13  23.29 23.290090.11.73.1621210             35.8043 090 99      0.00   0.00   0.00
38780  Remove abdomen lymph nodes                        A  17.70   9.07NA   9.07    2.76  29.53 29.530090.11.73.1620210             35.8043 090 99      0.00   0.00   0.00
38790  Inject for lymphatic x-ray                        A   1.29   0.89NA   0.89    0.22   2.40  2.400000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
38792  Ra tracer id of sentinl node                      A   0.52   0.56NA   0.56    0.07   1.15  1.150000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
38794  Access thoracic lymph duct                        A   4.62   3.60NA   3.60    0.42   8.64  8.640090.11.73.1620000             35.8043 090 99      0.00   0.00   0.00
38900  Io map of sent lymph node                         A   2.50   0.91     0.91    0.60   4.01  4.010ZZZ.00.00.0001210             35.8043 090 99      0.00   0.00   0.00
38999  Blood/lymph system procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
39000  Exploration of chest                              A   7.57   5.19NA   5.19    1.67  14.43 14.430090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39010  Exploration of chest                              A  13.19   6.65NA   6.65    3.03  22.87 22.870090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39200  Resect mediastinal cyst                           A  15.09   7.01NA   7.01    3.51  25.61 25.610090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39220  Resect mediastinal tumor                          A  19.55   9.17NA   9.17    4.35  33.07 33.070090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39401  Mediastinoscpy w/medstnl bx                       A   5.44   2.32NA   2.32    1.29   9.05  9.050000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
39402  Mediastinoscpy w/lmph nod bx                      A   7.25   2.85NA   2.85    1.72  11.82 11.820000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
39499  Chest procedure                                   C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
39501  Repair diaphragm laceration                       A  13.98   7.46NA   7.46    3.15  24.59 24.590090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39503  Repair of diaphragm hernia                        A 108.91  43.00NA  43.00   26.39 178.30178.300090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39540  Repair of diaphragm hernia                        A  14.57   7.22NA   7.22    3.31  25.10 25.100090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39541  Repair of diaphragm hernia                        A  15.75   7.94NA   7.94    3.69  27.38 27.380090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39545  Revision of diaphragm                             A  14.67   7.88NA   7.88    3.40  25.95 25.950090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39560  Resect diaphragm simple                           A  13.06   7.05NA   7.05    2.97  23.08 23.080090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39561  Resect diaphragm complex                          A  19.99  11.32NA  11.32    4.60  35.91 35.910090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
39599  Diaphragm surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
4000F  Tobacco use txmnt counseling                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4001F  Tobacco use txmnt pharmacol                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4003F  Pt ed write/oral pts w/ hf                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4008F  Beta-blocker therapy rxd/tkn                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4010F  Ace/arb therapy rxd/taken                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4011F  Oral antiplatelet therapy rx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4012F  Warfarin therapy rx                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4013F  Statin therapy/currently tkn                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4014F  Written discharge instr prvd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4015F  Persist asthma medicine ctrl                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4018F  Therapy exercise joint rx                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4025F  Inhaled bronchodilator rx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4030F  Oxygen therapy rx                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4033F  Pulmonary rehab rec                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4035F  Influenza imm rec                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4037F  Influenza imm order/admin                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4040F  Pneumoc vac/admin/rcvd                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4041F  Doc order cefazolin/cefurox                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4042F  Doc antibio not given                             M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4043F  Doc order given stop antibio                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4045F  Empiric antibiotic rx                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4047F  Doc antibio given b/4 surg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4048F  Doc antibio given b/4 surg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40490  Biopsy of lip                                     A   1.22   2.29     0.73    0.17   3.68  2.120000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
4050F  Ht care plan doc                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40500  Partial excision of lip                           A   4.47   9.41     5.40    0.70  14.58 10.570090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
4051F  Referred for an av fistula                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40510  Partial excision of lip                           A   4.82   8.39     4.78    0.77  13.98 10.370090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
4052F  Hemodialysis via av fistula                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40520  Partial excision of lip                           A   4.79   8.56     4.86    0.77  14.12 10.420090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
40525  Reconstruct lip with flap                         A   7.72   7.04NA   7.04    1.24  16.00 16.000090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
40527  Reconstruct lip with flap                         A   9.32   7.27NA   7.27    1.35  17.94 17.940090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
4053F  Hemodialysis via av graft                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40530  Partial removal of lip                            A   5.54   9.13     5.28    0.90  15.57 11.720090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
4054F  Hemodialysis via catheter                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4055F  Pt rcvng periton dialysis                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4056F  Approp oral rehyd recommd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4060F  Psych svcs provided                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4062F  Pt referral psych docd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4063F  Antidepres rxthxpy not rxd                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4064F  Antidepressant rx                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4065F  Antipsychotic rx                                  I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40650  Repair lip                                        A   3.78   8.36     4.33    0.57  12.71  8.680090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
40652  Repair lip                                        A   4.43   8.90     5.06    0.70  14.03 10.190090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
40654  Repair lip                                        A   5.48  10.02     5.94    0.90  16.40 12.320090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
4066F  Ect provided                                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4069F  Vte prophylaxis rcvd                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4070F  Dvt prophylx recvd day 2                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40700  Repair cleft lip/nasal                            A  14.17  10.01NA  10.01    2.05  26.23 26.230090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
40701  Repair cleft lip/nasal                            A  17.23   9.83NA   9.83    2.36  29.42 29.420090.09.81.1022200             35.8043 090 99      0.00   0.00   0.00
40702  Repair cleft lip/nasal                            A  14.27   9.54NA   9.54    0.92  24.73 24.730090.09.81.1022200             35.8043 090 99      0.00   0.00   0.00
40720  Repair cleft lip/nasal                            A  14.72  12.32NA  12.32    2.52  29.56 29.560090.09.81.1021000             35.8043 090 99      0.00   0.00   0.00
4073F  Oral antiplat thx rx dischrg                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4075F  Anticoag thx rx at dischrg                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40761  Repair cleft lip/nasal                            A  15.84  12.72NA  12.72    2.71  31.27 31.270090.09.81.1020100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4079F  Doc rehab svcs considered                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40799  Lip surgery procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
40800  Drainage of mouth lesion                          A   1.23   4.77     2.44    0.20   6.20  3.870010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
40801  Drainage of mouth lesion                          A   2.63   6.15     3.47    0.44   9.22  6.540010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
40804  Removal foreign body mouth                        A   1.30   4.06     1.94    0.19   5.55  3.430010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
40805  Removal foreign body mouth                        A   2.79   7.80     3.61    0.12  10.71  6.520010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
40806  Incision of lip fold                              A   0.31   2.95     0.60    0.03   3.29  0.940000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
40808  Biopsy of mouth lesion                            A   1.01   4.28     2.02    0.16   5.45  3.190010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
40810  Excision of mouth lesion                          A   1.36   4.46     2.18    0.21   6.03  3.750010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
40812  Excise/repair mouth lesion                        A   2.37   5.68     3.06    0.39   8.44  5.820010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
40814  Excise/repair mouth lesion                        A   3.52   7.18     4.89    0.58  11.28  8.990090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
40816  Excision of mouth lesion                          A   3.77   7.41     4.96    0.60  11.78  9.330090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
40818  Excise oral mucosa for graft                      A   2.83   7.25     4.79    0.36  10.44  7.980090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
40819  Excise lip or cheek fold                          A   2.51   6.32     4.14    0.43   9.26  7.080090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
40820  Treatment of mouth lesion                         A   1.34   6.21     3.52    0.20   7.75  5.060010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
40830  Repair mouth laceration                           A   1.82   5.66     2.76    0.26   7.74  4.840010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
40831  Repair mouth laceration                           A   2.57   6.86     3.62    0.40   9.83  6.590010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
4084F  Aspirin recvd w/in 24 hrs                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40840  Reconstruction of mouth                           R   9.15  13.00     7.76    1.46  23.61 18.370090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
40842  Reconstruction of mouth                           R   9.15  12.21     7.11    1.34  22.70 17.600090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
40843  Reconstruction of mouth                           R  12.79  16.56     9.91    2.15  31.50 24.850090.09.81.1022200             35.8043 090 99      0.00   0.00   0.00
40844  Reconstruction of mouth                           R  16.80  18.61    11.43    2.37  37.78 30.600090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
40845  Reconstruction of mouth                           R  19.36  20.14    13.41    2.93  42.43 35.700090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
4086F  Aspirin/clopidogrel rxd                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
40899  Mouth surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
4090F  Pt rcvng epo thxpy                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4095F  Pt not rcvng epo thxpy                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41000  Drainage of mouth lesion                          A   1.35   3.18     1.74    0.21   4.74  3.300010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
41005  Drainage of mouth lesion                          A   1.31   5.13     2.17    0.19   6.63  3.670010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
41006  Drainage of mouth lesion                          A   3.34   6.62     3.56    0.49  10.45  7.390090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41007  Drainage of mouth lesion                          A   3.20   6.57     3.47    0.45  10.22  7.120090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41008  Drainage of mouth lesion                          A   3.46   7.05     3.91    0.57  11.08  7.940090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41009  Drainage of mouth lesion                          A   3.71   7.44     4.29    0.61  11.76  8.610090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41010  Incision of tongue fold                           A   1.11   4.64     1.90    0.16   5.91  3.170010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
41015  Drainage of mouth lesion                          A   4.08   8.45     5.54    0.69  13.22 10.310090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41016  Drainage of mouth lesion                          A   4.19   8.03     5.48    0.69  12.91 10.360090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41017  Drainage of mouth lesion                          A   4.19   8.14     5.52    0.70  13.03 10.410090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41018  Drainage of mouth lesion                          A   5.22   8.72     6.08    0.87  14.81 12.170090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41019  Place needles h&n for rt                          A   8.84   4.00NA   4.00    0.69  13.53 13.530000.00.00.0020011             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41100  Biopsy of tongue                                  A   1.42   3.26     1.52    0.22   4.90  3.160010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
41105  Biopsy of tongue                                  A   1.47   3.28     1.57    0.23   4.98  3.270010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
41108  Biopsy of floor of mouth                          A   1.10   3.05     1.39    0.17   4.32  2.660010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
41110  Excision of tongue lesion                         A   1.56   4.40     2.07    0.23   6.19  3.860010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
41112  Excision of tongue lesion                         A   2.83   6.51     4.17    0.45   9.79  7.450090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
41113  Excision of tongue lesion                         A   3.29   6.89     4.43    0.53  10.71  8.250090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
41114  Excision of tongue lesion                         A   8.82   8.40NA   8.40    1.38  18.60 18.600090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41115  Excision of tongue fold                           A   1.79   5.14     2.40    0.30   7.23  4.490010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
41116  Excision of mouth lesion                          A   2.52   6.78     3.57    0.39   9.69  6.480090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
41120  Partial removal of tongue                         A  11.14  18.96NA  18.96    1.66  31.76 31.760090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
41130  Partial removal of tongue                         A  15.74  21.00NA  21.00    2.32  39.06 39.060090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
41135  Tongue and neck surgery                           A  30.14  29.38NA  29.38    4.49  64.01 64.010090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
41140  Removal of tongue                                 A  29.15  31.25NA  31.25    4.21  64.61 64.610090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
41145  Tongue removal neck surgery                       A  37.93  38.35NA  38.35    5.77  82.05 82.050090.09.81.1020210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41150  Tongue mouth jaw surgery                          A  29.86  30.75NA  30.75    4.40  65.01 65.010090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
41153  Tongue mouth neck surgery                         A  33.59  32.27NA  32.27    4.92  70.78 70.780090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
41155  Tongue jaw & neck surgery                         A  44.30  37.68NA  37.68    6.72  88.70 88.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4120F  Antibiot rxd/given                                M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4124F  Antibiot not rxd/given                            M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41250  Repair tongue laceration                          A   1.96   5.55     2.25    0.27   7.78  4.480010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
41251  Repair tongue laceration                          A   2.32   5.79     2.65    0.37   8.48  5.340010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
41252  Repair tongue laceration                          A   3.02   5.68     2.67    0.46   9.16  6.150010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
4130F  Topical prep rx aoe                               M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4131F  Syst antimicrobial thx rx                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4133F  Antihist/decong rx/recom                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4135F  Systemic corticosteroids rx                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4136F  Syst corticosteroids not rx                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4140F  Inhaled corticosteroids rxd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4142F  Corticoster sparng thrpy rxd                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4144F  Alt long-term cntrl med rxd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4145F  2+ anti-hyprtnsv agents tkn                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4149F  Hep b vac injxn admin/recvd                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4150F  Pt recvng antivir txmnt hepc                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41500  Fixation of tongue                                A   3.80   7.85NA   7.85    0.46  12.11 12.110090.09.81.1020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41510  Tongue to lip surgery                             A   3.51   8.38NA   8.38    0.48  12.37 12.370090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41512  Tongue suspension                                 A   6.86  11.61NA  11.61    0.99  19.46 19.460090.10.76.1420000             35.8043 090 99      0.00   0.00   0.00
41520  Reconstruction tongue fold                        A   2.83   7.05     4.30    0.48  10.36  7.610090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
4153F  Combo pegintf/rib rx                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41530  Tongue base vol reduction                         A   3.50  24.63     7.03    0.51  28.64 11.040000.00.00.0020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4158F  Pt edu re alcoh drnkng done                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4159F  Contrcp talk b/4 antiv txmnt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41599  Tongue and mouth surgery                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4164F  Adjv hrmnl thxpy rxd                              M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4165F  3d-crt/imrt received                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4171F  Pt rcvng esa thxpy                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4172F  Pt not rcvng esa thxpy                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4174F  Couns potent glauc impct                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4175F  Vis 20/40/> w/in 90 days                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4179F  Tamoxifen/ai prescribed                           M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4180F  Adjv thxpyrxd/rcvd colon ca                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41800  Drainage of gum lesion                            A   1.27   6.45     2.85    0.18   7.90  4.300010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
41805  Removal foreign body gum                          A   1.34   5.98     3.58    0.22   7.54  5.140010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
41806  Removal foreign body jawbone                      A   2.79   7.11     4.41    0.48  10.38  7.680010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
4181F  Conformal radn thxpy rcvd                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4182F  No conformal radn thxpy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41820  Excision gum each quadrant                        R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
41821  Excision of gum flap                              R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
41822  Excision of gum lesion                            R   2.41   5.76     2.56    0.41   8.58  5.380010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
41823  Excision of gum lesion                            R   3.77   8.14     5.14    0.64  12.55  9.550090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41825  Excision of gum lesion                            A   1.41   4.55     1.96    0.23   6.19  3.600010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
41826  Excision of gum lesion                            A   2.41   6.43     3.47    0.40   9.24  6.280010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
41827  Excision of gum lesion                            A   3.83   8.46     4.61    0.62  12.91  9.060090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
41828  Excision of gum lesion                            R   3.14   5.38     2.60    0.54   9.06  6.280010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
41830  Removal of gum tissue                             R   3.45   7.52     4.38    0.59  11.56  8.420010.10.80.1020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41850  Treatment of gum lesion                           R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4187F  Anti rheum drugthxpyrxd/gvn                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41870  Gum graft                                         R   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
41872  Repair gum                                        R   3.01   7.26     4.10    0.46  10.73  7.570090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
41874  Repair tooth socket                               R   3.19   7.31     3.84    0.54  11.04  7.570090.09.81.1020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4189F  Approp digoxin tstng done                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
41899  Dental surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
4190F  Approp diuretic tstng done                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4191F  Approp anticonvuls tstng                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4194F  Pt rcvng10mg daily predniso                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4200F  External beam to prost only                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42000  Drainage mouth roof lesion                        A   1.28   3.16     1.57    0.19   4.63  3.040010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
4201F  Extrnl beam other than prost                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4210F  Ace/arb thxpy for mos/>                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42100  Biopsy roof of mouth                              A   1.36   2.81     1.65    0.21   4.38  3.220010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42104  Excision lesion mouth roof                        A   1.69   4.35     2.14    0.26   6.30  4.090010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42106  Excision lesion mouth roof                        A   2.15   5.51     2.76    0.35   8.01  5.260010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42107  Excision lesion mouth roof                        A   4.56   8.23     4.92    0.71  13.50 10.190090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
42120  Remove palate/lesion                              A  11.86  16.29NA  16.29    1.76  29.91 29.910090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
42140  Excision of uvula                                 A   1.70   5.43     2.58    0.25   7.38  4.530090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
42145  Repair palate pharynx/uvula                       A   9.78   9.32NA   9.32    1.41  20.51 20.510090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
42160  Treatment mouth roof lesion                       A   1.85   4.64     2.18    0.28   6.77  4.310010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
42180  Repair palate                                     A   2.55   4.19     2.46    0.37   7.11  5.380010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
42182  Repair palate                                     A   3.87   4.88     3.03    0.57   9.32  7.470010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
4220F  Digoxin thxpy for 6 mos/>                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42200  Reconstruct cleft palate                          A  12.53  10.43NA  10.43    1.81  24.77 24.770090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42205  Reconstruct cleft palate                          A  13.66  10.18NA  10.18    1.97  25.81 25.810090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
4221F  Diuretic thxpy for 6 mos/>                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42210  Reconstruct cleft palate                          A  15.03  11.55NA  11.55    2.24  28.82 28.820090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42215  Reconstruct cleft palate                          A   8.99   8.79NA   8.79    1.34  19.12 19.120090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42220  Reconstruct cleft palate                          A   7.16   6.34NA   6.34    0.98  14.48 14.480090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42225  Reconstruct cleft palate                          A   9.77  14.42NA  14.42    1.41  25.60 25.600090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42226  Lengthening of palate                             A  10.35  14.32NA  14.32    1.51  26.18 26.180090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42227  Lengthening of palate                             A   9.90  13.27NA  13.27    1.65  24.82 24.820090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42235  Repair palate                                     A   8.01  12.28NA  12.28    1.12  21.41 21.410090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42260  Repair nose to lip fistula                        A  10.22  11.97     7.64    1.50  23.69 19.360090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42280  Preparation palate mold                           A   1.59   2.97     1.37    0.27   4.83  3.230010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
42281  Insertion palate prosthesis                       A   1.98   3.70     2.14    0.29   5.97  4.410010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
42299  Palate/uvula surgery                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
4230F  Anticonv thxpy for 6 mos/>                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42300  Drainage of salivary gland                        A   1.98   3.83     2.19    0.29   6.10  4.460010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42305  Drainage of salivary gland                        A   6.31   5.29NA   5.29    0.97  12.57 12.570090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42310  Drainage of salivary gland                        A   1.61   2.84     1.77    0.23   4.68  3.610010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
42320  Drainage of salivary gland                        A   2.40   4.52     2.37    0.35   7.27  5.120010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
42330  Removal of salivary stone                         A   2.26   4.17     2.23    0.33   6.76  4.820010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42335  Removal of salivary stone                         A   3.41   7.00     3.62    0.51  10.92  7.540090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
42340  Removal of salivary stone                         A   4.72   8.10     4.39    0.68  13.50  9.790090.09.81.1021000             35.8043 090 99      0.00   0.00   0.00
4240F  Instr xrcz back pain 12 wks                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42400  Biopsy of salivary gland                          A   0.78   2.20     0.73    0.09   3.07  1.600000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
42405  Biopsy of salivary gland                          A   3.34   4.84     2.76    0.49   8.67  6.590010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42408  Excision of salivary cyst                         A   4.66   7.81     4.17    0.67  13.14  9.500090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42409  Drainage of salivary cyst                         A   2.91   6.35     3.14    0.41   9.67  6.460090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42410  Excise parotid gland/lesion                       A   9.57   6.97NA   6.97    1.55  18.09 18.090090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
42415  Excise parotid gland/lesion                       A  17.16  10.99NA  10.99    2.54  30.69 30.690090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
4242F  Sprvsd xrcz back pn >12 wks                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42420  Excise parotid gland/lesion                       A  19.53  12.04NA  12.04    2.90  34.47 34.470090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
42425  Excise parotid gland/lesion                       A  13.42   8.87NA   8.87    2.00  24.29 24.290090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
42426  Excise parotid gland/lesion                       A  22.66  13.15NA  13.15    3.38  39.19 39.190090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
42440  Excise submaxillary gland                         A   6.14   4.93NA   4.93    0.92  11.99 11.990090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
4245F  Pt instr nrml lifest                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42450  Excise sublingual gland                           A   4.74   7.69     5.00    0.71  13.14 10.450090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
4248F  Pt instr no bd rest 4 days/>                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4250F  Wrmng 4 surg normothermia                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42500  Repair salivary duct                              A   4.42   7.54     4.92    0.66  12.62 10.000090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42505  Repair salivary duct                              A   6.32   8.91     5.98    0.93  16.16 13.230090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
42507  Parotid duct diversion                            A   6.25   7.78NA   7.78    0.99  15.02 15.020090.09.81.1022200             35.8043 090 99      0.00   0.00   0.00
42509  Parotid duct diversion                            A  11.76  11.13NA  11.13    1.70  24.59 24.590090.09.81.1022000             35.8043 090 99      0.00   0.00   0.00
42510  Parotid duct diversion                            A   8.35   9.09NA   9.09    1.28  18.72 18.720090.09.81.1022210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42550  Injection for salivary x-ray                      A   1.25   2.51     0.47    0.11   3.87  1.830000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
4256F  Anesthe <60 min as docd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4260F  Wound srfc culturetech used                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42600  Closure of salivary fistula                       A   4.94   8.26     4.49    0.71  13.91 10.140090.09.81.1020000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42650  Dilation of salivary duct                         A   0.77   1.55     0.83    0.11   2.43  1.710000.00.00.0020100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42660  Dilation of salivary duct                         A   1.13   2.25     1.14    0.34   3.72  2.610000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
42665  Ligation of salivary duct                         A   2.63   5.95     2.94    0.40   8.98  5.970090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
4267F  Comprssion thxpy prescribed                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4269F  Appropos mthd offloading rxd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42699  Salivary surgery procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
4270F  Pt rcvng anti r-viral thxpy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42700  Drainage of tonsil abscess                        A   1.67   3.60     2.04    0.24   5.51  3.950010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
4271F  Pt rcvng anti r-viral thxpy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42720  Drainage of throat abscess                        A   6.31   5.96     4.19    0.93  13.20 11.430010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
42725  Drainage of throat abscess                        A  12.41   9.49NA   9.49    1.92  23.82 23.820090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4274F  Flu immuno admind rcvd                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4276F  Potent antivir thxpy rxd                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4279F  Pcp prophylaxis rxd                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4280F  Pcp prophylax rxd 3mon low %                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42800  Biopsy of throat                                  A   1.44   2.96     1.61    0.21   4.61  3.260010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42804  Biopsy of upper nose/throat                       A   1.29   4.20     1.82    0.19   5.68  3.300010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42806  Biopsy of upper nose/throat                       A   1.63   4.51     1.98    0.24   6.38  3.850010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42808  Excise pharynx lesion                             A   2.35   3.91     2.04    0.34   6.60  4.730010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42809  Remove pharynx foreign body                       A   1.86   3.74     1.43    0.27   5.87  3.560010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
42810  Excision of neck cyst                             A   3.38   7.39     4.55    0.49  11.26  8.420090.09.81.1021200             35.8043 090 99      0.00   0.00   0.00
42815  Excision of neck cyst                             A   7.31   7.88NA   7.88    1.09  16.28 16.280090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
42820  Remove tonsils and adenoids                       A   4.22   3.62NA   3.62    0.61   8.45  8.450090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42821  Remove tonsils and adenoids                       A   4.36   3.78NA   3.78    0.63   8.77  8.770090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42825  Removal of tonsils                                A   3.51   3.61NA   3.61    0.51   7.63  7.630090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42826  Removal of tonsils                                A   3.45   3.37NA   3.37    0.50   7.32  7.320090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
42830  Removal of adenoids                               A   2.65   3.00NA   3.00    0.38   6.03  6.030090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42831  Removal of adenoids                               A   2.81   3.30NA   3.30    0.41   6.52  6.520090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42835  Removal of adenoids                               A   2.38   2.88NA   2.88    0.34   5.60  5.600090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42836  Removal of adenoids                               A   3.26   3.28NA   3.28    0.47   7.01  7.010090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42842  Extensive surgery of throat                       A  12.23  15.85NA  15.85    1.78  29.86 29.860090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42844  Extensive surgery of throat                       A  17.78  20.59NA  20.59    2.55  40.92 40.920090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
42845  Extensive surgery of throat                       A  32.56  28.66NA  28.66    4.68  65.90 65.900090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
42860  Excision of tonsil tags                           A   2.30   2.85NA   2.85    0.33   5.48  5.480090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42870  Excision of lingual tonsil                        A   5.52  11.30NA  11.30    0.79  17.61 17.610090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
42890  Partial removal of pharynx                        A  19.13  20.33NA  20.33    2.76  42.22 42.220090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
42892  Revision of pharyngeal walls                      A  26.03  25.89NA  25.89    3.85  55.77 55.770090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
42894  Revision of pharyngeal walls                      A  33.92  31.24NA  31.24    4.89  70.05 70.050090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4290F  Pt scrned for inj drug use                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42900  Repair throat wound                               A   5.29   3.78NA   3.78    0.75   9.82  9.820010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
4293F  Pt scrnd hgh-risk sex behav                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
42950  Reconstruction of throat                          A   8.27  14.60NA  14.60    1.21  24.08 24.080090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
42953  Repair throat esophagus                           A   9.45  18.12NA  18.12    1.42  28.99 28.990090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42955  Surgical opening of throat                        A   8.01  13.61NA  13.61    1.13  22.75 22.750090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42960  Control throat bleeding                           A   2.38   2.22NA   2.22    0.35   4.95  4.950010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
42961  Control throat bleeding                           A   5.77   5.71NA   5.71    0.86  12.34 12.340090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42962  Control throat bleeding                           A   7.40   6.62NA   6.62    1.07  15.09 15.090090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
42970  Control nose/throat bleeding                      A   5.82   5.32NA   5.32    0.60  11.74 11.740090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
42971  Control nose/throat bleeding                      A   6.60   5.70NA   5.70    0.99  13.29 13.290090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42972  Control nose/throat bleeding                      A   7.59   6.18NA   6.18    1.11  14.88 14.880090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
42999  Throat surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
4300F  Pt rcvng warf thxpy                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43020  Incision of esophagus                             A   8.23   5.36NA   5.36    1.76  15.35 15.350090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43030  Throat muscle surgery                             A   7.99   5.84NA   5.84    1.26  15.09 15.090090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43045  Incision of esophagus                             A  21.88  10.88NA  10.88    5.22  37.98 37.980090.09.81.1020210             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43100  Excision of esophagus lesion                      A   9.66   7.04NA   7.04    1.44  18.14 18.140090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43101  Excision of esophagus lesion                      A  17.07   8.47NA   8.47    4.04  29.58 29.580090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43107  Removal of esophagus                              A  44.18  19.69NA  19.69   10.48  74.35 74.350090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43108  Removal of esophagus                              A  82.87  32.83NA  32.83   17.77 133.47133.470090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43112  Removal of esophagus                              A  47.48  19.73NA  19.73   11.29  78.50 78.500090.09.81.1020220             35.8043 090 99      0.00   0.00   0.00
43113  Removal of esophagus                              A  80.06  34.18NA  34.18   17.87 132.11132.110090.09.81.1020220             35.8043 090 99      0.00   0.00   0.00
43116  Partial removal of esophagus                      A  92.99  41.33NA  41.33   12.60 146.92146.920090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43117  Partial removal of esophagus                      A  43.65  17.93NA  17.93   10.33  71.91 71.910090.09.81.1020220             35.8043 090 99      0.00   0.00   0.00
43118  Partial removal of esophagus                      A  67.07  24.88NA  24.88   15.57 107.52107.520090.09.81.1020220             35.8043 090 99      0.00   0.00   0.00
43121  Partial removal of esophagus                      A  51.43  19.99NA  19.99   12.28  83.70 83.700090.09.81.1020220             35.8043 090 99      0.00   0.00   0.00
43122  Partial removal of esophagus                      A  44.18  20.13NA  20.13   10.40  74.71 74.710090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43123  Partial removal of esophagus                      A  83.12  34.86NA  34.86   19.68 137.66137.660090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43124  Removal of esophagus                              A  69.09  26.68NA  26.68   15.78 111.55111.550090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43130  Removal of esophagus pouch                        A  12.53   8.19NA   8.19    2.16  22.88 22.880090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43135  Removal of esophagus pouch                        A  26.17  11.15NA  11.15    5.93  43.25 43.250090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43180  Esophagoscopy rigid trnso                         A   9.03   5.66NA   5.66    1.30  15.99 15.990090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
43191  Esophagoscopy rigid trnso dx                      A   2.49   1.62NA   1.62    0.37   4.48  4.480000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43192  Esophagoscp rig trnso inject                      A   2.79   1.76NA   1.76    0.40   4.95  4.950000.00.00.0030100       43191 35.8043 090 99      0.00   0.00   0.00
43193  Esophagoscp rig trnso biopsy                      A   2.79   1.72NA   1.72    0.42   4.93  4.930000.00.00.0030100       43191 35.8043 090 99      0.00   0.00   0.00
43194  Esophagoscp rig trnso rem fb                      A   3.51   1.52NA   1.52    0.59   5.62  5.620000.00.00.0030100       43191 35.8043 090 99      0.00   0.00   0.00
43195  Esophagoscopy rigid balloon                       A   3.07   1.84NA   1.84    0.45   5.36  5.360000.00.00.0030100       43191 35.8043 090 99      0.00   0.00   0.00
43196  Esophagoscp guide wire dilat                      A   3.31   1.92NA   1.92    0.51   5.74  5.740000.00.00.0030100       43191 35.8043 090 99      0.00   0.00   0.00
43197  Esophagoscopy flex dx brush                       A   1.52   3.66     0.66    0.23   5.41  2.410000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43198  Esophagosc flex trnsn biopsy                      A   1.82   3.91     0.79    0.28   6.01  2.890000.00.00.0030100       43197 35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43200  Esophagoscopy flexible brush                      A   1.52   5.99     0.98    0.23   7.74  2.730000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43201  Esoph scope w/submucous inj                       A   1.82   5.78     1.10    0.26   7.86  3.180000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43202  Esophagoscopy flex biopsy                         A   1.82   8.22     1.09    0.27  10.31  3.180000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43204  Esoph scope w/sclerosis inj                       A   2.43   1.38NA   1.38    0.31   4.12  4.120000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43205  Esophagus endoscopy/ligation                      A   2.54   1.42NA   1.42    0.33   4.29  4.290000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43206  Esoph optical endomicroscopy                      A   2.39   6.67     1.38    0.34   9.40  4.110000.00.00.0030100       43200 35.8043 090 99     28.84  28.84   1.47
43210  Egd esophagogastrc fndoplsty                      A   7.75   3.66NA   3.66    0.99  12.40 12.400000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43211  Esophagoscop mucosal resect                       A   4.30   2.21NA   2.21    0.56   7.07  7.070000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43212  Esophagoscop stent placement                      A   3.50   1.63NA   1.63    0.60   5.73  5.730000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43213  Esophagoscopy retro balloon                       A   4.73  29.38     2.36    0.64  34.75  7.730000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43214  Esophagosc dilate balloon 30                      A   3.50   1.81NA   1.81    0.47   5.78  5.780000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43215  Esophagoscopy flex remove fb                      A   2.54   8.96     1.37    0.41  11.91  4.320000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43216  Esophagoscopy lesion removal                      A   2.40   9.05     1.37    0.31  11.76  4.080000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43217  Esophagoscopy snare les remv                      A   2.90   9.36     1.53    0.44  12.70  4.870000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
4322F  Crgvr prov w/ ed addl rsrcs                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43220  Esophagoscopy balloon <30mm                       A   2.10  29.75     1.22    0.30  32.15  3.620000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43226  Esoph endoscopy dilation                          A   2.34   8.12     1.29    0.36  10.82  3.990000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43227  Esophagoscopy control bleed                       A   2.99  16.33     1.61    0.41  19.73  5.010000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43229  Esophagoscopy lesion ablate                       A   3.59  16.42     1.87    0.49  20.50  5.950000.00.00.0030100       43200 35.8043 090 99      0.00   0.00   0.00
43231  Esophagoscop ultrasound exam                      A   2.90   8.12     1.59    0.37  11.39  4.860000.00.00.0030120       43200 35.8043 090 99      0.00   0.00   0.00
43232  Esophagoscopy w/us needle bx                      A   3.69   9.46     1.84    0.44  13.59  5.970000.00.00.0030120       43200 35.8043 090 99      0.00   0.00   0.00
43233  Egd balloon dil esoph30 mm/>                      A   4.17   2.09NA   2.09    0.58   6.84  6.840000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43235  Egd diagnostic brush wash                         A   2.19   6.35     1.26    0.30   8.84  3.750000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43236  Uppr gi scope w/submuc inj                        A   2.49   8.18     1.41    0.33  11.00  4.230000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43237  Endoscopic us exam esoph                          A   3.57   1.87NA   1.87    0.46   5.90  5.900000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43238  Egd us fine needle bx/aspir                       A   4.26   2.18NA   2.18    0.55   6.99  6.990000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43239  Egd biopsy single/multiple                        A   2.49   8.45     1.40    0.34  11.28  4.230000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
4324F  Pt queried prkns complic                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43240  Egd w/transmural drain cyst                       A   7.25   3.50NA   3.50    0.94  11.69 11.690000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43241  Egd tube/cath insertion                           A   2.59   1.39NA   1.39    0.36   4.34  4.340000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43242  Egd us fine needle bx/aspir                       A   4.83   2.45NA   2.45    0.61   7.89  7.890000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43243  Egd injection varices                             A   4.37   2.17NA   2.17    0.58   7.12  7.120000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43244  Egd varices ligation                              A   4.50   2.30NA   2.30    0.57   7.37  7.370000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43245  Egd dilate stricture                              A   3.18  13.76     1.66    0.48  17.42  5.320000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43246  Egd place gastrostomy tube                        A   3.66   1.81NA   1.81    0.56   6.03  6.030000.00.00.0030020       43235 35.8043 090 99      0.00   0.00   0.00
43247  Egd remove foreign body                           A   3.21   8.16     1.70    0.45  11.82  5.360000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43248  Egd guide wire insertion                          A   3.01   8.20     1.64    0.39  11.60  5.040000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43249  Esoph egd dilation <30 mm                         A   2.77  27.32     1.52    0.37  30.46  4.660000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
4325F  Med txmnt options rvwd w/pt                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43250  Egd cautery tumor polyp                           A   3.07   9.40     1.61    0.47  12.94  5.150000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43251  Egd remove lesion snare                           A   3.57  10.11     1.87    0.48  14.16  5.920000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43252  Egd optical endomicroscopy                        A   3.06   6.94     1.60    0.43  10.43  5.090000.00.00.0030100       43235 35.8043 090 99     28.54  28.54   1.76
43253  Egd us transmural injxn/mark                      A   4.83   2.44NA   2.44    0.60   7.87  7.870000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43254  Egd endo mucosal resection                        A   4.97   2.49NA   2.49    0.65   8.11  8.110000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43255  Egd control bleeding any                          A   3.66  16.58     1.92    0.47  20.71  6.050000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43257  Egd w/thrml txmnt gerd                            A   4.25   2.18NA   2.18    0.57   7.00  7.000000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43259  Egd us exam duodenum/jejunum                      A   4.14   2.14NA   2.14    0.52   6.80  6.800000.00.00.0030100       43235 35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43260  Ercp w/specimen collection                        A   5.95   2.93NA   2.93    0.75   9.63  9.630000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43261  Endo cholangiopancreatograph                      A   6.25   3.06NA   3.06    0.80  10.11 10.110000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43262  Endo cholangiopancreatograph                      A   6.60   3.22NA   3.22    0.84  10.66 10.660000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43263  Ercp sphincter pressure meas                      A   6.60   3.22NA   3.22    0.85  10.67 10.670000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43264  Ercp remove duct calculi                          A   6.73   3.28NA   3.28    0.85  10.86 10.860000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43265  Ercp lithotripsy calculi                          A   8.03   3.84NA   3.84    1.02  12.89 12.890000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43266  Egd endoscopic stent place                        A   4.17   2.04NA   2.04    0.59   6.80  6.800000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43270  Egd lesion ablation                               A   4.26  16.52     2.18    0.55  21.33  6.990000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
43273  Endoscopic pancreatoscopy                         A   2.24   0.98NA   0.98    0.29   3.51  3.510ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
43274  Ercp duct stent placement                         A   8.58   4.09NA   4.09    1.09  13.76 13.760000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43275  Ercp remove forgn body duct                       A   6.96   3.38NA   3.38    0.89  11.23 11.230000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43276  Ercp stent exchange w/dilate                      A   8.94   4.25NA   4.25    1.14  14.33 14.330000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43277  Ercp ea duct/ampulla dilate                       A   7.00   3.40NA   3.40    0.89  11.29 11.290000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43278  Ercp lesion ablate w/dilate                       A   8.02   3.84NA   3.84    1.02  12.88 12.880000.00.00.0030100       43260 35.8043 090 99      0.00   0.00   0.00
43279  Lap myotomy heller                                A  22.10  10.22NA  10.22    5.24  37.56 37.560090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4328F  Pt asked re sleep disturb                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43280  Laparoscopy fundoplasty                           A  18.10   9.02NA   9.02    4.28  31.40 31.400090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43281  Lap paraesophag hern repair                       A  26.60  11.99NA  11.99    6.29  44.88 44.880090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43282  Lap paraesoph her rpr w/mesh                      A  30.10  13.26NA  13.26    7.09  50.45 50.450090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43283  Lap esoph lengthening                             A   2.95   0.97NA   0.97    0.70   4.62  4.620ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
43289  Laparoscope proc esoph                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43300  Repair of esophagus                               A   9.33   7.24NA   7.24    1.35  17.92 17.920090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43305  Repair esophagus and fistula                      A  18.10  11.04NA  11.04    2.76  31.90 31.900090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43310  Repair of esophagus                               A  26.26  10.79NA  10.79    6.26  43.31 43.310090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43312  Repair esophagus and fistula                      A  29.25  11.01NA  11.01    6.82  47.08 47.080090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43313  Esophagoplasty congenital                         A  48.45  23.52NA  23.52    6.63  78.60 78.600090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43314  Tracheo-esophagoplasty cong                       A  53.43  26.02NA  26.02   10.38  89.83 89.830090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43320  Fuse esophagus & stomach                          A  23.31  11.51NA  11.51    5.61  40.43 40.430090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43325  Revise esophagus & stomach                        A  22.60  11.02NA  11.02    5.28  38.90 38.900090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43327  Esoph fundoplasty lap                             A  13.35   7.30NA   7.30    3.17  23.82 23.820090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43328  Esoph fundoplasty thor                            A  19.91   8.46NA   8.46    4.66  33.03 33.030090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43330  Esophagomyotomy abdominal                         A  22.19  11.14NA  11.14    5.25  38.58 38.580090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43331  Esophagomyotomy thoracic                          A  23.06  10.70NA  10.70    5.37  39.13 39.130090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43332  Transab esoph hiat hern rpr                       A  19.62   9.46NA   9.46    4.65  33.73 33.730090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43333  Transab esoph hiat hern rpr                       A  21.46  10.20NA  10.20    5.10  36.76 36.760090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43334  Transthor diaphrag hern rpr                       A  22.12   9.16NA   9.16    5.19  36.47 36.470090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43335  Transthor diaphrag hern rpr                       A  23.97   9.47NA   9.47    5.65  39.09 39.090090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43336  Thorabd diaphr hern repair                        A  25.81  12.16NA  12.16    6.02  43.99 43.990090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43337  Thorabd diaphr hern repair                        A  27.65  13.14NA  13.14    6.63  47.42 47.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43338  Esoph lengthening                                 A   2.21   0.66NA   0.66    0.52   3.39  3.390ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
43340  Fuse esophagus & intestine                        A  22.99  11.16NA  11.16    5.45  39.60 39.600090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43341  Fuse esophagus & intestine                        A  24.23  10.92NA  10.92    5.78  40.93 40.930090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43351  Surgical opening esophagus                        A  22.05  10.78NA  10.78    4.64  37.47 37.470090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43352  Surgical opening esophagus                        A  17.81   9.15NA   9.15    4.17  31.13 31.130090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43360  Gastrointestinal repair                           A  40.11  19.23NA  19.23    9.46  68.80 68.800090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43361  Gastrointestinal repair                           A  45.68  18.07NA  18.07   10.63  74.38 74.380090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4340F  Cnslng chldbrng women epi                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43400  Ligate esophagus veins                            A  25.60  14.17NA  14.17    3.33  43.10 43.100090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43401  Esophagus surgery for veins                       A  26.49  12.32NA  12.32    6.46  45.27 45.270090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43405  Ligate/staple esophagus                           A  24.73  11.87NA  11.87    5.90  42.50 42.500090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43410  Repair esophagus wound                            A  16.41  10.22NA  10.22    3.91  30.54 30.540090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43415  Repair esophagus wound                            A  44.88  19.56NA  19.56   10.48  74.92 74.920090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43420  Repair esophagus opening                          A  16.78  10.36NA  10.36    2.39  29.53 29.530090.09.81.1020010             35.8043 090 99      0.00   0.00   0.00
43425  Repair esophagus opening                          A  25.04  11.38NA  11.38    5.48  41.90 41.900090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43450  Dilate esophagus 1/mult pass                      A   1.38   4.45     0.92    0.18   6.01  2.480000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43453  Dilate esophagus                                  A   1.51  25.76     0.97    0.19  27.46  2.670000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43460  Pressure treatment esophagus                      A   3.79   1.97NA   1.97    0.49   6.25  6.250000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43496  Free jejunum flap microvasc                       C   0.00   0.00     0.00    0.00   0.00  0.000090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43499  Esophagus surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
4350F  Cnslng provided symp mngmnt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
43500  Surgical opening of stomach                       A  12.79   7.03NA   7.03    2.90  22.72 22.720090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43501  Surgical repair of stomach                        A  22.60  11.10NA  11.10    5.31  39.01 39.010090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43502  Surgical repair of stomach                        A  25.69  12.35NA  12.35    6.14  44.18 44.180090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43510  Surgical opening of stomach                       A  15.14   8.52NA   8.52    3.68  27.34 27.340090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43520  Incision of pyloric muscle                        A  11.29   5.98NA   5.98    2.66  19.93 19.930090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43605  Biopsy of stomach                                 A  13.72   7.32NA   7.32    3.20  24.24 24.240090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43610  Excision of stomach lesion                        A  16.34   8.25NA   8.25    3.83  28.42 28.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43611  Excision of stomach lesion                        A  20.38  10.28NA  10.28    4.82  35.48 35.480090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43620  Removal of stomach                                A  34.04  14.90NA  14.90    7.85  56.79 56.790090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43621  Removal of stomach                                A  39.53  16.99NA  16.99    9.43  65.95 65.950090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43622  Removal of stomach                                A  40.03  17.48NA  17.48    9.77  67.28 67.280090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43631  Removal of stomach partial                        A  24.51  11.77NA  11.77    5.78  42.06 42.060090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43632  Removal of stomach partial                        A  35.14  15.53NA  15.53    8.34  59.01 59.010090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43633  Removal of stomach partial                        A  33.14  14.77NA  14.77    7.84  55.75 55.750090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43634  Removal of stomach partial                        A  36.64  16.19NA  16.19    8.60  61.43 61.430090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43635  Removal of stomach partial                        A   2.06   0.72NA   0.72    0.49   3.27  3.270ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
43640  Vagotomy & pylorus repair                         A  19.56  10.02NA  10.02    4.62  34.20 34.200090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43641  Vagotomy & pylorus repair                         A  19.81  10.30NA  10.30    4.35  34.46 34.460090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43644  Lap gastric bypass/roux-en-y                      A  29.40  13.96NA  13.96    6.94  50.30 50.300090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43645  Lap gastr bypass incl smll i                      A  31.53  14.72NA  14.72    7.51  53.76 53.760090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43647  Lap impl electrode antrum                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
43648  Lap revise/remv eltrd antrum                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
43651  Laparoscopy vagus nerve                           A  10.13   6.48NA   6.48    2.29  18.90 18.900090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
43652  Laparoscopy vagus nerve                           A  12.13   7.11NA   7.11    2.96  22.20 22.200090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
43653  Laparoscopy gastrostomy                           A   8.48   6.09NA   6.09    2.02  16.59 16.590090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43659  Laparoscope proc stom                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
43752  Nasal/orogastric w/tube plmt                      A   0.81   0.29NA   0.29    0.08   1.18  1.180000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
43753  Tx gastro intub w/asp                             A   0.45   0.12NA   0.12    0.06   0.63  0.630000.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
43754  Dx gastr intub w/asp spec                         A   0.45   2.54     0.47    0.03   3.02  0.950000.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
43755  Dx gastr intub w/asp specs                        A   0.94   2.86     0.64    0.20   4.00  1.780000.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
43756  Dx duod intub w/asp spec                          A   0.77   4.97     0.61    0.10   5.84  1.480000.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
43757  Dx duod intub w/asp specs                         A   1.26   6.83     0.83    0.16   8.25  2.250000.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
43760  Change gastrostomy tube                           A   0.90  12.81     0.33    0.13  13.84  1.360000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43761  Reposition gastrostomy tube                       A   2.01   1.13     0.75    0.21   3.35  2.970000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
43770  Lap place gastr adj device                        A  18.00  10.18NA  10.18    4.28  32.46 32.460090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43771  Lap revise gastr adj device                       A  20.79  11.20NA  11.20    4.95  36.94 36.940090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
43772  Lap rmvl gastr adj device                         A  15.70   8.17NA   8.17    3.65  27.52 27.520090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43773  Lap replace gastr adj device                      A  20.79  11.21NA  11.21    4.81  36.81 36.810090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43774  Lap rmvl gastr adj all parts                      A  15.76   8.36NA   8.36    3.71  27.83 27.830090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
43775  Lap sleeve gastrectomy                            A  20.38   7.23NA   7.23    4.40  32.01 32.010090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43800  Reconstruction of pylorus                         A  15.43   7.89NA   7.89    3.63  26.95 26.950090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43810  Fusion of stomach and bowel                       A  16.88   8.63NA   8.63    4.00  29.51 29.510090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43820  Fusion of stomach and bowel                       A  22.53  11.06NA  11.06    5.32  38.91 38.910090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43825  Fusion of stomach and bowel                       A  21.76  10.89NA  10.89    5.23  37.88 37.880090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43830  Place gastrostomy tube                            A  10.85   6.90NA   6.90    2.52  20.27 20.270090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43831  Place gastrostomy tube                            A   8.49   6.33NA   6.33    2.06  16.88 16.880090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43832  Place gastrostomy tube                            A  17.34   8.83NA   8.83    4.00  30.17 30.170090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43840  Repair of stomach lesion                          A  22.83  11.21NA  11.21    5.38  39.42 39.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43842  V-band gastroplasty                               N+ 21.03  10.56NA  10.56    2.88  34.47 34.479090.09.81.1099999             35.8043 090 99      0.00   0.00   0.00
43843  Gastroplasty w/o v-band                           A  21.21  10.83NA  10.83    5.04  37.08 37.080090.09.81.1020220             35.8043 090 99      0.00   0.00   0.00
43845  Gastroplasty duodenal switch                      A  33.30  15.77NA  15.77    7.93  57.00 57.000090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43846  Gastric bypass for obesity                        A  27.41  12.95NA  12.95    6.44  46.80 46.800090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43847  Gastric bypass incl small i                       A  30.28  14.55NA  14.55    6.67  51.50 51.500090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43848  Revision gastroplasty                             A  32.75  15.41NA  15.41    7.71  55.87 55.870090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43850  Revise stomach-bowel fusion                       A  27.58  13.51NA  13.51    6.00  47.09 47.090090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43855  Revise stomach-bowel fusion                       A  28.69  13.31NA  13.31    5.73  47.73 47.730090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43860  Revise stomach-bowel fusion                       A  27.89  13.05NA  13.05    6.52  47.46 47.460090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43865  Revise stomach-bowel fusion                       A  29.05  13.49NA  13.49    6.88  49.42 49.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43870  Repair stomach opening                            A  11.44   6.55NA   6.55    2.64  20.63 20.630090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43880  Repair stomach-bowel fistula                      A  27.18  12.84NA  12.84    6.36  46.38 46.380090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43881  Impl/redo electrd antrum                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
43882  Revise/remove electrd antrum                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
43886  Revise gastric port open                          A   4.64   4.72NA   4.72    1.10  10.46 10.460090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
43887  Remove gastric port open                          A   4.32   4.00NA   4.00    1.04   9.36  9.360090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
43888  Change gastric port open                          A   6.44   5.30NA   5.30    1.52  13.26 13.260090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
43999  Stomach surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
4400F  Rehab thxpy options w/pt                          M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
44005  Freeing of bowel adhesion                         A  18.46   8.99NA   8.99    4.28  31.73 31.730090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44010  Incision of small bowel                           A  14.26   7.76NA   7.76    3.00  25.02 25.020090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44015  Insert needle cath bowel                          A   2.62   0.90NA   0.90    0.62   4.14  4.140ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
44020  Explore small intestine                           A  16.22   8.26NA   8.26    3.79  28.27 28.270090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44021  Decompress small bowel                            A  16.31   8.25NA   8.25    3.70  28.26 28.260090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44025  Incision of large bowel                           A  16.51   8.33NA   8.33    3.75  28.59 28.590090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44050  Reduce bowel obstruction                          A  15.52   8.00NA   8.00    3.63  27.15 27.150090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44055  Correct malrotation of bowel                      A  25.63  11.78NA  11.78    5.87  43.28 43.280090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44100  Biopsy of bowel                                   A   2.01   0.88NA   0.88    0.27   3.16  3.160000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
44110  Excise intestine lesion(s)                        A  14.04   7.46NA   7.46    3.21  24.71 24.710090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44111  Excision of bowel lesion(s)                       A  16.52   8.41NA   8.41    3.63  28.56 28.560090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44120  Removal of small intestine                        A  20.82   9.86NA   9.86    4.82  35.50 35.500090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44121  Removal of small intestine                        A   4.44   1.59NA   1.59    1.02   7.05  7.050ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
44125  Removal of small intestine                        A  20.03   9.75NA   9.75    4.50  34.28 34.280090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44126  Enterectomy w/o taper cong                        A  42.23  19.19NA  19.19   10.18  71.60 71.600090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44127  Enterectomy w/taper cong                          A  49.30  21.67NA  21.67   11.26  82.23 82.230090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44128  Enterectomy cong add-on                           A   4.44   1.60NA   1.60    1.08   7.12  7.120ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
44130  Bowel to bowel fusion                             A  22.11  10.94NA  10.94    5.04  38.09 38.090090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44132  Enterectomy cadaver donor                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
44133  Enterectomy live donor                            R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
44135  Intestine transplnt cadaver                       R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
44136  Intestine transplant live                         R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
44137  Remove intestinal allograft                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
44139  Mobilization of colon                             A   2.23   0.80NA   0.80    0.50   3.53  3.530ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
44140  Partial removal of colon                          A  22.59  11.16NA  11.16    5.17  38.92 38.920090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44141  Partial removal of colon                          A  29.91  16.24NA  16.24    6.84  52.99 52.990090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44143  Partial removal of colon                          A  27.79  14.17NA  14.17    6.36  48.32 48.320090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44144  Partial removal of colon                          A  29.91  14.66NA  14.66    6.84  51.41 51.410090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44145  Partial removal of colon                          A  28.58  13.35NA  13.35    6.19  48.12 48.120090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44146  Partial removal of colon                          A  35.30  18.63NA  18.63    7.54  61.47 61.470090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44147  Partial removal of colon                          A  33.69  15.17NA  15.17    7.59  56.45 56.450090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44150  Removal of colon                                  A  30.18  17.40NA  17.40    6.68  54.26 54.260090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44151  Removal of colon/ileostomy                        A  34.92  19.17NA  19.17    7.99  62.08 62.080090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44155  Removal of colon/ileostomy                        A  34.42  18.97NA  18.97    7.03  60.42 60.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44156  Removal of colon/ileostomy                        A  37.42  20.70NA  20.70    8.56  66.68 66.680090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44157  Colectomy w/ileoanal anast                        A  35.70  19.11NA  19.11    7.67  62.48 62.480090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44158  Colectomy w/neo-rectum pouch                      A  36.70  19.56NA  19.56    5.45  61.71 61.710090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44160  Removal of colon                                  A  20.89  10.42NA  10.42    4.72  36.03 36.030090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44180  Lap enterolysis                                   A  15.27   7.89NA   7.89    3.48  26.64 26.640090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44186  Lap jejunostomy                                   A  10.38   6.07NA   6.07    2.47  18.92 18.920090.09.84.0720210             35.8043 090 99      0.00   0.00   0.00
44187  Lap ileo/jejuno-stomy                             A  17.40  11.11NA  11.11    3.54  32.05 32.050090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44188  Lap colostomy                                     A  19.35  12.00NA  12.00    4.20  35.55 35.550090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44202  Lap enterectomy                                   A  23.39  11.50NA  11.50    5.37  40.26 40.260090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44203  Lap resect s/intestine addl                       A   4.44   1.59NA   1.59    0.99   7.02  7.020ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
44204  Laparo partial colectomy                          A  26.42  12.55NA  12.55    5.68  44.65 44.650090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44205  Lap colectomy part w/ileum                        A  22.95  11.00NA  11.00    4.88  38.83 38.830090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44206  Lap part colectomy w/stoma                        A  29.79  14.60NA  14.60    6.52  50.91 50.910090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44207  L colectomy/coloproctostomy                       A  31.92  14.42NA  14.42    6.50  52.84 52.840090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44208  L colectomy/coloproctostomy                       A  33.99  16.80NA  16.80    6.87  57.66 57.660090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44210  Laparo total proctocolectomy                      A  30.09  15.73NA  15.73    5.85  51.67 51.670090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44211  Lap colectomy w/proctectomy                       A  37.08  19.32NA  19.32    6.89  63.29 63.290090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44212  Laparo total proctocolectomy                      A  34.58  18.52NA  18.52    6.27  59.37 59.370090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44213  Lap mobil splenic fl add-on                       A   3.50   1.25NA   1.25    0.72   5.47  5.470ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
44227  Lap close enterostomy                             A  28.62  13.43NA  13.43    6.36  48.41 48.410090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44238  Laparoscope proc intestine                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
44300  Open bowel to skin                                A  13.75   7.45NA   7.45    3.22  24.42 24.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44310  Ileostomy/jejunostomy                             A  17.59   8.91NA   8.91    3.78  30.28 30.280090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44312  Revision of ileostomy                             A   9.43   5.81NA   5.81    1.83  17.07 17.070090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
44314  Revision of ileostomy                             A  16.74   8.98NA   8.98    3.35  29.07 29.070090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44316  Devise bowel pouch                                A  23.59  11.76NA  11.76    5.75  41.10 41.100090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44320  Colostomy                                         A  19.91  10.49NA  10.49    4.44  34.84 34.840090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44322  Colostomy with biopsies                           A  13.32  12.43NA  12.43    3.20  28.95 28.950090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44340  Revision of colostomy                             A   9.28   6.75NA   6.75    2.08  18.11 18.110090.09.81.1020110             35.8043 090 99      0.00   0.00   0.00
44345  Revision of colostomy                             A  17.22   9.55NA   9.55    3.72  30.49 30.490090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44346  Revision of colostomy                             A  19.63  10.45NA  10.45    4.22  34.30 34.300090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44360  Small bowel endoscopy                             A   2.59   1.45NA   1.45    0.33   4.37  4.370000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
44361  Small bowel endoscopy/biopsy                      A   2.87   1.58NA   1.58    0.37   4.82  4.820000.00.00.0030100       44360 35.8043 090 99      0.00   0.00   0.00
44363  Small bowel endoscopy                             A   3.49   1.82NA   1.82    0.47   5.78  5.780000.00.00.0030000       44360 35.8043 090 99      0.00   0.00   0.00
44364  Small bowel endoscopy                             A   3.73   1.95NA   1.95    0.47   6.15  6.150000.00.00.0030000       44360 35.8043 090 99      0.00   0.00   0.00
44365  Small bowel endoscopy                             A   3.31   1.76NA   1.76    0.34   5.41  5.410000.00.00.0030000       44360 35.8043 090 99      0.00   0.00   0.00
44366  Small bowel endoscopy                             A   4.40   2.26NA   2.26    0.56   7.22  7.220000.00.00.0030100       44360 35.8043 090 99      0.00   0.00   0.00
44369  Small bowel endoscopy                             A   4.51   2.30NA   2.30    0.57   7.38  7.380000.00.00.0030000       44360 35.8043 090 99      0.00   0.00   0.00
44370  Small bowel endoscopy/stent                       A   4.79   2.55NA   2.55    0.66   8.00  8.000000.00.00.0030000       44360 35.8043 090 99      0.00   0.00   0.00
44372  Small bowel endoscopy                             A   4.40   2.19NA   2.19    0.62   7.21  7.210000.00.00.0030100       44360 35.8043 090 99      0.00   0.00   0.00
44373  Small bowel endoscopy                             A   3.49   1.81NA   1.81    0.50   5.80  5.800000.00.00.0030100       44360 35.8043 090 99      0.00   0.00   0.00
44376  Small bowel endoscopy                             A   5.25   2.55NA   2.55    0.70   8.50  8.500000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
44377  Small bowel endoscopy/biopsy                      A   5.52   2.71NA   2.71    0.74   8.97  8.970000.00.00.0030000       44376 35.8043 090 99      0.00   0.00   0.00
44378  Small bowel endoscopy                             A   7.12   3.45NA   3.45    0.90  11.47 11.470000.00.00.0030000       44376 35.8043 090 99      0.00   0.00   0.00
44379  S bowel endoscope w/stent                         A   7.46   3.77NA   3.77    0.97  12.20 12.200000.00.00.0030000       44376 35.8043 090 99      0.00   0.00   0.00
44380  Small bowel endoscopy br/wa                       A   0.97   5.16     0.71    0.13   6.26  1.810000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
44381  Small bowel endoscopy br/wa                       A   1.48  26.66     0.93    0.23  28.37  2.640000.00.00.0030100       44380 35.8043 090 99      0.00   0.00   0.00
44382  Small bowel endoscopy                             A   1.27   7.63     0.86    0.17   9.07  2.300000.00.00.0030100       44380 35.8043 090 99      0.00   0.00   0.00
44384  Small bowel endoscopy                             A   2.95   1.29NA   1.29    0.35   4.59  4.590000.00.00.0030100       44380 35.8043 090 99      0.00   0.00   0.00
44385  Endoscopy of bowel pouch                          A   1.30   5.42     0.76    0.18   6.90  2.240000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
44386  Endoscopy bowel pouch/biop                        A   1.60   7.89     0.93    0.22   9.71  2.750000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
44388  Colonoscopy thru stoma spx                        A   2.82   6.76     1.47    0.45  10.03  4.740000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
4438853Colonoscopy thru stoma spx                        A   1.41   3.38     0.74    0.19   4.98  2.340000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
44389  Colonoscopy with biopsy                           A   3.12   9.07     1.63    0.45  12.64  5.200000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44390  Colonoscopy for foreign body                      A   3.84   8.28     2.00    0.50  12.62  6.340000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44391  Colonoscopy for bleeding                          A   4.22  16.98     2.14    0.57  21.77  6.930000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44392  Colonoscopy & polypectomy                         A   3.63   7.71     1.80    0.55  11.89  5.980000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44394  Colonoscopy w/snare                               A   4.13   8.64     2.06    0.60  13.37  6.790000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44401  Colonoscopy with ablation                         A   4.44  87.29     2.16    0.67  92.40  7.270000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44402  Colonoscopy w/stent plcmt                         A   4.80   2.35NA   2.35    0.72   7.87  7.870000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44403  Colonoscopy w/resection                           A   5.60   2.64NA   2.64    0.80   9.04  9.040000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44404  Colonoscopy w/injection                           A   3.12   8.51     1.61    0.48  12.11  5.210000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44405  Colonoscopy w/dilation                            A   3.33  13.53     1.70    0.51  17.37  5.540000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44406  Colonoscopy w/ultrasound                          A   4.20   2.06NA   2.06    0.64   6.90  6.900000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44407  Colonoscopy w/ndl aspir/bx                        A   5.06   2.42NA   2.42    0.78   8.26  8.260000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
44408  Colonoscopy w/decompression                       A   4.24   2.08NA   2.08    0.65   6.97  6.970000.00.00.0030100       44388 35.8043 090 99      0.00   0.00   0.00
4450F  Self-care ed provided to pt                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
44500  Intro gastrointestinal tube                       A   0.49   0.18NA   0.18    0.04   0.71  0.710000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
44602  Suture small intestine                            A  24.72  10.58NA  10.58    5.70  41.00 41.000090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44603  Suture small intestine                            A  28.16  12.47NA  12.47    6.38  47.01 47.010090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44604  Suture large intestine                            A  18.16   8.41NA   8.41    4.11  30.68 30.680090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44605  Repair of bowel lesion                            A  22.08  10.81NA  10.81    4.99  37.88 37.880090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44615  Intestinal stricturoplasty                        A  18.16   8.96NA   8.96    4.11  31.23 31.230090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44620  Repair bowel opening                              A  14.43   7.65NA   7.65    3.10  25.18 25.180090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44625  Repair bowel opening                              A  17.28   8.66NA   8.66    3.55  29.49 29.490090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44626  Repair bowel opening                              A  27.90  12.43NA  12.43    6.22  46.55 46.550090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44640  Repair bowel-skin fistula                         A  24.20  11.17NA  11.17    5.33  40.70 40.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44650  Repair bowel fistula                              A  25.12  11.48NA  11.48    5.48  42.08 42.080090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44660  Repair bowel-bladder fistula                      A  23.91  10.51NA  10.51    4.12  38.54 38.540090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44661  Repair bowel-bladder fistula                      A  27.35  12.09NA  12.09    5.56  45.00 45.000090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44680  Surgical revision intestine                       A  17.96   8.87NA   8.87    4.10  30.93 30.930090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4470F  Icd counseling provided                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
44700  Suspend bowel w/prosthesis                        A  17.48   8.74NA   8.74    3.35  29.57 29.570090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44701  Intraop colon lavage add-on                       A   3.10   1.12NA   1.12    0.68   4.90  4.900ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
44705  Prepare fecal microbiota                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
44715  Prepare donor intestine                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
44720  Prep donor intestine/venous                       A   5.00   1.79NA   1.79    1.22   8.01  8.010XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
44721  Prep donor intestine/artery                       A   7.00   2.50NA   2.50    1.71  11.21 11.210XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
44799  Unlisted px small intestine                       I   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
4480F  Pt rcvng ace/arb b-blockertx                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
44800  Excision of bowel pouch                           A  12.05   7.36NA   7.36    2.71  22.12 22.120090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4481F  Pt rcvng ace/arb blker >3mos                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
44820  Excision of mesentery lesion                      A  13.73   7.52NA   7.52    3.08  24.33 24.330090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44850  Repair of mesentery                               A  12.11   6.88NA   6.88    2.80  21.79 21.790090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44899  Bowel surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
44900  Drain appendix abscess open                       A  12.57   6.92NA   6.92    2.90  22.39 22.390090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44950  Appendectomy                                      A  10.60   5.54NA   5.54    2.50  18.64 18.640090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44955  Appendectomy add-on                               A   1.53   0.57NA   0.57    0.34   2.44  2.440ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
44960  Appendectomy                                      A  14.50   7.43NA   7.43    3.43  25.36 25.360090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
44970  Laparoscopy appendectomy                          A   9.45   5.73NA   5.73    2.24  17.42 17.420090.09.81.1020220             35.8043 090 99      0.00   0.00   0.00
44979  Laparoscope proc app                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
4500F  Ref to outpt card rehab prog                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45000  Drainage of pelvic abscess                        A   6.30   4.73NA   4.73    1.19  12.22 12.220090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
45005  Drainage of rectal abscess                        A   2.02   5.39     2.20    0.44   7.85  4.660010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
45020  Drainage of rectal abscess                        A   8.56   6.15NA   6.15    1.81  16.52 16.520090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
4510F  Prev cardrehab qualcardevent                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45100  Biopsy of rectum                                  A   4.04   3.82NA   3.82    0.78   8.64  8.640090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
45108  Removal of anorectal lesion                       A   5.12   4.27NA   4.27    1.20  10.59 10.590090.09.81.1020110             35.8043 090 99      0.00   0.00   0.00
45110  Removal of rectum                                 A  30.76  16.65NA  16.65    6.13  53.54 53.540090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45111  Partial removal of rectum                         A  18.01   9.72NA   9.72    3.74  31.47 31.470090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45112  Removal of rectum                                 A  33.18  15.08NA  15.08    6.19  54.45 54.450090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45113  Partial proctectomy                               A  33.22  16.67NA  16.67    4.95  54.84 54.840090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45114  Partial removal of rectum                         A  30.79  14.52NA  14.52    7.42  52.73 52.730090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45116  Partial removal of rectum                         A  27.72  13.61NA  13.61    6.40  47.73 47.730090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45119  Remove rectum w/reservoir                         A  33.48  16.85NA  16.85    6.09  56.42 56.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45120  Removal of rectum                                 A  26.40  13.32NA  13.32    3.82  43.54 43.540090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45121  Removal of rectum and colon                       A  29.08  14.48NA  14.48    6.84  50.40 50.400090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45123  Partial proctectomy                               A  18.86  10.18NA  10.18    3.39  32.43 32.430090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45126  Pelvic exenteration                               A  49.10  22.75NA  22.75    9.08  80.93 80.930090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
45130  Excision of rectal prolapse                       A  18.50   9.77NA   9.77    3.22  31.49 31.490090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45135  Excision of rectal prolapse                       A  22.36  12.09NA  12.09    5.25  39.70 39.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45136  Excise ileoanal reservior                         A  30.82  17.03NA  17.03    4.57  52.42 52.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45150  Excision of rectal stricture                      A   5.85   4.57NA   4.57    0.85  11.27 11.270090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
45160  Excision of rectal lesion                         A  16.33   9.38NA   9.38    3.90  29.61 29.610090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45171  Exc rect tum transanal part                       A   8.13   7.62NA   7.62    1.63  17.38 17.380090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45172  Exc rect tum transanal full                       A  12.13   9.02NA   9.02    2.24  23.39 23.390090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45190  Destruction rectal tumor                          A  10.42   7.78NA   7.78    1.85  20.05 20.050090.09.81.1020110             35.8043 090 99      0.00   0.00   0.00
4525F  Neuropsychia interven order                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4526F  Neuropsychia interven rcvd                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45300  Proctosigmoidoscopy dx                            A   0.80   2.57     0.63    0.13   3.50  1.560000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
45303  Proctosigmoidoscopy dilate                        A   1.50  25.50     0.89    0.28  27.28  2.670000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45305  Proctosigmoidoscopy w/bx                          A   1.25   4.08     0.80    0.23   5.56  2.280000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45307  Proctosigmoidoscopy fb                            A   1.70   4.55     0.97    0.41   6.66  3.080000.00.00.0030000       45300 35.8043 090 99      0.00   0.00   0.00
45308  Proctosigmoidoscopy removal                       A   1.40   4.43     0.86    0.32   6.15  2.580000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45309  Proctosigmoidoscopy removal                       A   1.50   4.59     0.90    0.35   6.44  2.750000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45315  Proctosigmoidoscopy removal                       A   1.80   4.49     1.08    0.15   6.44  3.030000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45317  Proctosigmoidoscopy bleed                         A   2.00   4.60     1.07    0.33   6.93  3.400000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45320  Proctosigmoidoscopy ablate                        A   1.78   4.74     1.00    0.42   6.94  3.200000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45321  Proctosigmoidoscopy volvul                        A   1.75   1.01NA   1.01    0.35   3.11  3.110000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45327  Proctosigmoidoscopy w/stent                       A   2.00   1.08NA   1.08    0.46   3.54  3.540000.00.00.0030100       45300 35.8043 090 99      0.00   0.00   0.00
45330  Diagnostic sigmoidoscopy                          A   0.84   3.78     0.67    0.12   4.74  1.630000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
45331  Sigmoidoscopy and biopsy                          A   1.14   5.98     0.81    0.15   7.27  2.100000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45332  Sigmoidoscopy w/fb removal                        A   1.86   6.68     1.10    0.28   8.82  3.240000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45333  Sigmoidoscopy & polypectomy                       A   1.65   8.00     1.00    0.25   9.90  2.900000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45334  Sigmoidoscopy for bleeding                        A   2.10  14.91     1.23    0.28  17.29  3.610000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45335  Sigmoidoscopy w/submuc inj                        A   1.14   6.90     0.80    0.16   8.20  2.100000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45337  Sigmoidoscopy & decompress                        A   2.20   1.01NA   1.01    0.32   3.53  3.530000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45338  Sigmoidoscopy w/tumr remove                       A   2.15   6.76     1.23    0.30   9.21  3.680000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45340  Sig w/tndsc balloon dilation                      A   1.35  12.35     0.88    0.20  13.90  2.430000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45341  Sigmoidoscopy w/ultrasound                        A   2.22   1.28NA   1.28    0.29   3.79  3.790000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45342  Sigmoidoscopy w/us guide bx                       A   3.08   1.67NA   1.67    0.39   5.14  5.140000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45346  Sigmoidoscopy w/ablation                          A   2.91  85.14     1.55    0.40  88.45  4.860000.00.00.0030100       45350 35.8043 090 99      0.00   0.00   0.00
45347  Sigmoidoscopy w/plcmt stent                       A   2.82   1.49NA   1.49    0.38   4.69  4.690000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45349  Sigmoidoscopy w/resection                         A   3.62   1.82NA   1.82    0.53   5.97  5.970000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45350  Sgmdsc w/band ligation                            A   1.78  14.52     1.06    0.26  16.56  3.100000.00.00.0030100       45330 35.8043 090 99      0.00   0.00   0.00
45378  Diagnostic colonoscopy                            A   3.36   6.93     1.74    0.48  10.77  5.580000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
4537853Diagnostic colonoscopy                            A   1.68   3.46     0.87    0.24   5.38  2.790000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
45379  Colonoscopy w/fb removal                          A   4.38   8.59     2.19    0.61  13.58  7.180000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45380  Colonoscopy and biopsy                            A   3.66   9.16     1.90    0.49  13.31  6.050000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45381  Colonoscopy submucous njx                         A   3.66   8.66     1.91    0.48  12.80  6.050000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45382  Colonoscopy w/control bleed                       A   4.76  17.14     2.40    0.62  22.52  7.780000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45384  Colonoscopy w/lesion removal                      A   4.17   9.81     2.06    0.63  14.61  6.860000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45385  Colonoscopy w/lesion removal                      A   4.67   8.66     2.34    0.63  13.96  7.640000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45386  Colonoscopy w/balloon dilat                       A   3.87  14.18     1.96    0.55  18.60  6.380000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45388  Colonoscopy w/ablation                            A   4.98  87.24     2.42    0.71  92.93  8.110000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45389  Colonoscopy w/stent plcmt                         A   5.34   2.60NA   2.60    0.74   8.68  8.680000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45390  Colonoscopy w/resection                           A   6.14   2.87NA   2.87    0.90   9.91  9.910000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45391  Colonoscopy w/endoscope us                        A   4.74   2.38NA   2.38    0.61   7.73  7.730000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45392  Colonoscopy w/endoscopic fnb                      A   5.60   2.76NA   2.76    0.74   9.10  9.100000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45393  Colonoscopy w/decompression                       A   4.78   2.11NA   2.11    0.69   7.58  7.580000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45395  Lap removal of rectum                             A  33.00  18.17NA  18.17    6.16  57.33 57.330090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45397  Lap remove rectum w/pouch                         A  36.50  19.53NA  19.53    6.41  62.44 62.440090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45398  Colonoscopy w/band ligation                       A   4.30  15.83     2.10    0.66  20.79  7.060000.00.00.0030100       45378 35.8043 090 99      0.00   0.00   0.00
45399  Unlisted procedure colon                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
4540F  Disease modif pharmacothxpy                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45400  Laparoscopic proc                                 A  19.44  10.15NA  10.15    3.42  33.01 33.010090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45402  Lap proctopexy w/sig resect                       A  26.51  12.70NA  12.70    4.81  44.02 44.020090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4541F  Pt offered tx for pseudobulb                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45499  Laparoscope proc rectum                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
4550F  Noninvas resp support talk                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45500  Repair of rectum                                  A   7.73   6.19NA   6.19    1.12  15.04 15.040090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
45505  Repair of rectum                                  A   8.36   7.15NA   7.15    1.62  17.13 17.130090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
4551F  Nutritional support offered                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4552F  Pt ref for speech lang path                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45520  Treatment of rectal prolapse                      A   0.55   3.85     0.54    0.07   4.47  1.160000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
4553F  Pt asst re end life issues                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4554F  Pt recvd inhal anesthetic                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45540  Correct rectal prolapse                           A  18.12   9.23NA   9.23    3.30  30.65 30.650090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45541  Correct rectal prolapse                           A  14.85   9.38NA   9.38    3.07  27.30 27.300090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4555F  Pt recvd no inhal anesthic                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45550  Repair rectum/remove sigmoid                      A  24.80  12.94NA  12.94    4.52  42.26 42.260090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4556F  Pt w/ 3+ post-op nausea&vom                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45560  Repair of rectocele                               A  11.50   6.82NA   6.82    1.49  19.81 19.810090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45562  Exploration/repair of rectum                      A  17.98  10.69NA  10.69    3.75  32.42 32.420090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45563  Exploration/repair of rectum                      A  26.38  15.08NA  15.08    6.36  47.82 47.820090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
4557F  Pt w/o 3+ post-opnausea&vom                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4558F  Pt recvd 2 rx anti-emet agt                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4559F  1 bodytemp >=35.5cw/in 30min                      M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4560F  Anesth w/o gen/neurax anesth                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4561F  Pt w/ coronary artery stent                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4562F  Pt w/o coronary artery stent                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
4563F  Pt recvd aspirin w/in 24 hrs                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
45800  Repair rect/bladder fistula                       A  20.31  10.77NA  10.77    3.73  34.81 34.810090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45805  Repair fistula w/colostomy                        A  23.32  13.43NA  13.43    5.68  42.43 42.430090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45820  Repair rectourethral fistula                      A  20.37  11.15NA  11.15    2.94  34.46 34.460090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45825  Repair fistula w/colostomy                        A  24.17  12.57NA  12.57    3.29  40.03 40.030090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
45900  Reduction of rectal prolapse                      A   2.99   2.28NA   2.28    0.59   5.86  5.860010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
45905  Dilation of anal sphincter                        A   2.35   2.09NA   2.09    0.45   4.89  4.890010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
45910  Dilation of rectal narrowing                      A   2.85   2.26NA   2.26    0.50   5.61  5.610010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
45915  Remove rectal obstruction                         A   3.19   5.79     2.84    0.50   9.48  6.530010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
45990  Surg dx exam anorectal                            A   1.80   0.97NA   0.97    0.34   3.11  3.110000.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
45999  Rectum surgery procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
46020  Placement of seton                                A   3.00   4.34     3.18    0.58   7.92  6.760010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46030  Removal of rectal marker                          A   1.26   2.49     1.11    0.23   3.98  2.600010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
46040  Incision of rectal abscess                        A   5.37   8.83     5.45    1.13  15.33 11.950090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46045  Incision of rectal abscess                        A   5.87   5.40NA   5.40    1.24  12.51 12.510090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46050  Incision of anal abscess                          A   1.24   4.27     1.33    0.23   5.74  2.800010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46060  Incision of rectal abscess                        A   6.37   6.12NA   6.12    1.25  13.74 13.740090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46070  Incision of anal septum                           A   2.79   3.36NA   3.36    0.38   6.53  6.530090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
46080  Incision of anal sphincter                        A   2.52   4.05     1.56    0.52   7.09  4.600010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46083  Incise external hemorrhoid                        A   1.45   3.33     1.37    0.24   5.02  3.060010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46200  Removal of anal fissure                           A   3.59   8.45     5.10    0.67  12.71  9.360090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46220  Excise anal ext tag/papilla                       A   1.61   3.96     1.50    0.31   5.88  3.420010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46221  Ligation of hemorrhoid(s)                         A   2.36   4.92     2.74    0.37   7.65  5.470010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46230  Removal of anal tags                              A   2.62   4.70     1.87    0.48   7.80  4.970010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46250  Remove ext hem groups 2+                          A   4.25   8.14     3.97    0.88  13.27  9.100090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46255  Remove int/ext hem 1 group                        A   4.96   8.53     4.24    1.01  14.50 10.210090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46257  Remove in/ex hem grp & fiss                       A   5.76   5.27NA   5.27    1.13  12.16 12.160090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46258  Remove in/ex hem grp w/fistu                      A   6.41   5.50NA   5.50    1.56  13.47 13.470090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
46260  Remove in/ex hem groups 2+                        A   6.73   5.62NA   5.62    1.37  13.72 13.720090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46261  Remove in/ex hem grps & fiss                      A   7.76   5.86NA   5.86    1.44  15.06 15.060090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46262  Remove in/ex hem grps w/fist                      A   7.91   6.55NA   6.55    1.45  15.91 15.910090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46270  Remove anal fist subq                             A   4.92   8.60     5.35    1.03  14.55 11.300090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46275  Remove anal fist inter                            A   5.42   8.96     5.49    1.00  15.38 11.910090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46280  Remove anal fist complex                          A   6.39   5.97NA   5.97    1.16  13.52 13.520090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46285  Remove anal fist 2 stage                          A   5.42   8.85     5.48    0.97  15.24 11.870090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46288  Repair anal fistula                               A   7.81   6.62NA   6.62    1.43  15.86 15.860090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46320  Removal of hemorrhoid clot                        A   1.64   3.30     1.25    0.30   5.24  3.190010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46500  Injection into hemorrhoid(s)                      A   1.42   3.90     1.89    0.23   5.55  3.540010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46505  Chemodenervation anal musc                        A   3.18   4.41     3.12    0.58   8.17  6.880010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
46600  Diagnostic anoscopy spx                           A   0.55   1.88     0.54    0.09   2.52  1.180000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
46601  Diagnostic anoscopy                               A   1.60   2.18     0.98    0.12   3.90  2.700000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46604  Anoscopy and dilation                             A   1.03  16.38     0.72    0.17  17.58  1.920000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46606  Anoscopy and biopsy                               A   1.20   5.03     0.80    0.20   6.43  2.200000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46607  Diagnostic anoscopy & biopsy                      A   2.20   3.05     1.23    0.21   5.46  3.640000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46608  Anoscopy remove for body                          A   1.30   5.06     0.79    0.25   6.61  2.340000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46610  Anoscopy remove lesion                            A   1.28   4.90     0.80    0.26   6.44  2.340000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46611  Anoscopy                                          A   1.30   3.49     0.83    0.22   5.01  2.350000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46612  Anoscopy remove lesions                           A   1.50   5.52     0.88    0.32   7.34  2.700000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46614  Anoscopy control bleeding                         A   1.00   2.50     0.71    0.16   3.66  1.870000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46615  Anoscopy                                          A   1.50   2.33     0.90    0.28   4.11  2.680000.00.00.0030100       46600 35.8043 090 99      0.00   0.00   0.00
46700  Repair of anal stricture                          A   9.81   7.34NA   7.34    1.71  18.86 18.860090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46705  Repair of anal stricture                          A   7.43   5.99NA   5.99    1.02  14.44 14.440090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46706  Repr of anal fistula w/glue                       A   2.44   1.99NA   1.99    0.35   4.78  4.780010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46707  Repair anorectal fist w/plug                      A   6.39   6.02NA   6.02    1.33  13.74 13.740090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
46710  Repr per/vag pouch sngl proc                      A  17.14  10.58NA  10.58    2.67  30.39 30.390090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46712  Repr per/vag pouch dbl proc                       A  36.45  19.29NA  19.29    6.08  61.82 61.820090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46715  Rep perf anoper fistu                             A   7.62   6.18NA   6.18    1.86  15.66 15.660090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
46716  Rep perf anoper/vestib fistu                      A  17.54  12.05NA  12.05    2.40  31.99 31.990090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46730  Construction of absent anus                       A  30.65  17.79NA  17.79    4.19  52.63 52.630090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46735  Construction of absent anus                       A  36.14  19.88NA  19.88    4.94  60.96 60.960090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46740  Construction of absent anus                       A  33.90  20.04NA  20.04    8.27  62.21 62.210090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46742  Repair of imperforated anus                       A  40.14  22.17NA  22.17    8.08  70.39 70.390090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46744  Repair of cloacal anomaly                         A  58.94  28.97NA  28.97   14.38 102.29102.290090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46746  Repair of cloacal anomaly                         A  65.44  31.21NA  31.21    8.96 105.61105.610090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46748  Repair of cloacal anomaly                         A  71.42  33.50NA  33.50    9.78 114.70114.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46750  Repair of anal sphincter                          A  12.15   7.78NA   7.78    1.81  21.74 21.740090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46751  Repair of anal sphincter                          A   9.30   6.63NA   6.63    1.27  17.20 17.200090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46753  Reconstruction of anus                            A   8.89   6.60NA   6.60    2.17  17.66 17.660090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46754  Removal of suture from anus                       A   3.01   4.94     3.13    0.41   8.36  6.550010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
46760  Repair of anal sphincter                          A  17.45  11.58NA  11.58    2.46  31.49 31.490090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46761  Repair of anal sphincter                          A  15.29   9.06NA   9.06    2.29  26.64 26.640090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46762  Implant artificial sphincter                      A  14.82   9.64NA   9.64    2.26  26.72 26.720090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
46900  Destruction anal lesion(s)                        A   1.91   4.72     1.76    0.28   6.91  3.950010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46910  Destruction anal lesion(s)                        A   1.91   5.07     1.61    0.34   7.32  3.860010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46916  Cryosurgery anal lesion(s)                        A   1.91   4.37     1.95    0.26   6.54  4.120010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46917  Laser surgery anal lesions                        A   1.91  10.64     1.62    0.26  12.81  3.790010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46922  Excision of anal lesion(s)                        A   1.91   5.33     1.62    0.37   7.61  3.900010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46924  Destruction anal lesion(s)                        A   2.81  11.90     2.02    0.46  15.17  5.290010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46930  Destroy internal hemorrhoids                      A   1.61   4.03     2.39    0.22   5.86  4.220090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
46940  Treatment of anal fissure                         A   2.35   3.79     1.49    0.38   6.52  4.220010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
46942  Treatment of anal fissure                         A   2.07   3.77     1.39    0.32   6.16  3.780010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
46945  Remove by ligat int hem grp                       A   2.21   6.19     3.86    0.42   8.82  6.490090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46946  Remove by ligat int hem grps                      A   2.63   5.86     3.38    0.47   8.96  6.480090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46947  Hemorrhoidopexy by stapling                       A   5.57   4.27NA   4.27    1.20  11.04 11.040090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
46999  Anus surgery procedure                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
47000  Needle biopsy of liver                            A   1.90   8.26     0.91    0.17  10.33  2.980000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47001  Needle biopsy liver add-on                        A   1.90   0.67NA   0.67    0.45   3.02  3.020ZZZ.00.00.0000110             35.8043 090 99      0.00   0.00   0.00
47010  Open drainage liver lesion                        A  19.40  11.07NA  11.07    4.44  34.91 34.910090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47015  Inject/aspirate liver cyst                        A  18.50  10.61NA  10.61    4.08  33.19 33.190090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47100  Wedge biopsy of liver                             A  12.91   8.50NA   8.50    3.04  24.45 24.450090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47120  Partial removal of liver                          A  39.01  19.26NA  19.26    9.31  67.58 67.580090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47122  Extensive removal of liver                        A  59.48  25.87NA  25.87   14.37  99.72 99.720090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47125  Partial removal of liver                          A  53.04  23.48NA  23.48   12.64  89.16 89.160090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47130  Partial removal of liver                          A  57.19  24.94NA  24.94   13.64  95.77 95.770090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47133  Removal of donor liver                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
47135  Transplantation of liver                          R  90.00  44.40NA  44.40   21.44 155.84155.840090.09.81.1020212             35.8043 090 99      0.00   0.00   0.00
47140  Partial removal donor liver                       A  59.40  29.81NA  29.81   14.49 103.70103.700090.09.81.1020212             35.8043 090 99      0.00   0.00   0.00
47141  Partial removal donor liver                       A  71.50  35.01NA  35.01   17.44 123.95123.950090.09.81.1020212             35.8043 090 99      0.00   0.00   0.00
47142  Partial removal donor liver                       A  79.44  37.85NA  37.85   19.37 136.66136.660090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47143  Prep donor liver whole                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
47144  Prep donor liver 3-segment                        C   0.00   0.00     0.00    0.00   0.00  0.000090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47145  Prep donor liver lobe split                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
47146  Prep donor liver/venous                           A   6.00   2.12NA   2.12    1.46   9.58  9.580XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
47147  Prep donor liver/arterial                         A   7.00   2.49NA   2.49    1.66  11.15 11.150XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
47300  Surgery for liver lesion                          A  18.14  10.39NA  10.39    4.27  32.80 32.800090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47350  Repair liver wound                                A  22.49  12.01NA  12.01    5.22  39.72 39.720090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47360  Repair liver wound                                A  31.31  15.40NA  15.40    7.23  53.94 53.940090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47361  Repair liver wound                                A  52.60  23.16NA  23.16   11.94  87.70 87.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47362  Repair liver wound                                A  23.54  12.80NA  12.80    5.70  42.04 42.040090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47370  Laparo ablate liver tumor rf                      A  20.80  10.43NA  10.43    4.94  36.17 36.170090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47371  Laparo ablate liver cryosurg                      A  20.80  10.09NA  10.09    1.81  32.70 32.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47379  Laparoscope procedure liver                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
47380  Open ablate liver tumor rf                        A  24.56  11.68NA  11.68    5.58  41.82 41.820090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47381  Open ablate liver tumor cryo                      A  24.88  11.62NA  11.62    2.16  38.66 38.660090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47382  Percut ablate liver rf                            A  15.22 126.07     5.78    1.35 142.64 22.350010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
47383  Perq abltj lvr cryoablation                       A   9.13 204.02     3.78    1.30 214.45 14.210010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
47399  Liver surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
47400  Incision of liver duct                            A  36.36  17.51NA  17.51    8.56  62.43 62.430090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47420  Incision of bile duct                             A  22.03  11.66NA  11.66    5.23  38.92 38.920090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47425  Incision of bile duct                             A  22.31  11.66NA  11.66    5.29  39.26 39.260090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47460  Incise bile duct sphincter                        A  20.52  11.02NA  11.02    4.80  36.34 36.340090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47480  Incision of gallbladder                           A  13.25   9.01NA   9.01    3.09  25.35 25.350090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47490  Incision of gallbladder                           A   4.76   4.42NA   4.42    0.42   9.60  9.600010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
47531  Injection for cholangiogram                       A   1.80   8.62     0.81    0.17  10.59  2.780000.00.00.0020100             35.8043 090 99      9.61   9.61   0.19
47532  Injection for cholangiogram                       A   4.25  18.62     1.58    0.44  23.31  6.270000.00.00.0020100             35.8043 090 99     59.24  59.24   1.40
47533  Plmt biliary drainage cath                        A   6.00  31.32     2.17    0.71  38.03  8.880000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47534  Plmt biliary drainage cath                        A   8.03  37.90     2.81    0.94  46.87 11.780000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47535  Conversion ext bil drg cath                       A   4.50  26.36     1.70    0.58  31.44  6.780000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47536  Exchange biliary drg cath                         A   2.88  20.06     1.14    0.26  23.20  4.280000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47537  Removal biliary drg cath                          A   1.83   9.40     0.82    0.24  11.47  2.890000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47538  Perq plmt bile duct stent                         A   6.60 120.85     2.37    0.58 128.03  9.550000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47539  Perq plmt bile duct stent                         A   9.00 130.12     3.12    0.79 139.91 12.910000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47540  Perq plmt bile duct stent                         A  10.75 133.77     3.72    0.94 145.46 15.410000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47541  Plmt access bil tree sm bwl                       A   5.61  27.39     2.02    0.58  33.58  8.210000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
47542  Dilate biliary duct/ampulla                       A   2.50  11.61     0.79    0.59  14.70  3.880ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
47543  Endoluminal bx biliary tree                       A   3.07  33.90     1.08    0.73  37.70  4.880ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
47544  Removal duct glbldr calculi                       A   4.29  18.37     1.41    0.55  23.21  6.250ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
47550  Bile duct endoscopy add-on                        A   3.02   1.08NA   1.08    0.72   4.82  4.820ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
47552  Biliary endo perq dx w/speci                      A   6.03   2.45NA   2.45    0.56   9.04  9.040000.00.00.0020110             35.8043 090 99      0.00   0.00   0.00
47553  Biliary endoscopy thru skin                       A   6.34   2.02NA   2.02    0.56   8.92  8.920000.00.00.0030100       47552 35.8043 090 99      0.00   0.00   0.00
47554  Biliary endoscopy thru skin                       A   9.05   3.54NA   3.54    1.28  13.87 13.870000.00.00.0030110       47552 35.8043 090 99      0.00   0.00   0.00
47555  Biliary endoscopy thru skin                       A   7.55   2.47NA   2.47    0.66  10.68 10.680000.00.00.0030100       47552 35.8043 090 99      0.00   0.00   0.00
47556  Biliary endoscopy thru skin                       A   8.55   2.85NA   2.85    0.75  12.15 12.150000.00.00.0030100       47552 35.8043 090 99      0.00   0.00   0.00
47562  Laparoscopic cholecystectomy                      A  10.47   6.11NA   6.11    2.48  19.06 19.060090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47563  Laparo cholecystectomy/graph                      A  11.47   6.51NA   6.51    2.73  20.71 20.710090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47564  Laparo cholecystectomy/explr                      A  18.00   9.99NA   9.99    4.29  32.28 32.280090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47570  Laparo cholecystoenterostomy                      A  12.56   6.68NA   6.68    2.95  22.19 22.190090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47579  Laparoscope proc biliary                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
47600  Removal of gallbladder                            A  17.48   9.34NA   9.34    4.13  30.95 30.950090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47605  Removal of gallbladder                            A  18.48   9.72NA   9.72    4.39  32.59 32.590090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47610  Removal of gallbladder                            A  20.92  10.50NA  10.50    4.97  36.39 36.390090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47612  Removal of gallbladder                            A  21.21  10.59NA  10.59    5.05  36.85 36.850090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47620  Removal of gallbladder                            A  23.07  11.31NA  11.31    5.54  39.92 39.920090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47700  Exploration of bile ducts                         A  16.50   9.85NA   9.85    3.76  30.11 30.110090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47701  Bile duct revision                                A  28.73  14.64NA  14.64    5.83  49.20 49.200090.09.81.1020000             35.8043 090 99      0.00   0.00   0.00
47711  Excision of bile duct tumor                       A  25.90  13.06NA  13.06    6.14  45.10 45.100090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47712  Excision of bile duct tumor                       A  33.72  16.11NA  16.11    7.87  57.70 57.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47715  Excision of bile duct cyst                        A  21.55  11.83NA  11.83    5.25  38.63 38.630090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47720  Fuse gallbladder & bowel                          A  18.34  10.62NA  10.62    4.40  33.36 33.360090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47721  Fuse upper gi structures                          A  21.99  11.99NA  11.99    5.36  39.34 39.340090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47740  Fuse gallbladder & bowel                          A  21.23  11.62NA  11.62    4.90  37.75 37.750090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47741  Fuse gallbladder & bowel                          A  24.21  12.69NA  12.69    5.71  42.61 42.610090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47760  Fuse bile ducts and bowel                         A  38.32  18.02NA  18.02    9.20  65.54 65.540090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47765  Fuse liver ducts & bowel                          A  52.19  23.44NA  23.44   12.41  88.04 88.040090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47780  Fuse bile ducts and bowel                         A  42.32  19.37NA  19.37   10.03  71.72 71.720090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47785  Fuse bile ducts and bowel                         A  56.19  24.63NA  24.63   13.43  94.25 94.250090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47800  Reconstruction of bile ducts                      A  26.17  13.28NA  13.28    6.23  45.68 45.680090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47801  Placement bile duct support                       A  17.60   8.91NA   8.91    2.40  28.91 28.910090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47802  Fuse liver duct & intestine                       A  24.93  13.21NA  13.21    5.66  43.80 43.800090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47900  Suture bile duct injury                           A  22.44  11.96NA  11.96    5.32  39.72 39.720090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
47999  Bile tract surgery procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
48000  Drainage of abdomen                               A  31.95  14.93NA  14.93    7.39  54.27 54.270090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48001  Placement of drain pancreas                       A  39.69  17.54NA  17.54    9.18  66.41 66.410090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48020  Removal of pancreatic stone                       A  19.09  10.37NA  10.37    4.51  33.97 33.970090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48100  Biopsy of pancreas open                           A  14.46   7.90NA   7.90    3.34  25.70 25.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48102  Needle biopsy pancreas                            A   4.70  10.10     1.91    0.42  15.22  7.030010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
48105  Resect/debride pancreas                           A  49.26  21.92NA  21.92   11.56  82.74 82.740090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48120  Removal of pancreas lesion                        A  18.41   9.39NA   9.39    4.33  32.13 32.130090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48140  Partial removal of pancreas                       A  26.32  12.77NA  12.77    6.25  45.34 45.340090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48145  Partial removal of pancreas                       A  27.39  13.26NA  13.26    6.53  47.18 47.180090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48146  Pancreatectomy                                    A  30.60  16.53NA  16.53    7.32  54.45 54.450090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48148  Removal of pancreatic duct                        A  20.39  10.91NA  10.91    4.83  36.13 36.130090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48150  Partial removal of pancreas                       A  52.84  24.78NA  24.78   12.71  90.33 90.330090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48152  Pancreatectomy                                    A  48.65  23.10NA  23.10   11.57  83.32 83.320090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48153  Pancreatectomy                                    A  52.79  24.47NA  24.47   12.58  89.84 89.840090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48154  Pancreatectomy                                    A  48.88  23.51NA  23.51   11.92  84.31 84.310090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48155  Removal of pancreas                               A  29.45  16.14NA  16.14    7.17  52.76 52.760090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48160  Pancreas removal/transplant                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
48400  Injection intraop add-on                          A   1.95   0.86NA   0.86    0.25   3.06  3.060ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
48500  Surgery of pancreatic cyst                        A  18.16  10.74NA  10.74    3.75  32.65 32.650090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48510  Drain pancreatic pseudocyst                       A  17.19  10.34NA  10.34    4.03  31.56 31.560090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48520  Fuse pancreas cyst and bowel                      A  18.15   9.28NA   9.28    4.28  31.71 31.710090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48540  Fuse pancreas cyst and bowel                      A  21.94  10.54NA  10.54    5.22  37.70 37.700090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48545  Pancreatorrhaphy                                  A  22.23  11.23NA  11.23    5.21  38.67 38.670090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48547  Duodenal exclusion                                A  30.38  14.35NA  14.35    7.20  51.93 51.930090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48548  Fuse pancreas and bowel                           A  28.09  13.52NA  13.52    6.65  48.26 48.260090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
48550  Donor pancreatectomy                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
48551  Prep donor pancreas                               C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
48552  Prep donor pancreas/venous                        A   4.30   1.53NA   1.53    0.98   6.81  6.810XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
48554  Transpl allograft pancreas                        R  37.80  27.34NA  27.34    8.90  74.04 74.040090.09.81.1020222             35.8043 090 99      0.00   0.00   0.00
48556  Removal allograft pancreas                        A  19.47  12.69NA  12.69    4.61  36.77 36.770090.09.81.1020222             35.8043 090 99      0.00   0.00   0.00
48999  Pancreas surgery procedure                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
49000  Exploration of abdomen                            A  12.54   6.95NA   6.95    2.85  22.34 22.340090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49002  Reopening of abdomen                              A  17.63   8.67NA   8.67    4.03  30.33 30.330090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49010  Exploration behind abdomen                        A  16.06   7.51NA   7.51    3.50  27.07 27.070090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49020  Drainage abdom abscess open                       A  26.67  13.41NA  13.41    6.06  46.14 46.140090.09.81.1020200             35.8043 090 99      0.00   0.00   0.00
49040  Drain open abdom abscess                          A  16.52   8.71NA   8.71    3.75  28.98 28.980090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49060  Drain open retroperi abscess                      A  18.53   9.26NA   9.26    4.10  31.89 31.890090.09.81.1020110             35.8043 090 99      0.00   0.00   0.00
49062  Drain to peritoneal cavity                        A  12.22   6.42NA   6.42    2.66  21.30 21.300090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49082  Abd paracentesis                                  A   1.24   4.06     0.75    0.16   5.46  2.150000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49083  Abd paracentesis w/imaging                        A   2.00   6.18     0.97    0.18   8.36  3.150000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49084  Peritoneal lavage                                 A   2.00   0.72NA   0.72    0.43   3.15  3.150000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49180  Biopsy abdominal mass                             A   1.73   2.78     0.60    0.15   4.66  2.480000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49185  Sclerotx fluid collection                         A   2.35  25.68     0.98    0.24  28.27  3.570000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
49203  Exc abd tum 5 cm or less                          A  20.13  10.20NA  10.20    4.36  34.69 34.690090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49204  Exc abd tum over 5 cm                             A  26.13  12.57NA  12.57    5.68  44.38 44.380090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49205  Exc abd tum over 10 cm                            A  30.13  14.10NA  14.10    6.73  50.96 50.960090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49215  Excise sacral spine tumor                         A  37.81  18.38NA  18.38    8.12  64.31 64.310090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49220  Multiple surgery abdomen                          A  15.79   8.13NA   8.13    1.81  25.73 25.730090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49250  Excision of umbilicus                             A   9.01   5.92NA   5.92    2.06  16.99 16.990090.09.81.1020110             35.8043 090 99      0.00   0.00   0.00
49255  Removal of omentum                                A  12.56   7.59NA   7.59    2.75  22.90 22.900090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49320  Diag laparo separate proc                         A   5.14   3.22NA   3.22    1.05   9.41  9.410010.10.80.1020200             35.8043 090 99      0.00   0.00   0.00
49321  Laparoscopy biopsy                                A   5.44   3.38NA   3.38    1.17   9.99  9.990010.10.80.1030220       49320 35.8043 090 99      0.00   0.00   0.00
49322  Laparoscopy aspiration                            A   6.01   3.47NA   3.47    1.15  10.63 10.630010.10.80.1030220       49320 35.8043 090 99      0.00   0.00   0.00
49323  Laparo drain lymphocele                           A  10.23   6.14NA   6.14    2.05  18.42 18.420090.10.80.1030220       49320 35.8043 090 99      0.00   0.00   0.00
49324  Lap insert tunnel ip cath                         A   6.32   3.55NA   3.55    1.44  11.31 11.310010.10.80.1030220       49320 35.8043 090 99      0.00   0.00   0.00
49325  Lap revision perm ip cath                         A   6.82   3.68NA   3.68    1.56  12.06 12.060010.10.80.1030220       49320 35.8043 090 99      0.00   0.00   0.00
49326  Lap w/omentopexy add-on                           A   3.50   1.18NA   1.18    0.83   5.51  5.510ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
49327  Lap ins device for rt                             A   2.38   0.85NA   0.85    0.58   3.81  3.810ZZZ.00.00.0000210             35.8043 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  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
49400  Air injection into abdomen                        A   1.88   1.79     0.62    0.22   3.89  2.720000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49402  Remove foreign body adbomen                       A  14.09   7.47NA   7.47    3.26  24.82 24.820090.09.81.1020110             35.8043 090 99      0.00   0.00   0.00
49405  Image cath fluid colxn visc                       A   4.25  20.29     1.52    0.37  24.91  6.140000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49406  Image cath fluid peri/retro                       A   4.25  20.30     1.52    0.37  24.92  6.140000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49407  Image cath fluid trns/vgnl                        A   4.50  15.83     1.62    0.47  20.80  6.590000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49411  Ins mark abd/pel for rt perq                      A   3.82  11.44     1.57    0.34  15.60  5.730000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49412  Ins device for rt guide open                      A   1.50   0.54NA   0.54    0.37   2.41  2.410ZZZ.00.00.0000010             35.8043 090 99      0.00   0.00   0.00
49418  Insert tun ip cath perc                           A   4.21  36.25     1.69    0.44  40.90  6.340000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49419  Insert tun ip cath w/port                         A   7.08   4.37NA   4.37    1.42  12.87 12.870090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
49421  Ins tun ip cath for dial opn                      A   4.21   1.53NA   1.53    0.96   6.70  6.700000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
49422  Remove tunneled ip cath                           A   6.29   3.32NA   3.32    1.42  11.03 11.030010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
49423  Exchange drainage catheter                        A   1.46  14.05     0.50    0.13  15.64  2.090000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49424  Assess cyst contrast inject                       A   0.76   3.34     0.28    0.07   4.17  1.110000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49425  Insert abdomen-venous drain                       A  12.22   6.53NA   6.53    2.47  21.22 21.220090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49426  Revise abdomen-venous shunt                       A  10.41   5.09NA   5.09    2.23  17.73 17.730090.09.81.1020100             35.8043 090 99      0.00   0.00   0.00
49427  Injection abdominal shunt                         A   0.89   0.33NA   0.33    0.12   1.34  1.340000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49428  Ligation of shunt                                 A   6.87   3.98NA   3.98    1.66  12.51 12.510010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
49429  Removal of shunt                                  A   7.44   4.04NA   4.04    1.81  13.29 13.290010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
49435  Insert subq exten to ip cath                      A   2.25   0.71NA   0.71    0.54   3.50  3.500ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
49436  Embedded ip cath exit-site                        A   2.72   2.05NA   2.05    0.64   5.41  5.410010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
49440  Place gastrostomy tube perc                       A   4.18  25.04     1.85    0.40  29.62  6.430010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
49441  Place duod/jej tube perc                          A   4.77  28.03     2.08    0.60  33.40  7.450010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
49442  Place cecostomy tube perc                         A   4.00  23.19     2.07    0.36  27.55  6.430010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
49446  Change g-tube to g-j perc                         A   3.31  24.89     1.11    0.30  28.50  4.720000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49450  Replace g/c tube perc                             A   1.36  17.53     0.46    0.13  19.02  1.950000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49451  Replace duod/jej tube perc                        A   1.84  18.73     0.62    0.18  20.75  2.640000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49452  Replace g-j tube perc                             A   2.86  22.54     0.95    0.25  25.65  4.060000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49460  Fix g/colon tube w/device                         A   0.96  19.86     0.34    0.10  20.92  1.400000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49465  Fluoro exam of g/colon tube                       A   0.62   3.97     0.23    0.05   4.64  0.900000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
49491  Rpr hern preemie reduc                            A  12.53   7.43NA   7.43    3.05  23.01 23.010090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49492  Rpr ing hern premie blocked                       A  15.43   8.56NA   8.56    3.76  27.75 27.750090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49495  Rpr ing hernia baby reduc                         A   6.20   3.76NA   3.76    1.07  11.03 11.030090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49496  Rpr ing hernia baby blocked                       A   9.42   6.08NA   6.08    2.30  17.80 17.800090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49500  Rpr ing hernia init reduce                        A   5.84   3.83NA   3.83    0.72  10.39 10.390090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49501  Rpr ing hernia init blocked                       A   9.36   5.70NA   5.70    1.80  16.86 16.860090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49505  Prp i/hern init reduc >5 yr                       A   7.96   5.23NA   5.23    1.88  15.07 15.070090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49507  Prp i/hern init block >5 yr                       A   9.09   5.70NA   5.70    2.15  16.94 16.940090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49520  Rerepair ing hernia reduce                        A   9.99   5.94NA   5.94    2.37  18.30 18.300090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49521  Rerepair ing hernia blocked                       A  11.48   6.54NA   6.54    2.72  20.74 20.740090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49525  Repair ing hernia sliding                         A   8.93   5.55NA   5.55    2.10  16.58 16.580090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49540  Repair lumbar hernia                              A  10.74   6.21NA   6.21    2.48  19.43 19.430090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49550  Rpr rem hernia init reduce                        A   8.99   5.54NA   5.54    2.12  16.65 16.650090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49553  Rpr fem hernia init blocked                       A   9.92   6.00NA   6.00    2.35  18.27 18.270090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49555  Rerepair fem hernia reduce                        A   9.39   5.69NA   5.69    2.23  17.31 17.310090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49557  Rerepair fem hernia blocked                       A  11.62   6.57NA   6.57    2.77  20.96 20.960090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49560  Rpr ventral hern init reduc                       A  11.92   6.66NA   6.66    2.78  21.36 21.360090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49561  Rpr ventral hern init block                       A  15.38   7.95NA   7.95    3.62  26.95 26.950090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49565  Rerepair ventrl hern reduce                       A  12.37   7.00NA   7.00    2.87  22.24 22.240090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49566  Rerepair ventrl hern block                        A  15.53   8.03NA   8.03    3.64  27.20 27.200090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49568  Hernia repair w/mesh                              A   4.88   1.75NA   1.75    1.14   7.77  7.770ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
49570  Rpr epigastric hern reduce                        A   6.05   4.57NA   4.57    1.42  12.04 12.040090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49572  Rpr epigastric hern blocked                       A   7.87   5.20NA   5.20    1.86  14.93 14.930090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49580  Rpr umbil hern reduc < 5 yr                       A   4.47   4.05NA   4.05    1.09   9.61  9.610090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49582  Rpr umbil hern block < 5 yr                       A   7.13   5.11NA   5.11    1.74  13.98 13.980090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49585  Rpr umbil hern reduc > 5 yr                       A   6.59   4.72NA   4.72    1.55  12.86 12.860090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49587  Rpr umbil hern block > 5 yr                       A   7.08   5.00NA   5.00    1.68  13.76 13.760090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49590  Repair spigelian hernia                           A   8.90   5.58NA   5.58    2.09  16.57 16.570090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49600  Repair umbilical lesion                           A  11.55   6.52NA   6.52    2.26  20.33 20.330090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49605  Repair umbilical lesion                           A  87.09  35.31NA  35.31   21.24 143.64143.640090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49606  Repair umbilical lesion                           A  19.00   9.16NA   9.16    4.22  32.38 32.380090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49610  Repair umbilical lesion                           A  10.91   6.38NA   6.38    2.66  19.95 19.950090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49611  Repair umbilical lesion                           A   9.34   5.93NA   5.93    2.28  17.55 17.550090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49650  Lap ing hernia repair init                        A   6.36   4.53NA   4.53    1.50  12.39 12.390090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49651  Lap ing hernia repair recur                       A   8.38   5.74NA   5.74    1.98  16.10 16.100090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49652  Lap vent/abd hernia repair                        A  11.92   6.83NA   6.83    2.81  21.56 21.560090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49653  Lap vent/abd hern proc comp                       A  14.94   8.42NA   8.42    3.53  26.89 26.890090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49654  Lap inc hernia repair                             A  13.76   7.49NA   7.49    3.25  24.50 24.500090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49655  Lap inc hern repair comp                          A  16.84   9.10NA   9.10    3.98  29.92 29.920090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49656  Lap inc hernia repair recur                       A  15.08   7.98NA   7.98    3.56  26.62 26.620090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49657  Lap inc hern recur comp                           A  22.11  10.95NA  10.95    5.20  38.26 38.260090.09.81.1021210             35.8043 090 99      0.00   0.00   0.00
49659  Laparo proc hernia repair                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
49900  Repair of abdominal wall                          A  12.41   8.35NA   8.35    2.81  23.57 23.570090.09.81.1020210             35.8043 090 99      0.00   0.00   0.00
49904  Omental flap extra-abdom                          A  22.35  14.20NA  14.20    4.71  41.26 41.260090.10.80.1020111             35.8043 090 99      0.00   0.00   0.00
49905  Omental flap intra-abdom                          A   6.54   2.33NA   2.33    1.39  10.26 10.260ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
49906  Free omental flap microvasc                       C   0.00   0.00     0.00    0.00   0.00  0.000090.09.81.1020110             35.8043 090 99      0.00   0.00   0.00
49999  Abdomen surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
50010  Exploration of kidney                             A  12.28   6.92NA   6.92    2.09  21.29 21.290090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50020  Renal abscess open drain                          A  18.08   9.07NA   9.07    2.10  29.25 29.250090.08.83.0920110             35.8043 090 99      0.00   0.00   0.00
50040  Drainage of kidney                                A  16.68   8.08NA   8.08    1.86  26.62 26.620090.08.83.0921110             35.8043 090 99      0.00   0.00   0.00
50045  Exploration of kidney                             A  16.82   8.48NA   8.48    2.38  27.68 27.680090.08.83.0921210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
50060  Removal of kidney stone                           A  20.95   9.52NA   9.52    2.40  32.87 32.870090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50065  Incision of kidney                                A  22.32   9.95NA   9.95    2.48  34.75 34.750090.08.83.0921200             35.8043 090 99      0.00   0.00   0.00
50070  Incision of kidney                                A  21.85   9.80NA   9.80    2.43  34.08 34.080090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50075  Removal of kidney stone                           A  27.09  11.80NA  11.80    3.01  41.90 41.900090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50080  Removal of kidney stone                           A  15.74   7.50NA   7.50    1.76  25.00 25.000090.08.83.0921100             35.8043 090 99      0.00   0.00   0.00
50081  Removal of kidney stone                           A  23.50  10.58NA  10.58    2.62  36.70 36.700090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
5010F  Macul result phy/qhp mng dm                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
50100  Revise kidney blood vessels                       A  17.45  10.25NA  10.25    2.82  30.52 30.520090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50120  Exploration of kidney                             A  17.21   8.16NA   8.16    1.92  27.29 27.290090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50125  Explore and drain kidney                          A  17.82   9.41NA   9.41    2.44  29.67 29.670090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50130  Removal of kidney stone                           A  18.82   8.77NA   8.77    2.09  29.68 29.680090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50135  Exploration of kidney                             A  20.59   9.51NA   9.51    2.64  32.74 32.740090.08.83.0921210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
5020F  Txmnts 2 phys/qhp by 1 mon                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
50200  Renal biopsy perq                                 A   2.63  14.60     1.22    0.26  17.49  4.110000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50205  Renal biopsy open                                 A  12.29   6.79NA   6.79    2.72  21.80 21.800090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50220  Remove kidney open                                A  18.68   8.87NA   8.87    2.58  30.13 30.130090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50225  Removal kidney open complex                       A  21.88   9.95NA   9.95    2.80  34.63 34.630090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50230  Removal kidney open radical                       A  23.81  10.23NA  10.23    2.82  36.86 36.860090.08.83.0921220             35.8043 090 99      0.00   0.00   0.00
50234  Removal of kidney & ureter                        A  24.05  10.56NA  10.56    2.79  37.40 37.400090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50236  Removal of kidney & ureter                        A  26.94  12.17NA  12.17    3.09  42.20 42.200090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50240  Partial removal of kidney                         A  24.21  11.09NA  11.09    2.77  38.07 38.070090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50250  Cryoablate renal mass open                        A  22.22  10.30NA  10.30    2.46  34.98 34.980090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50280  Removal of kidney lesion                          A  17.09   8.27NA   8.27    2.07  27.43 27.430090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50290  Removal of kidney lesion                          A  16.15   7.87NA   7.87    1.80  25.82 25.820090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50300  Remove cadaver donor kidney                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
50320  Remove kidney living donor                        A  22.43  14.62NA  14.62    4.87  41.92 41.920090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50323  Prep cadaver renal allograft                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
50325  Prep donor renal graft                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
50327  Prep renal graft/venous                           A   4.00   1.40NA   1.40    0.90   6.30  6.300XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
50328  Prep renal graft/arterial                         A   3.50   1.24NA   1.24    0.79   5.53  5.530XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
50329  Prep renal graft/ureteral                         A   3.34   1.16NA   1.16    0.67   5.17  5.170XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
50340  Removal of kidney                                 A  14.04   9.81NA   9.81    3.23  27.08 27.080090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50360  Transplantation of kidney                         A  39.88  21.03NA  21.03    9.19  70.10 70.100090.08.83.0920222             35.8043 090 99      0.00   0.00   0.00
50365  Transplantation of kidney                         A  46.13  25.71NA  25.71   10.11  81.95 81.950090.08.83.0921222             35.8043 090 99      0.00   0.00   0.00
50370  Remove transplanted kidney                        A  18.88  11.61NA  11.61    4.23  34.72 34.720090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50380  Reimplantation of kidney                          A  30.11  20.08NA  20.08    7.32  57.51 57.510090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50382  Change ureter stent percut                        A   5.50  27.81     1.84    0.50  33.81  7.840000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50384  Remove ureter stent percut                        A   5.00  21.51     1.66    0.46  26.97  7.120000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50385  Change stent via transureth                       A   4.44  27.62     1.82    0.45  32.51  6.710000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50386  Remove stent via transureth                       A   3.30  17.53     1.44    0.36  21.19  5.100000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50387  Change nephroureteral cath                        A   2.00  13.34     0.65    0.17  15.51  2.820000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50389  Remove renal tube w/fluoro                        A   1.10   7.25     0.37    0.10   8.45  1.570000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50390  Drainage of kidney lesion                         A   1.96   0.67NA   0.67    0.17   2.80  2.800000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50391  Instll rx agnt into rnal tub                      A   1.96   1.32     0.66    0.20   3.48  2.820000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50395  Create passage to kidney                          A   3.37   1.48NA   1.48    0.32   5.17  5.170000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50396  Measure kidney pressure                           A   2.09   1.14NA   1.14    0.18   3.41  3.410000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50400  Revision of kidney/ureter                         A  21.27   9.58NA   9.58    2.47  33.32 33.320090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50405  Revision of kidney/ureter                         A  25.86  11.40NA  11.40    2.92  40.18 40.180090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50430  Njx px nfrosgrm &/urtrgrm                         A   3.15  11.39     1.41    0.28  14.82  4.840000.00.00.0021000             35.8043 090 99     14.25  14.25   0.35
50431  Njx px nfrosgrm &/urtrgrm                         A   1.10   3.41     0.72    0.10   4.61  1.920000.00.00.0021100             35.8043 090 99     14.19  14.19   0.41
50432  Plmt nephrostomy catheter                         A   4.25  19.41     1.78    0.37  24.03  6.400000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50433  Plmt nephroureteral catheter                      A   5.30  26.57     2.12    0.47  32.34  7.890000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50434  Convert nephrostomy catheter                      A   4.00  21.23     1.69    0.36  25.59  6.050000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50435  Exchange nephrostomy cath                         A   1.82  11.45     0.96    0.16  13.43  2.940000.00.00.0021100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
50500  Repair of kidney wound                            A  21.22  10.75NA  10.75    4.91  36.88 36.880090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50520  Close kidney-skin fistula                         A  18.88   9.81NA   9.81    3.91  32.60 32.600090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50525  Close nephrovisceral fistula                      A  24.39  12.24NA  12.24    4.57  41.20 41.200090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50526  Close nephrovisceral fistula                      A  26.31  12.83NA  12.83    3.60  42.74 42.740090.08.83.0920200             35.8043 090 99      0.00   0.00   0.00
50540  Revision of horseshoe kidney                      A  21.10   9.25NA   9.25    2.78  33.13 33.130090.08.83.0922210             35.8043 090 99      0.00   0.00   0.00
50541  Laparo ablate renal cyst                          A  16.86   7.66NA   7.66    1.92  26.44 26.440090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50542  Laparo ablate renal mass                          A  21.36   9.78NA   9.78    2.41  33.55 33.550090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50543  Laparo partial nephrectomy                        A  27.41  12.29NA  12.29    3.06  42.76 42.760090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50544  Laparoscopy pyeloplasty                           A  23.37   9.84NA   9.84    2.59  35.80 35.800090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50545  Laparo radical nephrectomy                        A  25.06  10.64NA  10.64    2.84  38.54 38.540090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50546  Laparoscopic nephrectomy                          A  21.87  10.08NA  10.08    2.66  34.61 34.610090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50547  Laparo removal donor kidney                       A  26.34  14.69NA  14.69    5.53  46.56 46.560090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50548  Laparo remove w/ureter                            A  25.36  10.53NA  10.53    2.87  38.76 38.760090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50549  Laparoscope proc renal                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
50551  Kidney endoscopy                                  A   5.59   4.09     2.28    0.62  10.30  8.490000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50553  Kidney endoscopy                                  A   5.98   4.32     2.35    0.64  10.94  8.970000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50555  Kidney endoscopy & biopsy                         A   6.52   4.52     2.56    0.72  11.76  9.800000.00.00.0031000       50551 35.8043 090 99      0.00   0.00   0.00
50557  Kidney endoscopy & treatment                      A   6.61   4.66     2.63    0.74  12.01  9.980000.00.00.0031000       50551 35.8043 090 99      0.00   0.00   0.00
50561  Kidney endoscopy & treatment                      A   7.58   5.20     2.96    0.85  13.63 11.390000.00.00.0031000       50551 35.8043 090 99      0.00   0.00   0.00
50562  Renal scope w/tumor resect                        A  10.90   4.62NA   4.62    1.21  16.73 16.730090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50570  Kidney endoscopy                                  A   9.53   3.58NA   3.58    1.06  14.17 14.170000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50572  Kidney endoscopy                                  A  10.33   3.85NA   3.85    1.15  15.33 15.330000.00.00.0031000       50570 35.8043 090 99      0.00   0.00   0.00
50574  Kidney endoscopy & biopsy                         A  11.00   4.08NA   4.08    1.22  16.30 16.300000.00.00.0031000       50570 35.8043 090 99      0.00   0.00   0.00
50575  Kidney endoscopy                                  A  13.96   5.08NA   5.08    1.55  20.59 20.590000.00.00.0031100       50570 35.8043 090 99      0.00   0.00   0.00
50576  Kidney endoscopy & treatment                      A  10.97   4.07NA   4.07    1.25  16.29 16.290000.00.00.0031000       50570 35.8043 090 99      0.00   0.00   0.00
50580  Kidney endoscopy & treatment                      A  11.84   4.37NA   4.37    1.34  17.55 17.550000.00.00.0031000       50570 35.8043 090 99      0.00   0.00   0.00
50590  Fragmenting of kidney stone                       A   9.77   9.67     5.46    1.09  20.53 16.320090.08.83.0921100             35.8043 090 99      0.00   0.00   0.00
50592  Perc rf ablate renal tumor                        A   6.80  64.92     3.05    0.61  72.33 10.460010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
50593  Perc cryo ablate renal tum                        A   9.13 121.90     3.92    0.82 131.85 13.870010.10.80.1021200             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
50600  Exploration of ureter                             A  17.17   7.84NA   7.84    2.12  27.13 27.130090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50605  Insert ureteral support                           A  16.79   8.43NA   8.43    3.18  28.40 28.400090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50606  Endoluminal bx urtr rnl plvs                      A   3.16  11.51     1.05    0.35  15.02  4.560ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
50610  Removal of ureter stone                           A  17.25   8.61NA   8.61    2.26  28.12 28.120090.08.83.0921210             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
50620  Removal of ureter stone                           A  16.43   7.75NA   7.75    1.91  26.09 26.090090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50630  Removal of ureter stone                           A  16.21   7.57NA   7.57    1.84  25.62 25.620090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50650  Removal of ureter                                 A  18.82   8.79NA   8.79    2.17  29.78 29.780090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50660  Removal of ureter                                 A  21.02   9.53NA   9.53    2.50  33.05 33.050090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50684  Injection for ureter x-ray                        A   0.76   2.18     0.61    0.08   3.02  1.450000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50686  Measure ureter pressure                           A   1.51   2.40     0.86    0.17   4.08  2.540000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
50688  Change of ureter tube/stent                       A   1.20   0.99NA   0.99    0.11   2.30  2.300010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
50690  Injection for ureter x-ray                        A   1.16   1.54     0.76    0.11   2.81  2.030000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
50693  Plmt ureteral stent prq                           A   4.21  25.52     1.75    0.37  30.10  6.330000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50694  Plmt ureteral stent prq                           A   5.50  27.16     2.19    0.49  33.15  8.180000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50695  Plmt ureteral stent prq                           A   7.05  32.75     2.71    0.62  40.42 10.380000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
50700  Revision of ureter                                A  16.69   8.10NA   8.10    1.99  26.78 26.780090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50705  Ureteral embolization/occl                        A   4.03  43.96     1.34    0.47  48.46  5.840ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
50706  Balloon dilate urtrl strix                        A   3.80  17.58     1.27    0.36  21.74  5.430ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
50715  Release of ureter                                 A  20.64  10.65NA  10.65    3.86  35.15 35.150090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50722  Release of ureter                                 A  17.95   9.28NA   9.28    2.13  29.36 29.360090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50725  Release/revise ureter                             A  20.20   9.52NA   9.52    2.75  32.47 32.470090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50727  Revise ureter                                     A   8.28   5.28NA   5.28    1.01  14.57 14.570090.08.83.0920220             35.8043 090 99      0.00   0.00   0.00
50728  Revise ureter                                     A  12.18   6.58NA   6.58    1.38  20.14 20.140090.08.83.0920220             35.8043 090 99      0.00   0.00   0.00
50740  Fusion of ureter & kidney                         A  20.07  10.51NA  10.51    4.89  35.47 35.470090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50750  Fusion of ureter & kidney                         A  21.22   9.58NA   9.58    2.36  33.16 33.160090.08.83.0921200             35.8043 090 99      0.00   0.00   0.00
50760  Fusion of ureters                                 A  20.07   9.49NA   9.49    2.98  32.54 32.540090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50770  Splicing of ureters                               A  21.22   9.41NA   9.41    2.48  33.11 33.110090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50780  Reimplant ureter in bladder                       A  19.95   9.31NA   9.31    2.63  31.89 31.890090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50782  Reimplant ureter in bladder                       A  19.66   6.54NA   6.54    4.13  30.33 30.330090.08.83.0921220             35.8043 090 99      0.00   0.00   0.00
50783  Reimplant ureter in bladder                       A  20.70   9.40NA   9.40    2.47  32.57 32.570090.08.83.0921220             35.8043 090 99      0.00   0.00   0.00
50785  Reimplant ureter in bladder                       A  22.23  10.03NA  10.03    2.64  34.90 34.900090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50800  Implant ureter in bowel                           A  16.41   8.21NA   8.21    1.95  26.57 26.570090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50810  Fusion of ureter & bowel                          A  22.61  10.78NA  10.78    2.88  36.27 36.270090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50815  Urine shunt to intestine                          A  22.26  10.41NA  10.41    2.54  35.21 35.210090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50820  Construct bowel bladder                           A  24.07  10.86NA  10.86    2.89  37.82 37.820090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50825  Construct bowel bladder                           A  30.68  13.37NA  13.37    3.62  47.67 47.670090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50830  Revise urine flow                                 A  33.77  14.38NA  14.38    3.96  52.11 52.110090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50840  Replace ureter by bowel                           A  22.39  10.47NA  10.47    2.56  35.42 35.420090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50845  Appendico-vesicostomy                             A  22.46  10.95NA  10.95    2.53  35.94 35.940090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50860  Transplant ureter to skin                         A  17.08   8.19NA   8.19    1.90  27.17 27.170090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50900  Repair of ureter                                  A  15.04   7.62NA   7.62    2.10  24.76 24.760090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50920  Closure ureter/skin fistula                       A  15.81   7.90NA   7.90    1.67  25.38 25.380090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50930  Closure ureter/bowel fistula                      A  20.19   9.70NA   9.70    4.06  33.95 33.950090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
50940  Release of ureter                                 A  15.93   7.85NA   7.85    1.71  25.49 25.490090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50945  Laparoscopy ureterolithotomy                      A  17.97   8.02NA   8.02    1.97  27.96 27.960090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50947  Laparo new ureter/bladder                         A  25.78  11.21NA  11.21    2.99  39.98 39.980090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50948  Laparo new ureter/bladder                         A  23.82  10.20NA  10.20    2.70  36.72 36.720090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
50949  Laparoscope proc ureter                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
50951  Endoscopy of ureter                               A   5.83   4.27     2.36    0.65  10.75  8.840000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50953  Endoscopy of ureter                               A   6.23   4.44     2.46    0.68  11.35  9.370000.00.00.0031000       50951 35.8043 090 99      0.00   0.00   0.00
50955  Ureter endoscopy & biopsy                         A   6.74   4.68     2.67    0.75  12.17 10.160000.00.00.0031000       50951 35.8043 090 99      0.00   0.00   0.00
50957  Ureter endoscopy & treatment                      A   6.78   4.75     2.69    0.75  12.28 10.220000.00.00.0031000       50951 35.8043 090 99      0.00   0.00   0.00
50961  Ureter endoscopy & treatment                      A   6.04   4.36     2.44    0.67  11.07  9.150000.00.00.0031000       50951 35.8043 090 99      0.00   0.00   0.00
50970  Ureter endoscopy                                  A   7.13   2.81NA   2.81    0.79  10.73 10.730000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50972  Ureter endoscopy & catheter                       A   6.88   2.70NA   2.70    0.86  10.44 10.440000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
50974  Ureter endoscopy & biopsy                         A   9.16   3.46NA   3.46    1.02  13.64 13.640000.00.00.0031000       50970 35.8043 090 99      0.00   0.00   0.00
50976  Ureter endoscopy & treatment                      A   9.03   3.41NA   3.41    0.98  13.42 13.420000.00.00.0031000       50970 35.8043 090 99      0.00   0.00   0.00
50980  Ureter endoscopy & treatment                      A   6.84   2.62NA   2.62    0.75  10.21 10.210000.00.00.0021000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
51020  Incise & treat bladder                            A   7.69   4.92NA   4.92    0.87  13.48 13.480090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51030  Incise & treat bladder                            A   7.81   5.04NA   5.04    0.82  13.67 13.670090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
51040  Incise & drain bladder                            A   4.49   3.30NA   3.30    0.51   8.30  8.300090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51045  Incise bladder/drain ureter                       A   7.81   5.14NA   5.14    1.17  14.12 14.120090.08.83.0920200             35.8043 090 99      0.00   0.00   0.00
51050  Removal of bladder stone                          A   7.97   4.70NA   4.70    0.89  13.56 13.560090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51060  Removal of ureter stone                           A   9.95   5.72NA   5.72    1.09  16.76 16.760090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51065  Remove ureter calculus                            A   9.95   5.55NA   5.55    1.11  16.61 16.610090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
51080  Drainage of bladder abscess                       A   6.71   4.28NA   4.28    0.78  11.77 11.770090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51100  Drain bladder by needle                           A   0.78   0.87     0.26    0.09   1.74  1.130000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51101  Drain bladder by trocar/cath                      A   1.02   2.39     0.36    0.12   3.53  1.500000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51102  Drain bl w/cath insertion                         A   2.70   3.47     1.18    0.29   6.46  4.170000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51500  Removal of bladder cyst                           A  11.05   6.00NA   6.00    1.29  18.34 18.340090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51520  Removal of bladder lesion                         A  10.21   5.74NA   5.74    1.24  17.19 17.190090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51525  Removal of bladder lesion                         A  15.42   7.51NA   7.51    1.77  24.70 24.700090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51530  Removal of bladder lesion                         A  13.71   7.21NA   7.21    1.98  22.90 22.900090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51535  Repair of ureter lesion                           A  13.90   6.95NA   6.95    1.55  22.40 22.400090.08.83.0921210             35.8043 090 99      0.00   0.00   0.00
51550  Partial removal of bladder                        A  17.23   8.26NA   8.26    2.25  27.74 27.740090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51555  Partial removal of bladder                        A  23.18  10.44NA  10.44    2.87  36.49 36.490090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51565  Revise bladder & ureter(s)                        A  23.68  10.82NA  10.82    2.90  37.40 37.400090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51570  Removal of bladder                                A  27.46  11.85NA  11.85    3.21  42.52 42.520090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51575  Removal of bladder & nodes                        A  34.18  14.39NA  14.39    3.87  52.44 52.440090.08.83.0922210             35.8043 090 99      0.00   0.00   0.00
51580  Remove bladder/revise tract                       A  35.37  15.20NA  15.20    3.94  54.51 54.510090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51585  Removal of bladder & nodes                        A  39.64  16.55NA  16.55    4.46  60.65 60.650090.08.83.0922210             35.8043 090 99      0.00   0.00   0.00
51590  Remove bladder/revise tract                       A  36.33  15.12NA  15.12    4.20  55.65 55.650090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51595  Remove bladder/revise tract                       A  41.32  16.99NA  16.99    4.65  62.96 62.960090.08.83.0922210             35.8043 090 99      0.00   0.00   0.00
51596  Remove bladder/create pouch                       A  44.26  18.42NA  18.42    4.97  67.65 67.650090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51597  Removal of pelvic structures                      A  42.86  18.12NA  18.12    5.13  66.11 66.110090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51600  Injection for bladder x-ray                       A   0.88   4.24     0.31    0.09   5.21  1.280000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51605  Preparation for bladder xray                      A   0.64   0.39NA   0.39    0.07   1.10  1.100000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51610  Injection for bladder x-ray                       A   1.05   1.88     0.70    0.10   3.03  1.850000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51700  Irrigation of bladder                             A   0.88   1.38     0.31    0.10   2.36  1.290000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51701  Insert bladder catheter                           A   0.50   0.99     0.24    0.06   1.55  0.800000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51702  Insert temp bladder cath                          A   0.50   1.43     0.31    0.06   1.99  0.870000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51703  Insert bladder cath complex                       A   1.47   2.05     0.71    0.16   3.68  2.340000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51705  Change of bladder tube                            A   0.90   1.58     0.49    0.10   2.58  1.490000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51710  Change of bladder tube                            A   1.35   2.15     0.80    0.15   3.65  2.300000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51715  Endoscopic injection/implant                      A   3.73   4.12     1.60    0.42   8.27  5.750000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51720  Treatment of bladder lesion                       A   1.50   1.44     0.64    0.16   3.10  2.300000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51725  Simple cystometrogram                             A   1.51   3.65     3.65NA  0.14   5.30  5.301000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51725TCSimple cystometrogram                             A   0.00   3.10     3.10NA  0.01   3.11  3.111000.00.00.0020000             35.8043 020 99      0.00   0.00   0.00
5172526Simple cystometrogram                             A   1.51   0.55     0.55    0.13   2.19  2.191000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51726  Complex cystometrogram                            A   1.71   5.57     5.57NA  0.16   7.44  7.441000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51726TCComplex cystometrogram                            A   0.00   4.97     4.97NA  0.02   4.99  4.991000.00.00.0020100             35.8043 020 99      0.00   0.00   0.00
5172626Complex cystometrogram                            A   1.71   0.60     0.60    0.14   2.45  2.451000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51727  Cystometrogram w/up                               A   2.11   6.50     6.50NA  0.20   8.81  8.811000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51727TCCystometrogram w/up                               A   0.00   5.72     5.72NA  0.02   5.74  5.741000.00.00.0020000             35.8043 020 99      0.00   0.00   0.00
5172726Cystometrogram w/up                               A   2.11   0.78     0.78    0.18   3.07  3.071000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51728  Cystometrogram w/vp                               A   2.11   6.59     6.59NA  0.19   8.89  8.891000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51728TCCystometrogram w/vp                               A   0.00   5.87     5.87NA  0.02   5.89  5.891000.00.00.0020000             35.8043 020 99      0.00   0.00   0.00
5172826Cystometrogram w/vp                               A   2.11   0.72     0.72    0.17   3.00  3.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51729  Cystometrogram w/vp&up                            A   2.51   6.87     6.87NA  0.23   9.61  9.611000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51729TCCystometrogram w/vp&up                            A   0.00   5.96     5.96NA  0.02   5.98  5.981000.00.00.0020000             35.8043 020 99      0.00   0.00   0.00
5172926Cystometrogram w/vp&up                            A   2.51   0.91     0.91    0.21   3.63  3.631000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51736  Urine flow measurement                            A   0.17   0.25     0.25NA  0.02   0.44  0.441XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51736TCUrine flow measurement                            A   0.00   0.19     0.19NA  0.01   0.20  0.201XXX.00.00.0020000             35.8043 020 99      0.00   0.00   0.00
5173626Urine flow measurement                            A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51741  Electro-uroflowmetry first                        A   0.17   0.26     0.26NA  0.02   0.45  0.451XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51741TCElectro-uroflowmetry first                        A   0.00   0.20     0.20NA  0.01   0.21  0.211XXX.00.00.0020100             35.8043 020 99      0.00   0.00   0.00
5174126Electro-uroflowmetry first                        A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51784  Anal/urinary muscle study                         A   1.53   3.76     3.76NA  0.15   5.44  5.441000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51784TCAnal/urinary muscle study                         A   0.00   3.22     3.22NA  0.02   3.24  3.241000.00.00.0020100             35.8043 020 99      0.00   0.00   0.00
5178426Anal/urinary muscle study                         A   1.53   0.54     0.54    0.13   2.20  2.201000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
51785  Anal/urinary muscle study                         A   1.53   5.56     5.56NA  0.39   7.48  7.481000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51785TCAnal/urinary muscle study                         A   0.00   4.93     4.93NA  0.02   4.95  4.951000.00.00.0020000             35.8043 030 99      0.00   0.00   0.00
5178526Anal/urinary muscle study                         A   1.53   0.63     0.63    0.37   2.53  2.531000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51792  Urinary reflex study                              A   1.10   4.76     4.76NA  0.12   5.98  5.981000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51792TCUrinary reflex study                              A   0.00   4.37     4.37NA  0.02   4.39  4.391000.00.00.0020000             35.8043 020 99      0.00   0.00   0.00
5179226Urinary reflex study                              A   1.10   0.39     0.39    0.10   1.59  1.591000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
51797  Intraabdominal pressure test                      A   0.80   2.29     2.29NA  0.07   3.16  3.161ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
51797TCIntraabdominal pressure test                      A   0.00   2.01     2.01NA  0.00   2.01  2.011ZZZ.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
5179726Intraabdominal pressure test                      A   0.80   0.28     0.28    0.07   1.15  1.151ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
51798  Us urine capacity measure                         A   0.00   0.52     0.52NA  0.02   0.54  0.543XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
51800  Revision of bladder/urethra                       A  18.89   8.89NA   8.89    2.15  29.93 29.930090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51820  Revision of urinary tract                         A  19.59   9.53NA   9.53    2.84  31.96 31.960090.08.83.0922210             35.8043 090 99      0.00   0.00   0.00
51840  Attach bladder/urethra                            A  11.36   6.15NA   6.15    1.34  18.85 18.850090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51841  Attach bladder/urethra                            A  13.68   7.03NA   7.03    1.67  22.38 22.380090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51845  Repair bladder neck                               A  10.15   5.50NA   5.50    1.19  16.84 16.840090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51860  Repair of bladder wound                           A  12.60   6.98NA   6.98    1.87  21.45 21.450090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51865  Repair of bladder wound                           A  15.80   7.88NA   7.88    2.06  25.74 25.740090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51880  Repair of bladder opening                         A   7.87   4.58NA   4.58    1.02  13.47 13.470090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51900  Repair bladder/vagina lesion                      A  14.63   7.60NA   7.60    1.79  24.02 24.020090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51920  Close bladder-uterus fistula                      A  13.41   8.26NA   8.26    3.27  24.94 24.940090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51925  Hysterectomy/bladder repair                       A  17.53   9.61NA   9.61    4.27  31.41 31.410090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51940  Correction of bladder defect                      A  30.66  12.71NA  12.71    4.19  47.56 47.560090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51960  Revision of bladder & bowel                       A  25.40  11.63NA  11.63    3.02  40.05 40.050090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51980  Construct bladder opening                         A  12.57   6.52NA   6.52    1.39  20.48 20.480090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51990  Laparo urethral suspension                        A  13.36   6.65NA   6.65    1.52  21.53 21.530090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51992  Laparo sling operation                            A  14.87   7.51NA   7.51    1.77  24.15 24.150090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
51999  Laparoscope proc bla                              C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0000011             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
52000  Cystoscopy                                        A   2.23   3.32     1.15    0.25   5.80  3.630000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
52001  Cystoscopy removal of clots                       A   5.44   4.54     2.23    0.61  10.59  8.280000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52005  Cystoscopy & ureter catheter                      A   2.37   4.89     1.19    0.27   7.53  3.830000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52007  Cystoscopy and biopsy                             A   3.02   9.18     1.41    0.34  12.54  4.770000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52010  Cystoscopy & duct catheter                        A   3.02   7.15     1.42    0.37  10.54  4.810000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52204  Cystoscopy w/biopsy(s)                            A   2.59   7.55     1.20    0.29  10.43  4.080000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52214  Cystoscopy and treatment                          A   3.50  14.75     1.19    0.39  18.64  5.080000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52224  Cystoscopy and treatment                          A   4.05  15.01     1.37    0.45  19.51  5.870000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52234  Cystoscopy and treatment                          A   4.62   1.95NA   1.95    0.52   7.09  7.090000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52235  Cystoscopy and treatment                          A   5.44   2.27NA   2.27    0.61   8.32  8.320000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52240  Cystoscopy and treatment                          A   7.50   2.96NA   2.96    0.84  11.30 11.300000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52250  Cystoscopy and radiotracer                        A   4.49   1.91NA   1.91    0.51   6.91  6.910000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52260  Cystoscopy and treatment                          A   3.91   1.71NA   1.71    0.44   6.06  6.060000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52265  Cystoscopy and treatment                          A   2.94   7.08     1.41    0.34  10.36  4.690000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52270  Cystoscopy & revise urethra                       A   3.36   6.34     1.50    0.37  10.07  5.230000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52275  Cystoscopy & revise urethra                       A   4.69   8.37     1.95    0.52  13.58  7.160000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52276  Cystoscopy and treatment                          A   4.99   2.08NA   2.08    0.56   7.63  7.630000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52277  Cystoscopy and treatment                          A   6.16   2.47NA   2.47    0.69   9.32  9.320000.00.00.0030000       52000 35.8043 090 99      0.00   0.00   0.00
52281  Cystoscopy and treatment                          A   2.75   4.66     1.32    0.31   7.72  4.380000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52282  Cystoscopy implant stent                          A   6.39   2.58NA   2.58    0.73   9.70  9.700000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52283  Cystoscopy and treatment                          A   3.73   3.72     1.65    0.42   7.87  5.800000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52285  Cystoscopy and treatment                          A   3.60   3.93     1.63    0.41   7.94  5.640000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52287  Cystoscopy chemodenervation                       A   3.20   5.27     1.31    0.36   8.83  4.870000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52290  Cystoscopy and treatment                          A   4.58   1.94NA   1.94    0.51   7.03  7.030000.00.00.0032100       52000 35.8043 090 99      0.00   0.00   0.00
52300  Cystoscopy and treatment                          A   5.30   2.20NA   2.20    0.59   8.09  8.090000.00.00.0032000       52000 35.8043 090 99      0.00   0.00   0.00
52301  Cystoscopy and treatment                          A   5.50   2.25NA   2.25    0.61   8.36  8.360000.00.00.0032000       52000 35.8043 090 99      0.00   0.00   0.00
52305  Cystoscopy and treatment                          A   5.30   2.14NA   2.14    0.60   8.04  8.040000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52310  Cystoscopy and treatment                          A   2.81   3.78     1.24    0.32   6.91  4.370000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52315  Cystoscopy and treatment                          A   5.20   5.95     2.13    0.58  11.73  7.910000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52317  Remove bladder stone                              A   6.71  15.28     2.56    0.75  22.74 10.020000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52318  Remove bladder stone                              A   9.18   3.45NA   3.45    1.03  13.66 13.660000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52320  Cystoscopy and treatment                          A   4.69   1.90NA   1.90    0.52   7.11  7.110000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52325  Cystoscopy stone removal                          A   6.15   2.41NA   2.41    0.70   9.26  9.260000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52327  Cystoscopy inject material                        A   5.18   1.79NA   1.79    0.58   7.55  7.550000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52330  Cystoscopy and treatment                          A   5.03   8.40     2.01    0.56  13.99  7.600000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52332  Cystoscopy and treatment                          A   2.82  10.67     1.34    0.32  13.81  4.480000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52334  Create passage to kidney                          A   4.82   2.03NA   2.03    0.54   7.39  7.390000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52341  Cysto w/ureter stricture tx                       A   5.35   2.24NA   2.24    0.60   8.19  8.190000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52342  Cysto w/up stricture tx                           A   5.85   2.41NA   2.41    0.65   8.91  8.910000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52343  Cysto w/renal stricture tx                        A   6.55   2.64NA   2.64    0.73   9.92  9.920000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52344  Cysto/uretero stricture tx                        A   7.05   2.81NA   2.81    0.80  10.66 10.660000.00.00.0031100       52000 35.8043 090 99      0.00   0.00   0.00
52345  Cysto/uretero w/up stricture                      A   7.55   2.98NA   2.98    0.85  11.38 11.380000.00.00.0031000       52351 35.8043 090 99      0.00   0.00   0.00
52346  Cystouretero w/renal strict                       A   8.58   3.33NA   3.33    0.95  12.86 12.860000.00.00.0031000       52351 35.8043 090 99      0.00   0.00   0.00
52351  Cystouretero & or pyeloscope                      A   5.75   2.34NA   2.34    0.64   8.73  8.730000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
52352  Cystouretero w/stone remove                       A   6.75   2.71NA   2.71    0.75  10.21 10.210000.00.00.0031100       52351 35.8043 090 99      0.00   0.00   0.00
52353  Cystouretero w/lithotripsy                        A   7.50   2.96NA   2.96    0.84  11.30 11.300000.00.00.0031100       52351 35.8043 090 99      0.00   0.00   0.00
52354  Cystouretero w/biopsy                             A   8.00   3.13NA   3.13    0.89  12.02 12.020000.00.00.0031100       52351 35.8043 090 99      0.00   0.00   0.00
52355  Cystouretero w/excise tumor                       A   9.00   3.47NA   3.47    1.00  13.47 13.470000.00.00.0031100       52351 35.8043 090 99      0.00   0.00   0.00
52356  Cysto/uretero w/lithotripsy                       A   8.00   3.10NA   3.10    0.89  11.99 11.990000.00.00.0031100       52351 35.8043 090 99      0.00   0.00   0.00
52400  Cystouretero w/congen repr                        A   8.69   4.09NA   4.09    0.97  13.75 13.750090.08.83.0930100       52000 35.8043 090 99      0.00   0.00   0.00
52402  Cystourethro cut ejacul duct                      A   5.27   1.83NA   1.83    0.59   7.69  7.690000.00.00.0030100       52000 35.8043 090 99      0.00   0.00   0.00
52441  Cystourethro w/implant                            A   4.50  30.09     1.53    0.55  35.14  6.580000.00.00.0030100       43235 35.8043 090 99      0.00   0.00   0.00
52442  Cystourethro w/addl implant                       A   1.20  25.53     0.41    0.14  26.87  1.750ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
52450  Incision of prostate                              A   7.78   4.85NA   4.85    0.87  13.50 13.500090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
5250F  Asthma discharge plan presnt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
52500  Revision of bladder neck                          A   8.14   4.97NA   4.97    0.91  14.02 14.020090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
52601  Prostatectomy (turp)                              A  15.26   7.34NA   7.34    1.71  24.31 24.310090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
52630  Remove prostate regrowth                          A   6.55   4.20NA   4.20    0.73  11.48 11.480090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
52640  Relieve bladder contracture                       A   4.79   3.72NA   3.72    0.53   9.04  9.040090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
52647  Laser surgery of prostate                         A  11.30  37.77     6.04    1.26  50.33 18.600090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
52648  Laser surgery of prostate                         A  12.15  38.31     6.33    1.36  51.82 19.840090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
52649  Prostate laser enucleation                        A  14.56   7.47NA   7.47    1.62  23.65 23.650090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
52700  Drainage of prostate abscess                      A   7.49   4.34NA   4.34    0.83  12.66 12.660090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
53000  Incision of urethra                               A   2.33   1.66NA   1.66    0.26   4.25  4.250010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
53010  Incision of urethra                               A   4.45   3.53NA   3.53    0.50   8.48  8.480090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53020  Incision of urethra                               A   1.77   0.82NA   0.82    0.20   2.79  2.790000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53025  Incision of urethra                               A   1.13   0.79NA   0.79    0.15   2.07  2.070000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
53040  Drainage of urethra abscess                       A   6.55   3.99NA   3.99    0.72  11.26 11.260090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
53060  Drainage of urethra abscess                       A   2.68   2.24     1.72    0.31   5.23  4.710010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
53080  Drainage of urinary leakage                       A   6.92   4.37NA   4.37    0.77  12.06 12.060090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53085  Drainage of urinary leakage                       A  11.18   6.76NA   6.76    1.27  19.21 19.210090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53200  Biopsy of urethra                                 A   2.59   1.57     1.19    0.31   4.47  4.090000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53210  Removal of urethra                                A  13.72   6.88NA   6.88    1.53  22.13 22.130090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53215  Removal of urethra                                A  16.85   7.95NA   7.95    1.92  26.72 26.720090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53220  Treatment of urethra lesion                       A   7.63   4.54NA   4.54    0.90  13.07 13.070090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
53230  Removal of urethra lesion                         A  10.44   5.78NA   5.78    1.17  17.39 17.390090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53235  Removal of urethra lesion                         A  10.99   5.96NA   5.96    1.22  18.17 18.170090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53240  Surgery for urethra pouch                         A   7.08   4.35NA   4.35    0.85  12.28 12.280090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53250  Removal of urethra gland                          A   6.52   4.34NA   4.34    1.01  11.87 11.870090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53260  Treatment of urethra lesion                       A   3.03   2.37     1.79    0.36   5.76  5.180010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
53265  Treatment of urethra lesion                       A   3.17   2.69     1.81    0.36   6.22  5.340010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
53270  Removal of urethra gland                          A   3.14   2.42     1.81    0.39   5.95  5.340010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
53275  Repair of urethra defect                          A   4.57   2.46NA   2.46    0.51   7.54  7.540010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
53400  Revise urethra stage 1                            A  14.13   7.29NA   7.29    1.61  23.03 23.030090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53405  Revise urethra stage 2                            A  15.66   7.70NA   7.70    1.74  25.10 25.100090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53410  Reconstruction of urethra                         A  17.68   8.46NA   8.46    1.97  28.11 28.110090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53415  Reconstruction of urethra                         A  20.70   9.47NA   9.47    2.32  32.49 32.490090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53420  Reconstruct urethra stage 1                       A  15.17   7.64NA   7.64    1.73  24.54 24.540090.08.83.0920110             35.8043 090 99      0.00   0.00   0.00
53425  Reconstruct urethra stage 2                       A  17.07   7.95NA   7.95    1.90  26.92 26.920090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53430  Reconstruction of urethra                         A  17.43   8.26NA   8.26    2.00  27.69 27.690090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53431  Reconstruct urethra/bladder                       A  21.18   9.65NA   9.65    2.46  33.29 33.290090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53440  Male sling procedure                              A  13.36   6.78NA   6.78    1.48  21.62 21.620090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53442  Remove/revise male sling                          A  13.49   7.49NA   7.49    1.50  22.48 22.480090.08.83.0920200             35.8043 090 99      0.00   0.00   0.00
53444  Insert tandem cuff                                A  14.19   7.02NA   7.02    1.56  22.77 22.770090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53445  Insert uro/ves nck sphincter                      A  13.00   7.17NA   7.17    1.45  21.62 21.620090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53446  Remove uro sphincter                              A  11.02   6.19NA   6.19    1.24  18.45 18.450090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53447  Remove/replace ur sphincter                       A  14.28   7.35NA   7.35    1.59  23.22 23.220090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53448  Remov/replc ur sphinctr comp                      A  23.44  10.78NA  10.78    2.75  36.97 36.970090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53449  Repair uro sphincter                              A  10.56   5.82NA   5.82    1.18  17.56 17.560090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53450  Revision of urethra                               A   6.77   4.21NA   4.21    0.77  11.75 11.750090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53460  Revision of urethra                               A   7.75   4.53NA   4.53    0.86  13.14 13.140090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
53500  Urethrlys transvag w/ scope                       A  13.00   6.99NA   6.99    1.50  21.49 21.490090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
53502  Repair of urethra injury                          A   8.26   4.79NA   4.79    0.92  13.97 13.970090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53505  Repair of urethra injury                          A   8.26   4.81NA   4.81    0.94  14.01 14.010090.08.83.0920200             35.8043 090 99      0.00   0.00   0.00
53510  Repair of urethra injury                          A  10.96   5.95NA   5.95    1.23  18.14 18.140090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53515  Repair of urethra injury                          A  14.22   7.05NA   7.05    1.58  22.85 22.850090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
53520  Repair of urethra defect                          A   9.48   5.45NA   5.45    1.05  15.98 15.980090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53600  Dilate urethra stricture                          A   1.21   1.03     0.49    0.13   2.37  1.830000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53601  Dilate urethra stricture                          A   0.98   1.21     0.45    0.11   2.30  1.540000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53605  Dilate urethra stricture                          A   1.28   0.43NA   0.43    0.15   1.86  1.860000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53620  Dilate urethra stricture                          A   1.62   1.50     0.71    0.18   3.30  2.510000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53621  Dilate urethra stricture                          A   1.35   1.61     0.58    0.15   3.11  2.080000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53660  Dilation of urethra                               A   0.71   1.21     0.41    0.08   2.00  1.200000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53661  Dilation of urethra                               A   0.72   1.16     0.36    0.08   1.96  1.160000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53665  Dilation of urethra                               A   0.76   0.26NA   0.26    0.09   1.11  1.110000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
53850  Prostatic microwave thermotx                      A  10.08  47.34     6.22    1.13  58.55 17.430090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53852  Prostatic rf thermotx                             A  10.83  41.93     5.84    1.21  53.97 17.880090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
53855  Insert prost urethral stent                       A   1.64  20.07     0.56    0.18  21.89  2.380000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
53860  Transurethral rf treatment                        A   3.97  39.22     2.09    0.45  43.64  6.510090.08.83.0920000             35.8043 090 99      0.00   0.00   0.00
53899  Urology surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
54000  Slitting of prepuce                               A   1.59   2.44     1.33    0.18   4.21  3.100010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
54001  Slitting of prepuce                               A   2.24   2.76     1.48    0.25   5.25  3.970010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54015  Drain penis lesion                                A   5.36   2.91NA   2.91    0.64   8.91  8.910010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
54050  Destruction penis lesion(s)                       A   1.29   2.29     1.55    0.17   3.75  3.010010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54055  Destruction penis lesion(s)                       A   1.25   1.96     1.24    0.16   3.37  2.650010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54056  Cryosurgery penis lesion(s)                       A   1.29   2.57     1.71    0.18   4.04  3.180010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54057  Laser surg penis lesion(s)                        A   1.29   2.41     1.28    0.15   3.85  2.720010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54060  Excision of penis lesion(s)                       A   1.98   2.89     1.53    0.23   5.10  3.740010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54065  Destruction penis lesion(s)                       A   2.47   3.43     2.17    0.33   6.23  4.970010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54100  Biopsy of penis                                   A   1.90   3.48     1.46    0.26   5.64  3.620000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
54105  Biopsy of penis                                   A   3.54   3.59     2.18    0.40   7.53  6.120010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54110  Treatment of penis lesion                         A  10.92   5.94NA   5.94    1.30  18.16 18.160090.10.80.1020200             35.8043 090 99      0.00   0.00   0.00
54111  Treat penis lesion graft                          A  14.42   6.98NA   6.98    1.60  23.00 23.000090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54112  Treat penis lesion graft                          A  16.98   8.09NA   8.09    1.94  27.01 27.010090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54115  Treatment of penis lesion                         A   6.95   5.21     4.46    0.79  12.95 12.200090.10.80.1020200             35.8043 090 99      0.00   0.00   0.00
54120  Partial removal of penis                          A  11.01   5.91NA   5.91    1.23  18.15 18.150090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54125  Removal of penis                                  A  14.56   7.10NA   7.10    1.68  23.34 23.340090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54130  Remove penis & nodes                              A  21.84  10.03NA  10.03    2.36  34.23 34.230090.10.80.1022210             35.8043 090 99      0.00   0.00   0.00
54135  Remove penis & nodes                              A  28.17  12.17NA  12.17    2.80  43.14 43.140090.10.80.1022200             35.8043 090 99      0.00   0.00   0.00
54150  Circumcision w/regionl block                      A   1.90   2.25     0.68    0.23   4.38  2.810000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
54160  Circumcision neonate                              A   2.53   3.51     1.36    0.30   6.34  4.190010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54161  Circum 28 days or older                           A   3.32   1.95NA   1.95    0.38   5.65  5.650010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54162  Lysis penil circumic lesion                       A   3.32   3.63     2.02    0.38   7.33  5.720010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54163  Repair of circumcision                            A   3.32   2.58NA   2.58    0.38   6.28  6.280010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54164  Frenulotomy of penis                              A   2.82   2.40NA   2.40    0.32   5.54  5.540010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54200  Treatment of penis lesion                         A   1.11   1.81     1.17    0.12   3.04  2.400010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54205  Treatment of penis lesion                         A   8.97   5.32NA   5.32    1.00  15.29 15.290090.10.80.1020200             35.8043 090 99      0.00   0.00   0.00
54220  Treatment of penis lesion                         A   2.42   3.09     1.14    0.30   5.81  3.860000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
54230  Prepare penis study                               A   1.34   1.27     0.80    0.15   2.76  2.290000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
54231  Dynamic cavernosometry                            A   2.04   1.73     1.07    0.23   4.00  3.340000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
54235  Penile injection                                  A   1.19   1.25     0.79    0.13   2.57  2.110000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
54240  Penis study                                       A   1.31   1.42     1.42NA  0.18   2.91  2.911000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
54240TCPenis study                                       A   0.00   0.98     0.98NA  0.01   0.99  0.991000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
5424026Penis study                                       A   1.31   0.44     0.44    0.17   1.92  1.921000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
54250  Penis study                                       A   2.22   1.05     1.05NA  0.19   3.46  3.461000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
54250TCPenis study                                       A   0.00   0.30     0.30NA  0.01   0.31  0.311000.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
5425026Penis study                                       A   2.22   0.75     0.75    0.18   3.15  3.151000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
54300  Revision of penis                                 A  11.20   5.97NA   5.97    1.24  18.41 18.410090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54304  Revision of penis                                 A  13.28   6.79NA   6.79    1.48  21.55 21.550090.10.80.1020200             35.8043 090 99      0.00   0.00   0.00
54308  Reconstruction of urethra                         A  12.62   6.53NA   6.53    1.40  20.55 20.550090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54312  Reconstruction of urethra                         A  14.51   8.23NA   8.23    1.98  24.72 24.720090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54316  Reconstruction of urethra                         A  18.05   9.62NA   9.62    2.47  30.14 30.140090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54318  Reconstruction of urethra                         A  12.43   7.36NA   7.36    1.70  21.49 21.490090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54322  Reconstruction of urethra                         A  13.98   6.67NA   6.67    1.43  22.08 22.080090.10.80.1020200             35.8043 090 99      0.00   0.00   0.00
54324  Reconstruction of urethra                         A  17.55   9.21NA   9.21    1.93  28.69 28.690090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54326  Reconstruction of urethra                         A  17.02   8.27NA   8.27    1.89  27.18 27.180090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54328  Revise penis/urethra                              A  16.89   8.24NA   8.24    1.88  27.01 27.010090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54332  Revise penis/urethra                              A  18.37   9.91NA   9.91    2.47  30.75 30.750090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54336  Revise penis/urethra                              A  21.62  11.35NA  11.35    2.96  35.93 35.930090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54340  Secondary urethral surgery                        A   9.71   5.58NA   5.58    1.08  16.37 16.370090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54344  Secondary urethral surgery                        A  17.06   9.21NA   9.21    3.64  29.91 29.910090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54348  Secondary urethral surgery                        A  18.32   8.78NA   8.78    2.04  29.14 29.140090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54352  Reconstruct urethra/penis                         A  26.13  11.69NA  11.69    2.91  40.73 40.730090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54360  Penis plastic surgery                             A  12.78   6.50NA   6.50    1.42  20.70 20.700090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54380  Repair penis                                      A  14.18   7.21NA   7.21    1.58  22.97 22.970090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54385  Repair penis                                      A  16.56   9.21NA   9.21    2.27  28.04 28.040090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54390  Repair penis and bladder                          A  22.77  11.58NA  11.58    3.11  37.46 37.460090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54400  Insert semi-rigid prosthesis                      A   9.17   5.02NA   5.02    1.03  15.22 15.220090.10.80.1020110             35.8043 090 99      0.00   0.00   0.00
54401  Insert self-contd prosthesis                      A  10.44   7.23NA   7.23    1.18  18.85 18.850090.10.80.1020110             35.8043 090 99      0.00   0.00   0.00
54405  Insert multi-comp penis pros                      A  14.52   7.10NA   7.10    1.61  23.23 23.230090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54406  Remove muti-comp penis pros                       A  12.89   6.66NA   6.66    1.44  20.99 20.990090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54408  Repair multi-comp penis pros                      A  13.91   7.24NA   7.24    1.55  22.70 22.700090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54410  Remove/replace penis prosth                       A  15.18   7.82NA   7.82    1.69  24.69 24.690090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54411  Remov/replc penis pros comp                       A  18.35   9.08NA   9.08    2.03  29.46 29.460090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54415  Remove self-contd penis pros                      A   8.88   5.29NA   5.29    1.00  15.17 15.170090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54416  Remv/repl penis contain pros                      A  12.08   6.97NA   6.97    1.34  20.39 20.390090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54417  Remv/replc penis pros compl                       A  16.10   7.94NA   7.94    1.77  25.81 25.810090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54420  Revision of penis                                 A  12.39   6.48NA   6.48    1.38  20.25 20.250090.10.80.1020200             35.8043 090 99      0.00   0.00   0.00
54430  Revision of penis                                 A  11.06   6.10NA   6.10    1.23  18.39 18.390090.10.80.1022200             35.8043 090 99      0.00   0.00   0.00
54435  Revision of penis                                 A   6.81   4.38NA   4.38    0.75  11.94 11.940090.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54437  Repair corporeal tear                             A  11.50   6.65NA   6.65    1.43  19.58 19.580090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54438  Replantation of penis                             A  24.50  11.62NA  11.62    3.35  39.47 39.470090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
54440  Repair of penis                                   C   0.00   0.00     0.00    0.00   0.00  0.000090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
54450  Preputial stretching                              A   1.12   0.75     0.41    0.13   2.00  1.660000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
54500  Biopsy of testis                                  A   1.31   0.69NA   0.69    0.14   2.14  2.140000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
54505  Biopsy of testis                                  A   3.50   2.15NA   2.15    0.39   6.04  6.040010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
54512  Excise lesion testis                              A   9.33   5.09NA   5.09    1.09  15.51 15.510090.10.80.1021110             35.8043 090 99      0.00   0.00   0.00
54520  Removal of testis                                 A   5.30   3.41NA   3.41    0.66   9.37  9.370090.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
54522  Orchiectomy partial                               A  10.25   5.90NA   5.90    1.68  17.83 17.830090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
54530  Removal of testis                                 A   8.46   5.08NA   5.08    0.98  14.52 14.520090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
54535  Extensive testis surgery                          A  13.19   6.73NA   6.73    1.45  21.37 21.370090.10.80.1021200             35.8043 090 99      0.00   0.00   0.00
54550  Exploration for testis                            A   8.41   4.80NA   4.80    0.97  14.18 14.180090.10.80.1021200             35.8043 090 99      0.00   0.00   0.00
54560  Exploration for testis                            A  12.10   6.29NA   6.29    1.35  19.74 19.740090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
54600  Reduce testis torsion                             A   7.64   4.59NA   4.59    0.86  13.09 13.090090.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
54620  Suspension of testis                              A   5.21   2.87NA   2.87    0.59   8.67  8.670010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
54640  Suspension of testis                              A   7.73   5.07NA   5.07    0.98  13.78 13.780090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
54650  Orchiopexy (fowler-stephens)                      A  12.39   6.67NA   6.67    1.33  20.39 20.390090.10.80.1021200             35.8043 090 99      0.00   0.00   0.00
54660  Revision of testis                                A   5.74   3.88NA   3.88    0.64  10.26 10.260090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
54670  Repair testis injury                              A   6.65   4.25NA   4.25    0.72  11.62 11.620090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
54680  Relocation of testis(es)                          A  14.04   7.13NA   7.13    1.59  22.76 22.760090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
54690  Laparoscopy orchiectomy                           A  11.70   6.88NA   6.88    2.74  21.32 21.320090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
54692  Laparoscopy orchiopexy                            A  13.74   7.57NA   7.57    3.35  24.66 24.660090.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
54699  Laparoscope proc testis                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
54700  Drainage of scrotum                               A   3.47   2.24NA   2.24    0.45   6.16  6.160010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
54800  Biopsy of epididymis                              A   2.33   1.07NA   1.07    0.27   3.67  3.670000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
54830  Remove epididymis lesion                          A   6.01   4.00NA   4.00    0.70  10.71 10.710090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
54840  Remove epididymis lesion                          A   5.27   3.36NA   3.36    0.60   9.23  9.230090.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
54860  Removal of epididymis                             A   6.95   4.30NA   4.30    0.78  12.03 12.030090.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
54861  Removal of epididymis                             A   9.70   5.49NA   5.49    1.08  16.27 16.270090.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
54865  Explore epididymis                                A   5.77   3.89NA   3.89    0.64  10.30 10.300090.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
54900  Fusion of spermatic ducts                         A  14.20   8.05NA   8.05    1.94  24.19 24.190090.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
54901  Fusion of spermatic ducts                         A  19.10  10.19NA  10.19    2.61  31.90 31.900090.10.80.1022000             35.8043 090 99      0.00   0.00   0.00
55000  Drainage of hydrocele                             A   1.43   1.74     0.85    0.17   3.34  2.450000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
55040  Removal of hydrocele                              A   5.45   3.61NA   3.61    0.66   9.72  9.720090.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
55041  Removal of hydroceles                             A   8.54   5.11NA   5.11    0.99  14.64 14.640090.10.80.1022100             35.8043 090 99      0.00   0.00   0.00
55060  Repair of hydrocele                               A   6.15   4.06NA   4.06    0.73  10.94 10.940090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
55100  Drainage of scrotum abscess                       A   2.45   3.39     2.01    0.32   6.16  4.780010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
55110  Explore scrotum                                   A   6.33   4.05NA   4.05    0.76  11.14 11.140090.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
55120  Removal of scrotum lesion                         A   5.72   3.85NA   3.85    0.68  10.25 10.250090.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
55150  Removal of scrotum                                A   8.14   5.00NA   5.00    0.99  14.13 14.130090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55175  Revision of scrotum                               A   5.87   3.88NA   3.88    0.66  10.41 10.410090.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
55180  Revision of scrotum                               A  11.78   6.72NA   6.72    1.40  19.90 19.900090.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
55200  Incision of sperm duct                            A   4.55   7.33     2.94    0.51  12.39  8.000090.10.80.1022000             35.8043 090 99      0.00   0.00   0.00
55250  Removal of sperm duct(s)                          A   3.37   7.16     2.77    0.38  10.91  6.520090.10.80.1022100             35.8043 090 99      0.00   0.00   0.00
55300  Prepare sperm duct x-ray                          A   3.50   1.50NA   1.50    0.39   5.39  5.390000.00.00.0022000             35.8043 090 99      0.00   0.00   0.00
55400  Repair of sperm duct                              A   8.61   4.86NA   4.86    1.19  14.66 14.660090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
55450  Ligation of sperm duct                            A   4.43   5.29     2.47    0.49  10.21  7.390010.10.80.1022000             35.8043 090 99      0.00   0.00   0.00
55500  Removal of hydrocele                              A   6.22   4.25NA   4.25    0.94  11.41 11.410090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
55520  Removal of sperm cord lesion                      A   6.66   4.92NA   4.92    1.50  13.08 13.080090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
55530  Revise spermatic cord veins                       A   5.75   3.68NA   3.68    0.67  10.10 10.100090.10.80.1021110             35.8043 090 99      0.00   0.00   0.00
55535  Revise spermatic cord veins                       A   7.19   4.37NA   4.37    0.80  12.36 12.360090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
55540  Revise hernia & sperm veins                       A   8.30   5.50NA   5.50    1.84  15.64 15.640090.10.80.1021110             35.8043 090 99      0.00   0.00   0.00
55550  Laparo ligate spermatic vein                      A   7.20   4.33NA   4.33    0.81  12.34 12.340090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
55559  Laparo proc spermatic cord                        C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
55600  Incise sperm duct pouch                           A   7.01   4.32NA   4.32    0.78  12.11 12.110090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
55605  Incise sperm duct pouch                           A   8.76   5.81NA   5.81    1.20  15.77 15.770090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
55650  Remove sperm duct pouch                           A  12.65   6.57NA   6.57    1.43  20.65 20.650090.10.80.1021210             35.8043 090 99      0.00   0.00   0.00
55680  Remove sperm pouch lesion                         A   5.67   3.84NA   3.84    0.70  10.21 10.210090.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
55700  Biopsy of prostate                                A   2.58   3.32     1.14    0.29   6.19  4.010000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
55705  Biopsy of prostate                                A   4.61   2.52NA   2.52    0.52   7.65  7.650010.10.80.1020110             35.8043 090 99      0.00   0.00   0.00
55706  Prostate saturation sampling                      A   6.28   3.74NA   3.74    0.71  10.73 10.730010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55720  Drainage of prostate abscess                      A   7.73   4.43NA   4.43    0.86  13.02 13.020090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55725  Drainage of prostate abscess                      A  10.05   5.87NA   5.87    1.12  17.04 17.040090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55801  Removal of prostate                               A  19.80   9.45NA   9.45    2.39  31.64 31.640090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55810  Extensive prostate surgery                        A  24.29  10.75NA  10.75    2.91  37.95 37.950090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55812  Extensive prostate surgery                        A  29.89  13.06NA  13.06    3.33  46.28 46.280090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55815  Extensive prostate surgery                        A  32.95  14.15NA  14.15    3.84  50.94 50.940090.10.80.1022210             35.8043 090 99      0.00   0.00   0.00
55821  Removal of prostate                               A  15.76   7.59NA   7.59    1.77  25.12 25.120090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55831  Removal of prostate                               A  17.19   8.07NA   8.07    1.92  27.18 27.180090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55840  Extensive prostate surgery                        A  21.36   9.93NA   9.93    2.41  33.70 33.700090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55842  Extensive prostate surgery                        A  21.36   9.93NA   9.93    2.39  33.68 33.680090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55845  Extensive prostate surgery                        A  25.18  11.23NA  11.23    2.83  39.24 39.240090.10.80.1022210             35.8043 090 99      0.00   0.00   0.00
55860  Surgical exposure prostate                        A  15.84   7.56NA   7.56    1.77  25.17 25.170090.10.80.1020110             35.8043 090 99      0.00   0.00   0.00
55862  Extensive prostate surgery                        A  20.04  10.34NA  10.34    2.74  33.12 33.120090.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
55865  Extensive prostate surgery                        A  24.57  11.06NA  11.06    2.73  38.36 38.360090.10.80.1022210             35.8043 090 99      0.00   0.00   0.00
55866  Laparo radical prostatectomy                      A  21.36  16.57NA  16.57    2.37  40.30 40.300090.08.83.0920210             35.8043 090 99      0.00   0.00   0.00
55870  Electroejaculation                                A   2.58   2.14     1.23    0.29   5.01  4.100000.00.00.0020110             35.8043 090 99      0.00   0.00   0.00
55873  Cryoablate prostate                               A  13.60 185.36     6.88    1.59 200.55 22.070090.08.83.0920100             35.8043 090 99      0.00   0.00   0.00
55875  Transperi needle place pros                       A  13.46   7.03NA   7.03    1.43  21.92 21.920090.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
55876  Place rt device/marker pros                       A   1.73   1.95     0.98    0.18   3.86  2.890000.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
55899  Genital surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
55920  Place needles pelvic for rt                       A   8.31   3.78NA   3.78    0.80  12.89 12.890000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
55970  Sex transformation m to f                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
55980  Sex transformation f to m                         C   0.00   0.00     0.00    0.00   0.00  0.009YYY.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
56405  I & d of vulva/perineum                           A   1.49   1.41     1.39    0.19   3.09  3.070010.10.80.1020120             35.8043 090 99      0.00   0.00   0.00
56420  Drainage of gland abscess                         A   1.44   1.82     0.97    0.18   3.44  2.590010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
56440  Surgery for vulva lesion                          A   2.89   1.92NA   1.92    0.36   5.17  5.170010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
56441  Lysis of labial lesion(s)                         A   2.02   1.82     1.67    0.24   4.08  3.930010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
56442  Hymenotomy                                        A   0.68   0.60NA   0.60    0.08   1.36  1.360000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
56501  Destroy vulva lesions sim                         A   1.58   1.92     1.48    0.20   3.70  3.260010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
56515  Destroy vulva lesion/s compl                      A   3.08   2.90     2.21    0.44   6.42  5.730010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
56605  Biopsy of vulva/perineum                          A   1.10   1.09     0.48    0.14   2.33  1.720000.00.00.0020120             35.8043 090 99      0.00   0.00   0.00
56606  Biopsy of vulva/perineum                          A   0.55   0.44     0.22    0.08   1.07  0.850ZZZ.00.00.0000120             35.8043 090 99      0.00   0.00   0.00
56620  Partial removal of vulva                          A   7.53   5.96NA   5.96    1.38  14.87 14.870090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
56625  Complete removal of vulva                         A   9.68   6.43NA   6.43    1.89  18.00 18.000090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
56630  Extensive vulva surgery                           A  14.80   8.76NA   8.76    3.06  26.62 26.620090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
56631  Extensive vulva surgery                           A  18.99  10.98NA  10.98    4.05  34.02 34.020090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
56632  Extensive vulva surgery                           A  21.86  13.10NA  13.10    4.53  39.49 39.490090.12.74.1422220             35.8043 090 99      0.00   0.00   0.00
56633  Extensive vulva surgery                           A  19.62  11.08NA  11.08    4.15  34.85 34.850090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
56634  Extensive vulva surgery                           A  20.66  11.96NA  11.96    5.04  37.66 37.660090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
56637  Extensive vulva surgery                           A  24.75  13.32NA  13.32    5.30  43.37 43.370090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
56640  Extensive vulva surgery                           A  24.78  13.24NA  13.24    5.67  43.69 43.690090.12.74.1421210             35.8043 090 99      0.00   0.00   0.00
56700  Partial removal of hymen                          A   2.84   2.11NA   2.11    0.33   5.28  5.280010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
56740  Remove vagina gland lesion                        A   4.88   2.97NA   2.97    0.71   8.56  8.560010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
56800  Repair of vagina                                  A   3.93   2.41NA   2.41    0.50   6.84  6.840010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
56805  Repair clitoris                                   A  19.88  10.26NA  10.26    2.95  33.09 33.090090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
56810  Repair of perineum                                A   4.29   2.56NA   2.56    0.54   7.39  7.390010.10.80.1020220             35.8043 090 99      0.00   0.00   0.00
56820  Exam of vulva w/scope                             A   1.50   1.45     0.74    0.24   3.19  2.480000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
56821  Exam/biopsy of vulva w/scope                      A   2.05   1.85     0.95    0.30   4.20  3.300000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57000  Exploration of vagina                             A   3.02   1.97NA   1.97    0.35   5.34  5.340010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
57010  Drainage of pelvic abscess                        A   6.84   4.62NA   4.62    0.83  12.29 12.290090.12.74.1420000             35.8043 090 99      0.00   0.00   0.00
57020  Drainage of pelvic fluid                          A   1.50   0.95     0.62    0.18   2.63  2.300000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
57022  I & d vaginal hematoma pp                         A   2.73   1.75NA   1.75    0.34   4.82  4.820010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
57023  I & d vag hematoma non-ob                         A   5.18   3.00NA   3.00    0.61   8.79  8.790010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
57061  Destroy vag lesions simple                        A   1.30   1.75     1.32    0.17   3.22  2.790010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57065  Destroy vag lesions complex                       A   2.66   2.46     1.90    0.41   5.53  4.970010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57100  Biopsy of vagina                                  A   1.20   1.15     0.53    0.18   2.53  1.910000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57105  Biopsy of vagina                                  A   1.74   1.87     1.59    0.26   3.87  3.590010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57106  Remove vagina wall partial                        A   7.50   5.35NA   5.35    1.25  14.10 14.100090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57107  Remove vagina tissue part                         A  24.56  12.53NA  12.53    4.55  41.64 41.640090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57109  Vaginectomy partial w/nodes                       A  28.40  14.86NA  14.86    6.59  49.85 49.850090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
57110  Remove vagina wall complete                       A  15.48   8.00NA   8.00    1.85  25.33 25.330090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57111  Remove vagina tissue compl                        A  28.40  13.72NA  13.72    3.66  45.78 45.780090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
57112  Vaginectomy w/nodes compl                         A  30.52  15.81NA  15.81    6.89  53.22 53.220090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
57120  Closure of vagina                                 A   8.28   5.17NA   5.17    0.99  14.44 14.440090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57130  Remove vagina lesion                              A   2.46   2.25     1.75    0.29   5.00  4.500010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
57135  Remove vagina lesion                              A   2.70   2.38     1.86    0.36   5.44  4.920010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57150  Treat vagina infection                            A   0.55   0.66     0.21    0.06   1.27  0.820000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57155  Insert uteri tandem/ovoids                        A   5.40   6.37     2.44    0.48  12.25  8.320000.00.00.0020120             35.8043 090 99      0.00   0.00   0.00
57156  Ins vag brachytx device                           A   2.69   2.73     1.30    0.20   5.62  4.190000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
57160  Insert pessary/other device                       A   0.89   1.16     0.34    0.10   2.15  1.330000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57170  Fitting of diaphragm/cap                          A   0.91   0.70     0.36    0.11   1.72  1.380000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
57180  Treat vaginal bleeding                            A   1.63   2.14     1.16    0.20   3.97  2.990010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57200  Repair of vagina                                  A   4.42   3.53NA   3.53    0.64   8.59  8.590090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57210  Repair vagina/perineum                            A   5.71   3.98NA   3.98    0.73  10.42 10.420090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57220  Revision of urethra                               A   4.85   3.61NA   3.61    0.58   9.04  9.040090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57230  Repair of urethral lesion                         A   6.30   4.13NA   4.13    0.76  11.19 11.190090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57240  Repair bladder & vagina                           A  11.50   6.20NA   6.20    1.35  19.05 19.050090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57250  Repair rectum & vagina                            A  11.50   6.29NA   6.29    1.37  19.16 19.160090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57260  Repair of vagina                                  A  14.44   7.45NA   7.45    1.72  23.61 23.610090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57265  Extensive repair of vagina                        A  15.94   8.02NA   8.02    1.89  25.85 25.850090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57267  Insert mesh/pelvic flr addon                      A   4.88   1.84NA   1.84    0.57   7.29  7.290ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
57268  Repair of bowel bulge                             A   7.57   5.20NA   5.20    0.96  13.73 13.730090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57270  Repair of bowel pouch                             A  13.67   7.25NA   7.25    1.80  22.72 22.720090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57280  Suspension of vagina                              A  16.72   8.31NA   8.31    2.04  27.07 27.070090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57282  Colpopexy extraperitoneal                         A   7.97   5.29NA   5.29    0.94  14.20 14.200090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57283  Colpopexy intraperitoneal                         A  11.66   6.46NA   6.46    1.41  19.53 19.530090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57284  Repair paravag defect open                        A  14.33   7.13NA   7.13    1.69  23.15 23.150090.08.83.0920220             35.8043 090 99      0.00   0.00   0.00
57285  Repair paravag defect vag                         A  11.60   6.12NA   6.12    1.36  19.08 19.080090.08.83.0920220             35.8043 090 99      0.00   0.00   0.00
57287  Revise/remove sling repair                        A  11.15   6.91NA   6.91    1.28  19.34 19.340090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57288  Repair bladder defect                             A  12.13   6.81NA   6.81    1.40  20.34 20.340090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57289  Repair bladder & vagina                           A  12.80   6.73NA   6.73    1.39  20.92 20.920090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57291  Construction of vagina                            A   8.64   7.46NA   7.46    1.35  17.45 17.450090.12.74.1420200             35.8043 090 99      0.00   0.00   0.00
57292  Construct vagina with graft                       A  14.01   7.59NA   7.59    1.74  23.34 23.340090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57295  Revise vag graft via vagina                       A   7.82   4.81NA   4.81    0.92  13.55 13.550090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57296  Revise vag graft open abd                         A  16.56   8.31NA   8.31    2.01  26.88 26.880090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57300  Repair rectum-vagina fistula                      A   8.71   5.90NA   5.90    1.43  16.04 16.040090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57305  Repair rectum-vagina fistula                      A  15.35   8.50NA   8.50    2.92  26.77 26.770090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57307  Fistula repair & colostomy                        A  17.17   9.70NA   9.70    4.13  31.00 31.000090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57308  Fistula repair transperine                        A  10.59   6.65NA   6.65    1.53  18.77 18.770090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57310  Repair urethrovaginal lesion                      A   7.65   4.71NA   4.71    0.85  13.21 13.210090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57311  Repair urethrovaginal lesion                      A   8.91   5.16NA   5.16    1.03  15.10 15.100090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57320  Repair bladder-vagina lesion                      A   8.88   5.30NA   5.30    1.08  15.26 15.260090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57330  Repair bladder-vagina lesion                      A  13.21   6.55NA   6.55    1.44  21.20 21.200090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57335  Repair vagina                                     A  20.02  10.01NA  10.01    2.28  32.31 32.310090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57400  Dilation of vagina                                A   2.27   1.23NA   1.23    0.34   3.84  3.840000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
57410  Pelvic examination                                A   1.75   1.08NA   1.08    0.24   3.07  3.070000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57415  Remove vaginal foreign body                       A   2.49   1.76NA   1.76    0.30   4.55  4.550010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
57420  Exam of vagina w/scope                            A   1.60   1.49     0.77    0.25   3.34  2.620000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57421  Exam/biopsy of vag w/scope                        A   2.20   1.94     1.02    0.34   4.48  3.560000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57423  Repair paravag defect lap                         A  16.08   7.85NA   7.85    1.94  25.87 25.870090.08.83.0920220             35.8043 090 99      0.00   0.00   0.00
57425  Laparoscopy surg colpopexy                        A  17.03   8.44NA   8.44    2.04  27.51 27.510090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57426  Revise prosth vag graft lap                       A  14.30   7.92NA   7.92    1.71  23.93 23.930090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57452  Exam of cervix w/scope                            A   1.50   1.39     0.93    0.20   3.09  2.630000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57454  Bx/curett of cervix w/scope                       A   2.33   1.72     1.25    0.28   4.33  3.860000.00.00.0030100       57452 35.8043 090 99      0.00   0.00   0.00
57455  Biopsy of cervix w/scope                          A   1.99   1.80     0.91    0.25   4.04  3.150000.00.00.0030100       57452 35.8043 090 99      0.00   0.00   0.00
57456  Endocerv curettage w/scope                        A   1.85   1.73     0.85    0.23   3.81  2.930000.00.00.0030100       57452 35.8043 090 99      0.00   0.00   0.00
57460  Bx of cervix w/scope leep                         A   2.83   4.81     1.45    0.35   7.99  4.630000.00.00.0030100       57452 35.8043 090 99      0.00   0.00   0.00
57461  Conz of cervix w/scope leep                       A   3.43   5.17     1.48    0.43   9.03  5.340000.00.00.0030100       57452 35.8043 090 99      0.00   0.00   0.00
57500  Biopsy of cervix                                  A   1.20   2.26     0.81    0.15   3.61  2.160000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
57505  Endocervical curettage                            A   1.19   1.54     1.27    0.16   2.89  2.620010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57510  Cauterization of cervix                           A   1.90   1.58     1.15    0.23   3.71  3.280010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57511  Cryocautery of cervix                             A   1.95   1.92     1.56    0.23   4.10  3.740010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57513  Laser surgery of cervix                           A   1.95   1.88     1.58    0.28   4.11  3.810010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57520  Conization of cervix                              A   4.11   4.01     3.13    0.59   8.71  7.830090.12.74.1420100             35.8043 090 99      0.00   0.00   0.00
57522  Conization of cervix                              A   3.67   3.31     2.77    0.47   7.45  6.910090.12.74.1420100             35.8043 090 99      0.00   0.00   0.00
57530  Removal of cervix                                 A   5.27   3.86NA   3.86    0.74   9.87  9.870090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57531  Removal of cervix radical                         A  29.95  15.80NA  15.80    6.76  52.51 52.510090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
57540  Removal of residual cervix                        A  13.29   7.17NA   7.17    1.74  22.20 22.200090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57545  Remove cervix/repair pelvis                       A  14.10   7.68NA   7.68    2.25  24.03 24.030090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57550  Removal of residual cervix                        A   6.34   4.45NA   4.45    0.73  11.52 11.520090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57555  Remove cervix/repair vagina                       A   9.94   5.87NA   5.87    1.17  16.98 16.980090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57556  Remove cervix repair bowel                        A   9.36   5.60NA   5.60    1.12  16.08 16.080090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
57558  D&c of cervical stump                             A   1.72   1.60     1.29    0.20   3.52  3.210010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
57700  Revision of cervix                                A   4.35   4.01NA   4.01    0.66   9.02  9.020090.12.74.1420000             35.8043 090 99      0.00   0.00   0.00
57720  Revision of cervix                                A   4.61   3.54NA   3.54    0.54   8.69  8.690090.12.74.1420200             35.8043 090 99      0.00   0.00   0.00
57800  Dilation of cervical canal                        A   0.77   0.84     0.51    0.10   1.71  1.380000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
58100  Biopsy of uterus lining                           A   1.53   1.37     0.77    0.19   3.09  2.490000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
58110  Bx done w/colposcopy add-on                       A   0.77   0.50     0.30    0.09   1.36  1.160ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
58120  Dilation and curettage                            A   3.59   3.25     2.15    0.48   7.32  6.220010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
58140  Myomectomy abdom method                           A  15.79   8.19NA   8.19    2.23  26.21 26.210090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58145  Myomectomy vag method                             A   8.91   5.45NA   5.45    1.21  15.57 15.570090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58146  Myomectomy abdom complex                          A  20.34   9.84NA   9.84    2.39  32.57 32.570090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58150  Total hysterectomy                                A  17.31   8.91NA   8.91    2.64  28.86 28.860090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58152  Total hysterectomy                                A  21.86  10.74NA  10.74    2.84  35.44 35.440090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58180  Partial hysterectomy                              A  16.60   8.50NA   8.50    2.27  27.37 27.370090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58200  Extensive hysterectomy                            A  23.10  11.68NA  11.68    4.43  39.21 39.210090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58210  Extensive hysterectomy                            A  30.91  15.68NA  15.68    6.37  52.96 52.960090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58240  Removal of pelvis contents                        A  49.33  24.52NA  24.52    9.73  83.58 83.580090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58260  Vaginal hysterectomy                              A  14.15   7.54NA   7.54    1.70  23.39 23.390090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58262  Vag hyst including t/o                            A  15.94   8.23NA   8.23    1.95  26.12 26.120090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58263  Vag hyst w/t/o & vag repair                       A  17.23   8.71NA   8.71    2.07  28.01 28.010090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58267  Vag hyst w/urinary repair                         A  18.36   9.24NA   9.24    2.26  29.86 29.860090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58270  Vag hyst w/enterocele repair                      A  15.30   7.80NA   7.80    1.86  24.96 24.960090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58275  Hysterectomy/revise vagina                        A  17.03   8.73NA   8.73    2.13  27.89 27.890090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58280  Hysterectomy/revise vagina                        A  18.33   9.21NA   9.21    2.15  29.69 29.690090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58285  Extensive hysterectomy                            A  23.38  11.01NA  11.01    3.66  38.05 38.050090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58290  Vag hyst complex                                  A  20.27   9.82NA   9.82    2.49  32.58 32.580090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58291  Vag hyst incl t/o complex                         A  22.06  10.51NA  10.51    2.59  35.16 35.160090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58292  Vag hyst t/o & repair compl                       A  23.35  11.02NA  11.02    2.76  37.13 37.130090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58293  Vag hyst w/uro repair compl                       A  24.33  11.40NA  11.40    2.85  38.58 38.580090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58294  Vag hyst w/enterocele compl                       A  21.55  10.37NA  10.37    2.61  34.53 34.530090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58300  Insert intrauterine device                        N+  1.01   0.91     0.39    0.14   2.06  1.549XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
58301  Remove intrauterine device                        A   1.27   1.26     0.50    0.15   2.68  1.920000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
58321  Artificial insemination                           A   0.92   1.14     0.36    0.11   2.17  1.390000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
58322  Artificial insemination                           A   1.10   1.19     0.43    0.13   2.42  1.660000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
58323  Sperm washing                                     A   0.23   0.18     0.09    0.02   0.43  0.340000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
58340  Catheter for hysterography                        A   0.88   2.38     0.68    0.10   3.36  1.660000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
58345  Reopen fallopian tube                             A   4.70   2.48NA   2.48    0.53   7.71  7.710010.10.80.1021220             35.8043 090 99      0.00   0.00   0.00
58346  Insert heyman uteri capsule                       A   7.56   4.62NA   4.62    0.54  12.72 12.720090.12.74.1420100             35.8043 090 99      0.00   0.00   0.00
58350  Reopen fallopian tube                             A   1.06   1.53     1.04    0.12   2.71  2.220010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
58353  Endometr ablate thermal                           A   3.60  24.32     2.17    0.43  28.35  6.200010.10.80.1020120             35.8043 090 99      0.00   0.00   0.00
58356  Endometrial cryoablation                          A   6.41  45.85     2.61    0.78  53.04  9.800010.10.80.1020220             35.8043 090 99      0.00   0.00   0.00
58400  Suspension of uterus                              A   7.14   4.48NA   4.48    0.87  12.49 12.490090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58410  Suspension of uterus                              A  13.80   7.39NA   7.39    2.02  23.21 23.210090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58520  Repair of ruptured uterus                         A  13.48   7.61NA   7.61    3.16  24.25 24.250090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58540  Revision of uterus                                A  15.71   8.11NA   8.11    1.84  25.66 25.660090.12.74.1420200             35.8043 090 99      0.00   0.00   0.00
58541  Lsh uterus 250 g or less                          A  12.29   6.56NA   6.56    1.45  20.30 20.300090.12.74.1430220       49320 35.8043 090 99      0.00   0.00   0.00
58542  Lsh w/t/o ut 250 g or less                        A  14.16   7.32NA   7.32    1.74  23.22 23.220090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58543  Lsh uterus above 250 g                            A  14.39   7.38NA   7.38    1.71  23.48 23.480090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58544  Lsh w/t/o uterus above 250 g                      A  15.60   7.96NA   7.96    2.07  25.63 25.630090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58545  Laparoscopic myomectomy                           A  15.55   7.90NA   7.90    2.20  25.65 25.650090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58546  Laparo-myomectomy complex                         A  19.94   9.49NA   9.49    2.34  31.77 31.770090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58548  Lap radical hyst                                  A  31.63  16.32NA  16.32    6.64  54.59 54.590090.12.74.1422220             35.8043 090 99      0.00   0.00   0.00
58550  Laparo-asst vag hysterectomy                      A  15.10   8.05NA   8.05    1.83  24.98 24.980090.12.74.1430220       49320 35.8043 090 99      0.00   0.00   0.00
58552  Laparo-vag hyst incl t/o                          A  16.91   8.80NA   8.80    2.35  28.06 28.060090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58553  Laparo-vag hyst complex                           A  20.06   9.60NA   9.60    2.56  32.22 32.220090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58554  Laparo-vag hyst w/t/o compl                       A  23.11  11.34NA  11.34    3.31  37.76 37.760090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58555  Hysteroscopy dx sep proc                          A   3.33   5.07     1.64    0.40   8.80  5.370000.00.00.0020020             35.8043 090 99      0.00   0.00   0.00
58558  Hysteroscopy biopsy                               A   4.74   6.11     2.23    0.59  11.44  7.560000.00.00.0030120       58555 35.8043 090 99      0.00   0.00   0.00
58559  Hysteroscopy lysis                                A   6.16   2.77NA   2.77    0.75   9.68  9.680000.00.00.0030120       58555 35.8043 090 99      0.00   0.00   0.00
58560  Hysteroscopy resect septum                        A   6.99   3.11NA   3.11    0.82  10.92 10.920000.00.00.0030220       58555 35.8043 090 99      0.00   0.00   0.00
58561  Hysteroscopy remove myoma                         A   9.99   4.29NA   4.29    1.20  15.48 15.480000.00.00.0030020       58555 35.8043 090 99      0.00   0.00   0.00
58562  Hysteroscopy remove fb                            A   5.20   6.00     2.38    0.63  11.83  8.210000.00.00.0030120       58555 35.8043 090 99      0.00   0.00   0.00
58563  Hysteroscopy ablation                             A   6.16  40.12     2.78    0.73  47.01  9.670000.00.00.0030020       58555 35.8043 090 99      0.00   0.00   0.00
58565  Hysteroscopy sterilization                        A   7.12  44.63     4.29    0.84  52.59 12.250090.12.74.1432120       58555 35.8043 090 99      0.00   0.00   0.00
58570  Tlh uterus 250 g or less                          A  13.36   7.04NA   7.04    1.68  22.08 22.080090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58571  Tlh w/t/o 250 g or less                           A  15.00   8.00NA   8.00    2.58  25.58 25.580090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58572  Tlh uterus over 250 g                             A  17.71   8.83NA   8.83    2.42  28.96 28.960090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58573  Tlh w/t/o uterus over 250 g                       A  20.79  10.35NA  10.35    3.48  34.62 34.620090.12.74.1420220             35.8043 090 99      0.00   0.00   0.00
58578  Laparo proc uterus                                C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
58579  Hysteroscope procedure                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
58600  Division of fallopian tube                        A   5.91   3.70NA   3.70    0.68  10.29 10.290090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58605  Division of fallopian tube                        A   5.28   3.44NA   3.44    0.60   9.32  9.320090.12.74.1422200             35.8043 090 99      0.00   0.00   0.00
58611  Ligate oviduct(s) add-on                          A   1.45   0.57NA   0.57    0.17   2.19  2.190ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
58615  Occlude fallopian tube(s)                         A   3.94   2.48NA   2.48    0.46   6.88  6.880010.10.80.1020200             35.8043 090 99      0.00   0.00   0.00
58660  Laparoscopy lysis                                 A  11.59   5.95NA   5.95    1.59  19.13 19.130090.09.84.0730220       49320 35.8043 090 99      0.00   0.00   0.00
58661  Laparoscopy remove adnexa                         A  11.35   5.49NA   5.49    1.63  18.47 18.470010.10.80.1031220       49320 35.8043 090 99      0.00   0.00   0.00
58662  Laparoscopy excise lesions                        A  12.15   6.33NA   6.33    1.66  20.14 20.140090.09.84.0730220       49320 35.8043 090 99      0.00   0.00   0.00
58670  Laparoscopy tubal cautery                         A   5.91   3.71NA   3.71    0.72  10.34 10.340090.10.80.1030120       49320 35.8043 090 99      0.00   0.00   0.00
58671  Laparoscopy tubal block                           A   5.91   3.70NA   3.70    0.71  10.32 10.320090.10.80.1030120       49320 35.8043 090 99      0.00   0.00   0.00
58672  Laparoscopy fimbrioplasty                         A  12.91   6.34NA   6.34    1.51  20.76 20.760090.10.80.1031200       49320 35.8043 090 99      0.00   0.00   0.00
58673  Laparoscopy salpingostomy                         A  14.04   6.86NA   6.86    1.67  22.57 22.570090.10.80.1031200       49320 35.8043 090 99      0.00   0.00   0.00
58679  Laparo proc oviduct-ovary                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
58700  Removal of fallopian tube                         A  12.95   7.19NA   7.19    2.10  22.24 22.240090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58720  Removal of ovary/tube(s)                          A  12.16   6.80NA   6.80    2.03  20.99 20.990090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58740  Adhesiolysis tube ovary                           A  14.90   7.97NA   7.97    2.25  25.12 25.120090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58750  Repair oviduct                                    A  15.64   8.33NA   8.33    3.81  27.78 27.780090.12.74.1421210             35.8043 090 99      0.00   0.00   0.00
58752  Revise ovarian tube(s)                            A  15.64   8.17NA   8.17    2.49  26.30 26.300090.12.74.1421200             35.8043 090 99      0.00   0.00   0.00
58760  Fimbrioplasty                                     A  13.93   7.37NA   7.37    2.00  23.30 23.300090.12.74.1421210             35.8043 090 99      0.00   0.00   0.00
58770  Create new tubal opening                          A  14.77   7.96NA   7.96    3.60  26.33 26.330090.12.74.1421200             35.8043 090 99      0.00   0.00   0.00
58800  Drainage of ovarian cyst(s)                       A   4.62   3.81     3.27    0.54   8.97  8.430090.12.74.1422100             35.8043 090 99      0.00   0.00   0.00
58805  Drainage of ovarian cyst(s)                       A   6.42   4.25NA   4.25    0.75  11.42 11.420090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58820  Drain ovary abscess open                          A   4.70   3.57NA   3.57    0.55   8.82  8.820090.12.74.1421200             35.8043 090 99      0.00   0.00   0.00
58822  Drain ovary abscess percut                        A  11.81   6.97NA   6.97    2.65  21.43 21.430090.12.74.1421210             35.8043 090 99      0.00   0.00   0.00
58825  Transposition ovary(s)                            A  11.78   6.51NA   6.51    1.45  19.74 19.740090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58900  Biopsy of ovary(s)                                A   6.59   4.95NA   4.95    1.47  13.01 13.010090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58920  Partial removal of ovary(s)                       A  11.95   7.03NA   7.03    2.83  21.81 21.810090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58925  Removal of ovarian cyst(s)                        A  12.43   6.90NA   6.90    1.92  21.25 21.250090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58940  Removal of ovary(s)                               A   8.22   5.33NA   5.33    1.45  15.00 15.000090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58943  Removal of ovary(s)                               A  19.52  10.24NA  10.24    3.96  33.72 33.720090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58950  Resect ovarian malignancy                         A  18.37  10.22NA  10.22    3.80  32.39 32.390090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58951  Resect ovarian malignancy                         A  24.26  12.46NA  12.46    4.96  41.68 41.680090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58952  Resect ovarian malignancy                         A  27.29  14.18NA  14.18    5.68  47.15 47.150090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58953  Tah rad dissect for debulk                        A  34.13  17.14NA  17.14    7.06  58.33 58.330090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58954  Tah rad debulk/lymph remove                       A  37.13  18.51NA  18.51    7.76  63.40 63.400090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58956  Bso omentectomy w/tah                             A  22.80  12.22NA  12.22    4.57  39.59 39.590090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58957  Resect recurrent gyn mal                          A  26.22  13.80NA  13.80    5.57  45.59 45.590090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58958  Resect recur gyn mal w/lym                        A  29.22  14.91NA  14.91    5.95  50.08 50.080090.12.74.1422210             35.8043 090 99      0.00   0.00   0.00
58960  Exploration of abdomen                            A  15.79   8.81NA   8.81    3.32  27.92 27.920090.12.74.1420210             35.8043 090 99      0.00   0.00   0.00
58970  Retrieval of oocyte                               A   3.52   2.36     1.74    0.42   6.30  5.680000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
58974  Transfer of embryo                                C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
58976  Transfer of embryo                                A   3.82   2.85     1.88    0.52   7.19  6.220000.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
58999  Genital surgery procedure                         C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020111             35.8043 090 99      0.00   0.00   0.00
59000  Amniocentesis diagnostic                          A   1.30   1.97     0.71    0.33   3.60  2.340000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59001  Amniocentesis therapeutic                         A   3.00   1.43NA   1.43    0.78   5.21  5.210000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59012  Fetal cord puncture prenatal                      A   3.44   1.55NA   1.55    0.89   5.88  5.880000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59015  Chorion biopsy                                    A   2.20   1.72     1.06    0.56   4.48  3.820000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59020  Fetal contract stress test                        A   0.66   1.21     1.21NA  0.16   2.03  2.031000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59020TCFetal contract stress test                        A   0.00   0.95     0.95NA  0.01   0.96  0.961000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
5902026Fetal contract stress test                        A   0.66   0.26     0.26    0.15   1.07  1.071000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59025  Fetal non-stress test                             A   0.53   0.72     0.72NA  0.13   1.38  1.381000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59025TCFetal non-stress test                             A   0.00   0.51     0.51NA  0.01   0.52  0.521000.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
5902526Fetal non-stress test                             A   0.53   0.21     0.21    0.12   0.86  0.861000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59030  Fetal scalp blood sample                          A   1.99   0.76NA   0.76    0.15   2.90  2.900000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59050  Fetal monitor w/report                            A   0.89   0.35NA   0.35    0.23   1.47  1.470XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59051  Fetal monitor/interpret only                      A   0.74   0.29NA   0.29    0.19   1.22  1.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59070  Transabdom amnioinfus w/us                        A   5.24   5.13     2.42    1.08  11.45  8.740000.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
59072  Umbilical cord occlud w/us                        A   8.99   3.86NA   3.86    0.66  13.51 13.510000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59074  Fetal fluid drainage w/us                         A   5.24   4.73     2.42    1.00  10.97  8.660000.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
59076  Fetal shunt placement w/us                        A   8.99   3.86NA   3.86    0.66  13.51 13.510000.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
59100  Remove uterus lesion                              A  13.37   7.17NA   7.17    2.35  22.89 22.890090.17.60.2320210             35.8043 090 99      0.00   0.00   0.00
59120  Treat ectopic pregnancy                           A  12.67   7.00NA   7.00    3.23  22.90 22.900090.17.60.2320210             35.8043 090 99      0.00   0.00   0.00
59121  Treat ectopic pregnancy                           A  12.74   6.94NA   6.94    3.29  22.97 22.970090.17.60.2320210             35.8043 090 99      0.00   0.00   0.00
59130  Treat ectopic pregnancy                           A  15.08   7.86NA   7.86    3.90  26.84 26.840090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59135  Treat ectopic pregnancy                           A  14.92   7.88NA   7.88    1.09  23.89 23.890090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59136  Treat ectopic pregnancy                           A  14.25   7.55NA   7.55    2.63  24.43 24.430090.17.60.2320200             35.8043 090 99      0.00   0.00   0.00
59140  Treat ectopic pregnancy                           A   5.94   4.56NA   4.56    1.00  11.50 11.500090.17.60.2320200             35.8043 090 99      0.00   0.00   0.00
59150  Treat ectopic pregnancy                           A  12.29   6.77NA   6.77    3.18  22.24 22.240090.17.60.2320200             35.8043 090 99      0.00   0.00   0.00
59151  Treat ectopic pregnancy                           A  12.11   6.40NA   6.40    3.06  21.57 21.570090.17.60.2320200             35.8043 090 99      0.00   0.00   0.00
59160  D & c after delivery                              A   2.76   2.39     1.53    0.71   5.86  5.000010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
59200  Insert cervical dilator                           A   0.79   1.07     0.31    0.19   2.05  1.290000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59300  Episiotomy or vaginal repair                      A   2.41   2.52     1.27    0.62   5.55  4.300000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59320  Revision of cervix                                A   2.48   1.30NA   1.30    0.63   4.41  4.410000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59325  Revision of cervix                                A   4.06   1.92NA   1.92    1.05   7.03  7.030000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59350  Repair of uterus                                  A   4.94   1.84NA   1.84    0.89   7.67  7.670000.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
59400  Obstetrical care                                  A  32.16  20.23NA  20.23    7.78  60.17 60.170MMM.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59409  Obstetrical care                                  A  14.37   5.74NA   5.74    3.44  23.55 23.550MMM.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59410  Obstetrical care                                  A  18.01   7.68NA   7.68    4.35  30.04 30.040MMM.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59412  Antepartum manipulation                           A   1.71   0.85NA   0.85    0.44   3.00  3.000MMM.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59414  Deliver placenta                                  A   1.61   0.63NA   0.63    0.42   2.66  2.660MMM.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59425  Antepartum care only                              A   6.31   5.26     2.49    1.48  13.05 10.280MMM.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59426  Antepartum care only                              A  11.16   9.62     4.42    2.55  23.33 18.130MMM.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
59430  Care after delivery                               A   2.47   2.25     0.98    0.57   5.29  4.020MMM.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59510  Cesarean delivery                                 A  35.64  22.02NA  22.02    9.13  66.79 66.790MMM.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59514  Cesarean delivery only                            A  16.13   6.40NA   6.40    4.01  26.54 26.540MMM.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
59515  Cesarean delivery                                 A  21.47   9.58NA   9.58    5.45  36.50 36.500MMM.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
59525  Remove uterus after cesarean                      A   8.53   3.35NA   3.35    2.11  13.99 13.990ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
59610  Vbac delivery                                     A  33.87  20.71NA  20.71    8.73  63.31 63.310MMM.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59612  Vbac delivery only                                A  16.09   6.32NA   6.32    4.16  26.57 26.570MMM.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59614  Vbac care after delivery                          A  19.73   8.21NA   8.21    5.10  33.04 33.040MMM.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59618  Attempted vbac delivery                           A  36.16  22.18NA  22.18    9.36  67.70 67.700MMM.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59620  Attempted vbac delivery only                      A  16.66   6.54NA   6.54    4.02  27.22 27.220MMM.00.00.0020200             35.8043 090 99      0.00   0.00   0.00
59622  Attempted vbac after care                         A  22.00   9.82NA   9.82    5.69  37.51 37.510MMM.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
59812  Treatment of miscarriage                          A   4.44   3.58     2.95    1.13   9.15  8.520090.17.60.2320100             35.8043 090 99      0.00   0.00   0.00
59820  Care of miscarriage                               A   4.84   4.81     4.17    1.24  10.89 10.250090.17.60.2320100             35.8043 090 99      0.00   0.00   0.00
59821  Treatment of miscarriage                          A   5.09   4.60     3.90    1.30  10.99 10.290090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59830  Treat uterus infection                            A   6.59   4.30NA   4.30    1.70  12.59 12.590090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59840  Abortion                                          R   3.01   2.46     2.21    0.78   6.25  6.000010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
59841  Abortion                                          R   5.65   3.91     3.31    1.46  11.02 10.420010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
59850  Abortion                                          R   5.90   3.68NA   3.68    0.43  10.01 10.010090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59851  Abortion                                          R   5.92   4.27NA   4.27    0.43  10.62 10.620090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59852  Abortion                                          R   8.23   5.65NA   5.65    0.60  14.48 14.480090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59855  Abortion                                          R   6.43   3.89NA   3.89    1.66  11.98 11.980090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59856  Abortion                                          R   7.79   4.29NA   4.29    2.01  14.09 14.090090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59857  Abortion                                          R   9.33   4.87NA   4.87    0.68  14.88 14.880090.17.60.2320000             35.8043 090 99      0.00   0.00   0.00
59866  Abortion (mpr)                                    R   3.99   1.95NA   1.95    0.29   6.23  6.230000.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
59870  Evacuate mole of uterus                           A   6.57   5.33NA   5.33    1.70  13.60 13.600090.17.60.2320200             35.8043 090 99      0.00   0.00   0.00
59871  Remove cerclage suture                            A   2.13   1.19NA   1.19    0.54   3.86  3.860000.00.00.0020000             35.8043 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  0.000YYY.00.00.0020100             35.8043 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  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
59899  Maternity care procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 090 99      0.00   0.00   0.00
60000  Drain thyroid/tongue cyst                         A   1.81   2.83     2.34    0.27   4.91  4.420010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
6005F  Care level rationale doc                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
6010F  Dysphag test done b/4 eating                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
60100  Biopsy of thyroid                                 A   1.56   1.51     0.57    0.15   3.22  2.280000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
6015F  Dysphag test done b/4 eating                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
6020F  Npo (nothing-mouth) ordered                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
60200  Remove thyroid lesion                             A  10.02   7.19NA   7.19    1.86  19.07 19.070090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60210  Partial thyroid excision                          A  11.23   7.01NA   7.01    2.22  20.46 20.460090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60212  Partial thyroid excision                          A  16.43   9.46NA   9.46    3.22  29.11 29.110090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60220  Partial removal of thyroid                        A  11.19   7.18NA   7.18    2.09  20.46 20.460090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60225  Partial removal of thyroid                        A  14.79   9.28NA   9.28    2.89  26.96 26.960090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60240  Removal of thyroid                                A  15.04   8.60NA   8.60    2.97  26.61 26.610090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60252  Removal of thyroid                                A  22.01  11.92NA  11.92    4.32  38.25 38.250090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60254  Extensive thyroid surgery                         A  28.42  14.87NA  14.87    5.18  48.47 48.470090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60260  Repeat thyroid surgery                            A  18.26   9.97NA   9.97    3.42  31.65 31.650090.09.82.0921210             35.8043 090 99      0.00   0.00   0.00
60270  Removal of thyroid                                A  23.20  11.76NA  11.76    4.63  39.59 39.590090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60271  Removal of thyroid                                A  17.62   9.66NA   9.66    3.34  30.62 30.620090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60280  Remove thyroid duct lesion                        A   6.16   5.69NA   5.69    0.96  12.81 12.810090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60281  Remove thyroid duct lesion                        A   8.82   6.87NA   6.87    1.29  16.98 16.980090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
6030F  Max sterile barriers follwd                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
60300  Aspir/inj thyroid cyst                            A   0.97   2.30     0.36    0.11   3.38  1.440000.00.00.0020100             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
6045F  Radxps in end rprt4fluro pxd                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
60500  Explore parathyroid glands                        A  15.60   9.08NA   9.08    3.24  27.92 27.920090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60502  Re-explore parathyroids                           A  21.15  11.62NA  11.62    4.47  37.24 37.240090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60505  Explore parathyroid glands                        A  23.06  12.51NA  12.51    4.52  40.09 40.090090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60512  Autotransplant parathyroid                        A   4.44   1.71NA   1.71    0.92   7.07  7.070ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
60520  Removal of thymus gland                           A  17.16   9.13NA   9.13    3.92  30.21 30.210090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60521  Removal of thymus gland                           A  19.18   9.02NA   9.02    4.38  32.58 32.580090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60522  Removal of thymus gland                           A  23.48  10.58NA  10.58    5.35  39.41 39.410090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60540  Explore adrenal gland                             A  18.02   9.18NA   9.18    3.44  30.64 30.640090.09.82.0921210             35.8043 090 99      0.00   0.00   0.00
60545  Explore adrenal gland                             A  20.93  10.21NA  10.21    4.01  35.15 35.150090.09.82.0921210             35.8043 090 99      0.00   0.00   0.00
60600  Remove carotid body lesion                        A  25.09  10.21NA  10.21    5.19  40.49 40.490090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60605  Remove carotid body lesion                        A  31.96  11.35NA  11.35    6.73  50.04 50.040090.09.82.0920210             35.8043 090 99      0.00   0.00   0.00
60650  Laparoscopy adrenalectomy                         A  20.73   9.63NA   9.63    4.16  34.52 34.520090.09.84.0721210             35.8043 090 99      0.00   0.00   0.00
60659  Laparo proc endocrine                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
60699  Endocrine surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020211             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
6080F  Pt/caregiver queried falls                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
6090F  Pt/caregiver counsel safety                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
6100F  Verify pt site pxd docd                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
61000  Remove cranial cavity fluid                       A   1.58   1.13NA   1.13    0.66   3.37  3.370000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
61001  Remove cranial cavity fluid                       A   1.49   0.76NA   0.76    0.20   2.45  2.450000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
6101F  Safety counseling dementia                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
6102F  Safety counseling dem order                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
61020  Remove brain cavity fluid                         A   1.51   1.00NA   1.00    0.43   2.94  2.940000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
61026  Injection into brain canal                        A   1.69   1.03NA   1.03    0.26   2.98  2.980000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
61050  Remove brain canal fluid                          A   1.51   0.80NA   0.80    0.16   2.47  2.470000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
61055  Injection into brain canal                        A   2.10   1.04NA   1.04    0.35   3.49  3.490000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
61070  Brain canal shunt procedure                       A   0.89   0.62NA   0.62    0.16   1.67  1.670000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
6110F  Counsel prov driving risks                        M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
61105  Twist drill hole                                  A   5.45   5.73NA   5.73    2.15  13.33 13.330090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
61107  Drill skull for implantation                      A   4.99   2.33NA   2.33    2.00   9.32  9.320000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
61108  Drill skull for drainage                          A  11.64  10.34NA  10.34    4.61  26.59 26.590090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
61120  Burr hole for puncture                            A   9.60   8.32NA   8.32    3.93  21.85 21.850090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
61140  Pierce skull for biopsy                           A  17.23  12.98NA  12.98    6.94  37.15 37.150090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
61150  Pierce skull for drainage                         A  18.90  12.94NA  12.94    7.50  39.34 39.340090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
61151  Pierce skull for drainage                         A  13.49  10.22NA  10.22    5.62  29.33 29.330090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
61154  Pierce skull & remove clot                        A  17.07  13.37NA  13.37    6.85  37.29 37.290090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61156  Pierce skull for drainage                         A  17.45  12.08NA  12.08    7.06  36.59 36.590090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61210  Pierce skull implant device                       A   5.83   2.71NA   2.71    2.38  10.92 10.920000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
61215  Insert brain-fluid device                         A   5.85   6.58NA   6.58    2.40  14.83 14.830090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
61250  Pierce skull & explore                            A  11.49   8.73NA   8.73    3.47  23.69 23.690090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61253  Pierce skull & explore                            A  13.49   8.24NA   8.24    1.95  23.68 23.680090.11.76.1322200             35.8043 090 99      0.00   0.00   0.00
61304  Open skull for exploration                        A  23.41  15.63NA  15.63    9.32  48.36 48.360090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61305  Open skull for exploration                        A  28.64  18.68NA  18.68   11.63  58.95 58.950090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61312  Open skull for drainage                           A  30.17  18.91NA  18.91   12.14  61.22 61.220090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61313  Open skull for drainage                           A  28.09  18.98NA  18.98   11.31  58.38 58.380090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61314  Open skull for drainage                           A  25.90  17.44NA  17.44   10.25  53.59 53.590090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61315  Open skull for drainage                           A  29.65  19.22NA  19.22   11.97  60.84 60.840090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61316  Implt cran bone flap to abdo                      A   1.39   0.64NA   0.64    0.57   2.60  2.600ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
61320  Open skull for drainage                           A  27.42  17.61NA  17.61   10.91  55.94 55.940090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61321  Open skull for drainage                           A  30.53  19.22NA  19.22   12.00  61.75 61.750090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61322  Decompressive craniotomy                          A  34.26  21.84NA  21.84   13.88  69.98 69.980090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61323  Decompressive lobectomy                           A  35.06  21.26NA  21.26   14.53  70.85 70.850090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
61330  Decompress eye socket                             A  25.30  18.66NA  18.66    2.81  46.77 46.770090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61332  Explore/biopsy eye socket                         A  28.60  20.70NA  20.70    2.09  51.39 51.390090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61333  Explore orbit/remove lesion                       A  29.27  20.85NA  20.85    2.90  53.02 53.020090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61340  Subtemporal decompression                         A  20.11  14.21NA  14.21    7.57  41.89 41.890090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61343  Incise skull (press relief)                       A  31.86  20.05NA  20.05   12.66  64.57 64.570090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61345  Relieve cranial pressure                          A  29.23  18.85NA  18.85   11.76  59.84 59.840090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61450  Incise skull for surgery                          A  27.69  17.63NA  17.63   11.27  56.59 56.590090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61458  Incise skull for brain wound                      A  28.84  18.60NA  18.60   11.58  59.02 59.020090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61460  Incise skull for surgery                          A  30.24  19.38NA  19.38   12.60  62.22 62.220090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
61480  Incise skull for surgery                          A  28.05  14.87NA  14.87    3.84  46.76 46.760090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
6150F  Pt notrcvng1st antitnf txmnt                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
61500  Removal of skull lesion                           A  19.18  13.31NA  13.31    6.11  38.60 38.600090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61501  Remove infected skull bone                        A  16.35  12.23NA  12.23    5.09  33.67 33.670090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61510  Removal of brain lesion                           A  30.83  21.02NA  21.02   12.37  64.22 64.220090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61512  Remove brain lining lesion                        A  37.14  22.97NA  22.97   14.83  74.94 74.940090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61514  Removal of brain abscess                          A  27.23  17.85NA  17.85   10.74  55.82 55.820090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61516  Removal of brain lesion                           A  26.58  17.47NA  17.47   10.44  54.49 54.490090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61517  Implt brain chemotx add-on                        A   1.38   0.65NA   0.65    0.57   2.60  2.600ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
61518  Removal of brain lesion                           A  39.89  25.22NA  25.22   15.93  81.04 81.040090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61519  Remove brain lining lesion                        A  43.43  25.70NA  25.70   17.02  86.15 86.150090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61520  Removal of brain lesion                           A  57.09  32.52NA  32.52   21.10 110.71110.710090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
61521  Removal of brain lesion                           A  46.99  27.05NA  27.05   18.63  92.67 92.670090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61522  Removal of brain abscess                          A  31.54  19.72NA  19.72   12.52  63.78 63.780090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61524  Removal of brain lesion                           A  29.89  18.91NA  18.91   12.09  60.89 60.890090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61526  Removal of brain lesion                           A  54.08  31.43NA  31.43   22.54 108.05108.050090.11.76.1320120             35.8043 090 99      0.00   0.00   0.00
61530  Removal of brain lesion                           A  45.56  26.53NA  26.53   18.98  91.07 91.070090.11.76.1320120             35.8043 090 99      0.00   0.00   0.00
61531  Implant brain electrodes                          A  16.41  12.64NA  12.64    6.69  35.74 35.740090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
61533  Implant brain electrodes                          A  21.46  14.54NA  14.54    8.69  44.69 44.690090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61534  Removal of brain lesion                           A  23.01  16.00NA  16.00    8.72  47.73 47.730090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61535  Remove brain electrodes                           A  13.15  10.77NA  10.77    5.29  29.21 29.210090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61536  Removal of brain lesion                           A  37.72  22.87NA  22.87   15.72  76.31 76.310090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61537  Removal of brain tissue                           A  36.45  21.36NA  21.36   14.62  72.43 72.430090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61538  Removal of brain tissue                           A  39.45  23.03NA  23.03   16.34  78.82 78.820090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61539  Removal of brain tissue                           A  34.28  21.26NA  21.26   13.51  69.05 69.050090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61540  Removal of brain tissue                           A  31.43  20.02NA  20.02   13.10  64.55 64.550090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61541  Incision of brain tissue                          A  30.94  19.70NA  19.70   12.89  63.53 63.530090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61543  Removal of brain tissue                           A  31.31  19.88NA  19.88   11.00  62.19 62.190090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61544  Remove & treat brain lesion                       A  27.36  17.48NA  17.48   11.40  56.24 56.240090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
61545  Excision of brain tumor                           A  46.43  28.43NA  28.43   19.34  94.20 94.200090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61546  Removal of pituitary gland                        A  33.44  20.87NA  20.87   13.93  68.24 68.240090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61548  Removal of pituitary gland                        A  23.37  14.64NA  14.64    8.05  46.06 46.060090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
61550  Release of skull seams                            A  15.59  10.07NA  10.07    2.25  27.91 27.910090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61552  Release of skull seams                            A  20.40  10.37NA  10.37    2.79  33.56 33.560090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61556  Incise skull/sutures                              A  24.09  14.85NA  14.85    7.20  46.14 46.140090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
61557  Incise skull/sutures                              A  23.31  15.47NA  15.47    8.13  46.91 46.910090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
61558  Excision of skull/sutures                         A  26.50  17.94NA  17.94   11.04  55.48 55.480090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
61559  Excision of skull/sutures                         A  34.02  19.99NA  19.99    7.32  61.33 61.330090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61563  Excision of skull tumor                           A  28.44  17.03NA  17.03   10.58  56.05 56.050090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61564  Excision of skull tumor                           A  34.74  21.73NA  21.73   11.22  67.69 67.690090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61566  Removal of brain tissue                           A  32.45  20.49NA  20.49   13.17  66.11 66.110090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61567  Incision of brain tissue                          A  37.00  23.36NA  23.36   15.42  75.78 75.780090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61570  Remove foreign body brain                         A  26.51  17.63NA  17.63   10.73  54.87 54.870090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61571  Incise skull for brain wound                      A  28.42  18.47NA  18.47   11.59  58.48 58.480090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61575  Skull base/brainstem surgery                      A  36.56  19.63NA  19.63    6.11  62.30 62.300090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61576  Skull base/brainstem surgery                      A  55.31  38.73NA  38.73   11.32 105.36105.360090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61580  Craniofacial approach skull                       A  34.51  29.88NA  29.88    8.48  72.87 72.870090.11.76.1321112             35.8043 090 99      0.00   0.00   0.00
61581  Craniofacial approach skull                       A  39.13  31.98NA  31.98    5.96  77.07 77.070090.11.76.1321122             35.8043 090 99      0.00   0.00   0.00
61582  Craniofacial approach skull                       A  35.14  36.77NA  36.77   12.76  84.67 84.670090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61583  Craniofacial approach skull                       A  38.50  31.20NA  31.20   15.06  84.76 84.760090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61584  Orbitocranial approach/skull                      A  37.70  31.24NA  31.24   14.72  83.66 83.660090.11.76.1321212             35.8043 090 99      0.00   0.00   0.00
61585  Orbitocranial approach/skull                      A  42.57  34.46NA  34.46   17.74  94.77 94.770090.11.76.1321212             35.8043 090 99      0.00   0.00   0.00
61586  Resect nasopharynx skull                          A  27.48  31.79NA  31.79   11.18  70.45 70.450090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61590  Infratemporal approach/skull                      A  47.04  32.15NA  32.15    9.28  88.47 88.470090.11.76.1321212             35.8043 090 99      0.00   0.00   0.00
61591  Infratemporal approach/skull                      A  47.02  32.47NA  32.47   10.79  90.28 90.280090.11.76.1321212             35.8043 090 99      0.00   0.00   0.00
61592  Orbitocranial approach/skull                      A  43.08  33.57NA  33.57   16.38  93.03 93.030090.11.76.1321212             35.8043 090 99      0.00   0.00   0.00
61595  Transtemporal approach/skull                      A  33.74  26.84NA  26.84    8.17  68.75 68.750090.11.76.1321112             35.8043 090 99      0.00   0.00   0.00
61596  Transcochlear approach/skull                      A  39.43  25.61NA  25.61    5.59  70.63 70.630090.11.76.1321212             35.8043 090 99      0.00   0.00   0.00
61597  Transcondylar approach/skull                      A  40.82  27.36NA  27.36   14.31  82.49 82.490090.11.76.1321212             35.8043 090 99      0.00   0.00   0.00
61598  Transpetrosal approach/skull                      A  36.53  31.79NA  31.79   14.92  83.24 83.240090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61600  Resect/excise cranial lesion                      A  30.01  25.27NA  25.27    6.87  62.15 62.150090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61601  Resect/excise cranial lesion                      A  31.14  27.73NA  27.73   11.93  70.80 70.800090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61605  Resect/excise cranial lesion                      A  32.57  24.99NA  24.99    5.53  63.09 63.090090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61606  Resect/excise cranial lesion                      A  42.05  30.39NA  30.39   14.91  87.35 87.350090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61607  Resect/excise cranial lesion                      A  40.93  27.30NA  27.30   10.98  79.21 79.210090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61608  Resect/excise cranial lesion                      A  45.54  32.34NA  32.34   17.43  95.31 95.310090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61610  Transect artery sinus                             A  29.63  11.31NA  11.31    4.05  44.99 44.990ZZZ.00.00.0000212             35.8043 090 99      0.00   0.00   0.00
61611  Transect artery sinus                             A   7.41   2.83NA   2.83    1.01  11.25 11.250ZZZ.00.00.0000212             35.8043 090 99      0.00   0.00   0.00
61612  Transect artery sinus                             A  27.84  10.63NA  10.63    3.81  42.28 42.280ZZZ.00.00.0000212             35.8043 090 99      0.00   0.00   0.00
61613  Remove aneurysm sinus                             A  45.03  33.11NA  33.11   16.44  94.58 94.580090.11.76.1321212             35.8043 090 99      0.00   0.00   0.00
61615  Resect/excise lesion skull                        A  35.77  24.74NA  24.74    5.51  66.02 66.020090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61616  Resect/excise lesion skull                        A  46.74  34.34NA  34.34   16.57  97.65 97.650090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61618  Repair dura                                       A  18.69  12.96NA  12.96    6.33  37.98 37.980090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61619  Repair dura                                       A  22.10  13.94NA  13.94    6.11  42.15 42.150090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
61623  Endovasc tempory vessel occl                      A   9.95   4.11NA   4.11    2.50  16.56 16.560000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
61624  Transcath occlusion cns                           A  20.12   8.00NA   8.00    5.15  33.27 33.270000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
61626  Transcath occlusion non-cns                       A  16.60   5.88NA   5.88    2.52  25.00 25.000000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
61630  Intracranial angioplasty                          R  22.07  10.90NA  10.90    5.75  38.72 38.720XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
61635  Intracran angioplsty w/stent                      R  24.28  11.54NA  11.54    5.74  41.56 41.560XXX.00.00.0020210             35.8043 090 99      0.00   0.00   0.00
61640  Dilate ic vasospasm init                          N+ 12.32   4.71NA   4.71    1.69  18.72 18.729000.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
61641  Dilate ic vasospasm add-on                        N+  4.33   1.65NA   1.65    0.59   6.57  6.579ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
61642  Dilate ic vasospasm add-on                        N+  8.66   3.31NA   3.31    1.18  13.15 13.159ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
61645  Perq art m-thrombect &/nfs                        A  15.00   4.55NA   4.55    3.04  22.59 22.590000.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
61650  Evasc prlng admn rx agnt 1st                      A  10.00   3.26NA   3.26    1.81  15.07 15.070000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
61651  Evasc prlng admn rx agnt add                      A   4.25   1.38NA   1.38    0.77   6.40  6.400ZZZ.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
61680  Intracranial vessel surgery                       A  32.55  20.54NA  20.54   12.82  65.91 65.910090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61682  Intracranial vessel surgery                       A  63.41  33.98NA  33.98   25.12 122.51122.510090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61684  Intracranial vessel surgery                       A  41.64  25.17NA  25.17   17.35  84.16 84.160090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61686  Intracranial vessel surgery                       A  67.50  37.32NA  37.32   27.33 132.15132.150090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61690  Intracranial vessel surgery                       A  31.34  20.00NA  20.00   12.40  63.74 63.740090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61692  Intracranial vessel surgery                       A  54.59  31.01NA  31.01   21.79 107.39107.390090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61697  Brain aneurysm repr complx                        A  63.40  35.48NA  35.48   25.60 124.48124.480090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61698  Brain aneurysm repr complx                        A  69.63  38.27NA  38.27   28.64 136.54136.540090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61700  Brain aneurysm repr simple                        A  50.62  29.37NA  29.37   20.11 100.10100.100090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61702  Inner skull vessel surgery                        A  60.04  33.83NA  33.83   24.39 118.26118.260090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61703  Clamp neck artery                                 A  18.80  13.48NA  13.48    7.84  40.12 40.120090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61705  Revise circulation to head                        A  38.10  23.31NA  23.31   14.08  75.49 75.490090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61708  Revise circulation to head                        A  37.20  18.85NA  18.85    5.33  61.38 61.380090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
61710  Revise circulation to head                        A  31.29  19.31NA  19.31   13.04  63.64 63.640090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
61711  Fusion of skull arteries                          A  38.23  22.97NA  22.97   15.13  76.33 76.330090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61720  Incise skull/brain surgery                        A  17.62  12.54NA  12.54    7.34  37.50 37.500090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
61735  Incise skull/brain surgery                        A  22.35  14.93NA  14.93    9.08  46.36 46.360090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
61750  Incise skull/brain biopsy                         A  19.83  13.42NA  13.42    8.13  41.38 41.380090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
61751  Brain biopsy w/ct/mr guide                        A  18.79  14.07NA  14.07    7.80  40.66 40.660090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
61760  Implant brain electrodes                          A  22.39  14.98NA  14.98    9.33  46.70 46.700090.11.76.1320120             35.8043 090 99      0.00   0.00   0.00
61770  Incise skull for treatment                        A  23.19  14.96NA  14.96    9.52  47.67 47.670090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
61781  Scan proc cranial intra                           A   3.75   1.74NA   1.74    1.47   6.96  6.960ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
61782  Scan proc cranial extra                           A   3.18   1.44NA   1.44    0.49   5.11  5.110ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
61783  Scan proc spinal                                  A   3.75   1.77NA   1.77    1.33   6.85  6.850ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
61790  Treat trigeminal nerve                            A  11.60   9.51NA   9.51    4.79  25.90 25.900090.11.76.1321100             35.8043 090 99      0.00   0.00   0.00
61791  Treat trigeminal tract                            A  15.41  10.39NA  10.39    5.58  31.38 31.380090.11.76.1321000             35.8043 090 99      0.00   0.00   0.00
61796  Srs cranial lesion simple                         A  13.93  10.24NA  10.24    5.70  29.87 29.870090.11.76.1300200             35.8043 090 99      0.00   0.00   0.00
61797  Srs cran les simple addl                          A   3.48   1.62NA   1.62    1.44   6.54  6.540ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
61798  Srs cranial lesion complex                        A  19.85  12.91NA  12.91    7.99  40.75 40.750090.11.76.1300200             35.8043 090 99      0.00   0.00   0.00
61799  Srs cran les complex addl                         A   4.81   2.23NA   2.23    1.97   9.01  9.010ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
61800  Apply srs headframe add-on                        A   2.25   1.39NA   1.39    0.92   4.56  4.560ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
61850  Implant neuroelectrodes                           A  13.34  10.06NA  10.06    5.55  28.95 28.950090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
61860  Implant neuroelectrodes                           A  22.26  14.70NA  14.70    9.28  46.24 46.240090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
61863  Implant neuroelectrode                            A  20.71  15.04NA  15.04    8.41  44.16 44.160090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61864  Implant neuroelectrde addl                        A   4.49   2.10NA   2.10    1.84   8.43  8.430ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
61867  Implant neuroelectrode                            A  33.03  20.73NA  20.73   13.31  67.07 67.070090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61868  Implant neuroelectrde addl                        A   7.91   3.68NA   3.68    3.19  14.78 14.780ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
61870  Implant neuroelectrodes                           A  16.34  11.78NA  11.78    5.51  33.63 33.630090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
61880  Revise/remove neuroelectrode                      A   6.95   7.00NA   7.00    2.77  16.72 16.720090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
61885  Insrt/redo neurostim 1 array                      A   6.05   6.74NA   6.74    2.27  15.06 15.060090.11.76.1321000             35.8043 090 99      0.00   0.00   0.00
61886  Implant neurostim arrays                          A   9.93  10.84NA  10.84    3.94  24.71 24.710090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
61888  Revise/remove neuroreceiver                       A   5.23   4.32NA   4.32    2.06  11.61 11.610010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
62000  Treat skull fracture                              A  13.93  10.65NA  10.65    5.80  30.38 30.380090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
62005  Treat skull fracture                              A  17.63  12.14NA  12.14    6.71  36.48 36.480090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62010  Treatment of head injury                          A  21.43  14.88NA  14.88    8.65  44.96 44.960090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62100  Repair brain fluid leakage                        A  23.53  15.02NA  15.02    8.24  46.79 46.790090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62115  Reduction of skull defect                         A  22.91  11.79NA  11.79    3.13  37.83 37.830090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62117  Reduction of skull defect                         A  28.35  15.05NA  15.05    3.88  47.28 47.280090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62120  Repair skull cavity lesion                        A  24.59  20.00NA  20.00    3.74  48.33 48.330090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62121  Incise skull repair                               A  23.03  17.64NA  17.64    5.85  46.52 46.520090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62140  Repair of skull defect                            A  14.55  10.50NA  10.50    5.20  30.25 30.250090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62141  Repair of skull defect                            A  16.07  11.46NA  11.46    5.79  33.32 33.320090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62142  Remove skull plate/flap                           A  11.83   9.61NA   9.61    4.55  25.99 25.990090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
62143  Replace skull plate/flap                          A  14.15  10.75NA  10.75    5.55  30.45 30.450090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62145  Repair of skull & brain                           A  20.09  13.61NA  13.61    7.71  41.41 41.410090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62146  Repair of skull with graft                        A  17.28  12.28NA  12.28    6.95  36.51 36.510090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62147  Repair of skull with graft                        A  20.67  13.71NA  13.71    7.16  41.54 41.540090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62148  Retr bone flap to fix skull                       A   2.00   0.94NA   0.94    0.83   3.77  3.770ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
62160  Neuroendoscopy add-on                             A   3.00   1.40NA   1.40    1.24   5.64  5.640ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
62161  Dissect brain w/scope                             A  21.23  14.86NA  14.86    8.63  44.72 44.720090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62162  Remove colloid cyst w/scope                       A  26.80  17.73NA  17.73   11.04  55.57 55.570090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62163  Zneuroendoscopy w/fb removal                      A  16.53  11.54NA  11.54    4.47  32.54 32.540090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62164  Remove brain tumor w/scope                        A  29.43  19.87NA  19.87   11.82  61.12 61.120090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62165  Remove pituit tumor w/scope                       A  23.23  14.81NA  14.81    7.16  45.20 45.200090.11.76.1320010             35.8043 090 99      0.00   0.00   0.00
62180  Establish brain cavity shunt                      A  22.58  15.29NA  15.29    9.08  46.95 46.950090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
62190  Establish brain cavity shunt                      A  12.17   9.29NA   9.29    4.39  25.85 25.850090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
62192  Establish brain cavity shunt                      A  13.35  10.08NA  10.08    5.19  28.62 28.620090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62194  Replace/irrigate catheter                         A   5.78   5.53NA   5.53    2.23  13.54 13.540010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
62200  Establish brain cavity shunt                      A  19.29  13.28NA  13.28    7.93  40.50 40.500090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62201  Brain cavity shunt w/scope                        A  16.04  12.79NA  12.79    6.65  35.48 35.480090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
62220  Establish brain cavity shunt                      A  14.10  10.57NA  10.57    5.53  30.20 30.200090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62223  Establish brain cavity shunt                      A  14.05  11.31NA  11.31    5.37  30.73 30.730090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62225  Replace/irrigate catheter                         A   6.19   6.64NA   6.64    2.53  15.36 15.360090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
62230  Replace/revise brain shunt                        A  11.43   8.83NA   8.83    4.45  24.71 24.710090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62252  Csf shunt reprogram                               A   0.74   1.44     1.44NA  0.29   2.47  2.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
62252TCCsf shunt reprogram                               A   0.00   1.09     1.09NA  0.01   1.10  1.101XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
6225226Csf shunt reprogram                               A   0.74   0.35     0.35    0.28   1.37  1.371XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
62256  Remove brain cavity shunt                         A   7.38   7.17NA   7.17    2.96  17.51 17.510090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
62258  Replace brain cavity shunt                        A  15.64  11.33NA  11.33    6.07  33.04 33.040090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
62263  Epidural lysis mult sessions                      A   5.00  13.21     4.38    0.40  18.61  9.780010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
62264  Epidural lysis on single day                      A   4.42   7.26     2.08    0.38  12.06  6.880010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
62267  Interdiscal perq aspir dx                         A   3.00   3.84     1.34    0.27   7.11  4.610000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
62268  Drain spinal cord cyst                            A   4.73   2.29NA   2.29    0.46   7.48  7.480000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62269  Needle biopsy spinal cord                         A   5.01   2.23NA   2.23    0.58   7.82  7.820000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
62270  Spinal fluid tap diagnostic                       A   1.37   2.98     0.69    0.19   4.54  2.250000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62272  Drain cerebro spinal fluid                        A   1.35   4.11     0.77    0.30   5.76  2.420000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62273  Inject epidural patch                             A   2.15   2.61     0.94    0.19   4.95  3.280000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62280  Treat spinal cord lesion                          A   2.63   5.77     1.69    0.33   8.73  4.650010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
62281  Treat spinal cord lesion                          A   2.66   3.88     1.53    0.34   6.88  4.530010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
62282  Treat spinal canal lesion                         A   2.33   5.74     1.57    0.29   8.36  4.190010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
62284  Injection for myelogram                           A   1.54   3.50     0.78    0.16   5.20  2.480000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62287  Percutaneous diskectomy                           A   9.03   6.33NA   6.33    1.01  16.37 16.370090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
62290  Inject for spine disk x-ray                       A   3.00   6.24     1.69    0.29   9.53  4.980000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62291  Inject for spine disk x-ray                       A   2.91   6.28     1.77    0.25   9.44  4.930000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62292  Injection into disk lesion                        A   9.24   6.79NA   6.79    0.74  16.77 16.770090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
62294  Injection into spinal artery                      A  12.87   8.77NA   8.77    1.01  22.65 22.650090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
62302  Myelography lumbar injection                      A   2.29   4.38     1.04    0.21   6.88  3.540000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62303  Myelography lumbar injection                      A   2.29   4.65     1.10    0.21   7.15  3.600000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62304  Myelography lumbar injection                      A   2.25   4.35     1.03    0.21   6.81  3.490000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62305  Myelography lumbar injection                      A   2.35   4.86     1.08    0.21   7.42  3.640000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62310  Inject spine cerv/thoracic                        A   1.91   4.78     1.06    0.16   6.85  3.130000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62311  Inject spine lumbar/sacral                        A   1.54   4.64     0.90    0.14   6.32  2.580000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62318  Inject spine w/cath crv/thrc                      A   2.04   4.36     0.66    0.16   6.56  2.860000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62319  Inject spine w/cath lmb/scrl                      A   1.87   2.76     0.73    0.16   4.79  2.760000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
62350  Implant spinal canal cath                         A   6.05   4.43NA   4.43    1.14  11.62 11.620010.10.80.1020110             35.8043 090 99      0.00   0.00   0.00
62351  Implant spinal canal cath                         A  11.66  10.03NA  10.03    3.61  25.30 25.300090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
62355  Remove spinal canal catheter                      A   3.55   3.50NA   3.50    0.75   7.80  7.800010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
62360  Insert spine infusion device                      A   4.33   3.75NA   3.75    0.96   9.04  9.040010.10.80.1020010             35.8043 090 99      0.00   0.00   0.00
62361  Implant spine infusion pump                       A   5.00   4.31NA   4.31    1.12  10.43 10.430010.10.80.1020010             35.8043 090 99      0.00   0.00   0.00
62362  Implant spine infusion pump                       A   5.60   4.39NA   4.39    1.23  11.22 11.220010.10.80.1020010             35.8043 090 99      0.00   0.00   0.00
62365  Remove spine infusion device                      A   3.93   3.75NA   3.75    0.93   8.61  8.610010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
62367  Analyze spine infus pump                          A   0.48   0.65     0.20    0.05   1.18  0.730XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
62368  Analyze sp inf pump w/reprog                      A   0.67   0.88     0.28    0.07   1.62  1.020XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
62369  Anal sp inf pmp w/reprg&fill                      A   0.67   2.69     0.29    0.07   3.43  1.030XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
62370  Anl sp inf pmp w/mdreprg&fil                      A   0.90   2.62     0.36    0.09   3.61  1.350XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
63001  Remove spine lamina 1/2 crvl                      A  17.61  12.34NA  12.34    6.39  36.34 36.340090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63003  Remove spine lamina 1/2 thrc                      A  17.74  12.31NA  12.31    6.09  36.14 36.140090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63005  Remove spine lamina 1/2 lmbr                      A  16.43  12.47NA  12.47    5.59  34.49 34.490090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63011  Remove spine lamina 1/2 scrl                      A  15.91  11.59NA  11.59    4.33  31.83 31.830090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63012  Remove lamina/facets lumbar                       A  16.85  12.38NA  12.38    5.51  34.74 34.740090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63015  Remove spine lamina >2 crvcl                      A  20.85  14.89NA  14.89    7.72  43.46 43.460090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63016  Remove spine lamina >2 thrc                       A  22.03  14.87NA  14.87    7.50  44.40 44.400090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63017  Remove spine lamina >2 lmbr                       A  17.33  13.10NA  13.10    6.20  36.63 36.630090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63020  Neck spine disk surgery                           A  16.20  12.41NA  12.41    5.23  33.84 33.840090.11.76.1321220             35.8043 090 99      0.00   0.00   0.00
63030  Low back disk surgery                             A  13.18  10.93NA  10.93    4.08  28.19 28.190090.11.76.1321220             35.8043 090 99      0.00   0.00   0.00
63035  Spinal disk surgery add-on                        A   3.15   1.52NA   1.52    0.94   5.61  5.610ZZZ.00.00.0001220             35.8043 090 99      0.00   0.00   0.00
63040  Laminotomy single cervical                        A  20.31  13.95NA  13.95    6.34  40.60 40.600090.11.76.1321220             35.8043 090 99      0.00   0.00   0.00
63042  Laminotomy single lumbar                          A  18.76  13.54NA  13.54    5.41  37.71 37.710090.11.76.1321220             35.8043 090 99      0.00   0.00   0.00
63043  Laminotomy addl cervical                          C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001220             35.8043 090 99      0.00   0.00   0.00
63044  Laminotomy addl lumbar                            C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0001220             35.8043 090 99      0.00   0.00   0.00
63045  Remove spine lamina 1 crvl                        A  17.95  13.42NA  13.42    6.30  37.67 37.670090.11.76.1322220             35.8043 090 99      0.00   0.00   0.00
63046  Remove spine lamina 1 thrc                        A  17.25  12.92NA  12.92    5.43  35.60 35.600090.11.76.1322220             35.8043 090 99      0.00   0.00   0.00
63047  Remove spine lamina 1 lmbr                        A  15.37  11.99NA  11.99    4.77  32.13 32.130090.11.76.1322220             35.8043 090 99      0.00   0.00   0.00
63048  Remove spinal lamina add-on                       A   3.47   1.67NA   1.67    1.06   6.20  6.200ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
63050  Cervical laminoplsty 2/> seg                      A  22.01  14.88NA  14.88    6.55  43.44 43.440090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63051  C-laminoplasty w/graft/plate                      A  25.51  16.73NA  16.73    7.64  49.88 49.880090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63055  Decompress spinal cord thrc                       A  23.55  15.66NA  15.66    8.45  47.66 47.660090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63056  Decompress spinal cord lmbr                       A  21.86  14.63NA  14.63    6.75  43.24 43.240090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63057  Decompress spine cord add-on                      A   5.25   2.53NA   2.53    1.60   9.38  9.380ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
63064  Decompress spinal cord thrc                       A  26.22  16.86NA  16.86    8.61  51.69 51.690090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63066  Decompress spine cord add-on                      A   3.26   1.52NA   1.52    1.36   6.14  6.140ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
63075  Neck spine disk surgery                           A  19.60  13.71NA  13.71    6.25  39.56 39.560090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63076  Neck spine disk surgery                           A   4.04   1.91NA   1.91    1.29   7.24  7.240ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
63077  Spine disk surgery thorax                         A  22.88  14.31NA  14.31    6.52  43.71 43.710090.11.76.1320220             35.8043 090 99      0.00   0.00   0.00
63078  Spine disk surgery thorax                         A   3.28   1.57NA   1.57    0.81   5.66  5.660ZZZ.00.00.0000220             35.8043 090 99      0.00   0.00   0.00
63081  Remove vert body dcmprn crvl                      A  26.10  17.04NA  17.04    8.17  51.31 51.310090.11.76.1320212             35.8043 090 99      0.00   0.00   0.00
63082  Remove vertebral body add-on                      A   4.36   2.09NA   2.09    1.36   7.81  7.810ZZZ.00.00.0000212             35.8043 090 99      0.00   0.00   0.00
63085  Remove vert body dcmprn thrc                      A  29.47  17.44NA  17.44    8.82  55.73 55.730090.11.76.1320222             35.8043 090 99      0.00   0.00   0.00
63086  Remove vertebral body add-on                      A   3.19   1.44NA   1.44    0.94   5.57  5.570ZZZ.00.00.0000222             35.8043 090 99      0.00   0.00   0.00
63087  Remov vertbr dcmprn thrclmbr                      A  37.53  21.71NA  21.71   10.94  70.18 70.180090.11.76.1320222             35.8043 090 99      0.00   0.00   0.00
63088  Remove vertebral body add-on                      A   4.32   2.04NA   2.04    1.23   7.59  7.590ZZZ.00.00.0000222             35.8043 090 99      0.00   0.00   0.00
63090  Remove vert body dcmprn lmbr                      A  30.93  18.47NA  18.47    7.40  56.80 56.800090.11.76.1320222             35.8043 090 99      0.00   0.00   0.00
63091  Remove vertebral body add-on                      A   3.03   1.43NA   1.43    0.70   5.16  5.160ZZZ.00.00.0000222             35.8043 090 99      0.00   0.00   0.00
63101  Remove vert body dcmprn thrc                      A  34.10  22.07NA  22.07   11.48  67.65 67.650090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63102  Remove vert body dcmprn lmbr                      A  34.10  22.03NA  22.03   10.11  66.24 66.240090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63103  Remove vertebral body add-on                      A   4.82   2.32NA   2.32    1.45   8.59  8.590ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
63170  Incise spinal cord tract(s)                       A  22.21  15.57NA  15.57    9.26  47.04 47.040090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63172  Drainage of spinal cyst                           A  19.76  13.70NA  13.70    7.20  40.66 40.660090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63173  Drainage of spinal cyst                           A  24.31  16.29NA  16.29    9.75  50.35 50.350090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63180  Revise spinal cord ligaments                      A  20.53  14.78NA  14.78    8.56  43.87 43.870090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63182  Revise spinal cord ligaments                      A  22.82  11.74NA  11.74    5.95  40.51 40.510090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63185  Incise spine nrv half segmnt                      A  16.49  12.05NA  12.05    4.46  33.00 33.000090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63190  Incise spine nrv >2 segmnts                       A  18.89  13.11NA  13.11    4.61  36.61 36.610090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63191  Incise spine accessory nerve                      A  18.92  13.88NA  13.88    6.95  39.75 39.750090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
63194  Incise spine & cord cervical                      A  22.10  15.86NA  15.86    9.21  47.17 47.170090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63195  Incise spine & cord thoracic                      A  21.64  14.75NA  14.75    9.02  45.41 45.410090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63196  Incise spine&cord 2 trx crvl                      A  25.27  12.13NA  12.13    3.46  40.86 40.860090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63197  Incise spine&cord 2 trx thrc                      A  24.08  16.44NA  16.44   10.04  50.56 50.560090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63198  Incise spin&cord 2 stgs crvl                      A  29.90  14.13NA  14.13    4.09  48.12 48.120090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63199  Incise spin&cord 2 stgs thrc                      A  31.47  14.73NA  14.73    4.30  50.50 50.500090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63200  Release spinal cord lumbar                        A  21.44  15.14NA  15.14    8.42  45.00 45.000090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
63250  Revise spinal cord vsls crvl                      A  43.86  23.94NA  23.94   14.57  82.37 82.370090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63251  Revise spinal cord vsls thrc                      A  44.64  26.57NA  26.57   18.31  89.52 89.520090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63252  Revise spine cord vsl thrlmb                      A  44.63  26.54NA  26.54   18.24  89.41 89.410090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63265  Excise intraspinl lesion crv                      A  23.82  16.19NA  16.19    8.94  48.95 48.950090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63266  Excise intrspinl lesion thrc                      A  24.68  16.50NA  16.50    9.14  50.32 50.320090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63267  Excise intrspinl lesion lmbr                      A  19.45  13.95NA  13.95    6.62  40.02 40.020090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63268  Excise intrspinl lesion scrl                      A  20.02  14.20NA  14.20    7.85  42.07 42.070090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63270  Excise intrspinl lesion crvl                      A  29.80  19.17NA  19.17   12.28  61.25 61.250090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63271  Excise intrspinl lesion thrc                      A  29.92  19.10NA  19.10   11.65  60.67 60.670090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63272  Excise intrspinl lesion lmbr                      A  27.50  17.83NA  17.83    9.98  55.31 55.310090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63273  Excise intrspinl lesion scrl                      A  26.47  17.61NA  17.61   10.72  54.80 54.800090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
63275  Bx/exc xdrl spine lesn crvl                       A  25.86  17.11NA  17.11    9.75  52.72 52.720090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63276  Bx/exc xdrl spine lesn thrc                       A  25.69  17.04NA  17.04    9.58  52.31 52.310090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63277  Bx/exc xdrl spine lesn lmbr                       A  22.39  15.32NA  15.32    7.61  45.32 45.320090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63278  Bx/exc xdrl spine lesn scrl                       A  22.12  15.58NA  15.58    9.22  46.92 46.920090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63280  Bx/exc idrl spine lesn crvl                       A  30.29  19.78NA  19.78   11.99  62.06 62.060090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63281  Bx/exc idrl spine lesn thrc                       A  29.99  19.61NA  19.61   11.68  61.28 61.280090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63282  Bx/exc idrl spine lesn lmbr                       A  28.15  18.72NA  18.72   10.80  57.67 57.670090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63283  Bx/exc idrl spine lesn scrl                       A  26.76  18.16NA  18.16   10.57  55.49 55.490090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63285  Bx/exc idrl imed lesn cervl                       A  38.05  23.50NA  23.50   15.63  77.18 77.180090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63286  Bx/exc idrl imed lesn thrc                        A  37.62  23.29NA  23.29   15.08  75.99 75.990090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63287  Bx/exc idrl imed lesn thrlmb                      A  40.08  24.45NA  24.45   16.70  81.23 81.230090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63290  Bx/exc xdrl/idrl lsn any lvl                      A  40.82  24.70NA  24.70   15.57  81.09 81.090090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63295  Repair laminectomy defect                         A   5.25   2.45NA   2.45    2.15   9.85  9.850ZZZ.00.00.0002220             35.8043 090 99      0.00   0.00   0.00
63300  Remove vert xdrl body crvcl                       A  26.80  17.41NA  17.41    9.59  53.80 53.800090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63301  Remove vert xdrl body thrc                        A  31.57  20.32NA  20.32   13.00  64.89 64.890090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63302  Remove vert xdrl body thrlmb                      A  31.15  20.14NA  20.14   12.59  63.88 63.880090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63303  Remov vert xdrl bdy lmbr/sac                      A  33.55  20.69NA  20.69   13.73  67.97 67.970090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63304  Remove vert idrl body crvcl                       A  33.85  21.53NA  21.53   13.21  68.59 68.590090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63305  Remove vert idrl body thrc                        A  36.24  21.85NA  21.85   13.12  71.21 71.210090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63306  Remov vert idrl bdy thrclmbr                      A  35.55  22.03NA  22.03    9.83  67.41 67.410090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63307  Remov vert idrl bdy lmbr/sac                      A  34.96  21.66NA  21.66   10.96  67.58 67.580090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63308  Remove vertebral body add-on                      A   5.24   2.45NA   2.45    1.84   9.53  9.530ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
63600  Remove spinal cord lesion                         A  15.12   9.61NA   9.61    1.46  26.19 26.190090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
63610  Stimulation of spinal cord                        A   8.72   2.94NA   2.94    0.68  12.34 12.340000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
63615  Remove lesion of spinal cord                      A  17.32   8.53NA   8.53    2.37  28.22 28.220090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
63620  Srs spinal lesion                                 A  15.60  10.97NA  10.97    6.31  32.88 32.880090.11.76.1300200             35.8043 090 99      0.00   0.00   0.00
63621  Srs spinal lesion addl                            A   4.00   1.87NA   1.87    1.65   7.52  7.520ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
63650  Implant neuroelectrodes                           A   7.15  30.06     4.11    0.67  37.88 11.930010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
63655  Implant neuroelectrodes                           A  10.92   9.51NA   9.51    3.65  24.08 24.080090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63661  Remove spine eltrd perq aray                      A   5.08  10.76     3.47    0.74  16.58  9.290010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
63662  Remove spine eltrd plate                          A  11.00   9.62NA   9.62    3.67  24.29 24.290090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63663  Revise spine eltrd perq aray                      A   7.75  13.93     4.38    0.96  22.64 13.090010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
63664  Revise spine eltrd plate                          A  11.52   9.74NA   9.74    3.77  25.03 25.030090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63685  Insrt/redo spine n generator                      A   5.19   4.31NA   4.31    1.14  10.64 10.640010.10.80.1020210             35.8043 090 99      0.00   0.00   0.00
63688  Revise/remove neuroreceiver                       A   5.30   4.29NA   4.29    1.13  10.72 10.720010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
63700  Repair of spinal herniation                       A  17.47  12.66NA  12.66    3.67  33.80 33.800090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63702  Repair of spinal herniation                       A  19.41  13.70NA  13.70    3.76  36.87 36.870090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63704  Repair of spinal herniation                       A  22.43  16.88NA  16.88    9.35  48.66 48.660090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63706  Repair of spinal herniation                       A  25.35  17.46NA  17.46    6.56  49.37 49.370090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63707  Repair spinal fluid leakage                       A  12.65  10.17NA  10.17    3.95  26.77 26.770090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63709  Repair spinal fluid leakage                       A  15.65  11.62NA  11.62    4.81  32.08 32.080090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63710  Graft repair of spine defect                      A  15.40  11.55NA  11.55    4.62  31.57 31.570090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63740  Install spinal shunt                              A  12.63  10.28NA  10.28    4.68  27.59 27.590090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63741  Install spinal shunt                              A   9.12   7.52NA   7.52    3.10  19.74 19.740090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63744  Revision of spinal shunt                          A   8.94   7.46NA   7.46    3.25  19.65 19.650090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
63746  Removal of spinal shunt                           A   7.33   7.26NA   7.26    3.05  17.64 17.640090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
64400  N block inj trigeminal                            A   1.11   2.30     0.71    0.22   3.63  2.040000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64402  N block inj facial                                A   1.25   2.20     0.75    0.26   3.71  2.260000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64405  N block inj occipital                             A   0.94   1.75     0.69    0.19   2.88  1.820000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64408  N block inj vagus                                 A   1.41   1.38     0.61    0.12   2.91  2.140000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
64410  N block inj phrenic                               A   1.43   1.94     0.46    0.11   3.48  2.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
64413  N block inj cervical plexus                       A   1.40   2.02     0.74    0.19   3.61  2.330000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64415  N block inj brachial plexus                       A   1.48   1.76     0.27    0.12   3.36  1.870000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64416  N block cont infuse b plex                        A   1.81   0.31NA   0.31    0.14   2.26  2.260000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64417  N block inj axillary                              A   1.44   2.11     0.47    0.13   3.68  2.040000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64418  N block inj suprascapular                         A   1.32   2.68     0.73    0.14   4.14  2.190000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64420  N block inj intercost sng                         A   1.18   1.91     0.67    0.11   3.20  1.960000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
64421  N block inj intercost mlt                         A   1.68   2.47     0.82    0.14   4.29  2.640000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64425  N block inj ilio-ing/hypogi                       A   1.75   1.83     0.75    0.18   3.76  2.680000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64430  N block inj pudendal                              A   1.46   2.33     0.75    0.15   3.94  2.360000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64435  N block inj paracervical                          A   1.45   2.25     0.77    0.17   3.87  2.390000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64445  N block inj sciatic sng                           A   1.48   2.23     0.44    0.16   3.87  2.080000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64446  N blk inj sciatic cont inf                        A   1.81   0.32NA   0.32    0.14   2.27  2.270000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64447  N block inj fem single                            A   1.50   1.79     0.28    0.12   3.41  1.900000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64448  N block inj fem cont inf                          A   1.63   0.28NA   0.28    0.13   2.04  2.040000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64449  N block inj lumbar plexus                         A   1.81   0.43NA   0.43    0.17   2.41  2.410000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64450  N block other peripheral                          A   0.75   1.45     0.49    0.07   2.27  1.310000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64455  N block inj plantar digit                         A   0.75   0.55     0.19    0.06   1.36  1.000000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
64461  Pvb thoracic single inj site                      A   1.75   2.31     0.58    0.16   4.22  2.490000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64462  Pvb thoracic 2nd+ inj site                        A   1.10   1.19     0.37    0.10   2.39  1.570ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
64463  Pvb thoracic cont infusion                        A   1.81   2.64     0.46    0.14   4.59  2.410000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64479  Inj foramen epidural c/t                          A   2.29   4.23     1.32    0.20   6.72  3.810000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64480  Inj foramen epidural add-on                       A   1.20   1.91     0.51    0.11   3.22  1.820ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
64483  Inj foramen epidural l/s                          A   1.90   4.20     1.19    0.16   6.26  3.250000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64484  Inj foramen epidural add-on                       A   1.00   1.42     0.42    0.08   2.50  1.500ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
64486  Tap block unil by injection                       A   1.27   2.15     0.43    0.12   3.54  1.820000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64487  Tap block uni by infusion                         A   1.48   2.73     0.50    0.15   4.36  2.130000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64488  Tap block bi injection                            A   1.60   2.61     0.54    0.16   4.37  2.300000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
64489  Tap block bi by infusion                          A   1.80   4.10     0.61    0.18   6.08  2.590000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
64490  Inj paravert f jnt c/t 1 lev                      A   1.82   3.45     1.09    0.16   5.43  3.070000.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
64491  Inj paravert f jnt c/t 2 lev                      A   1.16   1.42     0.48    0.10   2.68  1.740ZZZ.00.00.0001200             35.8043 090 99      0.00   0.00   0.00
64492  Inj paravert f jnt c/t 3 lev                      A   1.16   1.43     0.50    0.10   2.69  1.760ZZZ.00.00.0001200             35.8043 090 99      0.00   0.00   0.00
64493  Inj paravert f jnt l/s 1 lev                      A   1.52   3.27     0.97    0.14   4.93  2.630000.00.00.0021200             35.8043 090 99      0.00   0.00   0.00
64494  Inj paravert f jnt l/s 2 lev                      A   1.00   1.38     0.41    0.09   2.47  1.500ZZZ.00.00.0001200             35.8043 090 99      0.00   0.00   0.00
64495  Inj paravert f jnt l/s 3 lev                      A   1.00   1.39     0.43    0.09   2.48  1.520ZZZ.00.00.0001200             35.8043 090 99      0.00   0.00   0.00
64505  N block spenopalatine gangl                       A   1.36   1.47     0.99    0.15   2.98  2.500000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64508  N block carotid sinus s/p                         A   1.12   0.52     0.85    0.14   1.78  2.110000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
64510  N block stellate ganglion                         A   1.22   2.30     0.80    0.10   3.62  2.120000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64517  N block inj hypogas plxs                          A   2.20   2.82     1.15    0.17   5.19  3.520000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
64520  N block lumbar/thoracic                           A   1.35   3.83     0.86    0.12   5.30  2.330000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
64530  N block inj celiac pelus                          A   1.58   3.72     0.94    0.13   5.43  2.650000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
64550  Apply neurostimulator                             A   0.18   0.26     0.06    0.01   0.45  0.250000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
64553  Implant neuroelectrodes                           A   2.36   3.38     1.91    0.21   5.95  4.480010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
64555  Implant neuroelectrodes                           A   2.32   3.45     1.84    0.24   6.01  4.400010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
64561  Implant neuroelectrodes                           A   5.44  17.16     2.63    0.62  23.22  8.690010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
64565  Implant neuroelectrodes                           A   1.81   3.35     1.74    0.23   5.39  3.780010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
64566  Neuroeltrd stim post tibial                       A   0.60   2.93     0.21    0.07   3.60  0.880000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
64568  Inc for vagus n elect impl                        A   9.00   7.24NA   7.24    2.86  19.10 19.100090.11.76.1321000             35.8043 090 99      0.00   0.00   0.00
64569  Revise/repl vagus n eltrd                         A  11.00   8.25NA   8.25    3.56  22.81 22.810090.11.76.1321011             35.8043 090 99      0.00   0.00   0.00
64570  Remove vagus n eltrd                              A   9.10   7.05NA   7.05    2.76  18.91 18.910090.11.76.1321011             35.8043 090 99      0.00   0.00   0.00
64575  Implant neuroelectrodes                           A   4.42   3.91NA   3.91    0.86   9.19  9.190090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
64580  Implant neuroelectrodes                           A   4.19   3.53NA   3.53    1.00   8.72  8.720090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
64581  Implant neuroelectrodes                           A  12.20   5.42NA   5.42    1.43  19.05 19.050090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
64585  Revise/remove neuroelectrode                      A   2.11   4.59     1.74    0.26   6.96  4.110010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
64590  Insrt/redo pn/gastr stimul                        A   2.45   4.77     1.85    0.31   7.53  4.610010.10.80.1020110             35.8043 090 99      0.00   0.00   0.00
64595  Revise/rmv pn/gastr stimul                        A   1.78   4.97     1.62    0.23   6.98  3.630010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
64600  Injection treatment of nerve                      A   3.49   7.02     2.20    0.63  11.14  6.320010.10.80.1022100             35.8043 090 99      0.00   0.00   0.00
64605  Injection treatment of nerve                      A   5.65  13.62     4.12    2.17  21.44 11.940010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
64610  Injection treatment of nerve                      A   7.20  11.72     4.60    2.43  21.35 14.230010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
64611  Chemodenerv saliv glands                          A   1.03   1.93     1.52    0.39   3.35  2.940010.10.80.1022000             35.8043 090 99      0.00   0.00   0.00
64612  Destroy nerve face muscle                         A   1.41   2.05     1.65    0.31   3.77  3.370010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
64615  Chemodenerv musc migraine                         A   1.85   1.67     1.13    0.62   4.14  3.600010.10.80.1022100             35.8043 090 99      0.00   0.00   0.00
64616  Chemodenerv musc neck dyston                      A   1.53   1.58     1.11    0.51   3.62  3.150010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
64617  Chemodener muscle larynx emg                      A   1.90   3.12     1.10    0.59   5.61  3.590010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
64620  Injection treatment of nerve                      A   2.89   2.69     1.80    0.24   5.82  4.930010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
64630  Injection treatment of nerve                      A   3.05   3.13     2.04    0.46   6.64  5.550010.10.80.1020000             35.8043 090 99      0.00   0.00   0.00
64632  N block inj common digit                          A   1.23   1.12     0.66    0.08   2.43  1.970010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
64633  Destroy cerv/thor facet jnt                       A   3.84   7.91     2.39    0.31  12.06  6.540010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
64634  Destroy c/th facet jnt addl                       A   1.32   3.99     0.55    0.11   5.42  1.980ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
64635  Destroy lumb/sac facet jnt                        A   3.78   7.84     2.37    0.30  11.92  6.450010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
64636  Destroy l/s facet jnt addl                        A   1.16   3.68     0.48    0.09   4.93  1.730ZZZ.00.00.0001100             35.8043 090 99      0.00   0.00   0.00
64640  Injection treatment of nerve                      A   1.23   2.46     1.34    0.10   3.79  2.670010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
64642  Chemodenerv 1 extremity 1-4                       A   1.65   2.02     1.10    0.38   4.05  3.130000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
64643  Chemodenerv 1 extrem 1-4 ea                       A   1.22   1.18     0.62    0.26   2.66  2.100ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
64644  Chemodenerv 1 extrem 5/> mus                      A   1.82   2.42     1.20    0.41   4.65  3.430000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
64645  Chemodenerv 1 extrem 5/> ea                       A   1.39   1.56     0.70    0.32   3.27  2.410ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
64646  Chemodenerv trunk musc 1-5                        A   1.80   2.07     1.15    0.43   4.30  3.380000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
64647  Chemodenerv trunk musc 6/>                        A   2.11   2.46     1.33    0.51   5.08  3.950000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
64650  Chemodenerv eccrine glands                        A   0.70   1.37     0.38    0.13   2.20  1.210000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
64653  Chemodenerv eccrine glands                        A   0.88   1.63     0.44    0.25   2.76  1.570000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
64680  Injection treatment of nerve                      A   2.67   5.89     1.85    0.26   8.82  4.780010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
64681  Injection treatment of nerve                      A   3.78   5.68     1.39    0.30   9.76  5.470010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
64702  Revise finger/toe nerve                           A   6.26   6.97NA   6.97    1.08  14.31 14.310090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
64704  Revise hand/foot nerve                            A   4.69   3.93NA   3.93    0.50   9.12  9.120090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64708  Revise arm/leg nerve                              A   6.36   6.70NA   6.70    1.21  14.27 14.270090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64712  Revision of sciatic nerve                         A   8.07   6.90NA   6.90    1.54  16.51 16.510090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64713  Revision of arm nerve(s)                          A  11.40   7.37NA   7.37    2.12  20.89 20.890090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64714  Revise low back nerve(s)                          A  10.55   6.42NA   6.42    1.45  18.42 18.420090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64716  Revision of cranial nerve                         A   6.99   7.29NA   7.29    1.18  15.46 15.460090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64718  Revise ulnar nerve at elbow                       A   7.26   8.25NA   8.25    1.47  16.98 16.980090.11.76.1321000             35.8043 090 99      0.00   0.00   0.00
64719  Revise ulnar nerve at wrist                       A   4.97   5.53NA   5.53    0.98  11.48 11.480090.11.76.1321100             35.8043 090 99      0.00   0.00   0.00
64721  Carpal tunnel surgery                             A   4.97   6.32     6.24    1.02  12.31 12.230090.11.76.1321100             35.8043 090 99      0.00   0.00   0.00
64722  Relieve pressure on nerve(s)                      A   4.82   4.85NA   4.85    0.95  10.62 10.620090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64726  Release foot/toe nerve                            A   4.27   3.22NA   3.22    0.38   7.87  7.870090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
64727  Internal nerve revision                           A   3.10   1.58NA   1.58    0.65   5.33  5.330ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
64732  Incision of brow nerve                            A   4.89   4.99NA   4.99    0.89  10.77 10.770090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64734  Incision of cheek nerve                           A   5.55   5.50NA   5.50    0.83  11.88 11.880090.11.76.1321000             35.8043 090 99      0.00   0.00   0.00
64736  Incision of chin nerve                            A   5.23   5.34NA   5.34    0.86  11.43 11.430090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64738  Incision of jaw nerve                             A   6.36   4.92NA   4.92    0.90  12.18 12.180090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64740  Incision of tongue nerve                          A   6.22   6.05NA   6.05    0.90  13.17 13.170090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64742  Incision of facial nerve                          A   6.85   6.49NA   6.49    0.60  13.94 13.940090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64744  Incise nerve back of head                         A   5.72   6.24NA   6.24    2.32  14.28 14.280090.11.76.1321000             35.8043 090 99      0.00   0.00   0.00
64746  Incise diaphragm nerve                            A   6.56   4.72NA   4.72    1.70  12.98 12.980090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64755  Incision of stomach nerves                        A  15.05   7.96NA   7.96    3.67  26.68 26.680090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64760  Incision of vagus nerve                           A   7.59   5.34NA   5.34    1.64  14.57 14.570090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64763  Incise hip/thigh nerve                            A   7.56   5.42NA   5.42    1.62  14.60 14.600090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64766  Incise hip/thigh nerve                            A   9.47   6.46NA   6.46    1.38  17.31 17.310090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64771  Sever cranial nerve                               A   8.15   7.62NA   7.62    1.44  17.21 17.210090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
64772  Incision of spinal nerve                          A   7.84   6.68NA   6.68    1.62  16.14 16.140090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64774  Remove skin nerve lesion                          A   5.80   5.10NA   5.10    1.08  11.98 11.980090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
64776  Remove digit nerve lesion                         A   5.60   4.82NA   4.82    0.83  11.25 11.250090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
64778  Digit nerve surgery add-on                        A   3.11   0.78NA   0.78    0.24   4.13  4.130ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
64782  Remove limb nerve lesion                          A   6.86   5.23NA   5.23    0.91  13.00 13.000090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
64783  Limb nerve surgery add-on                         A   3.71   2.08NA   2.08    0.59   6.38  6.380ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
64784  Remove nerve lesion                               A  10.62   8.48NA   8.48    1.92  21.02 21.020090.11.76.1320000             35.8043 090 99      0.00   0.00   0.00
64786  Remove sciatic nerve lesion                       A  16.25  11.38NA  11.38    3.31  30.94 30.940090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64787  Implant nerve end                                 A   4.29   2.06NA   2.06    0.67   7.02  7.020ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
64788  Remove skin nerve lesion                          A   5.24   5.10NA   5.10    1.15  11.49 11.490090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
64790  Removal of nerve lesion                           A  12.10   9.05NA   9.05    3.10  24.25 24.250090.11.76.1320010             35.8043 090 99      0.00   0.00   0.00
64792  Removal of nerve lesion                           A  15.86  12.54NA  12.54    6.57  34.97 34.970090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64795  Biopsy of nerve                                   A   3.01   1.78NA   1.78    0.79   5.58  5.580000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
64802  Sympathectomy cervical                            A  10.37   7.56NA   7.56    1.26  19.19 19.190090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64804  Remove sympathetic nerves                         A  15.91   8.24NA   8.24    4.83  28.98 28.980090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64809  Remove sympathetic nerves                         A  14.71   9.82NA   9.82    5.00  29.53 29.530090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64818  Remove sympathetic nerves                         A  11.34   4.76NA   4.76    1.60  17.70 17.700090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64820  Sympathectomy digital artery                      A  10.74   8.38NA   8.38    1.70  20.82 20.820090.11.76.1320100             35.8043 090 99      0.00   0.00   0.00
64821  Remove sympathetic nerves                         A   9.33   8.93NA   8.93    1.50  19.76 19.760090.11.76.1321100             35.8043 090 99      0.00   0.00   0.00
64822  Remove sympathetic nerves                         A   9.33   8.93NA   8.93    1.50  19.76 19.760090.11.76.1321100             35.8043 090 99      0.00   0.00   0.00
64823  Sympathectomy supfc palmar                        A  10.94   9.78NA   9.78    1.77  22.49 22.490090.11.76.1321100             35.8043 090 99      0.00   0.00   0.00
64831  Repair of digit nerve                             A   9.16   8.87NA   8.87    1.66  19.69 19.690090.11.76.1321100             35.8043 090 99      0.00   0.00   0.00
64832  Repair nerve add-on                               A   5.65   3.10NA   3.10    1.01   9.76  9.760ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
64834  Repair of hand or foot nerve                      A  10.81   8.59NA   8.59    1.91  21.31 21.310090.11.76.1321000             35.8043 090 99      0.00   0.00   0.00
64835  Repair of hand or foot nerve                      A  11.73   9.19NA   9.19    2.33  23.25 23.250090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64836  Repair of hand or foot nerve                      A  11.73   9.25NA   9.25    2.35  23.33 23.330090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64837  Repair nerve add-on                               A   6.25   3.50NA   3.50    1.00  10.75 10.750ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
64840  Repair of leg nerve                               A  14.02  11.22NA  11.22    4.08  29.32 29.320090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64856  Repair/transpose nerve                            A  15.07  11.16NA  11.16    3.01  29.24 29.240090.11.76.1320110             35.8043 090 99      0.00   0.00   0.00
64857  Repair arm/leg nerve                              A  15.82  11.63NA  11.63    2.94  30.39 30.390090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64858  Repair sciatic nerve                              A  17.82  11.72NA  11.72    3.12  32.66 32.660090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64859  Nerve surgery                                     A   4.25   2.38NA   2.38    0.68   7.31  7.310ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
64861  Repair of arm nerves                              A  20.89  13.00NA  13.00    4.37  38.26 38.260090.11.76.1321210             35.8043 090 99      0.00   0.00   0.00
64862  Repair of low back nerves                         A  21.09  15.02NA  15.02    8.79  44.90 44.900090.11.76.1321200             35.8043 090 99      0.00   0.00   0.00
64864  Repair of facial nerve                            A  13.41   9.91NA   9.91    2.07  25.39 25.390090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64865  Repair of facial nerve                            A  16.09  13.90NA  13.90    2.59  32.58 32.580090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64866  Fusion of facial/other nerve                      A  16.83  14.01NA  14.01    2.43  33.27 33.270090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64868  Fusion of facial/other nerve                      A  14.90  12.15NA  12.15    2.28  29.33 29.330090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64872  Subsequent repair of nerve                        A   1.99   1.17NA   1.17    0.34   3.50  3.500ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
64874  Repair & revise nerve add-on                      A   2.98   1.45NA   1.45    0.54   4.97  4.970ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
64876  Repair nerve/shorten bone                         A   3.37   1.29NA   1.29    0.46   5.12  5.120ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
64885  Nerve graft head/neck </4 cm                      A  17.60  12.71NA  12.71    2.89  33.20 33.200090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64886  Nerve graft head/neck >4 cm                       A  20.82  13.71NA  13.71    3.14  37.67 37.670090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64890  Nerve graft hand/foot </4 cm                      A  16.24  12.50NA  12.50    2.69  31.43 31.430090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
64891  Nerve graft hand/foot >4 cm                       A  17.35  13.28NA  13.28    2.97  33.60 33.600090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
64892  Nerve graft arm/leg <4 cm                         A  15.74  11.77NA  11.77    2.57  30.08 30.080090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64893  Nerve graft arm/leg >4 cm                         A  16.87  12.98NA  12.98    2.85  32.70 32.700090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
64895  Nerve graft hand/foot </4 cm                      A  20.39  14.15NA  14.15    4.04  38.58 38.580090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64896  Nerve graft hand/foot >4 cm                       A  21.96  15.94NA  15.94    3.51  41.41 41.410090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64897  Nerve graft arm/leg </4 cm                        A  19.38  13.63NA  13.63    2.83  35.84 35.840090.11.76.1320200             35.8043 090 99      0.00   0.00   0.00
64898  Nerve graft arm/leg >4 cm                         A  20.97  14.10NA  14.10    4.35  39.42 39.420090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64901  Nerve graft add-on                                A  10.20   4.54NA   4.54    1.45  16.19 16.190ZZZ.00.00.0000210             35.8043 090 99      0.00   0.00   0.00
64902  Nerve graft add-on                                A  11.81   5.48NA   5.48    1.78  19.07 19.070ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
64905  Nerve pedicle transfer                            A  15.11  11.82NA  11.82    2.70  29.63 29.630090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64907  Nerve pedicle transfer                            A  20.03  13.54NA  13.54    6.24  39.81 39.810090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64910  Nerve repair w/allograft                          A  11.39  10.28NA  10.28    2.05  23.72 23.720090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64911  Neurorraphy w/vein autograft                      A  14.39  12.36NA  12.36    2.38  29.13 29.130090.11.76.1320210             35.8043 090 99      0.00   0.00   0.00
64999  Nervous system surgery                            C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
65091  Revise eye                                        A   7.26  10.16NA  10.16    0.53  17.95 17.950090.10.70.2021010             35.8043 090 99      0.00   0.00   0.00
65093  Revise eye with implant                           A   7.04  10.18NA  10.18    0.53  17.75 17.750090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65101  Removal of eye                                    A   8.30  11.94NA  11.94    0.61  20.85 20.850090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65103  Remove eye/insert implant                         A   8.84  12.29NA  12.29    0.64  21.77 21.770090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65105  Remove eye/attach implant                         A   9.93  13.34NA  13.34    0.73  24.00 24.000090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65110  Removal of eye                                    A  15.70  17.65NA  17.65    1.25  34.60 34.600090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65112  Remove eye/revise socket                          A  18.51  20.12NA  20.12    1.59  40.22 40.220090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65114  Remove eye/revise socket                          A  19.65  20.92NA  20.92    1.67  42.24 42.240090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65125  Revise ocular implant                             A   3.27   9.37     4.74    0.27  12.91  8.280090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65130  Insert ocular implant                             A   8.42  11.65NA  11.65    0.61  20.68 20.680090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65135  Insert ocular implant                             A   8.60  11.76NA  11.76    0.63  20.99 20.990090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65140  Attach ocular implant                             A   9.46  12.67NA  12.67    0.69  22.82 22.820090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65150  Revise ocular implant                             A   6.43   9.30NA   9.30    0.45  16.18 16.180090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
65155  Reinsert ocular implant                           A  10.10  13.07NA  13.07    0.74  23.91 23.910090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65175  Removal of ocular implant                         A   7.40  10.63NA  10.63    0.55  18.58 18.580090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65205  Remove foreign body from eye                      A   0.71   0.83     0.50    0.04   1.58  1.250000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
65210  Remove foreign body from eye                      A   0.84   1.05     0.62    0.05   1.94  1.510000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
65220  Remove foreign body from eye                      A   0.71   0.85     0.41    0.08   1.64  1.200000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
65222  Remove foreign body from eye                      A   0.84   0.99     0.59    0.05   1.88  1.480000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
65235  Remove foreign body from eye                      A   9.01  10.47NA  10.47    0.66  20.14 20.140090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
65260  Remove foreign body from eye                      A  12.54  13.74NA  13.74    0.91  27.19 27.190090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
65265  Remove foreign body from eye                      A  14.34  15.25NA  15.25    1.05  30.64 30.640090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65270  Repair of eye wound                               A   1.95   5.43     1.88    0.15   7.53  3.980010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
65272  Repair of eye wound                               A   4.62   9.23     4.99    0.34  14.19  9.950090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65273  Repair of eye wound                               A   5.16   5.26NA   5.26    0.38  10.80 10.800090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65275  Repair of eye wound                               A   6.29   9.59     6.35    0.46  16.34 13.100090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
65280  Repair of eye wound                               A   9.10   9.26NA   9.26    0.66  19.02 19.020090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
65285  Repair of eye wound                               A  15.36  14.93NA  14.93    1.12  31.41 31.410090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65286  Repair of eye wound                               A   6.63  12.78     6.94    0.48  19.89 14.050090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65290  Repair of eye socket wound                        A   6.53   6.83NA   6.83    0.49  13.85 13.850090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65400  Removal of eye lesion                             A   7.50  11.17     9.04    0.55  19.22 17.090090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65410  Biopsy of cornea                                  A   1.47   2.46     1.38    0.11   4.04  2.960000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
65420  Removal of eye lesion                             A   4.36   9.90     6.02    0.32  14.58 10.700090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65426  Removal of eye lesion                             A   6.05  11.93     7.07    0.44  18.42 13.560090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65430  Corneal smear                                     A   1.47   1.66     1.36    0.10   3.23  2.930000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
65435  Curette/treat cornea                              A   0.92   1.27     0.99    0.06   2.25  1.970000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
65436  Curette/treat cornea                              A   4.82   5.80     5.37    0.35  10.97 10.540090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65450  Treatment of corneal lesion                       A   3.47   5.46     5.38    0.26   9.19  9.110090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65600  Revision of cornea                                A   4.20   6.65     5.25    0.30  11.15  9.750090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65710  Corneal transplant                                A  14.45  15.83NA  15.83    1.05  31.33 31.330090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65730  Corneal transplant                                A  16.35  17.21NA  17.21    1.19  34.75 34.750090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65750  Corneal transplant                                A  16.90  16.81NA  16.81    1.23  34.94 34.940090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65755  Corneal transplant                                A  16.79  16.74NA  16.74    1.22  34.75 34.750090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65756  Corneal trnspl endothelial                        A  16.84  15.50NA  15.50    1.23  33.57 33.570090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65757  Prep corneal endo allograft                       C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
65760  Revision of cornea                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
65765  Revision of cornea                                N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
65767  Corneal tissue transplant                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
65770  Revise cornea with implant                        A  19.74  18.61NA  18.61    1.43  39.78 39.780090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
65771  Radial keratotomy                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
65772  Correction of astigmatism                         A   5.09   7.30     6.06    0.37  12.76 11.520090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65775  Correction of astigmatism                         A   6.91   8.21NA   8.21    0.50  15.62 15.620090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65778  Cover eye w/membrane                              A   1.00  39.47     0.59    0.07  40.54  1.660000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
65779  Cover eye w/membrane suture                       A   2.50  31.30     1.64    0.18  33.98  4.320000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
65780  Ocular reconst transplant                         A   7.81  11.98NA  11.98    0.57  20.36 20.360090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65781  Ocular reconst transplant                         A  18.14  18.31NA  18.31    1.32  37.77 37.770090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
65782  Ocular reconst transplant                         A  15.43  16.02NA  16.02    1.13  32.58 32.580090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65785  Impltj ntrstrml crnl rng seg                      A   5.39  53.74     4.90    0.74  59.87 11.030090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65800  Drainage of eye                                   A   1.53   1.73     0.96    0.11   3.37  2.600000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
65810  Drainage of eye                                   A   5.82   6.93NA   6.93    0.43  13.18 13.180090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65815  Drainage of eye                                   A   6.00  11.58     7.09    0.44  18.02 13.530090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65820  Relieve inner eye pressure                        A   8.91  11.64NA  11.64    0.65  21.20 21.200090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
65850  Incision of eye                                   A  11.39  11.56NA  11.56    0.83  23.78 23.780090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65855  Trabeculoplasty laser surg                        A   2.66   4.88     3.96    0.19   7.73  6.810010.10.80.1022110             35.8043 090 99      0.00   0.00   0.00
65860  Incise inner eye adhesions                        A   3.59   4.88     3.33    0.26   8.73  7.180090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
65865  Incise inner eye adhesions                        A   5.77   7.20NA   7.20    0.42  13.39 13.390090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65870  Incise inner eye adhesions                        A   7.39   8.80NA   8.80    0.54  16.73 16.730090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65875  Incise inner eye adhesions                        A   7.81   9.46NA   9.46    0.57  17.84 17.840090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65880  Incise inner eye adhesions                        A   8.36   9.74NA   9.74    0.62  18.72 18.720090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
65900  Remove eye lesion                                 A  12.51  13.77NA  13.77    0.90  27.18 27.180090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
65920  Remove implant of eye                             A   9.99  11.61NA  11.61    0.73  22.33 22.330090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
65930  Remove blood clot from eye                        A   8.39   9.05NA   9.05    0.61  18.05 18.050090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
66020  Injection treatment of eye                        A   1.64   3.51     1.97    0.12   5.27  3.730010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
66030  Injection treatment of eye                        A   1.30   3.28     1.74    0.10   4.68  3.140010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
66130  Remove eye lesion                                 A   7.83  11.25     7.70    0.58  19.66 16.110090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
66150  Glaucoma surgery                                  A  10.53  13.51NA  13.51    0.77  24.81 24.810090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
66155  Glaucoma surgery                                  A  10.52  13.50NA  13.50    0.77  24.79 24.790090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66160  Glaucoma surgery                                  A  12.39  14.67NA  14.67    0.90  27.96 27.960090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
66170  Glaucoma surgery                                  A  11.27  15.39NA  15.39    0.82  27.48 27.480090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
66172  Incision of eye                                   A  12.57  21.17NA  21.17    0.92  34.66 34.660090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
66174  Translum dil eye canal                            A  12.85  13.04NA  13.04    0.94  26.83 26.830090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
66175  Trnslum dil eye canal w/stnt                      A  13.60  13.52NA  13.52    0.99  28.11 28.110090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
66179  Aqueous shunt eye w/o graft                       A  14.00  15.49NA  15.49    1.02  30.51 30.510090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
66180  Aqueous shunt eye w/graft                         A  15.00  16.12NA  16.12    1.09  32.21 32.210090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
66183  Insert ant drainage device                        A  13.20  15.01NA  15.01    0.96  29.17 29.170090.10.80.1021200             35.8043 090 99      0.00   0.00   0.00
66184  Revision of aqueous shunt                         A   9.58  11.94NA  11.94    0.70  22.22 22.220090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
66185  Revise aqueous shunt eye                          A  10.58  12.58NA  12.58    0.77  23.93 23.930090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
66220  Repair eye lesion                                 A   9.21  11.25NA  11.25    0.67  21.13 21.130090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
66225  Repair/graft eye lesion                           A  12.63  12.80NA  12.80    0.94  26.37 26.370090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
66250  Follow-up surgery of eye                          A   7.10  13.54     8.17    0.52  21.16 15.790090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66500  Incision of iris                                  A   3.83   5.90NA   5.90    0.28  10.01 10.010090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
66505  Incision of iris                                  A   4.22   6.45NA   6.45    0.31  10.98 10.980090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66600  Remove iris and lesion                            A  10.12  12.67NA  12.67    0.75  23.54 23.540090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66605  Removal of iris                                   A  14.22  14.66NA  14.66    1.04  29.92 29.920090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66625  Removal of iris                                   A   5.30   6.47NA   6.47    0.39  12.16 12.160090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66630  Removal of iris                                   A   7.28   8.31NA   8.31    0.53  16.12 16.120090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66635  Removal of iris                                   A   7.37   8.37NA   8.37    0.54  16.28 16.280090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66680  Repair iris & ciliary body                        A   6.39   7.80NA   7.80    0.47  14.66 14.660090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
66682  Repair iris & ciliary body                        A   7.33  10.17NA  10.17    0.54  18.04 18.040090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66700  Destruction ciliary body                          A   5.14   7.22     5.63    0.37  12.73 11.140090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
66710  Ciliary transsleral therapy                       A   5.14   6.93     5.62    0.37  12.44 11.130090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66711  Ciliary endoscopic ablation                       A   7.93   9.68NA   9.68    0.57  18.18 18.180090.10.70.2031100       66710 35.8043 090 99      0.00   0.00   0.00
66720  Destruction ciliary body                          A   5.00   8.03     6.62    0.38  13.41 12.000090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66740  Destruction ciliary body                          A   5.14   6.86     5.63    0.37  12.37 11.140090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66761  Revision of iris                                  A   3.00   5.16     3.47    0.22   8.38  6.690010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
66762  Revision of iris                                  A   5.38   7.66     6.31    0.39  13.43 12.080090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66770  Removal of inner eye lesion                       A   6.13   8.34     7.12    0.45  14.92 13.700090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66820  Incision secondary cataract                       A   4.01   6.82NA   6.82    0.29  11.12 11.120090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66821  After cataract laser surgery                      A   3.42   5.66     5.14    0.25   9.33  8.810090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66825  Reposition intraocular lens                       A   9.01  11.84NA  11.84    0.66  21.51 21.510090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
66830  Removal of lens lesion                            A   9.47  10.01NA  10.01    0.68  20.16 20.160090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66840  Removal of lens material                          A   9.18   9.88NA   9.88    0.67  19.73 19.730090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66850  Removal of lens material                          A  10.55  11.13NA  11.13    0.77  22.45 22.450090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66852  Removal of lens material                          A  11.41  11.68NA  11.68    0.83  23.92 23.920090.10.70.2021010             35.8043 090 99      0.00   0.00   0.00
66920  Extraction of lens                                A  10.13  10.49NA  10.49    0.74  21.36 21.360090.10.70.2021010             35.8043 090 99      0.00   0.00   0.00
66930  Extraction of lens                                A  11.61  11.81NA  11.81    0.85  24.27 24.270090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
66940  Extraction of lens                                A  10.37  11.03NA  11.03    0.76  22.16 22.160090.10.70.2021010             35.8043 090 99      0.00   0.00   0.00
66982  Cataract surgery complex                          A  11.08  10.64NA  10.64    0.80  22.52 22.520090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66983  Cataract surg w/iol 1 stage                       A  10.43   9.88NA   9.88    0.62  20.93 20.930090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66984  Cataract surg w/iol 1 stage                       A   8.52   8.98NA   8.98    0.61  18.11 18.110090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
66985  Insert lens prosthesis                            A   9.98  11.11NA  11.11    0.72  21.81 21.810090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
66986  Exchange lens prosthesis                          A  12.26  12.58NA  12.58    0.89  25.73 25.730090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
66990  Ophthalmic endoscope add-on                       A   1.51   0.95NA   0.95    0.11   2.57  2.570ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
66999  Eye surgery procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
67005  Partial removal of eye fluid                      A   5.89   7.07NA   7.07    0.43  13.39 13.390090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67010  Partial removal of eye fluid                      A   7.06   7.79NA   7.79    0.52  15.37 15.370090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67015  Release of eye fluid                              A   7.14   8.76NA   8.76    0.52  16.42 16.420090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67025  Replace eye fluid                                 A   8.11  11.83     9.22    0.59  20.53 17.920090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67027  Implant eye drug system                           A  11.62  11.68NA  11.68    0.85  24.15 24.150090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67028  Injection eye drug                                A   1.44   1.34     1.29    0.11   2.89  2.840000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
67030  Incise inner eye strands                          A   6.11   8.50NA   8.50    0.45  15.06 15.060090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67031  Laser surgery eye strands                         A   4.47   6.19     5.31    0.33  10.99 10.110090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67036  Removal of inner eye fluid                        A  12.13  12.52NA  12.52    0.89  25.54 25.540090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67039  Laser treatment of retina                         A  13.20  13.19NA  13.19    0.96  27.35 27.350090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67040  Laser treatment of retina                         A  14.50  14.00NA  14.00    1.06  29.56 29.560090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67041  Vit for macular pucker                            A  16.33  15.14NA  15.14    1.19  32.66 32.660090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67042  Vit for macular hole                              A  16.33  15.15NA  15.15    1.19  32.67 32.670090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67043  Vit for membrane dissect                          A  17.40  15.82NA  15.82    1.27  34.49 34.490090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67101  Repair detached retina                            A   8.80  12.72     9.65    0.64  22.16 19.090090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67105  Repair detached retina                            A   8.53  11.19     9.09    0.62  20.34 18.240090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67107  Repair detached retina                            A  14.06  13.73NA  13.73    1.03  28.82 28.820090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67108  Repair detached retina                            A  15.19  20.45NA  20.45    1.11  36.75 36.750090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67110  Repair detached retina                            A   8.31  12.59    10.81    0.61  21.51 19.730090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67113  Repair retinal detach cplx                        A  19.00  19.56NA  19.56    1.39  39.95 39.950090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67115  Release encircling material                       A   6.11   7.59NA   7.59    0.45  14.15 14.150090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67120  Remove eye implant material                       A   7.10  10.95     8.19    0.52  18.57 15.810090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67121  Remove eye implant material                       A  12.25  12.59NA  12.59    0.89  25.73 25.730090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67141  Treatment of retina                               A   6.15   8.22     7.22    0.45  14.82 13.820090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67145  Treatment of retina                               A   6.32   8.13     7.33    0.46  14.91 14.110090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67208  Treatment of retinal lesion                       A   7.65   8.75     8.18    0.56  16.96 16.390090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67210  Treatment of retinal lesion                       A   6.36   7.84     7.35    0.46  14.66 14.170090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67218  Treatment of retinal lesion                       A  20.36  17.37NA  17.37    1.48  39.21 39.210090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67220  Treatment of choroid lesion                       A   6.36   8.29     7.35    0.46  15.11 14.170090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67221  Ocular photodynamic ther                          R   3.45   4.41     2.36    0.25   8.11  6.060000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
67225  Eye photodynamic ther add-on                      A   0.47   0.34     0.29    0.03   0.84  0.790ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
67227  Dstrj extensive retinopathy                       A   3.50   4.44     3.53    0.25   8.19  7.280010.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67228  Treatment x10sv retinopathy                       A   4.39   4.93     4.00    0.32   9.64  8.710010.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67229  Tr retinal les preterm inf                        A  16.30  13.78NA  13.78    1.58  31.66 31.660090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67250  Reinforce eye wall                                A   9.61  11.79NA  11.79    0.70  22.10 22.100090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67255  Reinforce/graft eye wall                          A   8.38  10.35NA  10.35    0.61  19.34 19.340090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67299  Eye surgery procedure                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
67311  Revise eye muscle                                 A   7.77   8.60NA   8.60    0.57  16.94 16.940090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67312  Revise two eye muscles                            A   9.66   9.80NA   9.80    0.71  20.17 20.170090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67314  Revise eye muscle                                 A   8.79   9.64NA   9.64    0.64  19.07 19.070090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67316  Revise two eye muscles                            A  10.93  10.97NA  10.97    0.80  22.70 22.700090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
67318  Revise eye muscle(s)                              A   9.12  10.16NA  10.16    0.66  19.94 19.940090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67320  Revise eye muscle(s) add-on                       A   5.40   3.37NA   3.37    0.40   9.17  9.170ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
67331  Eye surgery follow-up add-on                      A   5.13   3.19NA   3.19    0.38   8.70  8.700ZZZ.00.00.0001110             35.8043 090 99      0.00   0.00   0.00
67332  Rerevise eye muscles add-on                       A   5.56   3.47NA   3.47    0.41   9.44  9.440ZZZ.00.00.0001110             35.8043 090 99      0.00   0.00   0.00
67334  Revise eye muscle w/suture                        A   5.05   3.16NA   3.16    0.37   8.58  8.580ZZZ.00.00.0001110             35.8043 090 99      0.00   0.00   0.00
67335  Eye suture during surgery                         A   2.49   1.55NA   1.55    0.18   4.22  4.220ZZZ.00.00.0001110             35.8043 090 99      0.00   0.00   0.00
67340  Revise eye muscle add-on                          A   6.00   3.76NA   3.76    0.44  10.20 10.200ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
67343  Release eye tissue                                A   8.47   9.42NA   9.42    0.63  18.52 18.520090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67345  Destroy nerve of eye muscle                       A   3.01   3.46     2.78    0.42   6.89  6.210010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67346  Biopsy eye muscle                                 A   2.87   2.39NA   2.39    0.24   5.50  5.500000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
67399  Unlisted px extraocular musc                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
67400  Explore/biopsy eye socket                         A  11.20  14.26NA  14.26    0.85  26.31 26.310090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67405  Explore/drain eye socket                          A   9.20  12.51NA  12.51    0.78  22.49 22.490090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67412  Explore/treat eye socket                          A  10.30  12.99NA  12.99    0.79  24.08 24.080090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67413  Explore/treat eye socket                          A  10.24  13.14NA  13.14    0.84  24.22 24.220090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
67414  Explr/decompress eye socket                       A  17.94  18.18NA  18.18    1.41  37.53 37.530090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67415  Aspiration orbital contents                       A   1.76   1.08NA   1.08    0.13   2.97  2.970000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
67420  Explore/treat eye socket                          A  21.87  22.08NA  22.08    1.89  45.84 45.840090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67430  Explore/treat eye socket                          A  15.29  18.58NA  18.58    1.22  35.09 35.090090.10.70.2021200             35.8043 090 99      0.00   0.00   0.00
67440  Explore/drain eye socket                          A  14.84  17.95NA  17.95    1.28  34.07 34.070090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67445  Explr/decompress eye socket                       A  19.12  19.04NA  19.04    1.54  39.70 39.700090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67450  Explore/biopsy eye socket                         A  15.41  18.78NA  18.78    1.33  35.52 35.520090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67500  Inject/treat eye socket                           A   1.44   0.67     0.50    0.11   2.22  2.050000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
67505  Inject/treat eye socket                           A   1.27   1.16     0.95    0.09   2.52  2.310000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
67515  Inject/treat eye socket                           A   1.40   1.24     1.03    0.10   2.74  2.530000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
67550  Insert eye socket implant                         A  11.77  14.61NA  14.61    0.91  27.29 27.290090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67560  Revise eye socket implant                         A  12.18  14.83NA  14.83    0.96  27.97 27.970090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
67570  Decompress optic nerve                            A  14.40  16.72NA  16.72    1.82  32.94 32.940090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67599  Orbit surgery procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021211             35.8043 090 99      0.00   0.00   0.00
67700  Drainage of eyelid abscess                        A   1.40   6.05     1.79    0.11   7.56  3.300010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67710  Incision of eyelid                                A   1.07   5.15     1.61    0.08   6.30  2.760010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67715  Incision of eyelid fold                           A   1.27   5.33     1.69    0.12   6.72  3.080010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67800  Remove eyelid lesion                              A   1.41   2.08     1.42    0.10   3.59  2.930010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
67801  Remove eyelid lesions                             A   1.91   2.53     1.74    0.14   4.58  3.790010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
67805  Remove eyelid lesions                             A   2.27   3.26     2.23    0.17   5.70  4.670010.10.80.1020100             35.8043 090 99      0.00   0.00   0.00
67808  Remove eyelid lesion(s)                           A   4.60   5.50NA   5.50    0.36  10.46 10.460090.10.70.2020100             35.8043 090 99      0.00   0.00   0.00
67810  Biopsy eyelid & lid margin                        A   1.18   3.53     0.72    0.15   4.86  2.050000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
67820  Revise eyelashes                                  A   0.71   0.66     0.76    0.04   1.41  1.510000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
67825  Revise eyelashes                                  A   1.43   2.10     1.91    0.10   3.63  3.440010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67830  Revise eyelashes                                  A   1.75   5.62     2.03    0.14   7.51  3.920010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67835  Revise eyelashes                                  A   5.70   6.29NA   6.29    0.42  12.41 12.410090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
67840  Remove eyelid lesion                              A   2.09   5.51     2.24    0.16   7.76  4.490010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67850  Treat eyelid lesion                               A   1.74   4.13     1.94    0.19   6.06  3.870010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67875  Closure of eyelid by suture                       A   1.35   3.38     1.30    0.11   4.84  2.760000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
67880  Revision of eyelid                                A   4.60   8.00     5.49    0.35  12.95 10.440090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67882  Revision of eyelid                                A   6.02   9.45     6.91    0.45  15.92 13.380090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67900  Repair brow defect                                A   6.82  10.67     7.03    0.60  18.09 14.450090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67901  Repair eyelid defect                              A   7.59  13.17     8.16    0.60  21.36 16.350090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67902  Repair eyelid defect                              A   9.82   9.87NA   9.87    0.81  20.50 20.500090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67903  Repair eyelid defect                              A   6.51   9.73     6.68    0.52  16.76 13.710090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67904  Repair eyelid defect                              A   7.97  12.08     8.33    0.63  20.68 16.930090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67906  Repair eyelid defect                              A   6.93   6.91NA   6.91    0.53  14.37 14.370090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67908  Repair eyelid defect                              A   5.30   8.25     6.34    0.39  13.94 12.030090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67909  Revise eyelid defect                              A   5.57   9.11     6.41    0.45  15.13 12.430090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67911  Revise eyelid defect                              A   7.50   7.86NA   7.86    0.58  15.94 15.940090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67912  Correction eyelid w/implant                       A   6.36  17.92     6.94    0.63  24.91 13.930090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67914  Repair eyelid defect                              A   3.75   9.20     5.24    0.29  13.24  9.280090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67915  Repair eyelid defect                              A   2.03   6.07     3.43    0.15   8.25  5.610090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67916  Repair eyelid defect                              A   5.48  10.79     6.30    0.44  16.71 12.220090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67917  Repair eyelid defect                              A   5.93  10.62     6.60    0.46  17.01 12.990090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67921  Repair eyelid defect                              A   3.47   9.25     5.07    0.26  12.98  8.800090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67922  Repair eyelid defect                              A   2.03   6.00     3.42    0.15   8.18  5.600090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67923  Repair eyelid defect                              A   5.48  10.80     6.32    0.41  16.69 12.210090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67924  Repair eyelid defect                              A   5.93  11.41     6.61    0.45  17.79 12.990090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67930  Repair eyelid wound                               A   3.65   6.34     2.88    0.28  10.27  6.810010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67935  Repair eyelid wound                               A   6.36   9.85     5.63    0.57  16.78 12.560090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67938  Remove eyelid foreign body                        A   1.38   5.35     1.81    0.09   6.82  3.280010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
67950  Revision of eyelid                                A   5.99   9.68     6.65    0.50  16.17 13.140090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67961  Revision of eyelid                                A   5.86   9.91     6.58    0.45  16.22 12.890090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
67966  Revision of eyelid                                A   8.97  12.04     8.96    0.71  21.72 18.640090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67971  Reconstruction of eyelid                          A  10.01   9.73NA   9.73    0.77  20.51 20.510090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
67973  Reconstruction of eyelid                          A  13.13  12.25NA  12.25    1.00  26.38 26.380090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67974  Reconstruction of eyelid                          A  13.10  12.23NA  12.23    1.00  26.33 26.330090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
67975  Reconstruction of eyelid                          A   9.35   9.32NA   9.32    0.73  19.40 19.400090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
67999  Revision of eyelid                                C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
68020  Incise/drain eyelid lining                        A   1.42   1.86     1.61    0.10   3.38  3.130010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68040  Treatment of eyelid lesions                       A   0.85   0.87     0.54    0.05   1.77  1.440000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
68100  Biopsy of eyelid lining                           A   1.35   3.34     1.31    0.10   4.79  2.760000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
68110  Remove eyelid lining lesion                       A   1.82   4.41     2.26    0.13   6.36  4.210010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68115  Remove eyelid lining lesion                       A   2.41   6.20     2.63    0.18   8.79  5.220010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68130  Remove eyelid lining lesion                       A   5.10   9.73     6.21    0.37  15.20 11.680090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
68135  Remove eyelid lining lesion                       A   1.89   2.40     2.25    0.14   4.43  4.280010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68200  Treat eyelid by injection                         A   0.49   0.64     0.46    0.04   1.17  0.990000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
68320  Revise/graft eyelid lining                        A   6.64  13.31     8.14    0.50  20.45 15.280090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
68325  Revise/graft eyelid lining                        A   8.63   9.36NA   9.36    0.68  18.67 18.670090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
68326  Revise/graft eyelid lining                        A   8.42   9.25NA   9.25    0.63  18.30 18.300090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
68328  Revise/graft eyelid lining                        A   9.45   9.89NA   9.89    0.73  20.07 20.070090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
68330  Revise eyelid lining                              A   5.78  10.85     6.86    0.43  17.06 13.070090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
68335  Revise/graft eyelid lining                        A   8.46   9.27NA   9.27    0.62  18.35 18.350090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
68340  Separate eyelid adhesions                         A   4.97  10.04     5.98    0.37  15.38 11.320090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
68360  Revise eyelid lining                              A   5.17   9.44     6.11    0.41  15.02 11.690090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
68362  Revise eyelid lining                              A   8.61   9.36NA   9.36    0.63  18.60 18.600090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
68371  Harvest eye tissue alograft                       A   5.09   6.24NA   6.24    0.37  11.70 11.700010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68399  Eyelid lining surgery                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
68400  Incise/drain tear gland                           A   1.74   6.13     1.87    0.13   8.00  3.740010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68420  Incise/drain tear sac                             A   2.35   6.53     2.24    0.19   9.07  4.780010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68440  Incise tear duct opening                          A   0.99   1.83     1.75    0.07   2.89  2.810010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68500  Removal of tear gland                             A  12.77  13.92NA  13.92    0.93  27.62 27.620090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
68505  Partial removal tear gland                        A  12.69  13.82NA  13.82    0.94  27.45 27.450090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
68510  Biopsy of tear gland                              A   4.60   7.63     3.35    0.35  12.58  8.300000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
68520  Removal of tear sac                               A   8.78   9.99NA   9.99    0.72  19.49 19.490090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
68525  Biopsy of tear sac                                A   4.42   2.72NA   2.72    0.35   7.49  7.490000.00.00.0021110             35.8043 090 99      0.00   0.00   0.00
68530  Clearance of tear duct                            A   3.70   8.09     3.33    0.28  12.07  7.310010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68540  Remove tear gland lesion                          A  12.18  13.25NA  13.25    0.93  26.36 26.360090.10.70.2021110             35.8043 090 99      0.00   0.00   0.00
68550  Remove tear gland lesion                          A  15.16  14.49NA  14.49    1.73  31.38 31.380090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
68700  Repair tear ducts                                 A   7.87   8.65NA   8.65    0.59  17.11 17.110090.10.70.2021100             35.8043 090 99      0.00   0.00   0.00
68705  Revise tear duct opening                          A   2.11   4.40     2.45    0.16   6.67  4.720010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68720  Create tear sac drain                             A   9.96  10.71NA  10.71    0.76  21.43 21.430090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
68745  Create tear duct drain                            A   9.90  10.90NA  10.90    0.72  21.52 21.520090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
68750  Create tear duct drain                            A  10.10  11.40NA  11.40    0.78  22.28 22.280090.10.70.2021210             35.8043 090 99      0.00   0.00   0.00
68760  Close tear duct opening                           A   1.78   3.77     2.23    0.13   5.68  4.140010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68761  Close tear duct opening                           A   1.41   2.67     1.87    0.09   4.17  3.370010.10.80.1021000             35.8043 090 99      0.00   0.00   0.00
68770  Close tear system fistula                         A   8.29   8.92NA   8.92    0.60  17.81 17.810090.10.70.2021000             35.8043 090 99      0.00   0.00   0.00
68801  Dilate tear duct opening                          A   0.82   1.97     1.59    0.05   2.84  2.460010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68810  Probe nasolacrimal duct                           A   1.54   3.86     2.65    0.11   5.51  4.300010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68811  Probe nasolacrimal duct                           A   1.74   2.85NA   2.85    0.13   4.72  4.720010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68815  Probe nasolacrimal duct                           A   2.70   8.30     3.38    0.21  11.21  6.290010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68816  Probe nl duct w/balloon                           A   2.10  15.93     3.47    0.16  18.19  5.730010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68840  Explore/irrigate tear ducts                       A   1.30   2.22     1.92    0.09   3.61  3.310010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
68850  Injection for tear sac x-ray                      A   0.80   0.86     0.72    0.07   1.73  1.590000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
68899  Tear duct system surgery                          C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
69000  Drain external ear lesion                         A   1.50   3.66     1.73    0.19   5.35  3.420010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69005  Drain external ear lesion                         A   2.16   3.69     2.06    0.31   6.16  4.530010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69020  Drain outer ear canal lesion                      A   1.53   4.92     2.35    0.22   6.67  4.100010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69090  Pierce earlobes                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
69100  Biopsy of external ear                            A   0.81   1.93     0.49    0.11   2.85  1.410000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
69105  Biopsy of external ear canal                      A   0.85   3.05     0.87    0.12   4.02  1.840000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
69110  Remove external ear partial                       A   3.53   9.02     5.24    0.56  13.11  9.330090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69120  Removal of external ear                           A   4.14   6.97NA   6.97    0.57  11.68 11.680090.07.79.1420100             35.8043 090 99      0.00   0.00   0.00
69140  Remove ear canal lesion(s)                        A   8.14  15.99NA  15.99    1.17  25.30 25.300090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69145  Remove ear canal lesion(s)                        A   2.70   8.31     4.12    0.39  11.40  7.210090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69150  Extensive ear canal surgery                       A  13.61  14.54NA  14.54    2.07  30.22 30.220090.07.79.1420110             35.8043 090 99      0.00   0.00   0.00
69155  Extensive ear/neck surgery                        A  23.35  21.42NA  21.42    3.42  48.19 48.190090.07.79.1420210             35.8043 090 99      0.00   0.00   0.00
69200  Clear outer ear canal                             A   0.77   1.96     0.49    0.10   2.83  1.360000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
69205  Clear outer ear canal                             A   1.21   1.55NA   1.55    0.17   2.93  2.930010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69209  Remove impacted ear wax uni                       A   0.00   0.35     0.35NA  0.01   0.36  0.365000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
69210  Remove impacted ear wax uni                       A   0.61   0.72     0.26    0.07   1.40  0.940000.00.00.0022100             35.8043 090 99      0.00   0.00   0.00
69220  Clean out mastoid cavity                          A   0.83   2.22     0.55    0.12   3.17  1.500000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
69222  Clean out mastoid cavity                          A   1.45   4.64     2.29    0.21   6.30  3.950010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69300  Revise external ear                               R   6.69  13.50     6.17    0.92  21.11 13.780YYY.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
69310  Rebuild outer ear canal                           A  10.97  18.90NA  18.90    1.65  31.52 31.520090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69320  Rebuild outer ear canal                           A  17.18  24.79NA  24.79    2.67  44.64 44.640090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69399  Outer ear surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0020011             35.8043 090 99      0.00   0.00   0.00
69420  Incision of eardrum                               A   1.38   3.92     1.90    0.20   5.50  3.480010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69421  Incision of eardrum                               A   1.78   2.26NA   2.26    0.26   4.30  4.300010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69424  Remove ventilating tube                           A   0.85   2.69     0.83    0.12   3.66  1.800000.00.00.0021100             35.8043 090 99      0.00   0.00   0.00
69433  Create eardrum opening                            A   1.57   4.01     2.03    0.23   5.81  3.830010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69436  Create eardrum opening                            A   2.01   2.33NA   2.33    0.29   4.63  4.630010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69440  Exploration of middle ear                         A   7.71  11.09NA  11.09    1.12  19.92 19.920090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69450  Eardrum revision                                  A   5.69   9.22NA   9.22    0.83  15.74 15.740090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69501  Mastoidectomy                                     A   9.21  10.64NA  10.64    1.35  21.20 21.200090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69502  Mastoidectomy                                     A  12.56  13.69NA  13.69    1.85  28.10 28.100090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69505  Remove mastoid structures                         A  13.17  19.67NA  19.67    1.91  34.75 34.750090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69511  Extensive mastoid surgery                         A  13.70  19.84NA  19.84    1.96  35.50 35.500090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69530  Extensive mastoid surgery                         A  20.38  24.50NA  24.50    2.97  47.85 47.850090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69535  Remove part of temporal bone                      A  37.42  34.27NA  34.27    5.92  77.61 77.610090.07.79.1421110             35.8043 090 99      0.00   0.00   0.00
69540  Remove ear lesion                                 A   1.25   4.57     2.24    0.18   6.00  3.670010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69550  Remove ear lesion                                 A  11.15  17.34NA  17.34    1.60  30.09 30.090090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69552  Remove ear lesion                                 A  19.81  22.52NA  22.52    2.86  45.19 45.190090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69554  Remove ear lesion                                 A  35.97  29.30NA  29.30    5.12  70.39 70.390090.07.79.1421210             35.8043 090 99      0.00   0.00   0.00
69601  Mastoid surgery revision                          A  13.45  14.85NA  14.85    1.94  30.24 30.240090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69602  Mastoid surgery revision                          A  13.76  15.70NA  15.70    1.99  31.45 31.450090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69603  Mastoid surgery revision                          A  14.20  20.40NA  20.40    2.19  36.79 36.790090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69604  Mastoid surgery revision                          A  14.20  15.90NA  15.90    2.05  32.15 32.150090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69605  Mastoid surgery revision                          A  18.69  23.72NA  23.72    2.70  45.11 45.110090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69610  Repair of eardrum                                 A   4.47   5.94     3.30    0.64  11.05  8.410010.10.80.1021100             35.8043 090 99      0.00   0.00   0.00
69620  Repair of eardrum                                 A   6.03  13.07     7.23    0.88  19.98 14.140090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69631  Repair eardrum structures                         A  10.05  14.04NA  14.04    1.46  25.55 25.550090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69632  Rebuild eardrum structures                        A  12.96  16.28NA  16.28    1.87  31.11 31.110090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69633  Rebuild eardrum structures                        A  12.31  16.07NA  16.07    1.82  30.20 30.200090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69635  Repair eardrum structures                         A  13.51  20.15NA  20.15    2.07  35.73 35.730090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69636  Rebuild eardrum structures                        A  15.43  22.30NA  22.30    2.22  39.95 39.950090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69637  Rebuild eardrum structures                        A  15.32  22.20NA  22.20    2.21  39.73 39.730090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69641  Revise middle ear & mastoid                       A  12.89  15.35NA  15.35    1.86  30.10 30.100090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69642  Revise middle ear & mastoid                       A  17.06  19.08NA  19.08    2.47  38.61 38.610090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69643  Revise middle ear & mastoid                       A  15.59  17.52NA  17.52    2.28  35.39 35.390090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69644  Revise middle ear & mastoid                       A  17.23  23.01NA  23.01    2.48  42.72 42.720090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69645  Revise middle ear & mastoid                       A  16.71  22.86NA  22.86    2.45  42.02 42.020090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69646  Revise middle ear & mastoid                       A  18.37  23.61NA  23.61    2.66  44.64 44.640090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69650  Release middle ear bone                           A   9.80  12.09NA  12.09    1.40  23.29 23.290090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69660  Revise middle ear bone                            A  12.03  13.03NA  13.03    1.75  26.81 26.810090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69661  Revise middle ear bone                            A  15.92  16.70NA  16.70    2.33  34.95 34.950090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69662  Revise middle ear bone                            A  15.60  15.60NA  15.60    2.31  33.51 33.510090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69666  Repair middle ear structures                      A   9.89  12.05NA  12.05    1.43  23.37 23.370090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69667  Repair middle ear structures                      A   9.90  12.05NA  12.05    1.43  23.38 23.380090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69670  Remove mastoid air cells                          A  11.73  13.92NA  13.92    1.74  27.39 27.390090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69676  Remove middle ear nerve                           A   9.69  12.92NA  12.92    1.40  24.01 24.010090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69700  Close mastoid fistula                             A   8.37  10.23NA  10.23    1.21  19.81 19.810090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69710  Implant/replace hearing aid                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
69711  Remove/repair hearing aid                         A  10.62  12.85NA  12.85    1.51  24.98 24.980090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69714  Implant temple bone w/stimul                      A  14.45  14.59NA  14.59    2.13  31.17 31.170090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69715  Temple bne implnt w/stimulat                      A  18.96  16.74NA  16.74    2.74  38.44 38.440090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69717  Temple bone implant revision                      A  15.43  15.06NA  15.06    2.24  32.73 32.730090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69718  Revise temple bone implant                        A  19.21  16.85NA  16.85    2.77  38.83 38.830090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69720  Release facial nerve                              A  14.71  17.89NA  17.89    2.60  35.20 35.200090.07.79.1421010             35.8043 090 99      0.00   0.00   0.00
69725  Release facial nerve                              A  27.64  22.77NA  22.77    3.99  54.40 54.400090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69740  Repair facial nerve                               A  16.27  15.14NA  15.14    2.35  33.76 33.760090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69745  Repair facial nerve                               A  17.02  18.65NA  18.65    4.70  40.37 40.370090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69799  Middle ear surgery procedure                      C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
69801  Incise inner ear                                  A   2.06   3.27     1.28    0.30   5.63  3.640000.00.00.0021000             35.8043 090 99      0.00   0.00   0.00
69805  Explore inner ear                                 A  14.71  13.66NA  13.66    2.12  30.49 30.490090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69806  Explore inner ear                                 A  12.63  12.89NA  12.89    1.82  27.34 27.340090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69820  Establish inner ear window                        A  10.52  12.73NA  12.73    1.52  24.77 24.770090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69840  Revise inner ear window                           A  10.44  14.35NA  14.35    1.29  26.08 26.080090.07.79.1421200             35.8043 090 99      0.00   0.00   0.00
69905  Remove inner ear                                  A  11.26  13.63NA  13.63    1.63  26.52 26.520090.07.79.1421100             35.8043 090 99      0.00   0.00   0.00
69910  Remove inner ear & mastoid                        A  13.91  13.50NA  13.50    2.01  29.42 29.420090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69915  Incise inner ear nerve                            A  22.77  18.46NA  18.46    3.29  44.52 44.520090.07.79.1421210             35.8043 090 99      0.00   0.00   0.00
69930  Implant cochlear device                           A  17.73  15.13NA  15.13    2.57  35.43 35.430090.07.79.1421000             35.8043 090 99      0.00   0.00   0.00
69949  Inner ear surgery procedure                       C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
69950  Incise inner ear nerve                            A  27.63  19.97NA  19.97    3.99  51.59 51.590090.07.79.1421210             35.8043 090 99      0.00   0.00   0.00
69955  Release facial nerve                              A  29.42  23.98NA  23.98    4.32  57.72 57.720090.07.79.1421210             35.8043 090 99      0.00   0.00   0.00
69960  Release inner ear canal                           A  29.42  22.04NA  22.04    4.06  55.52 55.520090.07.79.1421210             35.8043 090 99      0.00   0.00   0.00
69970  Remove inner ear lesion                           A  32.41  24.83NA  24.83    4.82  62.06 62.060090.07.79.1421210             35.8043 090 99      0.00   0.00   0.00
69979  Temporal bone surgery                             C   0.00   0.00     0.00    0.00   0.00  0.000YYY.00.00.0021011             35.8043 090 99      0.00   0.00   0.00
69990  Microsurgery add-on                               R   3.46   1.62NA   1.62    1.37   6.45  6.450ZZZ.00.00.0000200             35.8043 090 99      0.00   0.00   0.00
70010  Contrast x-ray of brain                           A   1.19   0.46NA   0.46    0.10   1.75  1.750XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70015  Contrast x-ray of brain                           A   1.19   2.99     2.99NA  0.14   4.32  4.321XXX.00.00.0000000             35.8043 090 99     10.21  10.21   0.17
70015TCContrast x-ray of brain                           A   0.00   2.54     2.54NA  0.01   2.55  2.551XXX.00.00.0000000             35.8043 030 99      9.76   9.76   0.04
7001526Contrast x-ray of brain                           A   1.19   0.45     0.45    0.13   1.77  1.771XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70030  X-ray eye for foreign body                        A   0.17   0.59     0.59NA  0.02   0.78  0.781XXX.00.00.0003000             35.8043 090 99      1.72   1.72   0.04
70030TCX-ray eye for foreign body                        A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7003026X-ray eye for foreign body                        A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0003000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
70100  X-ray exam of jaw <4views                         A   0.18   0.72     0.72NA  0.02   0.92  0.921XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.04
70100TCX-ray exam of jaw <4views                         A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
7010026X-ray exam of jaw <4views                         A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70110  X-ray exam of jaw 4/> views                       A   0.25   0.79     0.79NA  0.02   1.06  1.061XXX.00.00.0000000             35.8043 090 99      2.86   2.86   0.05
70110TCX-ray exam of jaw 4/> views                       A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.04
7011026X-ray exam of jaw 4/> views                       A   0.25   0.10     0.10    0.01   0.36  0.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70120  X-ray exam of mastoids                            A   0.18   0.75     0.75NA  0.02   0.95  0.951XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.03
70120TCX-ray exam of mastoids                            A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.02
7012026X-ray exam of mastoids                            A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
70130  X-ray exam of mastoids                            A   0.34   1.16     1.16NA  0.03   1.53  1.531XXX.00.00.0003000             35.8043 090 99      2.91   2.91   0.05
70130TCX-ray exam of mastoids                            A   0.00   1.03     1.03NA  0.01   1.04  1.041XXX.00.00.0003000             35.8043 010 99      2.78   2.78   0.03
7013026X-ray exam of mastoids                            A   0.34   0.13     0.13    0.02   0.49  0.491XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
70134  X-ray exam of middle ear                          A   0.34   1.08     1.08NA  0.02   1.44  1.441XXX.00.00.0000000             35.8043 090 99      2.92   2.92   0.04
70134TCX-ray exam of middle ear                          A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.03
7013426X-ray exam of middle ear                          A   0.34   0.15     0.15    0.01   0.50  0.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70140  X-ray exam of facial bones                        A   0.19   0.62     0.62NA  0.02   0.83  0.831XXX.00.00.0000000             35.8043 090 99      1.76   1.76   0.04
70140TCX-ray exam of facial bones                        A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7014026X-ray exam of facial bones                        A   0.19   0.10     0.10    0.01   0.30  0.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70150  X-ray exam of facial bones                        A   0.26   0.88     0.88NA  0.02   1.16  1.161XXX.00.00.0000000             35.8043 090 99      2.88   2.88   0.05
70150TCX-ray exam of facial bones                        A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.04
7015026X-ray exam of facial bones                        A   0.26   0.11     0.11    0.01   0.38  0.381XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70160  X-ray exam of nasal bones                         A   0.17   0.72     0.72NA  0.02   0.91  0.911XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.04
70160TCX-ray exam of nasal bones                         A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
7016026X-ray exam of nasal bones                         A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70170  X-ray exam of tear duct                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      9.90   9.90   0.03
70170TCX-ray exam of tear duct                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      9.79   9.79   0.01
7017026X-ray exam of tear duct                           A   0.30   0.11     0.11    0.02   0.43  0.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70190  X-ray exam of eye sockets                         A   0.21   0.77     0.77NA  0.02   1.00  1.001XXX.00.00.0003000             35.8043 090 99      1.77   1.77   0.03
70190TCX-ray exam of eye sockets                         A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.02
7019026X-ray exam of eye sockets                         A   0.21   0.10     0.10    0.01   0.32  0.321XXX.00.00.0003000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
70200  X-ray exam of eye sockets                         A   0.28   0.88     0.88NA  0.02   1.18  1.181XXX.00.00.0000000             35.8043 090 99      2.88   2.88   0.05
70200TCX-ray exam of eye sockets                         A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.04
7020026X-ray exam of eye sockets                         A   0.28   0.11     0.11    0.01   0.40  0.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70210  X-ray exam of sinuses                             A   0.17   0.64     0.64NA  0.02   0.83  0.831XXX.00.00.0000000             35.8043 090 99      1.73   1.73   0.04
70210TCX-ray exam of sinuses                             A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7021026X-ray exam of sinuses                             A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70220  X-ray exam of sinuses                             A   0.25   0.78     0.78NA  0.02   1.05  1.051XXX.00.00.0000000             35.8043 090 99      1.77   1.77   0.03
70220TCX-ray exam of sinuses                             A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7022026X-ray exam of sinuses                             A   0.25   0.10     0.10    0.01   0.36  0.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70240  X-ray exam pituitary saddle                       A   0.19   0.63     0.63NA  0.02   0.84  0.841XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.04
70240TCX-ray exam pituitary saddle                       A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7024026X-ray exam pituitary saddle                       A   0.19   0.08     0.08    0.01   0.28  0.281XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
70250  X-ray exam of skull                               A   0.24   0.75     0.75NA  0.02   1.01  1.011XXX.00.00.0000000             35.8043 090 99      2.87   2.87   0.05
70250TCX-ray exam of skull                               A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.04
7025026X-ray exam of skull                               A   0.24   0.11     0.11    0.01   0.36  0.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70260  X-ray exam of skull                               A   0.34   0.91     0.91NA  0.03   1.28  1.281XXX.00.00.0000000             35.8043 090 99      2.91   2.91   0.06
70260TCX-ray exam of skull                               A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.04
7026026X-ray exam of skull                               A   0.34   0.14     0.14    0.02   0.50  0.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70300  X-ray exam of teeth                               A   0.10   0.30     0.30NA  0.02   0.42  0.421XXX.00.00.0000000             35.8043 090 99      1.69   1.69   0.08
70300TCX-ray exam of teeth                               A   0.00   0.24     0.24NA  0.01   0.25  0.251XXX.00.00.0000000             35.8043 010 99      1.63   1.63   0.07
7030026X-ray exam of teeth                               A   0.10   0.06     0.06    0.01   0.17  0.171XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70310  X-ray exam of teeth                               A   0.16   0.85     0.85NA  0.02   1.03  1.031XXX.00.00.0000000             35.8043 090 99      5.34   5.34   0.08
70310TCX-ray exam of teeth                               A   0.00   0.79     0.79NA  0.01   0.80  0.801XXX.00.00.0000000             35.8043 010 99      5.28   5.28   0.07
7031026X-ray exam of teeth                               A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70320  Full mouth x-ray of teeth                         A   0.22   1.23     1.23NA  0.02   1.47  1.471XXX.00.00.0000000             35.8043 090 99      5.41   5.41   0.06
70320TCFull mouth x-ray of teeth                         A   0.00   1.12     1.12NA  0.01   1.13  1.131XXX.00.00.0000000             35.8043 010 99      5.30   5.30   0.05
7032026Full mouth x-ray of teeth                         A   0.22   0.11     0.11    0.01   0.34  0.341XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70328  X-ray exam of jaw joint                           A   0.18   0.66     0.66NA  0.02   0.86  0.861XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.04
70328TCX-ray exam of jaw joint                           A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
7032826X-ray exam of jaw joint                           A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70330  X-ray exam of jaw joints                          A   0.24   1.06     1.06NA  0.02   1.32  1.321XXX.00.00.0002000             35.8043 090 99      1.79   1.79   0.03
70330TCX-ray exam of jaw joints                          A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.0002000             35.8043 010 99      1.68   1.68   0.02
7033026X-ray exam of jaw joints                          A   0.24   0.11     0.11    0.01   0.36  0.361XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
70332  X-ray exam of jaw joint                           A   0.54   1.69     1.69NA  0.05   2.28  2.281XXX.00.00.0003000             35.8043 090 99      5.62   5.62   0.08
70332TCX-ray exam of jaw joint                           A   0.00   1.38     1.38NA  0.01   1.39  1.391XXX.00.00.0003000             35.8043 030 99      5.31   5.31   0.04
7033226X-ray exam of jaw joint                           A   0.54   0.31     0.31    0.04   0.89  0.891XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
70336  Magnetic image jaw joint                          A   1.48   7.44     7.44NA  0.10   9.02  9.021XXX.00.00.0040000             35.8043 090 88      8.14   8.14   0.10
70336TCMagnetic image jaw joint                          A   0.00   6.90     6.90NA  0.02   6.92  6.921XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7033626Magnetic image jaw joint                          A   1.48   0.54     0.54    0.08   2.10  2.101XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
70350  X-ray head for orthodontia                        A   0.17   0.36     0.36NA  0.03   0.56  0.561XXX.00.00.0000000             35.8043 090 99      1.73   1.73   0.08
70350TCX-ray head for orthodontia                        A   0.00   0.26     0.26NA  0.01   0.27  0.271XXX.00.00.0000000             35.8043 010 99      1.63   1.63   0.06
7035026X-ray head for orthodontia                        A   0.17   0.10     0.10    0.02   0.29  0.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70355  Panoramic x-ray of jaws                           A   0.20   0.35     0.35NA  0.03   0.58  0.581XXX.00.00.0000000             35.8043 090 99      1.73   1.73   0.09
70355TCPanoramic x-ray of jaws                           A   0.00   0.25     0.25NA  0.01   0.26  0.261XXX.00.00.0000000             35.8043 010 99      1.63   1.63   0.07
7035526Panoramic x-ray of jaws                           A   0.20   0.10     0.10    0.02   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70360  X-ray exam of neck                                A   0.17   0.60     0.60NA  0.02   0.79  0.791XXX.00.00.0000000             35.8043 090 99      1.72   1.72   0.04
70360TCX-ray exam of neck                                A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7036026X-ray exam of neck                                A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70370  Throat x-ray & fluoroscopy                        A   0.32   1.86     1.86NA  0.03   2.21  2.211XXX.00.00.0000000             35.8043 090 99      1.80   1.80   0.03
70370TCThroat x-ray & fluoroscopy                        A   0.00   1.74     1.74NA  0.01   1.75  1.751XXX.00.00.0000000             35.8043 030 99      1.68   1.68   0.01
7037026Throat x-ray & fluoroscopy                        A   0.32   0.12     0.12    0.02   0.46  0.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70371  Speech evaluation complex                         A   0.84   1.67     1.67NA  0.06   2.57  2.571XXX.00.00.0000000             35.8043 090 99      3.11   3.11   0.07
70371TCSpeech evaluation complex                         A   0.00   1.34     1.34NA  0.01   1.35  1.351XXX.00.00.0000000             35.8043 030 99      2.78   2.78   0.02
7037126Speech evaluation complex                         A   0.84   0.33     0.33    0.05   1.22  1.221XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70380  X-ray exam of salivary gland                      A   0.17   0.82     0.82NA  0.02   1.01  1.011XXX.00.00.0000000             35.8043 090 99      1.75   1.75   0.03
70380TCX-ray exam of salivary gland                      A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7038026X-ray exam of salivary gland                      A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70390  X-ray exam of salivary duct                       A   0.38   2.23     2.23NA  0.03   2.64  2.641XXX.00.00.0000000             35.8043 090 99      5.46   5.46   0.05
70390TCX-ray exam of salivary duct                       A   0.00   2.09     2.09NA  0.01   2.10  2.101XXX.00.00.0000000             35.8043 030 99      5.32   5.32   0.03
7039026X-ray exam of salivary duct                       A   0.38   0.14     0.14    0.02   0.54  0.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70450  Ct head/brain w/o dye                             A   0.85   2.36     2.36NA  0.06   3.27  3.271XXX.00.00.0040000             35.8043 090 88      3.44   3.44   0.07
70450TCCt head/brain w/o dye                             A   0.00   2.04     2.04NA  0.01   2.05  2.051XXX.00.00.0040000             35.8043 010 88      3.12   3.12   0.02
7045026Ct head/brain w/o dye                             A   0.85   0.32     0.32    0.05   1.22  1.221XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70460  Ct head/brain w/dye                               A   1.13   3.35     3.35NA  0.07   4.55  4.551XXX.00.00.0040000             35.8043 090 88      6.99   6.99   0.08
70460TCCt head/brain w/dye                               A   0.00   2.93     2.93NA  0.01   2.94  2.941XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7046026Ct head/brain w/dye                               A   1.13   0.42     0.42    0.06   1.61  1.611XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70470  Ct head/brain w/o & w/dye                         A   1.27   4.05     4.05NA  0.08   5.40  5.401XXX.00.00.0040000             35.8043 090 88      7.06   7.06   0.09
70470TCCt head/brain w/o & w/dye                         A   0.00   3.57     3.57NA  0.01   3.58  3.581XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.02
7047026Ct head/brain w/o & w/dye                         A   1.27   0.48     0.48    0.07   1.82  1.821XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70480  Ct orbit/ear/fossa w/o dye                        A   1.28   5.21     5.21NA  0.08   6.57  6.571XXX.00.00.0040000             35.8043 090 88      3.61   3.61   0.08
70480TCCt orbit/ear/fossa w/o dye                        A   0.00   4.73     4.73NA  0.01   4.74  4.741XXX.00.00.0040000             35.8043 010 88      3.13   3.13   0.01
7048026Ct orbit/ear/fossa w/o dye                        A   1.28   0.48     0.48    0.07   1.83  1.831XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70481  Ct orbit/ear/fossa w/dye                          A   1.38   6.30     6.30NA  0.09   7.77  7.771XXX.00.00.0040000             35.8043 090 88      7.09   7.09   0.09
70481TCCt orbit/ear/fossa w/dye                          A   0.00   5.79     5.79NA  0.01   5.80  5.801XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7048126Ct orbit/ear/fossa w/dye                          A   1.38   0.51     0.51    0.08   1.97  1.971XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70482  Ct orbit/ear/fossa w/o&w/dye                      A   1.45   6.93     6.93NA  0.10   8.48  8.481XXX.00.00.0040000             35.8043 090 88      7.11   7.11   0.10
70482TCCt orbit/ear/fossa w/o&w/dye                      A   0.00   6.40     6.40NA  0.02   6.42  6.421XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.02
7048226Ct orbit/ear/fossa w/o&w/dye                      A   1.45   0.53     0.53    0.08   2.06  2.061XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70486  Ct maxillofacial w/o dye                          A   0.85   3.03     3.03NA  0.06   3.94  3.941XXX.00.00.0040000             35.8043 090 88      3.44   3.44   0.06
70486TCCt maxillofacial w/o dye                          A   0.00   2.71     2.71NA  0.01   2.72  2.721XXX.00.00.0040000             35.8043 010 88      3.12   3.12   0.01
7048626Ct maxillofacial w/o dye                          A   0.85   0.32     0.32    0.05   1.22  1.221XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70487  Ct maxillofacial w/dye                            A   1.13   3.54     3.54NA  0.07   4.74  4.741XXX.00.00.0040000             35.8043 090 88      6.99   6.99   0.08
70487TCCt maxillofacial w/dye                            A   0.00   3.12     3.12NA  0.01   3.13  3.131XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7048726Ct maxillofacial w/dye                            A   1.13   0.42     0.42    0.06   1.61  1.611XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70488  Ct maxillofacial w/o & w/dye                      A   1.27   4.42     4.42NA  0.08   5.77  5.771XXX.00.00.0040000             35.8043 090 88      7.05   7.05   0.09
70488TCCt maxillofacial w/o & w/dye                      A   0.00   3.95     3.95NA  0.01   3.96  3.961XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.02
7048826Ct maxillofacial w/o & w/dye                      A   1.27   0.47     0.47    0.07   1.81  1.811XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70490  Ct soft tissue neck w/o dye                       A   1.28   4.07     4.07NA  0.08   5.43  5.431XXX.00.00.0040000             35.8043 090 88      3.61   3.61   0.08
70490TCCt soft tissue neck w/o dye                       A   0.00   3.59     3.59NA  0.01   3.60  3.601XXX.00.00.0040000             35.8043 010 88      3.13   3.13   0.01
7049026Ct soft tissue neck w/o dye                       A   1.28   0.48     0.48    0.07   1.83  1.831XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70491  Ct soft tissue neck w/dye                         A   1.38   5.16     5.16NA  0.09   6.63  6.631XXX.00.00.0040000             35.8043 090 88      7.10   7.10   0.09
70491TCCt soft tissue neck w/dye                         A   0.00   4.64     4.64NA  0.01   4.65  4.651XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7049126Ct soft tissue neck w/dye                         A   1.38   0.52     0.52    0.08   1.98  1.981XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70492  Ct sft tsue nck w/o & w/dye                       A   1.45   6.28     6.28NA  0.09   7.82  7.821XXX.00.00.0040000             35.8043 090 88      7.12   7.12   0.09
70492TCCt sft tsue nck w/o & w/dye                       A   0.00   5.74     5.74NA  0.01   5.75  5.751XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7049226Ct sft tsue nck w/o & w/dye                       A   1.45   0.54     0.54    0.08   2.07  2.071XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70496  Ct angiography head                               A   1.75   6.41     6.41NA  0.12   8.28  8.281XXX.00.00.0040000             35.8043 090 88      7.21   7.21   0.12
70496TCCt angiography head                               A   0.00   5.77     5.77NA  0.02   5.79  5.791XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7049626Ct angiography head                               A   1.75   0.64     0.64    0.10   2.49  2.491XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70498  Ct angiography neck                               A   1.75   6.38     6.38NA  0.12   8.25  8.251XXX.00.00.0040000             35.8043 090 88      7.21   7.21   0.12
70498TCCt angiography neck                               A   0.00   5.74     5.74NA  0.02   5.76  5.761XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7049826Ct angiography neck                               A   1.75   0.64     0.64    0.10   2.49  2.491XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70540  Mri orbit/face/neck w/o dye                       A   1.35   8.65     8.65NA  0.10  10.10 10.101XXX.00.00.0040000             35.8043 090 88      8.09   8.09   0.10
70540TCMri orbit/face/neck w/o dye                       A   0.00   8.16     8.16NA  0.02   8.18  8.181XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7054026Mri orbit/face/neck w/o dye                       A   1.35   0.49     0.49    0.08   1.92  1.921XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70542  Mri orbit/face/neck w/dye                         A   1.62   9.57     9.57NA  0.11  11.30 11.301XXX.00.00.0040000             35.8043 090 88     13.22  13.22   0.12
70542TCMri orbit/face/neck w/dye                         A   0.00   8.97     8.97NA  0.02   8.99  8.991XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7054226Mri orbit/face/neck w/dye                         A   1.62   0.60     0.60    0.09   2.31  2.311XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70543  Mri orbt/fac/nck w/o &w/dye                       A   2.15  11.54    11.54NA  0.14  13.83 13.831XXX.00.00.0040000             35.8043 090 88     13.42  13.42   0.14
70543TCMri orbt/fac/nck w/o &w/dye                       A   0.00  10.75    10.75NA  0.02  10.77 10.771XXX.00.00.0040000             35.8043 020 88     12.63  12.63   0.02
7054326Mri orbt/fac/nck w/o &w/dye                       A   2.15   0.79     0.79    0.12   3.06  3.061XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70544  Mr angiography head w/o dye                       A   1.20   9.73     9.73NA  0.09  11.02 11.021XXX.00.00.0040000             35.8043 090 88      8.05   8.05   0.09
70544TCMr angiography head w/o dye                       A   0.00   9.28     9.28NA  0.02   9.30  9.301XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7054426Mr angiography head w/o dye                       A   1.20   0.45     0.45    0.07   1.72  1.721XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70545  Mr angiography head w/dye                         A   1.20   9.59     9.59NA  0.09  10.88 10.881XXX.00.00.0040000             35.8043 090 88     13.06  13.06   0.10
70545TCMr angiography head w/dye                         A   0.00   9.15     9.15NA  0.02   9.17  9.171XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7054526Mr angiography head w/dye                         A   1.20   0.44     0.44    0.07   1.71  1.711XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70546  Mr angiograph head w/o&w/dye                      A   1.80  14.91    14.91NA  0.12  16.83 16.831XXX.00.00.0040000             35.8043 090 88     13.30  13.30   0.12
70546TCMr angiograph head w/o&w/dye                      A   0.00  14.24    14.24NA  0.02  14.26 14.261XXX.00.00.0040000             35.8043 020 88     12.63  12.63   0.02
7054626Mr angiograph head w/o&w/dye                      A   1.80   0.67     0.67    0.10   2.57  2.571XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70547  Mr angiography neck w/o dye                       A   1.20   9.77     9.77NA  0.09  11.06 11.061XXX.00.00.0040000             35.8043 090 88      8.05   8.05   0.09
70547TCMr angiography neck w/o dye                       A   0.00   9.32     9.32NA  0.02   9.34  9.341XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7054726Mr angiography neck w/o dye                       A   1.20   0.45     0.45    0.07   1.72  1.721XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70548  Mr angiography neck w/dye                         A   1.20  10.32    10.32NA  0.09  11.61 11.611XXX.00.00.0040000             35.8043 090 88     13.08  13.08   0.10
70548TCMr angiography neck w/dye                         A   0.00   9.87     9.87NA  0.02   9.89  9.891XXX.00.00.0040000             35.8043 020 88     12.63  12.63   0.03
7054826Mr angiography neck w/dye                         A   1.20   0.45     0.45    0.07   1.72  1.721XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70549  Mr angiograph neck w/o&w/dye                      A   1.80  15.01    15.01NA  0.12  16.93 16.931XXX.00.00.0040000             35.8043 090 88     13.30  13.30   0.12
70549TCMr angiograph neck w/o&w/dye                      A   0.00  14.34    14.34NA  0.02  14.36 14.361XXX.00.00.0040000             35.8043 020 88     12.63  12.63   0.02
7054926Mr angiograph neck w/o&w/dye                      A   1.80   0.67     0.67    0.10   2.57  2.571XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70551  Mri brain stem w/o dye                            A   1.48   4.91     4.91NA  0.09   6.48  6.481XXX.00.00.0040000             35.8043 090 88      8.15   8.15   0.10
70551TCMri brain stem w/o dye                            A   0.00   4.36     4.36NA  0.01   4.37  4.371XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7055126Mri brain stem w/o dye                            A   1.48   0.55     0.55    0.08   2.11  2.111XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70552  Mri brain stem w/dye                              A   1.78   7.09     7.09NA  0.12   8.99  8.991XXX.00.00.0040000             35.8043 090 88     13.27  13.27   0.14
70552TCMri brain stem w/dye                              A   0.00   6.43     6.43NA  0.02   6.45  6.451XXX.00.00.0040000             35.8043 020 88     12.61  12.61   0.04
7055226Mri brain stem w/dye                              A   1.78   0.66     0.66    0.10   2.54  2.541XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70553  Mri brain stem w/o & w/dye                        A   2.29   8.18     8.18NA  0.15  10.62 10.621XXX.00.00.0040000             35.8043 090 88     13.47  13.47   0.16
70553TCMri brain stem w/o & w/dye                        A   0.00   7.33     7.33NA  0.02   7.35  7.351XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7055326Mri brain stem w/o & w/dye                        A   2.29   0.85     0.85    0.13   3.27  3.271XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
70554  Fmri brain by tech                                A   2.11  10.41    10.41NA  0.16  12.68 12.681XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
70554TCFmri brain by tech                                A   0.00   9.62     9.62NA  0.03   9.65  9.651XXX.00.00.0043000             35.8043 020 88      0.00   0.00   0.00
7055426Fmri brain by tech                                A   2.11   0.79     0.79    0.13   3.03  3.031XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
70555  Fmri brain by phys/psych                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
70555TCFmri brain by phys/psych                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0003000             35.8043 020 99      0.00   0.00   0.00
7055526Fmri brain by phys/psych                          A   2.54   0.92     0.92    0.14   3.60  3.601XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
70557  Mri brain w/o dye                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      8.70   8.70   0.18
70557TCMri brain w/o dye                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99      7.61   7.61   0.01
7055726Mri brain w/o dye                                 A   2.90   1.09     1.09    0.17   4.16  4.161XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70558  Mri brain w/dye                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     13.84  13.84   0.19
70558TCMri brain w/dye                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 020 99     12.64  12.64   0.01
7055826Mri brain w/dye                                   A   3.20   1.20     1.20    0.18   4.58  4.581XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
70559  Mri brain w/o & w/dye                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     76.93  76.93   0.22
70559TCMri brain w/o & w/dye                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 020 99     75.72  75.72   0.01
7055926Mri brain w/o & w/dye                             A   3.20   1.21     1.21    0.21   4.62  4.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71010  Chest x-ray 1 view frontal                        A   0.18   0.43     0.43NA  0.02   0.63  0.631XXX.00.00.0000000             35.8043 090 99      1.72   1.72   0.06
71010TCChest x-ray 1 view frontal                        A   0.00   0.36     0.36NA  0.01   0.37  0.371XXX.00.00.0000000             35.8043 010 99      1.65   1.65   0.05
7101026Chest x-ray 1 view frontal                        A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71015  Chest x-ray stereo frontal                        A   0.21   0.55     0.55NA  0.02   0.78  0.781XXX.00.00.0000000             35.8043 090 99      1.75   1.75   0.05
71015TCChest x-ray stereo frontal                        A   0.00   0.46     0.46NA  0.01   0.47  0.471XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.04
7101526Chest x-ray stereo frontal                        A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71020  Chest x-ray 2vw frontal&latl                      A   0.22   0.54     0.54NA  0.02   0.78  0.781XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.05
71020TCChest x-ray 2vw frontal&latl                      A   0.00   0.46     0.46NA  0.01   0.47  0.471XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.04
7102026Chest x-ray 2vw frontal&latl                      A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71021  Chest x-ray frnt lat lordotc                      A   0.27   0.66     0.66NA  0.02   0.95  0.951XXX.00.00.0000000             35.8043 090 99      1.77   1.77   0.04
71021TCChest x-ray frnt lat lordotc                      A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7102126Chest x-ray frnt lat lordotc                      A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71022  Chest x-ray frnt lat oblique                      A   0.31   0.84     0.84NA  0.02   1.17  1.171XXX.00.00.0000000             35.8043 090 99      1.82   1.82   0.03
71022TCChest x-ray frnt lat oblique                      A   0.00   0.69     0.69NA  0.01   0.70  0.701XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7102226Chest x-ray frnt lat oblique                      A   0.31   0.15     0.15    0.01   0.47  0.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71023  Chest x-ray and fluoroscopy                       A   0.38   1.37     1.37NA  0.03   1.78  1.781XXX.00.00.0000000             35.8043 090 99      2.92   2.92   0.04
71023TCChest x-ray and fluoroscopy                       A   0.00   1.23     1.23NA  0.01   1.24  1.241XXX.00.00.0000000             35.8043 030 99      2.78   2.78   0.02
7102326Chest x-ray and fluoroscopy                       A   0.38   0.14     0.14    0.02   0.54  0.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71030  Chest x-ray 4/> views                             A   0.31   0.83     0.83NA  0.03   1.17  1.171XXX.00.00.0000000             35.8043 090 99      1.79   1.79   0.04
71030TCChest x-ray 4/> views                             A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7103026Chest x-ray 4/> views                             A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71034  Chest x-ray&fluoro 4/> views                      A   0.46   1.83     1.83NA  0.05   2.34  2.341XXX.00.00.0000000             35.8043 090 99      2.96   2.96   0.06
71034TCChest x-ray&fluoro 4/> views                      A   0.00   1.66     1.66NA  0.01   1.67  1.671XXX.00.00.0000000             35.8043 030 99      2.79   2.79   0.02
7103426Chest x-ray&fluoro 4/> views                      A   0.46   0.17     0.17    0.04   0.67  0.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71035  Chest x-ray special views                         A   0.18   0.72     0.72NA  0.02   0.92  0.921XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.04
71035TCChest x-ray special views                         A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
7103526Chest x-ray special views                         A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71100  X-ray exam ribs uni 2 views                       A   0.22   0.68     0.68NA  0.02   0.92  0.921XXX.00.00.0000000             35.8043 090 99      1.76   1.76   0.04
71100TCX-ray exam ribs uni 2 views                       A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
7110026X-ray exam ribs uni 2 views                       A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71101  X-ray exam unilat ribs/chest                      A   0.27   0.72     0.72NA  0.03   1.02  1.021XXX.00.00.0000000             35.8043 090 99      2.86   2.86   0.06
71101TCX-ray exam unilat ribs/chest                      A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.04
7110126X-ray exam unilat ribs/chest                      A   0.27   0.10     0.10    0.02   0.39  0.391XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71110  X-ray exam ribs bil 3 views                       A   0.27   0.76     0.76NA  0.02   1.05  1.051XXX.00.00.0002000             35.8043 090 99      2.87   2.87   0.05
71110TCX-ray exam ribs bil 3 views                       A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0002000             35.8043 010 99      2.76   2.76   0.04
7111026X-ray exam ribs bil 3 views                       A   0.27   0.11     0.11    0.01   0.39  0.391XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
71111  X-ray exam ribs/chest4/> vws                      A   0.32   0.99     0.99NA  0.03   1.34  1.341XXX.00.00.0002000             35.8043 090 99      2.90   2.90   0.05
71111TCX-ray exam ribs/chest4/> vws                      A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.0002000             35.8043 010 99      2.77   2.77   0.03
7111126X-ray exam ribs/chest4/> vws                      A   0.32   0.13     0.13    0.02   0.47  0.471XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
71120  X-ray exam breastbone 2/>vws                      A   0.20   0.61     0.61NA  0.02   0.83  0.831XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.04
71120TCX-ray exam breastbone 2/>vws                      A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7112026X-ray exam breastbone 2/>vws                      A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71130  X-ray strenoclavic jt 3/>vws                      A   0.22   0.77     0.77NA  0.02   1.01  1.011XXX.00.00.0000000             35.8043 090 99      1.76   1.76   0.03
71130TCX-ray strenoclavic jt 3/>vws                      A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7113026X-ray strenoclavic jt 3/>vws                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
71250  Ct thorax w/o dye                                 A   1.02   3.99     3.99NA  0.07   5.08  5.081XXX.00.00.0040000             35.8043 090 88      3.51   3.51   0.07
71250TCCt thorax w/o dye                                 A   0.00   3.61     3.61NA  0.01   3.62  3.621XXX.00.00.0040000             35.8043 010 88      3.13   3.13   0.01
7125026Ct thorax w/o dye                                 A   1.02   0.38     0.38    0.06   1.46  1.461XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
71260  Ct thorax w/dye                                   A   1.24   5.13     5.13NA  0.08   6.45  6.451XXX.00.00.0040000             35.8043 090 88      7.05   7.05   0.08
71260TCCt thorax w/dye                                   A   0.00   4.66     4.66NA  0.01   4.67  4.671XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7126026Ct thorax w/dye                                   A   1.24   0.47     0.47    0.07   1.78  1.781XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
71270  Ct thorax w/o & w/dye                             A   1.38   6.27     6.27NA  0.09   7.74  7.741XXX.00.00.0040000             35.8043 090 88     10.17  10.17   0.10
71270TCCt thorax w/o & w/dye                             A   0.00   5.76     5.76NA  0.01   5.77  5.771XXX.00.00.0040000             35.8043 020 88      9.66   9.66   0.02
7127026Ct thorax w/o & w/dye                             A   1.38   0.51     0.51    0.08   1.97  1.971XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
71275  Ct angiography chest                              A   1.82   6.49     6.49NA  0.12   8.43  8.431XXX.00.00.0040000             35.8043 090 88      7.24   7.24   0.12
71275TCCt angiography chest                              A   0.00   5.82     5.82NA  0.02   5.84  5.841XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7127526Ct angiography chest                              A   1.82   0.67     0.67    0.10   2.59  2.591XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
71550  Mri chest w/o dye                                 A   1.46  10.08    10.08NA  0.10  11.64 11.641XXX.00.00.0040000             35.8043 090 88      8.14   8.14   0.10
71550TCMri chest w/o dye                                 A   0.00   9.54     9.54NA  0.02   9.56  9.561XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7155026Mri chest w/o dye                                 A   1.46   0.54     0.54    0.08   2.08  2.081XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
71551  Mri chest w/dye                                   A   1.73  11.03    11.03NA  0.12  12.88 12.881XXX.00.00.0040000             35.8043 090 88     13.26  13.26   0.12
71551TCMri chest w/dye                                   A   0.00  10.40    10.40NA  0.02  10.42 10.421XXX.00.00.0040000             35.8043 020 88     12.63  12.63   0.02
7155126Mri chest w/dye                                   A   1.73   0.63     0.63    0.10   2.46  2.461XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
71552  Mri chest w/o & w/dye                             A   2.26  13.88    13.88NA  0.16  16.30 16.301XXX.00.00.0040000             35.8043 090 88     13.46  13.46   0.16
71552TCMri chest w/o & w/dye                             A   0.00  13.04    13.04NA  0.03  13.07 13.071XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7155226Mri chest w/o & w/dye                             A   2.26   0.84     0.84    0.13   3.23  3.231XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
71555  Mri angio chest w or w/o dye                      R   1.81   9.25     9.25NA  0.11  11.17 11.171XXX.00.00.0040000             35.8043 090 88     13.27  13.27   0.12
71555TCMri angio chest w or w/o dye                      R   0.00   8.60     8.60NA  0.02   8.62  8.621XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7155526Mri angio chest w or w/o dye                      R   1.81   0.65     0.65    0.09   2.55  2.551XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72020  X-ray exam of spine 1 view                        A   0.15   0.45     0.45NA  0.02   0.62  0.621XXX.00.00.0000000             35.8043 090 99      1.71   1.71   0.05
72020TCX-ray exam of spine 1 view                        A   0.00   0.39     0.39NA  0.01   0.40  0.401XXX.00.00.0000000             35.8043 010 99      1.65   1.65   0.04
7202026X-ray exam of spine 1 view                        A   0.15   0.06     0.06    0.01   0.22  0.221XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72040  X-ray exam neck spine 2-3 vw                      A   0.22   0.69     0.69NA  0.02   0.93  0.931XXX.00.00.0000000             35.8043 090 99      2.85   2.85   0.06
72040TCX-ray exam neck spine 2-3 vw                      A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.05
7204026X-ray exam neck spine 2-3 vw                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72050  X-ray exam neck spine 4/5vws                      A   0.31   0.92     0.92NA  0.03   1.26  1.261XXX.00.00.0000000             35.8043 090 99      2.89   2.89   0.05
72050TCX-ray exam neck spine 4/5vws                      A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.03
7205026X-ray exam neck spine 4/5vws                      A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72052  X-ray exam neck spine 6/>vws                      A   0.36   1.19     1.19NA  0.03   1.58  1.581XXX.00.00.0000000             35.8043 090 99      2.92   2.92   0.05
72052TCX-ray exam neck spine 6/>vws                      A   0.00   1.05     1.05NA  0.01   1.06  1.061XXX.00.00.0000000             35.8043 010 99      2.78   2.78   0.03
7205226X-ray exam neck spine 6/>vws                      A   0.36   0.14     0.14    0.02   0.52  0.521XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72070  X-ray exam thorac spine 2vws                      A   0.22   0.71     0.71NA  0.02   0.95  0.951XXX.00.00.0000000             35.8043 090 99      2.85   2.85   0.05
72070TCX-ray exam thorac spine 2vws                      A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.04
7207026X-ray exam thorac spine 2vws                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72072  X-ray exam thorac spine 3vws                      A   0.22   0.73     0.73NA  0.02   0.97  0.971XXX.00.00.0000000             35.8043 090 99      2.84   2.84   0.05
72072TCX-ray exam thorac spine 3vws                      A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.04
7207226X-ray exam thorac spine 3vws                      A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72074  X-ray exam thorac spine4/>vw                      A   0.22   0.86     0.86NA  0.02   1.10  1.101XXX.00.00.0000000             35.8043 090 99      2.85   2.85   0.05
72074TCX-ray exam thorac spine4/>vw                      A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.04
7207426X-ray exam thorac spine4/>vw                      A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72080  X-ray exam thoracolmb 2/> vw                      A   0.22   0.62     0.62NA  0.02   0.86  0.861XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.04
72080TCX-ray exam trunk spine 2 vws                      A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7208026X-ray exam trunk spine 2 vws                      A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72081  X-ray exam entire spi 1 vw                        A   0.26   0.80     0.80NA  0.03   1.09  1.091XXX.00.00.0000000             35.8043 090 99      1.77   1.77   0.04
72081TCX-ray exam entire spi 1 vw                        A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7208126X-ray exam entire spi 1 vw                        A   0.26   0.10     0.10    0.02   0.38  0.381XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72082  X-ray exam entire spi 2/3 vw                      A   0.31   1.41     1.41NA  0.03   1.75  1.751XXX.00.00.0000000             35.8043 090 99      2.91   2.91   0.04
72082TCX-ray exam entire spi 2/3 vw                      A   0.00   1.28     1.28NA  0.01   1.29  1.291XXX.00.00.0000000             35.8043 010 99      2.78   2.78   0.02
7208226X-ray exam entire spi 2/3 vw                      A   0.31   0.13     0.13    0.02   0.46  0.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72083  X-ray exam entire spi 4/5 vw                      A   0.35   1.52     1.52NA  0.03   1.90  1.901XXX.00.00.0000000             35.8043 090 99      5.44   5.44   0.06
72083TCX-ray exam entire spi 4/5 vw                      A   0.00   1.39     1.39NA  0.01   1.40  1.401XXX.00.00.0000000             35.8043 010 99      5.31   5.31   0.04
7208326X-ray exam entire spi 4/5 vw                      A   0.35   0.13     0.13    0.02   0.50  0.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72084  X-ray exam entire spi 6/> vw                      A   0.41   1.83     1.83NA  0.03   2.27  2.271XXX.00.00.0000000             35.8043 090 99      5.46   5.46   0.05
72084TCX-ray exam entire spi 6/> vw                      A   0.00   1.68     1.68NA  0.01   1.69  1.691XXX.00.00.0000000             35.8043 010 99      5.31   5.31   0.03
7208426X-ray exam entire spi 6/> vw                      A   0.41   0.15     0.15    0.02   0.58  0.581XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72100  X-ray exam l-s spine 2/3 vws                      A   0.22   0.74     0.74NA  0.02   0.98  0.981XXX.00.00.0000000             35.8043 090 99      2.85   2.85   0.05
72100TCX-ray exam l-s spine 2/3 vws                      A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.04
7210026X-ray exam l-s spine 2/3 vws                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72110  X-ray exam l-2 spine 4/>vws                       A   0.31   1.03     1.03NA  0.03   1.37  1.371XXX.00.00.0000000             35.8043 090 99      2.89   2.89   0.05
72110TCX-ray exam l-2 spine 4/>vws                       A   0.00   0.91     0.91NA  0.01   0.92  0.921XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.03
7211026X-ray exam l-2 spine 4/>vws                       A   0.31   0.12     0.12    0.02   0.45  0.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72114  X-ray exam l-s spine bending                      A   0.32   1.40     1.40NA  0.03   1.75  1.751XXX.00.00.0000000             35.8043 090 99      2.91   2.91   0.04
72114TCX-ray exam l-s spine bending                      A   0.00   1.27     1.27NA  0.01   1.28  1.281XXX.00.00.0000000             35.8043 010 99      2.78   2.78   0.02
7211426X-ray exam l-s spine bending                      A   0.32   0.13     0.13    0.02   0.47  0.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72120  X-ray bend only l-s spine                         A   0.22   0.89     0.89NA  0.02   1.13  1.131XXX.00.00.0000000             35.8043 090 99      1.76   1.76   0.03
72120TCX-ray bend only l-s spine                         A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7212026X-ray bend only l-s spine                         A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72125  Ct neck spine w/o dye                             A   1.07   4.05     4.05NA  0.07   5.19  5.191XXX.00.00.0040000             35.8043 090 88      3.53   3.53   0.07
72125TCCt neck spine w/o dye                             A   0.00   3.65     3.65NA  0.01   3.66  3.661XXX.00.00.0040000             35.8043 010 88      3.13   3.13   0.01
7212526Ct neck spine w/o dye                             A   1.07   0.40     0.40    0.06   1.53  1.531XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72126  Ct neck spine w/dye                               A   1.22   5.14     5.14NA  0.08   6.44  6.441XXX.00.00.0040000             35.8043 090 88     10.11  10.11   0.09
72126TCCt neck spine w/dye                               A   0.00   4.69     4.69NA  0.01   4.70  4.701XXX.00.00.0040000             35.8043 020 88      9.66   9.66   0.02
7212626Ct neck spine w/dye                               A   1.22   0.45     0.45    0.07   1.74  1.741XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72127  Ct neck spine w/o & w/dye                         A   1.27   6.27     6.27NA  0.08   7.62  7.621XXX.00.00.0040000             35.8043 090 88      7.05   7.05   0.08
72127TCCt neck spine w/o & w/dye                         A   0.00   5.80     5.80NA  0.01   5.81  5.811XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7212726Ct neck spine w/o & w/dye                         A   1.27   0.47     0.47    0.07   1.81  1.811XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72128  Ct chest spine w/o dye                            A   1.00   4.00     4.00NA  0.07   5.07  5.071XXX.00.00.0040000             35.8043 090 88      3.50   3.50   0.07
72128TCCt chest spine w/o dye                            A   0.00   3.63     3.63NA  0.01   3.64  3.641XXX.00.00.0040000             35.8043 010 88      3.13   3.13   0.01
7212826Ct chest spine w/o dye                            A   1.00   0.37     0.37    0.06   1.43  1.431XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72129  Ct chest spine w/dye                              A   1.22   5.15     5.15NA  0.08   6.45  6.451XXX.00.00.0040000             35.8043 090 88      7.03   7.03   0.08
72129TCCt chest spine w/dye                              A   0.00   4.70     4.70NA  0.01   4.71  4.711XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7212926Ct chest spine w/dye                              A   1.22   0.45     0.45    0.07   1.74  1.741XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72130  Ct chest spine w/o & w/dye                        A   1.27   6.32     6.32NA  0.08   7.67  7.671XXX.00.00.0040000             35.8043 090 88      7.05   7.05   0.08
72130TCCt chest spine w/o & w/dye                        A   0.00   5.85     5.85NA  0.01   5.86  5.861XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7213026Ct chest spine w/o & w/dye                        A   1.27   0.47     0.47    0.07   1.81  1.811XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72131  Ct lumbar spine w/o dye                           A   1.00   3.98     3.98NA  0.07   5.05  5.051XXX.00.00.0040000             35.8043 090 88      3.50   3.50   0.07
72131TCCt lumbar spine w/o dye                           A   0.00   3.61     3.61NA  0.01   3.62  3.621XXX.00.00.0040000             35.8043 010 88      3.13   3.13   0.01
7213126Ct lumbar spine w/o dye                           A   1.00   0.37     0.37    0.06   1.43  1.431XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72132  Ct lumbar spine w/dye                             A   1.22   5.13     5.13NA  0.08   6.43  6.431XXX.00.00.0040000             35.8043 090 88     10.11  10.11   0.09
72132TCCt lumbar spine w/dye                             A   0.00   4.68     4.68NA  0.01   4.69  4.691XXX.00.00.0040000             35.8043 020 88      9.66   9.66   0.02
7213226Ct lumbar spine w/dye                             A   1.22   0.45     0.45    0.07   1.74  1.741XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72133  Ct lumbar spine w/o & w/dye                       A   1.27   6.25     6.25NA  0.09   7.61  7.611XXX.00.00.0040000             35.8043 090 88      7.04   7.04   0.09
72133TCCt lumbar spine w/o & w/dye                       A   0.00   5.79     5.79NA  0.01   5.80  5.801XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7213326Ct lumbar spine w/o & w/dye                       A   1.27   0.46     0.46    0.08   1.81  1.811XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72141  Mri neck spine w/o dye                            A   1.48   4.72     4.72NA  0.10   6.30  6.301XXX.00.00.0040000             35.8043 090 88      8.15   8.15   0.11
72141TCMri neck spine w/o dye                            A   0.00   4.17     4.17NA  0.01   4.18  4.181XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7214126Mri neck spine w/o dye                            A   1.48   0.55     0.55    0.09   2.12  2.121XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72142  Mri neck spine w/dye                              A   1.78   7.23     7.23NA  0.13   9.14  9.141XXX.00.00.0040000             35.8043 090 88     13.28  13.28   0.15
72142TCMri neck spine w/dye                              A   0.00   6.56     6.56NA  0.02   6.58  6.581XXX.00.00.0040000             35.8043 020 88     12.61  12.61   0.04
7214226Mri neck spine w/dye                              A   1.78   0.67     0.67    0.11   2.56  2.561XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72146  Mri chest spine w/o dye                           A   1.48   4.72     4.72NA  0.10   6.30  6.301XXX.00.00.0040000             35.8043 090 88      8.15   8.15   0.11
72146TCMri chest spine w/o dye                           A   0.00   4.17     4.17NA  0.01   4.18  4.181XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7214626Mri chest spine w/o dye                           A   1.48   0.55     0.55    0.09   2.12  2.121XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72147  Mri chest spine w/dye                             A   1.78   7.14     7.14NA  0.12   9.04  9.041XXX.00.00.0040000             35.8043 090 88     13.27  13.27   0.14
72147TCMri chest spine w/dye                             A   0.00   6.48     6.48NA  0.02   6.50  6.501XXX.00.00.0040000             35.8043 020 88     12.61  12.61   0.04
7214726Mri chest spine w/dye                             A   1.78   0.66     0.66    0.10   2.54  2.541XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72148  Mri lumbar spine w/o dye                          A   1.48   4.69     4.69NA  0.10   6.27  6.271XXX.00.00.0040000             35.8043 090 88      8.15   8.15   0.11
72148TCMri lumbar spine w/o dye                          A   0.00   4.14     4.14NA  0.01   4.15  4.151XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7214826Mri lumbar spine w/o dye                          A   1.48   0.55     0.55    0.09   2.12  2.121XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72149  Mri lumbar spine w/dye                            A   1.78   7.12     7.12NA  0.13   9.03  9.031XXX.00.00.0040000             35.8043 090 88     13.28  13.28   0.15
72149TCMri lumbar spine w/dye                            A   0.00   6.45     6.45NA  0.02   6.47  6.471XXX.00.00.0040000             35.8043 020 88     12.61  12.61   0.04
7214926Mri lumbar spine w/dye                            A   1.78   0.67     0.67    0.11   2.56  2.561XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72156  Mri neck spine w/o & w/dye                        A   2.29   8.23     8.23NA  0.15  10.67 10.671XXX.00.00.0040000             35.8043 090 88     13.47  13.47   0.16
72156TCMri neck spine w/o & w/dye                        A   0.00   7.38     7.38NA  0.02   7.40  7.401XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7215626Mri neck spine w/o & w/dye                        A   2.29   0.85     0.85    0.13   3.27  3.271XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72157  Mri chest spine w/o & w/dye                       A   2.29   8.25     8.25NA  0.15  10.69 10.691XXX.00.00.0040000             35.8043 090 88     13.47  13.47   0.16
72157TCMri chest spine w/o & w/dye                       A   0.00   7.40     7.40NA  0.02   7.42  7.421XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7215726Mri chest spine w/o & w/dye                       A   2.29   0.85     0.85    0.13   3.27  3.271XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72158  Mri lumbar spine w/o & w/dye                      A   2.29   8.21     8.21NA  0.15  10.65 10.651XXX.00.00.0040000             35.8043 090 88     13.47  13.47   0.16
72158TCMri lumbar spine w/o & w/dye                      A   0.00   7.36     7.36NA  0.02   7.38  7.381XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7215826Mri lumbar spine w/o & w/dye                      A   2.29   0.85     0.85    0.13   3.27  3.271XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72159  Mr angio spine w/o&w/dye                          R   1.80   9.80     9.80NA  0.12  11.72 11.721XXX.00.00.0040000             35.8043 090 88     13.30  13.30   0.13
72159TCMr angio spine w/o&w/dye                          R   0.00   9.12     9.12NA  0.02   9.14  9.141XXX.00.00.0040900             35.8043 020 88     12.62  12.62   0.03
7215926Mr angio spine w/o&w/dye                          R   1.80   0.68     0.68    0.10   2.58  2.581XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72170  X-ray exam of pelvis                              A   0.17   0.70     0.70NA  0.02   0.89  0.891XXX.00.00.0000000             35.8043 090 99      2.83   2.83   0.05
72170TCX-ray exam of pelvis                              A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.04
7217026X-ray exam of pelvis                              A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72190  X-ray exam of pelvis                              A   0.21   0.84     0.84NA  0.02   1.07  1.071XXX.00.00.0000000             35.8043 090 99      2.86   2.86   0.05
72190TCX-ray exam of pelvis                              A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.04
7219026X-ray exam of pelvis                              A   0.21   0.09     0.09    0.01   0.31  0.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72191  Ct angiograph pelv w/o&w/dye                      A   1.81   6.65     6.65NA  0.13   8.59  8.591XXX.00.00.0040000             35.8043 090 88      7.23   7.23   0.13
72191TCCt angiograph pelv w/o&w/dye                      A   0.00   5.99     5.99NA  0.02   6.01  6.011XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7219126Ct angiograph pelv w/o&w/dye                      A   1.81   0.66     0.66    0.11   2.58  2.581XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72192  Ct pelvis w/o dye                                 A   1.09   2.95     2.95NA  0.07   4.11  4.111XXX.00.00.0040000             35.8043 090 88      3.53   3.53   0.07
72192TCCt pelvis w/o dye                                 A   0.00   2.54     2.54NA  0.01   2.55  2.551XXX.00.00.0040000             35.8043 010 88      3.12   3.12   0.01
7219226Ct pelvis w/o dye                                 A   1.09   0.41     0.41    0.06   1.56  1.561XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72193  Ct pelvis w/dye                                   A   1.16   5.12     5.12NA  0.08   6.36  6.361XXX.00.00.0040000             35.8043 090 88      7.01   7.01   0.08
72193TCCt pelvis w/dye                                   A   0.00   4.69     4.69NA  0.01   4.70  4.701XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7219326Ct pelvis w/dye                                   A   1.16   0.43     0.43    0.07   1.66  1.661XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72194  Ct pelvis w/o & w/dye                             A   1.22   6.03     6.03NA  0.08   7.33  7.331XXX.00.00.0040000             35.8043 090 88      7.03   7.03   0.08
72194TCCt pelvis w/o & w/dye                             A   0.00   5.58     5.58NA  0.01   5.59  5.591XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7219426Ct pelvis w/o & w/dye                             A   1.22   0.45     0.45    0.07   1.74  1.741XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72195  Mri pelvis w/o dye                                A   1.46   8.98     8.98NA  0.10  10.54 10.541XXX.00.00.0040000             35.8043 090 88      8.15   8.15   0.10
72195TCMri pelvis w/o dye                                A   0.00   8.43     8.43NA  0.02   8.45  8.451XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7219526Mri pelvis w/o dye                                A   1.46   0.55     0.55    0.08   2.09  2.091XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72196  Mri pelvis w/dye                                  A   1.73   9.72     9.72NA  0.12  11.57 11.571XXX.00.00.0040000             35.8043 090 88     13.27  13.27   0.13
72196TCMri pelvis w/dye                                  A   0.00   9.07     9.07NA  0.02   9.09  9.091XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7219626Mri pelvis w/dye                                  A   1.73   0.65     0.65    0.10   2.48  2.481XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72197  Mri pelvis w/o & w/dye                            A   2.26  11.81    11.81NA  0.15  14.22 14.221XXX.00.00.0040000             35.8043 090 88     13.47  13.47   0.15
72197TCMri pelvis w/o & w/dye                            A   0.00  10.97    10.97NA  0.02  10.99 10.991XXX.00.00.0040000             35.8043 020 88     12.63  12.63   0.02
7219726Mri pelvis w/o & w/dye                            A   2.26   0.84     0.84    0.13   3.23  3.231XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72198  Mr angio pelvis w/o & w/dye                       A   1.80   9.35     9.35NA  0.12  11.27 11.271XXX.00.00.0040000             35.8043 090 88     13.27  13.27   0.13
72198TCMr angio pelvis w/o & w/dye                       A   0.00   8.70     8.70NA  0.02   8.72  8.721XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7219826Mr angio pelvis w/o & w/dye                       A   1.80   0.65     0.65    0.10   2.55  2.551XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
72200  X-ray exam si joints                              A   0.17   0.61     0.61NA  0.02   0.80  0.801XXX.00.00.0000000             35.8043 090 99      2.82   2.82   0.06
72200TCX-ray exam si joints                              A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0000000             35.8043 010 99      2.75   2.75   0.05
7220026X-ray exam si joints                              A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72202  X-ray exam si joints 3/> vws                      A   0.19   0.71     0.71NA  0.02   0.92  0.921XXX.00.00.0000000             35.8043 090 99      2.83   2.83   0.05
72202TCX-ray exam si joints 3/> vws                      A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.04
7220226X-ray exam si joints 3/> vws                      A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72220  X-ray exam sacrum tailbone                        A   0.17   0.60     0.60NA  0.02   0.79  0.791XXX.00.00.0000000             35.8043 090 99      1.73   1.73   0.04
72220TCX-ray exam sacrum tailbone                        A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7222026X-ray exam sacrum tailbone                        A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72240  Myelography neck spine                            A   0.91   1.78     1.78NA  0.06   2.75  2.751XXX.00.00.0000000             35.8043 090 99     18.82  18.82   0.18
72240TCMyelography neck spine                            A   0.00   1.44     1.44NA  0.01   1.45  1.451XXX.00.00.0000000             35.8043 030 99     18.48  18.48   0.13
7224026Myelography neck spine                            A   0.91   0.34     0.34    0.05   1.30  1.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72255  Myelography thoracic spine                        A   0.91   1.76     1.76NA  0.07   2.74  2.741XXX.00.00.0000000             35.8043 090 99     18.82  18.82   0.19
72255TCMyelography thoracic spine                        A   0.00   1.41     1.41NA  0.01   1.42  1.421XXX.00.00.0000000             35.8043 030 99     18.47  18.47   0.13
7225526Myelography thoracic spine                        A   0.91   0.35     0.35    0.06   1.32  1.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72265  Myelography l-s spine                             A   0.83   1.70     1.70NA  0.06   2.59  2.591XXX.00.00.0000000             35.8043 090 99     18.78  18.78   0.18
72265TCMyelography l-s spine                             A   0.00   1.39     1.39NA  0.01   1.40  1.401XXX.00.00.0000000             35.8043 030 99     18.47  18.47   0.13
7226526Myelography l-s spine                             A   0.83   0.31     0.31    0.05   1.19  1.191XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72270  Myelogphy 2/> spine regions                       A   1.33   2.16     2.16NA  0.09   3.58  3.581XXX.00.00.0000000             35.8043 090 99     18.99  18.99   0.19
72270TCMyelogphy 2/> spine regions                       A   0.00   1.66     1.66NA  0.01   1.67  1.671XXX.00.00.0000000             35.8043 030 99     18.49  18.49   0.11
7227026Myelogphy 2/> spine regions                       A   1.33   0.50     0.50    0.08   1.91  1.911XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72275  Epidurography                                     A   0.76   2.44     2.44NA  0.05   3.25  3.251XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
72275TCEpidurography                                     A   0.00   2.12     2.12NA  0.01   2.13  2.131XXX.00.00.0099999             35.8043 030 99      0.00   0.00   0.00
7227526Epidurography                                     A   0.76   0.32     0.32    0.04   1.12  1.121XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
72285  Discography cerv/thor spine                       A   1.16   1.97     1.97NA  0.08   3.21  3.211XXX.00.00.0000000             35.8043 090 99     75.71  75.71   0.58
72285TCDiscography cerv/thor spine                       A   0.00   1.47     1.47NA  0.01   1.48  1.481XXX.00.00.0000000             35.8043 030 99     75.21  75.21   0.51
7228526Discography cerv/thor spine                       A   1.16   0.50     0.50    0.07   1.73  1.731XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
72295  X-ray of lower spine disk                         A   0.83   1.88     1.88NA  0.07   2.78  2.781XXX.00.00.0000000             35.8043 090 99     75.58  75.58   0.55
72295TCX-ray of lower spine disk                         A   0.00   1.53     1.53NA  0.01   1.54  1.541XXX.00.00.0000000             35.8043 030 99     75.23  75.23   0.49
7229526X-ray of lower spine disk                         A   0.83   0.35     0.35    0.06   1.24  1.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
73000  X-ray exam of collar bone                         A   0.16   0.59     0.59NA  0.02   0.77  0.771XXX.00.00.0003000             35.8043 090 99      1.73   1.73   0.04
73000TCX-ray exam of collar bone                         A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7300026X-ray exam of collar bone                         A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73010  X-ray exam of shoulder blade                      A   0.17   0.65     0.65NA  0.02   0.84  0.841XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.04
73010TCX-ray exam of shoulder blade                      A   0.00   0.57     0.57NA  0.01   0.58  0.581XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7301026X-ray exam of shoulder blade                      A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73020  X-ray exam of shoulder                            A   0.15   0.47     0.47NA  0.02   0.64  0.641XXX.00.00.0003000             35.8043 090 99      1.71   1.71   0.05
73020TCX-ray exam of shoulder                            A   0.00   0.41     0.41NA  0.01   0.42  0.421XXX.00.00.0003000             35.8043 010 99      1.65   1.65   0.04
7302026X-ray exam of shoulder                            A   0.15   0.06     0.06    0.01   0.22  0.221XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73030  X-ray exam of shoulder                            A   0.18   0.61     0.61NA  0.02   0.81  0.811XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.04
73030TCX-ray exam of shoulder                            A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7303026X-ray exam of shoulder                            A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73040  Contrast x-ray of shoulder                        A   0.54   2.23     2.23NA  0.04   2.81  2.811XXX.00.00.0003000             35.8043 090 99      9.96   9.96   0.08
73040TCContrast x-ray of shoulder                        A   0.00   2.02     2.02NA  0.01   2.03  2.031XXX.00.00.0003000             35.8043 030 99      9.75   9.75   0.05
7304026Contrast x-ray of shoulder                        A   0.54   0.21     0.21    0.03   0.78  0.781XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73050  X-ray exam of shoulders                           A   0.20   0.77     0.77NA  0.02   0.99  0.991XXX.00.00.0002000             35.8043 090 99      1.76   1.76   0.03
73050TCX-ray exam of shoulders                           A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.0002000             35.8043 010 99      1.67   1.67   0.02
7305026X-ray exam of shoulders                           A   0.20   0.09     0.09    0.01   0.30  0.301XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
73060  X-ray exam of humerus                             A   0.16   0.63     0.63NA  0.02   0.81  0.811XXX.00.00.0000000             35.8043 090 99      1.73   1.73   0.04
73060TCX-ray exam of humerus                             A   0.00   0.56     0.56NA  0.01   0.57  0.571XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7306026X-ray exam of humerus                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
73070  X-ray exam of elbow                               A   0.15   0.59     0.59NA  0.02   0.76  0.761XXX.00.00.0003000             35.8043 090 99      1.73   1.73   0.04
73070TCX-ray exam of elbow                               A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7307026X-ray exam of elbow                               A   0.15   0.07     0.07    0.01   0.23  0.231XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73080  X-ray exam of elbow                               A   0.17   0.68     0.68NA  0.02   0.87  0.871XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.04
73080TCX-ray exam of elbow                               A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.03
7308026X-ray exam of elbow                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73085  Contrast x-ray of elbow                           A   0.54   2.14     2.14NA  0.05   2.73  2.731XXX.00.00.0003000             35.8043 090 99      9.99   9.99   0.09
73085TCContrast x-ray of elbow                           A   0.00   1.90     1.90NA  0.01   1.91  1.911XXX.00.00.0003000             35.8043 030 99      9.75   9.75   0.05
7308526Contrast x-ray of elbow                           A   0.54   0.24     0.24    0.04   0.82  0.821XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73090  X-ray exam of forearm                             A   0.16   0.54     0.54NA  0.02   0.72  0.721XXX.00.00.0003000             35.8043 090 99      1.73   1.73   0.05
73090TCX-ray exam of forearm                             A   0.00   0.47     0.47NA  0.01   0.48  0.481XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.04
7309026X-ray exam of forearm                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73092  X-ray exam of arm infant                          A   0.16   0.58     0.58NA  0.02   0.76  0.761XXX.00.00.0003000             35.8043 090 99      2.81   2.81   0.06
73092TCX-ray exam of arm infant                          A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0003000             35.8043 010 99      2.75   2.75   0.05
7309226X-ray exam of arm infant                          A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73100  X-ray exam of wrist                               A   0.16   0.63     0.63NA  0.02   0.81  0.811XXX.00.00.0003000             35.8043 090 99      1.73   1.73   0.04
73100TCX-ray exam of wrist                               A   0.00   0.56     0.56NA  0.01   0.57  0.571XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7310026X-ray exam of wrist                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73110  X-ray exam of wrist                               A   0.17   0.80     0.80NA  0.02   0.99  0.991XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.03
73110TCX-ray exam of wrist                               A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.02
7311026X-ray exam of wrist                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73115  Contrast x-ray of wrist                           A   0.54   2.41     2.41NA  0.05   3.00  3.001XXX.00.00.0003000             35.8043 090 99      5.55   5.55   0.06
73115TCContrast x-ray of wrist                           A   0.00   2.18     2.18NA  0.01   2.19  2.191XXX.00.00.0003000             35.8043 030 99      5.32   5.32   0.02
7311526Contrast x-ray of wrist                           A   0.54   0.23     0.23    0.04   0.81  0.811XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73120  X-ray exam of hand                                A   0.16   0.55     0.55NA  0.02   0.73  0.731XXX.00.00.0003000             35.8043 090 99      2.82   2.82   0.07
73120TCX-ray exam of hand                                A   0.00   0.48     0.48NA  0.01   0.49  0.491XXX.00.00.0003000             35.8043 010 99      2.75   2.75   0.06
7312026X-ray exam of hand                                A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73130  X-ray exam of hand                                A   0.17   0.67     0.67NA  0.02   0.86  0.861XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.04
73130TCX-ray exam of hand                                A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.03
7313026X-ray exam of hand                                A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73140  X-ray exam of finger(s)                           A   0.13   0.73     0.73NA  0.02   0.88  0.881XXX.00.00.0003000             35.8043 090 99      1.73   1.73   0.03
73140TCX-ray exam of finger(s)                           A   0.00   0.67     0.67NA  0.01   0.68  0.681XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.02
7314026X-ray exam of finger(s)                           A   0.13   0.06     0.06    0.01   0.20  0.201XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73200  Ct upper extremity w/o dye                        A   1.00   3.97     3.97NA  0.07   5.04  5.041XXX.00.00.0043000             35.8043 090 88      3.50   3.50   0.07
73200TCCt upper extremity w/o dye                        A   0.00   3.60     3.60NA  0.01   3.61  3.611XXX.00.00.0043000             35.8043 010 88      3.13   3.13   0.01
7320026Ct upper extremity w/o dye                        A   1.00   0.37     0.37    0.06   1.43  1.431XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73201  Ct upper extremity w/dye                          A   1.16   5.03     5.03NA  0.08   6.27  6.271XXX.00.00.0043000             35.8043 090 88     10.09  10.09   0.09
73201TCCt upper extremity w/dye                          A   0.00   4.60     4.60NA  0.01   4.61  4.611XXX.00.00.0043000             35.8043 020 88      9.66   9.66   0.02
7320126Ct upper extremity w/dye                          A   1.16   0.43     0.43    0.07   1.66  1.661XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73202  Ct uppr extremity w/o&w/dye                       A   1.22   6.51     6.51NA  0.08   7.81  7.811XXX.00.00.0043000             35.8043 090 88      7.04   7.04   0.08
73202TCCt uppr extremity w/o&w/dye                       A   0.00   6.06     6.06NA  0.01   6.07  6.071XXX.00.00.0043000             35.8043 020 88      6.59   6.59   0.01
7320226Ct uppr extremity w/o&w/dye                       A   1.22   0.45     0.45    0.07   1.74  1.741XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73206  Ct angio upr extrm w/o&w/dye                      A   1.81   7.28     7.28NA  0.12   9.21  9.211XXX.00.00.0040000             35.8043 090 88      7.23   7.23   0.12
73206TCCt angio upr extrm w/o&w/dye                      A   0.00   6.63     6.63NA  0.02   6.65  6.651XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.02
7320626Ct angio upr extrm w/o&w/dye                      A   1.81   0.65     0.65    0.10   2.56  2.561XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
73218  Mri upper extremity w/o dye                       A   1.35   8.80     8.80NA  0.10  10.25 10.251XXX.00.00.0043000             35.8043 090 88      8.10   8.10   0.10
73218TCMri upper extremity w/o dye                       A   0.00   8.30     8.30NA  0.02   8.32  8.321XXX.00.00.0043000             35.8043 010 88      7.60   7.60   0.02
7321826Mri upper extremity w/o dye                       A   1.35   0.50     0.50    0.08   1.93  1.931XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73219  Mri upper extremity w/dye                         A   1.62   9.64     9.64NA  0.11  11.37 11.371XXX.00.00.0043000             35.8043 090 88     13.23  13.23   0.12
73219TCMri upper extremity w/dye                         A   0.00   9.03     9.03NA  0.02   9.05  9.051XXX.00.00.0043000             35.8043 020 88     12.62  12.62   0.03
7321926Mri upper extremity w/dye                         A   1.62   0.61     0.61    0.09   2.32  2.321XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73220  Mri uppr extremity w/o&w/dye                      A   2.15  11.76    11.76NA  0.14  14.05 14.051XXX.00.00.0043000             35.8043 090 88     13.43  13.43   0.14
73220TCMri uppr extremity w/o&w/dye                      A   0.00  10.96    10.96NA  0.02  10.98 10.981XXX.00.00.0043000             35.8043 020 88     12.63  12.63   0.02
7322026Mri uppr extremity w/o&w/dye                      A   2.15   0.80     0.80    0.12   3.07  3.071XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73221  Mri joint upr extrem w/o dye                      A   1.35   5.19     5.19NA  0.10   6.64  6.641XXX.00.00.0043000             35.8043 090 88      8.10   8.10   0.11
73221TCMri joint upr extrem w/o dye                      A   0.00   4.68     4.68NA  0.02   4.70  4.701XXX.00.00.0043000             35.8043 010 88      7.59   7.59   0.03
7322126Mri joint upr extrem w/o dye                      A   1.35   0.51     0.51    0.08   1.94  1.941XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73222  Mri joint upr extrem w/dye                        A   1.62   8.90     8.90NA  0.11  10.63 10.631XXX.00.00.0043000             35.8043 090 88     13.23  13.23   0.12
73222TCMri joint upr extrem w/dye                        A   0.00   8.29     8.29NA  0.02   8.31  8.311XXX.00.00.0043000             35.8043 020 88     12.62  12.62   0.03
7322226Mri joint upr extrem w/dye                        A   1.62   0.61     0.61    0.09   2.32  2.321XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73223  Mri joint upr extr w/o&w/dye                      A   2.15  10.89    10.89NA  0.14  13.18 13.181XXX.00.00.0043000             35.8043 090 88     13.43  13.43   0.14
73223TCMri joint upr extr w/o&w/dye                      A   0.00  10.09    10.09NA  0.02  10.11 10.111XXX.00.00.0043000             35.8043 020 88     12.63  12.63   0.02
7322326Mri joint upr extr w/o&w/dye                      A   2.15   0.80     0.80    0.12   3.07  3.071XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73225  Mr angio upr extr w/o&w/dye                       R   1.73   9.54     9.54NA  0.12  11.39 11.391XXX.00.00.0040000             35.8043 090 88     13.23  13.23   0.13
73225TCMr angio upr extr w/o&w/dye                       R   0.00   8.93     8.93NA  0.02   8.95  8.951XXX.00.00.0040900             35.8043 020 88     12.62  12.62   0.03
7322526Mr angio upr extr w/o&w/dye                       R   1.73   0.61     0.61    0.10   2.44  2.441XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
73501  X-ray exam hip uni 1 view                         A   0.18   0.63     0.63NA  0.02   0.83  0.831XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.04
73501TCX-ray exam hip uni 1 view                         A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7350126X-ray exam hip uni 1 view                         A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
73502  X-ray exam hip uni 2-3 views                      A   0.22   0.92     0.92NA  0.02   1.16  1.161XXX.00.00.0000000             35.8043 090 99      1.76   1.76   0.03
73502TCX-ray exam hip uni 2-3 views                      A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7350226X-ray exam hip uni 2-3 views                      A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
73503  X-ray exam hip uni 4/> views                      A   0.27   1.15     1.15NA  0.03   1.45  1.451XXX.00.00.0000000             35.8043 090 99      2.90   2.90   0.05
73503TCX-ray exam hip uni 4/> views                      A   0.00   1.03     1.03NA  0.01   1.04  1.041XXX.00.00.0000000             35.8043 010 99      2.78   2.78   0.03
7350326X-ray exam hip uni 4/> views                      A   0.27   0.12     0.12    0.02   0.41  0.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
73521  X-ray exam hips bi 2 views                        A   0.22   0.87     0.87NA  0.02   1.11  1.111XXX.00.00.0000000             35.8043 090 99      2.87   2.87   0.05
73521TCX-ray exam hips bi 2 views                        A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.04
7352126X-ray exam hips bi 2 views                        A   0.22   0.10     0.10    0.01   0.33  0.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
73522  X-ray exam hips bi 3-4 views                      A   0.29   1.05     1.05NA  0.03   1.37  1.371XXX.00.00.0000000             35.8043 090 99      2.89   2.89   0.05
73522TCX-ray exam hips bi 3-4 views                      A   0.00   0.93     0.93NA  0.01   0.94  0.941XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.03
7352226X-ray exam hips bi 3-4 views                      A   0.29   0.12     0.12    0.02   0.43  0.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
73523  X-ray exam hips bi 5/> views                      A   0.31   1.25     1.25NA  0.03   1.59  1.591XXX.00.00.0000000             35.8043 090 99      5.43   5.43   0.07
73523TCX-ray exam hips bi 5/> views                      A   0.00   1.12     1.12NA  0.01   1.13  1.131XXX.00.00.0000000             35.8043 010 99      5.30   5.30   0.05
7352326X-ray exam hips bi 5/> views                      A   0.31   0.13     0.13    0.02   0.46  0.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
73525  Contrast x-ray of hip                             A   0.54   2.26     2.26NA  0.05   2.85  2.851XXX.00.00.0003000             35.8043 090 99      9.99   9.99   0.09
73525TCContrast x-ray of hip                             A   0.00   2.02     2.02NA  0.01   2.03  2.031XXX.00.00.0003000             35.8043 030 99      9.75   9.75   0.05
7352526Contrast x-ray of hip                             A   0.54   0.24     0.24    0.04   0.82  0.821XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73551  X-ray exam of femur 1                             A   0.16   0.60     0.60NA  0.02   0.78  0.781XXX.00.00.0003000             35.8043 090 99      1.73   1.73   0.04
73551TCX-ray exam of femur 1                             A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7355126X-ray exam of femur 1                             A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73552  X-ray exam of femur 2/>                           A   0.18   0.71     0.71NA  0.02   0.91  0.911XXX.00.00.0003000             35.8043 090 99      1.75   1.75   0.04
73552TCX-ray exam of femur 2/>                           A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.03
7355226X-ray exam of femur 2/>                           A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73560  X-ray exam of knee 1 or 2                         A   0.16   0.69     0.69NA  0.02   0.87  0.871XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.04
73560TCX-ray exam of knee 1 or 2                         A   0.00   0.62     0.62NA  0.01   0.63  0.631XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.03
7356026X-ray exam of knee 1 or 2                         A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73562  X-ray exam of knee 3                              A   0.18   0.80     0.80NA  0.02   1.00  1.001XXX.00.00.0003000             35.8043 090 99      1.75   1.75   0.03
73562TCX-ray exam of knee 3                              A   0.00   0.72     0.72NA  0.01   0.73  0.731XXX.00.00.0003000             35.8043 090 99      1.67   1.67   0.02
7356226X-ray exam of knee 3                              A   0.18   0.08     0.08    0.01   0.27  0.271XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73564  X-ray exam knee 4 or more                         A   0.22   0.86     0.86NA  0.02   1.10  1.101XXX.00.00.0003000             35.8043 090 99      2.86   2.86   0.05
73564TCX-ray exam knee 4 or more                         A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0003000             35.8043 010 99      2.77   2.77   0.04
7356426X-ray exam knee 4 or more                         A   0.22   0.09     0.09    0.01   0.32  0.321XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73565  X-ray exam of knees                               A   0.16   0.82     0.82NA  0.02   1.00  1.001XXX.00.00.0002000             35.8043 090 99      1.75   1.75   0.03
73565TCX-ray exam of knees                               A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0002000             35.8043 010 99      1.67   1.67   0.02
7356526X-ray exam of knees                               A   0.16   0.08     0.08    0.01   0.25  0.251XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
73580  Contrast x-ray of knee joint                      A   0.54   2.65     2.65NA  0.05   3.24  3.241XXX.00.00.0003000             35.8043 090 99      9.99   9.99   0.08
73580TCContrast x-ray of knee joint                      A   0.00   2.42     2.42NA  0.01   2.43  2.431XXX.00.00.0003000             35.8043 030 99      9.76   9.76   0.04
7358026Contrast x-ray of knee joint                      A   0.54   0.23     0.23    0.04   0.81  0.811XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73590  X-ray exam of lower leg                           A   0.16   0.62     0.62NA  0.02   0.80  0.801XXX.00.00.0003000             35.8043 090 99      1.73   1.73   0.04
73590TCX-ray exam of lower leg                           A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7359026X-ray exam of lower leg                           A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73592  X-ray exam of leg infant                          A   0.16   0.60     0.60NA  0.02   0.78  0.781XXX.00.00.0003000             35.8043 090 99      1.72   1.72   0.04
73592TCX-ray exam of leg infant                          A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7359226X-ray exam of leg infant                          A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73600  X-ray exam of ankle                               A   0.16   0.66     0.66NA  0.02   0.84  0.841XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.04
73600TCX-ray exam of ankle                               A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.03
7360026X-ray exam of ankle                               A   0.16   0.07     0.07    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73610  X-ray exam of ankle                               A   0.17   0.68     0.68NA  0.02   0.87  0.871XXX.00.00.0003000             35.8043 090 99      1.74   1.74   0.04
73610TCX-ray exam of ankle                               A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.03
7361026X-ray exam of ankle                               A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73615  Contrast x-ray of ankle                           A   0.54   2.36     2.36NA  0.04   2.94  2.941XXX.00.00.0003000             35.8043 090 99     10.00  10.00   0.08
73615TCContrast x-ray of ankle                           A   0.00   2.11     2.11NA  0.01   2.12  2.121XXX.00.00.0003000             35.8043 030 99      9.75   9.75   0.05
7361526Contrast x-ray of ankle                           A   0.54   0.25     0.25    0.03   0.82  0.821XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73620  X-ray exam of foot                                A   0.16   0.55     0.55NA  0.02   0.73  0.731XXX.00.00.0003000             35.8043 090 99      1.71   1.71   0.04
73620TCX-ray exam of foot                                A   0.00   0.50     0.50NA  0.01   0.51  0.511XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7362026X-ray exam of foot                                A   0.16   0.05     0.05    0.01   0.22  0.221XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73630  X-ray exam of foot                                A   0.17   0.62     0.62NA  0.02   0.81  0.811XXX.00.00.0003000             35.8043 090 99      1.72   1.72   0.04
73630TCX-ray exam of foot                                A   0.00   0.56     0.56NA  0.01   0.57  0.571XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7363026X-ray exam of foot                                A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73650  X-ray exam of heel                                A   0.16   0.58     0.58NA  0.02   0.76  0.761XXX.00.00.0003000             35.8043 090 99      1.72   1.72   0.04
73650TCX-ray exam of heel                                A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0003000             35.8043 010 99      1.66   1.66   0.03
7365026X-ray exam of heel                                A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73660  X-ray exam of toe(s)                              A   0.13   0.64     0.64NA  0.02   0.79  0.791XXX.00.00.0003000             35.8043 090 99      1.72   1.72   0.04
73660TCX-ray exam of toe(s)                              A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0003000             35.8043 010 99      1.67   1.67   0.03
7366026X-ray exam of toe(s)                              A   0.13   0.05     0.05    0.01   0.19  0.191XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
73700  Ct lower extremity w/o dye                        A   1.00   3.97     3.97NA  0.07   5.04  5.041XXX.00.00.0043000             35.8043 090 88      3.50   3.50   0.07
73700TCCt lower extremity w/o dye                        A   0.00   3.60     3.60NA  0.01   3.61  3.611XXX.00.00.0043000             35.8043 010 88      3.13   3.13   0.01
7370026Ct lower extremity w/o dye                        A   1.00   0.37     0.37    0.06   1.43  1.431XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73701  Ct lower extremity w/dye                          A   1.16   5.12     5.12NA  0.08   6.36  6.361XXX.00.00.0043000             35.8043 090 88      7.01   7.01   0.08
73701TCCt lower extremity w/dye                          A   0.00   4.69     4.69NA  0.01   4.70  4.701XXX.00.00.0043000             35.8043 020 88      6.58   6.58   0.01
7370126Ct lower extremity w/dye                          A   1.16   0.43     0.43    0.07   1.66  1.661XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73702  Ct lwr extremity w/o&w/dye                        A   1.22   6.42     6.42NA  0.08   7.72  7.721XXX.00.00.0043000             35.8043 090 88      7.02   7.02   0.08
73702TCCt lwr extremity w/o&w/dye                        A   0.00   5.98     5.98NA  0.01   5.99  5.991XXX.00.00.0043000             35.8043 020 88      6.58   6.58   0.01
7370226Ct lwr extremity w/o&w/dye                        A   1.22   0.44     0.44    0.07   1.73  1.731XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73706  Ct angio lwr extr w/o&w/dye                       A   1.90   7.87     7.87NA  0.14   9.91  9.911XXX.00.00.0043000             35.8043 090 88      7.26   7.26   0.14
73706TCCt angio lwr extr w/o&w/dye                       A   0.00   7.18     7.18NA  0.03   7.21  7.211XXX.00.00.0043000             35.8043 020 88      6.57   6.57   0.03
7370626Ct angio lwr extr w/o&w/dye                       A   1.90   0.69     0.69    0.11   2.70  2.701XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73718  Mri lower extremity w/o dye                       A   1.35   8.80     8.80NA  0.10  10.25 10.251XXX.00.00.0043000             35.8043 090 88      8.10   8.10   0.10
73718TCMri lower extremity w/o dye                       A   0.00   8.30     8.30NA  0.02   8.32  8.321XXX.00.00.0043000             35.8043 010 88      7.60   7.60   0.02
7371826Mri lower extremity w/o dye                       A   1.35   0.50     0.50    0.08   1.93  1.931XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73719  Mri lower extremity w/dye                         A   1.62   9.63     9.63NA  0.11  11.36 11.361XXX.00.00.0043000             35.8043 090 88     13.22  13.22   0.12
73719TCMri lower extremity w/dye                         A   0.00   9.03     9.03NA  0.02   9.05  9.051XXX.00.00.0043000             35.8043 020 88     12.62  12.62   0.03
7371926Mri lower extremity w/dye                         A   1.62   0.60     0.60    0.09   2.31  2.311XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73720  Mri lwr extremity w/o&w/dye                       A   2.15  11.84    11.84NA  0.14  14.13 14.131XXX.00.00.0043000             35.8043 090 88     13.43  13.43   0.14
73720TCMri lwr extremity w/o&w/dye                       A   0.00  11.04    11.04NA  0.02  11.06 11.061XXX.00.00.0043000             35.8043 020 88     12.63  12.63   0.02
7372026Mri lwr extremity w/o&w/dye                       A   2.15   0.80     0.80    0.12   3.07  3.071XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73721  Mri jnt of lwr extre w/o dye                      A   1.35   5.20     5.20NA  0.10   6.65  6.651XXX.00.00.0043000             35.8043 090 88      8.10   8.10   0.11
73721TCMri jnt of lwr extre w/o dye                      A   0.00   4.69     4.69NA  0.02   4.71  4.711XXX.00.00.0043000             35.8043 010 88      7.59   7.59   0.03
7372126Mri jnt of lwr extre w/o dye                      A   1.35   0.51     0.51    0.08   1.94  1.941XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73722  Mri joint of lwr extr w/dye                       A   1.62   9.00     9.00NA  0.11  10.73 10.731XXX.00.00.0043000             35.8043 090 88     13.23  13.23   0.12
73722TCMri joint of lwr extr w/dye                       A   0.00   8.39     8.39NA  0.02   8.41  8.411XXX.00.00.0043000             35.8043 020 88     12.62  12.62   0.03
7372226Mri joint of lwr extr w/dye                       A   1.62   0.61     0.61    0.09   2.32  2.321XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73723  Mri joint lwr extr w/o&w/dye                      A   2.15  10.94    10.94NA  0.14  13.23 13.231XXX.00.00.0043000             35.8043 090 88     13.43  13.43   0.14
73723TCMri joint lwr extr w/o&w/dye                      A   0.00  10.14    10.14NA  0.02  10.16 10.161XXX.00.00.0043000             35.8043 020 88     12.63  12.63   0.02
7372326Mri joint lwr extr w/o&w/dye                      A   2.15   0.80     0.80    0.12   3.07  3.071XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
73725  Mr ang lwr ext w or w/o dye                       R   1.82   9.35     9.35NA  0.12  11.29 11.291XXX.00.00.0043000             35.8043 090 88     13.27  13.27   0.13
73725TCMr ang lwr ext w or w/o dye                       R   0.00   8.70     8.70NA  0.02   8.72  8.721XXX.00.00.0043000             35.8043 020 88     12.62  12.62   0.03
7372526Mr ang lwr ext w or w/o dye                       R   1.82   0.65     0.65    0.10   2.57  2.571XXX.00.00.0043000             35.8043 090 88      0.00   0.00   0.00
74000  X-ray exam of abdomen                             A   0.18   0.46     0.46NA  0.02   0.66  0.661XXX.00.00.0000000             35.8043 090 99      1.72   1.72   0.05
74000TCX-ray exam of abdomen                             A   0.00   0.39     0.39NA  0.01   0.40  0.401XXX.00.00.0000000             35.8043 010 99      1.65   1.65   0.04
7400026X-ray exam of abdomen                             A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74010  X-ray exam of abdomen                             A   0.23   0.74     0.74NA  0.02   0.99  0.991XXX.00.00.0000000             35.8043 090 99      1.76   1.76   0.04
74010TCX-ray exam of abdomen                             A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
7401026X-ray exam of abdomen                             A   0.23   0.09     0.09    0.01   0.33  0.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74020  X-ray exam of abdomen                             A   0.27   0.75     0.75NA  0.03   1.05  1.051XXX.00.00.0000000             35.8043 090 99      1.77   1.77   0.05
74020TCX-ray exam of abdomen                             A   0.00   0.65     0.65NA  0.01   0.66  0.661XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
7402026X-ray exam of abdomen                             A   0.27   0.10     0.10    0.02   0.39  0.391XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74022  X-ray exam series abdomen                         A   0.32   0.90     0.90NA  0.03   1.25  1.251XXX.00.00.0000000             35.8043 090 99      2.89   2.89   0.06
74022TCX-ray exam series abdomen                         A   0.00   0.78     0.78NA  0.01   0.79  0.791XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.04
7402226X-ray exam series abdomen                         A   0.32   0.12     0.12    0.02   0.46  0.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74150  Ct abdomen w/o dye                                A   1.19   2.94     2.94NA  0.08   4.21  4.211XXX.00.00.0040000             35.8043 090 88      3.56   3.56   0.08
74150TCCt abdomen w/o dye                                A   0.00   2.50     2.50NA  0.01   2.51  2.511XXX.00.00.0040000             35.8043 010 88      3.12   3.12   0.01
7415026Ct abdomen w/o dye                                A   1.19   0.44     0.44    0.07   1.70  1.701XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74160  Ct abdomen w/dye                                  A   1.27   5.14     5.14NA  0.08   6.49  6.491XXX.00.00.0040000             35.8043 090 88      7.06   7.06   0.08
74160TCCt abdomen w/dye                                  A   0.00   4.66     4.66NA  0.01   4.67  4.671XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7416026Ct abdomen w/dye                                  A   1.27   0.48     0.48    0.07   1.82  1.821XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74170  Ct abdomen w/o & w/dye                            A   1.40   5.89     5.89NA  0.09   7.38  7.381XXX.00.00.0040000             35.8043 090 88      7.10   7.10   0.09
74170TCCt abdomen w/o & w/dye                            A   0.00   5.37     5.37NA  0.01   5.38  5.381XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7417026Ct abdomen w/o & w/dye                            A   1.40   0.52     0.52    0.08   2.00  2.001XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74174  Ct angio abd&pelv w/o&w/dye                       A   2.20   8.58     8.58NA  0.15  10.93 10.931XXX.00.00.0040000             35.8043 090 88     10.45  10.45   0.15
74174TCCt angio abd&pelv w/o&w/dye                       A   0.00   7.79     7.79NA  0.02   7.81  7.811XXX.00.00.0040000             35.8043 020 88      9.66   9.66   0.02
7417426Ct angio abd&pelv w/o&w/dye                       A   2.20   0.79     0.79    0.13   3.12  3.121XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74175  Ct angio abdom w/o & w/dye                        A   1.82   6.69     6.69NA  0.12   8.63  8.631XXX.00.00.0040000             35.8043 090 88      7.23   7.23   0.12
74175TCCt angio abdom w/o & w/dye                        A   0.00   6.03     6.03NA  0.02   6.05  6.051XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7417526Ct angio abdom w/o & w/dye                        A   1.82   0.66     0.66    0.10   2.58  2.581XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74176  Ct abd & pelvis w/o contrast                      A   1.74   3.79     3.79NA  0.11   5.64  5.641XXX.00.00.0040900             35.8043 090 88      5.98   5.98   0.12
74176TCCt abd & pelvis w/o contrast                      A   0.00   3.14     3.14NA  0.01   3.15  3.151XXX.00.00.0040900             35.8043 010 88      5.33   5.33   0.02
7417626Ct abd & pelvis w/o contrast                      A   1.74   0.65     0.65    0.10   2.49  2.491XXX.00.00.0040900             35.8043 090 88      0.00   0.00   0.00
74177  Ct abd & pelv w/contrast                          A   1.82   6.82     6.82NA  0.11   8.75  8.751XXX.00.00.0040900             35.8043 090 88     10.35  10.35   0.12
74177TCCt abd & pelv w/contrast                          A   0.00   6.14     6.14NA  0.01   6.15  6.151XXX.00.00.0040900             35.8043 020 88      9.67   9.67   0.02
7417726Ct abd & pelv w/contrast                          A   1.82   0.68     0.68    0.10   2.60  2.601XXX.00.00.0040900             35.8043 090 88      0.00   0.00   0.00
74178  Ct abd & pelv 1/> regns                           A   2.01   7.79     7.79NA  0.13   9.93  9.931XXX.00.00.0040900             35.8043 090 88     10.40  10.40   0.14
74178TCCt abd & pelv 1/> regns                           A   0.00   7.04     7.04NA  0.02   7.06  7.061XXX.00.00.0040900             35.8043 020 88      9.65   9.65   0.03
7417826Ct abd & pelv 1/> regns                           A   2.01   0.75     0.75    0.11   2.87  2.871XXX.00.00.0040900             35.8043 090 88      0.00   0.00   0.00
74181  Mri abdomen w/o dye                               A   1.46   7.81     7.81NA  0.10   9.37  9.371XXX.00.00.0040000             35.8043 090 88      8.14   8.14   0.10
74181TCMri abdomen w/o dye                               A   0.00   7.27     7.27NA  0.02   7.29  7.291XXX.00.00.0040000             35.8043 010 88      7.60   7.60   0.02
7418126Mri abdomen w/o dye                               A   1.46   0.54     0.54    0.08   2.08  2.081XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74182  Mri abdomen w/dye                                 A   1.73  10.91    10.91NA  0.12  12.76 12.761XXX.00.00.0040000             35.8043 090 88     13.27  13.27   0.12
74182TCMri abdomen w/dye                                 A   0.00  10.27    10.27NA  0.02  10.29 10.291XXX.00.00.0040000             35.8043 020 88     12.63  12.63   0.02
7418226Mri abdomen w/dye                                 A   1.73   0.64     0.64    0.10   2.47  2.471XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74183  Mri abdomen w/o & w/dye                           A   2.26  11.83    11.83NA  0.15  14.24 14.241XXX.00.00.0040000             35.8043 090 88     13.47  13.47   0.15
74183TCMri abdomen w/o & w/dye                           A   0.00  10.99    10.99NA  0.02  11.01 11.011XXX.00.00.0040000             35.8043 020 88     12.63  12.63   0.02
7418326Mri abdomen w/o & w/dye                           A   2.26   0.84     0.84    0.13   3.23  3.231XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74185  Mri angio abdom w orw/o dye                       R   1.80   9.41     9.41NA  0.12  11.33 11.331XXX.00.00.0040000             35.8043 090 88     13.27  13.27   0.13
74185TCMri angio abdom w orw/o dye                       R   0.00   8.76     8.76NA  0.02   8.78  8.781XXX.00.00.0040000             35.8043 020 88     12.62  12.62   0.03
7418526Mri angio abdom w orw/o dye                       R   1.80   0.65     0.65    0.10   2.55  2.551XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74190  X-ray exam of peritoneum                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      9.95   9.95   0.04
74190TCX-ray exam of peritoneum                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      9.79   9.79   0.01
7419026X-ray exam of peritoneum                          A   0.48   0.16     0.16    0.03   0.67  0.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74210  Contrst x-ray exam of throat                      A   0.36   1.79     1.79NA  0.03   2.18  2.181XXX.00.00.0000000             35.8043 090 99      2.92   2.92   0.04
74210TCContrst x-ray exam of throat                      A   0.00   1.66     1.66NA  0.01   1.67  1.671XXX.00.00.0000000             35.8043 030 99      2.79   2.79   0.02
7421026Contrst x-ray exam of throat                      A   0.36   0.13     0.13    0.02   0.51  0.511XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74220  Contrast x-ray esophagus                          A   0.46   1.99     1.99NA  0.04   2.49  2.491XXX.00.00.0000000             35.8043 090 99      2.96   2.96   0.05
74220TCContrast x-ray esophagus                          A   0.00   1.82     1.82NA  0.01   1.83  1.831XXX.00.00.0000000             35.8043 030 99      2.79   2.79   0.02
7422026Contrast x-ray esophagus                          A   0.46   0.17     0.17    0.03   0.66  0.661XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74230  Cine/vid x-ray throat/esoph                       A   0.53   3.03     3.03NA  0.04   3.60  3.601XXX.00.00.0000000             35.8043 090 99      2.99   2.99   0.04
74230TCCine/vid x-ray throat/esoph                       A   0.00   2.83     2.83NA  0.01   2.84  2.841XXX.00.00.0000000             35.8043 030 99      2.79   2.79   0.01
7423026Cine/vid x-ray throat/esoph                       A   0.53   0.20     0.20    0.03   0.76  0.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74235  Remove esophagus obstruction                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74235TCRemove esophagus obstruction                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7423526Remove esophagus obstruction                      A   1.19   0.34     0.34    0.24   1.77  1.771XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74240  X-ray upper gi delay w/o kub                      A   0.69   2.44     2.44NA  0.05   3.18  3.181XXX.00.00.0000000             35.8043 090 99      3.05   3.05   0.05
74240TCX-ray upper gi delay w/o kub                      A   0.00   2.18     2.18NA  0.01   2.19  2.191XXX.00.00.0000000             35.8043 030 99      2.79   2.79   0.01
7424026X-ray upper gi delay w/o kub                      A   0.69   0.26     0.26    0.04   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74241  X-ray upper gi delay w/kub                        A   0.69   2.57     2.57NA  0.05   3.31  3.311XXX.00.00.0000000             35.8043 090 99      3.05   3.05   0.05
74241TCX-rayupper gi delay w/kub                         A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.0000000             35.8043 030 99      2.79   2.79   0.01
7424126X-rayupper gi delay w/kub                         A   0.69   0.26     0.26    0.04   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74245  X-ray upper gi&small intest                       A   0.91   3.85     3.85NA  0.06   4.82  4.821XXX.00.00.0000000             35.8043 090 99      5.67   5.67   0.07
74245TCX-ray upper gi&small intest                       A   0.00   3.51     3.51NA  0.01   3.52  3.521XXX.00.00.0000000             35.8043 030 99      5.33   5.33   0.02
7424526X-ray upper gi&small intest                       A   0.91   0.34     0.34    0.05   1.30  1.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74246  Contrst x-ray uppr gi tract                       A   0.69   2.84     2.84NA  0.05   3.58  3.581XXX.00.00.0000000             35.8043 090 99      3.05   3.05   0.05
74246TCContrst x-ray uppr gi tract                       A   0.00   2.58     2.58NA  0.01   2.59  2.591XXX.00.00.0000000             35.8043 030 99      2.79   2.79   0.01
7424626Contrst x-ray uppr gi tract                       A   0.69   0.26     0.26    0.04   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74247  Contrst x-ray uppr gi tract                       A   0.69   3.22     3.22NA  0.05   3.96  3.961XXX.00.00.0000000             35.8043 090 99      3.06   3.06   0.05
74247TCContrst x-ray uppr gi tract                       A   0.00   2.96     2.96NA  0.01   2.97  2.971XXX.00.00.0000000             35.8043 030 99      2.80   2.80   0.01
7424726Contrst x-ray uppr gi tract                       A   0.69   0.26     0.26    0.04   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74249  Contrst x-ray uppr gi tract                       A   0.91   4.20     4.20NA  0.06   5.17  5.171XXX.00.00.0000000             35.8043 090 99      5.67   5.67   0.06
74249TCContrst x-ray uppr gi tract                       A   0.00   3.86     3.86NA  0.01   3.87  3.871XXX.00.00.0000000             35.8043 030 99      5.33   5.33   0.01
7424926Contrst x-ray uppr gi tract                       A   0.91   0.34     0.34    0.05   1.30  1.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74250  X-ray exam of small bowel                         A   0.47   2.41     2.41NA  0.04   2.92  2.921XXX.00.00.0000000             35.8043 090 99      2.96   2.96   0.04
74250TCX-ray exam of small bowel                         A   0.00   2.24     2.24NA  0.01   2.25  2.251XXX.00.00.0000000             35.8043 020 99      2.79   2.79   0.01
7425026X-ray exam of small bowel                         A   0.47   0.17     0.17    0.03   0.67  0.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74251  X-ray exam of small bowel                         A   0.69  11.02    11.02NA  0.05  11.76 11.761XXX.00.00.0000000             35.8043 090 99      5.60   5.60   0.05
74251TCX-ray exam of small bowel                         A   0.00  10.76    10.76NA  0.01  10.77 10.771XXX.00.00.0000000             35.8043 030 99      5.34   5.34   0.01
7425126X-ray exam of small bowel                         A   0.69   0.26     0.26    0.04   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74260  X-ray exam of small bowel                         A   0.50   9.38     9.38NA  0.04   9.92  9.921XXX.00.00.0000000             35.8043 090 99      5.53   5.53   0.04
74260TCX-ray exam of small bowel                         A   0.00   9.19     9.19NA  0.01   9.20  9.201XXX.00.00.0000000             35.8043 030 99      5.34   5.34   0.01
7426026X-ray exam of small bowel                         A   0.50   0.19     0.19    0.03   0.72  0.721XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74261  Ct colonography dx                                A   2.40  11.10    11.10NA  0.16  13.66 13.661XXX.00.00.0040000             35.8043 090 88      4.03   4.03   0.15
74261TCCt colonography dx                                A   0.00  10.20    10.20NA  0.02  10.22 10.221XXX.00.00.0040000             35.8043 020 88      3.13   3.13   0.01
7426126Ct colonography dx                                A   2.40   0.90     0.90    0.14   3.44  3.441XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74262  Ct colonography dx w/dye                          A   2.50  12.53    12.53NA  0.16  15.19 15.191XXX.00.00.0040000             35.8043 090 88      7.51   7.51   0.15
74262TCCt colonography dx w/dye                          A   0.00  11.60    11.60NA  0.02  11.62 11.621XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.01
7426226Ct colonography dx w/dye                          A   2.50   0.93     0.93    0.14   3.57  3.571XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74263  Ct colonography screening                         N+  2.28  18.83    18.83NA  0.09  21.20 21.201XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
74263TCCt colonography screening                         N+  0.00  17.96    17.96NA  0.02  17.98 17.981XXX.00.00.0099999             35.8043 020 99      0.00   0.00   0.00
7426326Ct colonography screening                         N+  2.28   0.87     0.87    0.07   3.22  3.221XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
74270  Contrast x-ray exam of colon                      A   0.69   3.49     3.49NA  0.05   4.23  4.231XXX.00.00.0000000             35.8043 090 99      3.06   3.06   0.05
74270TCContrast x-ray exam of colon                      A   0.00   3.23     3.23NA  0.01   3.24  3.241XXX.00.00.0000000             35.8043 030 99      2.80   2.80   0.01
7427026Contrast x-ray exam of colon                      A   0.69   0.26     0.26    0.04   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74280  Contrast x-ray exam of colon                      A   0.99   4.92     4.92NA  0.07   5.98  5.981XXX.00.00.0000000             35.8043 090 99      5.70   5.70   0.07
74280TCContrast x-ray exam of colon                      A   0.00   4.55     4.55NA  0.01   4.56  4.561XXX.00.00.0000000             35.8043 030 99      5.33   5.33   0.01
7428026Contrast x-ray exam of colon                      A   0.99   0.37     0.37    0.06   1.42  1.421XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74283  Contrast x-ray exam of colon                      A   2.02   3.63     3.63NA  0.13   5.78  5.781XXX.00.00.0000000             35.8043 090 99      6.10   6.10   0.14
74283TCContrast x-ray exam of colon                      A   0.00   2.86     2.86NA  0.01   2.87  2.871XXX.00.00.0000000             35.8043 030 99      5.33   5.33   0.02
7428326Contrast x-ray exam of colon                      A   2.02   0.77     0.77    0.12   2.91  2.911XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74290  Contrast x-ray gallbladder                        A   0.32   1.62     1.62NA  0.03   1.97  1.971XXX.00.00.0000000             35.8043 090 99      5.43   5.43   0.06
74290TCContrast x-ray gallbladder                        A   0.00   1.50     1.50NA  0.01   1.51  1.511XXX.00.00.0000000             35.8043 010 99      5.31   5.31   0.04
7429026Contrast x-ray gallbladder                        A   0.32   0.12     0.12    0.02   0.46  0.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74300  X-ray bile ducts/pancreas                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74300TCX-ray bile ducts/pancreas                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7430026X-ray bile ducts/pancreas                         A   0.36   0.13     0.13    0.03   0.52  0.521XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74301  X-rays at surgery add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74301TCX-rays at surgery add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7430126X-rays at surgery add-on                          A   0.21   0.07     0.07    0.02   0.30  0.301ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74328  X-ray bile duct endoscopy                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74328TCX-ray bile duct endoscopy                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7432826X-ray bile duct endoscopy                         A   0.70   0.27     0.27    0.04   1.01  1.011XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74329  X-ray for pancreas endoscopy                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74329TCX-ray for pancreas endoscopy                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7432926X-ray for pancreas endoscopy                      A   0.70   0.28     0.28    0.04   1.02  1.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74330  X-ray bile/panc endoscopy                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74330TCX-ray bile/panc endoscopy                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7433026X-ray bile/panc endoscopy                         A   0.90   0.35     0.35    0.05   1.30  1.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74340  X-ray guide for gi tube                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74340TCX-ray guide for gi tube                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7434026X-ray guide for gi tube                           A   0.54   0.20     0.20    0.03   0.77  0.771XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74355  X-ray guide intestinal tube                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74355TCX-ray guide intestinal tube                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7435526X-ray guide intestinal tube                       A   0.76   0.27     0.27    0.07   1.10  1.101XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74360  X-ray guide gi dilation                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74360TCX-ray guide gi dilation                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7436026X-ray guide gi dilation                           A   0.54   0.21     0.21    0.05   0.80  0.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74363  X-ray bile duct dilation                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74363TCX-ray bile duct dilation                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7436326X-ray bile duct dilation                          A   0.88   0.29     0.29    0.05   1.22  1.221XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74400  Contrst x-ray urinary tract                       A   0.49   2.56     2.56NA  0.04   3.09  3.091XXX.00.00.0000000             35.8043 090 99      5.50   5.50   0.05
74400TCContrst x-ray urinary tract                       A   0.00   2.38     2.38NA  0.01   2.39  2.391XXX.00.00.0000000             35.8043 020 99      5.32   5.32   0.02
7440026Contrst x-ray urinary tract                       A   0.49   0.18     0.18    0.03   0.70  0.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74410  Contrst x-ray urinary tract                       A   0.49   2.51     2.51NA  0.04   3.04  3.041XXX.00.00.0000000             35.8043 090 99      5.49   5.49   0.05
74410TCContrst x-ray urinary tract                       A   0.00   2.34     2.34NA  0.01   2.35  2.351XXX.00.00.0000000             35.8043 020 99      5.32   5.32   0.02
7441026Contrst x-ray urinary tract                       A   0.49   0.17     0.17    0.03   0.69  0.691XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74415  Contrst x-ray urinary tract                       A   0.49   3.31     3.31NA  0.04   3.84  3.841XXX.00.00.0000000             35.8043 090 99      5.51   5.51   0.05
74415TCContrst x-ray urinary tract                       A   0.00   3.13     3.13NA  0.01   3.14  3.141XXX.00.00.0000000             35.8043 020 99      5.33   5.33   0.02
7441526Contrst x-ray urinary tract                       A   0.49   0.18     0.18    0.03   0.70  0.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74420  Contrst x-ray urinary tract                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      9.92   9.92   0.02
74420TCContrst x-ray urinary tract                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      9.79   9.79   0.01
7442026Contrst x-ray urinary tract                       A   0.36   0.13     0.13    0.01   0.50  0.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74425  Contrst x-ray urinary tract                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      9.91   9.91   0.03
74425TCContrst x-ray urinary tract                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      9.79   9.79   0.01
7442526Contrst x-ray urinary tract                       A   0.36   0.12     0.12    0.02   0.50  0.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74430  Contrast x-ray bladder                            A   0.32   0.71     0.71NA  0.03   1.06  1.061XXX.00.00.0000000             35.8043 090 99      5.38   5.38   0.11
74430TCContrast x-ray bladder                            A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0000000             35.8043 030 99      5.26   5.26   0.09
7443026Contrast x-ray bladder                            A   0.32   0.12     0.12    0.02   0.46  0.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74440  X-ray male genital tract                          A   0.38   1.88     1.88NA  0.02   2.28  2.281XXX.00.00.0000000             35.8043 090 99      5.44   5.44   0.04
74440TCX-ray male genital tract                          A   0.00   1.75     1.75NA  0.01   1.76  1.761XXX.00.00.0000000             35.8043 030 99      5.31   5.31   0.03
7444026X-ray male genital tract                          A   0.38   0.13     0.13    0.01   0.52  0.521XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74445  X-ray exam of penis                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     10.16  10.16   0.04
74445TCX-ray exam of penis                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      9.79   9.79   0.01
7444526X-ray exam of penis                               A   1.14   0.37     0.37    0.03   1.54  1.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74450  X-ray urethra/bladder                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      5.45   5.45   0.03
74450TCX-ray urethra/bladder                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      5.33   5.33   0.01
7445026X-ray urethra/bladder                             A   0.33   0.12     0.12    0.02   0.47  0.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74455  X-ray urethra/bladder                             A   0.33   1.93     1.93NA  0.03   2.29  2.291XXX.00.00.0000000             35.8043 090 99      9.86   9.86   0.07
74455TCX-ray urethra/bladder                             A   0.00   1.81     1.81NA  0.01   1.82  1.821XXX.00.00.0000000             35.8043 030 99      9.74   9.74   0.05
7445526X-ray urethra/bladder                             A   0.33   0.12     0.12    0.02   0.47  0.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74470  X-ray exam of kidney lesion                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      9.97   9.97   0.04
74470TCX-ray exam of kidney lesion                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      9.79   9.79   0.01
7447026X-ray exam of kidney lesion                       A   0.54   0.18     0.18    0.03   0.75  0.751XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74485  X-ray guide gu dilation                           A   0.54   2.02     2.02NA  0.03   2.59  2.591XXX.00.00.0000000             35.8043 090 99     41.91  41.91   0.25
74485TCX-ray guide gu dilation                           A   0.00   1.84     1.84NA  0.01   1.85  1.851XXX.00.00.0000000             35.8043 030 99     41.73  41.73   0.23
7448526X-ray guide gu dilation                           A   0.54   0.18     0.18    0.02   0.74  0.741XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74710  X-ray measurement of pelvis                       A   0.34   0.66     0.66NA  0.03   1.03  1.031XXX.00.00.0000000             35.8043 090 99      1.79   1.79   0.05
74710TCX-ray measurement of pelvis                       A   0.00   0.53     0.53NA  0.01   0.54  0.541XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.03
7471026X-ray measurement of pelvis                       A   0.34   0.13     0.13    0.02   0.49  0.491XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74712  Mri fetal sngl/1st gestation                      A   3.00  10.36    10.36NA  0.19  13.55 13.551XXX.00.00.0040000             35.8043 090 88      8.72   8.72   0.19
74712TCMri fetal sngl/1st gestation                      A   0.00   9.24     9.24NA  0.02   9.26  9.261XXX.00.00.0040000             35.8043 020 88      7.60   7.60   0.02
7471226Mri fetal sngl/1st gestation                      A   3.00   1.12     1.12    0.17   4.29  4.291XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
74713  Mri fetal ea addl gestation                       A   1.78   4.63     4.63NA  0.11   6.52  6.521ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74713TCMri fetal ea addl gestation                       A   0.00   3.96     3.96NA  0.01   3.97  3.971ZZZ.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
7471326Mri fetal ea addl gestation                       A   1.78   0.67     0.67    0.10   2.55  2.551ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74740  X-ray female genital tract                        A   0.38   1.69     1.69NA  0.03   2.10  2.101XXX.00.00.0000000             35.8043 090 99      9.87   9.87   0.08
74740TCX-ray female genital tract                        A   0.00   1.55     1.55NA  0.01   1.56  1.561XXX.00.00.0000000             35.8043 030 99      9.73   9.73   0.06
7474026X-ray female genital tract                        A   0.38   0.14     0.14    0.02   0.54  0.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74742  X-ray fallopian tube                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74742TCX-ray fallopian tube                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7474226X-ray fallopian tube                              A   0.61   0.19     0.19    0.04   0.84  0.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
74775  X-ray exam of perineum                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      5.56   5.56   0.05
74775TCX-ray exam of perineum                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      5.33   5.33   0.01
7477526X-ray exam of perineum                            A   0.62   0.23     0.23    0.04   0.89  0.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75557  Cardiac mri for morph                             A   2.35   6.48     6.48NA  0.12   8.95  8.951XXX.00.00.0040000             35.8043 090 88      8.44   8.44   0.12
75557TCCardiac mri for morph                             A   0.00   5.65     5.65NA  0.01   5.66  5.661XXX.00.00.0040000             35.8043 010 88      7.61   7.61   0.01
7555726Cardiac mri for morph                             A   2.35   0.83     0.83    0.11   3.29  3.291XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75559  Cardiac mri w/stress img                          A   2.95   9.19     9.19NA  0.12  12.26 12.261XXX.00.00.0040000             35.8043 090 88     13.29  13.29   0.12
75559TCCardiac mri w/stress img                          A   0.00   8.18     8.18NA  0.01   8.19  8.191XXX.00.00.0040000             35.8043 020 88     12.28  12.28   0.01
7555926Cardiac mri w/stress img                          A   2.95   1.01     1.01    0.11   4.07  4.071XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75561  Cardiac mri for morph w/dye                       A   2.60   9.16     9.16NA  0.14  11.90 11.901XXX.00.00.0040000             35.8043 090 88     13.54  13.54   0.15
75561TCCardiac mri for morph w/dye                       A   0.00   8.24     8.24NA  0.02   8.26  8.261XXX.00.00.0040000             35.8043 010 88     12.62  12.62   0.03
7556126Cardiac mri for morph w/dye                       A   2.60   0.92     0.92    0.12   3.64  3.641XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75563  Card mri w/stress img & dye                       A   3.00  10.97    10.97NA  0.14  14.11 14.111XXX.00.00.0040000             35.8043 090 88     31.85  31.85   0.18
75563TCCard mri w/stress img & dye                       A   0.00   9.92     9.92NA  0.02   9.94  9.941XXX.00.00.0040000             35.8043 010 88     30.80  30.80   0.06
7556326Card mri w/stress img & dye                       A   3.00   1.05     1.05    0.12   4.17  4.171XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75565  Card mri veloc flow mapping                       A   0.25   1.28     1.28NA  0.01   1.54  1.541ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75565TCCard mri veloc flow mapping                       A   0.00   1.19     1.19NA  0.00   1.19  1.191ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7556526Card mri veloc flow mapping                       A   0.25   0.09     0.09    0.01   0.35  0.351ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75571  Ct hrt w/o dye w/ca test                          A   0.58   2.20     2.20NA  0.04   2.82  2.821XXX.00.00.0040000             35.8043 090 88      0.56   0.56   0.04
75571TCCt hrt w/o dye w/ca test                          A   0.00   1.99     1.99NA  0.01   2.00  2.001XXX.00.00.0040000             35.8043 020 88      0.35   0.35   0.01
7557126Ct hrt w/o dye w/ca test                          A   0.58   0.21     0.21    0.03   0.82  0.821XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75572  Ct hrt w/3d image                                 A   1.75   6.13     6.13NA  0.11   7.99  7.991XXX.00.00.0040000             35.8043 090 88      7.20   7.20   0.11
75572TCCt hrt w/3d image                                 A   0.00   5.50     5.50NA  0.02   5.52  5.521XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7557226Ct hrt w/3d image                                 A   1.75   0.63     0.63    0.09   2.47  2.471XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75573  Ct hrt w/3d image congen                          A   2.55   8.30     8.30NA  0.15  11.00 11.001XXX.00.00.0040000             35.8043 090 88      7.49   7.49   0.15
75573TCCt hrt w/3d image congen                          A   0.00   7.39     7.39NA  0.02   7.41  7.411XXX.00.00.0040000             35.8043 020 88      6.58   6.58   0.02
7557326Ct hrt w/3d image congen                          A   2.55   0.91     0.91    0.13   3.59  3.591XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75574  Ct angio hrt w/3d image                           A   2.40   9.23     9.23NA  0.15  11.78 11.781XXX.00.00.0040000             35.8043 090 88      7.42   7.42   0.14
75574TCCt angio hrt w/3d image                           A   0.00   8.38     8.38NA  0.03   8.41  8.411XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.02
7557426Ct angio hrt w/3d image                           A   2.40   0.85     0.85    0.12   3.37  3.371XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75600  Contrast exam thoracic aorta                      A   0.49   5.02     5.02NA  0.06   5.57  5.571XXX.00.00.0060000             35.8043 090 99     75.72  75.72   0.20
75600TCContrast exam thoracic aorta                      A   0.00   4.87     4.87NA  0.01   4.88  4.881XXX.00.00.0060000             35.8043 030 99     75.57  75.57   0.15
7560026Contrast exam thoracic aorta                      A   0.49   0.15     0.15    0.05   0.69  0.691XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75605  Contrast exam thoracic aorta                      A   1.14   2.67     2.67NA  0.11   3.92  3.921XXX.00.00.0060000             35.8043 090 99     75.75  75.75   0.42
75605TCContrast exam thoracic aorta                      A   0.00   2.32     2.32NA  0.01   2.33  2.331XXX.00.00.0060000             35.8043 030 99     75.40  75.40   0.32
7560526Contrast exam thoracic aorta                      A   1.14   0.35     0.35    0.10   1.59  1.591XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75625  Contrast exam abdominl aorta                      A   1.14   2.63     2.63NA  0.14   3.91  3.911XXX.00.00.0060000             35.8043 090 99     75.72  75.72   0.46
75625TCContrast exam abdominl aorta                      A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.0060000             35.8043 030 99     75.40  75.40   0.33
7562526Contrast exam abdominl aorta                      A   1.14   0.32     0.32    0.13   1.59  1.591XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75630  X-ray aorta leg arteries                          A   1.79   2.85     2.85NA  0.19   4.83  4.831XXX.00.00.0060000             35.8043 090 99     75.94  75.94   0.51
75630TCX-ray aorta leg arteries                          A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.0060000             35.8043 030 99     75.40  75.40   0.33
7563026X-ray aorta leg arteries                          A   1.79   0.54     0.54    0.18   2.51  2.511XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75635  Ct angio abdominal arteries                       A   2.40   8.14     8.14NA  0.17  10.71 10.711XXX.00.00.0040000             35.8043 090 88      7.43   7.43   0.17
75635TCCt angio abdominal arteries                       A   0.00   7.28     7.28NA  0.03   7.31  7.311XXX.00.00.0040000             35.8043 020 88      6.57   6.57   0.03
7563526Ct angio abdominal arteries                       A   2.40   0.86     0.86    0.14   3.40  3.401XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
75658  Artery x-rays arm                                 A   1.31   3.25     3.25NA  0.17   4.73  4.731XXX.00.00.0060000             35.8043 090 99     75.56  75.56   0.67
75658TCArtery x-rays arm                                 A   0.00   2.89     2.89NA  0.02   2.91  2.911XXX.00.00.0060000             35.8043 030 99     75.20  75.20   0.52
7565826Artery x-rays arm                                 A   1.31   0.36     0.36    0.15   1.82  1.821XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75705  Artery x-rays spine                               A   2.18   4.41     4.41NA  0.31   6.90  6.901XXX.00.00.0060000             35.8043 090 99     76.10  76.10   0.70
75705TCArtery x-rays spine                               A   0.00   3.62     3.62NA  0.02   3.64  3.641XXX.00.00.0060000             35.8043 030 99     75.31  75.31   0.41
7570526Artery x-rays spine                               A   2.18   0.79     0.79    0.29   3.26  3.261XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75710  Artery x-rays arm/leg                             A   1.14   3.34     3.34NA  0.15   4.63  4.631XXX.00.00.0060000             35.8043 090 99     75.57  75.57   0.63
75710TCArtery x-rays arm/leg                             A   0.00   3.00     3.00NA  0.02   3.02  3.021XXX.00.00.0060000             35.8043 030 99     75.23  75.23   0.50
7571026Artery x-rays arm/leg                             A   1.14   0.34     0.34    0.13   1.61  1.611XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75716  Artery x-rays arms/legs                           A   1.31   3.83     3.83NA  0.17   5.31  5.311XXX.00.00.0062000             35.8043 090 99     75.46  75.46   0.79
75716TCArtery x-rays arms/legs                           A   0.00   3.44     3.44NA  0.03   3.47  3.471XXX.00.00.0062000             35.8043 030 99     75.07  75.07   0.65
7571626Artery x-rays arms/legs                           A   1.31   0.39     0.39    0.14   1.84  1.841XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
75726  Artery x-rays abdomen                             A   1.14   3.00     3.00NA  0.09   4.23  4.231XXX.00.00.0060000             35.8043 090 99     75.80  75.80   0.37
75726TCArtery x-rays abdomen                             A   0.00   2.64     2.64NA  0.01   2.65  2.651XXX.00.00.0060000             35.8043 030 99     75.44  75.44   0.29
7572626Artery x-rays abdomen                             A   1.14   0.36     0.36    0.08   1.58  1.581XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75731  Artery x-rays adrenal gland                       A   1.14   3.65     3.65NA  0.08   4.87  4.871XXX.00.00.0060000             35.8043 090 99     75.69  75.69   0.53
75731TCArtery x-rays adrenal gland                       A   0.00   3.22     3.22NA  0.02   3.24  3.241XXX.00.00.0060000             35.8043 030 99     75.26  75.26   0.47
7573126Artery x-rays adrenal gland                       A   1.14   0.43     0.43    0.06   1.63  1.631XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75733  Artery x-rays adrenals                            A   1.31   3.81     3.81NA  0.08   5.20  5.201XXX.00.00.0062000             35.8043 090 99     75.51  75.51   0.72
75733TCArtery x-rays adrenals                            A   0.00   3.36     3.36NA  0.03   3.39  3.391XXX.00.00.0062000             35.8043 030 99     75.06  75.06   0.67
7573326Artery x-rays adrenals                            A   1.31   0.45     0.45    0.05   1.81  1.811XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
75736  Artery x-rays pelvis                              A   1.14   3.29     3.29NA  0.12   4.55  4.551XXX.00.00.0060000             35.8043 090 99     75.56  75.56   0.61
75736TCArtery x-rays pelvis                              A   0.00   2.95     2.95NA  0.02   2.97  2.971XXX.00.00.0060000             35.8043 030 99     75.22  75.22   0.51
7573626Artery x-rays pelvis                              A   1.14   0.34     0.34    0.10   1.58  1.581XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75741  Artery x-rays lung                                A   1.31   2.88     2.88NA  0.09   4.28  4.281XXX.00.00.0060000             35.8043 090 99     75.84  75.84   0.39
75741TCArtery x-rays lung                                A   0.00   2.46     2.46NA  0.01   2.47  2.471XXX.00.00.0060000             35.8043 030 99     75.42  75.42   0.31
7574126Artery x-rays lung                                A   1.31   0.42     0.42    0.08   1.81  1.811XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75743  Artery x-rays lungs                               A   1.66   3.02     3.02NA  0.12   4.80  4.801XXX.00.00.0062000             35.8043 090 99     75.95  75.95   0.41
75743TCArtery x-rays lungs                               A   0.00   2.49     2.49NA  0.01   2.50  2.501XXX.00.00.0062000             35.8043 030 99     75.42  75.42   0.30
7574326Artery x-rays lungs                               A   1.66   0.53     0.53    0.11   2.30  2.301XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
75746  Artery x-rays lung                                A   1.14   3.07     3.07NA  0.09   4.30  4.301XXX.00.00.0060000             35.8043 090 99     75.56  75.56   0.63
75746TCArtery x-rays lung                                A   0.00   2.68     2.68NA  0.02   2.70  2.701XXX.00.00.0060000             35.8043 030 99     75.17  75.17   0.56
7574626Artery x-rays lung                                A   1.14   0.39     0.39    0.07   1.60  1.601XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75756  Artery x-rays chest                               A   1.14   3.43     3.43NA  0.16   4.73  4.731XXX.00.00.0060000             35.8043 090 99     75.56  75.56   0.62
75756TCArtery x-rays chest                               A   0.00   3.11     3.11NA  0.02   3.13  3.131XXX.00.00.0060000             35.8043 030 99     75.24  75.24   0.48
7575626Artery x-rays chest                               A   1.14   0.32     0.32    0.14   1.60  1.601XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75774  Artery x-ray each vessel                          A   0.36   2.08     2.08NA  0.04   2.48  2.481ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75774TCArtery x-ray each vessel                          A   0.00   1.97     1.97NA  0.01   1.98  1.981ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7577426Artery x-ray each vessel                          A   0.36   0.11     0.11    0.03   0.50  0.501ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75791  Av dialysis shunt imaging                         A   1.71   7.22     7.22NA  0.25   9.18  9.181XXX.00.00.0060000             35.8043 090 99     19.09  19.09   0.27
75791TCAv dialysis shunt imaging                         A   0.00   6.71     6.71NA  0.01   6.72  6.721XXX.00.00.0060000             35.8043 030 99     18.58  18.58   0.03
7579126Av dialysis shunt imaging                         A   1.71   0.51     0.51    0.24   2.46  2.461XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75801  Lymph vessel x-ray arm/leg                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      5.62   5.62   0.18
75801TCLymph vessel x-ray arm/leg                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      5.33   5.33   0.01
7580126Lymph vessel x-ray arm/leg                        A   0.81   0.29     0.29    0.17   1.27  1.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75803  Lymph vessel x-ray arms/legs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             35.8043 090 99     19.03  19.03   0.07
75803TCLymph vessel x-ray arms/legs                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             35.8043 030 99     18.59  18.59   0.01
7580326Lymph vessel x-ray arms/legs                      A   1.17   0.44     0.44    0.06   1.67  1.671XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
75805  Lymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     18.89  18.89   0.06
75805TCLymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99     18.59  18.59   0.01
7580526Lymph vessel x-ray trunk                          A   0.81   0.30     0.30    0.05   1.16  1.161XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75807  Lymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             35.8043 090 99     76.16  76.16   0.08
75807TCLymph vessel x-ray trunk                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0002000             35.8043 030 99     75.72  75.72   0.01
7580726Lymph vessel x-ray trunk                          A   1.17   0.44     0.44    0.07   1.68  1.681XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
75809  Nonvascular shunt x-ray                           A   0.47   2.29     2.29NA  0.04   2.80  2.801XXX.00.00.0060000             35.8043 090 99      2.97   2.97   0.04
75809TCNonvascular shunt x-ray                           A   0.00   2.11     2.11NA  0.01   2.12  2.121XXX.00.00.0060000             35.8043 030 99      2.79   2.79   0.01
7580926Nonvascular shunt x-ray                           A   0.47   0.18     0.18    0.03   0.68  0.681XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75810  Vein x-ray spleen/liver                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     76.15  76.15   0.08
75810TCVein x-ray spleen/liver                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99     75.72  75.72   0.01
7581026Vein x-ray spleen/liver                           A   1.14   0.43     0.43    0.07   1.64  1.641XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75820  Vein x-ray arm/leg                                A   0.70   2.49     2.49NA  0.07   3.26  3.261XXX.00.00.0060000             35.8043 090 99     18.75  18.75   0.14
75820TCVein x-ray arm/leg                                A   0.00   2.26     2.26NA  0.01   2.27  2.271XXX.00.00.0060000             35.8043 030 99     18.52  18.52   0.08
7582026Vein x-ray arm/leg                                A   0.70   0.23     0.23    0.06   0.99  0.991XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75822  Vein x-ray arms/legs                              A   1.06   2.73     2.73NA  0.10   3.89  3.891XXX.00.00.0062000             35.8043 090 99     18.87  18.87   0.17
75822TCVein x-ray arms/legs                              A   0.00   2.39     2.39NA  0.01   2.40  2.401XXX.00.00.0062000             35.8043 030 99     18.53  18.53   0.08
7582226Vein x-ray arms/legs                              A   1.06   0.34     0.34    0.09   1.49  1.491XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
75825  Vein x-ray trunk                                  A   1.14   2.58     2.58NA  0.14   3.86  3.861XXX.00.00.0060000             35.8043 090 99     75.73  75.73   0.47
75825TCVein x-ray trunk                                  A   0.00   2.24     2.24NA  0.01   2.25  2.251XXX.00.00.0060000             35.8043 030 99     75.39  75.39   0.34
7582526Vein x-ray trunk                                  A   1.14   0.34     0.34    0.13   1.61  1.611XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75827  Vein x-ray chest                                  A   1.14   2.64     2.64NA  0.15   3.93  3.931XXX.00.00.0060000             35.8043 090 99     18.85  18.85   0.22
75827TCVein x-ray chest                                  A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.0060000             35.8043 030 99     18.52  18.52   0.08
7582726Vein x-ray chest                                  A   1.14   0.33     0.33    0.14   1.61  1.611XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75831  Vein x-ray kidney                                 A   1.14   2.74     2.74NA  0.11   3.99  3.991XXX.00.00.0060000             35.8043 090 99     75.75  75.75   0.41
75831TCVein x-ray kidney                                 A   0.00   2.40     2.40NA  0.01   2.41  2.411XXX.00.00.0060000             35.8043 030 99     75.41  75.41   0.31
7583126Vein x-ray kidney                                 A   1.14   0.34     0.34    0.10   1.58  1.581XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75833  Vein x-ray kidneys                                A   1.49   2.97     2.97NA  0.20   4.66  4.661XXX.00.00.0062000             35.8043 090 99     75.53  75.53   0.76
75833TCVein x-ray kidneys                                A   0.00   2.58     2.58NA  0.02   2.60  2.601XXX.00.00.0062000             35.8043 030 99     75.14  75.14   0.58
7583326Vein x-ray kidneys                                A   1.49   0.39     0.39    0.18   2.06  2.061XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
75840  Vein x-ray adrenal gland                          A   1.14   2.99     2.99NA  0.07   4.20  4.201XXX.00.00.0060000             35.8043 090 99     75.86  75.86   0.35
75840TCVein x-ray adrenal gland                          A   0.00   2.56     2.56NA  0.01   2.57  2.571XXX.00.00.0060000             35.8043 030 99     75.43  75.43   0.29
7584026Vein x-ray adrenal gland                          A   1.14   0.43     0.43    0.06   1.63  1.631XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75842  Vein x-ray adrenal glands                         A   1.49   3.51     3.51NA  0.10   5.10  5.101XXX.00.00.0062000             35.8043 090 99     75.77  75.77   0.59
75842TCVein x-ray adrenal glands                         A   0.00   2.96     2.96NA  0.02   2.98  2.981XXX.00.00.0062000             35.8043 030 99     75.22  75.22   0.51
7584226Vein x-ray adrenal glands                         A   1.49   0.55     0.55    0.08   2.12  2.121XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
75860  Vein x-ray neck                                   A   1.14   2.81     2.81NA  0.10   4.05  4.051XXX.00.00.0060000             35.8043 090 99     75.78  75.78   0.40
75860TCVein x-ray neck                                   A   0.00   2.45     2.45NA  0.01   2.46  2.461XXX.00.00.0060000             35.8043 030 99     75.42  75.42   0.31
7586026Vein x-ray neck                                   A   1.14   0.36     0.36    0.09   1.59  1.591XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75870  Vein x-ray skull                                  A   1.14   2.97     2.97NA  0.07   4.18  4.181XXX.00.00.0060000             35.8043 090 99     18.96  18.96   0.13
75870TCVein x-ray skull                                  A   0.00   2.54     2.54NA  0.01   2.55  2.551XXX.00.00.0060000             35.8043 030 99     18.53  18.53   0.07
7587026Vein x-ray skull                                  A   1.14   0.43     0.43    0.06   1.63  1.631XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75872  Vein x-ray skull epidural                         A   1.14   2.74     2.74NA  0.09   3.97  3.971XXX.00.00.0060000             35.8043 090 99     75.72  75.72   0.39
75872TCVein x-ray skull epidural                         A   0.00   2.44     2.44NA  0.01   2.45  2.451XXX.00.00.0060000             35.8043 030 99     75.42  75.42   0.31
7587226Vein x-ray skull epidural                         A   1.14   0.30     0.30    0.08   1.52  1.521XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75880  Vein x-ray eye socket                             A   0.70   3.28     3.28NA  0.05   4.03  4.031XXX.00.00.0060000             35.8043 090 99     75.76  75.76   0.29
75880TCVein x-ray eye socket                             A   0.00   2.99     2.99NA  0.01   3.00  3.001XXX.00.00.0060000             35.8043 030 99     75.47  75.47   0.25
7588026Vein x-ray eye socket                             A   0.70   0.29     0.29    0.04   1.03  1.031XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75885  Vein x-ray liver w/hemodynam                      A   1.44   2.94     2.94NA  0.10   4.48  4.481XXX.00.00.0060000             35.8043 090 99     75.87  75.87   0.39
75885TCVein x-ray liver w/hemodynam                      A   0.00   2.49     2.49NA  0.01   2.50  2.501XXX.00.00.0060000             35.8043 030 99     75.42  75.42   0.30
7588526Vein x-ray liver w/hemodynam                      A   1.44   0.45     0.45    0.09   1.98  1.981XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75887  Vein x-ray liver w/o hemodyn                      A   1.44   2.98     2.98NA  0.09   4.51  4.511XXX.00.00.0060000             35.8043 090 99     19.00  19.00   0.15
75887TCVein x-ray liver w/o hemodyn                      A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.0060000             35.8043 030 99     18.53  18.53   0.07
7588726Vein x-ray liver w/o hemodyn                      A   1.44   0.47     0.47    0.08   1.99  1.991XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75889  Vein x-ray liver w/hemodynam                      A   1.14   2.86     2.86NA  0.08   4.08  4.081XXX.00.00.0060000             35.8043 090 99     75.78  75.78   0.37
75889TCVein x-ray liver w/hemodynam                      A   0.00   2.50     2.50NA  0.01   2.51  2.511XXX.00.00.0060000             35.8043 030 99     75.42  75.42   0.30
7588926Vein x-ray liver w/hemodynam                      A   1.14   0.36     0.36    0.07   1.57  1.571XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75891  Vein x-ray liver                                  A   1.14   2.89     2.89NA  0.08   4.11  4.111XXX.00.00.0060000             35.8043 090 99     75.81  75.81   0.37
75891TCVein x-ray liver                                  A   0.00   2.51     2.51NA  0.01   2.52  2.521XXX.00.00.0060000             35.8043 030 99     75.43  75.43   0.30
7589126Vein x-ray liver                                  A   1.14   0.38     0.38    0.07   1.59  1.591XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75893  Venous sampling by catheter                       A   0.54   2.77     2.77NA  0.04   3.35  3.351XXX.00.00.0060000             35.8043 090 99     75.63  75.63   0.32
75893TCVenous sampling by catheter                       A   0.00   2.57     2.57NA  0.01   2.58  2.581XXX.00.00.0060000             35.8043 030 99     75.43  75.43   0.29
7589326Venous sampling by catheter                       A   0.54   0.20     0.20    0.03   0.77  0.771XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
75894  X-rays transcath therapy                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75894TCX-rays transcath therapy                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7589426X-rays transcath therapy                          A   1.31   0.44     0.44    0.14   1.89  1.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75898  Follow-up angiography                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     19.16  19.16   0.19
75898TCFollow-up angiography                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     18.59  18.59   0.01
7589826Follow-up angiography                             A   1.65   0.57     0.57    0.18   2.40  2.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75901  Remove cva device obstruct                        A   0.49   4.47     4.47NA  0.04   5.00  5.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75901TCRemove cva device obstruct                        A   0.00   4.31     4.31NA  0.01   4.32  4.321XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7590126Remove cva device obstruct                        A   0.49   0.16     0.16    0.03   0.68  0.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75902  Remove cva lumen obstruct                         A   0.39   1.60     1.60NA  0.04   2.03  2.031XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75902TCRemove cva lumen obstruct                         A   0.00   1.48     1.48NA  0.01   1.49  1.491XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7590226Remove cva lumen obstruct                         A   0.39   0.12     0.12    0.03   0.54  0.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75952  Endovasc repair abdom aorta                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75952TCEndovasc repair abdom aorta                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7595226Endovasc repair abdom aorta                       A   4.49   1.14     1.14    0.77   6.40  6.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75953  Abdom aneurysm endovas rpr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75953TCAbdom aneurysm endovas rpr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7595326Abdom aneurysm endovas rpr                        A   1.36   0.34     0.34    0.24   1.94  1.941XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75954  Iliac aneurysm endovas rpr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75954TCIliac aneurysm endovas rpr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7595426Iliac aneurysm endovas rpr                        A   2.25   0.57     0.57    0.42   3.24  3.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75956  Xray endovasc thor ao repr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75956TCXray endovasc thor ao repr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7595626Xray endovasc thor ao repr                        A   7.00   1.74     1.74    1.25   9.99  9.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75957  Xray endovasc thor ao repr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75957TCXray endovasc thor ao repr                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7595726Xray endovasc thor ao repr                        A   6.00   1.49     1.49    1.09   8.58  8.581XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75958  Xray place prox ext thor ao                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75958TCXray place prox ext thor ao                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7595826Xray place prox ext thor ao                       A   4.00   0.98     0.98    0.72   5.70  5.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75959  Xray place dist ext thor ao                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75959TCXray place dist ext thor ao                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7595926Xray place dist ext thor ao                       A   3.50   0.84     0.84    0.64   4.98  4.981XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75962  Repair arterial blockage                          A   0.54   3.35     3.35NA  0.08   3.97  3.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75962TCRepair arterial blockage                          A   0.00   3.19     3.19NA  0.02   3.21  3.211XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7596226Repair arterial blockage                          A   0.54   0.16     0.16    0.06   0.76  0.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75964  Repair artery blockage each                       A   0.36   2.08     2.08NA  0.06   2.50  2.501ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75964TCRepair artery blockage each                       A   0.00   1.98     1.98NA  0.01   1.99  1.991ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7596426Repair artery blockage each                       A   0.36   0.10     0.10    0.05   0.51  0.511ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75966  Repair arterial blockage                          A   1.31   3.38     3.38NA  0.15   4.84  4.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75966TCRepair arterial blockage                          A   0.00   2.99     2.99NA  0.02   3.01  3.011XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7596626Repair arterial blockage                          A   1.31   0.39     0.39    0.13   1.83  1.831XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75968  Repair artery blockage each                       A   0.36   2.07     2.07NA  0.04   2.47  2.471ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75968TCRepair artery blockage each                       A   0.00   1.95     1.95NA  0.01   1.96  1.961ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7596826Repair artery blockage each                       A   0.36   0.12     0.12    0.03   0.51  0.511ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75970  Vascular biopsy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75970TCVascular biopsy                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7597026Vascular biopsy                                   A   0.83   0.27     0.27    0.05   1.15  1.151XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75978  Repair venous blockage                            A   0.54   3.30     3.30NA  0.08   3.92  3.921XXX.00.00.0000000             35.8043 090 99     62.36  62.36   0.45
75978TCRepair venous blockage                            A   0.00   3.14     3.14NA  0.02   3.16  3.161XXX.00.00.0000000             35.8043 030 99     62.20  62.20   0.39
7597826Repair venous blockage                            A   0.54   0.16     0.16    0.06   0.76  0.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75984  Xray control catheter change                      A   0.72   2.23     2.23NA  0.05   3.00  3.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75984TCXray control catheter change                      A   0.00   1.99     1.99NA  0.01   2.00  2.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7598426Xray control catheter change                      A   0.72   0.24     0.24    0.04   1.00  1.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75989  Abscess drainage under x-ray                      A   1.19   2.14     2.14NA  0.08   3.41  3.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
75989TCAbscess drainage under x-ray                      A   0.00   1.73     1.73NA  0.01   1.74  1.741XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7598926Abscess drainage under x-ray                      A   1.19   0.41     0.41    0.07   1.67  1.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76000  Fluoroscope examination                           A   0.17   1.13     1.13NA  0.03   1.33  1.331XXX.00.00.0000000             35.8043 090 99      5.36   5.36   0.07
76000TCFluoroscope examination                           A   0.00   1.07     1.07NA  0.01   1.08  1.081XXX.00.00.0000000             35.8043 030 99      5.30   5.30   0.05
7600026Fluoroscope examination                           A   0.17   0.06     0.06    0.02   0.25  0.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76001  Fluoroscope exam extensive                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76001TCFluoroscope exam extensive                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7600126Fluoroscope exam extensive                        A   0.67   0.27     0.27    0.08   1.02  1.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76010  X-ray nose to rectum                              A   0.18   0.53     0.53NA  0.02   0.73  0.731XXX.00.00.0000000             35.8043 090 99      5.30   5.30   0.12
76010TCX-ray nose to rectum                              A   0.00   0.46     0.46NA  0.01   0.47  0.471XXX.00.00.0000000             35.8043 010 99      5.23   5.23   0.11
7601026X-ray nose to rectum                              A   0.18   0.07     0.07    0.01   0.26  0.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76080  X-ray exam of fistula                             A   0.54   0.98     0.98NA  0.04   1.56  1.561XXX.00.00.0000000             35.8043 090 99      9.86   9.86   0.15
76080TCX-ray exam of fistula                             A   0.00   0.80     0.80NA  0.01   0.81  0.811XXX.00.00.0000000             35.8043 030 99      9.68   9.68   0.12
7608026X-ray exam of fistula                             A   0.54   0.18     0.18    0.03   0.75  0.751XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76098  X-ray exam breast specimen                        A   0.16   0.29     0.29NA  0.02   0.47  0.471XXX.00.00.0000000             35.8043 090 99      9.45   9.45   0.42
76098TCX-ray exam breast specimen                        A   0.00   0.23     0.23NA  0.01   0.24  0.241XXX.00.00.0000000             35.8043 010 99      9.39   9.39   0.41
7609826X-ray exam breast specimen                        A   0.16   0.06     0.06    0.01   0.23  0.231XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76100  X-ray exam of body section                        A   0.58   1.96     1.96NA  0.06   2.60  2.601XXX.00.00.0000000             35.8043 090 99      3.06   3.06   0.07
76100TCX-ray exam of body section                        A   0.00   1.69     1.69NA  0.01   1.70  1.701XXX.00.00.0000000             35.8043 010 99      2.79   2.79   0.02
7610026X-ray exam of body section                        A   0.58   0.27     0.27    0.05   0.90  0.901XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76101  Complex body section x-ray                        A   0.58   3.08     3.08NA  0.04   3.70  3.701XXX.00.00.0000000             35.8043 090 99      3.14   3.14   0.04
76101TCComplex body section x-ray                        A   0.00   2.73     2.73NA  0.01   2.74  2.741XXX.00.00.0000000             35.8043 020 99      2.79   2.79   0.01
7610126Complex body section x-ray                        A   0.58   0.35     0.35    0.03   0.96  0.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76102  Complex body section x-rays                       A   0.58   4.26     4.26NA  0.06   4.90  4.901XXX.00.00.0002000             35.8043 090 99      5.67   5.67   0.07
76102TCComplex body section x-rays                       A   0.00   3.91     3.91NA  0.02   3.93  3.931XXX.00.00.0002000             35.8043 020 99      5.32   5.32   0.03
7610226Complex body section x-rays                       A   0.58   0.35     0.35    0.04   0.97  0.971XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
76120  Cine/video x-rays                                 A   0.38   1.94     1.94NA  0.03   2.35  2.351XXX.00.00.0000000             35.8043 090 99      2.94   2.94   0.04
76120TCCine/video x-rays                                 A   0.00   1.79     1.79NA  0.01   1.80  1.801XXX.00.00.0000000             35.8043 020 99      2.79   2.79   0.02
7612026Cine/video x-rays                                 A   0.38   0.15     0.15    0.02   0.55  0.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76125  Cine/video x-rays add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76125TCCine/video x-rays add-on                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
7612526Cine/video x-rays add-on                          A   0.27   0.11     0.11    0.03   0.41  0.411ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76140  X-ray consultation                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
76376  3d render w/intrp postproces                      A   0.20   0.43     0.43NA  0.02   0.65  0.651XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76376TC3d render w/intrp postproces                      A   0.00   0.36     0.36NA  0.01   0.37  0.371XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
76376263d render w/intrp postproces                      A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76377  3d render w/intrp postproces                      A   0.79   1.16     1.16NA  0.06   2.01  2.011XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76377TC3d render w/intrp postproces                      A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
76377263d render w/intrp postproces                      A   0.79   0.29     0.29    0.05   1.13  1.131XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76380  Cat scan follow-up study                          A   0.98   3.07     3.07NA  0.07   4.12  4.121XXX.00.00.0000000             35.8043 090 99      2.05   2.05   0.07
76380TCCat scan follow-up study                          A   0.00   2.71     2.71NA  0.01   2.72  2.721XXX.00.00.0000000             35.8043 010 99      1.69   1.69   0.01
7638026Cat scan follow-up study                          A   0.98   0.36     0.36    0.06   1.40  1.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76390  Mr spectroscopy                                   N+  1.40  11.04    11.04NA  0.05  12.49 12.491XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
76390TCMr spectroscopy                                   N+  0.00  10.50    10.50NA  0.01  10.51 10.511XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
7639026Mr spectroscopy                                   N+  1.40   0.54     0.54    0.04   1.98  1.981XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
76496  Fluoroscopic procedure                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
76496TCFluoroscopic procedure                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      1.68   1.68   0.01
7649626Fluoroscopic procedure                            C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76497  Ct procedure                                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
76497TCCt procedure                                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 020 99      1.68   1.68   0.01
7649726Ct procedure                                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76498  Mri procedure                                     C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
76498TCMri procedure                                     C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 020 99      7.61   7.61   0.01
7649826Mri procedure                                     C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76499  Radiographic procedure                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76499TCRadiographic procedure                            C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7649926Radiographic procedure                            C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76506  Echo exam of head                                 A   0.63   2.67     2.67NA  0.06   3.36  3.361XXX.00.00.0000000             35.8043 090 99      2.79   2.79   0.06
76506TCEcho exam of head                                 A   0.00   2.43     2.43NA  0.01   2.44  2.441XXX.00.00.0000000             35.8043 010 99      2.55   2.55   0.01
7650626Echo exam of head                                 A   0.63   0.24     0.24    0.05   0.92  0.921XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76510  Ophth us b & quant a                              A   1.55   3.23     3.23NA  0.03   4.81  4.811XXX.00.00.0073000             35.8043 090 99      3.48   3.48   0.03
76510TCOphth us b & quant a                              A   0.00   2.28     2.28NA  0.01   2.29  2.291XXX.00.00.0073000             35.8043 020 99      2.53   2.53   0.01
7651026Ophth us b & quant a                              A   1.55   0.95     0.95    0.02   2.52  2.521XXX.00.00.0073000             35.8043 090 99      0.00   0.00   0.00
76511  Ophth us quant a only                             A   0.94   1.90     1.90NA  0.02   2.86  2.861XXX.00.00.0073000             35.8043 090 99      3.10   3.10   0.03
76511TCOphth us quant a only                             A   0.00   1.35     1.35NA  0.01   1.36  1.361XXX.00.00.0073000             35.8043 020 99      2.55   2.55   0.02
7651126Ophth us quant a only                             A   0.94   0.55     0.55    0.01   1.50  1.501XXX.00.00.0073000             35.8043 090 99      0.00   0.00   0.00
76512  Ophth us b w/non-quant a                          A   0.94   1.66     1.66NA  0.02   2.62  2.621XXX.00.00.0073000             35.8043 090 99      3.09   3.09   0.03
76512TCOphth us b w/non-quant a                          A   0.00   1.11     1.11NA  0.01   1.12  1.121XXX.00.00.0073000             35.8043 020 99      2.54   2.54   0.02
7651226Ophth us b w/non-quant a                          A   0.94   0.55     0.55    0.01   1.50  1.501XXX.00.00.0073000             35.8043 090 99      0.00   0.00   0.00
76513  Echo exam of eye water bath                       A   0.66   2.01     2.01NA  0.02   2.69  2.691XXX.00.00.0073000             35.8043 090 99      4.59   4.59   0.04
76513TCEcho exam of eye water bath                       A   0.00   1.67     1.67NA  0.01   1.68  1.681XXX.00.00.0073000             35.8043 020 99      4.25   4.25   0.03
7651326Echo exam of eye water bath                       A   0.66   0.34     0.34    0.01   1.01  1.011XXX.00.00.0073000             35.8043 090 99      0.00   0.00   0.00
76514  Echo exam of eye thickness                        A   0.17   0.24     0.24NA  0.02   0.43  0.431XXX.00.00.0072000             35.8043 090 99      0.89   0.89   0.07
76514TCEcho exam of eye thickness                        A   0.00   0.14     0.14NA  0.01   0.15  0.151XXX.00.00.0072000             35.8043 010 99      0.79   0.79   0.06
7651426Echo exam of eye thickness                        A   0.17   0.10     0.10    0.01   0.28  0.281XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
76516  Echo exam of eye                                  A   0.54   1.66     1.66NA  0.02   2.22  2.221XXX.00.00.0072000             35.8043 090 99      2.87   2.87   0.03
76516TCEcho exam of eye                                  A   0.00   1.33     1.33NA  0.01   1.34  1.341XXX.00.00.0072000             35.8043 010 99      2.54   2.54   0.02
7651626Echo exam of eye                                  A   0.54   0.33     0.33    0.01   0.88  0.881XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
76519  Echo exam of eye                                  A   0.54   1.81     1.81NA  0.02   2.37  2.371XXX.00.00.0072000             35.8043 090 99      2.88   2.88   0.03
76519TCEcho exam of eye                                  A   0.00   1.48     1.48NA  0.01   1.49  1.491XXX.00.00.0072000             35.8043 010 99      2.55   2.55   0.02
7651926Echo exam of eye                                  A   0.54   0.33     0.33    0.01   0.88  0.881XXX.00.00.0073000             35.8043 090 99      0.00   0.00   0.00
76529  Echo exam of eye                                  A   0.57   1.65     1.65NA  0.02   2.24  2.241XXX.00.00.0003000             35.8043 090 99      2.88   2.88   0.03
76529TCEcho exam of eye                                  A   0.00   1.31     1.31NA  0.01   1.32  1.321XXX.00.00.0003000             35.8043 010 99      2.54   2.54   0.02
7652926Echo exam of eye                                  A   0.57   0.34     0.34    0.01   0.92  0.921XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
76536  Us exam of head and neck                          A   0.56   2.69     2.69NA  0.04   3.29  3.291XXX.00.00.0000000             35.8043 090 99      4.47   4.47   0.05
76536TCUs exam of head and neck                          A   0.00   2.48     2.48NA  0.01   2.49  2.491XXX.00.00.0000000             35.8043 010 99      4.26   4.26   0.02
7653626Us exam of head and neck                          A   0.56   0.21     0.21    0.03   0.80  0.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76604  Us exam chest                                     A   0.55   1.90     1.90NA  0.04   2.49  2.491XXX.00.00.0040000             35.8043 090 88      2.74   2.74   0.04
76604TCUs exam chest                                     A   0.00   1.71     1.71NA  0.01   1.72  1.721XXX.00.00.0040000             35.8043 010 88      2.55   2.55   0.01
7660426Us exam chest                                     A   0.55   0.19     0.19    0.03   0.77  0.771XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76641  Ultrasound breast complete                        A   0.73   2.26     2.26NA  0.05   3.04  3.041XXX.00.00.0001000             35.8043 090 99      2.82   2.82   0.05
76641TCUltrasound breast complete                        A   0.00   1.99     1.99NA  0.01   2.00  2.001XXX.00.00.0001000             35.8043 010 99      2.55   2.55   0.01
7664126Ultrasound breast complete                        A   0.73   0.27     0.27    0.04   1.04  1.041XXX.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
76642  Ultrasound breast limited                         A   0.68   1.77     1.77NA  0.05   2.50  2.501XXX.00.00.0001000             35.8043 090 99      2.80   2.80   0.06
76642TCUltrasound breast limited                         A   0.00   1.52     1.52NA  0.01   1.53  1.531XXX.00.00.0001000             35.8043 010 99      2.55   2.55   0.02
7664226Ultrasound breast limited                         A   0.68   0.25     0.25    0.04   0.97  0.971XXX.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
76700  Us exam abdom complete                            A   0.81   2.61     2.61NA  0.05   3.47  3.471XXX.00.00.0040000             35.8043 090 88      4.56   4.56   0.06
76700TCUs exam abdom complete                            A   0.00   2.31     2.31NA  0.01   2.32  2.321XXX.00.00.0040000             35.8043 010 88      4.26   4.26   0.02
7670026Us exam abdom complete                            A   0.81   0.30     0.30    0.04   1.15  1.151XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76705  Echo exam of abdomen                              A   0.59   1.96     1.96NA  0.04   2.59  2.591XXX.00.00.0040000             35.8043 090 88      4.47   4.47   0.05
76705TCEcho exam of abdomen                              A   0.00   1.74     1.74NA  0.01   1.75  1.751XXX.00.00.0040000             35.8043 010 88      4.25   4.25   0.02
7670526Echo exam of abdomen                              A   0.59   0.22     0.22    0.03   0.84  0.841XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76770  Us exam abdo back wall comp                       A   0.74   2.42     2.42NA  0.05   3.21  3.211XXX.00.00.0040000             35.8043 090 88      4.53   4.53   0.06
76770TCUs exam abdo back wall comp                       A   0.00   2.15     2.15NA  0.01   2.16  2.161XXX.00.00.0040000             35.8043 010 88      4.26   4.26   0.02
7677026Us exam abdo back wall comp                       A   0.74   0.27     0.27    0.04   1.05  1.051XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76775  Us exam abdo back wall lim                        A   0.58   1.02     1.02NA  0.04   1.64  1.641XXX.00.00.0040000             35.8043 090 88      4.44   4.44   0.08
76775TCUs exam abdo back wall lim                        A   0.00   0.81     0.81NA  0.01   0.82  0.821XXX.00.00.0040000             35.8043 010 88      4.23   4.23   0.05
7677526Us exam abdo back wall lim                        A   0.58   0.21     0.21    0.03   0.82  0.821XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76776  Us exam k transpl w/doppler                       A   0.76   3.63     3.63NA  0.05   4.44  4.441XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76776TCUs exam k transpl w/doppler                       A   0.00   3.35     3.35NA  0.01   3.36  3.361XXX.00.00.0040000             35.8043 010 88      0.00   0.00   0.00
7677626Us exam k transpl w/doppler                       A   0.76   0.28     0.28    0.04   1.08  1.081XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76800  Us exam spinal canal                              A   1.13   2.70     2.70NA  0.17   4.00  4.001XXX.00.00.0000000             35.8043 090 99      2.98   2.98   0.17
76800TCUs exam spinal canal                              A   0.00   2.27     2.27NA  0.01   2.28  2.281XXX.00.00.0000000             35.8043 010 99      2.55   2.55   0.01
7680026Us exam spinal canal                              A   1.13   0.43     0.43    0.16   1.72  1.721XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76801  Ob us < 14 wks single fetus                       A   0.99   2.43     2.43NA  0.07   3.49  3.491XXX.00.00.0000000             35.8043 010 99      4.64   4.64   0.08
76801TCOb us < 14 wks single fetus                       A   0.00   2.05     2.05NA  0.01   2.06  2.061XXX.00.00.0000000             35.8043 010 99      4.26   4.26   0.02
7680126Ob us < 14 wks single fetus                       A   0.99   0.38     0.38    0.06   1.43  1.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76802  Ob us < 14 wks addl fetus                         A   0.83   0.95     0.95NA  0.06   1.84  1.841ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
76802TCOb us < 14 wks addl fetus                         A   0.00   0.63     0.63NA  0.00   0.63  0.631ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7680226Ob us < 14 wks addl fetus                         A   0.83   0.32     0.32    0.06   1.21  1.211ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76805  Ob us >/= 14 wks sngl fetus                       A   0.99   2.96     2.96NA  0.08   4.03  4.031XXX.00.00.0000000             35.8043 090 99      4.64   4.64   0.09
76805TCOb us >/= 14 wks sngl fetus                       A   0.00   2.58     2.58NA  0.01   2.59  2.591XXX.00.00.0000000             35.8043 010 99      4.26   4.26   0.02
7680526Ob us >/= 14 wks sngl fetus                       A   0.99   0.38     0.38    0.07   1.44  1.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76810  Ob us >/= 14 wks addl fetus                       A   0.98   1.60     1.60NA  0.07   2.65  2.651ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76810TCOb us >/= 14 wks addl fetus                       A   0.00   1.22     1.22NA  0.00   1.22  1.221ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7681026Ob us >/= 14 wks addl fetus                       A   0.98   0.38     0.38    0.07   1.43  1.431ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76811  Ob us detailed sngl fetus                         A   1.90   3.09     3.09NA  0.18   5.17  5.171XXX.00.00.0000000             35.8043 010 99      4.98   4.98   0.20
76811TCOb us detailed sngl fetus                         A   0.00   2.35     2.35NA  0.02   2.37  2.371XXX.00.00.0000000             35.8043 010 99      4.24   4.24   0.04
7681126Ob us detailed sngl fetus                         A   1.90   0.74     0.74    0.16   2.80  2.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76812  Ob us detailed addl fetus                         A   1.78   3.93     3.93NA  0.16   5.87  5.871ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
76812TCOb us detailed addl fetus                         A   0.00   3.23     3.23NA  0.01   3.24  3.241ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7681226Ob us detailed addl fetus                         A   1.78   0.70     0.70    0.15   2.63  2.631ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76813  Ob us nuchal meas 1 gest                          A   1.18   2.15     2.15NA  0.11   3.44  3.441XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
76813TCOb us nuchal meas 1 gest                          A   0.00   1.69     1.69NA  0.01   1.70  1.701XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7681326Ob us nuchal meas 1 gest                          A   1.18   0.46     0.46    0.10   1.74  1.741XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76814  Ob us nuchal meas add-on                          A   0.99   1.22     1.22NA  0.10   2.31  2.311XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
76814TCOb us nuchal meas add-on                          A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7681426Ob us nuchal meas add-on                          A   0.99   0.39     0.39    0.09   1.47  1.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76815  Ob us limited fetus(s)                            A   0.65   1.69     1.69NA  0.05   2.39  2.391XXX.00.00.0000000             35.8043 090 99      4.49   4.49   0.07
76815TCOb us limited fetus(s)                            A   0.00   1.45     1.45NA  0.01   1.46  1.461XXX.00.00.0000000             35.8043 010 99      4.25   4.25   0.03
7681526Ob us limited fetus(s)                            A   0.65   0.24     0.24    0.04   0.93  0.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76816  Ob us follow-up per fetus                         A   0.85   2.34     2.34NA  0.08   3.27  3.271XXX.00.00.0000000             35.8043 090 99      2.88   2.88   0.08
76816TCOb us follow-up per fetus                         A   0.00   2.01     2.01NA  0.01   2.02  2.021XXX.00.00.0000000             35.8043 010 99      2.55   2.55   0.01
7681626Ob us follow-up per fetus                         A   0.85   0.33     0.33    0.07   1.25  1.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76817  Transvaginal us obstetric                         A   0.75   1.95     1.95NA  0.06   2.76  2.761XXX.00.00.0000000             35.8043 010 99      4.54   4.54   0.08
76817TCTransvaginal us obstetric                         A   0.00   1.66     1.66NA  0.01   1.67  1.671XXX.00.00.0000000             35.8043 010 99      4.25   4.25   0.03
7681726Transvaginal us obstetric                         A   0.75   0.29     0.29    0.05   1.09  1.091XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76818  Fetal biophys profile w/nst                       A   1.05   2.30     2.30NA  0.11   3.46  3.461XXX.00.00.0000000             35.8043 090 99      4.64   4.64   0.13
76818TCFetal biophys profile w/nst                       A   0.00   1.89     1.89NA  0.02   1.91  1.911XXX.00.00.0000000             35.8043 010 99      4.23   4.23   0.04
7681826Fetal biophys profile w/nst                       A   1.05   0.41     0.41    0.09   1.55  1.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76819  Fetal biophys profil w/o nst                      A   0.77   1.68     1.68NA  0.07   2.52  2.521XXX.00.00.0000000             35.8043 090 99      4.55   4.55   0.09
76819TCFetal biophys profil w/o nst                      A   0.00   1.38     1.38NA  0.01   1.39  1.391XXX.00.00.0000000             35.8043 010 99      4.25   4.25   0.03
7681926Fetal biophys profil w/o nst                      A   0.77   0.30     0.30    0.06   1.13  1.131XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76820  Umbilical artery echo                             A   0.50   0.79     0.79NA  0.05   1.34  1.341XXX.00.00.0000000             35.8043 090 99      2.71   2.71   0.08
76820TCUmbilical artery echo                             A   0.00   0.60     0.60NA  0.01   0.61  0.611XXX.00.00.0000000             35.8043 010 99      2.52   2.52   0.04
7682026Umbilical artery echo                             A   0.50   0.19     0.19    0.04   0.73  0.731XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76821  Middle cerebral artery echo                       A   0.70   1.87     1.87NA  0.07   2.64  2.641XXX.00.00.0000000             35.8043 090 99      2.82   2.82   0.08
76821TCMiddle cerebral artery echo                       A   0.00   1.60     1.60NA  0.01   1.61  1.611XXX.00.00.0000000             35.8043 010 99      2.55   2.55   0.02
7682126Middle cerebral artery echo                       A   0.70   0.27     0.27    0.06   1.03  1.031XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76825  Echo exam of fetal heart                          A   1.67   6.05     6.05NA  0.12   7.84  7.841XXX.00.00.0000000             35.8043 090 99     12.19  12.19   0.14
76825TCEcho exam of fetal heart                          A   0.00   5.43     5.43NA  0.02   5.45  5.451XXX.00.00.0000000             35.8043 010 99     11.57  11.57   0.04
7682526Echo exam of fetal heart                          A   1.67   0.62     0.62    0.10   2.39  2.391XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76826  Echo exam of fetal heart                          A   0.83   3.75     3.75NA  0.05   4.63  4.631XXX.00.00.0000000             35.8043 090 99     11.89  11.89   0.07
76826TCEcho exam of fetal heart                          A   0.00   3.44     3.44NA  0.01   3.45  3.451XXX.00.00.0000000             35.8043 010 99     11.58  11.58   0.03
7682626Echo exam of fetal heart                          A   0.83   0.31     0.31    0.04   1.18  1.181XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76827  Echo exam of fetal heart                          A   0.58   1.53     1.53NA  0.04   2.15  2.151XXX.00.00.0000000             35.8043 090 99      4.46   4.46   0.06
76827TCEcho exam of fetal heart                          A   0.00   1.32     1.32NA  0.01   1.33  1.331XXX.00.00.0000000             35.8043 010 99      4.25   4.25   0.03
7682726Echo exam of fetal heart                          A   0.58   0.21     0.21    0.03   0.82  0.821XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76828  Echo exam of fetal heart                          A   0.56   0.91     0.91NA  0.05   1.52  1.521XXX.00.00.0000000             35.8043 090 99      4.43   4.43   0.10
76828TCEcho exam of fetal heart                          A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0000000             35.8043 010 99      4.22   4.22   0.06
7682826Echo exam of fetal heart                          A   0.56   0.21     0.21    0.04   0.81  0.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76830  Transvaginal us non-ob                            A   0.69   2.72     2.72NA  0.05   3.46  3.461XXX.00.00.0000000             35.8043 090 99      4.52   4.52   0.06
76830TCTransvaginal us non-ob                            A   0.00   2.46     2.46NA  0.01   2.47  2.471XXX.00.00.0000000             35.8043 010 99      4.26   4.26   0.02
7683026Transvaginal us non-ob                            A   0.69   0.26     0.26    0.04   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76831  Echo exam uterus                                  A   0.72   2.58     2.58NA  0.06   3.36  3.361XXX.00.00.0040000             35.8043 090 88      4.54   4.54   0.07
76831TCEcho exam uterus                                  A   0.00   2.30     2.30NA  0.01   2.31  2.311XXX.00.00.0040000             35.8043 030 88      4.26   4.26   0.02
7683126Echo exam uterus                                  A   0.72   0.28     0.28    0.05   1.05  1.051XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76856  Us exam pelvic complete                           A   0.69   2.37     2.37NA  0.05   3.11  3.111XXX.00.00.0040000             35.8043 090 88      4.51   4.51   0.06
76856TCUs exam pelvic complete                           A   0.00   2.12     2.12NA  0.01   2.13  2.131XXX.00.00.0040000             35.8043 010 88      4.26   4.26   0.02
7685626Us exam pelvic complete                           A   0.69   0.25     0.25    0.04   0.98  0.981XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76857  Us exam pelvic limited                            A   0.50   0.81     0.81NA  0.04   1.35  1.351XXX.00.00.0040000             35.8043 090 88      2.70   2.70   0.07
76857TCUs exam pelvic limited                            A   0.00   0.63     0.63NA  0.01   0.64  0.641XXX.00.00.0040000             35.8043 010 88      2.52   2.52   0.04
7685726Us exam pelvic limited                            A   0.50   0.18     0.18    0.03   0.71  0.711XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76870  Us exam scrotum                                   A   0.64   1.22     1.22NA  0.05   1.91  1.911XXX.00.00.0040000             35.8043 090 88      4.46   4.46   0.08
76870TCUs exam scrotum                                   A   0.00   0.99     0.99NA  0.01   1.00  1.001XXX.00.00.0040000             35.8043 010 88      4.23   4.23   0.04
7687026Us exam scrotum                                   A   0.64   0.23     0.23    0.04   0.91  0.911XXX.00.00.0040000             35.8043 090 88      0.00   0.00   0.00
76872  Us transrectal                                    A   0.69   1.94     1.94NA  0.03   2.66  2.661XXX.00.00.0000000             35.8043 090 99      4.49   4.49   0.05
76872TCUs transrectal                                    A   0.00   1.70     1.70NA  0.01   1.71  1.711XXX.00.00.0000000             35.8043 010 99      4.25   4.25   0.03
7687226Us transrectal                                    A   0.69   0.24     0.24    0.02   0.95  0.951XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76873  Echograp trans r pros study                       A   1.55   3.13     3.13NA  0.07   4.75  4.751XXX.00.00.0099999             35.8043 090 99      4.86   4.86   0.08
76873TCEchograp trans r pros study                       A   0.00   2.53     2.53NA  0.01   2.54  2.541XXX.00.00.0099999             35.8043 020 99      4.26   4.26   0.02
7687326Echograp trans r pros study                       A   1.55   0.60     0.60    0.06   2.21  2.211XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
76881  Us xtr non-vasc complete                          A   0.63   2.57     2.57NA  0.04   3.24  3.241XXX.00.00.0000900             35.8043 090 99      4.49   4.49   0.05
76881TCUs xtr non-vasc complete                          A   0.00   2.34     2.34NA  0.01   2.35  2.351XXX.00.00.0000900             35.8043 010 99      4.26   4.26   0.02
7688126Us xtr non-vasc complete                          A   0.63   0.23     0.23    0.03   0.89  0.891XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
76882  Us xtr non-vasc lmtd                              A   0.49   0.49     0.49NA  0.04   1.02  1.021XXX.00.00.0000900             35.8043 090 99      2.66   2.66   0.11
76882TCUs xtr non-vasc lmtd                              A   0.00   0.31     0.31NA  0.01   0.32  0.321XXX.00.00.0000900             35.8043 010 99      2.48   2.48   0.08
7688226Us xtr non-vasc lmtd                              A   0.49   0.18     0.18    0.03   0.70  0.701XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
76885  Us exam infant hips dynamic                       A   0.74   3.34     3.34NA  0.05   4.13  4.131XXX.00.00.0000000             35.8043 090 99      2.84   2.84   0.05
76885TCUs exam infant hips dynamic                       A   0.00   3.06     3.06NA  0.01   3.07  3.071XXX.00.00.0000000             35.8043 010 99      2.56   2.56   0.01
7688526Us exam infant hips dynamic                       A   0.74   0.28     0.28    0.04   1.06  1.061XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76886  Us exam infant hips static                        A   0.62   2.34     2.34NA  0.04   3.00  3.001XXX.00.00.0000000             35.8043 090 99      4.48   4.48   0.05
76886TCUs exam infant hips static                        A   0.00   2.12     2.12NA  0.01   2.13  2.131XXX.00.00.0000000             35.8043 010 99      4.26   4.26   0.02
7688626Us exam infant hips static                        A   0.62   0.22     0.22    0.03   0.87  0.871XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76930  Echo guide cardiocentesis                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76930TCEcho guide cardiocentesis                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7693026Echo guide cardiocentesis                         A   0.67   0.23     0.23    0.03   0.93  0.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76932  Echo guide for heart biopsy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76932TCEcho guide for heart biopsy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7693226Echo guide for heart biopsy                       A   0.67   0.23     0.23    0.03   0.93  0.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76936  Echo guide for artery repair                      A   1.99   5.44     5.44NA  0.28   7.71  7.711XXX.00.00.0000000             35.8043 090 99      6.67   6.67   0.28
76936TCEcho guide for artery repair                      A   0.00   4.88     4.88NA  0.02   4.90  4.901XXX.00.00.0000000             35.8043 030 99      6.11   6.11   0.02
7693626Echo guide for artery repair                      A   1.99   0.56     0.56    0.26   2.81  2.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76937  Us guide vascular access                          A   0.30   0.57     0.57NA  0.02   0.89  0.891ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76937TCUs guide vascular access                          A   0.00   0.48     0.48NA  0.00   0.48  0.481ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7693726Us guide vascular access                          A   0.30   0.09     0.09    0.02   0.41  0.411ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76940  Us guide tissue ablation                          C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76940TCUs guide tissue ablation                          C   0.00   0.00     0.00NA  0.00   0.00  0.001YYY.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7694026Us guide tissue ablation                          A   2.00   0.69     0.69    0.25   2.94  2.941XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76941  Echo guide for transfusion                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76941TCEcho guide for transfusion                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7694126Echo guide for transfusion                        A   1.34   0.48     0.48    0.13   1.95  1.951XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76942  Echo guide for biopsy                             A   0.67   1.00     1.00NA  0.05   1.72  1.721XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76942TCEcho guide for biopsy                             A   0.00   0.76     0.76NA  0.01   0.77  0.771XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7694226Echo guide for biopsy                             A   0.67   0.24     0.24    0.04   0.95  0.951XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76945  Echo guide villus sampling                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76945TCEcho guide villus sampling                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7694526Echo guide villus sampling                        A   0.67   0.26NA   0.26    0.06   0.99  0.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76946  Echo guide for amniocentesis                      A   0.38   0.51     0.51NA  0.04   0.93  0.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76946TCEcho guide for amniocentesis                      A   0.00   0.36     0.36NA  0.01   0.37  0.371XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7694626Echo guide for amniocentesis                      A   0.38   0.15     0.15    0.03   0.56  0.561XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76948  Echo guide ova aspiration                         A   0.67   1.24     1.24NA  0.06   1.97  1.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76948TCEcho guide ova aspiration                         A   0.00   1.10     1.10NA  0.01   1.11  1.111XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7694826Echo guide ova aspiration                         A   0.67   0.14     0.14    0.05   0.86  0.861XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76965  Echo guidance radiotherapy                        A   1.34   1.16     1.16NA  0.05   2.55  2.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76965TCEcho guidance radiotherapy                        A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7696526Echo guidance radiotherapy                        A   1.34   0.50     0.50    0.04   1.88  1.881XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76970  Ultrasound exam follow-up                         A   0.40   2.20     2.20NA  0.03   2.63  2.631XXX.00.00.0000000             35.8043 090 99      2.68   2.68   0.03
76970TCUltrasound exam follow-up                         A   0.00   2.07     2.07NA  0.01   2.08  2.081XXX.00.00.0000000             35.8043 010 99      2.55   2.55   0.01
7697026Ultrasound exam follow-up                         A   0.40   0.13     0.13    0.02   0.55  0.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76975  Gi endoscopic ultrasound                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      4.60   4.60   0.08
76975TCGi endoscopic ultrasound                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      4.27   4.27   0.01
7697526Gi endoscopic ultrasound                          A   0.81   0.33     0.33    0.07   1.21  1.211XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76977  Us bone density measure                           A   0.05   0.13     0.13NA  0.02   0.20  0.201XXX.00.00.0000000             35.8043 090 99      0.80   0.80   0.08
76977TCUs bone density measure                           A   0.00   0.11     0.11NA  0.01   0.12  0.121XXX.00.00.0000000             35.8043 010 99      0.78   0.78   0.07
7697726Us bone density measure                           A   0.05   0.02     0.02    0.01   0.08  0.081XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76998  Us guide intraop                                  C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76998TCUs guide intraop                                  C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
7699826Us guide intraop                                  A   1.20   0.39     0.39    0.22   1.81  1.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76999  Echo examination procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
76999TCEcho examination procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7699926Echo examination procedure                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77001  Fluoroguide for vein device                       A   0.38   1.57     1.57NA  0.03   1.98  1.981ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77001TCFluoroguide for vein device                       A   0.00   1.44     1.44NA  0.00   1.44  1.441ZZZ.00.00.0000900             35.8043 030 99      0.00   0.00   0.00
7700126Fluoroguide for vein device                       A   0.38   0.13     0.13    0.03   0.54  0.541ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77002  Needle localization by xray                       A   0.54   2.03     2.03NA  0.05   2.62  2.621XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77002TCNeedle localization by xray                       A   0.00   1.81     1.81NA  0.01   1.82  1.821XXX.00.00.0000900             35.8043 030 99      0.00   0.00   0.00
7700226Needle localization by xray                       A   0.54   0.22     0.22    0.04   0.80  0.801XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77003  Fluoroguide for spine inject                      A   0.60   1.77     1.77NA  0.04   2.41  2.411XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
77003TCFluoroguide for spine inject                      A   0.00   1.54     1.54NA  0.01   1.55  1.551XXX.00.00.0099999             35.8043 030 99      0.00   0.00   0.00
7700326Fluoroguide for spine inject                      A   0.60   0.23     0.23    0.03   0.86  0.861XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
77011  Ct scan for localization                          A   1.21   4.99     4.99NA  0.08   6.28  6.281XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77011TCCt scan for localization                          A   0.00   4.49     4.49NA  0.01   4.50  4.501XXX.00.00.0000900             35.8043 030 99      0.00   0.00   0.00
7701126Ct scan for localization                          A   1.21   0.50     0.50    0.07   1.78  1.781XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77012  Ct scan for needle biopsy                         A   1.16   2.28     2.28NA  0.08   3.52  3.521XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77012TCCt scan for needle biopsy                         A   0.00   1.87     1.87NA  0.01   1.88  1.881XXX.00.00.0000900             35.8043 030 99      0.00   0.00   0.00
7701226Ct scan for needle biopsy                         A   1.16   0.41     0.41    0.07   1.64  1.641XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77013  Ct guide for tissue ablation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77013TCCt guide for tissue ablation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7701326Ct guide for tissue ablation                      A   3.99   1.34     1.34    0.23   5.56  5.561XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77014  Ct scan for therapy guide                         A   0.85   2.42     2.42NA  0.05   3.32  3.321XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77014TCCt scan for therapy guide                         A   0.00   2.07     2.07NA  0.01   2.08  2.081XXX.00.00.0000900             35.8043 020 99      0.00   0.00   0.00
7701426Ct scan for therapy guide                         A   0.85   0.35     0.35    0.04   1.24  1.241XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77021  Mr guidance for needle place                      A   1.50   9.75     9.75NA  0.10  11.35 11.351XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77021TCMr guidance for needle place                      A   0.00   9.20     9.20NA  0.01   9.21  9.211XXX.00.00.0000900             35.8043 030 99      0.00   0.00   0.00
7702126Mr guidance for needle place                      A   1.50   0.55     0.55    0.09   2.14  2.141XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77022  Mri for tissue ablation                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77022TCMri for tissue ablation                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7702226Mri for tissue ablation                           A   4.24   1.54     1.54    0.26   6.04  6.041XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77051  Computer dx mammogram add-on                      A   0.06   0.17     0.17NA  0.00   0.23  0.231ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77051TCComputer dx mammogram add-on                      A   0.00   0.15     0.15NA  0.00   0.15  0.151ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
7705126Computer dx mammogram add-on                      A   0.06   0.02     0.02    0.00   0.08  0.081ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77052  Comp screen mammogram add-on                      A   0.06   0.17     0.17NA  0.00   0.23  0.231ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77052TCComp screen mammogram add-on                      A   0.00   0.15     0.15NA  0.00   0.15  0.151ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
7705226Comp screen mammogram add-on                      A   0.06   0.02     0.02    0.00   0.08  0.081ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77053  X-ray of mammary duct                             A   0.36   1.25     1.25NA  0.03   1.64  1.641XXX.00.00.0000900             35.8043 090 99      5.43   5.43   0.07
77053TCX-ray of mammary duct                             A   0.00   1.12     1.12NA  0.01   1.13  1.131XXX.00.00.0000900             35.8043 030 99      5.30   5.30   0.05
7705326X-ray of mammary duct                             A   0.36   0.13     0.13    0.02   0.51  0.511XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77054  X-ray of mammary ducts                            A   0.45   1.67     1.67NA  0.04   2.16  2.161XXX.00.00.0000900             35.8043 090 99      5.48   5.48   0.07
77054TCX-ray of mammary ducts                            A   0.00   1.50     1.50NA  0.01   1.51  1.511XXX.00.00.0000900             35.8043 030 99      5.31   5.31   0.04
7705426X-ray of mammary ducts                            A   0.45   0.17     0.17    0.03   0.65  0.651XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77055  Mammogram one breast                              A   0.70   1.77     1.77NA  0.05   2.52  2.521XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77055TCMammogram one breast                              A   0.00   1.51     1.51NA  0.01   1.52  1.521XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
7705526Mammogram one breast                              A   0.70   0.26     0.26    0.04   1.00  1.001XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77056  Mammogram both breasts                            A   0.87   2.31     2.31NA  0.06   3.24  3.241XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77056TCMammogram both breasts                            A   0.00   1.99     1.99NA  0.01   2.00  2.001XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
7705626Mammogram both breasts                            A   0.87   0.32     0.32    0.05   1.24  1.241XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77057  Mammogram screening                               A   0.70   1.56     1.56NA  0.05   2.31  2.311XXX.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
77057TCMammogram screening                               A   0.00   1.30     1.30NA  0.01   1.31  1.311XXX.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
7705726Mammogram screening                               A   0.70   0.26     0.26    0.04   1.00  1.001XXX.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
77058  Mri one breast                                    A   1.63  13.39    13.39NA  0.12  15.14 15.141XXX.00.00.0040900             35.8043 090 88     13.22  13.22   0.12
77058TCMri one breast                                    A   0.00  12.79    12.79NA  0.03  12.82 12.821XXX.00.00.0040900             35.8043 020 88     12.62  12.62   0.03
7705826Mri one breast                                    A   1.63   0.60     0.60    0.09   2.32  2.321XXX.00.00.0040900             35.8043 090 88      0.00   0.00   0.00
77059  Mri both breasts                                  A   1.63  13.31    13.31NA  0.12  15.06 15.061XXX.00.00.0042900             35.8043 090 88     13.22  13.22   0.12
77059TCMri both breasts                                  A   0.00  12.71    12.71NA  0.03  12.74 12.741XXX.00.00.0042900             35.8043 020 88     12.62  12.62   0.03
7705926Mri both breasts                                  A   1.63   0.60     0.60    0.09   2.32  2.321XXX.00.00.0042900             35.8043 090 88      0.00   0.00   0.00
77061  Breast tomosynthesis uni                          I   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77061TCBreast tomosynthesis uni                          I   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
7706126Breast tomosynthesis uni                          I   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77062  Breast tomosynthesis bi                           I   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77062TCBreast tomosynthesis bi                           I   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
7706226Breast tomosynthesis bi                           I   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
77063  Breast tomosynthesis bi                           A   0.60   0.93     0.93NA  0.03   1.56  1.561ZZZ.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
77063TCBreast tomosynthesis bi                           A   0.00   0.71     0.71NA  0.00   0.71  0.711ZZZ.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
7706326Breast tomosynthesis bi                           A   0.60   0.22     0.22    0.03   0.85  0.851ZZZ.00.00.0002900             35.8043 090 99      0.00   0.00   0.00
77071  X-ray stress view                                 A   0.41   0.88     0.88    0.07   1.36  1.362XXX.00.00.0002000             35.8043 030 99      0.00   0.00   0.00
77072  X-rays for bone age                               A   0.19   0.44     0.44NA  0.02   0.65  0.651XXX.00.00.0000000             35.8043 090 99      2.80   2.80   0.08
77072TCX-rays for bone age                               A   0.00   0.37     0.37NA  0.01   0.38  0.381XXX.00.00.0000000             35.8043 010 99      2.73   2.73   0.07
7707226X-rays for bone age                               A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77073  X-rays bone length studies                        A   0.27   0.71     0.71NA  0.03   1.01  1.011XXX.00.00.0000000             35.8043 090 99      1.79   1.79   0.05
77073TCX-rays bone length studies                        A   0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.03
7707326X-rays bone length studies                        A   0.27   0.12     0.12    0.02   0.41  0.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77074  X-rays bone survey limited                        A   0.45   1.32     1.32NA  0.04   1.81  1.811XXX.00.00.0000000             35.8043 090 99      2.95   2.95   0.05
77074TCX-rays bone survey limited                        A   0.00   1.15     1.15NA  0.01   1.16  1.161XXX.00.00.0000000             35.8043 010 99      2.78   2.78   0.02
7707426X-rays bone survey limited                        A   0.45   0.17     0.17    0.03   0.65  0.651XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77075  X-rays bone survey complete                       A   0.54   1.88     1.88NA  0.04   2.46  2.461XXX.00.00.0000000             35.8043 090 99      2.99   2.99   0.05
77075TCX-rays bone survey complete                       A   0.00   1.68     1.68NA  0.01   1.69  1.691XXX.00.00.0000000             35.8043 010 99      2.79   2.79   0.02
7707526X-rays bone survey complete                       A   0.54   0.20     0.20    0.03   0.77  0.771XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77076  X-rays bone survey infant                         A   0.70   1.95     1.95NA  0.05   2.70  2.701XXX.00.00.0000000             35.8043 090 99      3.05   3.05   0.06
77076TCX-rays bone survey infant                         A   0.00   1.69     1.69NA  0.01   1.70  1.701XXX.00.00.0000000             35.8043 010 99      2.79   2.79   0.02
7707626X-rays bone survey infant                         A   0.70   0.26     0.26    0.04   1.00  1.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77077  Joint survey single view                          A   0.31   0.71     0.71NA  0.03   1.05  1.051XXX.00.00.0000000             35.8043 090 99      2.89   2.89   0.07
77077TCJoint survey single view                          A   0.00   0.58     0.58NA  0.01   0.59  0.591XXX.00.00.0000000             35.8043 010 99      2.76   2.76   0.05
7707726Joint survey single view                          A   0.31   0.13     0.13    0.02   0.46  0.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77078  Ct bone density axial                             A   0.25   2.93     2.93NA  0.02   3.20  3.201XXX.00.00.0000000             35.8043 090 99      1.78   1.78   0.02
77078TCCt bone density axial                             A   0.00   2.84     2.84NA  0.01   2.85  2.851XXX.00.00.0000000             35.8043 010 99      1.69   1.69   0.01
7707826Ct bone density axial                             A   0.25   0.09     0.09    0.01   0.35  0.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77080  Dxa bone density axial                            A   0.20   0.94     0.94NA  0.02   1.16  1.161XXX.00.00.0000000             35.8043 090 99      2.85   2.85   0.04
77080TCDxa bone density axial                            A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.0000000             35.8043 010 99      2.77   2.77   0.03
7708026Dxa bone density axial                            A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77081  Dxa bone density/peripheral                       A   0.22   0.55     0.55NA  0.02   0.79  0.791XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.05
77081TCDxa bone density/peripheral                       A   0.00   0.47     0.47NA  0.01   0.48  0.481XXX.00.00.0000000             35.8043 010 99      1.66   1.66   0.04
7708126Dxa bone density/peripheral                       A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77084  Magnetic image bone marrow                        A   1.60   9.27     9.27NA  0.11  10.98 10.981XXX.00.00.0000000             35.8043 090 99      8.20   8.20   0.11
77084TCMagnetic image bone marrow                        A   0.00   8.67     8.67NA  0.02   8.69  8.691XXX.00.00.0000000             35.8043 010 99      7.60   7.60   0.02
7708426Magnetic image bone marrow                        A   1.60   0.60     0.60    0.09   2.29  2.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77085  Dxa bone density study                            A   0.30   1.26     1.26NA  0.03   1.59  1.591XXX.00.00.0000000             35.8043 090 99      2.90   2.90   0.04
77085TCDxa bone density study                            A   0.00   1.14     1.14NA  0.01   1.15  1.151XXX.00.00.0000000             35.8043 010 99      2.78   2.78   0.02
7708526Dxa bone density study                            A   0.30   0.12     0.12    0.02   0.44  0.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77086  Fracture assessment via dxa                       A   0.17   0.81     0.81NA  0.02   1.00  1.001XXX.00.00.0000000             35.8043 090 99      1.74   1.74   0.03
77086TCFracture assessment via dxa                       A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0000000             35.8043 010 99      1.67   1.67   0.02
7708626Fracture assessment via dxa                       A   0.17   0.07     0.07    0.01   0.25  0.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77261  Radiation therapy planning                        A   1.39   0.66     0.66    0.09   2.14  2.142XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77262  Radiation therapy planning                        A   2.11   0.94     0.94    0.15   3.20  3.202XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77263  Radiation therapy planning                        A   3.14   1.31     1.31    0.23   4.68  4.682XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77280  Set radiation therapy field                       A   0.70   6.97     6.97NA  0.04   7.71  7.711XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77280TCSet radiation therapy field                       A   0.00   6.68     6.68NA  0.01   6.69  6.691XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7728026Set radiation therapy field                       A   0.70   0.29     0.29    0.03   1.02  1.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77285  Set radiation therapy field                       A   1.05  11.05    11.05NA  0.06  12.16 12.161XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77285TCSet radiation therapy field                       A   0.00  10.61    10.61NA  0.01  10.62 10.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7728526Set radiation therapy field                       A   1.05   0.44     0.44    0.05   1.54  1.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77290  Set radiation therapy field                       A   1.56  12.90    12.90NA  0.08  14.54 14.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77290TCSet radiation therapy field                       A   0.00  12.24    12.24NA  0.01  12.25 12.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7729026Set radiation therapy field                       A   1.56   0.66     0.66    0.07   2.29  2.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77293  Respirator motion mgmt simul                      A   2.00  11.05    11.05NA  0.11  13.16 13.161ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77293TCRespirator motion mgmt simul                      A   0.00  10.21    10.21NA  0.02  10.23 10.231ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7729326Respirator motion mgmt simul                      A   2.00   0.84     0.84    0.09   2.93  2.931ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77295  3-d radiotherapy plan                             A   4.29   9.33     9.33NA  0.23  13.85 13.851XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77295TC3-d radiotherapy plan                             A   0.00   7.54     7.54NA  0.05   7.59  7.591XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77295263-d radiotherapy plan                             A   4.29   1.79     1.79    0.18   6.26  6.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77299  Radiation therapy planning                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77299TCRadiation therapy planning                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7729926Radiation therapy planning                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77300  Radiation therapy dose plan                       A   0.62   1.22     1.22NA  0.04   1.88  1.881XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77300TCRadiation therapy dose plan                       A   0.00   0.96     0.96NA  0.01   0.97  0.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7730026Radiation therapy dose plan                       A   0.62   0.26     0.26    0.03   0.91  0.911XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77301  Radiotherapy dose plan imrt                       A   7.99  46.58    46.58NA  0.59  55.16 55.161XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77301TCRadiotherapy dose plan imrt                       A   0.00  43.24    43.24NA  0.25  43.49 43.491XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7730126Radiotherapy dose plan imrt                       A   7.99   3.34     3.34    0.34  11.67 11.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77306  Telethx isodose plan simple                       A   1.40   2.74     2.74NA  0.08   4.22  4.221XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77306TCTelethx isodose plan simple                       A   0.00   2.15     2.15NA  0.02   2.17  2.171XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7730626Telethx isodose plan simple                       A   1.40   0.59     0.59    0.06   2.05  2.051XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77307  Telethx isodose plan cplx                         A   2.90   5.10     5.10NA  0.15   8.15  8.151XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77307TCTelethx isodose plan cplx                         A   0.00   3.89     3.89NA  0.03   3.92  3.921XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7730726Telethx isodose plan cplx                         A   2.90   1.21     1.21    0.12   4.23  4.231XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77316  Brachytx isodose plan simple                      A   1.40   3.84     3.84NA  0.09   5.33  5.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77316TCBrachytx isodose plan simple                      A   0.00   3.25     3.25NA  0.03   3.28  3.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7731626Brachytx isodose plan simple                      A   1.40   0.59     0.59    0.06   2.05  2.051XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77317  Brachytx isodose intermed                         A   1.83   4.99     4.99NA  0.12   6.94  6.941XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77317TCBrachytx isodose intermed                         A   0.00   4.22     4.22NA  0.04   4.26  4.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7731726Brachytx isodose intermed                         A   1.83   0.77     0.77    0.08   2.68  2.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77318  Brachytx isodose complex                          A   2.90   6.93     6.93NA  0.18  10.01 10.011XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77318TCBrachytx isodose complex                          A   0.00   5.72     5.72NA  0.06   5.78  5.781XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7731826Brachytx isodose complex                          A   2.90   1.21     1.21    0.12   4.23  4.231XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77321  Special teletx port plan                          A   0.95   1.62     1.62NA  0.05   2.62  2.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77321TCSpecial teletx port plan                          A   0.00   1.22     1.22NA  0.01   1.23  1.231XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7732126Special teletx port plan                          A   0.95   0.40     0.40    0.04   1.39  1.391XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77331  Special radiation dosimetry                       A   0.87   0.88     0.88NA  0.05   1.80  1.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77331TCSpecial radiation dosimetry                       A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7733126Special radiation dosimetry                       A   0.87   0.36     0.36    0.04   1.27  1.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77332  Radiation treatment aid(s)                        A   0.54   1.77     1.77NA  0.03   2.34  2.341XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77332TCRadiation treatment aid(s)                        A   0.00   1.53     1.53NA  0.01   1.54  1.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7733226Radiation treatment aid(s)                        A   0.54   0.24     0.24    0.02   0.80  0.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77333  Radiation treatment aid(s)                        A   0.84   0.61     0.61NA  0.05   1.50  1.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77333TCRadiation treatment aid(s)                        A   0.00   0.26     0.26NA  0.01   0.27  0.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7733326Radiation treatment aid(s)                        A   0.84   0.35     0.35    0.04   1.23  1.231XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77334  Radiation treatment aid(s)                        A   1.24   3.01     3.01NA  0.06   4.31  4.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77334TCRadiation treatment aid(s)                        A   0.00   2.49     2.49NA  0.01   2.50  2.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7733426Radiation treatment aid(s)                        A   1.24   0.52     0.52    0.05   1.81  1.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77336  Radiation physics consult                         A   0.00   2.17     2.17NA  0.07   2.24  2.243XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77338  Design mlc device for imrt                        A   4.29   9.81     9.81NA  0.24  14.34 14.341XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77338TCDesign mlc device for imrt                        A   0.00   8.02     8.02NA  0.06   8.08  8.081XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7733826Design mlc device for imrt                        A   4.29   1.79     1.79    0.18   6.26  6.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77370  Radiation physics consult                         A   0.00   3.32     3.32NA  0.12   3.44  3.443XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77371  Srs multisource                                   C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77372  Srs linear based                                  A   0.00  30.11    30.11NA  0.16  30.27 30.273XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77373  Sbrt delivery                                     A   0.00  38.28    38.28NA  0.20  38.48 38.483XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77385  Ntsty modul rad tx dlvr smpl                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77386  Ntsty modul rad tx dlvr cplx                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77387  Guidance for radiaj tx dlvr                       I   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77399  External radiation dosimetry                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77399TCExternal radiation dosimetry                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7739926External radiation dosimetry                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77401  Radiation treatment delivery                      A   0.00   0.67     0.67NA  0.01   0.68  0.683XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77402  Radiation treatment delivery                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77407  Radiation treatment delivery                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77412  Radiation treatment delivery                      I   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77417  Radiology port images(s)                          A   0.00   0.30     0.30NA  0.01   0.31  0.313XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
77422  Neutron beam tx simple                            C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77423  Neutron beam tx complex                           C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77424  Io rad tx delivery by x-ray                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
77425  Io rad tx deliver by elctrns                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
77427  Radiation tx management x5                        A   3.37   1.63     1.63    0.24   5.24  5.242XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
77431  Radiation therapy management                      A   1.81   0.94     0.94    0.13   2.88  2.882XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77432  Stereotactic radiation trmt                       A   7.92   3.31     3.31    0.58  11.81 11.812XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77435  Sbrt management                                   A  11.87   5.08     5.08    0.86  17.81 17.812XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77469  Io radiation tx management                        A   5.75   2.97NA   2.97    0.38   9.10  9.100XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77470  Special radiation treatment                       A   2.09   2.21     2.21NA  0.11   4.41  4.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77470TCSpecial radiation treatment                       A   0.00   1.34     1.34NA  0.02   1.36  1.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7747026Special radiation treatment                       A   2.09   0.87     0.87    0.09   3.05  3.051XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77499  Radiation therapy management                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77499TCRadiation therapy management                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7749926Radiation therapy management                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77520  Proton trmt simple w/o comp                       C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77522  Proton trmt simple w/comp                         C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77523  Proton trmt intermediate                          C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77525  Proton treatment complex                          C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77600  Hyperthermia treatment                            R   1.56  10.20    10.20NA  0.12  11.88 11.881XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77600TCHyperthermia treatment                            R   0.00   9.52     9.52NA  0.04   9.56  9.561XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7760026Hyperthermia treatment                            R   1.56   0.68     0.68    0.08   2.32  2.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77605  Hyperthermia treatment                            R   2.09  20.05    20.05NA  0.41  22.55 22.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77605TCHyperthermia treatment                            R   0.00  19.22    19.22NA  0.04  19.26 19.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7760526Hyperthermia treatment                            R   2.09   0.83     0.83    0.37   3.29  3.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77610  Hyperthermia treatment                            R   1.56  26.12    26.12NA  0.35  28.03 28.031XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77610TCHyperthermia treatment                            R   0.00  25.55    25.55NA  0.04  25.59 25.591XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7761026Hyperthermia treatment                            R   1.56   0.57     0.57    0.31   2.44  2.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77615  Hyperthermia treatment                            R   2.09  27.73    27.73NA  0.18  30.00 30.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77615TCHyperthermia treatment                            R   0.00  26.87    26.87NA  0.09  26.96 26.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7761526Hyperthermia treatment                            R   2.09   0.86     0.86    0.09   3.04  3.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77620  Hyperthermia treatment                            R   1.56   9.17     9.17NA  0.11  10.84 10.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77620TCHyperthermia treatment                            R   0.00   8.52     8.52NA  0.04   8.56  8.561XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7762026Hyperthermia treatment                            R   1.56   0.65     0.65    0.07   2.28  2.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77750  Infuse radioactive materials                      A   5.00   5.24     5.24NA  0.25  10.49 10.491090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77750TCInfuse radioactive materials                      A   0.00   3.16     3.16NA  0.04   3.20  3.201090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7775026Infuse radioactive materials                      A   5.00   2.08     2.08    0.21   7.29  7.291090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77761  Apply intrcav radiat simple                       A   3.85   6.91     6.91NA  0.24  11.00 11.001090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77761TCApply intrcav radiat simple                       A   0.00   5.39     5.39NA  0.05   5.44  5.441090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7776126Apply intrcav radiat simple                       A   3.85   1.52     1.52    0.19   5.56  5.561090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77762  Apply intrcav radiat interm                       A   5.76   8.57     8.57NA  0.31  14.64 14.641090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77762TCApply intrcav radiat interm                       A   0.00   6.18     6.18NA  0.06   6.24  6.241090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7776226Apply intrcav radiat interm                       A   5.76   2.39     2.39    0.25   8.40  8.401090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77763  Apply intrcav radiat compl                        A   8.66  11.61    11.61NA  0.46  20.73 20.731090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77763TCApply intrcav radiat compl                        A   0.00   7.99     7.99NA  0.09   8.08  8.081090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7776326Apply intrcav radiat compl                        A   8.66   3.62     3.62    0.37  12.65 12.651090.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77767  Hdr rdncl skn surf brachytx                       A   1.05   5.22     5.22NA  0.08   6.35  6.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77767TCHdr rdncl skn surf brachytx                       A   0.00   4.78     4.78NA  0.03   4.81  4.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7776726Hdr rdncl skn surf brachytx                       A   1.05   0.44     0.44    0.05   1.54  1.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77768  Hdr rdncl skn surf brachytx                       A   1.40   8.44     8.44NA  0.11   9.95  9.951XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77768TCHdr rdncl skn surf brachytx                       A   0.00   7.86     7.86NA  0.05   7.91  7.911XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7776826Hdr rdncl skn surf brachytx                       A   1.40   0.58     0.58    0.06   2.04  2.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77770  Hdr rdncl ntrstl/icav brchtx                      A   1.95   6.99     6.99NA  0.12   9.06  9.061XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77770TCHdr rdncl ntrstl/icav brchtx                      A   0.00   6.17     6.17NA  0.04   6.21  6.211XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7777026Hdr rdncl ntrstl/icav brchtx                      A   1.95   0.82     0.82    0.08   2.85  2.851XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77771  Hdr rdncl ntrstl/icav brchtx                      A   3.80  12.83    12.83NA  0.23  16.86 16.861XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77771TCHdr rdncl ntrstl/icav brchtx                      A   0.00  11.24    11.24NA  0.07  11.31 11.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7777126Hdr rdncl ntrstl/icav brchtx                      A   3.80   1.59     1.59    0.16   5.55  5.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77772  Hdr rdncl ntrstl/icav brchtx                      A   5.40  20.01    20.01NA  0.35  25.76 25.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77772TCHdr rdncl ntrstl/icav brchtx                      A   0.00  17.76    17.76NA  0.12  17.88 17.881XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7777226Hdr rdncl ntrstl/icav brchtx                      A   5.40   2.25     2.25    0.23   7.88  7.881XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77778  Apply interstit radiat compl                      A   8.00  13.58    13.58NA  0.46  22.04 22.041000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77778TCApply interstit radiat compl                      A   0.00  10.27    10.27NA  0.12  10.39 10.391000.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7777826Apply interstit radiat compl                      A   8.00   3.31     3.31    0.34  11.65 11.651000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77789  Apply surf ldr radionuclide                       A   1.14   2.18     2.18NA  0.06   3.38  3.381000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77789TCApply surface radiation                           A   0.00   1.69     1.69NA  0.01   1.70  1.701000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7778926Apply surface radiation                           A   1.14   0.49     0.49    0.05   1.68  1.681000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77790  Radiation handling                                A   0.00   0.41     0.41NA  0.01   0.42  0.423XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77799  Radium/radioisotope therapy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
77799TCRadium/radioisotope therapy                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7779926Radium/radioisotope therapy                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78012  Thyroid uptake measurement                        A   0.19   2.08     2.08NA  0.03   2.30  2.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78012TCThyroid uptake measurement                        A   0.00   2.01     2.01NA  0.02   2.03  2.031XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7801226Thyroid uptake measurement                        A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78013  Thyroid imaging w/blood flow                      A   0.37   5.14     5.14NA  0.05   5.56  5.561XXX.00.00.0000000             35.8043 090 99      9.34   9.34   0.08
78013TCThyroid imaging w/blood flow                      A   0.00   5.01     5.01NA  0.03   5.04  5.041XXX.00.00.0000000             35.8043 090 99      9.21   9.21   0.06
7801326Thyroid imaging w/blood flow                      A   0.37   0.13     0.13    0.02   0.52  0.521XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78014  Thyroid imaging w/blood flow                      A   0.50   6.48     6.48NA  0.06   7.04  7.041XXX.00.00.0000000             35.8043 090 99      9.39   9.39   0.07
78014TCThyroid imaging w/blood flow                      A   0.00   6.31     6.31NA  0.03   6.34  6.341XXX.00.00.0000000             35.8043 090 99      9.22   9.22   0.04
7801426Thyroid imaging w/blood flow                      A   0.50   0.17     0.17    0.03   0.70  0.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78015  Thyroid met imaging                               A   0.67   5.68     5.68NA  0.06   6.41  6.411XXX.00.00.0000000             35.8043 090 99      9.44   9.44   0.08
78015TCThyroid met imaging                               A   0.00   5.45     5.45NA  0.03   5.48  5.481XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7801526Thyroid met imaging                               A   0.67   0.23     0.23    0.03   0.93  0.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78016  Thyroid met imaging/studies                       A   0.82   7.26     7.26NA  0.05   8.13  8.131XXX.00.00.0000000             35.8043 090 99      9.35   9.35   0.06
78016TCThyroid met imaging/studies                       A   0.00   7.12     7.12NA  0.04   7.16  7.161XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7801626Thyroid met imaging/studies                       A   0.82   0.14     0.14    0.01   0.97  0.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78018  Thyroid met imaging body                          A   0.86   8.17     8.17NA  0.08   9.11  9.111XXX.00.00.0000000             35.8043 090 99      9.49   9.49   0.09
78018TCThyroid met imaging body                          A   0.00   7.89     7.89NA  0.04   7.93  7.931XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7801826Thyroid met imaging body                          A   0.86   0.28     0.28    0.04   1.18  1.181XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78020  Thyroid met uptake                                A   0.60   1.79     1.79NA  0.04   2.43  2.431ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78020TCThyroid met uptake                                A   0.00   1.62     1.62NA  0.02   1.64  1.641ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7802026Thyroid met uptake                                A   0.60   0.17     0.17    0.02   0.79  0.791ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78070  Parathyroid planar imaging                        A   0.80   7.86     7.86NA  0.07   8.73  8.731XXX.00.00.0000000             35.8043 090 99      9.50   9.50   0.08
78070TCParathyroid planar imaging                        A   0.00   7.59     7.59NA  0.03   7.62  7.621XXX.00.00.0000000             35.8043 010 99      9.23   9.23   0.04
7807026Parathyroid planar imaging                        A   0.80   0.27     0.27    0.04   1.11  1.111XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78071  Parathyrd planar w/wo subtrj                      A   1.20   9.13     9.13NA  0.10  10.43 10.431XXX.00.00.0000000             35.8043 090 99      9.63   9.63   0.10
78071TCParathyrd planar w/wo subtrj                      A   0.00   8.72     8.72NA  0.04   8.76  8.761XXX.00.00.0000000             35.8043 090 99      9.22   9.22   0.04
7807126Parathyrd planar w/wo subtrj                      A   1.20   0.41     0.41    0.06   1.67  1.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78072  Parathyrd planar w/spect&ct                       A   1.60  10.33    10.33NA  0.11  12.04 12.041XXX.00.00.0000000             35.8043 090 99     12.75  12.75   0.12
78072TCParathyrd planar w/spect&ct                       A   0.00   9.82     9.82NA  0.04   9.86  9.861XXX.00.00.0000000             35.8043 090 99     12.24  12.24   0.05
7807226Parathyrd planar w/spect&ct                       A   1.60   0.51     0.51    0.07   2.18  2.181XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78075  Adrenal cortex & medulla img                      A   0.74  11.64    11.64NA  0.08  12.46 12.461XXX.00.00.0000000             35.8043 090 99     30.96  30.96   0.16
78075TCAdrenal cortex & medulla img                      A   0.00  11.41    11.41NA  0.05  11.46 11.461XXX.00.00.0000000             35.8043 010 99     30.73  30.73   0.13
7807526Adrenal cortex & medulla img                      A   0.74   0.23     0.23    0.03   1.00  1.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78099  Endocrine nuclear procedure                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78099TCEndocrine nuclear procedure                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7809926Endocrine nuclear procedure                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78102  Bone marrow imaging ltd                           A   0.55   4.33     4.33NA  0.06   4.94  4.941XXX.00.00.0000000             35.8043 090 99      9.38   9.38   0.10
78102TCBone marrow imaging ltd                           A   0.00   4.15     4.15NA  0.03   4.18  4.181XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.07
7810226Bone marrow imaging ltd                           A   0.55   0.18     0.18    0.03   0.76  0.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78103  Bone marrow imaging mult                          A   0.75   5.66     5.66NA  0.07   6.48  6.481XXX.00.00.0000000             35.8043 090 99      9.45   9.45   0.09
78103TCBone marrow imaging mult                          A   0.00   5.42     5.42NA  0.03   5.45  5.451XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7810326Bone marrow imaging mult                          A   0.75   0.24     0.24    0.04   1.03  1.031XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78104  Bone marrow imaging body                          A   0.80   6.27     6.27NA  0.07   7.14  7.141XXX.00.00.0000000             35.8043 090 99      9.47   9.47   0.09
78104TCBone marrow imaging body                          A   0.00   6.02     6.02NA  0.03   6.05  6.051XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.05
7810426Bone marrow imaging body                          A   0.80   0.25     0.25    0.04   1.09  1.091XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78110  Plasma volume single                              A   0.19   2.50     2.50NA  0.04   2.73  2.731XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78110TCPlasma volume single                              A   0.00   2.43     2.43NA  0.03   2.46  2.461XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7811026Plasma volume single                              A   0.19   0.07     0.07    0.01   0.27  0.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78111  Plasma volume multiple                            A   0.22   2.54     2.54NA  0.04   2.80  2.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78111TCPlasma volume multiple                            A   0.00   2.46     2.46NA  0.03   2.49  2.491XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7811126Plasma volume multiple                            A   0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78120  Red cell mass single                              A   0.23   2.46     2.46NA  0.04   2.73  2.731XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78120TCRed cell mass single                              A   0.00   2.37     2.37NA  0.03   2.40  2.401XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7812026Red cell mass single                              A   0.23   0.09     0.09    0.01   0.33  0.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78121  Red cell mass multiple                            A   0.32   2.60     2.60NA  0.05   2.97  2.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78121TCRed cell mass multiple                            A   0.00   2.48     2.48NA  0.03   2.51  2.511XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7812126Red cell mass multiple                            A   0.32   0.12     0.12    0.02   0.46  0.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78122  Blood volume                                      A   0.45   2.34     2.34NA  0.05   2.84  2.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78122TCBlood volume                                      A   0.00   2.20     2.20NA  0.03   2.23  2.231XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7812226Blood volume                                      A   0.45   0.14     0.14    0.02   0.61  0.611XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78130  Red cell survival study                           A   0.61   4.22     4.22NA  0.06   4.89  4.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78130TCRed cell survival study                           A   0.00   3.99     3.99NA  0.04   4.03  4.031XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7813026Red cell survival study                           A   0.61   0.23     0.23    0.02   0.86  0.861XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78135  Red cell survival kinetics                        A   0.64   9.55     9.55NA  0.07  10.26 10.261XXX.00.00.0000000             35.8043 090 99      9.46   9.46   0.07
78135TCRed cell survival kinetics                        A   0.00   9.31     9.31NA  0.04   9.35  9.351XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7813526Red cell survival kinetics                        A   0.64   0.24     0.24    0.03   0.91  0.911XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78140  Red cell sequestration                            A   0.61   3.30     3.30NA  0.06   3.97  3.971XXX.00.00.0000000             35.8043 090 99      9.40   9.40   0.12
78140TCRed cell sequestration                            A   0.00   3.07     3.07NA  0.03   3.10  3.101XXX.00.00.0000000             35.8043 010 99      9.17   9.17   0.09
7814026Red cell sequestration                            A   0.61   0.23     0.23    0.03   0.87  0.871XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78185  Spleen imaging                                    A   0.40   5.72     5.72NA  0.05   6.17  6.171XXX.00.00.0000000             35.8043 090 99      9.36   9.36   0.07
78185TCSpleen imaging                                    A   0.00   5.57     5.57NA  0.03   5.60  5.601XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7818526Spleen imaging                                    A   0.40   0.15     0.15    0.02   0.57  0.571XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78190  Platelet survival kinetics                        A   1.09  10.27    10.27NA  0.07  11.43 11.431XXX.00.00.0000000             35.8043 090 99     31.16  31.16   0.15
78190TCPlatelet survival kinetics                        A   0.00   9.85     9.85NA  0.04   9.89  9.891XXX.00.00.0000000             35.8043 010 99     30.74  30.74   0.12
7819026Platelet survival kinetics                        A   1.09   0.42     0.42    0.03   1.54  1.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78191  Platelet survival                                 A   0.61   4.22     4.22NA  0.06   4.89  4.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78191TCPlatelet survival                                 A   0.00   3.99     3.99NA  0.04   4.03  4.031XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7819126Platelet survival                                 A   0.61   0.23     0.23    0.02   0.86  0.861XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78195  Lymph system imaging                              A   1.20   9.06     9.06NA  0.11  10.37 10.371XXX.00.00.0000000             35.8043 090 99      9.63   9.63   0.11
78195TCLymph system imaging                              A   0.00   8.65     8.65NA  0.04   8.69  8.691XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7819526Lymph system imaging                              A   1.20   0.41     0.41    0.07   1.68  1.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78199  Blood/lymph nuclear exam                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78199TCBlood/lymph nuclear exam                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7819926Blood/lymph nuclear exam                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78201  Liver imaging                                     A   0.44   4.98     4.98NA  0.05   5.47  5.471XXX.00.00.0000000             35.8043 090 99      9.34   9.34   0.08
78201TCLiver imaging                                     A   0.00   4.84     4.84NA  0.03   4.87  4.871XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7820126Liver imaging                                     A   0.44   0.14     0.14    0.02   0.60  0.601XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78202  Liver imaging with flow                           A   0.51   5.32     5.32NA  0.05   5.88  5.881XXX.00.00.0000000             35.8043 090 99      9.36   9.36   0.07
78202TCLiver imaging with flow                           A   0.00   5.17     5.17NA  0.03   5.20  5.201XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7820226Liver imaging with flow                           A   0.51   0.15     0.15    0.02   0.68  0.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78205  Liver imaging (3d)                                A   0.71   5.39     5.39NA  0.06   6.16  6.161XXX.00.00.0000000             35.8043 090 99      9.43   9.43   0.08
78205TCLiver imaging (3d)                                A   0.00   5.17     5.17NA  0.03   5.20  5.201XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7820526Liver imaging (3d)                                A   0.71   0.22     0.22    0.03   0.96  0.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78206  Liver image (3d) with flow                        A   0.96   8.93     8.93NA  0.09   9.98  9.981XXX.00.00.0000000             35.8043 090 99      9.54   9.54   0.09
78206TCLiver image (3d) with flow                        A   0.00   8.61     8.61NA  0.04   8.65  8.651XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7820626Liver image (3d) with flow                        A   0.96   0.32     0.32    0.05   1.33  1.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78215  Liver and spleen imaging                          A   0.49   5.12     5.12NA  0.06   5.67  5.671XXX.00.00.0000000             35.8043 090 99      9.38   9.38   0.09
78215TCLiver and spleen imaging                          A   0.00   4.95     4.95NA  0.03   4.98  4.981XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.06
7821526Liver and spleen imaging                          A   0.49   0.17     0.17    0.03   0.69  0.691XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78216  Liver & spleen image/flow                         A   0.57   3.03     3.03NA  0.06   3.66  3.661XXX.00.00.0000000             35.8043 090 99      9.34   9.34   0.13
78216TCLiver & spleen image/flow                         A   0.00   2.85     2.85NA  0.03   2.88  2.881XXX.00.00.0000000             35.8043 010 99      9.16   9.16   0.10
7821626Liver & spleen image/flow                         A   0.57   0.18     0.18    0.03   0.78  0.781XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78226  Hepatobiliary system imaging                      A   0.74   8.85     8.85NA  0.08   9.67  9.671XXX.00.00.0000000             35.8043 090 99      9.48   9.48   0.08
78226TCHepatobiliary system imaging                      A   0.00   8.59     8.59NA  0.04   8.63  8.631XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7822626Hepatobiliary system imaging                      A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78227  Hepatobil syst image w/drug                       A   0.90  12.12    12.12NA  0.10  13.12 13.121XXX.00.00.0000000             35.8043 090 99      9.54   9.54   0.09
78227TCHepatobil syst image w/drug                       A   0.00  11.80    11.80NA  0.05  11.85 11.851XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7822726Hepatobil syst image w/drug                       A   0.90   0.32     0.32    0.05   1.27  1.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78230  Salivary gland imaging                            A   0.45   3.62     3.62NA  0.04   4.11  4.111XXX.00.00.0000000             35.8043 090 99      9.26   9.26   0.09
78230TCSalivary gland imaging                            A   0.00   3.54     3.54NA  0.03   3.57  3.571XXX.00.00.0000000             35.8043 010 99      9.18   9.18   0.08
7823026Salivary gland imaging                            A   0.45   0.08     0.08    0.01   0.54  0.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78231  Serial salivary imaging                           A   0.52   3.21     3.21NA  0.06   3.79  3.791XXX.00.00.0000000             35.8043 090 99      9.37   9.37   0.12
78231TCSerial salivary imaging                           A   0.00   3.01     3.01NA  0.03   3.04  3.041XXX.00.00.0000000             35.8043 010 99      9.17   9.17   0.09
7823126Serial salivary imaging                           A   0.52   0.20     0.20    0.03   0.75  0.751XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78232  Salivary gland function exam                      A   0.47   2.36     2.36NA  0.04   2.87  2.871XXX.00.00.0000000             35.8043 090 99      9.22   9.22   0.13
78232TCSalivary gland function exam                      A   0.00   2.28     2.28NA  0.03   2.31  2.311XXX.00.00.0000000             35.8043 010 99      9.14   9.14   0.12
7823226Salivary gland function exam                      A   0.47   0.08     0.08    0.01   0.56  0.561XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78258  Esophageal motility study                         A   0.74   5.65     5.65NA  0.07   6.46  6.461XXX.00.00.0000000             35.8043 090 99      9.47   9.47   0.09
78258TCEsophageal motility study                         A   0.00   5.39     5.39NA  0.03   5.42  5.421XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7825826Esophageal motility study                         A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78261  Gastric mucosa imaging                            A   0.69   6.48     6.48NA  0.07   7.24  7.241XXX.00.00.0000000             35.8043 090 99      9.46   9.46   0.08
78261TCGastric mucosa imaging                            A   0.00   6.24     6.24NA  0.03   6.27  6.271XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7826126Gastric mucosa imaging                            A   0.69   0.24     0.24    0.04   0.97  0.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78262  Gastroesophageal reflux exam                      A   0.68   6.38     6.38NA  0.06   7.12  7.121XXX.00.00.0000000             35.8043 090 99      9.45   9.45   0.07
78262TCGastroesophageal reflux exam                      A   0.00   6.15     6.15NA  0.03   6.18  6.181XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7826226Gastroesophageal reflux exam                      A   0.68   0.23     0.23    0.03   0.94  0.941XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78264  Gastric emptying imag study                       A   0.74   8.93     8.93NA  0.08   9.75  9.751XXX.00.00.0000000             35.8043 090 99      9.48   9.48   0.08
78264TCGastric emptying study                            A   0.00   8.67     8.67NA  0.04   8.71  8.711XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7826426Gastric emptying study                            A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78265  Gastric emptying imag study                       A   0.98  10.55    10.55NA  0.10  11.63 11.631XXX.00.00.0000000             35.8043 090 99      9.56   9.56   0.10
78265TCGastric emptying imag study                       A   0.00  10.21    10.21NA  0.05  10.26 10.261XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.05
7826526Gastric emptying imag study                       A   0.98   0.34     0.34    0.05   1.37  1.371XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78266  Gastric emptying imag study                       A   1.08  12.61    12.61NA  0.11  13.80 13.801XXX.00.00.0000000             35.8043 090 99     12.62  12.62   0.11
78266TCGastric emptying imag study                       A   0.00  12.23    12.23NA  0.05  12.28 12.281XXX.00.00.0000000             35.8043 010 99     12.24  12.24   0.05
7826626Gastric emptying imag study                       A   1.08   0.38     0.38    0.06   1.52  1.521XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
78270  Vit b-12 absorption exam                          A   0.20   2.70     2.70NA  0.04   2.94  2.941XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78270TCVit b-12 absorption exam                          A   0.00   2.61     2.61NA  0.03   2.64  2.641XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7827026Vit b-12 absorption exam                          A   0.20   0.09     0.09    0.01   0.30  0.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78271  Vit b-12 absrp exam int fac                       A   0.20   2.38     2.38NA  0.04   2.62  2.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78271TCVit b-12 absrp exam int fac                       A   0.00   2.30     2.30NA  0.03   2.33  2.331XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7827126Vit b-12 absrp exam int fac                       A   0.20   0.08     0.08    0.01   0.29  0.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78272  Vit b-12 absorp combined                          A   0.27   2.50     2.50NA  0.04   2.81  2.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78272TCVit b-12 absorp combined                          A   0.00   2.40     2.40NA  0.03   2.43  2.431XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7827226Vit b-12 absorp combined                          A   0.27   0.10     0.10    0.01   0.38  0.381XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78278  Acute gi blood loss imaging                       A   0.99   9.09     9.09NA  0.09  10.17 10.171XXX.00.00.0000000             35.8043 090 99      9.57   9.57   0.09
78278TCAcute gi blood loss imaging                       A   0.00   8.74     8.74NA  0.04   8.78  8.781XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7827826Acute gi blood loss imaging                       A   0.99   0.35     0.35    0.05   1.39  1.391XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78282  Gi protein loss exam                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      9.39   9.39   0.03
78282TCGi protein loss exam                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99      9.25   9.25   0.01
7828226Gi protein loss exam                              A   0.38   0.14     0.14    0.02   0.54  0.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78290  Meckels divert exam                               A   0.68   8.97     8.97NA  0.08   9.73  9.731XXX.00.00.0000000             35.8043 090 99      9.46   9.46   0.08
78290TCMeckels divert exam                               A   0.00   8.73     8.73NA  0.04   8.77  8.771XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7829026Meckels divert exam                               A   0.68   0.24     0.24    0.04   0.96  0.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78291  Leveen/shunt patency exam                         A   0.88   6.39     6.39NA  0.07   7.34  7.341XXX.00.00.0000000             35.8043 090 99      9.50   9.50   0.09
78291TCLeveen/shunt patency exam                         A   0.00   6.11     6.11NA  0.03   6.14  6.141XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.05
7829126Leveen/shunt patency exam                         A   0.88   0.28     0.28    0.04   1.20  1.201XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78299  Gi nuclear procedure                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78299TCGi nuclear procedure                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7829926Gi nuclear procedure                              C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78300  Bone imaging limited area                         A   0.62   4.58     4.58NA  0.07   5.27  5.271XXX.00.00.0000000             35.8043 090 99      9.43   9.43   0.10
78300TCBone imaging limited area                         A   0.00   4.35     4.35NA  0.03   4.38  4.381XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7830026Bone imaging limited area                         A   0.62   0.23     0.23    0.04   0.89  0.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78305  Bone imaging multiple areas                       A   0.83   5.82     5.82NA  0.08   6.73  6.731XXX.00.00.0000000             35.8043 090 99      9.50   9.50   0.10
78305TCBone imaging multiple areas                       A   0.00   5.53     5.53NA  0.03   5.56  5.561XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7830526Bone imaging multiple areas                       A   0.83   0.29     0.29    0.05   1.17  1.171XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78306  Bone imaging whole body                           A   0.86   6.41     6.41NA  0.08   7.35  7.351XXX.00.00.0020000             35.8043 090 99      9.52   9.52   0.10
78306TCBone imaging whole body                           A   0.00   6.11     6.11NA  0.03   6.14  6.141XXX.00.00.0020000             35.8043 010 99      9.22   9.22   0.05
7830626Bone imaging whole body                           A   0.86   0.30     0.30    0.05   1.21  1.211XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
78315  Bone imaging 3 phase                              A   1.02   9.00     9.00NA  0.09  10.11 10.111XXX.00.00.0000000             35.8043 090 99      9.58   9.58   0.09
78315TCBone imaging 3 phase                              A   0.00   8.64     8.64NA  0.04   8.68  8.681XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7831526Bone imaging 3 phase                              A   1.02   0.36     0.36    0.05   1.43  1.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78320  Bone imaging (3d)                                 A   1.04   5.52     5.52NA  0.08   6.64  6.641XXX.00.00.0020000             35.8043 090 99      9.55   9.55   0.10
78320TCBone imaging (3d)                                 A   0.00   5.18     5.18NA  0.03   5.21  5.211XXX.00.00.0020000             35.8043 010 99      9.21   9.21   0.05
7832026Bone imaging (3d)                                 A   1.04   0.34     0.34    0.05   1.43  1.431XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
78350  Bone mineral single photon                        N+  0.22   0.69     0.69NA  0.02   0.93  0.931XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
78350TCBone mineral single photon                        N+  0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
7835026Bone mineral single photon                        N+  0.22   0.08     0.08    0.01   0.31  0.311XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
78351  Bone mineral dual photon                          N+  0.30   0.11NA   0.11    0.02   0.43  0.439XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
78399  Musculoskeletal nuclear exam                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78399TCMusculoskeletal nuclear exam                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7839926Musculoskeletal nuclear exam                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78414  Non-imaging heart function                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78414TCNon-imaging heart function                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7841426Non-imaging heart function                        A   0.45   0.16     0.16    0.02   0.63  0.631XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78428  Cardiac shunt imaging                             A   0.78   4.41     4.41NA  0.06   5.25  5.251XXX.00.00.0060000             35.8043 090 99      9.46   9.46   0.10
78428TCCardiac shunt imaging                             A   0.00   4.15     4.15NA  0.03   4.18  4.181XXX.00.00.0060000             35.8043 010 99      9.20   9.20   0.07
7842826Cardiac shunt imaging                             A   0.78   0.26     0.26    0.03   1.07  1.071XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78445  Vascular flow imaging                             A   0.49   4.56     4.56NA  0.05   5.10  5.101XXX.00.00.0060000             35.8043 090 99      9.35   9.35   0.08
78445TCVascular flow imaging                             A   0.00   4.41     4.41NA  0.03   4.44  4.441XXX.00.00.0060000             35.8043 010 99      9.20   9.20   0.06
7844526Vascular flow imaging                             A   0.49   0.15     0.15    0.02   0.66  0.661XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78451  Ht muscle image spect sing                        A   1.38   8.46     8.46NA  0.10   9.94  9.941XXX.00.00.0060000             35.8043 090 99     31.18  31.18   0.21
78451TCHt muscle image spect sing                        A   0.00   7.99     7.99NA  0.04   8.03  8.031XXX.00.00.0060000             35.8043 010 99     30.71  30.71   0.15
7845126Ht muscle image spect sing                        A   1.38   0.47     0.47    0.06   1.91  1.911XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78452  Ht muscle image spect mult                        A   1.62  12.02    12.02NA  0.13  13.77 13.771XXX.00.00.0060000             35.8043 090 99     31.25  31.25   0.23
78452TCHt muscle image spect mult                        A   0.00  11.47    11.47NA  0.06  11.53 11.531XXX.00.00.0060000             35.8043 010 99     30.70  30.70   0.16
7845226Ht muscle image spect mult                        A   1.62   0.55     0.55    0.07   2.24  2.241XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78453  Ht muscle image planar sing                       A   1.00   7.77     7.77NA  0.09   8.86  8.861XXX.00.00.0060000             35.8043 090 99     12.58  12.58   0.12
78453TCHt muscle image planar sing                       A   0.00   7.42     7.42NA  0.04   7.46  7.461XXX.00.00.0060000             35.8043 010 99     12.23  12.23   0.07
7845326Ht muscle image planar sing                       A   1.00   0.35     0.35    0.05   1.40  1.401XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78454  Ht musc image planar mult                         A   1.34  11.28    11.28NA  0.12  12.74 12.741XXX.00.00.0060000             35.8043 090 99     31.21  31.21   0.21
78454TCHt musc image planar mult                         A   0.00  10.79    10.79NA  0.05  10.84 10.841XXX.00.00.0060000             35.8043 010 99     30.72  30.72   0.14
7845426Ht musc image planar mult                         A   1.34   0.49     0.49    0.07   1.90  1.901XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78456  Acute venous thrombus image                       A   1.00   8.12     8.12NA  0.08   9.20  9.201XXX.00.00.0069999             35.8043 090 99     31.04  31.04   0.20
78456TCAcute venous thrombus image                       A   0.00   7.78     7.78NA  0.04   7.82  7.821XXX.00.00.0069999             35.8043 090 99     30.70  30.70   0.16
7845626Acute venous thrombus image                       A   1.00   0.34     0.34    0.04   1.38  1.381XXX.00.00.0069999             35.8043 090 99      0.00   0.00   0.00
78457  Venous thrombosis imaging                         A   0.77   4.61     4.61NA  0.10   5.48  5.481XXX.00.00.0060000             35.8043 090 99     12.46  12.46   0.15
78457TCVenous thrombosis imaging                         A   0.00   4.36     4.36NA  0.03   4.39  4.391XXX.00.00.0060000             35.8043 010 99     12.21  12.21   0.08
7845726Venous thrombosis imaging                         A   0.77   0.25     0.25    0.07   1.09  1.091XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78458  Ven thrombosis images bilat                       A   0.90   3.92     3.92NA  0.05   4.87  4.871XXX.00.00.0062000             35.8043 090 99      9.35   9.35   0.09
78458TCVen thrombosis images bilat                       A   0.00   3.76     3.76NA  0.03   3.79  3.791XXX.00.00.0062000             35.8043 010 99      9.19   9.19   0.07
7845826Ven thrombosis images bilat                       A   0.90   0.16     0.16    0.02   1.08  1.081XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
78459  Heart muscle imaging (pet)                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.23  36.23   0.07
78459TCHeart muscle imaging (pet)                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     35.78  35.78   0.01
7845926Heart muscle imaging (pet)                        A   1.50   0.45     0.45    0.06   2.01  2.011XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78466  Heart infarct image                               A   0.69   4.80     4.80NA  0.06   5.55  5.551XXX.00.00.0060000             35.8043 090 99      9.47   9.47   0.09
78466TCHeart infarct image                               A   0.00   4.53     4.53NA  0.03   4.56  4.561XXX.00.00.0060000             35.8043 010 99      9.20   9.20   0.06
7846626Heart infarct image                               A   0.69   0.27     0.27    0.03   0.99  0.991XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78468  Heart infarct image (ef)                          A   0.80   4.90     4.90NA  0.06   5.76  5.761XXX.00.00.0060000             35.8043 090 99      9.48   9.48   0.09
78468TCHeart infarct image (ef)                          A   0.00   4.62     4.62NA  0.03   4.65  4.651XXX.00.00.0060000             35.8043 010 99      9.20   9.20   0.06
7846826Heart infarct image (ef)                          A   0.80   0.28     0.28    0.03   1.11  1.111XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78469  Heart infarct image (3d)                          A   0.92   5.60     5.60NA  0.07   6.59  6.591XXX.00.00.0060000             35.8043 090 99     12.55  12.55   0.11
78469TCHeart infarct image (3d)                          A   0.00   5.27     5.27NA  0.03   5.30  5.301XXX.00.00.0060000             35.8043 010 99     12.22  12.22   0.07
7846926Heart infarct image (3d)                          A   0.92   0.33     0.33    0.04   1.29  1.291XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78472  Gated heart planar single                         A   0.98   5.62     5.62NA  0.08   6.68  6.681XXX.00.00.0060000             35.8043 090 99      9.54   9.54   0.10
78472TCGated heart planar single                         A   0.00   5.29     5.29NA  0.03   5.32  5.321XXX.00.00.0060000             35.8043 010 99      9.21   9.21   0.05
7847226Gated heart planar single                         A   0.98   0.33     0.33    0.05   1.36  1.361XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78473  Gated heart multiple                              A   1.47   6.84     6.84NA  0.10   8.41  8.411XXX.00.00.0060000             35.8043 090 99      9.69   9.69   0.12
78473TCGated heart multiple                              A   0.00   6.35     6.35NA  0.04   6.39  6.391XXX.00.00.0060000             35.8043 010 99      9.20   9.20   0.06
7847326Gated heart multiple                              A   1.47   0.49     0.49    0.06   2.02  2.021XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78481  Heart first pass single                           A   0.98   4.03     4.03NA  0.06   5.07  5.071XXX.00.00.0060000             35.8043 090 99     12.56  12.56   0.11
78481TCHeart first pass single                           A   0.00   3.70     3.70NA  0.02   3.72  3.721XXX.00.00.0060000             35.8043 010 99     12.23  12.23   0.07
7848126Heart first pass single                           A   0.98   0.33     0.33    0.04   1.35  1.351XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78483  Heart first pass multiple                         A   1.47   5.46     5.46NA  0.09   7.02  7.021XXX.00.00.0060000             35.8043 090 99     12.71  12.71   0.13
78483TCHeart first pass multiple                         A   0.00   4.97     4.97NA  0.03   5.00  5.001XXX.00.00.0060000             35.8043 010 99     12.22  12.22   0.07
7848326Heart first pass multiple                         A   1.47   0.49     0.49    0.06   2.02  2.021XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78491  Heart image (pet) single                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.25  36.25   0.07
78491TCHeart image (pet) single                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7849126Heart image (pet) single                          A   1.50   0.47     0.47    0.06   2.03  2.031XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78492  Heart image (pet) multiple                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.38  36.38   0.08
78492TCHeart image (pet) multiple                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7849226Heart image (pet) multiple                        A   1.87   0.60     0.60    0.07   2.54  2.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78494  Heart image spect                                 A   1.19   5.27     5.27NA  0.08   6.54  6.541XXX.00.00.0060000             35.8043 090 99      9.61   9.61   0.11
78494TCHeart image spect                                 A   0.00   4.86     4.86NA  0.03   4.89  4.891XXX.00.00.0060000             35.8043 010 99      9.20   9.20   0.06
7849426Heart image spect                                 A   1.19   0.41     0.41    0.05   1.65  1.651XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
78496  Heart first pass add-on                           A   0.50   0.75     0.75NA  0.03   1.28  1.281ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78496TCHeart first pass add-on                           A   0.00   0.58     0.58NA  0.01   0.59  0.591ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7849626Heart first pass add-on                           A   0.50   0.17     0.17    0.02   0.69  0.691ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78499  Cardiovascular nuclear exam                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78499TCCardiovascular nuclear exam                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7849926Cardiovascular nuclear exam                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78579  Lung ventilation imaging                          A   0.49   4.90     4.90NA  0.05   5.44  5.441XXX.00.00.0000000             35.8043 090 99      9.36   9.36   0.08
78579TCLung ventilation imaging                          A   0.00   4.74     4.74NA  0.03   4.77  4.771XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7857926Lung ventilation imaging                          A   0.49   0.16     0.16    0.02   0.67  0.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78580  Lung perfusion imaging                            A   0.74   6.17     6.17NA  0.07   6.98  6.981XXX.00.00.0000000             35.8043 090 99      9.47   9.47   0.09
78580TCLung perfusion imaging                            A   0.00   5.91     5.91NA  0.03   5.94  5.941XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7858026Lung perfusion imaging                            A   0.74   0.26     0.26    0.04   1.04  1.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78582  Lung ventilat&perfus imaging                      A   1.07   8.60     8.60NA  0.10   9.77  9.771XXX.00.00.0000000             35.8043 090 99     12.60  12.60   0.12
78582TCLung ventilat&perfus imaging                      A   0.00   8.23     8.23NA  0.04   8.27  8.271XXX.00.00.0000000             35.8043 010 99     12.23  12.23   0.06
7858226Lung ventilat&perfus imaging                      A   1.07   0.37     0.37    0.06   1.50  1.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78597  Lung perfusion differential                       A   0.75   5.08     5.08NA  0.06   5.89  5.891XXX.00.00.0000000             35.8043 090 99      9.43   9.43   0.09
78597TCLung perfusion differential                       A   0.00   4.85     4.85NA  0.03   4.88  4.881XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7859726Lung perfusion differential                       A   0.75   0.23     0.23    0.03   1.01  1.011XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78598  Lung perf&ventilat diferentl                      A   0.85   8.02     8.02NA  0.08   8.95  8.951XXX.00.00.0000000             35.8043 090 99     12.52  12.52   0.10
78598TCLung perf&ventilat diferentl                      A   0.00   7.73     7.73NA  0.04   7.77  7.771XXX.00.00.0000000             35.8043 010 99     12.23  12.23   0.06
7859826Lung perf&ventilat diferentl                      A   0.85   0.29     0.29    0.04   1.18  1.181XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78599  Respiratory nuclear exam                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78599TCRespiratory nuclear exam                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7859926Respiratory nuclear exam                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78600  Brain image < 4 views                             A   0.44   4.90     4.90NA  0.06   5.40  5.401XXX.00.00.0000000             35.8043 090 99      9.37   9.37   0.09
78600TCBrain image < 4 views                             A   0.00   4.73     4.73NA  0.03   4.76  4.761XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7860026Brain image < 4 views                             A   0.44   0.17     0.17    0.03   0.64  0.641XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78601  Brain image w/flow < 4 views                      A   0.51   5.66     5.66NA  0.06   6.23  6.231XXX.00.00.0000000             35.8043 090 99      9.38   9.38   0.08
78601TCBrain image w/flow < 4 views                      A   0.00   5.49     5.49NA  0.03   5.52  5.521XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7860126Brain image w/flow < 4 views                      A   0.51   0.17     0.17    0.03   0.71  0.711XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78605  Brain image 4+ views                              A   0.53   5.21     5.21NA  0.06   5.80  5.801XXX.00.00.0000000             35.8043 090 99     12.42  12.42   0.10
78605TCBrain image 4+ views                              A   0.00   5.01     5.01NA  0.03   5.04  5.041XXX.00.00.0000000             35.8043 010 99     12.22  12.22   0.07
7860526Brain image 4+ views                              A   0.53   0.20     0.20    0.03   0.76  0.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78606  Brain image w/flow 4 + views                      A   0.64   8.94     8.94NA  0.07   9.65  9.651XXX.00.00.0000000             35.8043 090 99     12.46  12.46   0.09
78606TCBrain image w/flow 4 + views                      A   0.00   8.72     8.72NA  0.04   8.76  8.761XXX.00.00.0000000             35.8043 010 99     12.24  12.24   0.06
7860626Brain image w/flow 4 + views                      A   0.64   0.22     0.22    0.03   0.89  0.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78607  Brain imaging (3d)                                A   1.23   8.89     8.89NA  0.10  10.22 10.221XXX.00.00.0000000             35.8043 090 99     31.11  31.11   0.20
78607TCBrain imaging (3d)                                A   0.00   8.50     8.50NA  0.04   8.54  8.541XXX.00.00.0000000             35.8043 010 99     30.72  30.72   0.14
7860726Brain imaging (3d)                                A   1.23   0.39     0.39    0.06   1.68  1.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78608  Brain imaging (pet)                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.25  36.25   0.08
78608TCBrain imaging (pet)                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7860826Brain imaging (pet)                               A   1.50   0.47     0.47    0.07   2.04  2.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78609  Brain imaging (pet)                               N+  1.50   0.57     0.57NA  0.04   2.11  2.111XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
78609TCBrain imaging (pet)                               N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
7860926Brain imaging (pet)                               N+  1.50   0.57     0.57    0.04   2.11  2.111XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
78610  Brain flow imaging only                           A   0.30   4.75     4.75NA  0.05   5.10  5.101XXX.00.00.0000000             35.8043 090 99      9.31   9.31   0.08
78610TCBrain flow imaging only                           A   0.00   4.64     4.64NA  0.03   4.67  4.671XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7861026Brain flow imaging only                           A   0.30   0.11     0.11    0.02   0.43  0.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78630  Cerebrospinal fluid scan                          A   0.68   9.11     9.11NA  0.08   9.87  9.871XXX.00.00.0000000             35.8043 090 99     12.48  12.48   0.09
78630TCCerebrospinal fluid scan                          A   0.00   8.87     8.87NA  0.04   8.91  8.911XXX.00.00.0000000             35.8043 010 99     12.24  12.24   0.05
7863026Cerebrospinal fluid scan                          A   0.68   0.24     0.24    0.04   0.96  0.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78635  Csf ventriculography                              A   0.61   9.20     9.20NA  0.07   9.88  9.881XXX.00.00.0000000             35.8043 090 99     12.47  12.47   0.08
78635TCCsf ventriculography                              A   0.00   8.97     8.97NA  0.04   9.01  9.011XXX.00.00.0000000             35.8043 010 99     12.24  12.24   0.05
7863526Csf ventriculography                              A   0.61   0.23     0.23    0.03   0.87  0.871XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78645  Csf shunt evaluation                              A   0.57   8.77     8.77NA  0.07   9.41  9.411XXX.00.00.0000000             35.8043 090 99      9.41   9.41   0.07
78645TCCsf shunt evaluation                              A   0.00   8.58     8.58NA  0.04   8.62  8.621XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7864526Csf shunt evaluation                              A   0.57   0.19     0.19    0.03   0.79  0.791XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78647  Cerebrospinal fluid scan                          A   0.90   9.21     9.21NA  0.09  10.20 10.201XXX.00.00.0000000             35.8043 090 99     31.05  31.05   0.19
78647TCCerebrospinal fluid scan                          A   0.00   8.88     8.88NA  0.04   8.92  8.921XXX.00.00.0000000             35.8043 010 99     30.72  30.72   0.14
7864726Cerebrospinal fluid scan                          A   0.90   0.33     0.33    0.05   1.28  1.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78650  Csf leakage imaging                               A   0.61   8.92     8.92NA  0.07   9.60  9.601XXX.00.00.0000000             35.8043 090 99     30.93  30.93   0.17
78650TCCsf leakage imaging                               A   0.00   8.71     8.71NA  0.04   8.75  8.751XXX.00.00.0000000             35.8043 010 99     30.72  30.72   0.14
7865026Csf leakage imaging                               A   0.61   0.21     0.21    0.03   0.85  0.851XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78660  Nuclear exam of tear flow                         A   0.53   4.66     4.66NA  0.06   5.25  5.251XXX.00.00.0000000             35.8043 090 99      9.40   9.40   0.09
78660TCNuclear exam of tear flow                         A   0.00   4.46     4.46NA  0.03   4.49  4.491XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7866026Nuclear exam of tear flow                         A   0.53   0.20     0.20    0.03   0.76  0.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78699  Nervous system nuclear exam                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78699TCNervous system nuclear exam                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7869926Nervous system nuclear exam                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78700  Kidney imaging morphol                            A   0.45   4.51     4.51NA  0.05   5.01  5.011XXX.00.00.0000000             35.8043 090 99      9.36   9.36   0.08
78700TCKidney imaging morphol                            A   0.00   4.35     4.35NA  0.03   4.38  4.381XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7870026Kidney imaging morphol                            A   0.45   0.16     0.16    0.02   0.63  0.631XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78701  Kidney imaging with flow                          A   0.49   5.60     5.60NA  0.05   6.14  6.141XXX.00.00.0000000             35.8043 090 99      9.37   9.37   0.07
78701TCKidney imaging with flow                          A   0.00   5.44     5.44NA  0.03   5.47  5.471XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7870126Kidney imaging with flow                          A   0.49   0.16     0.16    0.02   0.67  0.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78707  K flow/funct image w/o drug                       A   0.96   5.73     5.73NA  0.08   6.77  6.771XXX.00.00.0000000             35.8043 090 99     12.54  12.54   0.12
78707TCK flow/funct image w/o drug                       A   0.00   5.41     5.41NA  0.03   5.44  5.441XXX.00.00.0000000             35.8043 010 99     12.22  12.22   0.07
7870726K flow/funct image w/o drug                       A   0.96   0.32     0.32    0.05   1.33  1.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78708  K flow/funct image w/drug                         A   1.21   3.75     3.75NA  0.10   5.06  5.061XXX.00.00.0000000             35.8043 090 99     12.56  12.56   0.21
78708TCK flow/funct image w/drug                         A   0.00   3.34     3.34NA  0.04   3.38  3.381XXX.00.00.0000000             35.8043 010 99     12.15  12.15   0.15
7870826K flow/funct image w/drug                         A   1.21   0.41     0.41    0.06   1.68  1.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78709  K flow/funct image multiple                       A   1.41   9.07     9.07NA  0.11  10.59 10.591XXX.00.00.0000000             35.8043 090 99     12.70  12.70   0.13
78709TCK flow/funct image multiple                       A   0.00   8.60     8.60NA  0.04   8.64  8.641XXX.00.00.0000000             35.8043 010 99     12.23  12.23   0.06
7870926K flow/funct image multiple                       A   1.41   0.47     0.47    0.07   1.95  1.951XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78710  Kidney imaging (3d)                               A   0.66   5.11     5.11NA  0.06   5.83  5.831XXX.00.00.0000000             35.8043 090 99     12.40  12.40   0.10
78710TCKidney imaging (3d)                               A   0.00   4.93     4.93NA  0.03   4.96  4.961XXX.00.00.0000000             35.8043 010 99     12.22  12.22   0.07
7871026Kidney imaging (3d)                               A   0.66   0.18     0.18    0.03   0.87  0.871XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78725  Kidney function study                             A   0.38   2.73     2.73NA  0.05   3.16  3.161XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78725TCKidney function study                             A   0.00   2.61     2.61NA  0.03   2.64  2.641XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7872526Kidney function study                             A   0.38   0.12     0.12    0.02   0.52  0.521XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78730  Urinary bladder retention                         A   0.15   2.05     2.05NA  0.02   2.22  2.221ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78730TCUrinary bladder retention                         A   0.00   1.99     1.99NA  0.01   2.00  2.001ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
7873026Urinary bladder retention                         A   0.15   0.06     0.06    0.01   0.22  0.221ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78740  Ureteral reflux study                             A   0.57   5.73     5.73NA  0.05   6.35  6.351XXX.00.00.0000000             35.8043 090 99      9.40   9.40   0.07
78740TCUreteral reflux study                             A   0.00   5.54     5.54NA  0.03   5.57  5.571XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7874026Ureteral reflux study                             A   0.57   0.19     0.19    0.02   0.78  0.781XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78761  Testicular imaging w/flow                         A   0.71   5.30     5.30NA  0.07   6.08  6.081XXX.00.00.0000000             35.8043 090 99      9.48   9.48   0.09
78761TCTesticular imaging w/flow                         A   0.00   5.03     5.03NA  0.03   5.06  5.061XXX.00.00.0000000             35.8043 010 99      9.21   9.21   0.05
7876126Testicular imaging w/flow                         A   0.71   0.27     0.27    0.04   1.02  1.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78799  Genitourinary nuclear exam                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78799TCGenitourinary nuclear exam                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7879926Genitourinary nuclear exam                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78800  Tumor imaging limited area                        A   0.66   4.82     4.82NA  0.09   5.57  5.571XXX.00.00.0000000             35.8043 090 99      9.44   9.44   0.12
78800TCTumor imaging limited area                        A   0.00   4.58     4.58NA  0.03   4.61  4.611XXX.00.00.0000000             35.8043 010 99      9.20   9.20   0.06
7880026Tumor imaging limited area                        A   0.66   0.24     0.24    0.06   0.96  0.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78801  Tumor imaging mult areas                          A   0.79   6.71     6.71NA  0.10   7.60  7.601XXX.00.00.0000000             35.8043 090 99      9.50   9.50   0.11
78801TCTumor imaging mult areas                          A   0.00   6.43     6.43NA  0.03   6.46  6.461XXX.00.00.0000000             35.8043 010 99      9.22   9.22   0.04
7880126Tumor imaging mult areas                          A   0.79   0.28     0.28    0.07   1.14  1.141XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78802  Tumor imaging whole body                          A   0.86   8.53     8.53NA  0.08   9.47  9.471XXX.00.00.0020000             35.8043 090 99     12.52  12.52   0.10
78802TCTumor imaging whole body                          A   0.00   8.24     8.24NA  0.04   8.28  8.281XXX.00.00.0020000             35.8043 010 99     12.23  12.23   0.06
7880226Tumor imaging whole body                          A   0.86   0.29     0.29    0.04   1.19  1.191XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
78803  Tumor imaging (3d)                                A   1.09   8.73     8.73NA  0.09   9.91  9.911XXX.00.00.0020000             35.8043 090 99     12.57  12.57   0.11
78803TCTumor imaging (3d)                                A   0.00   8.39     8.39NA  0.04   8.43  8.431XXX.00.00.0020000             35.8043 010 99     12.23  12.23   0.06
7880326Tumor imaging (3d)                                A   1.09   0.34     0.34    0.05   1.48  1.481XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
78804  Tumor imaging whole body                          A   1.07  15.34    15.34NA  0.12  16.53 16.531XXX.00.00.0000000             35.8043 090 99     31.08  31.08   0.19
78804TCTumor imaging whole body                          A   0.00  14.98    14.98NA  0.07  15.05 15.051XXX.00.00.0000000             35.8043 010 99     30.72  30.72   0.14
7880426Tumor imaging whole body                          A   1.07   0.36     0.36    0.05   1.48  1.481XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78805  Abscess imaging ltd area                          A   0.73   4.51     4.51NA  0.07   5.31  5.311XXX.00.00.0000000             35.8043 090 99     30.89  30.89   0.26
78805TCAbscess imaging ltd area                          A   0.00   4.26     4.26NA  0.03   4.29  4.291XXX.00.00.0000000             35.8043 010 99     30.64  30.64   0.22
7880526Abscess imaging ltd area                          A   0.73   0.25     0.25    0.04   1.02  1.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78806  Abscess imaging whole body                        A   0.86   8.77     8.77NA  0.08   9.71  9.711XXX.00.00.0020000             35.8043 090 99     31.00  31.00   0.18
78806TCAbscess imaging whole body                        A   0.00   8.48     8.48NA  0.04   8.52  8.521XXX.00.00.0020000             35.8043 010 99     30.71  30.71   0.14
7880626Abscess imaging whole body                        A   0.86   0.29     0.29    0.04   1.19  1.191XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
78807  Nuclear localization/abscess                      A   1.09   8.73     8.73NA  0.09   9.91  9.911XXX.00.00.0020000             35.8043 090 99     12.56  12.56   0.11
78807TCNuclear localization/abscess                      A   0.00   8.40     8.40NA  0.04   8.44  8.441XXX.00.00.0020000             35.8043 010 99     12.23  12.23   0.06
7880726Nuclear localization/abscess                      A   1.09   0.33     0.33    0.05   1.47  1.471XXX.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
78808  Iv inj ra drug dx study                           A   0.18   1.10     1.10NA  0.03   1.31  1.315XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78811  Pet image ltd area                                C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.35  36.35   0.10
78811TCPet image ltd area                                C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7881126Pet image ltd area                                A   1.54   0.57     0.57    0.09   2.20  2.201XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78812  Pet image skull-thigh                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.43  36.43   0.10
78812TCPet image skull-thigh                             C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7881226Pet image skull-thigh                             A   1.93   0.65     0.65    0.09   2.67  2.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78813  Pet image full body                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.47  36.47   0.11
78813TCPet image full body                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7881326Pet image full body                               A   2.00   0.69     0.69    0.10   2.79  2.791XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78814  Pet image w/ct lmtd                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.55  36.55   0.12
78814TCPet image w/ct lmtd                               C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7881426Pet image w/ct lmtd                               A   2.20   0.77     0.77    0.11   3.08  3.081XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78815  Pet image w/ct skull-thigh                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.62  36.62   0.13
78815TCPet image w/ct skull-thigh                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7881526Pet image w/ct skull-thigh                        A   2.44   0.84     0.84    0.12   3.40  3.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78816  Pet image w/ct full body                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     36.59  36.59   0.13
78816TCPet image w/ct full body                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99     35.78  35.78   0.01
7881626Pet image w/ct full body                          A   2.50   0.81     0.81    0.12   3.43  3.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78999  Nuclear diagnostic exam                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
78999TCNuclear diagnostic exam                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7899926Nuclear diagnostic exam                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79005  Nuclear rx oral admin                             A   1.80   1.99     1.99NA  0.10   3.89  3.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79005TCNuclear rx oral admin                             A   0.00   1.37     1.37NA  0.02   1.39  1.391XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7900526Nuclear rx oral admin                             A   1.80   0.62     0.62    0.08   2.50  2.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79101  Nuclear rx iv admin                               A   1.96   2.01     2.01NA  0.09   4.06  4.061XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79101TCNuclear rx iv admin                               A   0.00   1.34     1.34NA  0.01   1.35  1.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7910126Nuclear rx iv admin                               A   1.96   0.67     0.67    0.08   2.71  2.711XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79200  Nuclear rx intracav admin                         A   1.99   2.45     2.45NA  0.10   4.54  4.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79200TCNuclear rx intracav admin                         A   0.00   1.63     1.63NA  0.02   1.65  1.651XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7920026Nuclear rx intracav admin                         A   1.99   0.82     0.82    0.08   2.89  2.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79300  Nuclr rx interstit colloid                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79300TCNuclr rx interstit colloid                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7930026Nuclr rx interstit colloid                        A   1.60   0.61     0.61    0.05   2.26  2.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79403  Hematopoietic nuclear tx                          A   2.25   3.10     3.10NA  0.13   5.48  5.481XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79403TCHematopoietic nuclear tx                          A   0.00   2.30     2.30NA  0.03   2.33  2.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7940326Hematopoietic nuclear tx                          A   2.25   0.80     0.80    0.10   3.15  3.151XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79440  Nuclear rx intra-articular                        A   1.99   2.05     2.05NA  0.08   4.12  4.121XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79440TCNuclear rx intra-articular                        A   0.00   1.41     1.41NA  0.01   1.42  1.421XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7944026Nuclear rx intra-articular                        A   1.99   0.64     0.64    0.07   2.70  2.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79445  Nuclear rx intra-arterial                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79445TCNuclear rx intra-arterial                         C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7944526Nuclear rx intra-arterial                         A   2.40   0.76     0.76    0.12   3.28  3.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79999  Nuclear medicine therapy                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
79999TCNuclear medicine therapy                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
7999926Nuclear medicine therapy                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
80047  Metabolic panel ionized ca                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80048  Metabolic panel total ca                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80050  General health panel                              N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80051  Electrolyte panel                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80053  Comprehen metabolic panel                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80055  Obstetric panel                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80061  Lipid panel                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80069  Renal function panel                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80074  Acute hepatitis panel                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80076  Hepatic function panel                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80081  Obstetric panel                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80150  Assay of amikacin                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80155  Drug assay caffeine                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80156  Assay carbamazepine total                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80157  Assay carbamazepine free                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80158  Drug assay cyclosporine                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80159  Drug assay clozapine                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80162  Assay of digoxin total                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80163  Assay of digoxin free                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80164  Assay dipropylacetic acd tot                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80165  Dipropylacetic acid free                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80168  Assay of ethosuximide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80169  Drug assay everolimus                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80170  Assay of gentamicin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80171  Drug screen quant gabapentin                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80173  Assay of haloperidol                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80175  Drug screen quan lamotrigine                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80176  Assay of lidocaine                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80177  Drug scrn quan levetiracetam                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80178  Assay of lithium                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80180  Drug scrn quan mycophenolate                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80183  Drug scrn quant oxcarbazepin                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80184  Assay of phenobarbital                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80185  Assay of phenytoin total                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80186  Assay of phenytoin free                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80188  Assay of primidone                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80190  Assay of procainamide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80192  Assay of procainamide                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80194  Assay of quinidine                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80195  Assay of sirolimus                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80197  Assay of tacrolimus                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80198  Assay of theophylline                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80199  Drug screen quant tiagabine                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80200  Assay of tobramycin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80201  Assay of topiramate                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80202  Assay of vancomycin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80203  Drug screen quant zonisamide                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80299  Quantitative assay drug                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80300  Drug screen non tlc devices                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80301  Drug screen class list a                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80302  Drug screen prsmptv 1 class                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80303  Drug screen one/mult class                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80304  Drug screen one/mult class                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80320  Drug screen quantalcohols                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80321  Alcohols biomarkers 1or 2                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80322  Alcohols biomarkers 3/more                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80323  Alkaloids nos                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80324  Drug screen amphetamines 1/2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80325  Amphetamines 3or 4                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80326  Amphetamines 5 or more                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80327  Anabolic steroid 1 or 2                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80328  Anabolic steroid 3 or more                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80329  Analgesics non-opioid 1 or 2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80330  Analgesics non-opioid 3-5                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80331  Analgesics non-opioid 6/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80332  Antidepressants class 1 or 2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80333  Antidepressants class 3-5                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80334  Antidepressants class 6/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80335  Antidepressant tricyclic 1/2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80336  Antidepressant tricyclic 3-5                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80337  Tricyclic & cyclicals 6/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80338  Antidepressant not specified                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80339  Antiepileptics nos 1-3                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80340  Antiepileptics nos 4-6                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80341  Antiepileptics nos 7/more                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80342  Antipsychotics nos 1-3                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80343  Antipsychotics nos 4-6                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80344  Antipsychotics nos 7/more                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80345  Drug screening barbiturates                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80346  Benzodiazepines1-12                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80347  Benzodiazepines 13 or more                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80348  Drug screening buprenorphine                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80349  Cannabinoids natural                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80350  Cannabinoids synthetic 1-3                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80351  Cannabinoids synthetic 4-6                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80352  Cannabinoid synthetic 7/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80353  Drug screening cocaine                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80354  Drug screening fentanyl                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80355  Gabapentin non-blood                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80356  Heroin metabolite                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80357  Ketamine and norketamine                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80358  Drug screening methadone                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80359  Methylenedioxyamphetamines                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80360  Methylphenidate                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80361  Opiates 1 or more                                 I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80362  Opioids & opiate analogs 1/2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80363  Opioids & opiate analogs 3/4                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80364  Opioid &opiate analog 5/more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80365  Drug screening oxycodone                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80366  Drug screening pregabalin                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80367  Drug screening propoxyphene                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80368  Sedative hypnotics                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80369  Skeletal muscle relaxant 1/2                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80370  Skel musc relaxant 3 or more                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80371  Stimulants synthetic                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80372  Drug screening tapentadol                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80373  Drug screening tramadol                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80374  Stereoisomer analysis                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80375  Drug/substance nos 1-3                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80376  Drug/substance nos 4-6                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80377  Drug/substance nos 7/more                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80400  Acth stimulation panel                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80402  Acth stimulation panel                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80406  Acth stimulation panel                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80408  Aldosterone suppression eval                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80410  Calcitonin stimul panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80412  Crh stimulation panel                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80414  Testosterone response                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80415  Estradiol response panel                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80416  Renin stimulation panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80417  Renin stimulation panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80418  Pituitary evaluation panel                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80420  Dexamethasone panel                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80422  Glucagon tolerance panel                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80424  Glucagon tolerance panel                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80426  Gonadotropin hormone panel                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80428  Growth hormone panel                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80430  Growth hormone panel                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80432  Insulin suppression panel                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80434  Insulin tolerance panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80435  Insulin tolerance panel                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80436  Metyrapone panel                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80438  Trh stimulation panel                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80439  Trh stimulation panel                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
80500  Lab pathology consultation                        A   0.37   0.23     0.16    0.02   0.62  0.550XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
80502  Lab pathology consultation                        A   1.33   0.63     0.56    0.06   2.02  1.950XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
81000  Urinalysis nonauto w/scope                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81001  Urinalysis auto w/scope                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81005  Urinalysis                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81007  Urine screen for bacteria                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81015  Microscopic exam of urine                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81020  Urinalysis glass test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81025  Urine pregnancy test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81050  Urinalysis volume measure                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81099  Urinalysis test procedure                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81161  Dmd dup/delet analysis                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81162  Brca1&2 seq & full dup/del                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81170  Abl1 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81200  Aspa gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81201  Apc gene full sequence                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81202  Apc gene known fam variants                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81203  Apc gene dup/delet variants                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81205  Bckdhb gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81206  Bcr/abl1 gene major bp                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81207  Bcr/abl1 gene minor bp                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81208  Bcr/abl1 gene other bp                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81209  Blm gene                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81210  Braf gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81211  Brca1&2 seq & com dup/del                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81212  Brca1&2 185&5385&6174 var                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81213  Brca1&2 uncom dup/del var                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81214  Brca1 full seq & com dup/del                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81215  Brca1 gene known fam variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81216  Brca2 gene full sequence                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81217  Brca2 gene known fam variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81218  Cebpa gene full sequence                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81219  Calr gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81220  Cftr gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81221  Cftr gene known fam variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81222  Cftr gene dup/delet variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81223  Cftr gene full sequence                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81224  Cftr gene intron poly t                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81225  Cyp2c19 gene com variants                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81226  Cyp2d6 gene com variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81227  Cyp2c9 gene com variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81228  Cytogen micrarray copy nmbr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81229  Cytogen m array copy no&snp                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81235  Egfr gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81240  F2 gene                                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81241  F5 gene                                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81242  Fancc gene                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81243  Fmr1 gene detection                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81244  Fmr1 gene characterization                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81245  Flt3 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81246  Flt3 gene analysis                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81250  G6pc gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81251  Gba gene                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81252  Gjb2 gene full sequence                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81253  Gjb2 gene known fam variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81254  Gjb6 gene com variants                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81255  Hexa gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81256  Hfe gene                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81257  Hba1/hba2 gene                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81260  Ikbkap gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81261  Igh gene rearrange amp meth                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81262  Igh gene rearrang dir probe                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81263  Igh vari regional mutation                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81264  Igk rearrangeabn clonal pop                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81265  Str markers specimen anal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81266  Str markers spec anal addl                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81267  Chimerism anal no cell selec                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81268  Chimerism anal w/cell select                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81270  Jak2 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81272  Kit gene targeted seq analys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81273  Kit gene analys d816 variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81275  Kras gene variants exon 2                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81276  Kras gene addl variants                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81280  Long qt synd gene full seq                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81281  Long qt synd known fam var                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81282  Long qt syn gene dup/dlt var                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81287  Mgmt gene methylation anal                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81288  Mlh1 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81290  Mcoln1 gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81291  Mthfr gene                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81292  Mlh1 gene full seq                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81293  Mlh1 gene known variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81294  Mlh1 gene dup/delete variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81295  Msh2 gene full seq                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81296  Msh2 gene known variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81297  Msh2 gene dup/delete variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81298  Msh6 gene full seq                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81299  Msh6 gene known variants                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81300  Msh6 gene dup/delete variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81301  Microsatellite instability                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81302  Mecp2 gene full seq                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81303  Mecp2 gene known variant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81304  Mecp2 gene dup/delet variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81310  Npm1 gene                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81311  Nras gene variants exon 2&3                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81313  Pca3/klk3 antigen                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81314  Pdgfra gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81315  Pml/raralpha com breakpoints                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81316  Pml/raralpha 1 breakpoint                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81317  Pms2 gene full seq analysis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81318  Pms2 known familial variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81319  Pms2 gene dup/delet variants                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81321  Pten gene full sequence                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81322  Pten gene known fam variant                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81323  Pten gene dup/delet variant                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81324  Pmp22 gene dup/delet                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81325  Pmp22 gene full sequence                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81326  Pmp22 gene known fam variant                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81330  Smpd1 gene common variants                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81331  Snrpn/ube3a gene                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81332  Serpina1 gene                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81340  Trb@ gene rearrange amplify                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81341  Trb@ gene rearrange dirprobe                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81342  Trg gene rearrangement anal                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81350  Ugt1a1 gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81355  Vkorc1 gene                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81370  Hla i & ii typing lr                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81371  Hla i & ii type verify lr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81372  Hla i typing complete lr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81373  Hla i typing 1 locus lr                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81374  Hla i typing 1 antigen lr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81375  Hla ii typing ag equiv lr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81376  Hla ii typing 1 locus lr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81377  Hla ii type 1 ag equiv lr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81378  Hla i & ii typing hr                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81379  Hla i typing complete hr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81380  Hla i typing 1 locus hr                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81381  Hla i typing 1 allele hr                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81382  Hla ii typing 1 loc hr                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81383  Hla ii typing 1 allele hr                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81400  Mopath procedure level 1                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81401  Mopath procedure level 2                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81402  Mopath procedure level 3                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81403  Mopath procedure level 4                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81404  Mopath procedure level 5                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81405  Mopath procedure level 6                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81406  Mopath procedure level 7                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81407  Mopath procedure level 8                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81408  Mopath procedure level 9                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81410  Aortic dysfunction/dilation                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81411  Aortic dysfunction/dilation                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81412  Ashkenazi jewish assoc dis                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81415  Exome sequence analysis                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81416  Exome sequence analysis                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81417  Exome re-evaluation                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81420  Fetal chrmoml aneuploidy                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81425  Genome sequence analysis                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81426  Genome sequence analysis                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81427  Genome re-evaluation                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81430  Hearing loss sequence analys                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81431  Hearing loss dup/del analys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81432  Hrdtry brst ca-rlatd dsordrs                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81433  Hrdtry brst ca-rlatd dsordrs                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81434  Hereditary retinal disorders                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81435  Hereditary colon ca dsordrs                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81436  Hereditary colon ca dsordrs                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81437  Heredtry nurondcrn tum dsrdr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81438  Heredtry nurondcrn tum dsrdr                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81440  Mitochondrial gene                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81442  Noonan spectrum disorders                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81445  Targeted genomic seq analys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81450  Targeted genomic seq analys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81455  Targeted genomic seq analys                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81460  Whole mitochondrial genome                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81465  Whole mitochondrial genome                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81470  X-linked intellectual dblt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81471  X-linked intellectual dblt                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81479  Unlisted molecular pathology                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81490  Autoimmune rheumatoid arthr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81493  Cor artery disease mrna                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81500  Onco (ovar) two proteins                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81503  Onco (ovar) five proteins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81504  Oncology tissue of origin                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81506  Endo assay seven anal                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81507  Fetal aneuploidy trisom risk                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81508  Ftl cgen abnor two proteins                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81509  Ftl cgen abnor 3 proteins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81510  Ftl cgen abnor three anal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81511  Ftl cgen abnor four anal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81512  Ftl cgen abnor five anal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81519  Oncology breast mrna                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81525  Oncology colon mrna                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81528  Oncology colorectal scr                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81535  Oncology gynecologic                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81536  Oncology gynecologic                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81538  Oncology lung                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81540  Oncology tum unknown origin                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81545  Oncology thyroid                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81595  Cardiology hrt trnspl mrna                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
81599  Unlisted maaa                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82009  Test for acetone/ketones                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82010  Acetone assay                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82013  Acetylcholinesterase assay                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82016  Acylcarnitines qual                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82017  Acylcarnitines quant                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82024  Assay of acth                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82030  Assay of adp & amp                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82040  Assay of serum albumin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82042  Assay of urine albumin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82043  Microalbumin quantitative                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82044  Microalbumin semiquant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82045  Albumin ischemia modified                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82075  Assay of breath ethanol                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82085  Assay of aldolase                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82088  Assay of aldosterone                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82103  Alpha-1-antitrypsin total                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82104  Alpha-1-antitrypsin pheno                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82105  Alpha-fetoprotein serum                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82106  Alpha-fetoprotein amniotic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82107  Alpha-fetoprotein l3                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82108  Assay of aluminum                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82120  Amines vaginal fluid qual                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82127  Amino acid single qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82128  Amino acids mult qual                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82131  Amino acids single quant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82135  Assay aminolevulinic acid                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82140  Assay of ammonia                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82143  Amniotic fluid scan                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82150  Assay of amylase                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82154  Androstanediol glucuronide                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82157  Assay of androstenedione                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82160  Assay of androsterone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82163  Assay of angiotensin ii                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82164  Angiotensin i enzyme test                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82172  Assay of apolipoprotein                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82175  Assay of arsenic                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82180  Assay of ascorbic acid                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82190  Atomic absorption                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82239  Bile acids total                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82240  Bile acids cholylglycine                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82247  Bilirubin total                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82248  Bilirubin direct                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82252  Fecal bilirubin test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82261  Assay of biotinidase                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82270  Occult blood feces                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82271  Occult blood other sources                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82286  Assay of bradykinin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82300  Assay of cadmium                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82306  Vitamin d 25 hydroxy                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82308  Assay of calcitonin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82310  Assay of calcium                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82330  Assay of calcium                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82331  Calcium infusion test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82355  Calculus analysis qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82360  Calculus assay quant                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82365  Calculus spectroscopy                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82370  X-ray assay calculus                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82374  Assay blood carbon dioxide                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82375  Assay carboxyhb quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82376  Assay carboxyhb qual                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82378  Carcinoembryonic antigen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82379  Assay of carnitine                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82380  Assay of carotene                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82382  Assay urine catecholamines                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82383  Assay blood catecholamines                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82384  Assay three catecholamines                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82387  Assay of cathepsin-d                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82390  Assay of ceruloplasmin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82397  Chemiluminescent assay                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82415  Assay of chloramphenicol                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82435  Assay of blood chloride                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82436  Assay of urine chloride                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82438  Assay other fluid chlorides                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82441  Test for chlorohydrocarbons                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82465  Assay bld/serum cholesterol                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82480  Assay serum cholinesterase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82482  Assay rbc cholinesterase                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82485  Assay chondroitin sulfate                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82495  Assay of chromium                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82507  Assay of citrate                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82523  Collagen crosslinks                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82525  Assay of copper                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82528  Assay of corticosterone                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82530  Cortisol free                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82533  Total cortisol                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82540  Assay of creatine                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82542  Col chromotography qual/quan                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82550  Assay of ck (cpk)                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82553  Creatine mb fraction                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82554  Creatine isoforms                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82565  Assay of creatinine                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82570  Assay of urine creatinine                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82575  Creatinine clearance test                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82585  Assay of cryofibrinogen                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82595  Assay of cryoglobulin                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82600  Assay of cyanide                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82607  Vitamin b-12                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82608  B-12 binding capacity                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82610  Cystatin c                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82615  Test for urine cystines                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82626  Dehydroepiandrosterone                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82627  Dehydroepiandrosterone                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82633  Desoxycorticosterone                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82634  Deoxycortisol                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82638  Assay of dibucaine number                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82656  Pancreatic elastase fecal                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82657  Enzyme cell activity                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82658  Enzyme cell activity ra                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82664  Electrophoretic test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82668  Assay of erythropoietin                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82670  Assay of estradiol                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82671  Assay of estrogens                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82672  Assay of estrogen                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82677  Assay of estriol                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82679  Assay of estrone                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82693  Assay of ethylene glycol                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82696  Assay of etiocholanolone                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82705  Fats/lipids feces qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82710  Fats/lipids feces quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82715  Assay of fecal fat                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82726  Long chain fatty acids                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82728  Assay of ferritin                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82731  Assay of fetal fibronectin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82735  Assay of fluoride                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82746  Assay of folic acid serum                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82757  Assay of semen fructose                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82759  Assay of rbc galactokinase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82760  Assay of galactose                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82775  Assay galactose transferase                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82776  Galactose transferase test                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82777  Galectin-3                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82785  Assay of ige                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82800  Blood ph                                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82803  Blood gases any combination                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82820  Hemoglobin-oxygen affinity                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82938  Gastrin test                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82941  Assay of gastrin                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82943  Assay of glucagon                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82945  Glucose other fluid                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82946  Glucagon tolerance test                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82947  Assay glucose blood quant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82948  Reagent strip/blood glucose                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82950  Glucose test                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82951  Glucose tolerance test (gtt)                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82952  Gtt-added samples                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82955  Assay of g6pd enzyme                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82960  Test for g6pd enzyme                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82962  Glucose blood test                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82963  Assay of glucosidase                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82965  Assay of gdh enzyme                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82977  Assay of ggt                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82978  Assay of glutathione                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82979  Assay rbc glutathione                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
82985  Assay of glycated protein                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83001  Assay of gonadotropin (fsh)                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83002  Assay of gonadotropin (lh)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83003  Assay growth hormone (hgh)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83006  Growth stimulation gene 2                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83010  Assay of haptoglobin quant                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83012  Assay of haptoglobins                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83014  H pylori drug admin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83015  Heavy metal screen                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83018  Quantitative screen metals                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83020  Hemoglobin electrophoresis                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8302026Hemoglobin electrophoresis                        A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
83021  Hemoglobin chromotography                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83026  Hemoglobin copper sulfate                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83030  Fetal hemoglobin chemical                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83033  Fetal hemoglobin assay qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83036  Glycosylated hemoglobin test                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83037  Glycosylated hb home device                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83045  Blood methemoglobin test                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83050  Blood methemoglobin assay                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83051  Assay of plasma hemoglobin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83060  Blood sulfhemoglobin assay                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83065  Assay of hemoglobin heat                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83068  Hemoglobin stability screen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83069  Assay of urine hemoglobin                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83070  Assay of hemosiderin qual                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83080  Assay of b hexosaminidase                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83088  Assay of histamine                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83090  Assay of homocystine                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83150  Assay of homovanillic acid                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83491  Assay of corticosteroids 17                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83497  Assay of 5-hiaa                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83498  Assay of progesterone 17-d                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83499  Assay of progesterone 20-                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83500  Assay free hydroxyproline                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83505  Assay total hydroxyproline                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83516  Immunoassay nonantibody                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83518  Immunoassay dipstick                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83519  Ria nonantibody                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83520  Immunoassay quant nos nonab                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83525  Assay of insulin                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83527  Assay of insulin                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83528  Assay of intrinsic factor                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83540  Assay of iron                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83550  Iron binding test                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83570  Assay of idh enzyme                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83582  Assay of ketogenic steroids                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83586  Assay 17- ketosteroids                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83593  Fractionation ketosteroids                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83605  Assay of lactic acid                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83615  Lactate (ld) (ldh) enzyme                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83625  Assay of ldh enzymes                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83630  Lactoferrin fecal (qual)                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83631  Lactoferrin fecal (quant)                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83632  Placental lactogen                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83633  Test urine for lactose                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83655  Assay of lead                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83662  Foam stability fetal lung                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83663  Fluoro polarize fetal lung                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83664  Lamellar bdy fetal lung                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83670  Assay of lap enzyme                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83690  Assay of lipase                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83695  Assay of lipoprotein(a)                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83698  Assay lipoprotein pla2                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83700  Lipopro bld electrophoretic                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83701  Lipoprotein bld hr fraction                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83704  Lipoprotein bld by nmr                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83718  Assay of lipoprotein                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83719  Assay of blood lipoprotein                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83721  Assay of blood lipoprotein                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83727  Assay of lrh hormone                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83735  Assay of magnesium                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83775  Assay malate dehydrogenase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83785  Assay of manganese                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83789  Mass spectrometry qual/quan                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83825  Assay of mercury                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83835  Assay of metanephrines                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83857  Assay of methemalbumin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83861  Microfluid analy tears                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83864  Mucopolysaccharides                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83872  Assay synovial fluid mucin                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83873  Assay of csf protein                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83874  Assay of myoglobin                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83876  Assay myeloperoxidase                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83880  Assay of natriuretic peptide                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83883  Assay nephelometry not spec                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83885  Assay of nickel                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83915  Assay of nucleotidase                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83916  Oligoclonal bands                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83918  Organic acids total quant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83919  Organic acids qual each                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83921  Organic acid single quant                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83930  Assay of blood osmolality                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83935  Assay of urine osmolality                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83937  Assay of osteocalcin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83945  Assay of oxalate                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83950  Oncoprotein her-2/neu                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83951  Oncoprotein dcp                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83970  Assay of parathormone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83987  Exhaled breath condensate                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83992  Assay for phencyclidine                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
83993  Assay for calprotectin fecal                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84030  Assay of blood pku                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84035  Assay of phenylketones                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84060  Assay acid phosphatase                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84061  Phosphatase forensic exam                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84066  Assay prostate phosphatase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84075  Assay alkaline phosphatase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84078  Assay alkaline phosphatase                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84080  Assay alkaline phosphatases                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84081  Assay phosphatidylglycerol                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84087  Assay phosphohexose enzymes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84100  Assay of phosphorus                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84105  Assay of urine phosphorus                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84106  Test for porphobilinogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84110  Assay of porphobilinogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84112  Eval amniotic fluid protein                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84119  Test urine for porphyrins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84120  Assay of urine porphyrins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84126  Assay of feces porphyrins                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84132  Assay of serum potassium                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84133  Assay of urine potassium                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84134  Assay of prealbumin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84135  Assay of pregnanediol                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84138  Assay of pregnanetriol                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84140  Assay of pregnenolone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84143  Assay of 17-hydroxypregneno                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84144  Assay of progesterone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84145  Procalcitonin (pct)                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84146  Assay of prolactin                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84150  Assay of prostaglandin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84152  Assay of psa complexed                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84153  Assay of psa total                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84154  Assay of psa free                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84155  Assay of protein serum                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84156  Assay of protein urine                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84157  Assay of protein other                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84163  Pappa serum                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84165  Protein e-phoresis serum                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8416526Protein e-phoresis serum                          A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8416626Protein e-phoresis/urine/csf                      A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
84181  Western blot test                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8418126Western blot test                                 A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
84182  Protein western blot test                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8418226Protein western blot test                         A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
84202  Assay rbc protoporphyrin                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84203  Test rbc protoporphyrin                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84206  Assay of proinsulin                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84210  Assay of pyruvate                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84220  Assay of pyruvate kinase                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84228  Assay of quinine                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84233  Assay of estrogen                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84234  Assay of progesterone                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84235  Assay of endocrine hormone                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84238  Assay nonendocrine receptor                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84244  Assay of renin                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84255  Assay of selenium                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84260  Assay of serotonin                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84275  Assay of sialic acid                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84285  Assay of silica                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84295  Assay of serum sodium                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84300  Assay of urine sodium                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84302  Assay of sweat sodium                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84305  Assay of somatomedin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84307  Assay of somatostatin                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84311  Spectrophotometry                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84315  Body fluid specific gravity                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84375  Chromatogram assay sugars                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84376  Sugars single qual                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84377  Sugars multiple qual                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84378  Sugars single quant                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84379  Sugars multiple quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84392  Assay of urine sulfate                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84402  Assay of free testosterone                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84403  Assay of total testosterone                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84430  Assay of thiocyanate                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84431  Thromboxane urine                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84432  Assay of thyroglobulin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84436  Assay of total thyroxine                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84437  Assay of neonatal thyroxine                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84439  Assay of free thyroxine                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84442  Assay of thyroid activity                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84443  Assay thyroid stim hormone                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84445  Assay of tsi globulin                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84446  Assay of vitamin e                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84449  Assay of transcortin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84450  Transferase (ast) (sgot)                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84460  Alanine amino (alt) (sgpt)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84466  Assay of transferrin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84478  Assay of triglycerides                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84480  Assay triiodothyronine (t3)                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84481  Free assay (ft-3)                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84482  T3 reverse                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84484  Assay of troponin quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84485  Assay duodenal fluid trypsin                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84488  Test feces for trypsin                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84510  Assay of tyrosine                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84512  Assay of troponin qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84520  Assay of urea nitrogen                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84525  Urea nitrogen semi-quant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84545  Urea-n clearance test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84577  Assay of feces/urobilinogen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84578  Test urine urobilinogen                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84580  Assay of urine urobilinogen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84583  Assay of urine urobilinogen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84585  Assay of urine vma                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84586  Assay of vip                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84588  Assay of vasopressin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84590  Assay of vitamin a                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84591  Assay of nos vitamin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84597  Assay of vitamin k                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84600  Assay of volatiles                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84620  Xylose tolerance test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84630  Assay of zinc                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84681  Assay of c-peptide                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84702  Chorionic gonadotropin test                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84703  Chorionic gonadotropin assay                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84704  Hcg free betachain test                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84830  Ovulation tests                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
84999  Clinical chemistry test                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85002  Bleeding time test                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85004  Automated diff wbc count                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85013  Spun microhematocrit                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85014  Hematocrit                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85018  Hemoglobin                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85027  Complete cbc automated                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85032  Manual cell count each                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85041  Automated rbc count                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85044  Manual reticulocyte count                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85045  Automated reticulocyte count                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85046  Reticyte/hgb concentrate                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85048  Automated leukocyte count                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85049  Automated platelet count                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85055  Reticulated platelet assay                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85060  Blood smear interpretation                        A   0.45   0.24NA   0.24    0.02   0.71  0.718XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
85097  Bone marrow interpretation                        A   0.94   1.55     0.43    0.05   2.54  1.420XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
85130  Chromogenic substrate assay                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85170  Blood clot retraction                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85175  Blood clot lysis time                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85210  Clot factor ii prothrom spec                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85220  Blooc clot factor v test                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85230  Clot factor vii proconvertin                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85240  Clot factor viii ahg 1 stage                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85244  Clot factor viii reltd antgn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85245  Clot factor viii vw ristoctn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85246  Clot factor viii vw antigen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85247  Clot factor viii multimetric                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85250  Clot factor ix ptc/chrstmas                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85260  Clot factor x stuart-power                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85270  Clot factor xi pta                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85280  Clot factor xii hageman                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85290  Clot factor xiii fibrin stab                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85291  Clot factor xiii fibrin scrn                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85292  Clot factor fletcher fact                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85293  Clot factor wght kininogen                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85300  Antithrombin iii activity                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85301  Antithrombin iii antigen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85302  Clot inhibit prot c antigen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85303  Clot inhibit prot c activity                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85305  Clot inhibit prot s total                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85306  Clot inhibit prot s free                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85307  Assay activated protein c                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85335  Factor inhibitor test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85337  Thrombomodulin                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85345  Coagulation time lee & white                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85347  Coagulation time activated                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85348  Coagulation time otr method                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85360  Euglobulin lysis                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85362  Fibrin degradation products                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85366  Fibrinogen test                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85370  Fibrinogen test                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85378  Fibrin degrade semiquant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85379  Fibrin degradation quant                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85380  Fibrin degradj d-dimer                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85384  Fibrinogen activity                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85385  Fibrinogen antigen                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85390  Fibrinolysins screen i&r                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8539026Fibrinolysins screen i&r                          A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
85396  Clotting assay whole blood                        A   0.37   0.20NA   0.20    0.02   0.59  0.590XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
85397  Clotting funct activity                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85400  Fibrinolytic plasmin                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85410  Fibrinolytic antiplasmin                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85415  Fibrinolytic plasminogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85420  Fibrinolytic plasminogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85421  Fibrinolytic plasminogen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85441  Heinz bodies direct                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85445  Heinz bodies induced                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85460  Hemoglobin fetal                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85461  Hemoglobin fetal                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85475  Hemolysin acid                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85520  Heparin assay                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85525  Heparin neutralization                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85530  Heparin-protamine tolerance                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85536  Iron stain peripheral blood                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85540  Wbc alkaline phosphatase                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85547  Rbc mechanical fragility                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85549  Muramidase                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85555  Rbc osmotic fragility                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85557  Rbc osmotic fragility                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85576  Blood platelet aggregation                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8557626Blood platelet aggregation                        A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
85597  Phospholipid pltlt neutraliz                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85598  Hexagnal phosph pltlt neutrl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85610  Prothrombin time                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85611  Prothrombin test                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85612  Viper venom prothrombin time                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85613  Russell viper venom diluted                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85635  Reptilase test                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85651  Rbc sed rate nonautomated                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85652  Rbc sed rate automated                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85660  Rbc sickle cell test                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85670  Thrombin time plasma                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85675  Thrombin time titer                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85705  Thromboplastin inhibition                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85730  Thromboplastin time partial                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85732  Thromboplastin time partial                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85810  Blood viscosity examination                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
85999  Hematology procedure                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86000  Agglutinins febrile antigen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86001  Allergen specific igg                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86003  Allergen specific ige                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86005  Allergen specific ige                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86021  Wbc antibody identification                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86022  Platelet antibodies                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86023  Immunoglobulin assay                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86038  Antinuclear antibodies                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86039  Antinuclear antibodies (ana)                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86060  Antistreptolysin o titer                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86063  Antistreptolysin o screen                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86077  Phys blood bank serv xmatch                       A   0.94   0.61     0.49    0.05   1.60  1.480XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86078  Phys blood bank serv reactj                       A   0.94   0.60     0.49    0.05   1.59  1.480XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86079  Phys blood bank serv authrj                       A   0.94   0.58     0.47    0.05   1.57  1.460XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86140  C-reactive protein                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86141  C-reactive protein hs                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86146  Beta-2 glycoprotein antibody                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86147  Cardiolipin antibody ea ig                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86148  Anti-phospholipid antibody                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86152  Cell enumeration & id                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8615326Cell enumeration phys interp                      A   0.69   0.26     0.26    0.02   0.97  0.976XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86155  Chemotaxis assay                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86156  Cold agglutinin screen                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86157  Cold agglutinin titer                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86160  Complement antigen                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86161  Complement/function activity                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86162  Complement total (ch50)                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86171  Complement fixation each                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86185  Counterimmunoelectrophoresis                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86200  Ccp antibody                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86215  Deoxyribonuclease antibody                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86225  Dna antibody native                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86226  Dna antibody single strand                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86235  Nuclear antigen antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86243  Fc receptor                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86255  Fluorescent antibody screen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8625526Fluorescent antibody screen                       A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86256  Fluorescent antibody titer                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8625626Fluorescent antibody titer                        A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86277  Growth hormone antibody                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86280  Hemagglutination inhibition                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86294  Immunoassay tumor qual                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86304  Immunoassay tumor ca 125                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86305  Human epididymis protein 4                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86308  Heterophile antibody screen                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86309  Heterophile antibody titer                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86310  Heterophile antibody absrbj                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86316  Immunoassay tumor other                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86317  Immunoassay infectious agent                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86318  Immunoassay infectious agent                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86320  Serum immunoelectrophoresis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8632026Serum immunoelectrophoresis                       A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86325  Other immunoelectrophoresis                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8632526Other immunoelectrophoresis                       A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86327  Immunoelectrophoresis assay                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8632726Immunoelectrophoresis assay                       A   0.42   0.16     0.16    0.01   0.59  0.596XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86329  Immunodiffusion nes                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86331  Immunodiffusion ouchterlony                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86332  Immune complex assay                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86334  Immunofix e-phoresis serum                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8633426Immunofix e-phoresis serum                        A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8633526Immunfix e-phorsis/urine/csf                      A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86336  Inhibin a                                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86337  Insulin antibodies                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86340  Intrinsic factor antibody                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86341  Islet cell antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86343  Leukocyte histamine release                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86344  Leukocyte phagocytosis                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86353  Lymphocyte transformation                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86355  B cells total count                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86356  Mononuclear cell antigen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86357  Nk cells total count                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86359  T cells total count                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86361  T cell absolute count                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86367  Stem cells total count                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86376  Microsomal antibody each                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86378  Migration inhibitory factor                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86382  Neutralization test viral                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86384  Nitroblue tetrazolium dye                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86386  Nuclear matrix protein 22                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86403  Particle agglut antbdy scrn                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86406  Particle agglut antbdy titr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86430  Rheumatoid factor test qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86431  Rheumatoid factor quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86485  Skin test candida                                 C   0.00   0.00     0.00    0.00   0.00  0.003XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86486  Skin test nos antigen                             A   0.00   0.13     0.13NA  0.01   0.14  0.143XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86490  Coccidioidomycosis skin test                      A   0.00   1.96     1.96NA  0.01   1.97  1.973XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86510  Histoplasmosis skin test                          A   0.00   0.16     0.16NA  0.01   0.17  0.173XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86580  Tb intradermal test                               A   0.00   0.21     0.21NA  0.01   0.22  0.223XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
86590  Streptokinase antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86602  Antinomyces antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86603  Adenovirus antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86606  Aspergillus antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86609  Bacterium antibody                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86611  Bartonella antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86612  Blastomyces antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86615  Bordetella antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86617  Lyme disease antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86618  Lyme disease antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86619  Borrelia antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86622  Brucella antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86625  Campylobacter antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86628  Candida antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86631  Chlamydia antibody                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86632  Chlamydia igm antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86635  Coccidioides antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86638  Q fever antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86641  Cryptococcus antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86644  Cmv antibody                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86645  Cmv antibody igm                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86648  Diphtheria antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86651  Encephalitis californ antbdy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86652  Encephaltis east eqne anbdy                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86653  Encephaltis st louis antbody                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86654  Encephaltis west eqne antbdy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86658  Enterovirus antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86663  Epstein-barr antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86664  Epstein-barr nuclear antigen                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86665  Epstein-barr capsid vca                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86666  Ehrlichia antibody                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86668  Francisella tularensis                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86671  Fungus nes antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86674  Giardia lamblia antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86677  Helicobacter pylori antibody                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86682  Helminth antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86684  Hemophilus influenza antibdy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86687  Htlv-i antibody                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86688  Htlv-ii antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86689  Htlv/hiv confirmj antibody                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86692  Hepatitis delta agent antbdy                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86694  Herpes simplex nes antbdy                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86695  Herpes simplex type 1 test                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86696  Herpes simplex type 2 test                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86698  Histoplasma antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86701  Hiv-1antibody                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86702  Hiv-2 antibody                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86703  Hiv-1/hiv-2 1 result antbdy                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86706  Hep b surface antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86707  Hepatitis be antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86708  Hepatitis a antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86709  Hepatitis a igm antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86710  Influenza virus antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86711  John cunningham antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86713  Legionella antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86717  Leishmania antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86720  Leptospira antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86723  Listeria monocytogenes                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86727  Lymph choriomeningitis ab                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86729  Lympho venereum antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86732  Mucormycosis antibody                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86735  Mumps antibody                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86738  Mycoplasma antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86741  Neisseria meningitidis                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86744  Nocardia antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86747  Parvovirus antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86750  Malaria antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86753  Protozoa antibody nos                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86756  Respiratory virus antibody                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86757  Rickettsia antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86759  Rotavirus antibody                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86762  Rubella antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86765  Rubeola antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86768  Salmonella antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86771  Shigella antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86774  Tetanus antibody                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86777  Toxoplasma antibody                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86778  Toxoplasma antibody igm                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86780  Treponema pallidum                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86784  Trichinella antibody                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86787  Varicella-zoster antibody                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86789  West nile virus antibody                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86790  Virus antibody nos                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86793  Yersinia antibody                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86800  Thyroglobulin antibody                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86803  Hepatitis c ab test                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86805  Lymphocytotoxicity assay                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86806  Lymphocytotoxicity assay                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86807  Cytotoxic antibody screening                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86808  Cytotoxic antibody screening                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86816  Hla typing dr/dq                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86817  Hla typing dr/dq                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86821  Lymphocyte culture mixed                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86822  Lymphocyte culture primed                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86828  Hla class i&ii antibody qual                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86829  Hla class i/ii antibody qual                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86830  Hla class i phenotype qual                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86831  Hla class ii phenotype qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86832  Hla class i high defin qual                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86833  Hla class ii high defin qual                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86834  Hla class i semiquant panel                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86835  Hla class ii semiquant panel                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86849  Immunology procedure                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86850  Rbc antibody screen                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86860  Rbc antibody elution                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86870  Rbc antibody identification                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86880  Coombs test direct                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86885  Coombs test indirect qual                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86886  Coombs test indirect titer                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86890  Autologous blood process                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86891  Autologous blood op salvage                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86900  Blood typing serologic abo                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86901  Blood typing serologic rh(d)                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86904  Blood typing patient serum                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86905  Blood typing rbc antigens                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86906  Bld typing serologic rh phnt                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86910  Blood typing paternity test                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86911  Blood typing antigen system                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86920  Compatibility test spin                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86921  Compatibility test incubate                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86922  Compatibility test antiglob                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86923  Compatibility test electric                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86927  Plasma fresh frozen                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86930  Frozen blood prep                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86931  Frozen blood thaw                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86932  Frozen blood freeze/thaw                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86940  Hemolysins/agglutinins auto                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86941  Hemolysins/agglutinins                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86945  Blood product/irradiation                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86950  Leukacyte transfusion                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86965  Pooling blood platelets                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86970  Rbc pretx incubatj w/chemicl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86971  Rbc pretx incubatj w/enzymes                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86972  Rbc pretx incubatj w/density                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86975  Rbc serum pretx incubj drugs                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86976  Rbc serum pretx id dilution                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86977  Rbc serum pretx incubj/inhib                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86978  Rbc pretreatment serum                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86985  Split blood or products                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
86999  Transfusion procedure                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87003  Small animal inoculation                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87015  Specimen infect agnt concntj                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87040  Blood culture for bacteria                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87045  Feces culture aerobic bact                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87046  Stool cultr aerobic bact ea                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87070  Culture othr specimn aerobic                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87071  Culture aerobic quant other                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87073  Culture bacteria anaerobic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87075  Cultr bacteria except blood                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87076  Culture anaerobe ident each                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87077  Culture aerobic identify                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87081  Culture screen only                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87086  Urine culture/colony count                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87088  Urine bacteria culture                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87101  Skin fungi culture                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87102  Fungus isolation culture                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87103  Blood fungus culture                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87106  Fungi identification yeast                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87107  Fungi identification mold                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87109  Mycoplasma                                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87110  Chlamydia culture                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87116  Mycobacteria culture                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87118  Mycobacteric identification                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87140  Culture type immunofluoresc                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87143  Culture typing glc/hplc                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87147  Culture type immunologic                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87149  Dna/rna direct probe                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87150  Dna/rna amplified probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87153  Dna/rna sequencing                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87158  Culture typing added method                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87164  Dark field examination                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8716426Dark field examination                            A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
87166  Dark field examination                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87168  Macroscopic exam arthropod                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87169  Macroscopic exam parasite                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87172  Pinworm exam                                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87176  Tissue homogenization cultr                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87177  Ova and parasites smears                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87181  Microbe susceptible diffuse                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87184  Microbe susceptible disk                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87185  Microbe susceptible enzyme                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87186  Microbe susceptible mic                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87187  Microbe susceptible mlc                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87188  Microbe suscept macrobroth                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87190  Microbe suscept mycobacteri                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87197  Bactericidal level serum                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87205  Smear gram stain                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87206  Smear fluorescent/acid stai                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87207  Smear special stain                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8720726Smear special stain                               A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
87209  Smear complex stain                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87220  Tissue exam for fungi                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87230  Assay toxin or antitoxin                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87250  Virus inoculate eggs/animal                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87252  Virus inoculation tissue                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87253  Virus inoculate tissue addl                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87254  Virus inoculation shell via                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87255  Genet virus isolate hsv                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87260  Adenovirus ag if                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87265  Pertussis ag if                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87267  Enterovirus antibody dfa                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87269  Giardia ag if                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87270  Chlamydia trachomatis ag if                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87271  Cytomegalovirus dfa                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87272  Cryptosporidium ag if                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87275  Influenza b ag if                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87276  Influenza a ag if                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87277  Legionella micdadei ag if                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87278  Legion pneumophilia ag if                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87279  Parainfluenza ag if                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87280  Respiratory syncytial ag if                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87281  Pneumocystis carinii ag if                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87283  Rubeola ag if                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87285  Treponema pallidum ag if                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87290  Varicella zoster ag if                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87299  Antibody detection nos if                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87300  Ag detection polyval if                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87301  Adenovirus ag ia                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87305  Aspergillus ag ia                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87320  Chylmd trach ag ia                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87324  Clostridium ag ia                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87327  Cryptococcus neoform ag ia                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87328  Cryptosporidium ag ia                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87329  Giardia ag ia                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87332  Cytomegalovirus ag ia                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87335  E coli 0157 ag ia                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87336  Entamoeb hist dispr ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87337  Entamoeb hist group ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87338  Hpylori stool ia                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87339  H pylori ag ia                                    X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87340  Hepatitis b surface ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87341  Hepatitis b surface ag ia                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87350  Hepatitis be ag ia                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87380  Hepatitis delta ag ia                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87385  Histoplasma capsul ag ia                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87389  Hiv-1 ag w/hiv-1 & hiv-2 ab                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87390  Hiv-1 ag ia                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87391  Hiv-2 ag ia                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87400  Influenza a/b ag ia                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87420  Resp syncytial ag ia                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87425  Rotavirus ag ia                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87427  Shiga-like toxin ag ia                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87430  Strep a ag ia                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87449  Ag detect nos ia mult                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87450  Ag detect nos ia single                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87451  Ag detect polyval ia mult                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87470  Bartonella dna dir probe                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87471  Bartonella dna amp probe                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87472  Bartonella dna quant                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87477  Lyme dis dna quant                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87480  Candida dna dir probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87481  Candida dna amp probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87482  Candida dna quant                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87487  Chylmd pneum dna quant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87492  Chylmd trach dna quant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87493  C diff amplified probe                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87495  Cytomeg dna dir probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87496  Cytomeg dna amp probe                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87497  Cytomeg dna quant                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87498  Enterovirus probe&revrs trns                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87500  Vanomycin dna amp probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87502  Influenza dna amp probe                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87505  Nfct agent detection gi                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87506  Iadna-dna/rna probe tq 6-11                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87507  Iadna-dna/rna probe tq 12-25                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87512  Gardner vag dna quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87517  Hepatitis b dna quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87521  Hepatitis c probe&rvrs trnsc                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87522  Hepatitis c revrs trnscrpj                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87527  Hepatitis g dna quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87528  Hsv dna dir probe                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87529  Hsv dna amp probe                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87530  Hsv dna quant                                     X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87533  Hhv-6 dna quant                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87535  Hiv-1 probe&reverse trnscrpj                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87536  Hiv-1 quant&revrse trnscrpj                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87538  Hiv-2 probe&revrse trnscripj                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87539  Hiv-2 quant&revrse trnscripj                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87542  Legion pneumo dna quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87550  Mycobacteria dna dir probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87551  Mycobacteria dna amp probe                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87552  Mycobacteria dna quant                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87557  M.tuberculo dna quant                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87582  M.pneumon dna quant                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87592  N.gonorrhoeae dna quant                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87623  Hpv low-risk types                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87624  Hpv high-risk types                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87625  Hpv types 16 & 18 only                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87631  Resp virus 3-5 targets                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87632  Resp virus 6-11 targets                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87633  Resp virus 12-25 targets                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87652  Strep a dna quant                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87660  Trichomonas vagin dir probe                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87661  Trichomonas vaginalis amplif                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87804  Influenza assay w/optic                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87806  Hiv antigen w/hiv antibodies                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87807  Rsv assay w/optic                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87808  Trichomonas assay w/optic                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87809  Adenovirus assay w/optic                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87900  Phenotype infect agent drug                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87902  Genotype dna/rna hep c                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87905  Sialidase enzyme assay                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87906  Genotype dna/rna hiv                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87910  Genotype cytomegalovirus                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87912  Genotype dna hepatitis b                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
87999  Microbiology procedure                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88000  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88005  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88007  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88012  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88014  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88016  Autopsy (necropsy) gross                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88020  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88025  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88027  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88028  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88029  Autopsy (necropsy) complete                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88036  Limited autopsy                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88037  Limited autopsy                                   N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88040  Forensic autopsy (necropsy)                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88045  Coroners autopsy (necropsy)                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88099  Necropsy (autopsy) procedure                      N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88104  Cytopath fl nongyn smears                         A   0.56   1.56     1.56NA  0.02   2.14  2.141XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88104TCCytopath fl nongyn smears                         A   0.00   1.29     1.29NA  0.01   1.30  1.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8810426Cytopath fl nongyn smears                         A   0.56   0.27     0.27    0.01   0.84  0.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88106  Cytopath fl nongyn filter                         A   0.37   1.72     1.72NA  0.02   2.11  2.111XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88106TCCytopath fl nongyn filter                         A   0.00   1.53     1.53NA  0.01   1.54  1.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8810626Cytopath fl nongyn filter                         A   0.37   0.19     0.19    0.01   0.57  0.571XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88108  Cytopath concentrate tech                         A   0.44   1.58     1.58NA  0.02   2.04  2.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88108TCCytopath concentrate tech                         A   0.00   1.37     1.37NA  0.01   1.38  1.381XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8810826Cytopath concentrate tech                         A   0.44   0.21     0.21    0.01   0.66  0.661XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88112  Cytopath cell enhance tech                        A   0.56   1.44     1.44NA  0.02   2.02  2.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88112TCCytopath cell enhance tech                        A   0.00   1.20     1.20NA  0.01   1.21  1.211XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8811226Cytopath cell enhance tech                        A   0.56   0.24     0.24    0.01   0.81  0.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88120  Cytp urne 3-5 probes ea spec                      A   1.20  16.62    16.62NA  0.05  17.87 17.871XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88120TCCytp urne 3-5 probes ea spec                      A   0.00  16.17    16.17NA  0.02  16.19 16.191XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8812026Cytp urne 3-5 probes ea spec                      A   1.20   0.45     0.45    0.03   1.68  1.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88121  Cytp urine 3-5 probes cmptr                       A   1.00  14.57    14.57NA  0.03  15.60 15.601XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88121TCCytp urine 3-5 probes cmptr                       A   0.00  14.14    14.14NA  0.01  14.15 14.151XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8812126Cytp urine 3-5 probes cmptr                       A   1.00   0.43     0.43    0.02   1.45  1.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88125  Forensic cytopathology                            A   0.26   0.37     0.37NA  0.03   0.66  0.661XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88125TCForensic cytopathology                            A   0.00   0.26     0.26NA  0.01   0.27  0.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8812526Forensic cytopathology                            A   0.26   0.11     0.11    0.02   0.39  0.391XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88130  Sex chromatin identification                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88140  Sex chromatin identification                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88141  Cytopath c/v interpret                            A   0.42   0.48     0.48    0.02   0.92  0.922XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88147  Cytopath c/v automated                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88150  Cytopath c/v manual                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88153  Cytopath c/v redo                                 X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88154  Cytopath c/v select                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88160  Cytopath smear other source                       A   0.50   1.52     1.52NA  0.02   2.04  2.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88160TCCytopath smear other source                       A   0.00   1.27     1.27NA  0.01   1.28  1.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8816026Cytopath smear other source                       A   0.50   0.25     0.25    0.01   0.76  0.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88161  Cytopath smear other source                       A   0.50   1.31     1.31NA  0.02   1.83  1.831XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88161TCCytopath smear other source                       A   0.00   1.09     1.09NA  0.01   1.10  1.101XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8816126Cytopath smear other source                       A   0.50   0.22     0.22    0.01   0.73  0.731XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88162  Cytopath smear other source                       A   0.76   2.15     2.15NA  0.04   2.95  2.951XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88162TCCytopath smear other source                       A   0.00   1.78     1.78NA  0.02   1.80  1.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8816226Cytopath smear other source                       A   0.76   0.37     0.37    0.02   1.15  1.151XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88172  Cytp dx eval fna 1st ea site                      A   0.69   0.90     0.90NA  0.03   1.62  1.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88172TCCytp dx eval fna 1st ea site                      A   0.00   0.55     0.55NA  0.01   0.56  0.561XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8817226Cytp dx eval fna 1st ea site                      A   0.69   0.35     0.35    0.02   1.06  1.061XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88173  Cytopath eval fna report                          A   1.39   2.90     2.90NA  0.05   4.34  4.341XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88173TCCytopath eval fna report                          A   0.00   2.25     2.25NA  0.02   2.27  2.271XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8817326Cytopath eval fna report                          A   1.39   0.65     0.65    0.03   2.07  2.071XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88177  Cytp fna eval ea addl                             A   0.42   0.43     0.43NA  0.01   0.86  0.861ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88177TCCytp fna eval ea addl                             A   0.00   0.21     0.21NA  0.00   0.21  0.211ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8817726Cytp fna eval ea addl                             A   0.42   0.22     0.22    0.01   0.65  0.651ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88182  Cell marker study                                 A   0.77   2.35     2.35NA  0.04   3.16  3.161XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88182TCCell marker study                                 A   0.00   2.08     2.08NA  0.03   2.11  2.111XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8818226Cell marker study                                 A   0.77   0.27     0.27    0.01   1.05  1.051XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88184  Flowcytometry/ tc 1 marker                        A   0.00   2.12     2.12NA  0.01   2.13  2.133XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88185  Flowcytometry/tc add-on                           A   0.00   1.30     1.30NA  0.00   1.30  1.303ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88187  Flowcytometry/read 2-8                            A   1.36   0.61     0.61    0.07   2.04  2.042XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88188  Flowcytometry/read 9-15                           A   1.69   0.82     0.82    0.09   2.60  2.602XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88189  Flowcytometry/read 16 & >                         A   2.23   0.86     0.86    0.10   3.19  3.192XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88199  Cytopathology procedure                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88199TCCytopathology procedure                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8819926Cytopathology procedure                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88230  Tissue culture lymphocyte                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88233  Tissue culture skin/biopsy                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88235  Tissue culture placenta                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88237  Tissue culture bone marrow                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88239  Tissue culture tumor                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88240  Cell cryopreserve/storage                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88241  Frozen cell preparation                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88245  Chromosome analysis 20-25                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88248  Chromosome analysis 50-100                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88249  Chromosome analysis 100                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88261  Chromosome analysis 5                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88262  Chromosome analysis 15-20                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88263  Chromosome analysis 45                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88264  Chromosome analysis 20-25                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88267  Chromosome analys placenta                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88269  Chromosome analys amniotic                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88271  Cytogenetics dna probe                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88272  Cytogenetics 3-5                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88273  Cytogenetics 10-30                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88274  Cytogenetics 25-99                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88275  Cytogenetics 100-300                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88280  Chromosome karyotype study                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88283  Chromosome banding study                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88285  Chromosome count additional                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88289  Chromosome study additional                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88291  Cyto/molecular report                             A   0.52   0.36     0.36    0.02   0.90  0.902XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88299  Cytogenetic study                                 C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88300  Surgical path gross                               A   0.08   0.33     0.33NA  0.02   0.43  0.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88300TCSurgical path gross                               A   0.00   0.29     0.29NA  0.01   0.30  0.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8830026Surgical path gross                               A   0.08   0.04     0.04    0.01   0.13  0.131XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88302  Tissue exam by pathologist                        A   0.13   0.77     0.77NA  0.02   0.92  0.921XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88302TCTissue exam by pathologist                        A   0.00   0.70     0.70NA  0.01   0.71  0.711XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8830226Tissue exam by pathologist                        A   0.13   0.07     0.07    0.01   0.21  0.211XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88304  Tissue exam by pathologist                        A   0.22   1.05     1.05NA  0.02   1.29  1.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88304TCTissue exam by pathologist                        A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8830426Tissue exam by pathologist                        A   0.22   0.10     0.10    0.01   0.33  0.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88305  Tissue exam by pathologist                        A   0.75   1.29     1.29NA  0.03   2.07  2.071XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88305TCTissue exam by pathologist                        A   0.00   0.95     0.95NA  0.01   0.96  0.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8830526Tissue exam by pathologist                        A   0.75   0.34     0.34    0.02   1.11  1.111XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88307  Tissue exam by pathologist                        A   1.59   7.07     7.07NA  0.06   8.72  8.721XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88307TCTissue exam by pathologist                        A   0.00   6.26     6.26NA  0.02   6.28  6.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8830726Tissue exam by pathologist                        A   1.59   0.81     0.81    0.04   2.44  2.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88309  Tissue exam by pathologist                        A   2.80  10.34    10.34NA  0.10  13.24 13.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88309TCTissue exam by pathologist                        A   0.00   8.89     8.89NA  0.03   8.92  8.921XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8830926Tissue exam by pathologist                        A   2.80   1.45     1.45    0.07   4.32  4.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88311  Decalcify tissue                                  A   0.24   0.35     0.35NA  0.02   0.61  0.611XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88311TCDecalcify tissue                                  A   0.00   0.23     0.23NA  0.01   0.24  0.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8831126Decalcify tissue                                  A   0.24   0.12     0.12    0.01   0.37  0.371XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88312  Special stains group 1                            A   0.54   2.20     2.20NA  0.02   2.76  2.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88312TCSpecial stains group 1                            A   0.00   1.96     1.96NA  0.01   1.97  1.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8831226Special stains group 1                            A   0.54   0.24     0.24    0.01   0.79  0.791XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88313  Special stains group 2                            A   0.24   1.67     1.67NA  0.02   1.93  1.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88313TCSpecial stains group 2                            A   0.00   1.57     1.57NA  0.01   1.58  1.581XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8831326Special stains group 2                            A   0.24   0.10     0.10    0.01   0.35  0.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88314  Histochemical stains add-on                       A   0.45   1.70     1.70NA  0.02   2.17  2.171XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88314TCHistochemical stains add-on                       A   0.00   1.51     1.51NA  0.01   1.52  1.521XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8831426Histochemical stains add-on                       A   0.45   0.19     0.19    0.01   0.65  0.651XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88319  Enzyme histochemistry                             A   0.53   1.96     1.96NA  0.02   2.51  2.511XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88319TCEnzyme histochemistry                             A   0.00   1.71     1.71NA  0.01   1.72  1.721XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8831926Enzyme histochemistry                             A   0.53   0.25     0.25    0.01   0.79  0.791XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88321  Microslide consultation                           A   1.63   1.18     0.74    0.08   2.89  2.450XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88323  Microslide consultation                           A   1.83   2.06     2.06NA  0.04   3.93  3.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88323TCMicroslide consultation                           A   0.00   1.41     1.41NA  0.01   1.42  1.421XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8832326Microslide consultation                           A   1.83   0.65     0.65    0.03   2.51  2.511XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88325  Comprehensive review of data                      A   2.50   2.26     1.24    0.12   4.88  3.860XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88329  Path consult introp                               A   0.67   0.72     0.35    0.04   1.43  1.060XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88331  Path consult intraop 1 bloc                       A   1.19   1.48     1.48NA  0.04   2.71  2.711XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88331TCPath consult intraop 1 bloc                       A   0.00   0.87     0.87NA  0.01   0.88  0.881XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8833126Path consult intraop 1 bloc                       A   1.19   0.61     0.61    0.03   1.83  1.831XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88332  Path consult intraop addl                         A   0.59   0.82     0.82NA  0.02   1.43  1.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88332TCPath consult intraop addl                         A   0.00   0.52     0.52NA  0.01   0.53  0.531XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8833226Path consult intraop addl                         A   0.59   0.30     0.30    0.01   0.90  0.901XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88333  Intraop cyto path consult 1                       A   1.20   1.60     1.60NA  0.04   2.84  2.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88333TCIntraop cyto path consult 1                       A   0.00   0.99     0.99NA  0.01   1.00  1.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8833326Intraop cyto path consult 1                       A   1.20   0.61     0.61    0.03   1.84  1.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88334  Intraop cyto path consult 2                       A   0.73   0.99     0.99NA  0.03   1.75  1.751XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88334TCIntraop cyto path consult 2                       A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8833426Intraop cyto path consult 2                       A   0.73   0.38     0.38    0.02   1.13  1.131XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88341  Immunohisto antb addl slide                       A   0.53   1.98     1.98NA  0.01   2.52  2.521ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88341TCImmunohisto antibody slide                        A   0.00   1.74     1.74NA  0.00   1.74  1.741ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8834126Immunohisto antibody slide                        A   0.53   0.24     0.24    0.01   0.78  0.781ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88342  Immunohisto antb 1st stain                        A   0.70   2.27     2.27NA  0.03   3.00  3.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88342TCImmunohisto antibody stain                        A   0.00   1.95     1.95NA  0.01   1.96  1.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8834226Immunohisto antibody stain                        A   0.70   0.32     0.32    0.02   1.04  1.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88344  Immunohisto antibody slide                        A   0.77   4.06     4.06NA  0.03   4.86  4.861XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88344TCImmunohisto antibody slide                        A   0.00   3.71     3.71NA  0.01   3.72  3.721XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8834426Immunohisto antibody slide                        A   0.77   0.35     0.35    0.02   1.14  1.141XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88346  Immunofluor antb 1st stain                        A   0.74   1.85     1.85NA  0.03   2.62  2.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88346TCImmunofluorescent study                           A   0.00   1.54     1.54NA  0.01   1.55  1.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8834626Immunofluorescent study                           A   0.74   0.31     0.31    0.02   1.07  1.071XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88348  Electron microscopy                               A   1.51   8.15     8.15NA  0.08   9.74  9.741XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88348TCElectron microscopy                               A   0.00   7.48     7.48NA  0.05   7.53  7.531XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8834826Electron microscopy                               A   1.51   0.67     0.67    0.03   2.21  2.211XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88350  Immunofluor antb addl stain                       A   0.56   1.45     1.45NA  0.01   2.02  2.021ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88350TCImmunofluor antb addl stain                       A   0.00   1.22     1.22NA  0.00   1.22  1.221ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8835026Immunofluor antb addl stain                       A   0.56   0.23     0.23    0.01   0.80  0.801ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88355  Analysis skeletal muscle                          A   1.85   2.55     2.55NA  0.02   4.42  4.421XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88355TCAnalysis skeletal muscle                          A   0.00   2.06     2.06NA  0.01   2.07  2.071XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8835526Analysis skeletal muscle                          A   1.85   0.49     0.49    0.01   2.35  2.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88356  Analysis nerve                                    A   2.80   2.91     2.91NA  0.07   5.78  5.781XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88356TCAnalysis nerve                                    A   0.00   2.30     2.30NA  0.03   2.33  2.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8835626Analysis nerve                                    A   2.80   0.61     0.61    0.04   3.45  3.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88358  Analysis tumor                                    A   0.95   1.42     1.42NA  0.03   2.40  2.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88358TCAnalysis tumor                                    A   0.00   1.10     1.10NA  0.01   1.11  1.111XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8835826Analysis tumor                                    A   0.95   0.32     0.32    0.02   1.29  1.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88360  Tumor immunohistochem/manual                      A   1.10   2.27     2.27NA  0.03   3.40  3.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88360TCTumor immunohistochem/manual                      A   0.00   1.81     1.81NA  0.01   1.82  1.821XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836026Tumor immunohistochem/manual                      A   1.10   0.46     0.46    0.02   1.58  1.581XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88361  Tumor immunohistochem/comput                      A   1.18   2.96     2.96NA  0.04   4.18  4.181XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88361TCTumor immunohistochem/comput                      A   0.00   2.47     2.47NA  0.01   2.48  2.481XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836126Tumor immunohistochem/comput                      A   1.18   0.49     0.49    0.03   1.70  1.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88362  Nerve teasing preparations                        A   2.17   5.05     5.05NA  0.08   7.30  7.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88362TCNerve teasing preparations                        A   0.00   4.13     4.13NA  0.02   4.15  4.151XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836226Nerve teasing preparations                        A   2.17   0.92     0.92    0.06   3.15  3.151XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88363  Xm archive tissue molec anal                      A   0.37   0.26     0.17    0.02   0.65  0.560XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88364  Insitu hybridization (fish)                       A   0.67   3.08     3.08NA  0.03   3.78  3.781ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88364TCInsitu hybridization (fish)                       A   0.00   2.79     2.79NA  0.01   2.80  2.801ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836426Insitu hybridization (fish)                       A   0.67   0.29     0.29    0.02   0.98  0.981ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88365  Insitu hybridization (fish)                       A   0.88   4.07     4.07NA  0.03   4.98  4.981XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88365TCInsitu hybridization (fish)                       A   0.00   3.69     3.69NA  0.01   3.70  3.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836526Insitu hybridization (fish)                       A   0.88   0.38     0.38    0.02   1.28  1.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88366  Insitu hybridization (fish)                       A   1.24   6.07     6.07NA  0.04   7.35  7.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88366TCInsitu hybridization (fish)                       A   0.00   5.53     5.53NA  0.01   5.54  5.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836626Insitu hybridization (fish)                       A   1.24   0.54     0.54    0.03   1.81  1.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88367  Insitu hybridization auto                         A   0.73   2.24     2.24NA  0.02   2.99  2.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88367TCInsitu hybridization auto                         A   0.00   1.98     1.98NA  0.01   1.99  1.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836726Insitu hybridization auto                         A   0.73   0.26     0.26    0.01   1.00  1.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88368  Insitu hybridization manual                       A   0.88   2.30     2.30NA  0.02   3.20  3.201XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88368TCInsitu hybridization manual                       A   0.00   2.04     2.04NA  0.01   2.05  2.051XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836826Insitu hybridization manual                       A   0.88   0.26     0.26    0.01   1.15  1.151XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88369  M/phmtrc alysishquant/semiq                       A   0.67   2.34     2.34NA  0.02   3.03  3.031ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88369TCM/phmtrc alysishquant/semiq                       A   0.00   2.13     2.13NA  0.01   2.14  2.141ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8836926M/phmtrc alysishquant/semiq                       A   0.67   0.21     0.21    0.01   0.89  0.891ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88371  Protein western blot tissue                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8837126Protein western blot tissue                       A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88372  Protein analysis w/probe                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8837226Protein analysis w/probe                          A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88373  M/phmtrc alys ishquant/semiq                      A   0.43   1.66     1.66NA  0.01   2.10  2.101ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88373TCM/phmtrc alys ishquant/semiq                      A   0.00   1.50     1.50NA  0.00   1.50  1.501ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8837326M/phmtrc alys ishquant/semiq                      A   0.43   0.16     0.16    0.01   0.60  0.601ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88374  M/phmtrc alys ishquant/semiq                      A   0.93   8.70     8.70NA  0.03   9.66  9.661XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88374TCM/phmtrc alys ishquant/semiq                      A   0.00   8.36     8.36NA  0.01   8.37  8.371XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8837426M/phmtrc alys ishquant/semiq                      A   0.93   0.34     0.34    0.02   1.29  1.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88375  Optical endomicroscpy interp                      A   0.91   0.44     0.44    0.05   1.40  1.402XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88377  M/phmtrc alys ishquant/semiq                      A   1.40  10.07    10.07NA  0.04  11.51 11.511XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88377TCM/phmtrc alys ishquant/semiq                      A   0.00   9.63     9.63NA  0.02   9.65  9.651XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8837726M/phmtrc alys ishquant/semiq                      A   1.40   0.44     0.44    0.02   1.86  1.861XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88380  Microdissection laser                             A   1.14   2.88     2.88NA  0.05   4.07  4.071XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88380TCMicrodissection laser                             A   0.00   2.41     2.41NA  0.02   2.43  2.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8838026Microdissection laser                             A   1.14   0.47     0.47    0.03   1.64  1.641XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88381  Microdissection manual                            A   0.53   2.74     2.74NA  0.03   3.30  3.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88381TCMicrodissection manual                            A   0.00   2.56     2.56NA  0.02   2.58  2.581XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8838126Microdissection manual                            A   0.53   0.18     0.18    0.01   0.72  0.721XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88387  Tiss exam molecular study                         A   0.62   0.54     0.54NA  0.03   1.19  1.191XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88387TCTiss exam molecular study                         A   0.00   0.25     0.25NA  0.01   0.26  0.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8838726Tiss exam molecular study                         A   0.62   0.29     0.29    0.02   0.93  0.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88388  Tiss ex molecul study add-on                      A   0.45   0.51     0.51NA  0.02   0.98  0.981XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88388TCTiss ex molecul study add-on                      A   0.00   0.27     0.27NA  0.01   0.28  0.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8838826Tiss ex molecul study add-on                      A   0.45   0.24     0.24    0.01   0.70  0.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88399  Surgical pathology procedure                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88399TCSurgical pathology procedure                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
8839926Surgical pathology procedure                      C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
88720  Bilirubin total transcut                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88738  Hgb quant transcutaneous                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88740  Transcutaneous carboxyhb                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88741  Transcutaneous methb                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
88749  In vivo lab service                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89049  Chct for mal hyperthermia                         A   1.40   5.86     0.35    0.11   7.37  1.860XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
89050  Body fluid cell count                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89051  Body fluid cell count                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89055  Leukocyte assessment fecal                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89060  Exam synovial fluid crystals                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
8906026Exam synovial fluid crystals                      A   0.37   0.14     0.14    0.01   0.52  0.526XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
89125  Specimen fat stain                                X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89190  Nasal smear for eosinophils                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89220  Sputum specimen collection                        A   0.00   0.45     0.45NA  0.01   0.46  0.463XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
89230  Collect sweat for test                            A   0.00   0.14     0.14NA  0.01   0.15  0.153XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
89240  Pathology lab procedure                           C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89253  Embryo hatching                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89254  Oocyte identification                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89255  Prepare embryo for transfer                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89257  Sperm identification                              X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89258  Cryopreservation embryo(s)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89259  Cryopreservation sperm                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89260  Sperm isolation simple                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89261  Sperm isolation complex                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89264  Identify sperm tissue                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89268  Insemination of oocytes                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89272  Extended culture of oocytes                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89280  Assist oocyte fertilization                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89281  Assist oocyte fertilization                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89290  Biopsy oocyte polar body                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89291  Biopsy oocyte polar body                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89300  Semen analysis w/huhner                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89310  Semen analysis w/count                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89321  Semen anal sperm detection                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89322  Semen anal strict criteria                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89325  Sperm antibody test                               X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89329  Sperm evaluation test                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89330  Evaluation cervical mucus                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89331  Retrograde ejaculation anal                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89335  Cryopreserve testicular tiss                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89337  Cryopreservation oocyte(s)                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89342  Storage/year embryo(s)                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89343  Storage/year sperm/semen                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89344  Storage/year reprod tissue                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89346  Storage/year oocyte(s)                            X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89352  Thawing cryopresrved embryo                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89353  Thawing cryopresrved sperm                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89354  Thaw cryoprsvrd reprod tiss                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
89356  Thawing cryopresrved oocyte                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
9001F  Aortic aneurysm<5cm diam ct                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
9002F  Aortic aneurysm 5-5.4cm diam                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
9003F  Aortic anrysm5.5-5.9cm diam                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
9004F  Aortic anrysm 6/> cm diam                         M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
9005F  Asympt carot/vrtbrbas sten                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
9006F  Sympt sten-tia/strk<120days                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
9007F  Other carot sten 120 days/>                       M   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90281  Human ig im                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90283  Human ig iv                                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90284  Human ig sc                                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90287  Botulinum antitoxin                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90288  Botulism ig iv                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90291  Cmv ig iv                                         I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90296  Diphtheria antitoxin                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90371  Hep b ig im                                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90375  Rabies ig im/sc                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90376  Rabies ig heat treated                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90378  Rsv mab im 50mg                                   X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90385  Rh ig minidose im                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90386  Rh ig iv                                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90389  Tetanus ig im                                     I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90393  Vaccina ig im                                     E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90396  Varicella-zoster ig im                            E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90399  Immune globulin                                   I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90460  Im admin 1st/only component                       A   0.17   0.53     0.53NA  0.01   0.71  0.710XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90461  Im admin each addl component                      A   0.15   0.19     0.19NA  0.01   0.35  0.350ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90471  Immunization admin                                A   0.17   0.53     0.53NA  0.01   0.71  0.715XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90472  Immunization admin each add                       A   0.15   0.19     0.19NA  0.01   0.35  0.355ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90473  Immune admin oral/nasal                           R   0.17   0.53     0.53NA  0.01   0.71  0.710XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90474  Immune admin oral/nasal addl                      R   0.15   0.19     0.19NA  0.01   0.35  0.350ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90476  Adenovirus vaccine type 4                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90477  Adenovirus vaccine type 7                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90581  Anthrax vaccine sc or im                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90585  Bcg vaccine percut                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90586  Bcg vaccine intravesical                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90620  Menb rp w/omv vaccine im                          E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90621  Menb rlp vaccine im                               E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90625  Cholera vaccine live oral                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90630  Flu vacc iiv4 no preserv id                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90632  Hepa vaccine adult im                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90633  Hepa vacc ped/adol 2 dose im                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90634  Hepa vacc ped/adol 3 dose                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90644  Hib-mency vaccine 4 dose im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90647  Hib prp-omp vacc 3 dose im                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90648  Hib prp-t vaccine 4 dose im                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90649  4vhpv vaccine 3 dose im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90650  2vhpv vaccine 3 dose im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90651  9vhpv vaccine 3 dose im                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90653  Iiv adjuvant vaccine im                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90654  Flu vacc iiv3 no preserv id                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90655  Iiv3 vacc no prsv 6-35 mo im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90656  Iiv3 vacc no prsv 3 yrs+ im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90657  Iiv3 vaccine 6-35 months im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90658  Iiv3 vaccine 3 yrs+ im                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90660  Laiv3 vaccine intranasal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90661  Cciiv3 vac im cult prsv free                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90662  Iiv no prsv increased ag im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90664  Laiv vacc pandemic intranasl                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90667  Iiv vacc pandemic adjuvt im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90668  Iiv vaccine pandemic im                           X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90670  Pcv13 vaccine im                                  X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90672  Laiv4 vaccine intranasal                          X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90673  Riv3 vaccine no preserv im                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90675  Rabies vaccine im                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90676  Rabies vaccine id                                 E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90680  Rv5 vacc 3 dose live oral                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90681  Rv1 vacc 2 dose live oral                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90685  Iiv4 vacc no prsv 6-35 m im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90686  Iiv4 vacc no prsv 3 yrs+ im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90687  Iiv4 vaccine 6-35 months im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90688  Iiv4 vaccine 3 yrs plus im                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90690  Typhoid vaccine oral                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90691  Typhoid vaccine im                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90696  Dtap-ipv vaccine 4-6 yrs im                       E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90697  Dtap-ipv-hib-hepb vaccine im                      E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90698  Dtap-ipv/hib vaccine im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90702  Dt vaccine under 7 yrs im                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90707  Mmr vaccine sc                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90710  Mmrv vaccine sc                                   E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90713  Poliovirus ipv sc/im                              E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90714  Td vacc no presv 7 yrs+ im                        E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90715  Tdap vaccine 7 yrs/> im                           E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90716  Var vaccine live subq                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90717  Yellow fever vaccine subq                         E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90732  Ppsv23 vacc 2 yrs+ subq/im                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90733  Mpsv4 vaccine subq                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90734  Menacwy vaccine im                                E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90736  Hzv vaccine live subq                             E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90738  Inactivated je vacc im                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90739  Hepb vacc 2 dose adult im                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90740  Hepb vacc 3 dose immunsup im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90743  Hepb vacc 2 dose adolesc im                       X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90744  Hepb vacc 3 dose ped/adol im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90746  Hepb vaccine 3 dose adult im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90747  Hepb vacc 4 dose immunsup im                      X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90748  Hib-hepb vaccine im                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90749  Vaccine toxoid                                    E   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90785  Psytx complex interactive                         A   0.33   0.05     0.05    0.01   0.39  0.390ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90791  Psych diagnostic evaluation                       A   3.00   0.59     0.47    0.11   3.70  3.580XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90792  Psych diag eval w/med srvcs                       A   3.25   0.70     0.58    0.14   4.09  3.970XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90832  Psytx pt&/family 30 minutes                       A   1.50   0.24     0.23    0.05   1.79  1.780XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90833  Psytx pt&/fam w/e&m 30 min                        A   1.50   0.29     0.27    0.06   1.85  1.830ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90834  Psytx pt&/family 45 minutes                       A   2.00   0.31     0.30    0.07   2.38  2.370XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90836  Psytx pt&/fam w/e&m 45 min                        A   1.90   0.37     0.35    0.08   2.35  2.330ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90837  Psytx pt&/family 60 minutes                       A   3.00   0.47     0.44    0.11   3.58  3.550XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90838  Psytx pt&/fam w/e&m 60 min                        A   2.50   0.49     0.47    0.11   3.10  3.080ZZZ.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
90839  Psytx crisis initial 60 min                       A   3.13   0.49     0.47    0.11   3.73  3.710XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90840  Psytx crisis ea addl 30 min                       A   1.50   0.23     0.22    0.05   1.78  1.770ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90845  Psychoanalysis                                    A   2.10   0.39     0.38    0.08   2.57  2.560XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90846  Family psytx w/o patient                          R   2.40   0.40     0.38    0.09   2.89  2.870XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90847  Family psytx w/patient                            R   2.50   0.40     0.38    0.09   2.99  2.970XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90849  Multiple family group psytx                       R   0.59   0.34     0.24    0.03   0.96  0.860XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90853  Group psychotherapy                               A   0.59   0.11     0.10    0.02   0.72  0.710XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90863  Pharmacologic mgmt w/psytx                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90865  Narcosynthesis                                    A   2.84   1.74     0.68    0.11   4.69  3.630XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90867  Tcranial magn stim tx plan                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
90868  Tcranial magn stim tx deli                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
90869  Tcran magn stim redetemine                        C   0.00   0.00     0.00    0.00   0.00  0.000000.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
90870  Electroconvulsive therapy                         A   2.50   2.40     0.52    0.10   5.00  3.120000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90875  Psychophysiological therapy                       N+  1.20   0.46     0.46    0.07   1.73  1.739XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90876  Psychophysiological therapy                       N+  1.90   1.03     0.73    0.11   3.04  2.749XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90880  Hypnotherapy                                      A   2.19   0.58     0.37    0.08   2.85  2.640XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90882  Environmental manipulation                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90885  Psy evaluation of records                         B+  0.97   0.37     0.37    0.06   1.40  1.409XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90887  Consultation with family                          B+  1.48   0.92     0.57    0.09   2.49  2.149XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90889  Preparation of report                             B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90899  Psychiatric service/therapy                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90901  Biofeedback train any meth                        A   0.41   0.64     0.13    0.02   1.07  0.560000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90911  Biofeedback peri/uro/rectal                       A   0.89   1.42     0.31    0.06   2.37  1.260000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90935  Hemodialysis one evaluation                       A   1.48   0.49NA   0.49    0.08   2.05  2.050000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90937  Hemodialysis repeated eval                        A   2.11   0.71NA   0.71    0.12   2.94  2.940000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90940  Hemodialysis access study                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90945  Dialysis one evaluation                           A   1.56   0.78NA   0.78    0.09   2.43  2.430000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90947  Dialysis repeated eval                            A   2.52   0.84NA   0.84    0.15   3.51  3.510000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90951  Esrd serv 4 visits p mo <2yr                      A  18.46   6.85     6.85    1.32  26.63 26.630XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90952  Esrd serv 2-3 vsts p mo <2yr                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90953  Esrd serv 1 visit p mo <2yrs                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90954  Esrd serv 4 vsts p mo 2-11                        A  15.98   6.05     6.05    1.00  23.03 23.030XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90955  Esrd srv 2-3 vsts p mo 2-11                       A   8.79   3.60     3.60    0.52  12.91 12.910XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90956  Esrd srv 1 visit p mo 2-11                        A   5.95   2.70     2.70    0.35   9.00  9.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90957  Esrd srv 4 vsts p mo 12-19                        A  12.52   4.94     4.94    0.76  18.22 18.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90958  Esrd srv 2-3 vsts p mo 12-19                      A   8.34   3.49     3.49    0.49  12.32 12.320XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90959  Esrd serv 1 vst p mo 12-19                        A   5.50   2.55     2.55    0.32   8.37  8.370XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90960  Esrd srv 4 visits p mo 20+                        A   5.18   2.54     2.54    0.30   8.02  8.020XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90961  Esrd srv 2-3 vsts p mo 20+                        A   4.26   2.23     2.23    0.25   6.74  6.740XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90962  Esrd serv 1 visit p mo 20+                        A   3.15   1.87     1.87    0.18   5.20  5.200XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90963  Esrd home pt serv p mo <2yrs                      A  10.56   4.18     4.18    0.63  15.37 15.370XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90964  Esrd home pt serv p mo 2-11                       A   9.14   3.74     3.74    0.56  13.44 13.440XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90965  Esrd home pt serv p mo 12-19                      A   8.69   3.58     3.58    0.52  12.79 12.790XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90966  Esrd home pt serv p mo 20+                        A   4.26   2.22     2.22    0.24   6.72  6.720XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90967  Esrd home pt serv p day <2                        A   0.35   0.14     0.14    0.02   0.51  0.510XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90968  Esrd home pt srv p day 2-11                       A   0.30   0.12     0.12    0.02   0.44  0.440XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90969  Esrd home pt srv p day 12-19                      A   0.29   0.12     0.12    0.02   0.43  0.430XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90970  Esrd home pt serv p day 20+                       A   0.14   0.07     0.07    0.01   0.22  0.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90989  Dialysis training complete                        X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90993  Dialysis training incompl                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
90997  Hemoperfusion                                     A   1.84   0.69NA   0.69    0.11   2.64  2.640000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
90999  Dialysis procedure                                C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91010  Esophagus motility study                          A   1.28   3.60     3.60NA  0.09   4.97  4.971000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91010TCEsophagus motility study                          A   0.00   3.05     3.05NA  0.01   3.06  3.061000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9101026Esophagus motility study                          A   1.28   0.55     0.55    0.08   1.91  1.911000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91013  Esophgl motil w/stim/perfus                       A   0.18   0.46     0.46NA  0.01   0.65  0.651ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91013TCEsophgl motil w/stim/perfus                       A   0.00   0.38     0.38NA  0.00   0.38  0.381ZZZ.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9101326Esophgl motil w/stim/perfus                       A   0.18   0.08     0.08    0.01   0.27  0.271ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91020  Gastric motility studies                          A   1.44   5.07     5.07NA  0.09   6.60  6.601000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91020TCGastric motility studies                          A   0.00   4.44     4.44NA  0.02   4.46  4.461000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9102026Gastric motility studies                          A   1.44   0.63     0.63    0.07   2.14  2.141000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91022  Duodenal motility study                           A   1.44   3.21     3.21NA  0.07   4.72  4.721000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91022TCDuodenal motility study                           A   0.00   2.58     2.58NA  0.01   2.59  2.591000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9102226Duodenal motility study                           A   1.44   0.63     0.63    0.06   2.13  2.131000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91030  Acid perfusion of esophagus                       A   0.91   2.88     2.88NA  0.05   3.84  3.841000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91030TCAcid perfusion of esophagus                       A   0.00   2.49     2.49NA  0.01   2.50  2.501000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9103026Acid perfusion of esophagus                       A   0.91   0.39     0.39    0.04   1.34  1.341000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91034  Gastroesophageal reflux test                      A   0.97   4.30     4.30NA  0.08   5.35  5.351000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91034TCGastroesophageal reflux test                      A   0.00   3.88     3.88NA  0.01   3.89  3.891000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9103426Gastroesophageal reflux test                      A   0.97   0.42     0.42    0.07   1.46  1.461000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91035  G-esoph reflx tst w/electrod                      A   1.59  11.82    11.82NA  0.13  13.54 13.541000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91035TCG-esoph reflx tst w/electrod                      A   0.00  11.14    11.14NA  0.01  11.15 11.151000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9103526G-esoph reflx tst w/electrod                      A   1.59   0.68     0.68    0.12   2.39  2.391000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91037  Esoph imped function test                         A   0.97   3.49     3.49NA  0.06   4.52  4.521000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91037TCEsoph imped function test                         A   0.00   3.07     3.07NA  0.01   3.08  3.081000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9103726Esoph imped function test                         A   0.97   0.42     0.42    0.05   1.44  1.441000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91038  Esoph imped funct test > 1hr                      A   1.10  11.49    11.49NA  0.07  12.66 12.661000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91038TCEsoph imped funct test > 1hr                      A   0.00  11.02    11.02NA  0.01  11.03 11.031000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9103826Esoph imped funct test > 1hr                      A   1.10   0.47     0.47    0.06   1.63  1.631000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91040  Esoph balloon distension tst                      A   0.97  11.24    11.24NA  0.04  12.25 12.251000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91040TCEsoph balloon distension tst                      A   0.00  10.82    10.82NA  0.01  10.83 10.831000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9104026Esoph balloon distension tst                      A   0.97   0.42     0.42    0.03   1.42  1.421000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91065  Breath hydrogen/methane test                      A   0.20   1.98     1.98NA  0.02   2.20  2.201000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91065TCBreath hydrogen/methane test                      A   0.00   1.90     1.90NA  0.01   1.91  1.911000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9106526Breath hydrogen/methane test                      A   0.20   0.08     0.08    0.01   0.29  0.291000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91110  Gi tract capsule endoscopy                        A   3.64  21.06    21.06NA  0.17  24.87 24.871XXX.00.00.0000000             35.8043 090 99     22.31  22.31   0.17
91110TCGi tract capsule endoscopy                        A   0.00  19.46    19.46NA  0.01  19.47 19.471XXX.00.00.0000000             35.8043 090 99     20.71  20.71   0.01
9111026Gi tract capsule endoscopy                        A   3.64   1.60     1.60    0.16   5.40  5.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91111  Esophageal capsule endoscopy                      A   1.00  19.35    19.35NA  0.06  20.41 20.411XXX.00.00.0000000             35.8043 090 99     21.15  21.15   0.06
91111TCEsophageal capsule endoscopy                      A   0.00  18.91    18.91NA  0.01  18.92 18.921XXX.00.00.0000000             35.8043 090 99     20.71  20.71   0.01
9111126Esophageal capsule endoscopy                      A   1.00   0.44     0.44    0.05   1.49  1.491XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91112  Gi wireless capsule measure                       A   2.10  28.23    28.23NA  0.12  30.45 30.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91112TCGi wireless capsule measure                       A   0.00  27.32    27.32NA  0.01  27.33 27.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9111226Gi wireless capsule measure                       A   2.10   0.91     0.91    0.11   3.12  3.121XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91117  Colon motility 6 hr study                         A   2.45   1.32NA   1.32    0.16   3.93  3.930000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91120  Rectal sensation test                             A   0.97  10.93    10.93NA  0.08  11.98 11.981XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91120TCRectal sensation test                             A   0.00  10.54    10.54NA  0.01  10.55 10.551XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9112026Rectal sensation test                             A   0.97   0.39     0.39    0.07   1.43  1.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91122  Anal pressure record                              A   1.77   4.49     4.49NA  0.15   6.41  6.411000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91122TCAnal pressure record                              A   0.00   3.82     3.82NA  0.02   3.84  3.841000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9112226Anal pressure record                              A   1.77   0.67     0.67    0.13   2.57  2.571000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91132  Electrogastrography                               A   0.52   3.76     3.76NA  0.08   4.36  4.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91132TCElectrogastrography                               A   0.00   3.55     3.55NA  0.01   3.56  3.561XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9113226Electrogastrography                               A   0.52   0.21     0.21    0.07   0.80  0.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91133  Electrogastrography w/test                        A   0.66   4.15     4.15NA  0.04   4.85  4.851XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91133TCElectrogastrography w/test                        A   0.00   3.86     3.86NA  0.01   3.87  3.871XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9113326Electrogastrography w/test                        A   0.66   0.29     0.29    0.03   0.98  0.981XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91200  Liver elastography                                A   0.27   0.60     0.60NA  0.02   0.89  0.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91200TCLiver elastography                                A   0.00   0.51     0.51NA  0.01   0.52  0.521XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9120026Liver elastography                                A   0.27   0.09     0.09    0.01   0.37  0.371XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91299  Gastroenterology procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
91299TCGastroenterology procedure                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9129926Gastroenterology procedure                        C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92002  Eye exam new patient                              A   0.88   1.37     0.44    0.03   2.28  1.350XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92004  Eye exam new patient                              A   1.82   2.29     0.93    0.07   4.18  2.820XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92012  Eye exam establish patient                        A   0.92   1.44     0.53    0.04   2.40  1.490XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92014  Eye exam&tx estab pt 1/>vst                       A   1.42   2.00     0.78    0.06   3.48  2.260XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92015  Determine refractive state                        N+  0.38   0.16     0.15    0.02   0.56  0.559XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92018  New eye exam & treatment                          A   2.50   1.51NA   1.51    0.10   4.11  4.110XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92019  Eye exam & treatment                              A   1.31   0.67NA   0.67    0.05   2.03  2.030XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92020  Special eye evaluation                            A   0.37   0.37     0.21    0.01   0.75  0.590XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92025  Corneal topography                                A   0.35   0.70     0.70NA  0.02   1.07  1.071XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92025TCCorneal topography                                A   0.00   0.49     0.49NA  0.01   0.50  0.501XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
9202526Corneal topography                                A   0.35   0.21     0.21    0.01   0.57  0.571XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92060  Special eye evaluation                            A   0.69   1.12     1.12NA  0.02   1.83  1.831XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92060TCSpecial eye evaluation                            A   0.00   0.74     0.74NA  0.01   0.75  0.751XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9206026Special eye evaluation                            A   0.69   0.38     0.38    0.01   1.08  1.081XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92065  Orthoptic/pleoptic training                       A   0.37   1.11     1.11NA  0.02   1.50  1.501XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92065TCOrthoptic/pleoptic training                       A   0.00   0.98     0.98NA  0.01   0.99  0.991XXX.00.00.0002000             35.8043 010 99      0.00   0.00   0.00
9206526Orthoptic/pleoptic training                       A   0.37   0.13     0.13    0.01   0.51  0.511XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92071  Contact lens fitting for tx                       A   0.61   0.44     0.32    0.02   1.07  0.950XXX.00.00.0001000             35.8043 090 99      0.00   0.00   0.00
92072  Fit contac lens for managmnt                      A   1.97   1.77     0.88    0.07   3.81  2.920XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92081  Visual field examination(s)                       A   0.30   0.63     0.63NA  0.02   0.95  0.951XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92081TCVisual field examination(s)                       A   0.00   0.48     0.48NA  0.01   0.49  0.491XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9208126Visual field examination(s)                       A   0.30   0.15     0.15    0.01   0.46  0.461XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92082  Visual field examination(s)                       A   0.40   0.93     0.93NA  0.02   1.35  1.351XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92082TCVisual field examination(s)                       A   0.00   0.73     0.73NA  0.01   0.74  0.741XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9208226Visual field examination(s)                       A   0.40   0.20     0.20    0.01   0.61  0.611XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92083  Visual field examination(s)                       A   0.50   1.29     1.29NA  0.02   1.81  1.811XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92083TCVisual field examination(s)                       A   0.00   1.01     1.01NA  0.01   1.02  1.021XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9208326Visual field examination(s)                       A   0.50   0.28     0.28    0.01   0.79  0.791XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92100  Serial tonometry exam(s)                          A   0.61   1.62     0.33    0.02   2.25  0.960XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92132  Cmptr ophth dx img ant segmt                      A   0.35   0.61     0.61NA  0.02   0.98  0.981XXX.00.00.0072000             35.8043 090 99      1.70   1.70   0.05
92132TCCmptr ophth dx img ant segmt                      A   0.00   0.43     0.43NA  0.01   0.44  0.441XXX.00.00.0072000             35.8043 010 99      1.52   1.52   0.04
9213226Cmptr ophth dx img ant segmt                      A   0.35   0.18     0.18    0.01   0.54  0.541XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92133  Cmptr ophth img optic nerve                       A   0.50   0.72     0.72NA  0.02   1.24  1.241XXX.00.00.0072000             35.8043 090 99      1.80   1.80   0.04
92133TCCmptr ophth img optic nerve                       A   0.00   0.44     0.44NA  0.01   0.45  0.451XXX.00.00.0072000             35.8043 010 99      1.52   1.52   0.03
9213326Cmptr ophth img optic nerve                       A   0.50   0.28     0.28    0.01   0.79  0.791XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92134  Cptr ophth dx img post segmt                      A   0.50   0.75     0.75NA  0.02   1.27  1.271XXX.00.00.0072000             35.8043 090 99      1.82   1.82   0.04
92134TCCptr ophth dx img post segmt                      A   0.00   0.45     0.45NA  0.01   0.46  0.461XXX.00.00.0072000             35.8043 010 99      1.52   1.52   0.03
9213426Cptr ophth dx img post segmt                      A   0.50   0.30     0.30    0.01   0.81  0.811XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92136  Ophthalmic biometry                               A   0.54   1.98     1.98NA  0.02   2.54  2.541XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92136TCOphthalmic biometry                               A   0.00   1.65     1.65NA  0.01   1.66  1.661XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
9213626Ophthalmic biometry                               A   0.54   0.33     0.33    0.01   0.88  0.881XXX.00.00.0073000             35.8043 090 99      0.00   0.00   0.00
92140  Glaucoma provocative tests                        A   0.50   1.25     0.23    0.03   1.78  0.760XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92145  Corneal hysteresis deter                          A   0.17   0.24     0.24NA  0.02   0.43  0.431XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92145TCCorneal hysteresis deter                          A   0.00   0.18     0.18NA  0.01   0.19  0.191XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9214526Corneal hysteresis deter                          A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92225  Special eye exam initial                          A   0.38   0.37     0.21    0.01   0.76  0.600XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
92226  Special eye exam subsequent                       A   0.33   0.36     0.20    0.01   0.70  0.540XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
92227  Remote dx retinal imaging                         A   0.00   0.40     0.40NA  0.01   0.41  0.413XXX.00.00.0002000             35.8043 090 99      0.83   0.83   0.02
92228  Remote retinal imaging mgmt                       A   0.37   0.58     0.58NA  0.02   0.97  0.971XXX.00.00.0072000             35.8043 090 99      2.68   2.68   0.08
92228TCRemote retinal imaging mgmt                       A   0.00   0.37     0.37NA  0.01   0.38  0.381XXX.00.00.0072000             35.8043 010 99      2.47   2.47   0.07
9222826Remote retinal imaging mgmt                       A   0.37   0.21     0.21    0.01   0.59  0.591XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92230  Eye exam with photos                              A   0.60   1.01     0.32    0.03   1.64  0.950XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
92235  Eye exam with photos                              A   0.81   2.26     2.26NA  0.02   3.09  3.091XXX.00.00.0073000             35.8043 090 99      6.61   6.61   0.04
92235TCEye exam with photos                              A   0.00   1.75     1.75NA  0.01   1.76  1.761XXX.00.00.0073000             35.8043 020 99      6.10   6.10   0.03
9223526Eye exam with photos                              A   0.81   0.51     0.51    0.01   1.33  1.331XXX.00.00.0073000             35.8043 090 99      0.00   0.00   0.00
92240  Icg angiography                                   A   1.10   6.06     6.06NA  0.03   7.19  7.191XXX.00.00.0073000             35.8043 090 99      6.82   6.82   0.03
92240TCIcg angiography                                   A   0.00   5.37     5.37NA  0.01   5.38  5.381XXX.00.00.0073000             35.8043 020 99      6.13   6.13   0.01
9224026Icg angiography                                   A   1.10   0.69     0.69    0.02   1.81  1.811XXX.00.00.0073000             35.8043 090 99      0.00   0.00   0.00
92250  Eye exam with photos                              A   0.44   1.76     1.76NA  0.02   2.22  2.221XXX.00.00.0072000             35.8043 090 99      2.75   2.75   0.03
92250TCEye exam with photos                              A   0.00   1.53     1.53NA  0.01   1.54  1.541XXX.00.00.0072000             35.8043 010 99      2.52   2.52   0.02
9225026Eye exam with photos                              A   0.44   0.23     0.23    0.01   0.68  0.681XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92260  Ophthalmoscopy/dynamometry                        A   0.20   0.31     0.10    0.01   0.52  0.310XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92265  Eye muscle evaluation                             A   0.81   1.38     1.38NA  0.04   2.23  2.231XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92265TCEye muscle evaluation                             A   0.00   1.00     1.00NA  0.01   1.01  1.011XXX.00.00.0072000             35.8043 030 99      0.00   0.00   0.00
9226526Eye muscle evaluation                             A   0.81   0.38     0.38    0.03   1.22  1.221XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92270  Electro-oculography                               A   0.81   1.73     1.73NA  0.04   2.58  2.581XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92270TCElectro-oculography                               A   0.00   1.40     1.40NA  0.01   1.41  1.411XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9227026Electro-oculography                               A   0.81   0.33     0.33    0.03   1.17  1.171XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92275  Electroretinography                               A   1.01   3.14     3.14NA  0.03   4.18  4.181XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92275TCElectroretinography                               A   0.00   2.63     2.63NA  0.02   2.65  2.651XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9227526Electroretinography                               A   1.01   0.51     0.51    0.01   1.53  1.531XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92283  Color vision examination                          A   0.17   1.37     1.37NA  0.02   1.56  1.561XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92283TCColor vision examination                          A   0.00   1.29     1.29NA  0.01   1.30  1.301XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9228326Color vision examination                          A   0.17   0.08     0.08    0.01   0.26  0.261XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92284  Dark adaptation eye exam                          A   0.24   1.47     1.47NA  0.02   1.73  1.731XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92284TCDark adaptation eye exam                          A   0.00   1.37     1.37NA  0.01   1.38  1.381XXX.00.00.0072000             35.8043 010 99      0.00   0.00   0.00
9228426Dark adaptation eye exam                          A   0.24   0.10     0.10    0.01   0.35  0.351XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92285  Eye photography                                   A   0.05   0.51     0.51NA  0.02   0.58  0.581XXX.00.00.0072000             35.8043 090 99      2.52   2.52   0.06
92285TCEye photography                                   A   0.00   0.48     0.48NA  0.01   0.49  0.491XXX.00.00.0072000             35.8043 010 99      2.49   2.49   0.05
9228526Eye photography                                   A   0.05   0.03     0.03    0.01   0.09  0.091XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92286  Internal eye photography                          A   0.40   0.66     0.66NA  0.02   1.08  1.081XXX.00.00.0072000             35.8043 090 99      2.70   2.70   0.07
92286TCInternal eye photography                          A   0.00   0.44     0.44NA  0.01   0.45  0.451XXX.00.00.0072000             35.8043 010 99      2.48   2.48   0.06
9228626Internal eye photography                          A   0.40   0.22     0.22    0.01   0.63  0.631XXX.00.00.0072000             35.8043 090 99      0.00   0.00   0.00
92287  Internal eye photography                          A   0.81   3.04     3.04NA  0.03   3.88  3.881XXX.00.00.0002000             35.8043 090 99      3.02   3.02   0.03
92287TCInternal eye photography                          A   0.00   2.54     2.54NA  0.02   2.56  2.561XXX.00.00.0002000             35.8043 090 99      2.52   2.52   0.02
9228726Internal eye photography                          A   0.81   0.50     0.50    0.01   1.32  1.321XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92310  Contact lens fitting                              N+  1.17   1.46     0.45    0.07   2.70  1.699XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92311  Contact lens fitting                              A   1.08   1.73     0.46    0.04   2.85  1.580XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92312  Contact lens fitting                              A   1.26   1.98     0.50    0.04   3.28  1.800XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92313  Contact lens fitting                              A   0.92   1.78     0.39    0.03   2.73  1.340XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92314  Prescription of contact lens                      N+  0.69   1.51     0.26    0.04   2.24  0.999XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92315  Rx cntact lens aphakia 1 eye                      A   0.45   1.58     0.15    0.02   2.05  0.620XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92316  Rx cntact lens aphakia 2 eye                      A   0.68   1.88     0.23    0.02   2.58  0.930XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92317  Rx corneoscleral cntact lens                      A   0.45   1.67     0.16    0.02   2.14  0.630XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92325  Modification of contact lens                      A   0.00   1.17     1.17NA  0.01   1.18  1.185XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92326  Replacement of contact lens                       A   0.00   0.98     0.98NA  0.01   0.99  0.995XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92340  Fit spectacles monofocal                          N+  0.37   0.61     0.14    0.02   1.00  0.539XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92341  Fit spectacles bifocal                            N+  0.47   0.64     0.18    0.03   1.14  0.689XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92342  Fit spectacles multifocal                         N+  0.53   0.67     0.20    0.03   1.23  0.769XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92352  Fit aphakia spectcl monofocl                      B+  0.37   0.75     0.14    0.02   1.14  0.539XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92353  Fit aphakia spectcl multifoc                      B+  0.50   0.80     0.19    0.03   1.33  0.729XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92354  Fit spectacles single system                      B+  0.00   0.37     0.37NA  0.01   0.38  0.389XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92355  Fit spectacles compound lens                      B+  0.00   0.58     0.58NA  0.01   0.59  0.599XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92358  Aphakia prosth service temp                       B+  0.00   0.31     0.31NA  0.01   0.32  0.329XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92370  Repair & adjust spectacles                        N+  0.32   0.53     0.12    0.02   0.87  0.469XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92371  Repair & adjust spectacles                        B+  0.00   0.32     0.32NA  0.01   0.33  0.339XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92499  Eye service or procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92499TCEye service or procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9249926Eye service or procedure                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92502  Ear and throat examination                        A   1.51   1.15NA   1.15    0.11   2.77  2.770000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92504  Ear microscopy examination                        A   0.18   0.66     0.08    0.01   0.85  0.270XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92507  Speech/hearing therapy                            A   1.30   0.88     0.88NA  0.05   2.23  2.237XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92508  Speech/hearing therapy                            A   0.33   0.32     0.32NA  0.01   0.66  0.667XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92511  Nasopharyngoscopy                                 A   0.61   2.53     0.47    0.04   3.18  1.120000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
92512  Nasal function studies                            A   0.55   1.13     0.23    0.04   1.72  0.820XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92516  Facial nerve function test                        A   0.43   1.53     0.20    0.03   1.99  0.660XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92520  Laryngeal function studies                        A   0.75   1.33     0.37    0.06   2.14  1.180XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92521  Evaluation of speech fluency                      A   1.75   1.30     1.30NA  0.08   3.13  3.137XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92522  Evaluate speech production                        A   1.50   1.04     1.04NA  0.07   2.61  2.617XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92523  Speech sound lang comprehen                       A   3.00   2.34     2.34NA  0.13   5.47  5.477XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92524  Behavral qualit analys voice                      A   1.50   0.96     0.96NA  0.07   2.53  2.537XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92526  Oral function therapy                             A   1.34   1.04     1.04NA  0.05   2.43  2.437XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92531  Spontaneous nystagmus study                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92532  Positional nystagmus test                         B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92533  Caloric vestibular test                           B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92534  Optokinetic nystagmus test                        B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92537  Caloric vstblr test w/rec                         A   0.60   0.51     0.51NA  0.03   1.14  1.141XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92537TCCaloric vstblr test w/rec                         A   0.00   0.23     0.23NA  0.01   0.24  0.241XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
9253726Caloric vstblr test w/rec                         A   0.60   0.28     0.28    0.02   0.90  0.901XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92538  Caloric vstblr test w/rec                         A   0.30   0.26     0.26NA  0.02   0.58  0.581XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92538TCCaloric vstblr test w/rec                         A   0.00   0.12     0.12NA  0.01   0.13  0.131XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
9253826Caloric vstblr test w/rec                         A   0.30   0.14     0.14    0.01   0.45  0.451XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92540  Basic vestibular evaluation                       A   1.50   1.31     1.31NA  0.06   2.87  2.871XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92540TCBasic vestibular evaluation                       A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9254026Basic vestibular evaluation                       A   1.50   0.70     0.70    0.05   2.25  2.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92541  Spontaneous nystagmus test                        A   0.40   0.26     0.26NA  0.02   0.68  0.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92541TCSpontaneous nystagmus test                        A   0.00   0.08     0.08NA  0.01   0.09  0.091XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9254126Spontaneous nystagmus test                        A   0.40   0.18     0.18    0.01   0.59  0.591XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92542  Positional nystagmus test                         A   0.48   0.28     0.28NA  0.03   0.79  0.791XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92542TCPositional nystagmus test                         A   0.00   0.07     0.07NA  0.01   0.08  0.081XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9254226Positional nystagmus test                         A   0.48   0.21     0.21    0.02   0.71  0.711XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92544  Optokinetic nystagmus test                        A   0.27   0.18     0.18NA  0.02   0.47  0.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92544TCOptokinetic nystagmus test                        A   0.00   0.06     0.06NA  0.01   0.07  0.071XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9254426Optokinetic nystagmus test                        A   0.27   0.12     0.12    0.01   0.40  0.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92545  Oscillating tracking test                         A   0.25   0.16     0.16NA  0.02   0.43  0.431XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92545TCOscillating tracking test                         A   0.00   0.05     0.05NA  0.01   0.06  0.061XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9254526Oscillating tracking test                         A   0.25   0.11     0.11    0.01   0.37  0.371XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92546  Sinusoidal rotational test                        A   0.29   2.59     2.59NA  0.03   2.91  2.911XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92546TCSinusoidal rotational test                        A   0.00   2.47     2.47NA  0.02   2.49  2.491XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9254626Sinusoidal rotational test                        A   0.29   0.12     0.12    0.01   0.42  0.421XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92547  Supplemental electrical test                      A   0.00   0.17     0.17NA  0.00   0.17  0.173ZZZ.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
92548  Posturography                                     A   0.50   2.36     2.36NA  0.03   2.89  2.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92548TCPosturography                                     A   0.00   2.14     2.14NA  0.01   2.15  2.151XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9254826Posturography                                     A   0.50   0.22     0.22    0.02   0.74  0.741XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92550  Tympanometry & reflex thresh                      A   0.35   0.23     0.23NA  0.02   0.60  0.607XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92551  Pure tone hearing test air                        N+  0.00   0.33     0.33NA  0.01   0.34  0.349XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92552  Pure tone audiometry air                          A   0.00   0.87     0.87NA  0.01   0.88  0.883XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92553  Audiometry air & bone                             A   0.00   1.04     1.04NA  0.01   1.05  1.053XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92555  Speech threshold audiometry                       A   0.00   0.65     0.65NA  0.01   0.66  0.663XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92556  Speech audiometry complete                        A   0.00   1.04     1.04NA  0.01   1.05  1.053XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92557  Comprehensive hearing test                        A   0.60   0.43     0.30    0.03   1.06  0.937XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92558  Evoked auditory test qual                         X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92559  Group audiometric testing                         N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92560  Bekesy audiometry screen                          N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92561  Bekesy audiometry diagnosis                       A   0.00   1.05     1.05NA  0.02   1.07  1.073XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92562  Loudness balance test                             A   0.00   1.30     1.30NA  0.01   1.31  1.313XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92563  Tone decay hearing test                           A   0.00   0.86     0.86NA  0.01   0.87  0.873XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92564  Sisi hearing test                                 A   0.00   0.78     0.78NA  0.01   0.79  0.793XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92565  Stenger test pure tone                            A   0.00   0.44     0.44NA  0.01   0.45  0.453XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92567  Tympanometry                                      A   0.20   0.20     0.10    0.01   0.41  0.317XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92568  Acoustic refl threshold tst                       A   0.29   0.14     0.13    0.02   0.45  0.447XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92570  Acoustic immitance testing                        A   0.55   0.33     0.27    0.03   0.91  0.857XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92571  Filtered speech hearing test                      A   0.00   0.76     0.76NA  0.01   0.77  0.773XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92572  Staggered spondaic word test                      A   0.00   1.00     1.00NA  0.01   1.01  1.013XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92575  Sensorineural acuity test                         A   0.00   2.02     2.02NA  0.02   2.04  2.043XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92576  Synthetic sentence test                           A   0.00   1.00     1.00NA  0.01   1.01  1.013XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92577  Stenger test speech                               A   0.00   0.46     0.46NA  0.01   0.47  0.473XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92579  Visual audiometry (vra)                           A   0.70   0.44     0.31    0.05   1.19  1.067XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92582  Conditioning play audiometry                      A   0.00   1.89     1.89NA  0.02   1.91  1.913XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92583  Select picture audiometry                         A   0.00   1.47     1.47NA  0.01   1.48  1.483XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92584  Electrocochleography                              A   0.00   2.05     2.05NA  0.02   2.07  2.073XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92585  Auditor evoke potent compre                       A   0.50   3.29     3.29NA  0.04   3.83  3.831XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92585TCAuditor evoke potent compre                       A   0.00   3.05     3.05NA  0.02   3.07  3.071XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
9258526Auditor evoke potent compre                       A   0.50   0.24     0.24    0.02   0.76  0.761XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92586  Auditor evoke potent limit                        A   0.00   2.39     2.39NA  0.02   2.41  2.413XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92587  Evoked auditory test limited                      A   0.35   0.24     0.24NA  0.02   0.61  0.611XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92587TCEvoked auditory test limited                      A   0.00   0.08     0.08NA  0.01   0.09  0.091XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
9258726Evoked auditory test limited                      A   0.35   0.16     0.16    0.01   0.52  0.521XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92588  Evoked auditory tst complete                      A   0.55   0.36     0.36NA  0.02   0.93  0.931XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92588TCEvoked auditory tst complete                      A   0.00   0.10     0.10NA  0.01   0.11  0.111XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
9258826Evoked auditory tst complete                      A   0.55   0.26     0.26    0.01   0.82  0.821XXX.00.00.0002000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92596  Ear protector evaluation                          A   0.00   1.17     1.17NA  0.02   1.19  1.193XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
92597  Oral speech device eval                           A   1.26   0.71     0.71NA  0.07   2.04  2.047XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92601  Cochlear implt f/up exam <7                       A   2.30   1.56     0.96    0.14   4.00  3.407XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
92602  Reprogram cochlear implt 7/>                      A   1.30   1.16     0.59    0.07   2.53  1.967XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
92603  Cochlear implt f/up exam 7/>                      A   2.25   1.93     1.12    0.10   4.28  3.477XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
92604  Reprogram cochlear implt 7/>                      A   1.25   1.23     0.62    0.05   2.53  1.927XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
92605  Ex for nonspeech device rx                        B+  1.75   0.78     0.67    0.10   2.63  2.529XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92606  Non-speech device service                         B+  1.40   0.87     0.54    0.08   2.35  2.029XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92607  Ex for speech device rx 1hr                       A   1.85   1.64     1.64NA  0.08   3.57  3.577XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92608  Ex for speech device rx addl                      A   0.70   0.76     0.76NA  0.03   1.49  1.497ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92609  Use of speech device service                      A   1.50   1.57     1.57NA  0.05   3.12  3.127XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
92610  Evaluate swallowing function                      A   1.30   1.05     0.70    0.06   2.41  2.067XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92611  Motion fluoroscopy/swallow                        A   1.34   1.03     1.03NA  0.09   2.46  2.467XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92612  Endoscopy swallow tst (fees)                      A   1.27   3.92     0.59    0.08   5.27  1.940XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92613  Endoscopy swallow tst (fees)                      A   0.71   0.32     0.32    0.06   1.09  1.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92614  Laryngoscopic sensory test                        A   1.27   2.78     0.58    0.08   4.13  1.930XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92615  Eval laryngoscopy sense tst                       A   0.63   0.29     0.28    0.04   0.96  0.950XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92616  Fees w/laryngeal sense test                       A   1.88   3.90     0.88    0.12   5.90  2.880XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92617  Interprt fees/laryngeal test                      A   0.79   0.35     0.35    0.05   1.19  1.190XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92618  Ex for nonspeech dev rx add                       B+  0.65   0.27     0.25    0.04   0.96  0.949ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92620  Auditory function 60 min                          A   1.50   1.10     0.78    0.06   2.66  2.349XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92621  Auditory function + 15 min                        A   0.35   0.27     0.18    0.01   0.63  0.549ZZZ.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
92625  Tinnitus assessment                               A   1.15   0.78     0.57    0.05   1.98  1.779XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92626  Eval aud rehab status                             A   1.40   1.08     0.71    0.05   2.53  2.169XXX.00.00.0002000             35.8043 020 99      0.00   0.00   0.00
92627  Eval aud status rehab add-on                      A   0.33   0.29     0.17    0.01   0.63  0.519ZZZ.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92640  Aud brainstem implt programg                      A   1.76   1.37     0.89    0.07   3.20  2.729XXX.00.00.0002000             35.8043 050 99      0.00   0.00   0.00
92700  Ent procedure/service                             C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92920  Prq cardiac angioplast 1 art                      A  10.10   3.45NA   3.45    2.32  15.87 15.870000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92921  Prq cardiac angio addl art                        B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92924  Prq card angio/athrect 1 art                      A  11.99   4.10NA   4.10    2.76  18.85 18.850000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92925  Prq card angio/athrect addl                       B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92928  Prq card stent w/angio 1 vsl                      A  11.21   3.82NA   3.82    2.59  17.62 17.620000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92929  Prq card stent w/angio addl                       B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92933  Prq card stent/ath/angio                          A  12.54   4.27NA   4.27    2.90  19.71 19.710000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92934  Prq card stent/ath/angio                          B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92937  Prq revasc byp graft 1 vsl                        A  11.20   3.82NA   3.82    2.59  17.61 17.610000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92938  Prq revasc byp graft addl                         B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92941  Prq card revasc mi 1 vsl                          A  12.56   4.28NA   4.28    2.91  19.75 19.750000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92943  Prq card revasc chronic 1vsl                      A  12.56   4.28NA   4.28    2.90  19.74 19.740000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92944  Prq card revasc chronic addl                      B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92950  Heart/lung resuscitation cpr                      A   4.00   4.25     0.97    0.36   8.61  5.330000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92953  Temporary external pacing                         A   0.23   0.07NA   0.07    0.02   0.32  0.320000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92960  Cardioversion electric ext                        A   2.25   3.43     1.08    0.15   5.83  3.480000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92961  Cardioversion electric int                        A   4.59   1.97NA   1.97    0.98   7.54  7.540000.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
92970  Cardioassist internal                             A   3.51   1.32NA   1.32    0.58   5.41  5.410000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92971  Cardioassist external                             A   1.77   0.75NA   0.75    0.41   2.93  2.930000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92973  Prq coronary mech thrombect                       A   3.28   1.12NA   1.12    0.75   5.15  5.150ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92974  Cath place cardio brachytx                        A   3.00   1.02NA   1.02    0.68   4.70  4.700ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92975  Dissolve clot heart vessel                        A   7.24   2.46NA   2.46    1.65  11.35 11.350000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92977  Dissolve clot heart vessel                        A   0.00   1.62     1.62NA  0.13   1.75  1.755XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92978  Intravasc us heart add-on                         C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92978TCIntravasc us heart add-on                         C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9297826Intravasc us heart add-on                         A   1.80   0.62     0.62    0.36   2.78  2.781ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92979  Intravasc us heart add-on                         C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92979TCIntravasc us heart add-on                         C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9297926Intravasc us heart add-on                         A   1.44   0.49     0.49    0.29   2.22  2.221ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
92986  Revision of aortic valve                          A  22.85  10.60NA  10.60    5.26  38.71 38.710090.09.84.0720000             35.8043 090 99      0.00   0.00   0.00
92987  Revision of mitral valve                          A  23.63  10.95NA  10.95    5.34  39.92 39.920090.09.84.0720000             35.8043 090 99      0.00   0.00   0.00
92990  Revision of pulmonary valve                       A  18.27   8.99NA   8.99    4.24  31.50 31.500090.09.84.0720000             35.8043 090 99      0.00   0.00   0.00
92992  Revision of heart chamber                         C   0.00   0.00     0.00    0.00   0.00  0.000090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
92993  Revision of heart chamber                         C   0.00   0.00     0.00    0.00   0.00  0.000090.09.84.0720200             35.8043 090 99      0.00   0.00   0.00
92997  Pul art balloon repr percut                       A  11.98   4.26NA   4.26    2.82  19.06 19.060000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
92998  Pul art balloon repr percut                       A   5.99   2.05NA   2.05    1.35   9.39  9.390ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93000  Electrocardiogram complete                        A   0.17   0.29     0.29NA  0.02   0.48  0.484XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93005  Electrocardiogram tracing                         A   0.00   0.23     0.23NA  0.01   0.24  0.243XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93010  Electrocardiogram report                          A   0.17   0.06     0.06    0.01   0.24  0.242XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93015  Cardiovascular stress test                        A   0.75   1.36     1.36NA  0.04   2.15  2.154XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
93016  Cardiovascular stress test                        A   0.45   0.16     0.16    0.02   0.63  0.632XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
93017  Cardiovascular stress test                        A   0.00   1.10     1.10NA  0.01   1.11  1.113XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
93018  Cardiovascular stress test                        A   0.30   0.10     0.10    0.01   0.41  0.412XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93024  Cardiac drug stress test                          A   1.17   1.93     1.93NA  0.06   3.16  3.161XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93024TCCardiac drug stress test                          A   0.00   1.52     1.52NA  0.02   1.54  1.541XXX.00.00.0060000             35.8043 030 99      0.00   0.00   0.00
9302426Cardiac drug stress test                          A   1.17   0.41     0.41    0.04   1.62  1.621XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93025  Microvolt t-wave assess                           A   0.75   3.71     3.71NA  0.04   4.50  4.501XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93025TCMicrovolt t-wave assess                           A   0.00   3.45     3.45NA  0.01   3.46  3.461XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
9302526Microvolt t-wave assess                           A   0.75   0.26     0.26    0.03   1.04  1.041XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93040  Rhythm ecg with report                            A   0.15   0.19     0.19NA  0.02   0.36  0.364XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93041  Rhythm ecg tracing                                A   0.00   0.15     0.15NA  0.01   0.16  0.163XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93042  Rhythm ecg report                                 A   0.15   0.04     0.04    0.01   0.20  0.202XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93050  Art pressure waveform analys                      A   0.17   0.30     0.30NA  0.02   0.49  0.491XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93050TCArt pressure waveform analys                      A   0.00   0.24     0.24NA  0.01   0.25  0.251XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
9305026Art pressure waveform analys                      A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93224  Ecg monit/reprt up to 48 hrs                      A   0.52   2.01     2.01NA  0.04   2.57  2.574XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93225  Ecg monit/reprt up to 48 hrs                      A   0.00   0.74     0.74NA  0.01   0.75  0.753XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93226  Ecg monit/reprt up to 48 hrs                      A   0.00   1.06     1.06NA  0.01   1.07  1.073XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93227  Ecg monit/reprt up to 48 hrs                      A   0.52   0.21     0.21    0.02   0.75  0.752XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93228  Remote 30 day ecg rev/report                      A   0.52   0.19     0.19    0.03   0.74  0.742XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93229  Remote 30 day ecg tech supp                       A   0.00  20.44    20.44NA  0.06  20.50 20.503XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93260  Prgrmg dev eval impltbl sys                       A   0.85   1.00     1.00NA  0.04   1.89  1.891XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93260TCPrgrmg dev eval impltbl sys                       A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9326026Prgrmg dev eval impltbl sys                       A   0.85   0.39     0.39    0.03   1.27  1.271XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93261  Interrogate subq defib                            A   0.74   0.94     0.94NA  0.03   1.71  1.711XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93261TCInterrogate subq defib                            A   0.00   0.61     0.61NA  0.01   0.62  0.621XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9326126Interrogate subq defib                            A   0.74   0.33     0.33    0.02   1.09  1.091XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93268  Ecg record/review                                 A   0.52   5.23     5.23NA  0.04   5.79  5.794XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93270  Remote 30 day ecg rev/report                      A   0.00   0.25     0.25NA  0.01   0.26  0.263XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93271  Ecg/monitoring and analysis                       A   0.00   4.80     4.80NA  0.01   4.81  4.813XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93272  Ecg/review interpret only                         A   0.52   0.18     0.18    0.02   0.72  0.722XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93278  Ecg/signal-averaged                               A   0.25   0.58     0.58NA  0.02   0.85  0.851XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93278TCEcg/signal-averaged                               A   0.00   0.49     0.49NA  0.01   0.50  0.501XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
9327826Ecg/signal-averaged                               A   0.25   0.09     0.09    0.01   0.35  0.351XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93279  Pm device progr eval sngl                         A   0.65   0.72     0.72NA  0.03   1.40  1.401XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93279TCPm device progr eval sngl                         A   0.00   0.48     0.48NA  0.01   0.49  0.491XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9327926Pm device progr eval sngl                         A   0.65   0.24     0.24    0.02   0.91  0.911XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93280  Pm device progr eval dual                         A   0.77   0.83     0.83NA  0.04   1.64  1.641XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93280TCPm device progr eval dual                         A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328026Pm device progr eval dual                         A   0.77   0.29     0.29    0.03   1.09  1.091XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93281  Pm device progr eval multi                        A   0.90   0.98     0.98NA  0.04   1.92  1.921XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93281TCPm device progr eval multi                        A   0.00   0.64     0.64NA  0.01   0.65  0.651XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328126Pm device progr eval multi                        A   0.90   0.34     0.34    0.03   1.27  1.271XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93282  Prgrmg eval implantable dfb                       A   0.85   0.88     0.88NA  0.04   1.77  1.771XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93282TCPrgrmg eval implantable dfb                       A   0.00   0.56     0.56NA  0.01   0.57  0.571XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328226Prgrmg eval implantable dfb                       A   0.85   0.32     0.32    0.03   1.20  1.201XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93283  Prgrmg eval implantable dfb                       A   1.15   1.10     1.10NA  0.05   2.30  2.301XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93283TCPrgrmg eval implantable dfb                       A   0.00   0.66     0.66NA  0.01   0.67  0.671XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328326Prgrmg eval implantable dfb                       A   1.15   0.44     0.44    0.04   1.63  1.631XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93284  Prgrmg eval implantable dfb                       A   1.25   1.23     1.23NA  0.06   2.54  2.541XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93284TCPrgrmg eval implantable dfb                       A   0.00   0.75     0.75NA  0.01   0.76  0.761XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328426Prgrmg eval implantable dfb                       A   1.25   0.48     0.48    0.05   1.78  1.781XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93285  Ilr device eval progr                             A   0.52   0.64     0.64NA  0.03   1.19  1.191XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93285TCIlr device eval progr                             A   0.00   0.44     0.44NA  0.01   0.45  0.451XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328526Ilr device eval progr                             A   0.52   0.20     0.20    0.02   0.74  0.741XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93286  Peri-px pacemaker device evl                      A   0.30   0.45     0.45NA  0.02   0.77  0.771XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93286TCPeri-px pacemaker device evl                      A   0.00   0.33     0.33NA  0.01   0.34  0.341XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328626Peri-px pacemaker device evl                      A   0.30   0.12     0.12    0.01   0.43  0.431XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93287  Peri-px device eval & prgr                        A   0.45   0.54     0.54NA  0.03   1.02  1.021XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93287TCPeri-px device eval & prgr                        A   0.00   0.36     0.36NA  0.01   0.37  0.371XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328726Peri-px device eval & prgr                        A   0.45   0.18     0.18    0.02   0.65  0.651XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93288  Pm device eval in person                          A   0.43   0.58     0.58NA  0.03   1.04  1.041XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93288TCPm device eval in person                          A   0.00   0.43     0.43NA  0.01   0.44  0.441XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328826Pm device eval in person                          A   0.43   0.15     0.15    0.02   0.60  0.601XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93289  Interrog device eval heart                        A   0.92   0.88     0.88NA  0.04   1.84  1.841XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93289TCInterrog device eval heart                        A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9328926Interrog device eval heart                        A   0.92   0.34     0.34    0.03   1.29  1.291XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93290  Icm device eval                                   A   0.43   0.42     0.42NA  0.03   0.88  0.881XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93290TCIcm device eval                                   A   0.00   0.26     0.26NA  0.01   0.27  0.271XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9329026Icm device eval                                   A   0.43   0.16     0.16    0.02   0.61  0.611XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93291  Ilr device interrogate                            A   0.43   0.56     0.56NA  0.03   1.02  1.021XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93291TCIlr device interrogate                            A   0.00   0.40     0.40NA  0.01   0.41  0.411XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9329126Ilr device interrogate                            A   0.43   0.16     0.16    0.02   0.61  0.611XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93292  Wcd device interrogate                            A   0.43   0.46     0.46NA  0.03   0.92  0.921XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93292TCWcd device interrogate                            A   0.00   0.30     0.30NA  0.01   0.31  0.311XXX.00.00.0060000             35.8043 020 99      0.00   0.00   0.00
9329226Wcd device interrogate                            A   0.43   0.16     0.16    0.02   0.61  0.611XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93293  Pm phone r-strip device eval                      A   0.32   1.16     1.16NA  0.02   1.50  1.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93293TCPm phone r-strip device eval                      A   0.00   1.05     1.05NA  0.01   1.06  1.061XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9329326Pm phone r-strip device eval                      A   0.32   0.11     0.11    0.01   0.44  0.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93294  Pm device interrogate remote                      A   0.65   0.27     0.27    0.04   0.96  0.962XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93295  Dev interrog remote 1/2/mlt                       A   1.29   0.53     0.53    0.09   1.91  1.912XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93296  Pm/icd remote tech serv                           A   0.00   0.72     0.72NA  0.01   0.73  0.733XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
93297  Icm device interrogat remote                      A   0.52   0.20     0.20    0.03   0.75  0.752XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93298  Ilr device interrogat remote                      A   0.52   0.20     0.20    0.03   0.75  0.752XXX.00.00.0000000             35.8043 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  0.003XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
93303  Echo transthoracic                                A   1.30   5.36     5.36NA  0.07   6.73  6.731XXX.00.00.0060000             35.8043 090 99     19.84  19.84   0.13
93303TCEcho transthoracic                                A   0.00   4.90     4.90NA  0.02   4.92  4.921XXX.00.00.0060000             35.8043 010 99     19.38  19.38   0.08
9330326Echo transthoracic                                A   1.30   0.46     0.46    0.05   1.81  1.811XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93304  Echo transthoracic                                A   0.75   3.61     3.61NA  0.04   4.40  4.401XXX.00.00.0060000             35.8043 090 99     11.84  11.84   0.06
93304TCEcho transthoracic                                A   0.00   3.35     3.35NA  0.01   3.36  3.361XXX.00.00.0060000             35.8043 010 99     11.58  11.58   0.03
9330426Echo transthoracic                                A   0.75   0.26     0.26    0.03   1.04  1.041XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93306  Tte w/doppler complete                            A   1.30   5.06     5.06NA  0.07   6.43  6.431XXX.00.00.0060000             35.8043 090 99     12.01  12.01   0.10
93306TCTte w/doppler complete                            A   0.00   4.61     4.61NA  0.02   4.63  4.631XXX.00.00.0060000             35.8043 010 99     11.56  11.56   0.05
9330626Tte w/doppler complete                            A   1.30   0.45     0.45    0.05   1.80  1.801XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93307  Tte w/o doppler complete                          A   0.92   2.72     2.72NA  0.04   3.68  3.681XXX.00.00.0060000             35.8043 090 99     11.90  11.90   0.08
93307TCTte w/o doppler complete                          A   0.00   2.39     2.39NA  0.01   2.40  2.401XXX.00.00.0060000             35.8043 010 99     11.57  11.57   0.05
9330726Tte w/o doppler complete                          A   0.92   0.33     0.33    0.03   1.28  1.281XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93308  Tte f-up or lmtd                                  A   0.53   2.96     2.96NA  0.03   3.52  3.521XXX.00.00.0060000             35.8043 090 99      4.44   4.44   0.04
93308TCTte f-up or lmtd                                  A   0.00   2.78     2.78NA  0.01   2.79  2.791XXX.00.00.0060000             35.8043 010 99      4.26   4.26   0.02
9330826Tte f-up or lmtd                                  A   0.53   0.18     0.18    0.02   0.73  0.731XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93312  Echo transesophageal                              A   2.55   5.96     5.96NA  0.13   8.64  8.641XXX.00.00.0060000             35.8043 090 99     20.14  20.14   0.21
93312TCEcho transesophageal                              A   0.00   5.17     5.17NA  0.03   5.20  5.201XXX.00.00.0060000             35.8043 030 99     19.35  19.35   0.11
9331226Echo transesophageal                              A   2.55   0.79     0.79    0.10   3.44  3.441XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93313  Echo transesophageal                              A   0.51   0.09NA   0.09    0.04   0.64  0.640XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
93314  Echo transesophageal                              A   2.10   6.16     6.16NA  0.21   8.47  8.471XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93314TCEcho transesophageal                              A   0.00   5.49     5.49NA  0.03   5.52  5.521XXX.00.00.0060000             35.8043 030 99      0.00   0.00   0.00
9331426Echo transesophageal                              A   2.10   0.67     0.67    0.18   2.95  2.951XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93315  Echo transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99     20.40  20.40   0.14
93315TCEcho transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99     19.45  19.45   0.01
9331526Echo transesophageal                              A   2.94   0.95     0.95    0.13   4.02  4.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93316  Echo transesophageal                              A   0.85   0.17NA   0.17    0.07   1.09  1.090XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
93317  Echo transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93317TCEcho transesophageal                              C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9331726Echo transesophageal                              A   2.09   0.71     0.71    0.20   3.00  3.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93318  Echo transesophageal intraop                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             35.8043 090 99     20.19  20.19   0.18
93318TCEcho transesophageal intraop                      C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             35.8043 010 99     19.45  19.45   0.01
9331826Echo transesophageal intraop                      A   2.40   0.74     0.74    0.17   3.31  3.311XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93320  Doppler echo exam heart                           A   0.38   1.14     1.14NA  0.01   1.53  1.531ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93320TCDoppler echo exam heart                           A   0.00   1.01     1.01NA  0.00   1.01  1.011ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9332026Doppler echo exam heart                           A   0.38   0.13     0.13    0.01   0.52  0.521ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93321  Doppler echo exam heart                           A   0.15   0.61     0.61NA  0.01   0.77  0.771ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93321TCDoppler echo exam heart                           A   0.00   0.56     0.56NA  0.00   0.56  0.561ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9332126Doppler echo exam heart                           A   0.15   0.05     0.05    0.01   0.21  0.211ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93325  Doppler color flow add-on                         A   0.07   0.65     0.65NA  0.00   0.72  0.721ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93325TCDoppler color flow add-on                         A   0.00   0.63     0.63NA  0.00   0.63  0.631ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9332526Doppler color flow add-on                         A   0.07   0.02     0.02    0.00   0.09  0.091ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93350  Stress tte only                                   A   1.46   5.27     5.27NA  0.07   6.80  6.801XXX.00.00.0060000             35.8043 090 99     12.08  12.08   0.10
93350TCStress tte only                                   A   0.00   4.76     4.76NA  0.02   4.78  4.781XXX.00.00.0060000             35.8043 020 99     11.57  11.57   0.05
9335026Stress tte only                                   A   1.46   0.51     0.51    0.05   2.02  2.021XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93351  Stress tte complete                               A   1.75   5.81     5.81NA  0.09   7.65  7.651XXX.00.00.0060999             35.8043 090 99     12.15  12.15   0.13
93351TCStress tte complete                               A   0.00   5.21     5.21NA  0.03   5.24  5.241XXX.00.00.0060999             35.8043 020 99     11.55  11.55   0.07
9335126Stress tte complete                               A   1.75   0.60     0.60    0.06   2.41  2.411XXX.00.00.0060999             35.8043 090 99      0.00   0.00   0.00
93352  Admin ecg contrast agent                          A   0.19   0.75     0.75NA  0.02   0.96  0.960ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93355  Echo transesophageal (tee)                        A   4.66   1.45NA   1.45    0.32   6.43  6.430XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93451  Right heart cath                                  A   2.72  18.94    18.94NA  0.55  22.21 22.211000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93451TCRight heart cath                                  A   0.00  18.01    18.01NA  0.03  18.04 18.041000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345126Right heart cath                                  A   2.72   0.93     0.93    0.52   4.17  4.171000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93452  Left hrt cath w/ventrclgrphy                      A   4.75  19.34    19.34NA  0.94  25.03 25.031000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93452TCLeft hrt cath w/ventrclgrphy                      A   0.00  17.70    17.70NA  0.04  17.74 17.741000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345226Left hrt cath w/ventrclgrphy                      A   4.75   1.64     1.64    0.90   7.29  7.291000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93453  R&l hrt cath w/ventriclgrphy                      A   6.24  24.76    24.76NA  1.30  32.30 32.301000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93453TCR&l hrt cath w/ventriclgrphy                      A   0.00  22.61    22.61NA  0.05  22.66 22.661000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345326R&l hrt cath w/ventriclgrphy                      A   6.24   2.15     2.15    1.25   9.64  9.641000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93454  Coronary artery angio s&i                         A   4.79  19.62    19.62NA  1.00  25.41 25.411000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93454TCCoronary artery angio s&i                         A   0.00  17.98    17.98NA  0.04  18.02 18.021000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345426Coronary artery angio s&i                         A   4.79   1.64     1.64    0.96   7.39  7.391000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93455  Coronary art/grft angio s&i                       A   5.54  22.88    22.88NA  1.16  29.58 29.581000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93455TCCoronary art/grft angio s&i                       A   0.00  20.99    20.99NA  0.05  21.04 21.041000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345526Coronary art/grft angio s&i                       A   5.54   1.89     1.89    1.11   8.54  8.541000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93456  R hrt coronary artery angio                       A   6.15  24.41    24.41NA  1.28  31.84 31.841000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93456TCR hrt coronary artery angio                       A   0.00  22.31    22.31NA  0.05  22.36 22.361000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345626R hrt coronary artery angio                       A   6.15   2.10     2.10    1.23   9.48  9.481000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93457  R hrt art/grft angio                              A   6.89  27.66    27.66NA  1.44  35.99 35.991000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93457TCR hrt art/grft angio                              A   0.00  25.31    25.31NA  0.05  25.36 25.361000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345726R hrt art/grft angio                              A   6.89   2.35     2.35    1.39  10.63 10.631000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93458  L hrt artery/ventricle angio                      A   5.85  23.41    23.41NA  1.23  30.49 30.491000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93458TCL hrt artery/ventricle angio                      A   0.00  21.41    21.41NA  0.05  21.46 21.461000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345826L hrt artery/ventricle angio                      A   5.85   2.00     2.00    1.18   9.03  9.031000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93459  L hrt art/grft angio                              A   6.60  25.71    25.71NA  1.38  33.69 33.691000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93459TCL hrt art/grft angio                              A   0.00  23.46    23.46NA  0.05  23.51 23.511000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9345926L hrt art/grft angio                              A   6.60   2.25     2.25    1.33  10.18 10.181000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93460  R&l hrt art/ventricle angio                       A   7.35  27.26    27.26NA  1.53  36.14 36.141000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93460TCR&l hrt art/ventricle angio                       A   0.00  24.75    24.75NA  0.05  24.80 24.801000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9346026R&l hrt art/ventricle angio                       A   7.35   2.51     2.51    1.48  11.34 11.341000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93461  R&l hrt art/ventricle angio                       A   8.10  31.53    31.53NA  1.70  41.33 41.331000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93461TCR&l hrt art/ventricle angio                       A   0.00  28.76    28.76NA  0.06  28.82 28.821000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9346126R&l hrt art/ventricle angio                       A   8.10   2.77     2.77    1.64  12.51 12.511000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93462  L hrt cath trnsptl puncture                       A   3.73   1.48     1.48    0.86   6.07  6.070ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93463  Drug admin & hemodynmic meas                      A   2.00   0.68     0.68    0.13   2.81  2.810ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93464  Exercise w/hemodynamic meas                       A   1.80   5.87     5.87NA  0.09   7.76  7.761ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93464TCExercise w/hemodynamic meas                       A   0.00   5.26     5.26NA  0.02   5.28  5.281ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9346426Exercise w/hemodynamic meas                       A   1.80   0.61     0.61    0.07   2.48  2.481ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93503  Insert/place heart catheter                       A   2.91   0.54NA   0.54    0.25   3.70  3.700000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93505  Biopsy of heart lining                            A   4.37  16.38    16.38NA  0.90  21.65 21.651000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93505TCBiopsy of heart lining                            A   0.00  14.89    14.89NA  0.03  14.92 14.921000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9350526Biopsy of heart lining                            A   4.37   1.49     1.49    0.87   6.73  6.731000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93530  Rt heart cath congenital                          C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93530TCRt heart cath congenital                          C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9353026Rt heart cath congenital                          A   4.22   1.45     1.45    0.70   6.37  6.371000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93531  R & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93531TCR & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9353126R & l heart cath congenital                       A   8.34   2.84     2.84    1.27  12.45 12.451000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93532  R & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93532TCR & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9353226R & l heart cath congenital                       A   9.99   3.38     3.38    2.07  15.44 15.441000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93533  R & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93533TCR & l heart cath congenital                       C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9353326R & l heart cath congenital                       A   6.69   2.25     2.25    1.36  10.30 10.301000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93561  Cardiac output measurement                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93561TCCardiac output measurement                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9356126Cardiac output measurement                        A   0.50   0.18     0.18    0.05   0.73  0.731000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93562  Card output measure subsq                         C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93562TCCard output measure subsq                         C   0.00   0.00NA   0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9356226Card output measure subsq                         A   0.16   0.06     0.06    0.01   0.23  0.231000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93563  Inject congenital card cath                       A   1.11   0.38     0.38    0.21   1.70  1.700ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93564  Inject hrt congntl art/grft                       A   1.13   0.39     0.39    0.26   1.78  1.780ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93565  Inject l ventr/atrial angio                       A   0.86   0.30     0.30    0.17   1.33  1.330ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93566  Inject r ventr/atrial angio                       A   0.86   3.81     0.29    0.19   4.86  1.340ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93567  Inject suprvlv aortography                        A   0.97   2.82     0.33    0.22   4.01  1.520ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93568  Inject pulm art hrt cath                          A   0.88   3.29     0.30    0.19   4.36  1.370ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93571  Heart flow reserve measure                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93571TCHeart flow reserve measure                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9357126Heart flow reserve measure                        A   1.80   0.61     0.61    0.36   2.77  2.771ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93572  Heart flow reserve measure                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93572TCHeart flow reserve measure                        C   0.00   0.00NA   0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9357226Heart flow reserve measure                        A   1.44   0.49     0.49    0.29   2.22  2.221ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93580  Transcath closure of asd                          A  17.97   6.48NA   6.48    3.95  28.40 28.400000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93581  Transcath closure of vsd                          A  24.39   8.58NA   8.58    5.78  38.75 38.750000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93582  Perq transcath closure pda                        A  12.56   4.12NA   4.12    2.74  19.42 19.420000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93583  Perq transcath septal reduxn                      A  14.00   4.86NA   4.86    3.07  21.93 21.930000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93600  Bundle of his recording                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93600TCBundle of his recording                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9360026Bundle of his recording                           A   2.12   0.87     0.87    0.43   3.42  3.421000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93602  Intra-atrial recording                            C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93602TCIntra-atrial recording                            C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9360226Intra-atrial recording                            A   2.12   0.81     0.81    0.42   3.35  3.351000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93603  Right ventricular recording                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93603TCRight ventricular recording                       C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9360326Right ventricular recording                       A   2.12   0.81     0.81    0.42   3.35  3.351000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93609  Map tachycardia add-on                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93609TCMap tachycardia add-on                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9360926Map tachycardia add-on                            A   4.99   2.01     2.01    1.01   8.01  8.011ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93610  Intra-atrial pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93610TCIntra-atrial pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9361026Intra-atrial pacing                               A   3.02   1.14     1.14    0.60   4.76  4.761000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93612  Intraventricular pacing                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93612TCIntraventricular pacing                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9361226Intraventricular pacing                           A   3.02   1.11     1.11    0.59   4.72  4.721000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93613  Electrophys map 3d add-on                         A   6.99   2.92NA   2.92    1.62  11.53 11.530ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93615  Esophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93615TCEsophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9361526Esophageal recording                              A   0.99   0.46     0.46    0.04   1.49  1.491000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93616  Esophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93616TCEsophageal recording                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9361626Esophageal recording                              A   1.49   0.27     0.27    0.07   1.83  1.831000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93618  Heart rhythm pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93618TCHeart rhythm pacing                               C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9361826Heart rhythm pacing                               A   4.25   1.73     1.73    0.86   6.84  6.841000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93619  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93619TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9361926Electrophysiology evaluation                      A   7.31   2.89     2.89    1.48  11.68 11.681000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93620  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93620TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9362026Electrophysiology evaluation                      A  11.57   4.62     4.62    2.34  18.53 18.531000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93621  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93621TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9362126Electrophysiology evaluation                      A   2.10   0.85     0.85    0.43   3.38  3.381ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93622  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93622TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9362226Electrophysiology evaluation                      A   3.10   1.21     1.21    0.63   4.94  4.941ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93623  Stimulation pacing heart                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93623TCStimulation pacing heart                          C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9362326Stimulation pacing heart                          A   2.85   1.16     1.16    0.58   4.59  4.591ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93624  Electrophysiologic study                          C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93624TCElectrophysiologic study                          C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9362426Electrophysiologic study                          A   4.80   1.81     1.81    0.98   7.59  7.591000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93631  Heart pacing mapping                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93631TCHeart pacing mapping                              C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9363126Heart pacing mapping                              A   7.59   2.36     2.36    1.58  11.53 11.531000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93640  Evaluation heart device                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93640TCEvaluation heart device                           C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9364026Evaluation heart device                           A   3.51   1.33     1.33    0.72   5.56  5.561000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93641  Electrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93641TCElectrophysiology evaluation                      C   0.00   0.00     0.00NA  0.00   0.00  0.001000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9364126Electrophysiology evaluation                      A   5.92   2.33     2.33    1.20   9.45  9.451000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93642  Electrophysiology evaluation                      A   4.88   6.22     6.22NA  1.04  12.14 12.141000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93642TCElectrophysiology evaluation                      A   0.00   4.26     4.26NA  0.04   4.30  4.301000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9364226Electrophysiology evaluation                      A   4.88   1.96     1.96    1.00   7.84  7.841000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93644  Electrophysiology evaluation                      A   3.29   4.47     4.47NA  0.12   7.88  7.881000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93644TCElectrophysiology evaluation                      A   0.00   2.95     2.95NA  0.02   2.97  2.971000.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9364426Electrophysiology evaluation                      A   3.29   1.52     1.52    0.10   4.91  4.911000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93650  Ablate heart dysrhythm focus                      A  10.49   4.58NA   4.58    2.43  17.50 17.500000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93653  Ep & ablate supravent arrhyt                      A  15.00   6.14NA   6.14    3.48  24.62 24.620000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93654  Ep & ablate ventric tachy                         A  20.00   8.15NA   8.15    4.65  32.80 32.800000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93655  Ablate arrhythmia add on                          A   7.50   3.07NA   3.07    1.74  12.31 12.310ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93656  Tx atrial fib pulm vein isol                      A  20.02   8.15NA   8.15    4.65  32.82 32.820000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93657  Tx l/r atrial fib addl                            A   7.50   3.06NA   3.06    1.75  12.31 12.310ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93660  Tilt table evaluation                             A   1.89   2.48     2.48NA  0.09   4.46  4.461000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93660TCTilt table evaluation                             A   0.00   1.77     1.77NA  0.02   1.79  1.791000.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9366026Tilt table evaluation                             A   1.89   0.71     0.71    0.07   2.67  2.671000.00.00.0020000             35.8043 090 99      0.00   0.00   0.00
93662  Intracardiac ecg (ice)                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93662TCIntracardiac ecg (ice)                            C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9366226Intracardiac ecg (ice)                            A   2.80   1.15     1.15    0.10   4.05  4.051ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93668  Peripheral vascular rehab                         N+  0.00   0.53     0.53NA  0.01   0.54  0.549XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
93701  Bioimpedance cv analysis                          A   0.00   0.67     0.67NA  0.01   0.68  0.683XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93702  Bis xtracell fluid analysis                       A   0.00   3.04     3.04NA  0.01   3.05  3.053XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93724  Analyze pacemaker system                          A   4.88   2.59     2.59NA  0.19   7.66  7.661000.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93724TCAnalyze pacemaker system                          A   0.00   0.78     0.78NA  0.01   0.79  0.791000.00.00.0060000             35.8043 030 99      0.00   0.00   0.00
9372426Analyze pacemaker system                          A   4.88   1.81     1.81    0.18   6.87  6.871000.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93740  Temperature gradient studies                      B+  0.16   0.06     0.06    0.01   0.23  0.239XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
93745  Set-up cardiovert-defibrill                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93745TCSet-up cardiovert-defibrill                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9374526Set-up cardiovert-defibrill                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93750  Interrogation vad in person                       A   0.92   0.56     0.30    0.10   1.58  1.320XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93770  Measure venous pressure                           B+  0.16   0.06     0.06    0.01   0.23  0.239XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
93784  Ambulatory bp monitoring                          A   0.38   1.11     1.11NA  0.03   1.52  1.524XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93786  Ambulatory bp recording                           A   0.00   0.83     0.83NA  0.01   0.84  0.843XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93788  Ambulatory bp analysis                            A   0.00   0.14     0.14NA  0.01   0.15  0.153XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93790  Review/report bp recording                        A   0.38   0.14     0.14    0.01   0.53  0.532XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93797  Cardiac rehab                                     A   0.18   0.27     0.06    0.01   0.46  0.250000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93798  Cardiac rehab/monitor                             A   0.28   0.41     0.10    0.02   0.71  0.400000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93799  Cardiovascular procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93799TCCardiovascular procedure                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9379926Cardiovascular procedure                          C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93880  Extracranial bilat study                          A   0.80   4.87     4.87NA  0.09   5.76  5.761XXX.00.00.0062000             35.8043 090 99      4.53   4.53   0.09
93880TCExtracranial bilat study                          A   0.00   4.60     4.60NA  0.02   4.62  4.621XXX.00.00.0062000             35.8043 010 99      4.26   4.26   0.02
9388026Extracranial bilat study                          A   0.80   0.27     0.27    0.07   1.14  1.141XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93882  Extracranial uni/ltd study                        A   0.50   3.10     3.10NA  0.08   3.68  3.681XXX.00.00.0060000             35.8043 090 99      4.41   4.41   0.08
93882TCExtracranial uni/ltd study                        A   0.00   2.95     2.95NA  0.01   2.96  2.961XXX.00.00.0060000             35.8043 010 99      4.26   4.26   0.01
9388226Extracranial uni/ltd study                        A   0.50   0.15     0.15    0.07   0.72  0.721XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93886  Intracranial complete study                       A   0.91   7.00     7.00NA  0.09   8.00  8.001XXX.00.00.0060000             35.8043 090 99      4.63   4.63   0.08
93886TCIntracranial complete study                       A   0.00   6.63     6.63NA  0.02   6.65  6.651XXX.00.00.0060000             35.8043 010 99      4.26   4.26   0.01
9388626Intracranial complete study                       A   0.91   0.37     0.37    0.07   1.35  1.351XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93888  Intracranial limited study                        A   0.50   3.65     3.65NA  0.05   4.20  4.201XXX.00.00.0060000             35.8043 090 99      4.46   4.46   0.05
93888TCIntracranial limited study                        A   0.00   3.46     3.46NA  0.01   3.47  3.471XXX.00.00.0060000             35.8043 010 99      4.27   4.27   0.01
9388826Intracranial limited study                        A   0.50   0.19     0.19    0.04   0.73  0.731XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93890  Tcd vasoreactivity study                          A   1.00   7.13     7.13NA  0.08   8.21  8.211XXX.00.00.0060000             35.8043 090 99      4.68   4.68   0.07
93890TCTcd vasoreactivity study                          A   0.00   6.72     6.72NA  0.02   6.74  6.741XXX.00.00.0060000             35.8043 010 99      4.27   4.27   0.01
9389026Tcd vasoreactivity study                          A   1.00   0.41     0.41    0.06   1.47  1.471XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93892  Tcd emboli detect w/o inj                         A   1.15   8.24     8.24NA  0.13   9.52  9.521XXX.00.00.0060000             35.8043 090 99      3.04   3.04   0.12
93892TCTcd emboli detect w/o inj                         A   0.00   7.76     7.76NA  0.02   7.78  7.781XXX.00.00.0060000             35.8043 010 99      2.56   2.56   0.01
9389226Tcd emboli detect w/o inj                         A   1.15   0.48     0.48    0.11   1.74  1.741XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93893  Tcd emboli detect w/inj                           A   1.15   8.69     8.69NA  0.10   9.94  9.941XXX.00.00.0060000             35.8043 090 99      3.03   3.03   0.09
93893TCTcd emboli detect w/inj                           A   0.00   8.22     8.22NA  0.02   8.24  8.241XXX.00.00.0060000             35.8043 010 99      2.56   2.56   0.01
9389326Tcd emboli detect w/inj                           A   1.15   0.47     0.47    0.08   1.70  1.701XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93895  Carotid intima atheroma eval                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93895TCCarotid intima atheroma eval                      N   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
9389526Carotid intima atheroma eval                      N   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0060000             35.8043 010 99      0.00   0.00   0.00
93922  Upr/l xtremity art 2 levels                       A   0.25   2.24     2.24NA  0.04   2.53  2.531XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93922TCUpr/l xtremity art 2 levels                       A   0.00   2.16     2.16NA  0.01   2.17  2.171XXX.00.00.0062000             35.8043 010 99      0.00   0.00   0.00
9392226Upr/l xtremity art 2 levels                       A   0.25   0.08     0.08    0.03   0.36  0.361XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93923  Upr/lxtr art stdy 3+ lvls                         A   0.45   3.42     3.42NA  0.07   3.94  3.941XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93923TCUpr/lxtr art stdy 3+ lvls                         A   0.00   3.28     3.28NA  0.02   3.30  3.301XXX.00.00.0062000             35.8043 010 99      0.00   0.00   0.00
9392326Upr/lxtr art stdy 3+ lvls                         A   0.45   0.14     0.14    0.05   0.64  0.641XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93924  Lwr xtr vasc stdy bilat                           A   0.50   4.37     4.37NA  0.07   4.94  4.941XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93924TCLwr xtr vasc stdy bilat                           A   0.00   4.21     4.21NA  0.02   4.23  4.231XXX.00.00.0062000             35.8043 010 99      0.00   0.00   0.00
9392426Lwr xtr vasc stdy bilat                           A   0.50   0.16     0.16    0.05   0.71  0.711XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93925  Lower extremity study                             A   0.80   6.52     6.52NA  0.08   7.40  7.401XXX.00.00.0062000             35.8043 090 99      4.52   4.52   0.07
93925TCLower extremity study                             A   0.00   6.26     6.26NA  0.02   6.28  6.281XXX.00.00.0062000             35.8043 010 99      4.26   4.26   0.01
9392526Lower extremity study                             A   0.80   0.26     0.26    0.06   1.12  1.121XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93926  Lower extremity study                             A   0.50   3.79     3.79NA  0.07   4.36  4.361XXX.00.00.0060000             35.8043 090 99      4.39   4.39   0.07
93926TCLower extremity study                             A   0.00   3.65     3.65NA  0.02   3.67  3.671XXX.00.00.0060000             35.8043 010 99      4.25   4.25   0.02
9392626Lower extremity study                             A   0.50   0.14     0.14    0.05   0.69  0.691XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93930  Upper extremity study                             A   0.80   5.05     5.05NA  0.10   5.95  5.951XXX.00.00.0062000             35.8043 090 99      4.52   4.52   0.10
93930TCUpper extremity study                             A   0.00   4.79     4.79NA  0.02   4.81  4.811XXX.00.00.0062000             35.8043 010 99      4.26   4.26   0.02
9393026Upper extremity study                             A   0.80   0.26     0.26    0.08   1.14  1.141XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93931  Upper extremity study                             A   0.50   3.12     3.12NA  0.06   3.68  3.681XXX.00.00.0060000             35.8043 090 99      4.42   4.42   0.06
93931TCUpper extremity study                             A   0.00   2.96     2.96NA  0.01   2.97  2.971XXX.00.00.0060000             35.8043 010 99      4.26   4.26   0.01
9393126Upper extremity study                             A   0.50   0.16     0.16    0.05   0.71  0.711XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93965  Extremity study                                   A   0.35   3.02     3.02NA  0.04   3.41  3.411XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93965TCExtremity study                                   A   0.00   2.90     2.90NA  0.01   2.91  2.911XXX.00.00.0062000             35.8043 010 99      0.00   0.00   0.00
9396526Extremity study                                   A   0.35   0.12     0.12    0.03   0.50  0.501XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93970  Extremity study                                   A   0.70   4.83     4.83NA  0.08   5.61  5.611XXX.00.00.0062000             35.8043 090 99      4.49   4.49   0.08
93970TCExtremity study                                   A   0.00   4.60     4.60NA  0.02   4.62  4.621XXX.00.00.0062000             35.8043 010 99      4.26   4.26   0.02
9397026Extremity study                                   A   0.70   0.23     0.23    0.06   0.99  0.991XXX.00.00.0062000             35.8043 090 99      0.00   0.00   0.00
93971  Extremity study                                   A   0.45   2.93     2.93NA  0.05   3.43  3.431XXX.00.00.0060000             35.8043 090 99      4.41   4.41   0.06
93971TCExtremity study                                   A   0.00   2.78     2.78NA  0.01   2.79  2.791XXX.00.00.0060000             35.8043 010 99      4.26   4.26   0.02
9397126Extremity study                                   A   0.45   0.15     0.15    0.04   0.64  0.641XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93975  Vascular study                                    A   1.16   6.76     6.76NA  0.12   8.04  8.041XXX.00.00.0060000             35.8043 090 99      4.65   4.65   0.11
93975TCVascular study                                    A   0.00   6.37     6.37NA  0.02   6.39  6.391XXX.00.00.0060000             35.8043 010 99      4.26   4.26   0.01
9397526Vascular study                                    A   1.16   0.39     0.39    0.10   1.65  1.651XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93976  Vascular study                                    A   0.80   3.78     3.78NA  0.06   4.64  4.641XXX.00.00.0060000             35.8043 090 99      4.56   4.56   0.06
93976TCVascular study                                    A   0.00   3.49     3.49NA  0.01   3.50  3.501XXX.00.00.0060000             35.8043 010 99      4.27   4.27   0.01
9397626Vascular study                                    A   0.80   0.29     0.29    0.05   1.14  1.141XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93978  Vascular study                                    A   0.80   4.55     4.55NA  0.11   5.46  5.461XXX.00.00.0060000             35.8043 090 99      4.51   4.51   0.11
93978TCVascular study                                    A   0.00   4.30     4.30NA  0.02   4.32  4.321XXX.00.00.0060000             35.8043 010 99      4.26   4.26   0.02
9397826Vascular study                                    A   0.80   0.25     0.25    0.09   1.14  1.141XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93979  Vascular study                                    A   0.50   2.85     2.85NA  0.07   3.42  3.421XXX.00.00.0060000             35.8043 090 99      4.41   4.41   0.08
93979TCVascular study                                    A   0.00   2.70     2.70NA  0.01   2.71  2.711XXX.00.00.0060000             35.8043 010 99      4.26   4.26   0.02
9397926Vascular study                                    A   0.50   0.15     0.15    0.06   0.71  0.711XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93980  Penile vascular study                             A   1.25   2.11     2.11NA  0.06   3.42  3.421XXX.00.00.0060000             35.8043 090 99      4.69   4.69   0.08
93980TCPenile vascular study                             A   0.00   1.67     1.67NA  0.01   1.68  1.681XXX.00.00.0060000             35.8043 010 99      4.25   4.25   0.03
9398026Penile vascular study                             A   1.25   0.44     0.44    0.05   1.74  1.741XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93981  Penile vascular study                             A   0.44   1.58     1.58NA  0.06   2.08  2.081XXX.00.00.0060000             35.8043 090 99      4.39   4.39   0.08
93981TCPenile vascular study                             A   0.00   1.44     1.44NA  0.01   1.45  1.451XXX.00.00.0060000             35.8043 010 99      4.25   4.25   0.03
9398126Penile vascular study                             A   0.44   0.14     0.14    0.05   0.63  0.631XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93982  Aneurysm pressure sens study                      R   0.30   0.88     0.88NA  0.04   1.22  1.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
93990  Doppler flow testing                              A   0.50   4.01     4.01NA  0.10   4.61  4.611XXX.00.00.0060000             35.8043 090 99      2.68   2.68   0.09
93990TCDoppler flow testing                              A   0.00   3.88     3.88NA  0.02   3.90  3.901XXX.00.00.0060000             35.8043 010 99      2.55   2.55   0.01
9399026Doppler flow testing                              A   0.50   0.13     0.13    0.08   0.71  0.711XXX.00.00.0060000             35.8043 090 99      0.00   0.00   0.00
93998  Noninvas vasc dx study proc                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000011             35.8043 090 99      0.00   0.00   0.00
94002  Vent mgmt inpat init day                          A   1.99   0.49NA   0.49    0.16   2.64  2.640XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94003  Vent mgmt inpat subq day                          A   1.37   0.42NA   0.42    0.11   1.90  1.900XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94004  Vent mgmt nf per day                              A   1.00   0.32NA   0.32    0.07   1.39  1.390XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94005  Home vent mgmt supervision                        B+  1.50   1.03     1.03NA  0.09   2.62  2.629XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
94010  Breathing capacity test                           A   0.17   0.83     0.83NA  0.02   1.02  1.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94010TCBreathing capacity test                           A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9401026Breathing capacity test                           A   0.17   0.06     0.06    0.01   0.24  0.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94011  Spirometry up to 2 yrs old                        A   2.00   0.78NA   0.78    0.13   2.91  2.910XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94012  Spirmtry w/brnchdil inf-2 yr                      A   3.10   1.19NA   1.19    0.16   4.45  4.450XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94013  Meas lung vol thru 2 yrs                          A   0.66   0.21NA   0.21    0.11   0.98  0.980XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94014  Patient recorded spirometry                       A   0.52   1.04     1.04NA  0.03   1.59  1.594XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
94015  Patient recorded spirometry                       A   0.00   0.86     0.86NA  0.01   0.87  0.873XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
94016  Review patient spirometry                         A   0.52   0.18     0.18    0.02   0.72  0.722XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94060  Evaluation of wheezing                            A   0.27   1.43     1.43NA  0.02   1.72  1.721XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94060TCEvaluation of wheezing                            A   0.00   1.34     1.34NA  0.01   1.35  1.351XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9406026Evaluation of wheezing                            A   0.27   0.09     0.09    0.01   0.37  0.371XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94070  Evaluation of wheezing                            A   0.60   1.05     1.05NA  0.04   1.69  1.691XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94070TCEvaluation of wheezing                            A   0.00   0.86     0.86NA  0.01   0.87  0.871XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9407026Evaluation of wheezing                            A   0.60   0.19     0.19    0.03   0.82  0.821XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94150  Vital capacity test                               B+  0.07   0.62     0.62NA  0.02   0.71  0.711XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
94150TCVital capacity test                               B+  0.00   0.59     0.59NA  0.01   0.60  0.601XXX.00.00.0099999             35.8043 010 99      0.00   0.00   0.00
9415026Vital capacity test                               B+  0.07   0.03     0.03    0.01   0.11  0.111XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
94200  Lung function test (mbc/mvv)                      A   0.11   0.58     0.58NA  0.02   0.71  0.711XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94200TCLung function test (mbc/mvv)                      A   0.00   0.54     0.54NA  0.01   0.55  0.551XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9420026Lung function test (mbc/mvv)                      A   0.11   0.04     0.04    0.01   0.16  0.161XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94250  Expired gas collection                            A   0.11   0.61     0.61NA  0.02   0.74  0.741XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94250TCExpired gas collection                            A   0.00   0.58     0.58NA  0.01   0.59  0.591XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9425026Expired gas collection                            A   0.11   0.03     0.03    0.01   0.15  0.151XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94375  Respiratory flow volume loop                      A   0.31   0.78     0.78NA  0.02   1.11  1.111XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94375TCRespiratory flow volume loop                      A   0.00   0.68     0.68NA  0.01   0.69  0.691XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9437526Respiratory flow volume loop                      A   0.31   0.10     0.10    0.01   0.42  0.421XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94400  Co2 breathing response curve                      A   0.40   1.15     1.15NA  0.03   1.58  1.581XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94400TCCo2 breathing response curve                      A   0.00   1.01     1.01NA  0.01   1.02  1.021XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9440026Co2 breathing response curve                      A   0.40   0.14     0.14    0.02   0.56  0.561XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94450  Hypoxia response curve                            A   0.40   1.50     1.50NA  0.03   1.93  1.931XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94450TCHypoxia response curve                            A   0.00   1.35     1.35NA  0.01   1.36  1.361XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9445026Hypoxia response curve                            A   0.40   0.15     0.15    0.02   0.57  0.571XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94452  Hast w/report                                     A   0.31   1.30     1.30NA  0.02   1.63  1.631XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94452TCHast w/report                                     A   0.00   1.21     1.21NA  0.01   1.22  1.221XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9445226Hast w/report                                     A   0.31   0.09     0.09    0.01   0.41  0.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94453  Hast w/oxygen titrate                             A   0.40   1.83     1.83NA  0.03   2.26  2.261XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94453TCHast w/oxygen titrate                             A   0.00   1.71     1.71NA  0.01   1.72  1.721XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9445326Hast w/oxygen titrate                             A   0.40   0.12     0.12    0.02   0.54  0.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94610  Surfactant admin thru tube                        A   1.16   0.46NA   0.46    0.07   1.69  1.690XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94620  Pulmonary stress test/simple                      A   0.64   0.91     0.91NA  0.04   1.59  1.591XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94620TCPulmonary stress test/simple                      A   0.00   0.71     0.71NA  0.01   0.72  0.721XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9462026Pulmonary stress test/simple                      A   0.64   0.20     0.20    0.03   0.87  0.871XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94621  Pulm stress test/complex                          A   1.42   3.12     3.12NA  0.08   4.62  4.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94621TCPulm stress test/complex                          A   0.00   2.64     2.64NA  0.02   2.66  2.661XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9462126Pulm stress test/complex                          A   1.42   0.48     0.48    0.06   1.96  1.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94640  Airway inhalation treatment                       A   0.00   0.51     0.51NA  0.01   0.52  0.525XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94642  Aerosol inhalation treatment                      C   0.00   0.00     0.00    0.00   0.00  0.005XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94644  Cbt 1st hour                                      A   0.00   1.23     1.23NA  0.01   1.24  1.245XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94645  Cbt each addl hour                                A   0.00   0.39     0.39NA  0.01   0.40  0.405XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94660  Pos airway pressure cpap                          A   0.76   0.97     0.26    0.06   1.79  1.080XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94662  Neg press ventilation cnp                         A   0.76   0.23NA   0.23    0.07   1.06  1.060XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94664  Evaluate pt use of inhaler                        A   0.00   0.48     0.48NA  0.01   0.49  0.495XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
94667  Chest wall manipulation                           A   0.00   0.72     0.72NA  0.02   0.74  0.745XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94668  Chest wall manipulation                           A   0.00   0.80     0.80NA  0.02   0.82  0.825XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94669  Mechanical chest wall oscill                      A   0.00   0.91     0.91NA  0.02   0.93  0.935XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94680  Exhaled air analysis o2                           A   0.26   1.34     1.34NA  0.02   1.62  1.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94680TCExhaled air analysis o2                           A   0.00   1.25     1.25NA  0.01   1.26  1.261XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9468026Exhaled air analysis o2                           A   0.26   0.09     0.09    0.01   0.36  0.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94681  Exhaled air analysis o2/co2                       A   0.20   1.27     1.27NA  0.02   1.49  1.491XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94681TCExhaled air analysis o2/co2                       A   0.00   1.20     1.20NA  0.01   1.21  1.211XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9468126Exhaled air analysis o2/co2                       A   0.20   0.07     0.07    0.01   0.28  0.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94690  Exhaled air analysis                              A   0.07   1.32     1.32NA  0.02   1.41  1.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94690TCExhaled air analysis                              A   0.00   1.29     1.29NA  0.01   1.30  1.301XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9469026Exhaled air analysis                              A   0.07   0.03     0.03    0.01   0.11  0.111XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94726  Pulm funct tst plethysmograp                      A   0.26   1.21     1.21NA  0.02   1.49  1.491XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94726TCPulm funct tst plethysmograp                      A   0.00   1.13     1.13NA  0.01   1.14  1.141XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9472626Pulm funct tst plethysmograp                      A   0.26   0.08     0.08    0.01   0.35  0.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94727  Pulm function test by gas                         A   0.26   0.91     0.91NA  0.02   1.19  1.191XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94727TCPulm function test by gas                         A   0.00   0.83     0.83NA  0.01   0.84  0.841XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9472726Pulm function test by gas                         A   0.26   0.08     0.08    0.01   0.35  0.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94728  Pulm funct test oscillometry                      A   0.26   0.86     0.86NA  0.02   1.14  1.141XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94728TCPulm funct test oscillometry                      A   0.00   0.77     0.77NA  0.01   0.78  0.781XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9472826Pulm funct test oscillometry                      A   0.26   0.09     0.09    0.01   0.36  0.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94729  Co/membane diffuse capacity                       A   0.19   1.33     1.33NA  0.02   1.54  1.541ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94729TCCo/membane diffuse capacity                       A   0.00   1.27     1.27NA  0.01   1.28  1.281ZZZ.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9472926Co/membane diffuse capacity                       A   0.19   0.06     0.06    0.01   0.26  0.261ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94750  Pulmonary compliance study                        A   0.23   2.03     2.03NA  0.02   2.28  2.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94750TCPulmonary compliance study                        A   0.00   1.95     1.95NA  0.01   1.96  1.961XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9475026Pulmonary compliance study                        A   0.23   0.08     0.08    0.01   0.32  0.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94760  Measure blood oxygen level                        T   0.00   0.08     0.08NA  0.01   0.09  0.093XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
94761  Measure blood oxygen level                        T   0.00   0.13     0.13NA  0.01   0.14  0.143XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
94762  Measure blood oxygen level                        A   0.00   0.68     0.68NA  0.01   0.69  0.693XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
94770  Exhaled carbon dioxide test                       A   0.15   0.05NA   0.05    0.01   0.21  0.210XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94772  Breath recording infant                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94772TCBreath recording infant                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9477226Breath recording infant                           C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 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  0.004YYY.00.00.0000000             35.8043 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  0.003YYY.00.00.0000000             35.8043 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  0.003YYY.00.00.0000000             35.8043 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  0.002YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94780  Car seat/bed test 60 min                          A   0.48   1.07     0.13    0.04   1.59  0.650XXX.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
94781  Car seat/bed test + 30 min                        A   0.17   0.47     0.06    0.01   0.65  0.240ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
94799  Pulmonary service/procedure                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
94799TCPulmonary service/procedure                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9479926Pulmonary service/procedure                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95004  Percut allergy skin tests                         A   0.01   0.17     0.17NA  0.01   0.19  0.190XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95012  Exhaled nitric oxide meas                         A   0.00   0.53     0.53NA  0.01   0.54  0.545XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95017  Perq & icut allg test venoms                      A   0.07   0.14     0.02    0.01   0.22  0.100XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95018  Perq&ic allg test drugs/biol                      A   0.14   0.43     0.05    0.01   0.58  0.200XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95024  Icut allergy test drug/bug                        A   0.01   0.20     0.01    0.01   0.22  0.030XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95027  Icut allergy titrate-airborn                      A   0.01   0.11     0.11NA  0.01   0.13  0.130XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95028  Icut allergy test-delayed                         A   0.00   0.37     0.37NA  0.01   0.38  0.383XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95044  Allergy patch tests                               A   0.00   0.15     0.15NA  0.01   0.16  0.165XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95052  Photo patch test                                  A   0.00   0.18     0.18NA  0.01   0.19  0.195XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95056  Photosensitivity tests                            A   0.00   1.23     1.23NA  0.02   1.25  1.255XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95060  Eye allergy tests                                 A   0.00   0.98     0.98NA  0.01   0.99  0.993XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
95065  Nose allergy test                                 A   0.00   0.71     0.71NA  0.01   0.72  0.723XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
95070  Bronchial allergy tests                           A   0.00   0.84     0.84NA  0.02   0.86  0.863XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95071  Bronchial allergy tests                           A   0.00   0.97     0.97NA  0.02   0.99  0.993XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
95076  Ingest challenge ini 120 min                      A   1.50   1.73     0.52    0.06   3.29  2.080XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95079  Ingest challenge addl 60 min                      A   1.38   0.91     0.47    0.05   2.34  1.900ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95115  Immunotherapy one injection                       A   0.00   0.24     0.24NA  0.01   0.25  0.255XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95117  Immunotherapy injections                          A   0.00   0.28     0.28NA  0.01   0.29  0.295XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95120  Immunotherapy one injection                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
95125  Immunotherapy 2/> injections                      I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
95130  Immntx 1 sting insect                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
95131  Immntx 2 sting insects                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
95132  Immntx 3 sting insects                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
95133  Immntx 4 sting insects                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
95134  Immntx 5 sting insects                            I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
95144  Antigen therapy services                          A   0.06   0.28     0.02    0.01   0.35  0.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95145  Antigen therapy services                          A   0.06   0.54     0.02    0.01   0.61  0.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95146  Antigen therapy services                          A   0.06   1.03     0.02    0.01   1.10  0.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95147  Antigen therapy services                          A   0.06   0.92     0.02    0.01   0.99  0.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95148  Antigen therapy services                          A   0.06   1.40     0.02    0.01   1.47  0.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95149  Antigen therapy services                          A   0.06   1.91     0.02    0.01   1.98  0.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95165  Antigen therapy services                          A   0.06   0.29     0.02    0.01   0.36  0.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95170  Antigen therapy services                          A   0.06   0.20     0.02    0.01   0.27  0.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95180  Rapid desensitization                             A   2.01   1.69     0.78    0.08   3.78  2.870XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95199  Allergy immunology services                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95250  Glucose monitoring cont                           A   0.00   4.42     4.42NA  0.04   4.46  4.463XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95251  Gluc monitor cont phys i&r                        A   0.85   0.33     0.33    0.05   1.23  1.232XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95782  Polysom <6 yrs 4/> paramtrs                       A   2.60  26.15    26.15NA  0.29  29.04 29.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95782TCPolysom <6 yrs 4/> paramtrs                       A   0.00  25.27    25.27NA  0.17  25.44 25.441XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9578226Polysom <6 yrs 4/> paramtrs                       A   2.60   0.88     0.88    0.12   3.60  3.601XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95783  Polysom <6 yrs cpap/bilvl                         A   2.83  27.34    27.34NA  0.27  30.44 30.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95783TCPolysom <6 yrs cpap/bilvl                         A   0.00  26.29    26.29NA  0.18  26.47 26.471XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9578326Polysom <6 yrs cpap/bilvl                         A   2.83   1.05     1.05    0.09   3.97  3.971XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95800  Slp stdy unattended                               A   1.05   3.94     3.94NA  0.05   5.04  5.041XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95800TCSlp stdy unattended                               A   0.00   3.56     3.56NA  0.01   3.57  3.571XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9580026Slp stdy unattended                               A   1.05   0.38     0.38    0.04   1.47  1.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95801  Slp stdy unatnd w/anal                            A   1.00   1.50     1.50NA  0.06   2.56  2.561XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95801TCSlp stdy unatnd w/anal                            A   0.00   1.15     1.15NA  0.01   1.16  1.161XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9580126Slp stdy unatnd w/anal                            A   1.00   0.35     0.35    0.05   1.40  1.401XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95803  Actigraphy testing                                A   0.90   3.05     3.05NA  0.05   4.00  4.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95803TCActigraphy testing                                A   0.00   2.75     2.75NA  0.01   2.76  2.761XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9580326Actigraphy testing                                A   0.90   0.30     0.30    0.04   1.24  1.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95805  Multiple sleep latency test                       A   1.20  10.77    10.77NA  0.12  12.09 12.091XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95805TCMultiple sleep latency test                       A   0.00  10.34    10.34NA  0.07  10.41 10.411XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9580526Multiple sleep latency test                       A   1.20   0.43     0.43    0.05   1.68  1.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95806  Sleep study unatt&resp efft                       A   1.25   3.45     3.45NA  0.06   4.76  4.761XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95806TCSleep study unatt&resp efft                       A   0.00   3.02     3.02NA  0.01   3.03  3.031XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9580626Sleep study unatt&resp efft                       A   1.25   0.43     0.43    0.05   1.73  1.731XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95807  Sleep study attended                              A   1.28  12.12    12.12NA  0.13  13.53 13.531XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95807TCSleep study attended                              A   0.00  11.69    11.69NA  0.07  11.76 11.761XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9580726Sleep study attended                              A   1.28   0.43     0.43    0.06   1.77  1.771XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95808  Polysom any age 1-3> param                        A   1.74  15.94    15.94NA  0.16  17.84 17.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95808TCPolysom any age 1-3> param                        A   0.00  15.26    15.26NA  0.08  15.34 15.341XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9580826Polysom any age 1-3> param                        A   1.74   0.68     0.68    0.08   2.50  2.501XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95810  Polysom 6/> yrs 4/> param                         A   2.50  14.93    14.93NA  0.20  17.63 17.631XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95810TCPolysom 6/> yrs 4/> param                         A   0.00  14.08    14.08NA  0.09  14.17 14.171XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9581026Polysom 6/> yrs 4/> param                         A   2.50   0.85     0.85    0.11   3.46  3.461XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95811  Polysom 6/>yrs cpap 4/> parm                      A   2.60  15.71    15.71NA  0.22  18.53 18.531XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95811TCPolysom 6/>yrs cpap 4/> parm                      A   0.00  14.83    14.83NA  0.10  14.93 14.931XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9581126Polysom 6/>yrs cpap 4/> parm                      A   2.60   0.88     0.88    0.12   3.60  3.601XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95812  Eeg 41-60 minutes                                 A   1.08   8.69     8.69NA  0.09   9.86  9.861XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95812TCEeg 41-60 minutes                                 A   0.00   8.19     8.19NA  0.03   8.22  8.221XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9581226Eeg 41-60 minutes                                 A   1.08   0.50     0.50    0.06   1.64  1.641XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95813  Eeg over 1 hour                                   A   1.73  10.10    10.10NA  0.12  11.95 11.951XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95813TCEeg over 1 hour                                   A   0.00   9.30     9.30NA  0.03   9.33  9.331XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9581326Eeg over 1 hour                                   A   1.73   0.80     0.80    0.09   2.62  2.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95816  Eeg awake and drowsy                              A   1.08   9.07     9.07NA  0.09  10.24 10.241XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95816TCEeg awake and drowsy                              A   0.00   8.57     8.57NA  0.03   8.60  8.601XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9581626Eeg awake and drowsy                              A   1.08   0.50     0.50    0.06   1.64  1.641XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95819  Eeg awake and asleep                              A   1.08  10.53    10.53NA  0.10  11.71 11.711XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95819TCEeg awake and asleep                              A   0.00  10.03    10.03NA  0.04  10.07 10.071XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9581926Eeg awake and asleep                              A   1.08   0.50     0.50    0.06   1.64  1.641XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95822  Eeg coma or sleep only                            A   1.08   9.38     9.38NA  0.09  10.55 10.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95822TCEeg coma or sleep only                            A   0.00   8.88     8.88NA  0.03   8.91  8.911XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9582226Eeg coma or sleep only                            A   1.08   0.50     0.50    0.06   1.64  1.641XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95824  Eeg cerebral death only                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95824TCEeg cerebral death only                           C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9582426Eeg cerebral death only                           A   0.74   0.34     0.34    0.04   1.12  1.121XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95827  Eeg all night recording                           A   1.08  18.48    18.48NA  0.17  19.73 19.731XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95827TCEeg all night recording                           A   0.00  17.99    17.99NA  0.11  18.10 18.101XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9582726Eeg all night recording                           A   1.08   0.49     0.49    0.06   1.63  1.631XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95829  Surgery electrocorticogram                        A   6.20  46.47    46.47NA  0.58  53.25 53.251XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95829TCSurgery electrocorticogram                        A   0.00  43.60    43.60NA  0.06  43.66 43.661XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9582926Surgery electrocorticogram                        A   6.20   2.87     2.87    0.52   9.59  9.591XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95830  Insert electrodes for eeg                         A   1.70   5.11     0.78    0.14   6.95  2.620XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95831  Limb muscle testing manual                        A   0.28   0.55     0.12    0.03   0.86  0.430XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95832  Hand muscle testing manual                        A   0.29   0.50     0.12    0.04   0.83  0.450XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95833  Body muscle testing manual                        A   0.47   0.56     0.12    0.02   1.05  0.610XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95834  Body muscle testing manual                        A   0.60   0.81     0.25    0.04   1.45  0.890XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95851  Range of motion measurements                      A   0.16   0.35     0.05    0.01   0.52  0.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95852  Range of motion measurements                      A   0.11   0.34     0.05    0.01   0.46  0.170XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95857  Cholinesterase challenge                          A   0.53   0.96     0.27    0.04   1.53  0.840XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95860  Muscle test one limb                              A   0.96   2.44     2.44NA  0.05   3.45  3.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95860TCMuscle test one limb                              A   0.00   1.97     1.97NA  0.01   1.98  1.981XXX.00.00.0000000             35.8043 6A0 99      0.00   0.00   0.00
9586026Muscle test one limb                              A   0.96   0.47     0.47    0.04   1.47  1.471XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95861  Muscle test 2 limbs                               A   1.54   3.21     3.21NA  0.10   4.85  4.851XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95861TCMuscle test 2 limbs                               A   0.00   2.48     2.48NA  0.01   2.49  2.491XXX.00.00.0000000             35.8043 6A0 99      0.00   0.00   0.00
9586126Muscle test 2 limbs                               A   1.54   0.73     0.73    0.09   2.36  2.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95863  Muscle test 3 limbs                               A   1.87   4.05     4.05NA  0.10   6.02  6.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95863TCMuscle test 3 limbs                               A   0.00   3.17     3.17NA  0.01   3.18  3.181XXX.00.00.0000000             35.8043 6A0 99      0.00   0.00   0.00
9586326Muscle test 3 limbs                               A   1.87   0.88     0.88    0.09   2.84  2.841XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95864  Muscle test 4 limbs                               A   1.99   4.66     4.66NA  0.15   6.80  6.801XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95864TCMuscle test 4 limbs                               A   0.00   3.71     3.71NA  0.01   3.72  3.721XXX.00.00.0000000             35.8043 6A0 99      0.00   0.00   0.00
9586426Muscle test 4 limbs                               A   1.99   0.95     0.95    0.14   3.08  3.081XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95865  Muscle test larynx                                A   1.57   2.39     2.39NA  0.12   4.08  4.081XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95865TCMuscle test larynx                                A   0.00   1.66     1.66NA  0.01   1.67  1.671XXX.00.00.0002000             35.8043 6A0 99      0.00   0.00   0.00
9586526Muscle test larynx                                A   1.57   0.73     0.73    0.11   2.41  2.411XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95866  Muscle test hemidiaphragm                         A   1.25   2.47     2.47NA  0.06   3.78  3.781XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
95866TCMuscle test hemidiaphragm                         A   0.00   1.86     1.86NA  0.01   1.87  1.871XXX.00.00.0003000             35.8043 6A0 99      0.00   0.00   0.00
9586626Muscle test hemidiaphragm                         A   1.25   0.61     0.61    0.05   1.91  1.911XXX.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
95867  Muscle test cran nerv unilat                      A   0.79   1.83     1.83NA  0.05   2.67  2.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95867TCMuscle test cran nerv unilat                      A   0.00   1.47     1.47NA  0.01   1.48  1.481XXX.00.00.0000000             35.8043 6A0 99      0.00   0.00   0.00
9586726Muscle test cran nerv unilat                      A   0.79   0.36     0.36    0.04   1.19  1.191XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95868  Muscle test cran nerve bilat                      A   1.18   2.49     2.49NA  0.08   3.75  3.751XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95868TCMuscle test cran nerve bilat                      A   0.00   1.94     1.94NA  0.01   1.95  1.951XXX.00.00.0002000             35.8043 6A0 99      0.00   0.00   0.00
9586826Muscle test cran nerve bilat                      A   1.18   0.55     0.55    0.07   1.80  1.801XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95869  Muscle test thor paraspinal                       A   0.37   2.23     2.23NA  0.03   2.63  2.631XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95869TCMuscle test thor paraspinal                       A   0.00   2.05     2.05NA  0.01   2.06  2.061XXX.00.00.0000000             35.8043 6A0 99      0.00   0.00   0.00
9586926Muscle test thor paraspinal                       A   0.37   0.18     0.18    0.02   0.57  0.571XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95870  Muscle test nonparaspinal                         A   0.37   2.23     2.23NA  0.03   2.63  2.631XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95870TCMuscle test nonparaspinal                         A   0.00   2.06     2.06NA  0.01   2.07  2.071XXX.00.00.0000000             35.8043 6A0 99      0.00   0.00   0.00
9587026Muscle test nonparaspinal                         A   0.37   0.17     0.17    0.02   0.56  0.561XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95872  Muscle test one fiber                             A   2.88   2.50     2.50NA  0.17   5.55  5.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95872TCMuscle test one fiber                             A   0.00   1.17     1.17NA  0.01   1.18  1.181XXX.00.00.0000000             35.8043 660 99      0.00   0.00   0.00
9587226Muscle test one fiber                             A   2.88   1.33     1.33    0.16   4.37  4.371XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95873  Guide nerv destr elec stim                        A   0.37   1.70     1.70NA  0.01   2.08  2.081ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95873TCGuide nerv destr elec stim                        A   0.00   1.51     1.51NA  0.00   1.51  1.511ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9587326Guide nerv destr elec stim                        A   0.37   0.19     0.19    0.01   0.57  0.571ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95874  Guide nerv destr needle emg                       A   0.37   1.68     1.68NA  0.02   2.07  2.071ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95874TCGuide nerv destr needle emg                       A   0.00   1.50     1.50NA  0.00   1.50  1.501ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9587426Guide nerv destr needle emg                       A   0.37   0.18     0.18    0.02   0.57  0.571ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95875  Limb exercise test                                A   1.10   2.35     2.35NA  0.08   3.53  3.531XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95875TCLimb exercise test                                A   0.00   1.84     1.84NA  0.01   1.85  1.851XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9587526Limb exercise test                                A   1.10   0.51     0.51    0.07   1.68  1.681XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95885  Musc tst done w/nerv tst lim                      A   0.35   1.29     1.29NA  0.02   1.66  1.661ZZZ.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
95885TCMusc tst done w/nerv tst lim                      A   0.00   1.12     1.12NA  0.00   1.12  1.121ZZZ.00.00.0003000             35.8043 6A0 99      0.00   0.00   0.00
9588526Musc tst done w/nerv tst lim                      A   0.35   0.17     0.17    0.02   0.54  0.541ZZZ.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
95886  Musc test done w/n test comp                      A   0.86   1.68     1.68NA  0.04   2.58  2.581ZZZ.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
95886TCMusc test done w/n test comp                      A   0.00   1.26     1.26NA  0.00   1.26  1.261ZZZ.00.00.0003000             35.8043 6A0 99      0.00   0.00   0.00
9588626Musc test done w/n test comp                      A   0.86   0.42     0.42    0.04   1.32  1.321ZZZ.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
95887  Musc tst done w/n tst nonext                      A   0.71   1.54     1.54NA  0.04   2.29  2.291ZZZ.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
95887TCMusc tst done w/n tst nonext                      A   0.00   1.21     1.21NA  0.00   1.21  1.211ZZZ.00.00.0003000             35.8043 6A0 99      0.00   0.00   0.00
9588726Musc tst done w/n tst nonext                      A   0.71   0.33     0.33    0.04   1.08  1.081ZZZ.00.00.0003000             35.8043 090 99      0.00   0.00   0.00
95905  Motor &/ sens nrve cndj test                      A   0.05   1.91     1.91NA  0.02   1.98  1.981XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95905TCMotor &/ sens nrve cndj test                      A   0.00   1.89     1.89NA  0.01   1.90  1.901XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9590526Motor &/ sens nrve cndj test                      A   0.05   0.02     0.02    0.01   0.08  0.081XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95907  Nvr cndj tst 1-2 studies                          A   1.00   1.64     1.64NA  0.06   2.70  2.701XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95907TCNvr cndj tst 1-2 studies                          A   0.00   1.17     1.17NA  0.01   1.18  1.181XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9590726Nvr cndj tst 1-2 studies                          A   1.00   0.47     0.47    0.05   1.52  1.521XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95908  Nrv cndj tst 3-4 studies                          A   1.25   2.03     2.03NA  0.07   3.35  3.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95908TCNrv cndj tst 3-4 studies                          A   0.00   1.44     1.44NA  0.01   1.45  1.451XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9590826Nrv cndj tst 3-4 studies                          A   1.25   0.59     0.59    0.06   1.90  1.901XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95909  Nrv cndj tst 5-6 studies                          A   1.50   2.50     2.50NA  0.08   4.08  4.081XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95909TCNrv cndj tst 5-6 studies                          A   0.00   1.79     1.79NA  0.01   1.80  1.801XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9590926Nrv cndj tst 5-6 studies                          A   1.50   0.71     0.71    0.07   2.28  2.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95910  Nrv cndj test 7-8 studies                         A   2.00   3.33     3.33NA  0.11   5.44  5.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95910TCNrv cndj test 7-8 studies                         A   0.00   2.38     2.38NA  0.01   2.39  2.391XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9591026Nrv cndj test 7-8 studies                         A   2.00   0.95     0.95    0.10   3.05  3.051XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95911  Nrv cndj test 9-10 studies                        A   2.50   3.94     3.94NA  0.13   6.57  6.571XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95911TCNrv cndj test 9-10 studies                        A   0.00   2.75     2.75NA  0.01   2.76  2.761XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9591126Nrv cndj test 9-10 studies                        A   2.50   1.19     1.19    0.12   3.81  3.811XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95912  Nrv cndj test 11-12 studies                       A   3.00   4.19     4.19NA  0.16   7.35  7.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95912TCNrv cndj test 11-12 studies                       A   0.00   2.82     2.82NA  0.01   2.83  2.831XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9591226Nrv cndj test 11-12 studies                       A   3.00   1.37     1.37    0.15   4.52  4.521XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95913  Nrv cndj test 13/> studies                        A   3.56   4.66     4.66NA  0.19   8.41  8.411XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95913TCNrv cndj test 13/> studies                        A   0.00   3.05     3.05NA  0.01   3.06  3.061XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9591326Nrv cndj test 13/> studies                        A   3.56   1.61     1.61    0.18   5.35  5.351XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95921  Autonomic nrv parasym inervj                      A   0.90   1.49     1.49NA  0.05   2.44  2.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95921TCAutonomic nrv parasym inervj                      A   0.00   1.14     1.14NA  0.01   1.15  1.151XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9592126Autonomic nrv parasym inervj                      A   0.90   0.35     0.35    0.04   1.29  1.291XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95922  Autonomic nrv adrenrg inervj                      A   0.96   1.84     1.84NA  0.05   2.85  2.851XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95922TCAutonomic nrv adrenrg inervj                      A   0.00   1.46     1.46NA  0.01   1.47  1.471XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9592226Autonomic nrv adrenrg inervj                      A   0.96   0.38     0.38    0.04   1.38  1.381XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95923  Autonomic nrv syst funj test                      A   0.90   3.67     3.67NA  0.07   4.64  4.641XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95923TCAutonomic nrv syst funj test                      A   0.00   3.31     3.31NA  0.01   3.32  3.321XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9592326Autonomic nrv syst funj test                      A   0.90   0.36     0.36    0.06   1.32  1.321XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95924  Ans parasymp & symp w/tilt                        A   1.73   2.36     2.36NA  0.12   4.21  4.211XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95924TCAns parasymp & symp w/tilt                        A   0.00   1.66     1.66NA  0.01   1.67  1.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9592426Ans parasymp & symp w/tilt                        A   1.73   0.70     0.70    0.11   2.54  2.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95925  Somatosensory testing                             A   0.54   3.81     3.81NA  0.05   4.40  4.401XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95925TCSomatosensory testing                             A   0.00   3.58     3.58NA  0.02   3.60  3.601XXX.00.00.0002000             35.8043 210 99      0.00   0.00   0.00
9592526Somatosensory testing                             A   0.54   0.23     0.23    0.03   0.80  0.801XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95926  Somatosensory testing                             A   0.54   3.30     3.30NA  0.05   3.89  3.891XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95926TCSomatosensory testing                             A   0.00   3.09     3.09NA  0.02   3.11  3.111XXX.00.00.0002000             35.8043 210 99      0.00   0.00   0.00
9592626Somatosensory testing                             A   0.54   0.21     0.21    0.03   0.78  0.781XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95927  Somatosensory testing                             A   0.54   3.42     3.42NA  0.06   4.02  4.021XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95927TCSomatosensory testing                             A   0.00   3.21     3.21NA  0.03   3.24  3.241XXX.00.00.0000000             35.8043 210 99      0.00   0.00   0.00
9592726Somatosensory testing                             A   0.54   0.21     0.21    0.03   0.78  0.781XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95928  C motor evoked uppr limbs                         A   1.50   4.76     4.76NA  0.09   6.35  6.351XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95928TCC motor evoked uppr limbs                         A   0.00   4.06     4.06NA  0.01   4.07  4.071XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
9592826C motor evoked uppr limbs                         A   1.50   0.70     0.70    0.08   2.28  2.281XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95929  C motor evoked lwr limbs                          A   1.50   4.79     4.79NA  0.11   6.40  6.401XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95929TCC motor evoked lwr limbs                          A   0.00   4.09     4.09NA  0.01   4.10  4.101XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
9592926C motor evoked lwr limbs                          A   1.50   0.70     0.70    0.10   2.30  2.301XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95930  Visual evoked potential test                      A   0.35   3.28     3.28NA  0.03   3.66  3.661XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95930TCVisual evoked potential test                      A   0.00   3.11     3.11NA  0.02   3.13  3.131XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
9593026Visual evoked potential test                      A   0.35   0.17     0.17    0.01   0.53  0.531XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95933  Blink reflex test                                 A   0.59   1.49     1.49NA  0.04   2.12  2.121XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95933TCBlink reflex test                                 A   0.00   1.22     1.22NA  0.01   1.23  1.231XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9593326Blink reflex test                                 A   0.59   0.27     0.27    0.03   0.89  0.891XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95937  Neuromuscular junction test                       A   0.65   1.61     1.61NA  0.04   2.30  2.301XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95937TCNeuromuscular junction test                       A   0.00   1.31     1.31NA  0.01   1.32  1.321XXX.00.00.0000000             35.8043 7A0 99      0.00   0.00   0.00
9593726Neuromuscular junction test                       A   0.65   0.30     0.30    0.03   0.98  0.981XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95938  Somatosensory testing                             A   0.86   8.72     8.72NA  0.08   9.66  9.661XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95938TCSomatosensory testing                             A   0.00   8.32     8.32NA  0.03   8.35  8.351XXX.00.00.0002000             35.8043 210 99      0.00   0.00   0.00
9593826Somatosensory testing                             A   0.86   0.40     0.40    0.05   1.31  1.311XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95939  C motor evoked upr&lwr limbs                      A   2.25  11.75    11.75NA  0.16  14.16 14.161XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95939TCC motor evoked upr&lwr limbs                      A   0.00  10.71    10.71NA  0.04  10.75 10.751XXX.00.00.0002000             35.8043 210 99      0.00   0.00   0.00
9593926C motor evoked upr&lwr limbs                      A   2.25   1.04     1.04    0.12   3.41  3.411XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
95940  Ionm in operatng room 15 min                      A   0.60   0.28NA   0.28    0.05   0.93  0.930XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
95941  Ionm remote/>1 pt or per hr                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
95943  Parasymp&symp hrt rate test                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95943TCParasymp&symp hrt rate test                       C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9594326Parasymp&symp hrt rate test                       C   0.00   0.00     0.00    0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95950  Ambulatory eeg monitoring                         A   1.51   7.74     7.74NA  0.11   9.36  9.361XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95950TCAmbulatory eeg monitoring                         A   0.00   7.05     7.05NA  0.03   7.08  7.081XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9595026Ambulatory eeg monitoring                         A   1.51   0.69     0.69    0.08   2.28  2.281XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95951  Eeg monitoring/videorecord                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95951TCEeg monitoring/videorecord                        C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9595126Eeg monitoring/videorecord                        A   5.99   2.78     2.78    0.33   9.10  9.101XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95953  Eeg monitoring/computer                           A   3.08   8.65     8.65NA  0.21  11.94 11.941XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95953TCEeg monitoring/computer                           A   0.00   7.24     7.24NA  0.03   7.27  7.271XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9595326Eeg monitoring/computer                           A   3.08   1.41     1.41    0.18   4.67  4.671XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95954  Eeg monitoring/giving drugs                       A   2.45  10.12    10.12NA  0.18  12.75 12.751XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95954TCEeg monitoring/giving drugs                       A   0.00   9.15     9.15NA  0.05   9.20  9.201XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9595426Eeg monitoring/giving drugs                       A   2.45   0.97     0.97    0.13   3.55  3.551XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95955  Eeg during surgery                                A   1.01   5.04     5.04NA  0.07   6.12  6.121XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95955TCEeg during surgery                                A   0.00   4.57     4.57NA  0.01   4.58  4.581XXX.00.00.0000000             35.8043 020 99      0.00   0.00   0.00
9595526Eeg during surgery                                A   1.01   0.47     0.47    0.06   1.54  1.541XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95956  Eeg monitor technol attended                      A   3.61  42.45    42.45NA  0.39  46.45 46.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95956TCEeg monitor technol attended                      A   0.00  40.81    40.81NA  0.19  41.00 41.001XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9595626Eeg monitor technol attended                      A   3.61   1.64     1.64    0.20   5.45  5.451XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95957  Eeg digital analysis                              A   1.98   6.80     6.80NA  0.13   8.91  8.911XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95957TCEeg digital analysis                              A   0.00   5.90     5.90NA  0.02   5.92  5.921XXX.00.00.0000000             35.8043 010 99      0.00   0.00   0.00
9595726Eeg digital analysis                              A   1.98   0.90     0.90    0.11   2.99  2.991XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95958  Eeg monitoring/function test                      A   4.24  11.60    11.60NA  0.36  16.20 16.201XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95958TCEeg monitoring/function test                      A   0.00   9.70     9.70NA  0.06   9.76  9.761XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9595826Eeg monitoring/function test                      A   4.24   1.90     1.90    0.30   6.44  6.441XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95961  Electrode stimulation brain                       A   2.97   5.06     5.06NA  0.30   8.33  8.331XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95961TCElectrode stimulation brain                       A   0.00   3.70     3.70NA  0.01   3.71  3.711XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9596126Electrode stimulation brain                       A   2.97   1.36     1.36    0.29   4.62  4.621XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95962  Electrode stim brain add-on                       A   3.21   3.97     3.97NA  0.24   7.42  7.421ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95962TCElectrode stim brain add-on                       A   0.00   2.47     2.47NA  0.01   2.48  2.481ZZZ.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9596226Electrode stim brain add-on                       A   3.21   1.50     1.50    0.23   4.94  4.941ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95965  Meg spontaneous                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95965TCMeg spontaneous                                   C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9596526Meg spontaneous                                   A   7.99   3.55     3.55    0.42  11.96 11.961XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95966  Meg evoked single                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95966TCMeg evoked single                                 C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9596626Meg evoked single                                 A   3.99   1.85     1.85    0.22   6.06  6.061XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95967  Meg evoked each addl                              C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95967TCMeg evoked each addl                              C   0.00   0.00     0.00NA  0.00   0.00  0.001ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
9596726Meg evoked each addl                              A   3.49   1.60     1.60    0.19   5.28  5.281ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95970  Analyze neurostim no prog                         A   0.45   1.43     0.19    0.04   1.92  0.680XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95971  Analyze neurostim simple                          A   0.78   0.57     0.31    0.07   1.42  1.160XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95972  Analyze neurostim complex                         A   0.80   0.77     0.31    0.08   1.65  1.190XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95974  Cranial neurostim complex                         A   3.00   2.60     1.37    0.29   5.89  4.660XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95975  Cranial neurostim complex                         A   1.70   1.32     0.79    0.15   3.17  2.640ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95978  Analyze neurostim brain/1h                        A   3.50   3.21     1.63    0.36   7.07  5.490XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95979  Analyz neurostim brain addon                      A   1.64   1.28     0.76    0.15   3.07  2.550ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95980  Io anal gast n-stim init                          A   0.80   0.35NA   0.35    0.17   1.32  1.320XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95981  Io anal gast n-stim subsq                         A   0.30   0.56     0.17    0.04   0.90  0.510XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95982  Io ga n-stim subsq w/reprog                       A   0.65   0.75     0.30    0.09   1.49  1.040XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95990  Spin/brain pump refil & main                      A   0.00   2.56     2.56NA  0.03   2.59  2.595XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95991  Spin/brain pump refil & main                      A   0.77   2.60     0.30    0.06   3.43  1.130XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95992  Canalith repositioning proc                       A   0.75   0.43     0.27    0.04   1.22  1.060XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
95999  Neurological procedure                            C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96000  Motion analysis video/3d                          A   1.80   0.78NA   0.78    0.12   2.70  2.707XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
96001  Motion test w/ft press meas                       A   2.15   0.67NA   0.67    0.22   3.04  3.047XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
96002  Dynamic surface emg                               A   0.41   0.18NA   0.18    0.03   0.62  0.620XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
96003  Dynamic fine wire emg                             A   0.37   0.11NA   0.11    0.01   0.49  0.490XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
96004  Phys review of motion tests                       A   2.14   1.02     1.02    0.16   3.32  3.322XXX.00.00.0002000             35.8043 090 99      0.00   0.00   0.00
96020  Functional brain mapping                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96020TCFunctional brain mapping                          C   0.00   0.00     0.00NA  0.00   0.00  0.001XXX.00.00.0000000             35.8043 030 99      0.00   0.00   0.00
9602026Functional brain mapping                          A   3.43   1.06     1.06    0.16   4.65  4.651XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96040  Genetic counseling 30 min                         B+  0.00   1.29     1.29NA  0.03   1.32  1.329XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
96101  Psycho testing by psych/phys                      A   1.86   0.32     0.31    0.07   2.25  2.240XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96102  Psycho testing by technician                      A   0.50   1.26     0.13    0.03   1.79  0.660XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96103  Psycho testing admin by comp                      A   0.51   0.23     0.21    0.04   0.78  0.760XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96105  Assessment of aphasia                             A   1.75   1.20     1.20NA  0.08   3.03  3.030XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96110  Developmental screen w/score                      N+  0.00   0.24     0.24NA  0.01   0.25  0.259XXX.00.00.0099999             35.8043 040 99      0.00   0.00   0.00
96111  Developmental test extend                         A   2.60   0.92     0.74    0.13   3.65  3.470XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96116  Neurobehavioral status exam                       A   1.86   0.66     0.50    0.10   2.62  2.460XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96118  Neuropsych tst by psych/phys                      A   1.86   0.83     0.29    0.07   2.76  2.220XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96119  Neuropsych testing by tec                         A   0.55   1.69     0.10    0.02   2.26  0.670XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96120  Neuropsych tst admin w/comp                       A   0.51   0.81     0.19    0.04   1.36  0.740XXX.00.00.0000000             35.8043 040 99      0.00   0.00   0.00
96125  Cognitive test by hc pro                          A   1.70   1.54     1.54NA  0.07   3.31  3.317XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
96127  Brief emotional/behav assmt                       A   0.00   0.14     0.14NA  0.01   0.15  0.153XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96150  Assess hlth/behave init                           A   0.50   0.09     0.08    0.02   0.61  0.600XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96151  Assess hlth/behave subseq                         A   0.48   0.08     0.07    0.02   0.58  0.570XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96152  Intervene hlth/behave indiv                       A   0.46   0.08     0.07    0.02   0.56  0.550XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96153  Intervene hlth/behave group                       A   0.10   0.02     0.02    0.01   0.13  0.130XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96154  Interv hlth/behav fam w/pt                        A   0.45   0.08     0.07    0.02   0.55  0.540XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96155  Interv hlth/behav fam no pt                       N+  0.44   0.17     0.17    0.03   0.64  0.649XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
96360  Hydration iv infusion init                        A   0.17   1.41     1.41NA  0.03   1.61  1.615XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96361  Hydrate iv infusion add-on                        A   0.09   0.33     0.33NA  0.01   0.43  0.435ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96365  Ther/proph/diag iv inf init                       A   0.21   1.70     1.70NA  0.04   1.95  1.955XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96366  Ther/proph/diag iv inf addon                      A   0.18   0.34     0.34NA  0.01   0.53  0.535ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96367  Tx/proph/dg addl seq iv inf                       A   0.19   0.65     0.65NA  0.02   0.86  0.865ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96368  Ther/diag concurrent inf                          A   0.17   0.40     0.40NA  0.01   0.58  0.585ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96369  Sc ther infusion up to 1 hr                       A   0.21   5.18     5.18NA  0.03   5.42  5.425XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96370  Sc ther infusion addl hr                          A   0.18   0.23     0.23NA  0.01   0.42  0.425ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96371  Sc ther infusion reset pump                       A   0.00   2.05     2.05NA  0.00   2.05  2.055ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96372  Ther/proph/diag inj sc/im                         A   0.17   0.53     0.53NA  0.01   0.71  0.715XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96373  Ther/proph/diag inj ia                            A   0.17   0.37     0.37NA  0.01   0.55  0.555XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96374  Ther/proph/diag inj iv push                       A   0.18   1.38     1.38NA  0.04   1.60  1.605XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96375  Tx/pro/dx inj new drug addon                      A   0.10   0.52     0.52NA  0.01   0.63  0.635ZZZ.00.00.0000000             35.8043 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  0.009ZZZ.00.00.0099999             35.8043 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  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96401  Chemo anti-neopl sq/im                            A   0.21   1.84     1.84NA  0.05   2.10  2.105XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96402  Chemo hormon antineopl sq/im                      A   0.19   0.70     0.70NA  0.02   0.91  0.915XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96405  Chemo intralesional up to 7                       A   0.52   1.76     0.30    0.03   2.31  0.850000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
96406  Chemo intralesional over 7                        A   0.80   2.44     0.47    0.05   3.29  1.320000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
96409  Chemo iv push sngl drug                           A   0.24   2.81     2.81NA  0.07   3.12  3.125XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96411  Chemo iv push addl drug                           A   0.20   1.51     1.51NA  0.04   1.75  1.755ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96413  Chemo iv infusion 1 hr                            A   0.28   3.45     3.45NA  0.08   3.81  3.815XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96415  Chemo iv infusion addl hr                         A   0.19   0.59     0.59NA  0.02   0.80  0.805ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96416  Chemo prolong infuse w/pump                       A   0.21   3.67     3.67NA  0.08   3.96  3.965XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96417  Chemo iv infus each addl seq                      A   0.21   1.51     1.51NA  0.04   1.76  1.765ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96420  Chemo ia push tecnique                            A   0.17   2.73     2.73NA  0.07   2.97  2.975XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96422  Chemo ia infusion up to 1 hr                      A   0.17   4.51     4.51NA  0.10   4.78  4.785XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96423  Chemo ia infuse each addl hr                      A   0.17   1.99     1.99NA  0.05   2.21  2.215ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96425  Chemotherapy infusion method                      A   0.17   4.82     4.82NA  0.12   5.11  5.115XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96440  Chemotherapy intracavitary                        A   2.37  20.95     1.08    0.56  23.88  4.010000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96446  Chemotx admn prtl cavity                          A   0.37   5.02     0.18    0.27   5.66  0.825XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96450  Chemotherapy into cns                             A   1.53   3.49     0.65    0.12   5.14  2.300000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96521  Refill/maint portable pump                        A   0.21   3.61     3.61NA  0.07   3.89  3.895XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96522  Refill/maint pump/resvr syst                      A   0.21   2.90     2.90NA  0.08   3.19  3.195XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96523  Irrig drug delivery device                        T   0.04   0.65     0.65NA  0.01   0.70  0.705XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96542  Chemotherapy injection                            A   0.75   2.61     0.39    0.06   3.42  1.200XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96549  Chemotherapy unspecified                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96567  Photodynamic tx skin                              A   0.00   3.79     3.79NA  0.02   3.81  3.815XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96570  Photodynmc tx 30 min add-on                       A   1.10   0.35     0.35    0.20   1.65  1.650ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
96571  Photodynamic tx addl 15 min                       A   0.55   0.17     0.17    0.05   0.77  0.770ZZZ.00.00.0000100             35.8043 090 99      0.00   0.00   0.00
96900  Ultraviolet light therapy                         A   0.00   0.57     0.57NA  0.01   0.58  0.585XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96902  Trichogram                                        B+  0.41   0.18     0.16    0.02   0.61  0.599XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
96904  Whole body photography                            R   0.00   1.75     1.75NA  0.02   1.77  1.775XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96910  Photochemotherapy with uv-b                       A   0.00   2.00     2.00NA  0.01   2.01  2.015XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96912  Photochemotherapy with uv-a                       A   0.00   2.56     2.56NA  0.01   2.57  2.575XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96913  Photochemotherapy uv-a or b                       A   0.00   3.66     3.66NA  0.03   3.69  3.695XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96920  Laser tx skin < 250 sq cm                         A   1.15   3.18     0.69    0.06   4.39  1.900000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
96921  Laser tx skin 250-500 sq cm                       A   1.30   3.47     0.79    0.06   4.83  2.150000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
96922  Laser tx skin >500 sq cm                          A   2.10   4.49     1.26    0.11   6.70  3.470000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
96931  Rcm celulr subcelulr img skn                      C   0.00   0.00     0.00    0.00   0.00  0.004YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96932  Rcm celulr subcelulr img skn                      C   0.00   0.00     0.00    0.00   0.00  0.003YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96933  Rcm celulr subcelulr img skn                      C   0.00   0.00     0.00    0.00   0.00  0.002YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96934  Rcm celulr subcelulr img skn                      C   0.00   0.00     0.00    0.00   0.00  0.004YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96935  Rcm celulr subcelulr img skn                      C   0.00   0.00     0.00    0.00   0.00  0.003YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96936  Rcm celulr subcelulr img skn                      C   0.00   0.00     0.00    0.00   0.00  0.002YYY.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
96999  Dermatological procedure                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97001  Pt evaluation                                     A   1.20   0.87     0.87NA  0.05   2.12  2.127XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97002  Pt re-evaluation                                  A   0.60   0.56     0.56NA  0.02   1.18  1.187XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97003  Ot evaluation                                     A   1.20   1.14     1.14NA  0.05   2.39  2.397XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97004  Ot re-evaluation                                  A   0.60   0.86     0.86NA  0.02   1.48  1.487XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97005  Athletic train eval                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
97006  Athletic train reeval                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
97010  Hot or cold packs therapy                         B+  0.06   0.10     0.10NA  0.01   0.17  0.179XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
97012  Mechanical traction therapy                       A   0.25   0.19     0.19NA  0.01   0.45  0.457XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97014  Electric stimulation therapy                      I+  0.18   0.26     0.26NA  0.01   0.45  0.459XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
97016  Vasopneumatic device therapy                      A   0.18   0.35     0.35NA  0.01   0.54  0.547XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97018  Paraffin bath therapy                             A   0.06   0.24     0.24NA  0.01   0.31  0.317XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97022  Whirlpool therapy                                 A   0.17   0.48     0.48NA  0.01   0.66  0.667XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97024  Diathermy eg microwave                            A   0.06   0.11     0.11NA  0.01   0.18  0.187XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97026  Infrared therapy                                  R   0.06   0.10     0.10NA  0.01   0.17  0.177XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97028  Ultraviolet therapy                               A   0.08   0.12     0.12NA  0.01   0.21  0.217XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97032  Electrical stimulation                            A   0.25   0.28     0.28NA  0.01   0.54  0.547XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97033  Electric current therapy                          A   0.26   0.47     0.47NA  0.01   0.74  0.747XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97034  Contrast bath therapy                             A   0.21   0.29     0.29NA  0.01   0.51  0.517XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97035  Ultrasound therapy                                A   0.21   0.14     0.14NA  0.01   0.36  0.367XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97036  Hydrotherapy                                      A   0.28   0.64     0.64NA  0.01   0.93  0.937XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97039  Physical therapy treatment                        C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97110  Therapeutic exercises                             A   0.45   0.44     0.44NA  0.02   0.91  0.917XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97112  Neuromuscular reeducation                         A   0.45   0.48     0.48NA  0.02   0.95  0.957XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97113  Aquatic therapy/exercises                         A   0.44   0.76     0.76NA  0.01   1.21  1.217XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97116  Gait training therapy                             A   0.40   0.39     0.39NA  0.01   0.80  0.807XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97124  Massage therapy                                   A   0.35   0.38     0.38NA  0.01   0.74  0.747XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97139  Physical medicine procedure                       C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97140  Manual therapy 1/> regions                        A   0.43   0.40     0.40NA  0.01   0.84  0.847XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97150  Group therapeutic procedures                      A   0.29   0.19     0.19NA  0.01   0.49  0.497XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97530  Therapeutic activities                            A   0.44   0.53     0.53NA  0.01   0.98  0.987XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97532  Cognitive skills development                      A   0.44   0.30     0.30NA  0.01   0.75  0.757XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97533  Sensory integration                               A   0.44   0.37     0.37NA  0.01   0.82  0.827XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97535  Self care mngment training                        A   0.45   0.52     0.52NA  0.02   0.99  0.997XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97537  Community/work reintegration                      A   0.45   0.38     0.38NA  0.02   0.85  0.857XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97542  Wheelchair mngment training                       A   0.45   0.40     0.40NA  0.02   0.87  0.877XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97545  Work hardening                                    R   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97546  Work hardening add-on                             R   0.00   0.00     0.00    0.00   0.00  0.007ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97597  Rmvl devital tis 20 cm/<                          A   0.51   1.59     0.13    0.02   2.12  0.660000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97598  Rmvl devital tis addl 20cm/<                      A   0.24   0.44     0.06    0.01   0.69  0.310ZZZ.00.00.0000000             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
97605  Neg press wound tx </=50 cm                       A   0.55   0.59     0.14    0.02   1.16  0.710XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97606  Neg press wound tx >50 cm                         A   0.60   0.75     0.15    0.02   1.37  0.770XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97607  Neg press wnd tx </=50 sq cm                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97608  Neg press wound tx >50 cm                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97610  Low frequency non-thermal us                      A   0.35   3.01     0.09    0.01   3.37  0.450XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97750  Physical performance test                         A   0.45   0.46     0.46NA  0.02   0.93  0.937XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97755  Assistive technology assess                       A   0.62   0.37     0.37NA  0.02   1.01  1.017XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97760  Orthotic mgmt and training                        A   0.45   0.60     0.60NA  0.02   1.07  1.077XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97761  Prosthetic training                               A   0.45   0.46     0.46NA  0.02   0.93  0.937XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97762  C/o for orthotic/prosth use                       A   0.25   1.08     1.08NA  0.01   1.34  1.347XXX.00.00.0050000             35.8043 090 99      0.00   0.00   0.00
97799  Physical medicine procedure                       C   0.00   0.00     0.00    0.00   0.00  0.007XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97802  Medical nutrition indiv in                        A   0.53   0.43     0.37    0.02   0.98  0.920XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97803  Med nutrition indiv subseq                        A   0.45   0.38     0.31    0.02   0.85  0.780XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97804  Medical nutrition group                           A   0.25   0.19     0.17    0.01   0.45  0.430XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
97810  Acupunct w/o stimul 15 min                        N+  0.60   0.39     0.23    0.04   1.03  0.879XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
97811  Acupunct w/o stimul addl 15m                      N+  0.50   0.24     0.19    0.03   0.77  0.729ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
97813  Acupunct w/stimul 15 min                          N+  0.65   0.41     0.25    0.04   1.10  0.949XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
97814  Acupunct w/stimul addl 15m                        N+  0.55   0.29     0.21    0.03   0.87  0.799ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
98925  Osteopath manj 1-2 regions                        A   0.46   0.40     0.18    0.03   0.89  0.670000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
98926  Osteopath manj 3-4 regions                        A   0.71   0.54     0.27    0.04   1.29  1.020000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
98927  Osteopath manj 5-6 regions                        A   0.96   0.66     0.33    0.05   1.67  1.340000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
98928  Osteopath manj 7-8 regions                        A   1.21   0.78     0.42    0.06   2.05  1.690000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
98929  Osteopath manj 9-10 regions                       A   1.46   0.92     0.50    0.07   2.45  2.030000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
98940  Chiropract manj 1-2 regions                       A   0.46   0.32     0.16    0.02   0.80  0.640000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
98941  Chiropract manj 3-4 regions                       A   0.71   0.42     0.25    0.02   1.15  0.980000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
98942  Chiropractic manj 5 regions                       A   0.96   0.51     0.33    0.03   1.50  1.320000.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
98943  Chiropract manj xtrspinl 1/>                      N+  0.46   0.28     0.18    0.03   0.77  0.679XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
98960  Self-mgmt educ & train 1 pt                       B+  0.00   0.77     0.77NA  0.02   0.79  0.799XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
98961  Self-mgmt educ/train 2-4 pt                       B+  0.00   0.37     0.37NA  0.01   0.38  0.389XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
98962  Self-mgmt educ/train 5-8 pt                       B+  0.00   0.27     0.27NA  0.01   0.28  0.289XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
98966  Hc pro phone call 5-10 min                        N+  0.25   0.13     0.10    0.01   0.39  0.369XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
98967  Hc pro phone call 11-20 min                       N+  0.50   0.23     0.19    0.03   0.76  0.729XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
98968  Hc pro phone call 21-30 min                       N+  0.75   0.32     0.29    0.04   1.11  1.089XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99000  Specimen handling office-lab                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99001  Specimen handling pt-lab                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99002  Device handling phys/qhp                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99024  Postop follow-up visit                            B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99050  Medical services after hrs                        B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99058  Office emergency care                             B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99070  Special supplies phys/qhp                         B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99071  Patient education materials                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99075  Medical testimony                                 N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99078  Group health education                            B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99080  Special reports or forms                          B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99082  Unusual physician travel                          C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99090  Computer data analysis                            B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99091  Collect/review data from pt                       B+  1.10   0.42     0.42NA  0.07   1.59  1.599XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99100  Special anesthesia service                        B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99116  Anesthesia with hypothermia                       B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99135  Special anesthesia procedure                      B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99140  Emergency anesthesia                              B   0.00   0.00     0.00    0.00   0.00  0.009ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99143  Mod sedat phys/qhp <5 yrs                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99144  Mod sedat phys/qhp 5yrs/>                         C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99145  Mod sedat phys/qhp ea 15 min                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99148  Mod sed diff phys/qhp<5 yrs                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99149  Mod sed diff phys/qhp 5/>yrs                      C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99150  Mod sed diff phys/qhp add on                      C   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99170  Anogenital exam child w imag                      A   1.75   3.04     0.67    0.11   4.90  2.530000.00.00.0020100             35.8043 090 99      0.00   0.00   0.00
99172  Ocular function screen                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99173  Visual acuity screen                              N+  0.00   0.08     0.08NA  0.01   0.09  0.099XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99174  Ocular instrumnt screen bil                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99175  Induction of vomiting                             A   0.00   0.47     0.47NA  0.01   0.48  0.485XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99177  Ocular instrumnt screen bil                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99183  Hyperbaric oxygen therapy                         A   2.11   0.77     0.77    0.25   3.13  3.132XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99184  Hypothermia ill neonate                           A   4.50   1.72NA   1.72    0.27   6.49  6.490XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99188  App topical fluoride varnish                      N   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99190  Special pump services                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99191  Special pump services                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99192  Special pump services                             X   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99195  Phlebotomy                                        A   0.00   2.76     2.76NA  0.06   2.82  2.825XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99199  Special service/proc/report                       C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99201  Office/outpatient visit new                       A   0.48   0.70     0.22    0.05   1.23  0.750XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99202  Office/outpatient visit new                       A   0.93   1.09     0.41    0.08   2.10  1.420XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99203  Office/outpatient visit new                       A   1.42   1.47     0.60    0.15   3.04  2.170XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99204  Office/outpatient visit new                       A   2.43   1.99     1.02    0.22   4.64  3.670XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99205  Office/outpatient visit new                       A   3.17   2.36     1.31    0.29   5.82  4.770XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99211  Office/outpatient visit est                       A   0.18   0.37     0.07    0.01   0.56  0.260XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99212  Office/outpatient visit est                       A   0.48   0.70     0.19    0.04   1.22  0.710XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99213  Office/outpatient visit est                       A   0.97   1.01     0.40    0.07   2.05  1.440XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99214  Office/outpatient visit est                       A   1.50   1.42     0.61    0.10   3.02  2.210XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99215  Office/outpatient visit est                       A   2.11   1.81     0.87    0.15   4.07  3.130XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99217  Observation care discharge                        A   1.28   0.68NA   0.68    0.09   2.05  2.050XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99218  Initial observation care                          A   1.92   0.74NA   0.74    0.15   2.81  2.810XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99219  Initial observation care                          A   2.60   1.04NA   1.04    0.18   3.82  3.820XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99220  Initial observation care                          A   3.56   1.42NA   1.42    0.24   5.22  5.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99221  Initial hospital care                             A   1.92   0.75NA   0.75    0.19   2.86  2.860XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99222  Initial hospital care                             A   2.61   1.04NA   1.04    0.21   3.86  3.860XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99223  Initial hospital care                             A   3.86   1.56NA   1.56    0.29   5.71  5.710XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99224  Subsequent observation care                       A   0.76   0.30NA   0.30    0.06   1.12  1.120XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99225  Subsequent observation care                       A   1.39   0.57NA   0.57    0.09   2.05  2.050XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99226  Subsequent observation care                       A   2.00   0.83NA   0.83    0.13   2.96  2.960XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99231  Subsequent hospital care                          A   0.76   0.29NA   0.29    0.06   1.11  1.110XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99232  Subsequent hospital care                          A   1.39   0.55NA   0.55    0.09   2.03  2.030XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99233  Subsequent hospital care                          A   2.00   0.79NA   0.79    0.14   2.93  2.930XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99234  Observ/hosp same date                             A   2.56   1.01NA   1.01    0.20   3.77  3.770XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99235  Observ/hosp same date                             A   3.24   1.29NA   1.29    0.23   4.76  4.760XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99236  Observ/hosp same date                             A   4.20   1.64NA   1.64    0.29   6.13  6.130XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99238  Hospital discharge day                            A   1.28   0.68NA   0.68    0.08   2.04  2.040XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99239  Hospital discharge day                            A   1.90   1.00NA   1.00    0.12   3.02  3.020XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99241  Office consultation                               I+  0.64   0.66     0.24    0.04   1.34  0.929XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99242  Office consultation                               I+  1.34   1.10     0.51    0.08   2.52  1.939XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99243  Office consultation                               I+  1.88   1.46     0.71    0.11   3.45  2.709XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99244  Office consultation                               I+  3.02   1.96     1.14    0.18   5.16  4.349XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99245  Office consultation                               I+  3.77   2.30     1.38    0.22   6.29  5.379XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99251  Inpatient consultation                            I+  1.00   0.32NA   0.32    0.06   1.38  1.389XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99252  Inpatient consultation                            I+  1.50   0.52NA   0.52    0.09   2.11  2.119XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99253  Inpatient consultation                            I+  2.27   0.84NA   0.84    0.13   3.24  3.249XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99254  Inpatient consultation                            I+  3.29   1.23NA   1.23    0.19   4.71  4.719XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99255  Inpatient consultation                            I+  4.00   1.44NA   1.44    0.24   5.68  5.689XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99281  Emergency dept visit                              A   0.45   0.11NA   0.11    0.04   0.60  0.600XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99282  Emergency dept visit                              A   0.88   0.21NA   0.21    0.08   1.17  1.170XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99283  Emergency dept visit                              A   1.34   0.29NA   0.29    0.12   1.75  1.750XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99284  Emergency dept visit                              A   2.56   0.53NA   0.53    0.23   3.32  3.320XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99285  Emergency dept visit                              A   3.80   0.75NA   0.75    0.35   4.90  4.900XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99288  Direct advanced life support                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99291  Critical care first hour                          A   4.50   2.86     1.42    0.39   7.75  6.310XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99292  Critical care addl 30 min                         A   2.25   1.02     0.72    0.19   3.46  3.160ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99304  Nursing facility care init                        A   1.64   0.83     0.83    0.11   2.58  2.580XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99305  Nursing facility care init                        A   2.35   1.17     1.17    0.15   3.67  3.670XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99306  Nursing facility care init                        A   3.06   1.43     1.43    0.19   4.68  4.680XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99307  Nursing fac care subseq                           A   0.76   0.45     0.45    0.05   1.26  1.260XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99308  Nursing fac care subseq                           A   1.16   0.71     0.71    0.08   1.95  1.950XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99309  Nursing fac care subseq                           A   1.55   0.92     0.92    0.10   2.57  2.570XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99310  Nursing fac care subseq                           A   2.35   1.31     1.31    0.16   3.82  3.820XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99315  Nursing fac discharge day                         A   1.28   0.70     0.70    0.08   2.06  2.060XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99316  Nursing fac discharge day                         A   1.90   0.95     0.95    0.13   2.98  2.980XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99318  Annual nursing fac assessmnt                      A   1.71   0.88     0.88    0.11   2.70  2.700XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99324  Domicil/r-home visit new pat                      A   1.01   0.48     0.48NA  0.07   1.56  1.560XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99325  Domicil/r-home visit new pat                      A   1.52   0.65     0.65NA  0.10   2.27  2.270XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99326  Domicil/r-home visit new pat                      A   2.63   1.12     1.12NA  0.17   3.92  3.920XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99327  Domicil/r-home visit new pat                      A   3.46   1.55     1.55NA  0.22   5.23  5.230XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99328  Domicil/r-home visit new pat                      A   4.09   1.76     1.76NA  0.26   6.11  6.110XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99334  Domicil/r-home visit est pat                      A   1.07   0.56     0.56NA  0.07   1.70  1.700XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99335  Domicil/r-home visit est pat                      A   1.72   0.85     0.85NA  0.11   2.68  2.680XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99336  Domicil/r-home visit est pat                      A   2.46   1.17     1.17NA  0.16   3.79  3.790XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99337  Domicil/r-home visit est pat                      A   3.58   1.61     1.61NA  0.24   5.43  5.430XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99339  Domicil/r-home care supervis                      B+  1.25   0.86     0.86NA  0.07   2.18  2.189XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99340  Domicil/r-home care supervis                      B+  1.80   1.15     1.15NA  0.11   3.06  3.069XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99341  Home visit new patient                            A   1.01   0.47     0.47NA  0.07   1.55  1.550XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99342  Home visit new patient                            A   1.52   0.61     0.61NA  0.10   2.23  2.230XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99343  Home visit new patient                            A   2.53   0.96     0.96NA  0.17   3.66  3.660XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99344  Home visit new patient                            A   3.38   1.52     1.52NA  0.23   5.13  5.130XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99345  Home visit new patient                            A   4.09   1.84     1.84NA  0.29   6.22  6.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99347  Home visit est patient                            A   1.00   0.49     0.49NA  0.07   1.56  1.560XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99348  Home visit est patient                            A   1.56   0.70     0.70NA  0.11   2.37  2.370XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99349  Home visit est patient                            A   2.33   1.12     1.12NA  0.16   3.61  3.610XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99350  Home visit est patient                            A   3.28   1.50     1.50NA  0.23   5.01  5.010XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99354  Prolong e&m/psyctx serv o/p                       A   1.77   0.92     0.72    0.13   2.82  2.620ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99355  Prolong e&m/psyctx serv o/p                       A   1.77   0.85     0.65    0.12   2.74  2.540ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99356  Prolonged service inpatient                       A   1.71   0.77NA   0.77    0.11   2.59  2.590ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99357  Prolonged service inpatient                       A   1.71   0.75NA   0.75    0.11   2.57  2.570ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99358  Prolong service w/o contact                       B+  2.10   0.84     0.84    0.12   3.06  3.069XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99359  Prolong serv w/o contact add                      B+  1.00   0.42     0.42    0.06   1.48  1.489ZZZ.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99360  Physician standby services                        X+  1.20   0.46NA   0.46    0.07   1.73  1.739XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99363  Anticoagulant mgmt initial                        B+  1.65   1.83     0.63    0.10   3.58  2.389XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99364  Anticoagulant mgmt subseq                         B+  0.63   0.55     0.24    0.04   1.22  0.919XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99366  Team conf w/pat by hc prof                        B+  0.82   0.34     0.31    0.05   1.21  1.189XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99367  Team conf w/o pat by phys                         B+  1.10   0.42NA   0.42    0.07   1.59  1.599XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99368  Team conf w/o pat by hc pro                       B+  0.72   0.28NA   0.28    0.04   1.04  1.049XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99374  Home health care supervision                      B+  1.10   0.80     0.42    0.07   1.97  1.599XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99375  Home health care supervision                      I+  1.73   1.12     0.66    0.10   2.95  2.499XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99377  Hospice care supervision                          B+  1.10   0.80     0.42    0.07   1.97  1.599XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99378  Hospice care supervision                          I+  1.73   1.12     0.66    0.10   2.95  2.499XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99379  Nursing fac care supervision                      B+  1.10   0.80     0.42    0.07   1.97  1.599XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99380  Nursing fac care supervision                      B+  1.73   1.12     0.66    0.10   2.95  2.499XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99381  Init pm e/m new pat infant                        N+  1.50   1.51     0.57    0.09   3.10  2.169XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99382  Init pm e/m new pat 1-4 yrs                       N+  1.60   1.55     0.61    0.09   3.24  2.309XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99383  Prev visit new age 5-11                           N+  1.70   1.58     0.65    0.10   3.38  2.459XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99384  Prev visit new age 12-17                          N+  2.00   1.70     0.76    0.12   3.82  2.889XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99385  Prev visit new age 18-39                          N+  1.92   1.66     0.73    0.11   3.69  2.769XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99386  Prev visit new age 40-64                          N+  2.33   1.82     0.89    0.14   4.29  3.369XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99387  Init pm e/m new pat 65+ yrs                       N+  2.50   2.00     0.96    0.15   4.65  3.619XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99391  Per pm reeval est pat infant                      N+  1.37   1.34     0.52    0.08   2.79  1.979XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99392  Prev visit est age 1-4                            N+  1.50   1.39     0.57    0.09   2.98  2.169XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99393  Prev visit est age 5-11                           N+  1.50   1.38     0.57    0.09   2.97  2.169XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99394  Prev visit est age 12-17                          N+  1.70   1.46     0.65    0.10   3.26  2.459XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99395  Prev visit est age 18-39                          N+  1.75   1.48     0.67    0.10   3.33  2.529XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99396  Prev visit est age 40-64                          N+  1.90   1.54     0.73    0.11   3.55  2.749XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99397  Per pm reeval est pat 65+ yr                      N+  2.00   1.70     0.76    0.12   3.82  2.889XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99401  Preventive counseling indiv                       N+  0.48   0.51     0.18    0.03   1.02  0.699XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99402  Preventive counseling indiv                       N+  0.98   0.70     0.37    0.06   1.74  1.419XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99403  Preventive counseling indiv                       N+  1.46   0.88     0.56    0.09   2.43  2.119XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99404  Preventive counseling indiv                       N+  1.95   1.07     0.75    0.12   3.14  2.829XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99406  Behav chng smoking 3-10 min                       A   0.24   0.14     0.09    0.02   0.40  0.350XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99407  Behav chng smoking > 10 min                       A   0.50   0.24     0.19    0.04   0.78  0.730XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99408  Audit/dast 15-30 min                              N+  0.65   0.30     0.25    0.04   0.99  0.949XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99409  Audit/dast over 30 min                            N+  1.30   0.55     0.50    0.08   1.93  1.889XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99411  Preventive counseling group                       N+  0.15   0.30     0.06    0.01   0.46  0.229XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99412  Preventive counseling group                       N+  0.25   0.34     0.10    0.01   0.60  0.369XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99415  Prolong clincl staff svc                          A   0.00   0.24     0.24    0.01   0.25  0.253XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99416  Prolong clincl staff svc add                      A   0.00   0.13     0.13    0.01   0.14  0.143XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99420  Health risk assessment test                       N+  0.00   0.30     0.30NA  0.01   0.31  0.319XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99429  Unlisted preventive service                       N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99441  Phone e/m phys/qhp 5-10 min                       N+  0.25   0.13     0.10    0.01   0.39  0.369XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99442  Phone e/m phys/qhp 11-20 min                      N+  0.50   0.23     0.19    0.03   0.76  0.729XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99443  Phone e/m phys/qhp 21-30 min                      N+  0.75   0.32     0.29    0.04   1.11  1.089XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99444  Online e/m by phys/qhp                            N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99446  Interprof phone/online 5-10                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99447  Interprof phone/online 11-20                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99448  Interprof phone/online 21-30                      B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99449  Interprof phone/online 31/>                       B   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99450  Basic life disability exam                        N   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99455  Work related disability exam                      R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99456  Disability examination                            R   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99460  Init nb em per day hosp                           A   1.92   0.68NA   0.68    0.12   2.72  2.720XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99461  Init nb em per day non-fac                        A   1.26   1.24     0.44    0.08   2.58  1.780XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99462  Sbsq nb em per day hosp                           A   0.84   0.29NA   0.29    0.05   1.18  1.180XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99463  Same day nb discharge                             A   2.13   1.09NA   1.09    0.14   3.36  3.360XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99464  Attendance at delivery                            A   1.50   0.41NA   0.41    0.11   2.02  2.020XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99465  Nb resuscitation                                  A   2.93   1.19NA   1.19    0.19   4.31  4.310XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99466  Ped crit care transport                           A   4.79   1.37NA   1.37    0.34   6.50  6.500XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99467  Ped crit care transport addl                      A   2.40   0.76NA   0.76    0.13   3.29  3.290ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99468  Neonate crit care initial                         A  18.46   7.06NA   7.06    1.09  26.61 26.610XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99469  Neonate crit care subsq                           A   7.99   2.74NA   2.74    0.51  11.24 11.240XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99471  Ped critical care initial                         A  15.98   7.10NA   7.10    1.67  24.75 24.750XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99472  Ped critical care subsq                           A   7.99   2.96NA   2.96    0.61  11.56 11.560XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99475  Ped crit care age 2-5 init                        A  11.25   4.16NA   4.16    0.86  16.27 16.270XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99476  Ped crit care age 2-5 subsq                       A   6.75   2.51NA   2.51    0.53   9.79  9.790XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99477  Init day hosp neonate care                        A   7.00   2.68NA   2.68    0.41  10.09 10.090XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99478  Ic lbw inf < 1500 gm subsq                        A   2.75   0.93NA   0.93    0.18   3.86  3.860XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99479  Ic lbw inf 1500-2500 g subsq                      A   2.50   0.86NA   0.86    0.16   3.52  3.520XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99480  Ic inf pbw 2501-5000 g subsq                      A   2.40   0.82NA   0.82    0.15   3.37  3.370XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99485  Suprv interfacilty transport                      B+  1.50   0.57NA   0.57    0.09   2.16  2.169XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99486  Suprv interfac trnsport addl                      B+  1.30   0.50NA   0.50    0.08   1.88  1.889XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99487  Cmplx chron care w/o pt vsit                      B   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99489  Cmplx chron care addl 30 min                      B   0.00   0.00     0.00    0.00   0.00  0.000ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99490  Chron care mgmt srvc 20 min                       A   0.61   0.49     0.23    0.04   1.14  0.880XXX.00.00.0000900             35.8043 090 99      0.00   0.00   0.00
99495  Trans care mgmt 14 day disch                      A   2.11   2.38     0.87    0.13   4.62  3.110XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99496  Trans care mgmt 7 day disch                       A   3.05   3.27     1.26    0.19   6.51  4.500XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99497  Advncd care plan 30 min                           A   1.50   0.80     0.62    0.10   2.40  2.220XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99498  Advncd care plan addl 30 min                      A   1.40   0.59     0.58    0.10   2.09  2.080ZZZ.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99499  Unlisted e&m service                              C   0.00   0.00     0.00    0.00   0.00  0.000XXX.00.00.0000000             35.8043 090 99      0.00   0.00   0.00
99500  Home visit prenatal                               I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99501  Home visit postnatal                              I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99502  Home visit nb care                                I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99503  Home visit resp therapy                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99504  Home visit mech ventilator                        I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99505  Home visit stoma care                             I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99506  Home visit im injection                           I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99507  Home visit cath maintain                          I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99512  Home visit for hemodialysis                       I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
99600  Home visit nos                                    I   0.00   0.00     0.00    0.00   0.00  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 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  0.009XXX.00.00.0099999             35.8043 090 99      0.00   0.00   0.00
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