,,2011 National Physician Fee Schedule Relative Value File  ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,,CPT codes and descriptions only are copyright 2010 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS Apply. ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,,Dental codes (D codes) are copyright 2011/12 American Dental Association.  All Rights Reserved.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,,RELEASED 08/25/2011,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,, , ,,,,,,FULLY,,,,FULLY,,,,,,,,,,,,,,,,,,,,,NON-FACILITY,FACILITY,
,,,,NOT USED,, ,TRANSITIONED,FULLY,IMPLEMENTED, ,TRANSITIONED,FULLY,IMPLEMENTED,, ,FULLY, ,FULLY,,,,,,,,,,,,,PHYSICIAN,,DIAGNOSTIC,PE USED,PE USED,MP USED
,,,,FOR,,TRANSITIONED,NON-FAC,IMPLEMENTED,NON-FAC,TRANSITIONED,FACILITY ,IMPLEMENTED,FACILITY ,,TRANSITIONED,IMPLEMENTED,TRANSITIONED,IMPLEMENTED,,,,,,,,,,,,,SUPERVISION OF,,IMAGING,FOR OPPS,FOR OPPS,FOR OPPS
,,,STATUS,MEDICARE ,WORK,NON-FAC,NA,NON-FAC,NA,FACILITY,NA,FACILITY,NA,MP,NON-FACILITY,NON-FACILITY,FACILITY,FACILITY,PCTC,GLOB,PRE,INTRA,POST,MULT,BILAT,ASST,CO-,TEAM,ENDO,CONV,DIAGNOSTIC,CALCULATION,FAMILY,PAYMENT,PAYMENT,PAYMENT
HCPCS,MOD,DESCRIPTION,CODE,PAYMENT,RVU,PE RVU,INDICATOR,PE RVU,INDICATOR,PE RVU,INDICATOR,PE RVU,INDICATOR,RVU,TOTAL,TOTAL,TOTAL,TOTAL,IND,DAYS,OP,OP,OP,PROC,SURG,SURG,SURG,SURG,BASE,FACTOR,PROCEDURES,FLAG,INDICATOR,AMOUNT,AMOUNT,AMOUNT
A0021,,Outside state ambulance serv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0080,,Noninterest escort in non er,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0090,,Interest escort in non er,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0100,,Nonemergency transport taxi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0110,,Nonemergency transport bus,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0120,,Noner transport mini-bus,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0130,,Noner transport wheelch van,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0140,,Nonemergency transport air,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0160,,Noner transport case worker,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0170,,Transport parking fees/tolls,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0180,,Noner transport lodgng recip,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0190,,Noner transport meals recip,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0200,,Noner transport lodgng escrt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0210,,Noner transport meals escort,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0225,,Neonatal emergency transport,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0380,,Basic life support mileage,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0382,,Basic support routine suppls,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0384,,Bls defibrillation supplies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0390,,Advanced life support mileag,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0392,,Als defibrillation supplies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0394,,Als IV drug therapy supplies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0396,,Als esophageal intub suppls,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0398,,Als routine disposble suppls,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0420,,Ambulance waiting 1/2 hr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0422,,Ambulance 02 life sustaining,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0424,,Extra ambulance attendant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0425,,Ground mileage,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0426,,Als 1,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0427,,ALS1-emergency,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0428,,bls,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0429,,BLS-emergency,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0430,,Fixed wing air transport,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0431,,Rotary wing air transport,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0432,,PI volunteer ambulance co,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0433,,als 2,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0434,,Specialty care transport,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0435,,Fixed wing air mileage,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0436,,Rotary wing air mileage,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0888,,Noncovered ambulance mileage,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0998,,Ambulance response/treatment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A0999,,Unlisted ambulance service,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4206,,1 CC sterile syringe&needle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4207,,2 CC sterile syringe&needle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4208,,3 CC sterile syringe&needle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4209,,5+ CC sterile syringe&needle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4210,,Nonneedle injection device,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4211,,Supp for self-adm injections,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4212,,Non coring needle or stylet,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4213,,20+ CC syringe only,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4215,,Sterile needle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4216,,"Sterile water/saline, 10 ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4217,,"Sterile water/saline, 500 ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4218,,Sterile saline or water,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4220,,Infusion pump refill kit,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4221,,Maint drug infus cath per wk,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4222,,Infusion supplies with pump,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4223,,Infusion supplies w/o pump,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4230,,Infus insulin pump non needl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4231,,Infusion insulin pump needle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4232,,Syringe w/needle insulin 3cc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4233,,Alkalin batt for glucose mon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4234,,J-cell batt for glucose mon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4235,,Lithium batt for glucose mon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4236,,Silvr oxide batt glucose mon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4244,,Alcohol or peroxide per pint,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4245,,Alcohol wipes per box,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4246,,Betadine/phisohex solution,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4247,,Betadine/iodine swabs/wipes,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4248,,Chlorhexidine antisept,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4250,,Urine reagent strips/tablets,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4252,,Blood ketone test or strip,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4253,,Blood glucose/reagent strips,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4255,,Glucose monitor platforms,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4256,,Calibrator solution/chips,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4257,,Replace Lensshield Cartridge,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4258,,Lancet device each,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4259,,Lancets per box,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4261,,Cervical cap contraceptive,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4262,,Temporary tear duct plug,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4263,,Permanent tear duct plug,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4264,,Intratubal occlusion device,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4265,,Paraffin,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4266,,Diaphragm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4267,,Male condom,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4268,,Female condom,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4269,,Spermicide,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4270,,Disposable endoscope sheath,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4280,,Brst prsths adhsv attchmnt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4281,,Replacement breastpump tube,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4282,,Replacement breastpump adpt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4283,,Replacement breastpump cap,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4284,,Replcmnt breast pump shield,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4285,,Replcmnt breast pump bottle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4286,,Replcmnt breastpump lok ring,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4290,,Sacral nerve stim test lead,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4300,,Cath impl vasc access portal,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4301,,Implantable access syst perc,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4305,,Drug delivery system >=50 ML,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4306,,Drug delivery system <=50 ml,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4310,,Insert tray w/o bag/cath,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4311,,Catheter w/o bag 2-way latex,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4312,,Cath w/o bag 2-way silicone,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4313,,Catheter w/bag 3-way,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4314,,Cath w/drainage 2-way latex,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4315,,Cath w/drainage 2-way silcne,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4316,,Cath w/drainage 3-way,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4320,,Irrigation tray,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4321,,Cath therapeutic irrig agent,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4322,,Irrigation syringe,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4326,,Male external catheter,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4327,,Fem urinary collect dev cup,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4328,,Fem urinary collect pouch,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4330,,Stool collection pouch,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4331,,Extension drainage tubing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4332,,Lube sterile packet,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4333,,Urinary cath anchor device,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4334,,Urinary cath leg strap,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4335,,Incontinence supply,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4336,,Urethral insert,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4338,,Indwelling catheter latex,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4340,,Indwelling catheter special,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4344,,Cath indw foley 2 way silicn,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4346,,Cath indw foley 3 way,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4349,,Disposable male external cat,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4351,,Straight tip urine catheter,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4352,,Coude tip urinary catheter,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4353,,Intermittent urinary cath,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4354,,Cath insertion tray w/bag,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4355,,Bladder irrigation tubing,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4356,,Ext ureth clmp or compr dvc,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4357,,Bedside drainage bag,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4358,,Urinary leg or abdomen bag,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4360,,Disposable ext urethral dev,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4361,,Ostomy face plate,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4362,,Solid skin barrier,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4363,,"Ostomy clamp, replacement",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4364,,"Adhesive, liquid or equal",P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4366,,Ostomy vent,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4367,,Ostomy belt,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4368,,Ostomy filter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4369,,Skin barrier liquid per oz,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4371,,Skin barrier powder per oz,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4372,,Skin barrier solid 4x4 equiv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4373,,Skin barrier with flange,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4375,,Drainable plastic pch w fcpl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4376,,Drainable rubber pch w fcplt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4377,,Drainable plstic pch w/o fp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4378,,Drainable rubber pch w/o fp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4379,,Urinary plastic pouch w fcpl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4380,,Urinary rubber pouch w fcplt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4381,,Urinary plastic pouch w/o fp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4382,,Urinary hvy plstc pch w/o fp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4383,,Urinary rubber pouch w/o fp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4384,,Ostomy faceplt/silicone ring,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4385,,Ost skn barrier sld ext wear,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4387,,Ost clsd pouch w att st barr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4388,,Drainable pch w ex wear barr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4389,,Drainable pch w st wear barr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4390,,Drainable pch ex wear convex,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4391,,Urinary pouch w ex wear barr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4392,,Urinary pouch w st wear barr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4393,,Urine pch w ex wear bar conv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4394,,Ostomy pouch liq deodorant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4395,,Ostomy pouch solid deodorant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4396,,Peristomal hernia supprt blt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4397,,Irrigation supply sleeve,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4398,,Ostomy irrigation bag,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4399,,Ostomy irrig cone/cath w brs,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4400,,Ostomy irrigation set,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4402,,Lubricant per ounce,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4404,,Ostomy ring each,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4405,,Nonpectin based ostomy paste,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4406,,Pectin based ostomy paste,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4407,,"Ext wear ost skn barr <=4sq""",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4408,,"Ext wear ost skn barr >4sq""",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4409,,Ost skn barr convex <=4 sq i,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4410,,Ost skn barr extnd >4 sq,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4411,,Ost skn barr extnd =4sq,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4412,,Ost pouch drain high output,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4413,,2 pc drainable ost pouch,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4414,,Ost sknbar w/o conv<=4 sq in,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4415,,Ost skn barr w/o conv >4 sqi,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4416,,Ost pch clsd w barrier/filtr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4417,,Ost pch w bar/bltinconv/fltr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4418,,Ost pch clsd w/o bar w filtr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4419,,Ost pch for bar w flange/flt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4420,,Ost pch clsd for bar w lk fl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4421,,Ostomy supply misc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4422,,Ost pouch absorbent material,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4423,,Ost pch for bar w lk fl/fltr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4424,,Ost pch drain w bar & filter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4425,,Ost pch drain for barrier fl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4426,,Ost pch drain 2 piece system,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4427,,Ost pch drain/barr lk flng/f,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4428,,Urine ost pouch w faucet/tap,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4429,,Urine ost pouch w bltinconv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4430,,Ost urine pch w b/bltin conv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4431,,Ost pch urine w barrier/tapv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4432,,Os pch urine w bar/fange/tap,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4433,,Urine ost pch bar w lock fln,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4434,,Ost pch urine w lock flng/ft,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4450,,Non-waterproof tape,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4452,,Waterproof tape,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4455,,Adhesive remover per ounce,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4456,,"Adhesive remover, wipes",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4458,,Reusable enema bag,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4461,,Surgicl dress hold non-reuse,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4463,,Surgical dress holder reuse,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4465,,Non-elastic extremity binder,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4466,,Elastic garment/covering,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4470,,Gravlee jet washer,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4480,,Vabra aspirator,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4481,,Tracheostoma filter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4483,,Moisture exchanger,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4490,,Above knee surgical stocking,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4495,,Thigh length surg stocking,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4500,,Below knee surgical stocking,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4510,,Full length surg stocking,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4520,,Incontinence garment anytype,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4550,,Surgical trays,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4554,,Disposable underpads,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4556,,"Electrodes, pair",P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4557,,"Lead wires, pair",P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4558,,Conductive gel or paste,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4559,,Coupling gel or paste,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4561,,"Pessary rubber, any type",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4562,,"Pessary, non rubber,any type",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4565,,Slings,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4566,,Should sling/vest/abrestrain,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4570,,Splint,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4575,,Hyperbaric o2 chamber disps,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4580,,Cast supplies (plaster),I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4590,,Special casting material,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4595,,TENS suppl 2 lead per month,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4600,,"Sleeve, inter limb comp dev",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4601,,"Lith ion batt, non-pros use",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4604,,Tubing with heating element,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4605,,Trach suction cath close sys,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4606,,Oxygen probe used w oximeter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4608,,Transtracheal oxygen cath,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4611,,Heavy duty battery,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4612,,Battery cables,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4613,,Battery charger,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4614,,Hand-held PEFR meter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4615,,Cannula nasal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4616,,Tubing (oxygen) per foot,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4617,,Mouth piece,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4618,,Breathing circuits,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4619,,Face tent,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4620,,Variable concentration mask,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4623,,Tracheostomy inner cannula,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4624,,Tracheal suction tube,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4625,,Trach care kit for new trach,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4626,,Tracheostomy cleaning brush,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4627,,Spacer bag/reservoir,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4628,,Oropharyngeal suction cath,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4629,,Tracheostomy care kit,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4630,,Repl bat t.e.n.s. own by pt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4633,,Uvl replacement bulb,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4634,,Replacement bulb th lightbox,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4635,,Underarm crutch pad,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4636,,Handgrip for cane etc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4637,,Repl tip cane/crutch/walker,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4638,,Repl batt pulse gen sys,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4639,,Infrared ht sys replcmnt pad,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4640,,Alternating pressure pad,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4641,,Radiopharm dx agent noc,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A4642,,In111 satumomab,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A4648,,Implantable tissue marker,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4649,,Surgical supplies,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4650,,Implant radiation dosimeter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4651,,Calibrated microcap tube,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4652,,Microcapillary tube sealant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4653,,PD catheter anchor belt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4657,,Syringe w/wo needle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4660,,Sphyg/bp app w cuff and stet,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4663,,Dialysis blood pressure cuff,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4670,,"Automatic bp monitor, dial",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4671,,Disposable cycler set,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4672,,"Drainage ext line, dialysis",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4673,,Ext line w easy lock connect,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4674,,"Chem/antisept solution, 8oz",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4680,,"Activated carbon filter, ea",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4690,,"Dialyzer, each",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4706,,Bicarbonate conc sol per gal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4707,,Bicarbonate conc pow per pac,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4708,,Acetate conc sol per gallon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4709,,Acid conc sol per gallon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4714,,Treated water per gallon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4719,,"""Y set"" tubing",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4720,,Dialysat sol fld vol > 249cc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4721,,Dialysat sol fld vol > 999cc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4722,,Dialys sol fld vol > 1999cc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4723,,Dialys sol fld vol > 2999cc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4724,,Dialys sol fld vol > 3999cc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4725,,Dialys sol fld vol > 4999cc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4726,,Dialys sol fld vol > 5999cc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4728,,"Dialysate solution, non-dex",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4730,,"Fistula cannulation set, ea",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4736,,"Topical anesthetic, per gram",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4737,,Inj anesthetic per 10 ml,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4740,,Shunt accessory,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4750,,Art or venous blood tubing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4755,,Comb art/venous blood tubing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4760,,"Dialysate sol test kit, each",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4765,,Dialysate conc pow per pack,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4766,,Dialysate conc sol add 10 ml,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4770,,Blood collection tube/vacuum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4771,,Serum clotting time tube,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4772,,Blood glucose test strips,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4773,,Occult blood test strips,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4774,,Ammonia test strips,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4802,,Protamine sulfate per 50 mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4860,,Disposable catheter tips,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4870,,Plumb/elec wk hm hemo equip,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4890,,Repair/maint cont hemo equip,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A4911,,Drain bag/bottle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4913,,Misc dialysis supplies noc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4918,,Venous pressure clamp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4927,,Non-sterile gloves,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4928,,Surgical mask,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4929,,"Tourniquet for dialysis, ea",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4930,,"Sterile, gloves per pair",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4931,,Reusable oral thermometer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A4932,,Reusable rectal thermometer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5051,,Pouch clsd w barr attached,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5052,,Clsd ostomy pouch w/o barr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5053,,Clsd ostomy pouch faceplate,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5054,,Clsd ostomy pouch w/flange,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5055,,Stoma cap,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5061,,Pouch drainable w barrier at,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5062,,Drnble ostomy pouch w/o barr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5063,,Drain ostomy pouch w/flange,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5071,,Urinary pouch w/barrier,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5072,,Urinary pouch w/o barrier,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5073,,Urinary pouch on barr w/flng,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5081,,Continent stoma plug,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5082,,Continent stoma catheter,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5083,,Stoma absorptive cover,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5093,,Ostomy accessory convex inse,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5102,,Bedside drain btl w/wo tube,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5105,,Urinary suspensory,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5112,,Urinary leg bag,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5113,,Latex leg strap,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5114,,Foam/fabric leg strap,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5120,,"Skin barrier, wipe or swab",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5121,,Solid skin barrier 6x6,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5122,,Solid skin barrier 8x8,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5126,,Disk/foam pad +or- adhesive,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5131,,Appliance cleaner,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5200,,Percutaneous catheter anchor,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5500,,Diab shoe for density insert,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5501,,Diabetic custom molded shoe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5503,,Diabetic shoe w/roller/rockr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5504,,Diabetic shoe with wedge,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5505,,Diab shoe w/metatarsal bar,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5506,,Diabetic shoe w/off set heel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5507,,Modification diabetic shoe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5508,,Diabetic deluxe shoe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5510,,Compression form shoe insert,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5512,,Multi den insert direct form,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A5513,,Multi den insert custom mold,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6000,,Wound warming wound cover,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6010,,Collagen based wound filler,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6011,,Collagen gel/paste wound fil,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6021,,Collagen dressing <=16 sq in,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6022,,Collagen drsg>16<=48 sq in,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6023,,Collagen dressing >48 sq in,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6024,,Collagen dsg wound filler,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6025,,"Silicone gel sheet, each",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6154,,Wound pouch each,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6196,,Alginate dressing <=16 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6197,,Alginate drsg >16 <=48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6198,,alginate dressing > 48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6199,,Alginate drsg wound filler,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6203,,Composite drsg <= 16 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6204,,Composite drsg >16<=48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6205,,Composite drsg > 48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6206,,Contact layer <= 16 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6207,,Contact layer >16<= 48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6208,,Contact layer > 48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6209,,Foam drsg <=16 sq in w/o bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6210,,Foam drg >16<=48 sq in w/o b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6211,,Foam drg > 48 sq in w/o brdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6212,,Foam drg <=16 sq in w/border,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6213,,Foam drg >16<=48 sq in w/bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6214,,Foam drg > 48 sq in w/border,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6215,,Foam dressing wound filler,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6216,,Non-sterile gauze<=16 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6217,,Non-sterile gauze>16<=48 sq,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6218,,Non-sterile gauze > 48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6219,,Gauze <= 16 sq in w/border,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6220,,Gauze >16 <=48 sq in w/bordr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6221,,Gauze > 48 sq in w/border,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6222,,Gauze <=16 in no w/sal w/o b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6223,,Gauze >16<=48 no w/sal w/o b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6224,,Gauze > 48 in no w/sal w/o b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6228,,Gauze <= 16 sq in water/sal,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6229,,Gauze >16<=48 sq in watr/sal,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6230,,Gauze > 48 sq in water/salne,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6231,,Hydrogel dsg<=16 sq in,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6232,,Hydrogel dsg>16<=48 sq in,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6233,,Hydrogel dressing >48 sq in,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6234,,Hydrocolld drg <=16 w/o bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6235,,Hydrocolld drg >16<=48 w/o b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6236,,Hydrocolld drg > 48 in w/o b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6237,,Hydrocolld drg <=16 in w/bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6238,,Hydrocolld drg >16<=48 w/bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6239,,Hydrocolld drg > 48 in w/bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6240,,Hydrocolld drg filler paste,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6241,,Hydrocolloid drg filler dry,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6242,,Hydrogel drg <=16 in w/o bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6243,,Hydrogel drg >16<=48 w/o bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6244,,Hydrogel drg >48 in w/o bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6245,,Hydrogel drg <= 16 in w/bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6246,,Hydrogel drg >16<=48 in w/b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6247,,Hydrogel drg > 48 sq in w/b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6248,,Hydrogel drsg gel filler,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6250,,Skin seal protect moisturizr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6251,,Absorpt drg <=16 sq in w/o b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6252,,Absorpt drg >16 <=48 w/o bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6253,,Absorpt drg > 48 sq in w/o b,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6254,,Absorpt drg <=16 sq in w/bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6255,,Absorpt drg >16<=48 in w/bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6256,,Absorpt drg > 48 sq in w/bdr,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6257,,Transparent film <= 16 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6258,,Transparent film >16<=48 in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6259,,Transparent film > 48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6260,,Wound cleanser any type/size,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6261,,Wound filler gel/paste /oz,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6262,,Wound filler dry form / gram,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6266,,Impreg gauze no h20/sal/yard,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6402,,Sterile gauze <= 16 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6403,,Sterile gauze>16 <= 48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6404,,Sterile gauze > 48 sq in,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6407,,"Packing strips, non-impreg",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6410,,Sterile eye pad,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6411,,Non-sterile eye pad,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6412,,Occlusive eye patch,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6413,,"Adhesive bandage, first-aid",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6441,,"Pad band w>=3"" <5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6442,,"Conform band n/s w<3""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6443,,"Conform band n/s w>=3""<5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6444,,"Conform band n/s w>=5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6445,,"Conform band s w <3""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6446,,"Conform band s w>=3"" <5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6447,,"Conform band s w >=5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6448,,"Lt compres band <3""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6449,,"Lt compres band >=3"" <5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6450,,"Lt compres band >=5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6451,,"Mod compres band w>=3""<5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6452,,"High compres band w>=3""<5""yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6453,,"Self-adher band w <3""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6454,,"Self-adher band w>=3"" <5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6455,,"Self-adher band >=5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6456,,"Zinc paste band w >=3""<5""/yd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6457,,Tubular dressing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6501,,Compres burngarment bodysuit,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6502,,Compres burngarment chinstrp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6503,,Compres burngarment facehood,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6504,,Cmprsburngarment glove-wrist,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6505,,Cmprsburngarment glove-elbow,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6506,,Cmprsburngrmnt glove-axilla,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6507,,Cmprs burngarment foot-knee,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6508,,Cmprs burngarment foot-thigh,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6509,,Compres burn garment jacket,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6510,,Compres burn garment leotard,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6511,,Compres burn garment panty,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6512,,"Compres burn garment, noc",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6513,,Compress burn mask face/neck,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6530,,Compression stocking BK18-30,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6531,,Compression stocking BK30-40,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6532,,Compression stocking BK40-50,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6533,,Gc stocking thighlngth 18-30,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6534,,Gc stocking thighlngth 30-40,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6535,,Gc stocking thighlngth 40-50,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6536,,Gc stocking full lngth 18-30,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6537,,Gc stocking full lngth 30-40,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6538,,Gc stocking full lngth 40-50,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6539,,Gc stocking waistlngth 18-30,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6540,,Gc stocking waistlngth 30-40,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6541,,Gc stocking waistlngth 40-50,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6544,,Gc stocking garter belt,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6545,,Grad comp non-elastic BK,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6549,,G compression stocking,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A6550,,Neg pres wound ther drsg set,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7000,,Disposable canister for pump,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7001,,Nondisposable pump canister,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7002,,Tubing used w suction pump,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7003,,Nebulizer administration set,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7004,,Disposable nebulizer sml vol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7005,,Nondisposable nebulizer set,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7006,,Filtered nebulizer admin set,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7007,,Lg vol nebulizer disposable,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7008,,Disposable nebulizer prefill,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7009,,Nebulizer reservoir bottle,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7010,,Disposable corrugated tubing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7011,,Nondispos corrugated tubing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7012,,Nebulizer water collec devic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7013,,Disposable compressor filter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7014,,Compressor nondispos filter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7015,,Aerosol mask used w nebulize,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7016,,Nebulizer dome & mouthpiece,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7017,,Nebulizer not used w oxygen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7018,,Water distilled w/nebulizer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7020,,"Interface, cough stim device",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7025,,Replace chest compress vest,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7026,,Replace chst cmprss sys hose,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7027,,Combination oral/nasal mask,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7028,,Repl oral cushion combo mask,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7029,,Repl nasal pillow comb mask,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7030,,CPAP full face mask,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7031,,Replacement facemask interfa,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7032,,Replacement nasal cushion,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7033,,Replacement nasal pillows,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7034,,Nasal application device,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7035,,Pos airway press headgear,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7036,,Pos airway press chinstrap,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7037,,Pos airway pressure tubing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7038,,Pos airway pressure filter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7039,,"Filter, non disposable w pap",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7040,,One way chest drain valve,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7041,,Water seal drain container,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7042,,Implanted pleural catheter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7043,,Vacuum drainagebottle/tubing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7044,,PAP oral interface,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7045,,Repl exhalation port for PAP,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7046,,"Repl water chamber, PAP dev",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7501,,Tracheostoma valve w diaphra,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7502,,Replacement diaphragm/fplate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7503,,HMES filter holder or cap,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7504,,Tracheostoma HMES filter,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7505,,HMES or trach valve housing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7506,,HMES/trachvalve adhesivedisk,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7507,,Integrated filter & holder,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7508,,Housing & Integrated Adhesiv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7509,,Heat & moisture exchange sys,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7520,,Trach/laryn tube non-cuffed,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7521,,Trach/laryn tube cuffed,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7522,,Trach/laryn tube stainless,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7523,,Tracheostomy shower protect,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7524,,Tracheostoma stent/stud/bttn,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7525,,Tracheostomy mask,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7526,,Tracheostomy tube collar,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A7527,,Trach/laryn tube plug/stop,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A8000,,Soft protect helmet prefab,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A8001,,Hard protect helmet prefab,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A8002,,Soft protect helmet custom,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A8003,,Hard protect helmet custom,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A8004,,"Repl soft interface, helmet",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9150,,Misc/exper non-prescript dru,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9152,,Single vitamin nos,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9153,,Multi-vitamin nos,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9155,,Artificial saliva,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9180,,"Lice treatment, topical",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9270,,Non-covered item or service,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9273,,Hot/cold h2obot/cap/col/wrap,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9274,,Ext amb insulin delivery sys,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9275,,Disp home glucose monitor,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9276,,"Disposable sensor, CGM sys",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9277,,"External transmitter, CGM",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9278,,"External receiver, CGM sys",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9279,,Monitoring feature/deviceNOC,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9280,,"Alert device, noc",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9281,,Reaching/grabbing device,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9282,,Wig any type,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9283,,Foot press off load supp dev,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9284,,Non-electronic spirometer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9300,,Exercise equipment,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9500,,Tc99m sestamibi,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9501,,Technetium TC-99m teboroxime,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9502,,Tc99m tetrofosmin,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9503,,Tc99m medronate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9504,,Tc99m apcitide,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9505,,TL201 thallium,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9507,,In111 capromab,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9508,,"I131 iodobenguate, dx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9509,,Iodine I-123 sod iodide mil,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9510,,Tc99m disofenin,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9512,,Tc99m pertechnetate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9516,,Iodine I-123 sod iodide mic,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9517,,"I131 iodide cap, rx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9521,,Tc99m exametazime,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9524,,"I131 serum albumin, dx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9526,,Nitrogen N-13 ammonia,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9527,,Iodine I-125 sodium iodide,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9528,,"Iodine I-131 iodide cap, dx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9529,,"I131 iodide sol, dx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9530,,"I131 iodide sol, rx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9531,,I131 max 100uCi,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9532,,"I125 serum albumin, dx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9536,,Tc99m depreotide,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9537,,Tc99m mebrofenin,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9538,,Tc99m pyrophosphate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9539,,Tc99m pentetate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9540,,Tc99m MAA,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9541,,Tc99m sulfur colloid,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9542,,"In111 ibritumomab, dx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9543,,"Y90 ibritumomab, rx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9544,,"I131 tositumomab, dx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9545,,"I131 tositumomab, rx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9546,,Co57/58,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9547,,In111 oxyquinoline,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9548,,In111 pentetate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9550,,Tc99m gluceptate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9551,,Tc99m succimer,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9552,,F18 fdg,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9553,,Cr51 chromate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9554,,"I125 iothalamate, dx",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9555,,Rb82 rubidium,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9556,,Ga67 gallium,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9557,,Tc99m bicisate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9558,,Xe133 xenon 10mci,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9559,,Co57 cyano,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9560,,Tc99m labeled rbc,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9561,,Tc99m oxidronate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9562,,Tc99m mertiatide,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9563,,P32 Na phosphate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9564,,P32 chromic phosphate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9566,,Tc99m fanolesomab,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9567,,Technetium TC-99m aerosol,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9568,,Technetium tc99m arcitumomab,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9569,,Technetium TC-99m auto WBC,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9570,,Indium In-111 auto WBC,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9571,,Indium IN-111 auto platelet,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9572,,Indium In-111 pentetreotide,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9576,,Inj prohance multipack,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9577,,Inj multihance,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9578,,Inj multihance multipack,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9579,,"Gad-base MR contrast NOS,1ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9580,,Sodium fluoride F-18,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9581,,Gadoxetate disodium inj,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9582,,Iodine I-123 iobenguane,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9583,,Gadofosveset trisodium inj,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9600,,Sr89 strontium,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9604,,Sm 153 lexidronam,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9698,,Non-rad contrast materialNOC,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9699,,Radiopharm rx agent noc,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
A9700,,Echocardiography Contrast,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9900,,Supply/accessory/service,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9901,,Delivery/set up/dispensing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
A9999,,"DME supply or accessory, nos",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0120,,Periodic oral evaluation,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0140,,Limit oral eval problm focus,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0145,,"Oral evaluation, pt < 3yrs",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0150,,Comprehensve oral evaluation,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0160,,Extensv oral eval prob focus,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0170,,"Re-eval,est pt,problem focus",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0180,,Comp periodontal evaluation,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0210,,Intraor complete film series,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0220,,Intraoral periapical first f,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0230,,Intraoral periapical ea add,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0240,,Intraoral occlusal film,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0250,,Extraoral first film,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0260,,Extraoral ea additional film,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0270,,Dental bitewing single film,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0272,,Dental bitewings two films,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0273,,Bitewings - three films,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0274,,Dental bitewings four films,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0277,,Vert bitewings-sev to eight,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0290,,Dental film skull/facial bon,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0310,,Dental saliography,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0320,,Dental tmj arthrogram incl i,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0321,,Dental other tmj films,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0322,,Dental tomographic survey,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0330,,Dental panoramic film,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0340,,Dental cephalometric film,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0350,,Oral/facial photo images,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0360,,Cone beam ct,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0362,,"Cone beam, two dimensional",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0363,,"Cone beam, three dimensional",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0415,,Collection of microorganisms,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0416,,Viral culture,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0417,,Collect & prep saliva sample,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0418,,Analysis of saliva sample,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0421,,Gen tst suscept oral disease,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0425,,Caries susceptibility test,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0431,,Diag tst detect mucos abnorm,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0460,,Pulp vitality test,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0470,,Diagnostic casts,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0472,,"Gross exam, prep & report",R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0473,,"Micro exam, prep & report",R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0474,,Micro w exam of surg margins,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0475,,Decalcification procedure,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0476,,Spec stains for microorganis,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0477,,Spec stains not for microorg,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0478,,Immunohistochemical stains,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0479,,Tissue in-situ hybridization,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0480,,Cytopath smear prep & report,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0481,,Electron microscopy diagnost,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0482,,Direct immunofluorescence,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0483,,Indirect immunofluorescence,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0484,,Consult slides prep elsewher,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0485,,Consult inc prep of slides,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0486,,Access of transep cytol samp,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D0502,,Other oral pathology procedu,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D0999,,Unspecified diagnostic proce,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D1110,,Dental prophylaxis adult,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1120,,Dental prophylaxis child,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1203,,Topical app fluoride child,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1204,,Topical app fluoride adult,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1206,,Topical fluoride varnish,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1310,,Nutri counsel-control caries,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1320,,Tobacco counseling,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1330,,Oral hygiene instruction,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1351,,Dental sealant per tooth,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1352,,"Prev resin rest, perm tooth",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D1510,,Space maintainer fxd unilat,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D1515,,Fixed bilat space maintainer,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D1520,,Remove unilat space maintain,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D1525,,Remove bilat space maintain,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D1550,,Recement space maintainer,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D1555,,Remove fix space maintainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2140,,Amalgam one surface permanen,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2150,,Amalgam two surfaces permane,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2160,,Amalgam three surfaces perma,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2161,,Amalgam 4 or > surfaces perm,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2330,,Resin one surface-anterior,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2331,,Resin two surfaces-anterior,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2332,,Resin three surfaces-anterio,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2335,,Resin 4/> surf or w incis an,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2390,,Ant resin-based cmpst crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2391,,Post 1 srfc resinbased cmpst,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2392,,Post 2 srfc resinbased cmpst,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2393,,Post 3 srfc resinbased cmpst,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2394,,Post >=4srfc resinbase cmpst,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2410,,Dental gold foil one surface,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2420,,Dental gold foil two surface,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2430,,Dental gold foil three surfa,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2510,,Dental inlay metalic 1 surf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2520,,Dental inlay metallic 2 surf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2530,,Dental inlay metl 3/more sur,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2542,,Dental onlay metallic 2 surf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2543,,Dental onlay metallic 3 surf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2544,,Dental onlay metl 4/more sur,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2610,,Inlay porcelain/ceramic 1 su,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2620,,Inlay porcelain/ceramic 2 su,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2630,,Dental onlay porc 3/more sur,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2642,,Dental onlay porcelin 2 surf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2643,,Dental onlay porcelin 3 surf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2644,,Dental onlay porc 4/more sur,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2650,,Inlay composite/resin one su,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2651,,Inlay composite/resin two su,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2652,,Dental inlay resin 3/mre sur,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2662,,Dental onlay resin 2 surface,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2663,,Dental onlay resin 3 surface,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2664,,Dental onlay resin 4/mre sur,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2710,,Crown resin-based indirect,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2712,,Crown 3/4 resin-based compos,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2720,,Crown resin w/ high noble me,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2721,,Crown resin w/ base metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2722,,Crown resin w/ noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2740,,Crown porcelain/ceramic subs,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2750,,Crown porcelain w/ h noble m,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2751,,Crown porcelain fused base m,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2752,,Crown porcelain w/ noble met,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2780,,Crown 3/4 cast hi noble met,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2781,,Crown 3/4 cast base metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2782,,Crown 3/4 cast noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2783,,Crown 3/4 porcelain/ceramic,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2790,,Crown full cast high noble m,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2791,,Crown full cast base metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2792,,Crown full cast noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2794,,Crown-titanium,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2799,,Provisional crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2910,,Recement inlay onlay or part,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2915,,Recement cast or prefab post,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2920,,Dental recement crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2930,,Prefab stnlss steel crwn pri,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2931,,Prefab stnlss steel crown pe,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2932,,Prefabricated resin crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2933,,Prefab stainless steel crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2934,,Prefab steel crown primary,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2940,,Protective restoration,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2950,,Core build-up incl any pins,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2951,,Tooth pin retention,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2952,,Post and core cast + crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2953,,Each addtnl cast post,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2954,,Prefab post/core + crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2955,,Post removal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2957,,Each addtnl prefab post,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2960,,Laminate labial veneer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2961,,Lab labial veneer resin,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2962,,Lab labial veneer porcelain,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2970,,Temp crown (fractured tooth),R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2971,,Add proc construct new crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2975,,Coping,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2980,,Crown repair,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D2999,,Dental unspec restorative pr,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D3110,,Pulp cap direct,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3120,,Pulp cap indirect,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3220,,Therapeutic pulpotomy,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3221,,Gross pulpal debridement,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3222,,Part pulp for apexogenesis,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3230,,Pulpal therapy anterior prim,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3240,,Pulpal therapy posterior pri,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3310,,"End thxpy, anterior tooth",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3320,,"End thxpy, bicuspid tooth",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3330,,"End thxpy, molar",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3331,,Non-surg tx root canal obs,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3332,,Incomplete endodontic tx,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3333,,Internal root repair,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3346,,Retreat root canal anterior,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3347,,Retreat root canal bicuspid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3348,,Retreat root canal molar,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3351,,Apexification/recalc initial,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3352,,Apexification/recalc interim,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3353,,Apexification/recalc final,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3354,,Pulpal regeneration,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3410,,Apicoect/perirad surg anter,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3421,,Root surgery bicuspid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3425,,Root surgery molar,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3426,,Root surgery ea add root,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3430,,Retrograde filling,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3450,,Root amputation,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3460,,Endodontic endosseous implan,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D3470,,Intentional replantation,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3910,,Isolation- tooth w rubb dam,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3920,,Tooth splitting,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3950,,Canal prep/fitting of dowel,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D3999,,Endodontic procedure,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4210,,Gingivectomy/plasty per quad,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4211,,Gingivectomy/plasty per toot,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4230,,Ana crown exp 4 or> per quad,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4231,,Ana crown exp 1-3 per quad,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4240,,Gingival flap proc w/ planin,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4241,,Gngvl flap w rootplan 1-3 th,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4245,,Apically positioned flap,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4249,,Crown lengthen hard tissue,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4260,,Osseous surgery per quadrant,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4261,,Osseous surgl-3teethperquad,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4263,,Bone replce graft first site,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4264,,Bone replce graft each add,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4265,,Bio mtrls to aid soft/os reg,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4266,,Guided tiss regen resorble,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4267,,Guided tiss regen nonresorb,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4268,,Surgical revision procedure,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4270,,Pedicle soft tissue graft pr,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4271,,Free soft tissue graft proc,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4273,,Subepithelial tissue graft,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4274,,Distal/proximal wedge proc,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4275,,Soft tissue allograft,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4276,,Con tissue w dble ped graft,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4320,,Provision splnt intracoronal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4321,,Provisional splint extracoro,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4341,,Periodontal scaling & root,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4342,,Periodontal scaling 1-3teeth,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4355,,Full mouth debridement,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4381,,Localized delivery antimicro,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D4910,,Periodontal maint procedures,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4920,,Unscheduled dressing change,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D4999,,Unspecified periodontal proc,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5110,,Dentures complete maxillary,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5120,,Dentures complete mandible,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5130,,Dentures immediat maxillary,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5140,,Dentures immediat mandible,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5211,,Dentures maxill part resin,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5212,,Dentures mand part resin,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5213,,Dentures maxill part metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5214,,Dentures mandibl part metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5225,,Maxillary part denture flex,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5226,,Mandibular part denture flex,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5281,,Removable partial denture,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5410,,Dentures adjust cmplt maxil,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5411,,Dentures adjust cmplt mand,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5421,,Dentures adjust part maxill,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5422,,Dentures adjust part mandbl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5510,,Dentur repr broken compl bas,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5520,,Replace denture teeth complt,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5610,,Dentures repair resin base,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5620,,Rep part denture cast frame,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5630,,Rep partial denture clasp,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5640,,Replace part denture teeth,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5650,,Add tooth to partial denture,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5660,,Add clasp to partial denture,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5670,,Replc tth&acrlc on mtl frmwk,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5671,,Replc tth&acrlc mandibular,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5710,,Dentures rebase cmplt maxil,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5711,,Dentures rebase cmplt mand,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5720,,Dentures rebase part maxill,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5721,,Dentures rebase part mandbl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5730,,Denture reln cmplt maxil ch,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5731,,Denture reln cmplt mand chr,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5740,,Denture reln part maxil chr,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5741,,Denture reln part mand chr,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5750,,Denture reln cmplt max lab,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5751,,Denture reln cmplt mand lab,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5760,,Denture reln part maxil lab,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5761,,Denture reln part mand lab,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5810,,Denture interm cmplt maxill,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5811,,Denture interm cmplt mandbl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5820,,Denture interm part maxill,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5821,,Denture interm part mandbl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5850,,Denture tiss conditn maxill,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5851,,Denture tiss condtin mandbl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5860,,Overdenture complete,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5861,,Overdenture partial,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5862,,Precision attachment,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5867,,Replacement of precision att,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5875,,Prosthesis modification,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5899,,Removable prosthodontic proc,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5911,,Facial moulage sectional,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D5912,,Facial moulage complete,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D5913,,Nasal prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5914,,Auricular prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5915,,Orbital prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5916,,Ocular prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5919,,Facial prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5922,,Nasal septal prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5923,,Ocular prosthesis interim,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5924,,Cranial prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5925,,Facial augmentation implant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5926,,Replacement nasal prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5927,,Auricular replacement,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5928,,Orbital replacement,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5929,,Facial replacement,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5931,,Surgical obturator,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5932,,Postsurgical obturator,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5933,,Refitting of obturator,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5934,,Mandibular flange prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5935,,Mandibular denture prosth,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5936,,Temp obturator prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5937,,Trismus appliance,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5951,,Feeding aid,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D5952,,Pediatric speech aid,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5953,,Adult speech aid,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5954,,Superimposed prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5955,,Palatal lift prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5958,,Intraoral con def inter plt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5959,,Intraoral con def mod palat,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5960,,Modify speech aid prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5982,,Surgical stent,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5983,,Radiation applicator,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D5984,,Radiation shield,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D5985,,Radiation cone locator,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D5986,,Fluoride applicator,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5987,,Commissure splint,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D5988,,Surgical splint,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5991,,Topical medicament carrier,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5992,,Adjust max prost appliance,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5993,,Main/clean max prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D5999,,Maxillofacial prosthesis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6010,,Odontics endosteal implant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6012,,Endosteal implant,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6040,,Odontics eposteal implant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6050,,Odontics transosteal implnt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6053,,Implnt/abtmnt spprt remv dnt,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6054,,Implnt/abtmnt spprt remvprtl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6055,,Implant connecting bar,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6056,,Prefabricated abutment,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6057,,Custom abutment,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6058,,Abutment supported crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6059,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6060,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6061,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6062,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6063,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6064,,Abutment supported mtl crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6065,,Implant supported crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6066,,Implant supported mtl crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6067,,Implant supported mtl crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6068,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6069,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6070,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6071,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6072,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6073,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6074,,Abutment supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6075,,Implant supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6076,,Implant supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6077,,Implant supported retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6078,,Implnt/abut suprtd fixd dent,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6079,,Implnt/abut suprtd fixd dent,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6080,,Implant maintenance,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6090,,Repair implant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6091,,Repl semi/precision attach,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6092,,Recement supp crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6093,,Recement supp part denture,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6094,,Abut support crown titanium,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6095,,Odontics repr abutment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6100,,Removal of implant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6190,,Radio/surgical implant index,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6194,,Abut support retainer titani,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6199,,Implant procedure,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6205,,Pontic-indirect resin based,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6210,,Prosthodont high noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6211,,Bridge base metal cast,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6212,,Bridge noble metal cast,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6214,,Pontic titanium,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6240,,Bridge porcelain high noble,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6241,,Bridge porcelain base metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6242,,Bridge porcelain nobel metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6245,,Bridge porcelain/ceramic,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6250,,Bridge resin w/high noble,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6251,,Bridge resin base metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6252,,Bridge resin w/noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6253,,Provisional pontic,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6254,,Interim pontic,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6545,,Dental retainr cast metl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6548,,Porcelain/ceramic retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6600,,Porcelain/ceramic inlay 2srf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6601,,Porc/ceram inlay >= 3 surfac,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6602,,Cst hgh nble mtl inlay 2 srf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6603,,Cst hgh nble mtl inlay >=3sr,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6604,,Cst bse mtl inlay 2 surfaces,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6605,,Cst bse mtl inlay >= 3 surfa,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6606,,Cast noble metal inlay 2 sur,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6607,,Cst noble mtl inlay >=3 surf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6608,,Onlay porc/crmc 2 surfaces,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6609,,Onlay porc/crmc >=3 surfaces,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6610,,Onlay cst hgh nbl mtl 2 srfc,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6611,,Onlay cst hgh nbl mtl >=3srf,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6612,,Onlay cst base mtl 2 surface,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6613,,Onlay cst base mtl >=3 surfa,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6614,,Onlay cst nbl mtl 2 surfaces,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6615,,Onlay cst nbl mtl >=3 surfac,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6624,,Inlay titanium,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6634,,Onlay titanium,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6710,,Crown-indirect resin based,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6720,,Retain crown resin w hi nble,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6721,,Crown resin w/base metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6722,,Crown resin w/noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6740,,Crown porcelain/ceramic,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6750,,Crown porcelain high noble,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6751,,Crown porcelain base metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6752,,Crown porcelain noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6780,,Crown 3/4 high noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6781,,Crown 3/4 cast based metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6782,,Crown 3/4 cast noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6783,,Crown 3/4 porcelain/ceramic,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6790,,Crown full high noble metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6791,,Crown full base metal cast,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6792,,Crown full noble metal cast,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6793,,Provisional retainer crown,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6794,,Crown titanium,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6795,,Interim retainer crown,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6920,,Dental connector bar,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D6930,,Dental recement bridge,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6940,,Stress breaker,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6950,,Precision attachment,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6970,,Post & core plus retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6972,,Prefab post & core plus reta,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6973,,Core build up for retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6975,,Coping metal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6976,,Each addtnl cast post,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6977,,Each addtl prefab post,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6980,,Bridge repair,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6985,,Pediatric partial denture fx,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D6999,,Fixed prosthodontic proc,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7111,,Extraction coronal remnants,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7140,,Extraction erupted tooth/exr,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7210,,Rem imp tooth w mucoper flp,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7220,,Impact tooth remov soft tiss,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7230,,Impact tooth remov part bony,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7240,,Impact tooth remov comp bony,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7241,,Impact tooth rem bony w/comp,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7250,,Tooth root removal,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7251,,Coronectomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7260,,Oral antral fistula closure,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7261,,Primary closure sinus perf,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7270,,Tooth reimplantation,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7272,,Tooth transplantation,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7280,,Exposure impact tooth orthod,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7282,,Mobilize erupted/malpos toot,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7283,,Place device impacted tooth,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7285,,Biopsy of oral tissue hard,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7286,,Biopsy of oral tissue soft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7287,,Exfoliative cytolog collect,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7288,,Brush biopsy,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7290,,Repositioning of teeth,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7291,,Transseptal fiberotomy,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7292,,Screw retained plate,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7293,,Temp anchorage dev w flap,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7294,,Temp anchorage dev w/o flap,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7295,,"Bone harvest,auto graft proc",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7310,,Alveoplasty w/ extraction,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7311,,Alveoloplasty w/extract 1-3,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7320,,Alveoplasty w/o extraction,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7321,,Alveoloplasty not w/extracts,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7340,,Vestibuloplasty ridge extens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7350,,Vestibuloplasty exten graft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7410,,Rad exc lesion up to 1.25 cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7411,,Excision benign lesion>1.25c,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7412,,Excision benign lesion compl,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7413,,Excision malig lesion<=1.25c,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7414,,Excision malig lesion>1.25cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7415,,Excision malig les complicat,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7440,,Malig tumor exc to 1.25 cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7441,,Malig tumor > 1.25 cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7450,,Rem odontogen cyst to 1.25cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7451,,Rem odontogen cyst > 1.25 cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7460,,Rem nonodonto cyst to 1.25cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7461,,Rem nonodonto cyst > 1.25 cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7465,,Lesion destruction,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7471,,Rem exostosis any site,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7472,,Removal of torus palatinus,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7473,,Remove torus mandibularis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7485,,Surg reduct osseoustuberosit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7490,,Maxilla or mandible resectio,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7510,,I&d absc intraoral soft tiss,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7511,,Incision/drain abscess intra,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7520,,I&d abscess extraoral,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7521,,Incision/drain abscess extra,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7530,,Removal fb skin/areolar tiss,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7540,,Removal of fb reaction,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7550,,Removal of sloughed off bone,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7560,,Maxillary sinusotomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7610,,Maxilla open reduct simple,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7620,,Clsd reduct simpl maxilla fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7630,,Open red simpl mandible fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7640,,Clsd red simpl mandible fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7650,,Open red simp malar/zygom fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7660,,Clsd red simp malar/zygom fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7670,,Closd rductn splint alveolus,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7671,,Alveolus open reduction,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7680,,Reduct simple facial bone fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7710,,Maxilla open reduct compound,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7720,,Clsd reduct compd maxilla fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7730,,Open reduct compd mandble fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7740,,Clsd reduct compd mandble fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7750,,Open red comp malar/zygma fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7760,,Clsd red comp malar/zygma fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7770,,Open reduc compd alveolus fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7771,,Alveolus clsd reduc stblz te,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7780,,Reduct compnd facial bone fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7810,,Tmj open reduct-dislocation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7820,,Closed tmp manipulation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7830,,Tmj manipulation under anest,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7840,,Removal of tmj condyle,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7850,,Tmj meniscectomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7852,,Tmj repair of joint disc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7854,,Tmj excisn of joint membrane,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7856,,Tmj cutting of a muscle,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7858,,Tmj reconstruction,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7860,,Tmj cutting into joint,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7865,,Tmj reshaping components,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7870,,Tmj aspiration joint fluid,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7871,,Lysis + lavage w catheters,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7872,,Tmj diagnostic arthroscopy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7873,,Tmj arthroscopy lysis adhesn,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7874,,Tmj arthroscopy disc reposit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7875,,Tmj arthroscopy synovectomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7876,,Tmj arthroscopy discectomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7877,,Tmj arthroscopy debridement,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7880,,Occlusal orthotic appliance,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7899,,Tmj unspecified therapy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7910,,Dent sutur recent wnd to 5cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7911,,Dental suture wound to 5 cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7912,,Suture complicate wnd > 5 cm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7920,,Dental skin graft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7940,,Reshaping bone orthognathic,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D7941,,Bone cutting ramus closed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7943,,Cutting ramus open w/graft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7944,,Bone cutting segmented,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7945,,Bone cutting body mandible,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7946,,Reconstruction maxilla total,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7947,,Reconstruct maxilla segment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7948,,Reconstruct midface no graft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7949,,Reconstruct midface w/graft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7950,,Mandible graft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7951,,Sinus aug w bone/bone sup,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7953,,Bone replacement graft,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7955,,Repair maxillofacial defects,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7960,,Frenulectomy/frenectomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7963,,Frenuloplasty,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7970,,Excision hyperplastic tissue,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7971,,Excision pericoronal gingiva,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7972,,Surg redct fibrous tuberosit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7980,,Sialolithotomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7981,,Excision of salivary gland,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7982,,Sialodochoplasty,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7983,,Closure of salivary fistula,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7990,,Emergency tracheotomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7991,,Dental coronoidectomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7995,,Synthetic graft facial bones,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7996,,Implant mandible for augment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7997,,Appliance removal,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7998,,Intraoral place of fix dev,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D7999,,Oral surgery procedure,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8010,,Limited dental tx primary,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8020,,Limited dental tx transition,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8030,,Limited dental tx adolescent,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8040,,Limited dental tx adult,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8050,,Intercep dental tx primary,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8060,,Intercep dental tx transitn,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8070,,Compre dental tx transition,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8080,,Compre dental tx adolescent,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8090,,Compre dental tx adult,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8210,,Orthodontic rem appliance tx,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8220,,Fixed appliance therapy habt,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8660,,Preorthodontic tx visit,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8670,,Periodic orthodontc tx visit,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8680,,Orthodontic retention,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8690,,Orthodontic treatment,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8691,,Repair ortho appliance,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8692,,Replacement retainer,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8693,,Rebond/cement/repair retain,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D8999,,Orthodontic procedure,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9110,,Tx dental pain minor proc,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D9120,,Fix partial denture section,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9210,,Dent anesthesia w/o surgery,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9211,,Regional block anesthesia,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9212,,Trigeminal block anesthesia,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9215,,Local anesthesia,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9220,,General anesthesia,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9221,,General anesthesia ea ad 15m,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9230,,Analgesia,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D9241,,Intravenous sedation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9242,,IV sedation ea ad 30 m,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9248,,Sedation (non-iv),R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9310,,Dental consultation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9410,,Dental house call,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9420,,Hospital/ASC call,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9430,,Office visit during hours,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9440,,Office visit after hours,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9450,,Case presentation tx plan,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9610,,Dent therapeutic drug inject,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9612,,Thera par drugs 2 or > admin,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9630,,Other drugs/medicaments,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D9910,,Dent appl desensitizing med,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9911,,Appl desensitizing resin,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9920,,Behavior management,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9930,,Treatment of complications,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D9940,,Dental occlusal guard,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D9941,,Fabrication athletic guard,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9942,,Repair/reline occlusal guard,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9950,,Occlusion analysis,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D9951,,Limited occlusal adjustment,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D9952,,Complete occlusal adjustment,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
D9970,,Enamel microabrasion,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9971,,Odontoplasty 1-2 teeth,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9972,,Extrnl bleaching per arch,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9973,,Extrnl bleaching per tooth,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9974,,Intrnl bleaching per tooth,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
D9999,,Adjunctive procedure,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0008,,Admin influenza virus vac,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0009,,Admin pneumococcal vaccine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0010,,Admin hepatitis b vaccine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0027,,Semen analysis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0101,,CA screen;pelvic/breast exam,A,,0.45,0.60,,0.61,,0.32,,0.32,,0.03,1.08,1.09,0.80,0.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0102,,Prostate ca screening; dre,A,,0.17,0.39,,0.37,,0.08,,0.08,,0.01,0.57,0.55,0.26,0.26,0,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0103,,PSA screening,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0104,,CA screen;flexi sigmoidscope,A,,0.96,2.95,,2.92,,0.76,,0.79,,0.14,4.05,4.02,1.86,1.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0105,,Colorectal scrn; hi risk ind,A,,3.69,7.37,,7.12,,2.22,,2.26,,0.59,11.65,11.40,6.50,6.54,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0105,53,Colorectal scrn; hi risk ind,A,,0.96,2.95,,2.92,,0.76,,0.79,,0.14,4.05,4.02,1.86,1.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0106,,Colon CA screen;barium enema,A,,0.99,5.23,,5.15,,5.23,NA,5.15,NA,0.04,6.26,6.18,6.26,6.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0106,TC,Colon CA screen;barium enema,A,,0.00,4.82,,4.78,,4.82,NA,4.78,NA,0.01,4.83,4.79,4.83,4.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
G0106,26,Colon CA screen;barium enema,A,,0.99,0.41,,0.37,,0.41,,0.37,,0.03,1.43,1.39,1.43,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0108,,Diab manage trn  per indiv,A,,0.90,0.66,,0.55,,0.66,NA,0.55,NA,0.05,1.61,1.50,1.61,1.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0109,,Diab manage trn ind/group,A,,0.25,0.29,,0.15,,0.29,NA,0.15,NA,0.01,0.55,0.41,0.55,0.41,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0117,,Glaucoma scrn hgh risk direc,T,,0.45,0.97,,1.02,,0.97,NA,1.02,NA,0.03,1.45,1.50,1.45,1.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0118,,Glaucoma scrn hgh risk direc,T,,0.17,0.82,,0.86,,0.82,NA,0.86,NA,0.01,1.00,1.04,1.00,1.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0120,,Colon ca scrn; barium enema,A,,0.99,5.23,,5.15,,5.23,NA,5.15,NA,0.04,6.26,6.18,6.26,6.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.92,2.92,0.04
G0120,TC,Colon ca scrn; barium enema,A,,0.00,4.82,,4.78,,4.82,NA,4.78,NA,0.01,4.83,4.79,4.83,4.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.51,2.51,0.01
G0120,26,Colon ca scrn; barium enema,A,,0.99,0.41,,0.37,,0.41,,0.37,,0.03,1.43,1.39,1.43,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0121,,Colon ca scrn not hi rsk ind,A,,3.69,7.37,,7.12,,2.22,,2.26,,0.59,11.65,11.40,6.50,6.54,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0121,53,Colon ca scrn not hi rsk ind,A,,0.96,2.95,,2.92,,0.76,,0.79,,0.14,4.05,4.02,1.86,1.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0122,,Colon ca scrn; barium enema,N,+,0.99,6.87,,7.14,,6.87,NA,7.14,NA,0.05,7.91,8.18,7.91,8.18,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0122,TC,Colon ca scrn; barium enema,N,+,0.00,6.44,,6.71,,6.44,NA,6.71,NA,0.01,6.45,6.72,6.45,6.72,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0122,26,Colon ca scrn; barium enema,N,+,0.99,0.43,,0.43,,0.43,,0.43,,0.04,1.46,1.46,1.46,1.46,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0123,,Screen cerv/vag thin layer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0124,,Screen c/v thin layer by MD,A,,0.42,0.40,,0.42,,0.40,,0.42,,0.03,0.85,0.87,0.85,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0127,,Trim nail(s),R,,0.17,0.45,,0.47,,0.06,,0.05,,0.01,0.63,0.65,0.24,0.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0128,,CORF skilled nursing service,R,,0.08,0.19,,0.20,,0.19,NA,0.20,NA,0.01,0.28,0.29,0.28,0.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0130,,Single energy x-ray study,A,,0.22,0.74,,0.72,,0.74,NA,0.72,NA,0.02,0.98,0.96,0.98,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.40,1.40,0.03
G0130,TC,Single energy x-ray study,A,,0.00,0.65,,0.62,,0.65,NA,0.62,NA,0.01,0.66,0.63,0.66,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
G0130,26,Single energy x-ray study,A,,0.22,0.09,,0.10,,0.09,,0.10,,0.01,0.32,0.33,0.32,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0141,,"Scr c/v cyto,autosys and md",A,,0.42,0.40,,0.42,,0.40,,0.42,,0.03,0.85,0.87,0.85,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0143,,"Scr c/v cyto,thinlayer,rescr",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0144,,"Scr c/v cyto,thinlayer,rescr",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0145,,"Scr c/v cyto,thinlayer,rescr",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0147,,"Scr c/v cyto, automated sys",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0148,,"Scr c/v cyto, autosys, rescr",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0157,,HHC PT assistant ea 15,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0158,,HHC OT assistant ea 15,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0159,,HHC PT maint ea 15 min,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0160,,HHC Occup Therapy ea 15,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0161,,HHC SLP ea 15 min,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0162,,"HHC RN E&M plan svs, 15 min",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0163,,HHC LPN/RN obs/asses ea 15,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0164,,HHC lis nurse train ea 15,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0166,,"Extrnl counterpulse, per tx",A,,0.07,4.41,,3.85,,4.41,NA,3.85,NA,0.03,4.51,3.95,4.51,3.95,0,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0168,,Wound closure by adhesive,A,,0.45,2.06,,2.13,,0.28,,0.30,,0.03,2.54,2.61,0.76,0.78,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0173,,Linear acc stereo radsur com,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0175,,"OPPS Service,sched team conf",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0176,,OPPS/PHP;activity therapy,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0177,,OPPS/PHP; train & educ serv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0179,,MD recertification HHA PT,A,,0.45,0.71,,0.68,,0.71,NA,0.68,NA,0.03,1.19,1.16,1.19,1.16,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0180,,MD certification HHA patient,A,,0.67,0.85,,0.80,,0.85,NA,0.80,NA,0.04,1.56,1.51,1.56,1.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0181,,Home health care supervision,A,,1.73,1.24,,1.27,,1.24,NA,1.27,NA,0.10,3.07,3.10,3.07,3.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0182,,Hospice care supervision,A,,1.73,1.28,,1.28,,1.28,NA,1.28,NA,0.10,3.11,3.11,3.11,3.11,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0186,,"Dstry eye lesn,fdr vssl tech",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
G0202,,Screeningmammographydigital,A,,0.70,3.38,,3.33,,3.38,NA,3.33,NA,0.05,4.13,4.08,4.13,4.08,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0202,TC,Screeningmammographydigital,A,,0.00,3.09,,3.05,,3.09,NA,3.05,NA,0.01,3.10,3.06,3.10,3.06,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0202,26,Screeningmammographydigital,A,,0.70,0.29,,0.28,,0.29,,0.28,,0.04,1.03,1.02,1.03,1.02,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0204,,Diagnosticmammographydigital,A,,0.87,4.01,,4.04,,4.01,NA,4.04,NA,0.06,4.94,4.97,4.94,4.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0204,TC,Diagnosticmammographydigital,A,,0.00,3.66,,3.69,,3.66,NA,3.69,NA,0.01,3.67,3.70,3.67,3.70,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0204,26,Diagnosticmammographydigital,A,,0.87,0.35,,0.35,,0.35,,0.35,,0.05,1.27,1.27,1.27,1.27,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0206,,Diagnosticmammographydigital,A,,0.70,3.16,,3.17,,3.16,NA,3.17,NA,0.05,3.91,3.92,3.91,3.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0206,TC,Diagnosticmammographydigital,A,,0.00,2.87,,2.89,,2.87,NA,2.89,NA,0.01,2.88,2.90,2.88,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0206,26,Diagnosticmammographydigital,A,,0.70,0.29,,0.28,,0.29,,0.28,,0.04,1.03,1.02,1.03,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0219,,PET img wholbod melano nonco,N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0219,TC,PET img wholbod melano nonco,N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
G0219,26,PET img wholbod melano nonco,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0235,,PET not otherwise specified,N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0235,TC,PET not otherwise specified,N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
G0235,26,PET not otherwise specified,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0237,,Therapeutic procd strg endur,A,,0.00,0.29,,0.25,,0.29,NA,0.25,NA,0.01,0.30,0.26,0.30,0.26,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0238,,"Oth resp proc, indiv",A,,0.00,0.31,,0.26,,0.31,NA,0.26,NA,0.01,0.32,0.27,0.32,0.27,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0239,,"Oth resp proc, group",A,,0.00,0.34,,0.31,,0.34,NA,0.31,NA,0.01,0.35,0.32,0.35,0.32,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0245,,Initial foot exam pt lops,R,,0.88,1.09,,1.16,,0.44,,0.49,,0.05,2.02,2.09,1.37,1.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0246,,Followup eval of foot pt lop,R,,0.45,0.70,,0.72,,0.22,,0.24,,0.03,1.18,1.20,0.70,0.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0247,,Routine footcare pt w lops,R,,0.50,1.16,,1.56,,0.18,,0.15,,0.04,1.70,2.10,0.72,0.69,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0248,,Demonstrate use home inr mon,R,,0.00,4.11,,3.22,,4.11,NA,3.22,NA,0.01,4.12,3.23,4.12,3.23,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
G0249,,Provide INR test mater/equip,R,,0.00,3.63,,3.01,,3.63,NA,3.01,NA,0.01,3.64,3.02,3.64,3.02,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
G0250,,MD INR test revie inter mgmt,R,,0.18,0.08,,0.07,,0.08,NA,0.07,NA,0.01,0.27,0.26,0.27,0.26,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0251,,Linear acc based stero radio,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0252,,PET imaging initial dx,N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0252,TC,PET imaging initial dx,N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0252,26,PET imaging initial dx,N,+,1.50,0.70,,0.66,,0.70,,0.66,,0.10,2.30,2.26,2.30,2.26,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0255,,Current percep threshold tst,N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0255,TC,Current percep threshold tst,N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
G0255,26,Current percep threshold tst,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0257,,Unsched dialysis ESRD pt hos,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0259,,Inject for sacroiliac joint,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0260,,Inj for sacroiliac jt anesth,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0268,,Removal of impacted wax md,A,,0.61,0.86,,0.91,,0.31,,0.36,,0.03,1.50,1.55,0.95,1.00,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0269,,Occlusive device in vein art,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0270,,MNT subs tx for change dx,A,,0.45,0.34,,0.37,,0.28,,0.31,,0.03,0.82,0.85,0.76,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0271,,Group MNT 2 or more 30 mins,A,,0.25,0.15,,0.18,,0.15,,0.17,,0.01,0.41,0.44,0.41,0.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0275,,"Renal angio, cardiac cath",A,,0.25,0.13,NA,0.10,NA,0.13,,0.10,,0.01,0.39,0.36,0.39,0.36,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0278,,"Iliac art angio,cardiac cath",A,,0.25,0.13,NA,0.10,NA,0.13,,0.10,,0.01,0.39,0.36,0.39,0.36,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0281,,Elec stim unattend for press,A,,0.18,0.18,,0.20,,0.18,NA,0.20,NA,0.01,0.37,0.39,0.37,0.39,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0282,,Elect stim wound care not pd,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0283,,Elec stim other than wound,A,,0.18,0.18,,0.20,,0.18,NA,0.20,NA,0.01,0.37,0.39,0.37,0.39,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0288,,"Recon, CTA for surg plan",A,,0.00,2.55,,0.99,,2.55,NA,0.99,NA,0.01,2.56,1.00,2.56,1.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
G0289,,"Arthro, loose body + chondro",A,,1.48,0.85,NA,0.88,NA,0.85,,0.88,,0.29,2.62,2.65,2.62,2.65,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0290,,"Drug-eluting stents, single",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0291,,"Drug-eluting stents,each add",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0293,,"Non-cov surg proc,clin trial",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0294,,"Non-cov proc, clinical trial",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0295,,Electromagnetic therapy onc,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0302,,Pre-op service LVRS complete,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0303,,Pre-op service LVRS 10-15dos,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0304,,Pre-op service LVRS 1-9 dos,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0305,,Post op service LVRS min 6,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0306,,CBC/diffwbc w/o platelet,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0307,,CBC without platelet,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0328,,Fecal blood scrn immunoassay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0329,,Electromagntic tx for ulcers,A,,0.06,0.20,,0.22,,0.20,NA,0.22,NA,0.01,0.27,0.29,0.27,0.29,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0333,,Dispense fee initial 30 day,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0337,,Hospice evaluation preelecti,X,+,1.42,0.62,,0.62,,0.62,,0.62,,0.10,2.14,2.14,2.14,2.14,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0339,,"Robot lin-radsurg com, first",C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0340,,Robt lin-radsurg fractx 2-5,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0341,,Percutaneous islet celltrans,A,,6.98,29.48,,53.44,,3.83,,3.00,,0.49,36.95,60.91,11.30,10.47,0,000,0.00,0.00,0.00,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
G0342,,Laparoscopy islet cell trans,A,,11.92,7.14,NA,7.83,NA,7.14,,7.83,,0.84,19.90,20.59,19.90,20.59,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
G0343,,Laparotomy islet cell transp,A,,19.85,12.09,NA,13.28,NA,12.09,,13.28,,1.40,33.34,34.53,33.34,34.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
G0364,,Bone marrow aspirate &biopsy,A,,0.16,0.19,,0.19,,0.09,,0.09,,0.01,0.36,0.36,0.26,0.26,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0365,,Vessel mapping hemo access,A,,0.25,5.90,,5.87,,5.90,NA,5.87,NA,0.04,6.19,6.16,6.19,6.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.59,4.59,0.04
G0365,TC,Vessel mapping hemo access,A,,0.00,5.81,,5.78,,5.81,NA,5.78,NA,0.01,5.82,5.79,5.82,5.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.50,4.50,0.01
G0365,26,Vessel mapping hemo access,A,,0.25,0.09,,0.09,,0.09,,0.09,,0.03,0.37,0.37,0.37,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0372,,MD service required for PMD,A,,0.17,0.12,,0.08,,0.07,,0.08,,0.01,0.30,0.26,0.25,0.26,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0378,,Hospital observation per hr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0379,,Direct refer hospital observ,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0389,,Ultrasound exam AAA screen,A,,0.58,2.68,,2.45,,2.68,NA,2.45,NA,0.04,3.30,3.07,3.30,3.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0389,TC,Ultrasound exam AAA screen,A,,0.00,2.43,,2.23,,2.43,NA,2.23,NA,0.01,2.44,2.24,2.44,2.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
G0389,26,Ultrasound exam AAA screen,A,,0.58,0.25,,0.22,,0.25,,0.22,,0.03,0.86,0.83,0.86,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0396,,Alcohol/subs interv 15-30mn,A,,0.65,0.28,,0.32,,0.23,,0.27,,0.04,0.97,1.01,0.92,0.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0397,,Alcohol/subs interv >30 min,A,,1.30,0.61,,0.79,,0.56,,0.74,,0.08,1.99,2.17,1.94,2.12,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0398,,Home sleep test/type 2 Porta,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0398,TC,Home sleep test/type 2 Porta,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0398,26,Home sleep test/type 2 Porta,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0399,,Home sleep test/type 3 Porta,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0399,TC,Home sleep test/type 3 Porta,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0399,26,Home sleep test/type 3 Porta,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0400,,Home sleep test/type 4 Porta,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0400,TC,Home sleep test/type 4 Porta,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0400,26,Home sleep test/type 4 Porta,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0402,,Initial preventive exam,A,,2.43,1.80,,2.19,,1.15,,1.15,,0.12,4.35,4.74,3.70,3.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0403,,EKG for initial prevent exam,A,,0.17,0.39,,0.32,,0.37,NA,0.32,NA,0.02,0.58,0.51,0.56,0.51,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0404,,EKG tracing for initial prev,A,,0.00,0.31,,0.25,,0.31,NA,0.25,NA,0.01,0.32,0.26,0.32,0.26,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0405,,EKG interpret & report preve,A,,0.17,0.08,,0.07,,0.06,,0.07,,0.01,0.26,0.25,0.24,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0406,,Telhealth inpt consult 15min,A,,0.76,0.32,NA,0.34,NA,0.32,,0.34,,0.05,1.13,1.15,1.13,1.15,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0407,,Telheath inpt consult 25min,A,,1.39,0.57,NA,0.63,NA,0.57,,0.63,,0.08,2.04,2.10,2.04,2.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0408,,Telhealth inpt consult 35min,A,,2.00,0.81,NA,0.90,NA,0.81,,0.90,,0.12,2.93,3.02,2.93,3.02,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0409,,CORF related serv 15 mins ea,A,,0.00,0.29,,0.29,,0.29,NA,0.29,NA,0.01,0.30,0.30,0.30,0.30,9,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0410,,Grp psych partial hosp 45-50,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0411,,Inter active grp psych parti,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0412,,Open tx iliac spine uni/bil,A,,10.45,8.73,NA,9.22,NA,8.73,,9.22,,2.04,21.22,21.71,21.22,21.71,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
G0413,,Pelvic ring fracture uni/bil,A,,15.73,12.22,NA,12.75,NA,12.22,,12.75,,3.06,31.01,31.54,31.01,31.54,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
G0414,,Pelvic ring fx treat int fix,A,,14.65,12.00,NA,12.59,NA,12.00,,12.59,,2.86,29.51,30.10,29.51,30.10,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
G0415,,Open tx post pelvic fxcture,A,,20.93,15.34,NA,16.35,NA,15.34,,16.35,,4.21,40.48,41.49,40.48,41.49,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
G0416,,Sat biopsy prostate 1-20 spc,A,,3.09,13.96,,13.96,,13.96,NA,13.96,NA,0.12,17.17,17.17,17.17,17.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0416,TC,Sat biopsy prostate 1-20 spc,A,,0.00,12.14,,12.14,,12.14,NA,12.14,NA,0.01,12.15,12.15,12.15,12.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0416,26,Sat biopsy prostate 1-20 spc,A,,3.09,1.82,,1.82,,1.82,,1.82,,0.11,5.02,5.02,5.02,5.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0417,,Sat biopsy prostate 21-40,A,,5.86,27.26,,27.26,,27.26,NA,27.26,NA,0.25,33.37,33.37,33.37,33.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0417,TC,Sat biopsy prostate 21-40,A,,0.00,23.71,,23.71,,23.71,NA,23.71,NA,0.01,23.72,23.72,23.72,23.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0417,26,Sat biopsy prostate 21-40,A,,5.86,3.55,,3.55,,3.55,,3.55,,0.24,9.65,9.65,9.65,9.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0418,,Sat biopsy prostate 41-60,A,,10.30,46.56,,46.56,,46.56,NA,46.56,NA,0.42,57.28,57.28,57.28,57.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0418,TC,Sat biopsy prostate 41-60,A,,0.00,40.50,,40.50,,40.50,NA,40.50,NA,0.01,40.51,40.51,40.51,40.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0418,26,Sat biopsy prostate 41-60,A,,10.30,6.06,,6.06,,6.06,,6.06,,0.41,16.77,16.77,16.77,16.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0419,,Sat biopsy prostate: >60,A,,11.61,55.86,,55.86,,55.86,NA,55.86,NA,0.46,67.93,67.93,67.93,67.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0419,TC,Sat biopsy prostate: >60,A,,0.00,48.60,,48.60,,48.60,NA,48.60,NA,0.01,48.61,48.61,48.61,48.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0419,26,Sat biopsy prostate: >60,A,,11.61,7.26,,7.26,,7.26,,7.26,,0.45,19.32,19.32,19.32,19.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0420,,Ed svc CKD ind per session,A,,2.12,1.02,,1.02,,1.02,NA,1.02,NA,0.11,3.25,3.25,3.25,3.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0421,,Ed svc CKD grp per session,A,,0.50,0.24,,0.24,,0.24,NA,0.24,NA,0.03,0.77,0.77,0.77,0.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0422,,Intens cardiac rehab w/exerc,A,,1.06,0.91,,0.91,,0.91,,0.91,,0.06,2.03,2.03,2.03,2.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0423,,Intens cardiac rehab no exer,A,,1.06,0.91,,0.91,,0.91,,0.91,,0.06,2.03,2.03,2.03,2.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0424,,Pulmonary rehab w exer,A,,0.28,0.59,,0.59,,0.12,,0.12,,0.03,0.90,0.90,0.43,0.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0425,,Inpt telehealth consult 30m,A,,1.92,0.86,NA,0.86,NA,0.86,,0.86,,0.18,2.96,2.96,2.96,2.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0426,,Inpt telehealth consult 50m,A,,2.61,1.20,NA,1.20,NA,1.20,,1.20,,0.22,4.03,4.03,4.03,4.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0427,,Inpt telehealth con 70/>m,A,,3.86,1.77,NA,1.77,NA,1.77,,1.77,,0.29,5.92,5.92,5.92,5.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0428,,Collagen Meniscus Implant,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0429,,Dermal filler injection(s),A,,1.19,1.19,,1.19,,0.56,,0.56,,0.24,2.62,2.62,1.99,1.99,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0431,,Drug screen multip class,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0432,,EIA HIV-1/HIV-2 screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0433,,ELISA HIV-1/HIV-2 screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0434,,Drug screen multi drug class,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0435,,Oral HIV-1/HIV-2 screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G0436,,Tobacco-use counsel 3-10 min,A,,0.24,0.16,,0.16,,0.10,,0.10,,0.01,0.41,0.41,0.35,0.35,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0437,,Tobacco-use counsel>10min,A,,0.50,0.30,,0.30,,0.24,,0.24,,0.03,0.83,0.83,0.77,0.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0438,,"PPPS, initial visit",A,,2.43,2.19,,2.19,,2.19,NA,2.19,NA,0.12,4.74,4.74,4.74,4.74,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0439,,"PPPS, subseq visit",A,,1.50,1.63,,1.63,,1.63,NA,1.63,NA,0.03,3.16,3.16,3.16,3.16,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0440,,Skin/dermal subs init 25or<,A,,2.22,2.71,,2.71,,1.01,,1.01,,0.27,5.20,5.20,3.50,3.50,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G0441,,Skin/dermal subs each additi,A,,0.50,0.82,,0.82,,0.20,,0.20,,0.07,1.39,1.39,0.77,0.77,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G3001,,"Admin + supply, tositumomab",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8126,,Pt treat w/antidepress12wks,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8127,,Pt not treat w/antidepres12w,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8128,,Pt inelig for antidepres med,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8395,,LVEF>=40% doc normal or mild,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8396,,LVEF not performed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8397,,Dil macula/fundus exam/w doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8398,,Dil macular/fundus not perfo,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8399,,Pt w/DXA document or order,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8400,,Pt w/DXA no document or orde,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8401,,Pt inelig osteo screen measu,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8404,,Low extemity neur exam docum,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8405,,Low extemity neur not perfor,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8406,,Pt inelig lower extrem neuro,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8410,,Eval on foot documented,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8415,,Eval on foot not performed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8416,,Pt inelig footwear evaluatio,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8417,,Calc BMI abv up param f/u,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8418,,Calc BMI blw low param f/u,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8419,,Calc BMI out nrm param nof/u,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8420,,Calc BMI norm parameters,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8421,,BMI not calculated,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8422,,Pt inelig BMI calculation,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8427,,Doc cur meds by prov,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8428,,Cur meds not document,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8430,,Pt inelig med check,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8431,,Pos clin depres scrn f/u doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8432,,Clin depression screen not d,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8433,,Pt inelig; scrn clin dep,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8440,,Pain assess f/u pln document,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8441,,No document of pain assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8442,,Pt inelig pain assessment,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8447,,Pt vis doc use EHR cer ATCB,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8448,,Pt vis doc w/PQRI qual EHR,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8450,,Beta-bloc rx pt w/abn lvef,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8451,,Pt w/abn lvef inelig b-bloc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8452,,Pt w/abn lvef b-bloc no rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8458,,Pt inelig geno no antvir tx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8459,,Doc pt rec antivir treat,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8460,,Pt inelig RNA no antvir tx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8461,,Pt rec antivir treat hep c,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8462,,Pt inelig couns no antvir tx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8463,,Pt rec antiviral treat doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8464,,Pt inelig; lo to no dter rsk,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8465,,High risk recurrence pro ca,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8468,,ACE/ARB rx pt w/abn lvef,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8469,,Pt w/abn lvef inelig ACE/ARB,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8470,,Pt w/ normal lvef,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8471,,LVEF not performed/doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8472,,ACE/ARB no rx pt w/abn lvef,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8473,,ACE/ARB thxpy rx'd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8474,,ACE/ARB not rx'd; doc reas,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8475,,ACE/ARB thxpy not rx'd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8476,,BP sys <130 and dias <80,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8477,,BP sys>=130 and/or dias >=80,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8478,,BP not performed/doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8482,,Flu immunize order/admin,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8483,,Flu imm no ord/admin doc rea,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8484,,Flu immunize no order/admin,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8485,,"Report, Diabetes measures",M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8486,,"Report, Prev Care Measures",M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8487,,Report CKD Measures,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8489,,CAD measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8490,,RA measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8491,,HIV/AIDS measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8492,,Periop Care measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8493,,Back pain measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8494,,DM meas qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8495,,CKD meas qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8496,,Prev Care MG qual act perfrm,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8497,,CABG meas qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8498,,CAD meas qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8499,,RA meas qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8500,,HIV meas qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8501,,Perio meas qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8502,,Back Pain MG qual act perfrm,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8506,,Pt rec ACE/ARB,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8508,,Pt inelig; pain asses no f/u,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8509,,Pain assess no f/u pln doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8510,,Pt inelig neg scrn depres,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8511,,Clin depres scrn no f/u doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8524,,Patch closure conv CEA,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8525,,No patch closure CEA,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8526,,No patch closure conv CEA,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8530,,Auto AV fistula recd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8531,,Pt inelig; auto AV fistula,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8532,,No auto AV fistula; no reas,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8534,,Doc elder mal scrn f/u plan,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8535,,Pt inelig no eld mal scrn,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8536,,No doc elder mal scrn,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8537,,Pt inelig eldmal scrn no f/u,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8538,,Eld mal scrn no f/u pln,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8539,,Cur funct assess & care pln,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8540,,Pt inelig funct assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8541,,No doc cur funct assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8542,,Pt inelig func asses no pln,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8543,,Cur funct asses; no care pln,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8544,,CABG measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8545,,HepC measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8546,,CAP measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8547,,IVD measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8548,,HF measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8549,,HepC MG qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8550,,CAP MG qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8551,,HF MG qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8552,,IVD MG qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8553,,1 Rx via qualified eRx sys,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8556,,Ref to doc otolog eval,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8557,,Pt inelig ref otolog eval,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8558,,No ref to doc otolog eval,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8559,,Pt ref doc oto eval,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8560,,Pt hx act drain prev 90 days,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8561,,Pt inelig for ref oto eval,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8562,,Pt no hx act drain 90 d,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8563,,Pt no ref oto reas no spec,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8564,,Pt ref oto eval,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8565,,Ver doc hear loss,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8566,,Pt inelig ref oto eval,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8567,,Pt no doc hear loss,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8568,,Pt no ref otolo no spec,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8569,,Prol intubation req,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8570,,No prol intub req,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8571,,Ster wd ifx 30 d postop,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8572,,No ster wd ifx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8573,,Stk/CVA CABG,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8574,,No strk/CVA CABG,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8575,,Postop ren insuf,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8576,,No postop ren insuf,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8577,,Reop req bld grft oth,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8578,,No reop req bld grft oth,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8579,,Antplt med disch,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8580,,Antplt med contraind,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8581,,no antplt med disch,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8582,,Bblock disch,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8583,,Bblock contraind,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8584,,No bblock disch,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8585,,Antilipid treat disch,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8586,,Antlip disch contra,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8587,,No antlipid treat disch,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8588,,Sys BP <140,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8589,,Sys BP >= 140,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8590,,Dia BP < 90,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8591,,Dia BP >= 90,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8592,,No BP measure,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8593,,Lipid pn results,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8594,,No lipid prof perf,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8595,,Ldl < 100,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8596,,No LDL perf,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8597,,Ldl >= 100,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8598,,Asp therp used,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8599,,No asp therp used,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8600,,tPA initi w/in 3 hrs,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8601,,No elig tPA init w/in 3 hrs,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8602,,No tPA init w/in 3 hrs,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8603,,Spok lang comp score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8604,,No high score spok lang,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8605,,No spok lang comp score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8606,,Attention score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8607,,No high score attention,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8608,,No attention score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8609,,Memory score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8610,,No high score memory,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8611,,No memory score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8612,,Moto speech score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8613,,No high score moto speech,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8614,,No moto speech score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8615,,Reading score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8616,,No high score reading,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8617,,No reading score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8618,,Spok lang exp score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8619,,No high score spok lang exp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8620,,No spok lang exp score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8621,,Writing score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8622,,No high score writing,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8623,,No writing score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8624,,Swallowing score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8625,,No high score swallowing,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8626,,No swallowing score,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8627,,Surg proc w/in 30 days,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8628,,No surg proc w/in 30 days,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8629,,Doc antibio order b/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8630,,Doc antibio given b/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8631,,Pt no elg 4 order antbi give,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8632,,Doc no antibi order b/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8633,,Pharm ther osteo rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8634,,Pt no elg phar ther osteo,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8635,,No pharm ther osteo rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8636,,Flu immun admin/prev rec,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8637,,Pt no elg receiv flu immun,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8638,,Flu immun no admin/prev rec,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8639,,Flu immun admin or prev rec,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8640,,Pt no elg rec flu immun,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8641,,Flu immun not admin/pre rec,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8642,,Hrdshp rural w/o internet,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8643,,Hrdshp w/o suff pharm w/eRx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8644,,EP no prescribe priv,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8645,,Asthma measures grp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8646,,Asthma MG qual act perform,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8647,,Fun stat score knee >= 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8648,,Fun stat score knee < 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8649,,Fun stat score knee pt noelg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8650,,Fun stat score knee not done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8651,,Fun stat score hip >= 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8652,,Fun stat score hip < 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8653,,Fun stat score hip pt no elg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8654,,Fun stat score hip not done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8655,,Fun stat score LE >= 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8656,,Fun stat score LE < 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8657,,Fun stat score LE pt no elg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8658,,Fun stat score LE not done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8659,,Fun stat score LS >= 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8660,,Fun stat score LS < 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8661,,Fun stat score LS pt no elg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8662,,Fun stat score LS not done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8663,,Fun stat score shdl >=0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8664,,Fun stat score shdl < 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8665,,Fun stat score shdl pt no el,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8666,,Fun stat score shdl not done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8667,,Fun stat score UE >=0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8668,,Fun stat score UE < 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8669,,Fun stat score UE pt no elg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8670,,Fun stat score UE not done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8671,,Fun stat score neck/TS >=0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8672,,Fun stat score neck/TS < 0,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8673,,Fun stat scor nek/TS pt no e,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8674,,Fun stat scor nek/TS not don,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8675,,BP Syst >= 140 mmHg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8676,,BP Diast >= 90 mmHg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8677,,BP Syst < 130 mmHg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8678,,BP Syst >=130 - 139 mmHg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8679,,BP Diast < 80 mmHg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8680,,BP Diast 80-89 mmHg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8681,,Pt hosp w/HF,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8682,,LVG test perf,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8683,,Pt not elig for LVF test,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8684,,Pt not hosp w/HF,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8685,,LVF test not perf,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8686,,Toba smkr curr or 2 hand exp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8687,,No tob smkr cur no 2 hnd exp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8688,,Smkls tob cur; no 2 hnd exp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8689,,Toba use not assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8690,,Curr toba smkr or 2 hand exp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8691,,No cur tob smkr no 2 hnd exp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8692,,Curr smkls tob; no 2 hnd exp,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G8693,,Tobacco no assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9001,,"MCCD, initial rate",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9002,,"MCCD,maintenance rate",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9003,,"MCCD, risk adj hi, initial",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9004,,"MCCD, risk adj lo, initial",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9005,,"MCCD, risk adj, maintenance",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9006,,"MCCD, Home monitoring",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9007,,"MCCD, sch team conf",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9008,,"Mccd,phys coor-care ovrsght",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9009,,"MCCD, risk adj, level 3",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9010,,"MCCD, risk adj, level 4",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9011,,"MCCD, risk adj, level 5",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9012,,Other Specified Case Mgmt,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9013,,ESRD demo bundle level I,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9014,,ESRD demo bundle-level II,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9016,,Demo-smoking cessation coun,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9017,,Amantadine HCL 100mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9018,,"Zanamivir,inhalation pwd 10m",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9019,,Oseltamivir phosphate 75mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9020,,Rimantadine HCL 100mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9033,,Amantadine HCL oral brand,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9034,,"Zanamivir, inh pwdr, brand",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9035,,"Oseltamivir phosp, brand",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9036,,"Rimantadine HCL, brand",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9041,,Low vision rehab occupationa,A,,0.69,0.28,,0.28,,0.28,,0.28,,0.04,1.01,1.01,1.01,1.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G9042,,Low vision rehab orient/mobi,A,,0.25,0.25,,0.25,,0.25,,0.25,,0.01,0.51,0.51,0.51,0.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G9043,,Low vision lowvision therapi,A,,0.25,0.25,,0.25,,0.25,,0.25,,0.01,0.51,0.51,0.51,0.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G9044,,Low vision rehabilate teache,A,,0.24,0.19,,0.19,,0.19,,0.19,,0.01,0.44,0.44,0.44,0.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
G9050,,Oncology work-up evaluation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9051,,Oncology tx decision-mgmt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9052,,Onc surveillance for disease,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9053,,Onc expectant management pt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9054,,Onc supervision palliative,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9055,,Onc visit unspecified NOS,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9056,,Onc prac mgmt adheres guide,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9057,,Onc pract mgmt differs trial,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9058,,Onc prac mgmt disagree w/gui,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9059,,Onc prac mgmt pt opt alterna,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9060,,Onc prac mgmt dif pt comorb,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9061,,Onc prac cond noadd by guide,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9062,,Onc prac guide differs nos,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9063,,Onc dx nsclc stgI no progres,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9064,,Onc dx nsclc stg2 no progres,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9065,,Onc dx nsclc stg3A no progre,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9066,,Onc dx nsclc stg3B-4 metasta,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9067,,Onc dx nsclc dx unknown nos,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9068,,Onc dx sclc/nsclc limited,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9069,,Onc dx sclc/nsclc ext at dx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9070,,Onc dx sclc/nsclc ext unknwn,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9071,,"Onc dx brst stg1-2B HR,nopro",M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9072,,Onc dx brst stg1-2 noprogres,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9073,,"Onc dx brst stg3-HR, no pro",M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9074,,Onc dx brst stg3-noprogress,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9075,,Onc dx brst metastic/ recur,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9077,,Onc dx prostate T1no progres,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9078,,Onc dx prostate T2no progres,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9079,,Onc dx prostate T3b-T4noprog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9080,,Onc dx prostate w/rise PSA,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9083,,Onc dx prostate unknwn nos,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9084,,"Onc dx colon t1-3,n1-2,no pr",M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9085,,"Onc dx colon T4, N0 w/o prog",M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9086,,Onc dx colon T1-4 no dx prog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9087,,Onc dx colon metas evid dx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9088,,Onc dx colon metas noevid dx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9089,,Onc dx colon extent unknown,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9090,,Onc dx rectal T1-2 no progr,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9091,,Onc dx rectal T3 N0 no prog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9092,,"Onc dx rectal T1-3,N1-2noprg",M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9093,,"Onc dx rectal T4,N,M0 no prg",M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9094,,Onc dx rectal M1 w/mets prog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9095,,Onc dx rectal extent unknwn,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9096,,Onc dx esophag T1-T3 noprog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9097,,Onc dx esophageal T4 no prog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9098,,Onc dx esophageal mets recur,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9099,,Onc dx esophageal unknown,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9100,,Onc dx gastric no recurrence,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9101,,Onc dx gastric p R1-R2noprog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9102,,Onc dx gastric unresectable,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9103,,Onc dx gastric recurrent,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9104,,Onc dx gastric unknown NOS,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9105,,Onc dx pancreatc p R0 res no,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9106,,Onc dx pancreatc p R1/R2 no,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9107,,Onc dx pancreatic unresectab,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9108,,Onc dx pancreatic unknwn NOS,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9109,,Onc dx head/neck T1-T2no prg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9110,,Onc dx head/neck T3-4 noprog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9111,,Onc dx head/neck M1 mets rec,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9112,,Onc dx head/neck ext unknown,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9113,,Onc dx ovarian stg1A-B no pr,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9114,,Onc dx ovarian stg1A-B or 2,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9115,,Onc dx ovarian stg3/4 noprog,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9116,,Onc dx ovarian recurrence,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9117,,Onc dx ovarian unknown NOS,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9123,,Onc dx CML chronic phase,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9124,,Onc dx CML acceler phase,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9125,,Onc dx CML blast phase,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9126,,Onc dx CML remission,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9128,,Onc dx multi myeloma stage I,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9129,,Onc dx mult myeloma stg2 hig,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9130,,Onc dx multi myeloma unknown,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9131,,Onc dx brst unknown NOS,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9132,,Onc dx prostate mets no cast,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9133,,Onc dx prostate clinical met,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9134,,Onc NHLstg 1-2 no relap no,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9135,,Onc dx NHL stg 3-4 not relap,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9136,,Onc dx NHL trans to lg Bcell,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9137,,Onc dx NHL relapse/refractor,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9138,,Onc dx NHL stg unknown,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9139,,Onc dx CML dx status unknown,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9140,,Frontier extended stay demo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9141,,"Influenza A H1N1,admin w cou",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9142,,"Influenza A H1N1, vaccine",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9143,,Warfarin respon genetic test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
G9147,,Outpt IV insulin tx any mea,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0001,,Alcohol and/or drug assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0002,,Alcohol and/or drug screenin,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0003,,Alcohol and/or drug screenin,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0004,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0005,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0006,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0007,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0008,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0009,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0010,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0011,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0012,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0013,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0014,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0015,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0016,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0017,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0018,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0019,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0020,,Alcohol and/or drug services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0021,,Alcohol and/or drug training,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0022,,Alcohol and/or drug interven,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0023,,Alcohol and/or drug outreach,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0024,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0025,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0026,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0027,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0028,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0029,,Alcohol and/or drug preventi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0030,,Alcohol and/or drug hotline,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0031,,MH health assess by non-md,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0032,,MH svc plan dev by non-md,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0033,,Oral med adm direct observe,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0034,,Med trng & support per 15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0035,,MH partial hosp tx under 24h,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0036,,Comm psy face-face per 15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0037,,Comm psy sup tx pgm per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0038,,Self-help/peer svc per 15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0039,,Asser com tx face-face/15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0040,,Assert comm tx pgm per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0041,,Fos c chld non-ther per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0042,,Fos c chld non-ther per mon,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0043,,"Supported housing, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0044,,"Supported housing, per month",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0045,,Respite not-in-home per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0046,,"Mental health service, nos",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0047,,Alcohol/drug abuse svc nos,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0048,,Spec coll non-blood:a/d test,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0049,,Alcohol/drug screening,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H0050,,Alcohol/drug service 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H1000,,Prenatal care atrisk assessm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H1001,,Antepartum management,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H1002,,Carecoordination prenatal,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H1003,,Prenatal at risk education,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H1004,,Follow up home visit/prental,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H1005,,Prenatalcare enhanced srv pk,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H1010,,Nonmed family planning ed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H1011,,Family assessment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2000,,Comp multidisipln evaluation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2001,,Rehabilitation program 1/2 d,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2010,,Comprehensive med svc 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2011,,"Crisis interven svc, 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2012,,"Behav hlth day treat, per hr",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2013,,"Psych hlth fac svc, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2014,,"Skills train and dev, 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2015,,"Comp comm supp svc, 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2016,,"Comp comm supp svc, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2017,,"Psysoc rehab svc, per 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2018,,"Psysoc rehab svc, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2019,,"Ther behav svc, per 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2020,,"Ther behav svc, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2021,,"Com wrap-around sv, 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2022,,"Com wrap-around sv, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2023,,"Supported employ, per 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2024,,"Supported employ, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2025,,"Supp maint employ, 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2026,,"Supp maint employ, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2027,,"Psychoed svc, per 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2028,,"Sex offend tx svc, 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2029,,"Sex offend tx svc, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2030,,"MH clubhouse svc, per 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2031,,"MH clubhouse svc, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2032,,"Activity therapy, per 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2033,,Multisys ther/juvenile 15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2034,,"A/D halfway house, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2035,,"A/D tx program, per hour",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2036,,"A/D tx program, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
H2037,,"Dev delay prev dp ch, 15 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0120,,Tetracyclin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0129,,Abatacept injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0130,,Abciximab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0132,,Acetylcysteine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0133,,Acyclovir injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0135,,Adalimumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0150,,Injection adenosine 6 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0152,,Adenosine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0171,,Adrenalin epinephrine inject,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0180,,Agalsidase beta injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0190,,Inj biperiden lactate/5 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0200,,Alatrofloxacin mesylate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0205,,Alglucerase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0207,,Amifostine,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0210,,Methyldopate hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0215,,Alefacept,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0220,,Alglucosidase alfa injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0256,,Alpha 1 proteinase inhibitor,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0270,,Alprostadil for injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0275,,Alprostadil urethral suppos,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0278,,Amikacin sulfate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0280,,Aminophyllin 250 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0282,,Amiodarone HCl,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0285,,Amphotericin B,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0287,,Amphotericin b lipid complex,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0288,,Ampho b cholesteryl sulfate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0289,,Amphotericin b liposome inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0290,,Ampicillin 500 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0295,,Ampicillin sodium per 1.5 gm,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0300,,Amobarbital 125 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0330,,Succinycholine chloride inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0348,,Anidulafungin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0350,,Injection anistreplase 30 u,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0360,,Hydralazine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0364,,Apomorphine hydrochloride,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0365,,"Aprotonin, 10,000 kiu",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0380,,Inj metaraminol bitartrate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0390,,Chloroquine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0395,,Arbutamine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0400,,Aripiprazole injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0456,,Azithromycin,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0461,,Atropine sulfate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0470,,Dimecaprol injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0475,,Baclofen 10 MG injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0476,,Baclofen intrathecal trial,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0480,,Basiliximab,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0500,,Dicyclomine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0515,,Inj benztropine mesylate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0520,,Bethanechol chloride inject,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0558,,PenG benzathine/procaine inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0561,,Penicillin g benzathine inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0583,,Bivalirudin,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0585,,"Injection,onabotulinumtoxinA",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0586,,AbobotulinumtoxinA,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0587,,"Inj, rimabotulinumtoxinB",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0592,,Buprenorphine hydrochloride,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0594,,Busulfan injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0595,,Butorphanol tartrate 1 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0597,,"C-1 esterase, berinert",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0598,,"C-1 esterase, cinryze",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0600,,Edetate calcium disodium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0610,,Calcium gluconate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0620,,Calcium glycer & lact/10 ML,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0630,,Calcitonin salmon injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0636,,Inj calcitriol per 0.1 mcg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0637,,Caspofungin acetate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0638,,Canakinumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0640,,Leucovorin calcium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0641,,Levoleucovorin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0670,,Inj mepivacaine HCL/10 ml,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0690,,Cefazolin sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0692,,Cefepime HCl for injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0694,,Cefoxitin sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0696,,Ceftriaxone sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0697,,Sterile cefuroxime injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0698,,Cefotaxime sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0702,,Betamethasone acet&sod phosp,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0706,,Caffeine citrate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0710,,Cephapirin sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0713,,Inj ceftazidime per 500 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0715,,Ceftizoxime sodium / 500 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0718,,Certolizumab pegol inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0720,,Chloramphenicol sodium injec,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0725,,Chorionic gonadotropin/1000u,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0735,,Clonidine hydrochloride,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0740,,Cidofovir injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0743,,Cilastatin sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0744,,Ciprofloxacin iv,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0745,,Inj codeine phosphate /30 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0760,,Colchicine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0770,,Colistimethate sodium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0775,,"Collagenase, clost hist inj",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0780,,Prochlorperazine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0795,,Corticorelin ovine triflutal,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0800,,Corticotropin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0833,,Cosyntropin injection NOS,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0834,,Cosyntropin cortrosyn inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0850,,Cytomegalovirus imm IV /vial,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0878,,Daptomycin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0881,,"Darbepoetin alfa, non-esrd",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0882,,"Darbepoetin alfa, esrd use",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0885,,"Epoetin alfa, non-esrd",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0886,,Epoetin alfa 1000 units ESRD,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0894,,Decitabine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0895,,Deferoxamine mesylate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0900,,Testosterone enanthate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J0945,,Brompheniramine maleate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1000,,Depo-estradiol cypionate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1020,,Methylprednisolone 20 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1030,,Methylprednisolone 40 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1040,,Methylprednisolone 80 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1051,,Medroxyprogesterone inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1055,,Medrxyprogester acetate inj,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1056,,MA/EC contraceptiveinjection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1060,,Testosterone cypionate 1 ML,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1070,,Testosterone cypionat 100 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1080,,Testosterone cypionat 200 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1094,,Inj dexamethasone acetate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1100,,Dexamethasone sodium phos,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1110,,Inj dihydroergotamine mesylt,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1120,,Acetazolamid sodium injectio,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1160,,Digoxin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1162,,Digoxin immune fab (ovine),E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1165,,Phenytoin sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1170,,Hydromorphone injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1180,,Dyphylline injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1190,,Dexrazoxane HCl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1200,,Diphenhydramine hcl injectio,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1205,,Chlorothiazide sodium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1212,,Dimethyl sulfoxide 50% 50 ML,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1230,,Methadone injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1240,,Dimenhydrinate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1245,,Dipyridamole injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1250,,Inj dobutamine HCL/250 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1260,,Dolasetron mesylate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1265,,Dopamine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1267,,Doripenem injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1270,,"Injection, doxercalciferol",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1290,,Ecallantide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1300,,Eculizumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1320,,Amitriptyline injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1324,,Enfuvirtide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1325,,Epoprostenol injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1327,,Eptifibatide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1330,,Ergonovine maleate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1335,,Ertapenem injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1364,,Erythro lactobionate /500 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1380,,Estradiol valerate 10 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1410,,Inj estrogen conjugate 25 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1430,,Ethanolamine oleate 100 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1435,,Injection estrone per 1 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1436,,Etidronate disodium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1438,,Etanercept injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1440,,Filgrastim 300 mcg injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1441,,Filgrastim 480 mcg injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1450,,Fluconazole,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1451,,"Fomepizole, 15 mg",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1452,,Intraocular Fomivirsen na,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1453,,Fosaprepitant injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1455,,Foscarnet sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1457,,Gallium nitrate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1458,,Galsulfase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1459,,Inj IVIG privigen 500 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1460,,Gamma globulin 1 CC inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1559,,Hizentra injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1560,,Gamma globulin > 10 CC inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1561,,Gamunex injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1562,,"Vivaglobin, inj",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1566,,"Immune globulin, powder",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1568,,Octagam injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1569,,Gammagard liquid injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1570,,Ganciclovir sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1571,,Hepagam b im injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1572,,Flebogamma injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1573,,"Hepagam b intravenous, inj",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1580,,Garamycin gentamicin inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1590,,Gatifloxacin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1595,,Injection glatiramer acetate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1599,,"Ivig non-lyophilized, NOS",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1600,,Gold sodium thiomaleate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1610,,Glucagon hydrochloride/1 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1620,,Gonadorelin hydroch/ 100 mcg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1626,,Granisetron hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1630,,Haloperidol injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1631,,Haloperidol decanoate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1640,,"Hemin, 1 mg",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1642,,Inj heparin sodium per 10 u,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1644,,Inj heparin sodium per 1000u,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1645,,Dalteparin sodium,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1650,,Inj enoxaparin sodium,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1652,,Fondaparinux sodium,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1655,,Tinzaparin sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1670,,Tetanus immune globulin inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1675,,Histrelin acetate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1680,,Human fibrinogen conc inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1700,,Hydrocortisone acetate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1710,,Hydrocortisone sodium ph inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1720,,Hydrocortisone sodium succ i,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1730,,Diazoxide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1740,,Ibandronate sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1742,,Ibutilide fumarate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1743,,Idursulfase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1745,,Infliximab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1750,,Inj iron dextran,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1756,,Iron sucrose injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1786,,Imuglucerase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1790,,Droperidol injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1800,,Propranolol injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1810,,Droperidol/fentanyl inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1815,,Insulin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1817,,Insulin for insulin pump use,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1826,,Interferon Beta-1A inj,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1830,,Interferon beta-1b / .25 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1835,,Itraconazole injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1840,,Kanamycin sulfate 500 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1850,,Kanamycin sulfate 75 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1885,,Ketorolac tromethamine inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1890,,Cephalothin sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1930,,Lanreotide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1931,,Laronidase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1940,,Furosemide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1945,,Lepirudin,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1950,,Leuprolide acetate /3.75 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1953,,Levetiracetam injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1955,,Inj levocarnitine per 1 gm,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1956,,Levofloxacin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1960,,Levorphanol tartrate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1980,,Hyoscyamine sulfate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J1990,,Chlordiazepoxide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2001,,Lidocaine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2010,,Lincomycin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2020,,Linezolid injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2060,,Lorazepam injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2150,,Mannitol injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2170,,Mecasermin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2175,,Meperidine hydrochl /100 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2180,,Meperidine/promethazine inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2185,,Meropenem,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2210,,Methylergonovin maleate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2248,,Micafungin sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2250,,Inj midazolam hydrochloride,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2260,,Inj milrinone lactate / 5 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2270,,Morphine sulfate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2271,,Morphine so4 injection 100mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2275,,Morphine sulfate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2278,,Ziconotide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2280,,"Inj, moxifloxacin 100 mg",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2300,,Inj nalbuphine hydrochloride,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2310,,Inj naloxone hydrochloride,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2315,,"Naltrexone, depot form",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2320,,Nandrolone decanoate 50 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2323,,Natalizumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2325,,Nesiritide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2353,,"Octreotide injection, depot",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2354,,"Octreotide inj, non-depot",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2355,,Oprelvekin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2357,,Omalizumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2358,,Olanzapine long-acting inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2360,,Orphenadrine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2370,,Phenylephrine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2400,,Chloroprocaine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2405,,Ondansetron hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2410,,Oxymorphone hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2425,,Palifermin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2426,,Paliperidone palmitate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2430,,Pamidronate disodium /30 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2440,,Papaverin hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2460,,Oxytetracycline injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2469,,Palonosetron hcl,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2501,,Paricalcitol,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2503,,Pegaptanib sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2504,,"Pegademase bovine, 25 iu",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2505,,"Injection, pegfilgrastim 6mg",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2510,,Penicillin g procaine inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2513,,Pentastarch 10% solution,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2515,,Pentobarbital sodium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2540,,Penicillin g potassium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2543,,Piperacillin/tazobactam,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2545,,Pentamidine non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2550,,Promethazine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2560,,Phenobarbital sodium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2562,,Plerixafor injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2590,,Oxytocin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2597,,Inj desmopressin acetate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2650,,Prednisolone acetate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2670,,Totazoline hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2675,,Inj progesterone per 50 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2680,,Fluphenazine decanoate 25 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2690,,Procainamide hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2700,,Oxacillin sodium injeciton,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2710,,Neostigmine methylslfte inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2720,,Inj protamine sulfate/10 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2724,,Protein c concentrate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2725,,Inj protirelin per 250 mcg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2730,,Pralidoxime chloride inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2760,,Phentolaine mesylate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2765,,Metoclopramide hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2770,,Quinupristin/dalfopristin,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2778,,Ranibizumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2780,,Ranitidine hydrochloride inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2783,,Rasburicase,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2785,,Regadenoson injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2788,,Rho d immune globulin 50 mcg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2790,,Rho d immune globulin inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2791,,Rhophylac injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2792,,"Rho(D) immune globulin h, sd",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2793,,Rilonacept injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2794,,"Risperidone, long acting",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2795,,Ropivacaine HCl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2796,,Romiplostim injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2800,,Methocarbamol injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2805,,Sincalide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2810,,Inj theophylline per 40 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2820,,Sargramostim injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2850,,Inj secretin synthetic human,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2910,,Aurothioglucose injeciton,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2916,,Na ferric gluconate complex,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2920,,Methylprednisolone injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2930,,Methylprednisolone injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2940,,Somatrem injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2941,,Somatropin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2950,,Promazine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2993,,Reteplase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2995,,Inj streptokinase /250000 IU,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J2997,,Alteplase recombinant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3000,,Streptomycin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3010,,Fentanyl citrate injeciton,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3030,,Sumatriptan succinate / 6 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3070,,Pentazocine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3095,,Televancin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3101,,Tenecteplase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3105,,Terbutaline sulfate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3110,,Teriparatide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3120,,Testosterone enanthate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3130,,Testosterone enanthate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3140,,Testosterone suspension inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3150,,Testosteron propionate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3230,,Chlorpromazine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3240,,Thyrotropin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3243,,Tigecycline injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3246,,Tirofiban HCl,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3250,,Trimethobenzamide hcl inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3260,,Tobramycin sulfate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3262,,Tocilizumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3265,,Injection torsemide 10 mg/ml,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3280,,Thiethylperazine maleate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3285,,Treprostinil injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3300,,Triamcinolone A inj PRS-free,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3301,,Triamcinolone acet inj NOS,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3302,,Triamcinolone diacetate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3303,,Triamcinolone hexacetonl inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3305,,Inj trimetrexate glucoronate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3310,,Perphenazine injeciton,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3315,,Triptorelin pamoate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3320,,Spectinomycn di-hcl inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3350,,Urea injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3355,,"Urofollitropin, 75 iu",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3357,,Ustekinumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3360,,Diazepam injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3364,,Urokinase 5000 IU injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3365,,"Urokinase 250,000 IU inj",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3370,,Vancomycin hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3385,,Velaglucerase alfa,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3396,,Verteporfin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3400,,Triflupromazine hcl inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3410,,Hydroxyzine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3411,,Thiamine hcl 100 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3415,,Pyridoxine hcl 100 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3420,,Vitamin b12 injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3430,,Vitamin k phytonadione inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3465,,"Injection, voriconazole",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3470,,Hyaluronidase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3471,,"Ovine, up to 999 USP units",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3472,,"Ovine, 1000 USP units",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3473,,Hyaluronidase recombinant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3475,,Inj magnesium sulfate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3480,,Inj potassium chloride,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3485,,Zidovudine,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3486,,Ziprasidone mesylate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3487,,Zoledronic acid,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3488,,Reclast injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3490,,Drugs unclassified injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3520,,Edetate disodium per 150 mg,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3530,,Nasal vaccine inhalation,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3535,,Metered dose inhaler drug,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3570,,Laetrile amygdalin vit B17,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J3590,,Unclassified biologics,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7030,,Normal saline solution infus,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7040,,Normal saline solution infus,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7042,,5% dextrose/normal saline,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7050,,Normal saline solution infus,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7060,,5% dextrose/water,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7070,,D5w infusion,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7100,,Dextran 40 infusion,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7110,,Dextran 75 infusion,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7120,,Ringers lactate infusion,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7130,,Hypertonic saline solution,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7184,,Wilate injection,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7185,,Xyntha inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7186,,Antihemophilic viii/vwf comp,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7187,,"Humate-P, inj",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7189,,Factor viia,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7190,,Factor viii,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7191,,Factor VIII (porcine),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7192,,Factor viii recombinant NOS,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7193,,Factor IX non-recombinant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7194,,Factor ix complex,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7195,,Factor IX recombinant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7196,,Antithrombin recombinant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7197,,Antithrombin iii injection,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7198,,Anti-inhibitor,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7199,,Hemophilia clot factor noc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7300,,Intraut copper contraceptive,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7302,,Levonorgestrel iu contracept,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7303,,Contraceptive vaginal ring,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7304,,Contraceptive hormone patch,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7306,,Levonorgestrel implant sys,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7307,,Etonogestrel implant system,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7308,,Aminolevulinic acid hcl top,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7309,,"Methyl aminolevulinate, top",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7310,,Ganciclovir long act implant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7311,,Fluocinolone acetonide implt,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7312,,Dexamethasone intra implant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7321,,Hyalgan/supartz inj per dose,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7323,,Euflexxa inj per dose,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7324,,Orthovisc inj per dose,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7325,,Synvisc or Synvisc-One,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7330,,Cultured chondrocytes implnt,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7335,,Capsaicin 8% patch,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7500,,Azathioprine oral 50mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7501,,Azathioprine parenteral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7502,,Cyclosporine oral 100 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7504,,Lymphocyte immune globulin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7505,,Monoclonal antibodies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7506,,Prednisone oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7507,,Tacrolimus oral per 1 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7509,,Methylprednisolone oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7510,,Prednisolone oral per 5 mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7511,,Antithymocyte globuln rabbit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7513,,"Daclizumab, parenteral",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7515,,Cyclosporine oral 25 mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7516,,Cyclosporin parenteral 250mg,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7517,,Mycophenolate mofetil oral,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7518,,Mycophenolic acid,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7520,,"Sirolimus, oral",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7525,,Tacrolimus injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7599,,Immunosuppressive drug noc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7604,,Acetylcysteine comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7605,,Arformoterol non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7606,,"Formoterol fumarate, inh",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7607,,Levalbuterol comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7608,,Acetylcysteine non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7609,,Albuterol comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7610,,Albuterol comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7611,,Albuterol non-comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7612,,Levalbuterol non-comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7613,,Albuterol non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7614,,Levalbuterol non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7615,,Levalbuterol comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7620,,Albuterol ipratrop non-comp,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7622,,Beclomethasone comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7624,,Betamethasone comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7626,,Budesonide non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7627,,Budesonide comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7628,,Bitolterol mesylate comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7629,,Bitolterol mesylate comp unt,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7631,,Cromolyn sodium noncomp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7632,,Cromolyn sodium comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7633,,Budesonide non-comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7634,,Budesonide comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7635,,Atropine comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7636,,Atropine comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7637,,Dexamethasone comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7638,,Dexamethasone comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7639,,Dornase alfa non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7640,,Formoterol comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7641,,Flunisolide comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7642,,Glycopyrrolate comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7643,,Glycopyrrolate comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7644,,Ipratropium bromide non-comp,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7645,,Ipratropium bromide comp,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7647,,Isoetharine comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7648,,Isoetharine non-comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7649,,Isoetharine non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7650,,Isoetharine comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7657,,Isoproterenol comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7658,,Isoproterenol non-comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7659,,Isoproterenol non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7660,,Isoproterenol comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7667,,Metaproterenol comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7668,,Metaproterenol non-comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7669,,Metaproterenol non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7670,,Metaproterenol comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7674,,"Methacholine chloride, neb",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7676,,Pentamidine comp unit dose,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7680,,Terbutaline sulf comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7681,,Terbutaline sulf comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7682,,Tobramycin non-comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7683,,Triamcinolone comp con,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7684,,Triamcinolone comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7685,,Tobramycin comp unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7686,,"Treprostinil, non-comp unit",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7699,,Inhalation solution for DME,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J7799,,Non-inhalation drug for DME,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8498,,Antiemetic rectal/supp NOS,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8499,,Oral prescrip drug non chemo,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8501,,Oral aprepitant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8510,,Oral busulfan,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8515,,"Cabergoline, oral 0.25mg",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8520,,"Capecitabine, oral, 150 mg",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8521,,"Capecitabine, oral, 500 mg",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8530,,Cyclophosphamide oral 25 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8540,,Oral dexamethasone,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8560,,Etoposide oral 50 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8562,,Oral fludarabine phosphate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8565,,Gefitinib oral,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8597,,Antiemetic drug oral NOS,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8600,,Melphalan oral 2 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8610,,Methotrexate oral 2.5 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8650,,Nabilone oral,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8700,,Temozolomide,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8705,,Topotecan oral,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J8999,,Oral prescription drug chemo,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9000,,Doxorubicin hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9001,,Doxorubicin hcl liposome inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9010,,Alemtuzumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9015,,Aldesleukin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9017,,Arsenic trioxide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9020,,Asparaginase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9025,,Azacitidine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9027,,Clofarabine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9031,,Bcg live intravesical vac,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9033,,Bendamustine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9035,,Bevacizumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9040,,Bleomycin sulfate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9041,,Bortezomib injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9045,,Carboplatin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9050,,Carmustine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9055,,Cetuximab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9060,,Cisplatin 10 MG injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9065,,Inj cladribine per 1 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9070,,Cyclophosphamide 100 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9098,,Cytarabine liposome inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9100,,Cytarabine hcl 100 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9120,,Dactinomycin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9130,,Dacarbazine 100 mg inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9150,,Daunorubicin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9151,,Daunorubicin citrate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9155,,Degarelix injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9160,,Denileukin diftitox inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9165,,Diethylstilbestrol injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9171,,Docetaxel injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9175,,Elliotts b solution per ml,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9178,,"Inj, epirubicin hcl, 2 mg",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9181,,Etoposide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9185,,Fludarabine phosphate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9190,,Fluorouracil injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9200,,Floxuridine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9201,,Gemcitabine hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9202,,Goserelin acetate implant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9206,,Irinotecan injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9207,,Ixabepilone injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9208,,Ifosfomide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9209,,Mesna injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9211,,Idarubicin hcl injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9212,,Interferon alfacon-1 inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9213,,Interferon alfa-2a inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9214,,Interferon alfa-2b inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9215,,Interferon alfa-n3 inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9216,,Interferon gamma 1-b inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9217,,Leuprolide acetate suspnsion,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9218,,Leuprolide acetate injeciton,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9219,,Leuprolide acetate implant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9225,,Vantas implant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9226,,Supprelin LA implant,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9230,,Mechlorethamine hcl inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9245,,Inj melphalan hydrochl 50 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9250,,Methotrexate sodium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9260,,Methotrexate sodium inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9261,,Nelarabine injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9263,,Oxaliplatin,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9264,,Paclitaxel protein bound,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9265,,Paclitaxel injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9266,,Pegaspargase injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9268,,Pentostatin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9270,,Plicamycin (mithramycin) inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9280,,Mitomycin 5 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9293,,Mitoxantrone hydrochl / 5 MG,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9300,,Gemtuzumab ozogamicin inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9302,,Ofatumumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9303,,Panitumumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9305,,Pemetrexed injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9307,,Pralatrexate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9310,,Rituximab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9315,,Romidepsin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9320,,Streptozocin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9328,,Temozolomide injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9330,,Temsirolimus injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9340,,Thiotepa injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9351,,Topotecan injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9355,,Trastuzumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9357,,Valrubicin injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9360,,Vinblastine sulfate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9370,,Vincristine sulfate 1 MG inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9390,,Vinorelbine tartrate inj,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9395,,"Injection, Fulvestrant",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9600,,Porfimer sodium injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
J9999,,Chemotherapy drug,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
M0064,,Visit for drug monitoring,A,,0.37,0.99,,1.07,,0.09,,0.08,,0.01,1.37,1.45,0.47,0.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
M0075,,Cellular therapy,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
M0076,,Prolotherapy,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
M0100,,Intragastric hypothermia,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
M0300,,IV chelationtherapy,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
M0301,,Fabric wrapping of aneurysm,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P2028,,Cephalin floculation test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P2029,,Congo red blood test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P2031,,Hair analysis,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P2033,,Blood thymol turbidity,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P2038,,Blood mucoprotein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P3000,,Screen pap by tech w md supv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P3001,,Screening pap smear by phys,A,,0.42,0.40,,0.42,,0.40,,0.42,,0.03,0.85,0.87,0.85,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
P7001,,Culture bacterial urine,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9010,,Whole blood for transfusion,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9011,,Blood split unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9012,,Cryoprecipitate each unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9016,,RBC leukocytes reduced,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9017,,Plasma 1 donor frz w/in 8 hr,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9019,,"Platelets, each unit",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9020,,Plaelet rich plasma unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9021,,Red blood cells unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9022,,Washed red blood cells unit,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9023,,"Frozen plasma, pooled, sd",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9031,,Platelets leukocytes reduced,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9032,,"Platelets, irradiated",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9033,,Platelets leukoreduced irrad,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9034,,"Platelets, pheresis",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9035,,Platelet pheres leukoreduced,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9036,,Platelet pheresis irradiated,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9037,,Plate pheres leukoredu irrad,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9038,,RBC irradiated,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9039,,RBC deglycerolized,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9040,,RBC leukoreduced irradiated,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9041,,"Albumin (human),5%, 50ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9043,,"Plasma protein fract,5%,50ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9044,,Cryoprecipitatereducedplasma,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9045,,"Albumin (human), 5%, 250 ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9046,,"Albumin (human), 25%, 20 ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9047,,"Albumin (human), 25%, 50ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9048,,"Plasmaprotein fract,5%,250ml",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9050,,"Granulocytes, pheresis unit",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9051,,"Blood, l/r, cmv-neg",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9052,,"Platelets, hla-m, l/r, unit",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9053,,"Plt, pher, l/r cmv-neg, irr",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9054,,"Blood, l/r, froz/degly/wash",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9055,,"Plt, aph/pher, l/r, cmv-neg",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9056,,"Blood, l/r, irradiated",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9057,,"RBC, frz/deg/wsh, l/r, irrad",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9058,,"RBC, l/r, cmv-neg, irrad",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9059,,"Plasma, frz between 8-24hour",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9060,,Fr frz plasma donor retested,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9603,,One-way allow prorated miles,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9604,,One-way allow prorated trip,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9612,,Catheterize for urine spec,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
P9615,,Urine specimen collect mult,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0035,,Cardiokymography,A,,0.17,0.35,,0.31,,0.35,NA,0.31,NA,0.02,0.54,0.50,0.54,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
Q0035,TC,Cardiokymography,A,,0.00,0.29,,0.25,,0.29,NA,0.25,NA,0.01,0.30,0.26,0.30,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
Q0035,26,Cardiokymography,A,,0.17,0.06,,0.06,,0.06,,0.06,,0.01,0.24,0.24,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
Q0091,,Obtaining screen pap smear,A,,0.37,0.88,,0.87,,0.15,,0.17,,0.03,1.28,1.27,0.55,0.57,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
Q0092,,Set up port xray equipment,A,,0.00,0.59,,0.64,,0.59,,0.64,,0.01,0.60,0.65,0.60,0.65,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
Q0111,,Wet mounts/ w preparations,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0112,,Potassium hydroxide preps,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0113,,Pinworm examinations,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0114,,Fern test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0115,,Post-coital mucous exam,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0138,,"Ferumoxytol, non-esrd",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0139,,"Ferumoxytol, esrd use",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0144,,"Azithromycin dihydrate, oral",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0163,,Diphenhydramine HCl 50mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0164,,Prochlorperazine maleate 5mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0165,,Prochlorperazine maleate10mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0166,,Granisetron hcl 1 mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0167,,Dronabinol 2.5mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0168,,Dronabinol 5mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0169,,Promethazine HCl 12.5mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0170,,Promethazine HCl 25 mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0171,,Chlorpromazine HCl 10mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0172,,Chlorpromazine HCl 25mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0173,,Trimethobenzamide HCl 250mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0174,,Thiethylperazine maleate10mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0175,,Perphenazine 4mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0176,,Perphenazine 8mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0177,,Hydroxyzine pamoate 25mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0178,,Hydroxyzine pamoate 50mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0179,,Ondansetron hcl 8 mg oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0180,,Dolasetron mesylate oral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0181,,Unspecified oral anti-emetic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0478,,"Power adapter, combo vad",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0479,,"Power module combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0480,,"Driver pneumatic vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0481,,"Microprcsr cu elec vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0482,,"Microprcsr cu combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0483,,"Monitor elec vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0484,,Monitor elec or comb vad rep,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0485,,"Monitor cable elec vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0486,,Mon cable elec/pneum vad rep,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0487,,"Leads any type vad, rep only",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0488,,"Pwr pack base elec vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0489,,"Pwr pck base combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0490,,"Emr pwr source elec vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0491,,Emr pwr source combo vad rep,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0492,,"Emr pwr cbl elec vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0493,,"Emr pwr cbl combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0494,,"Emr hd pmp elec/combo, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0495,,"Charger elec/combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0496,,"Battery elec/combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0497,,"Bat clps elec/comb vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0498,,"Holster elec/combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0499,,Belt/vest elec/combo vad rep,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0500,,"Filters elec/combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0501,,"Shwr cov elec/combo vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0502,,"Mobility cart pneum vad, rep",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0503,,Battery pneum vad replacemnt,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0504,,"Pwr adpt pneum vad, rep veh",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0505,,Miscl supply/accessory vad,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0506,,Lith-ion batt elec/pneum VAD,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0510,,Dispens fee immunosupressive,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0511,,"Sup fee antiem,antica,immuno",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0512,,Px sup fee anti-can sub pres,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0513,,Disp fee inhal drugs/30 days,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0514,,Disp fee inhal drugs/90 days,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q0515,,Sermorelin acetate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q1003,,Ntiol category 3,D,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q1004,,Ntiol category 4,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q1005,,Ntiol category 5,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2004,,Bladder calculi irrig sol,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2009,,Fosphenytoin inj PE,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2017,,"Teniposide, 50 mg",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2026,,Radiesse injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2027,,Sculptra injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2035,,"Afluria vacc, 3 yrs & >, im",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2036,,"Flulaval vacc, 3 yrs & >, im",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2037,,"Fluvirin vacc, 3 yrs & >, im",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2038,,"Fluzone vacc, 3 yrs & >, im",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2039,,"NOS flu vacc, 3 yrs & >, im",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2040,,Incobotulinumtoxin A,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2041,,Wilate injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2042,,Hydroxyprogesterone caproate,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2043,,Sipuleucel-T auto CD54+,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q2044,,Belimumab injection,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q3001,,Brachytherapy Radioelements,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
Q3014,,Telehealth facility fee,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q3025,,IM inj interferon beta 1-a,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q3026,,Subc inj interferon beta-1a,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q3031,,Collagen skin test,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4001,,Cast sup body cast plaster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4002,,Cast sup body cast fiberglas,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4003,,Cast sup shoulder cast plstr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4004,,Cast sup shoulder cast fbrgl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4005,,Cast sup long arm adult plst,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4006,,Cast sup long arm adult fbrg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4007,,Cast sup long arm ped plster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4008,,Cast sup long arm ped fbrgls,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4009,,Cast sup sht arm adult plstr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4010,,Cast sup sht arm adult fbrgl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4011,,Cast sup sht arm ped plaster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4012,,Cast sup sht arm ped fbrglas,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4013,,Cast sup gauntlet plaster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4014,,Cast sup gauntlet fiberglass,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4015,,Cast sup gauntlet ped plster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4016,,Cast sup gauntlet ped fbrgls,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4017,,Cast sup lng arm splint plst,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4018,,Cast sup lng arm splint fbrg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4019,,Cast sup lng arm splnt ped p,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4020,,Cast sup lng arm splnt ped f,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4021,,Cast sup sht arm splint plst,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4022,,Cast sup sht arm splint fbrg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4023,,Cast sup sht arm splnt ped p,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4024,,Cast sup sht arm splnt ped f,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4025,,Cast sup hip spica plaster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4026,,Cast sup hip spica fiberglas,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4027,,Cast sup hip spica ped plstr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4028,,Cast sup hip spica ped fbrgl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4029,,Cast sup long leg plaster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4030,,Cast sup long leg fiberglass,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4031,,Cast sup lng leg ped plaster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4032,,Cast sup lng leg ped fbrgls,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4033,,Cast sup lng leg cylinder pl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4034,,Cast sup lng leg cylinder fb,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4035,,Cast sup lngleg cylndr ped p,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4036,,Cast sup lngleg cylndr ped f,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4037,,Cast sup shrt leg plaster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4038,,Cast sup shrt leg fiberglass,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4039,,Cast sup shrt leg ped plster,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4040,,Cast sup shrt leg ped fbrgls,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4041,,Cast sup lng leg splnt plstr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4042,,Cast sup lng leg splnt fbrgl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4043,,Cast sup lng leg splnt ped p,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4044,,Cast sup lng leg splnt ped f,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4045,,Cast sup sht leg splnt plstr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4046,,Cast sup sht leg splnt fbrgl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4047,,Cast sup sht leg splnt ped p,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4048,,Cast sup sht leg splnt ped f,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4049,,"Finger splint, static",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4050,,Cast supplies unlisted,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4051,,Splint supplies misc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4074,,Iloprost non-comp unit dose,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4081,,"Epoetin alfa, 100 units ESRD",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4082,,Drug/bio NOC part B drug CAP,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4100,,"Skin substitute, NOS",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4101,,Apligraf,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4102,,Oasis wound matrix,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4103,,Oasis burn matrix,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4104,,Integra BMWD,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4105,,Integra DRT,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4106,,Dermagraft,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4107,,Graftjacket,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4108,,Integra matrix,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4110,,Primatrix,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4111,,Gammagraft,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4112,,Cymetra injectable,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4113,,Graftjacket xpress,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4114,,Integra flowable wound matri,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4115,,Alloskin,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4116,,Alloderm,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4117,,Hyalomatrix,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4118,,Matristem micromatrix,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4119,,Matristem wound matrix,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4120,,Matristem burn matrix,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q4121,,Theraskin,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5001,,Hospice in patient home,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5002,,Hospice in assisted living,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5003,,Hospice in LT/non-skilled NF,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5004,,Hospice in SNF,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5005,,"Hospice, inpatient hospital",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5006,,Hospice in hospice facility,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5007,,Hospice in LTCH,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5008,,Hospice in inpatient psych,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5009,,"Hospice care, NOS",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q5010,,Hospice home care in hospice,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9951,,"LOCM >= 400 mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9953,,"Inj Fe-based MR contrast,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9954,,"Oral MR contrast, 100 ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9955,,"Inj perflexane lip micros,ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9956,,"Inj octafluoropropane mic,ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9957,,"Inj perflutren lip micros,ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9958,,"HOCM <=149 mg/ml iodine, 1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9959,,"HOCM 150-199mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9960,,"HOCM 200-249mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9961,,"HOCM 250-299mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9962,,"HOCM 300-349mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9963,,"HOCM 350-399mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9964,,"HOCM>= 400mg/ml iodine, 1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9965,,"LOCM 100-199mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9966,,"LOCM 200-299mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9967,,"LOCM 300-399mg/ml iodine,1ml",E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
Q9968,,Visualization adjunct,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
R0070,,Transport portable x-ray,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
R0075,,Transport port x-ray multipl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
R0076,,Transport portable EKG,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0012,,"Butorphanol tartrate, nasal",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0014,,"Tacrine hydrochloride, 10 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0017,,"Injection, aminocaproic acid",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0020,,"Injection, bupivicaine hydro",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0021,,"Injection, cefoperazone sod",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0023,,"Injection, cimetidine hydroc",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0028,,"Injection, famotidine, 20 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0030,,"Injection, metronidazole",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0032,,"Injection, nafcillin sodium",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0034,,"Injection, ofloxacin, 400 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0039,,"Injection, sulfamethoxazole",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0040,,"Injection, ticarcillin disod",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0073,,"Injection, aztreonam, 500 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0074,,"Injection, cefotetan disodiu",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0077,,"Injection, clindamycin phosp",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0078,,"Injection, fosphenytoin sodi",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0080,,"Injection, pentamidine iseth",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0081,,"Injection, piperacillin sodi",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0088,,Imatinib 100 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0090,,"Sildenafil citrate, 25 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0091,,Granisetron 1mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0092,,Hydromorphone 250 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0093,,Morphine 500 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0104,,"Zidovudine, oral, 100 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0106,,Bupropion HCL SR 60 tablets,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0108,,Mercaptopurine 50 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0109,,Methadone oral 5mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0117,,Tretinoin topical 5 g,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0122,,Inj menotropins 75 iu,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0126,,Inj follitropin alfa 75 iu,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0128,,Inj follitropin beta 75 iu,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0132,,Inj ganirelix acetat 250 mcg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0136,,"Clozapine, 25 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0137,,"Didanosine, 25 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0138,,"Finasteride, 5 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0139,,"Minoxidil, 10 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0140,,"Saquinavir, 200 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0142,,Colistimethate inh sol mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0145,,Peg interferon alfa-2A/180,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0148,,Peg interferon alfa-2b/10,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0155,,Epoprostenol dilutant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0156,,"Exemestane, 25 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0157,,"Becaplermin gel 1%, 0.5 gm",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0160,,Dextroamphetamine,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0164,,Injection pantroprazole,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0166,,Inj olanzapine 2.5mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0169,,Calcitrol,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0170,,Anastrozole 1 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0171,,Bumetanide 0.5 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0172,,Chlorambucil 2 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0174,,Dolasetron 50 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0175,,Flutamide 125 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0176,,Hydroxyurea 500 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0177,,Levamisole 50 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0178,,Lomustine 10 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0179,,Megestrol 20 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0181,,Ondansetron 4 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0182,,Procarbazine 5 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0183,,Prochlorperazine 5 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0187,,Tamoxifen 10 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0189,,Testosterone pellet 75 mg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0190,,"Mifepristone, oral, 200 mg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0191,,"Misoprostol, oral, 200 mcg",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0194,,Vitamin suppl 100 caps,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0195,,Pneumo vaccine 5-9 yrs,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0197,,Prenatal vitamins 30 day,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0199,,Med abortion inc all ex drug,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0201,,Partial hospitalization serv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0207,,Paramedicintercep nonhospals,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0208,,Paramed intrcept nonvol,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0209,,WC van mileage per mi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0215,,Nonemerg transp mileage,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0220,,Medical conference by physic,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0221,,"Medical conference, 60 min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0250,,Comp geriatr assmt team,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0255,,Hospice refer visit nonmd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0257,,End of life counseling,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0260,,H&P for surgery,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0265,,Genetic counsel 15 mins,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0270,,Home std case rate 30 days,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0271,,Home hospice case 30 days,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0272,,Home episodic case 30 days,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0273,,MD home visit outside cap,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0274,,Nurse practr visit outs cap,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0280,,"Medical home, initial plan",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0281,,"Medical home, maintenance",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0302,,Completed EPSDT,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0310,,Hospitalist visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0315,,Disease management program,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0316,,Follow-up/reassessment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0317,,Disease mgmt per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0320,,RN telephone calls to DMP,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0340,,Lifestyle mod 1st stage,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0341,,Lifestyle mod 2 or 3 stage,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0342,,Lifestyle mod 4th stage,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0390,,Rout foot care per visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0395,,Impression casting ft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0400,,Global eswl kidney,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0500,,Dispos cont lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0504,,Singl prscrp lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0506,,Bifoc prscp lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0508,,Trifoc prscrp lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0510,,Non-prscrp lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0512,,Daily cont lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0514,,Color cont lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0515,,Scleral lens liquid bandage,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0516,,Safety frames,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0518,,Sunglass frames,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0580,,Polycarb lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0581,,Nonstnd lens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0590,,Misc integral lens serv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0592,,Comp cont lens eval,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0595,,New lenses in pts old frame,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0601,,Screening proctoscopy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0610,,Annual gynecological examina,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0612,,Annual gynecological examina,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0613,,Ann breast exam,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0618,,Audiometry for hearing aid,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0620,,Routine ophthalmological exa,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0621,,Routine ophthalmological exa,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0622,,Phys exam for college,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0625,,Digital screening retina,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0630,,Removal of sutures,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0800,,Laser in situ keratomileusis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0810,,Photorefractive keratectomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S0812,,Phototherap keratect,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S1001,,Deluxe item,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S1002,,Custom item,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S1015,,IV tubing extension set,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S1016,,Non-pvc intravenous administ,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S1030,,Gluc monitor purchase,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S1031,,Gluc monitor rental,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S1040,,Cranial remolding orthosis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2053,,Transplantation of small int,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2054,,Transplantation of multivisc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2055,,Harvesting of donor multivis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2060,,Lobar lung transplantation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2061,,Donor lobectomy (lung),I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2065,,Simult panc kidn trans,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2066,,Breast GAP flap reconst,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2067,,"Breast ""stacked"" DIEP/GAP",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2068,,Breast DIEP or SIEA flap,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2070,,Cysto laser tx ureteral calc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2079,,Lap esophagomyotomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2080,,Laup,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2083,,Adjustment gastric band,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2095,,Transcath emboliz microspher,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2102,,Islet cell tissue transplant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2103,,Adrenal tissue transplant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2107,,Adoptive immunotherapy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2112,,Knee arthroscp harv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2115,,Periacetabular osteotomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2117,,"Arthroereisis, subtalar",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2118,,Total hip resurfacing,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2120,,Low density lipoprotein(LDL),I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2140,,Cord blood harvesting,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2142,,Cord blood-derived stem-cell,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2150,,BMT harv/transpl 28d pkg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2152,,Solid organ transpl pkg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2202,,Echosclerotherapy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2205,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2206,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2207,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2208,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2209,,Minimally invasive direct co,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2225,,Myringotomy laser-assist,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2230,,Implant semi-imp hear,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2235,,Implant auditory brain imp,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2260,,Induced abortion 17-24 weeks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2265,,Induced abortion 25-28 wks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2266,,Induced abortion 29-31 wks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2267,,Induced abortion 32 or more,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2270,,Insertion vaginal cylinder,D,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2300,,"Arthroscopy, shoulder, surgi",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2325,,Hip core decompression,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2340,,Chemodenervation of abductor,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2341,,Chemodenerv adduct vocal,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2342,,Nasal endoscop po debrid,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2344,,Endosc balloon sinuplasty,D,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2348,,Decompress disc RF lumbar,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2350,,"Diskectomy, anterior, with d",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2351,,"Diskectomy, anterior, with d",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2360,,Vertebroplast cerv 1st,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2361,,Vertebroplast cerv addl,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2400,,Fetal surg congen hernia,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2401,,Fetal surg urin trac obstr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2402,,Fetal surg cong cyst malf,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2403,,Fetal surg pulmon sequest,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2404,,Fetal surg myelomeningo,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2405,,Fetal surg sacrococ teratoma,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2409,,Fetal surg noc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2411,,Fetoscop laser ther TTTS,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S2900,,Robotic surgical system,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3000,,Bilat dil retinal exam,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3005,,Eval self-assess depression,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3600,,Stat lab,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3601,,Stat lab home/nf,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3620,,Newborn metabolic screening,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3625,,Maternal triple screen test,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3626,,Maternal serum quad screen,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3628,,PAMG-1 rapid assay for ROM,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3630,,Eosinophil blood count,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3645,,HIV-1 antibody testing of or,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3650,,"Saliva test, hormone level;",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3652,,"Saliva test, hormone level;",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3655,,Antisperm antibodies test,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3708,,Gastrointestinal fat absorpt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3711,,Circulating tumor cell test,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3713,,KRAS mutation analysis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3800,,Genetic testing ALS,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3818,,BRCA1 gene anal,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3819,,BRCA2 gene anal,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3820,,Comp BRCA1/BRCA2,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3822,,Sing mutation brst/ovar,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3823,,3 mutation brst/ovar,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3828,,Comp MLH1 gene,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3829,,Comp MSH2 gene,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3830,,Gene test HNPCC comp,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3831,,Gene test HNPCC single,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3833,,Comp APC sequence,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3834,,Sing mutation APC,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3835,,Gene test cystic fibrosis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3837,,Gene test hemochromato,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3840,,DNA analysis RET-oncogene,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3841,,Gene test retinoblastoma,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3842,,Gene test Hippel-Lindau,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3843,,DNA analysis factor v,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3844,,DNA analysis deafness,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3845,,Gene test alpha-thalassemia,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3846,,Gene test beta-thalassemia,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3847,,Gene test Tay-Sachs,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3848,,Gene test Gaucher,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3849,,Gene test Niemann-Pick,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3850,,Gene test sickle cell,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3851,,Gene test canavan,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3852,,DNA analysis APOE alzheimer,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3853,,Gene test myo musclr dyst,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3854,,Gene profile panel breast,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3855,,Gene test presenilin-1 gene,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3860,,Genet test cardiac ion-comp,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3861,,Genetic test brugada,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3862,,Genet test cardiac ion-spec,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3865,,Comp genet test hyp cardiomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3866,,Spec gene test hyp cardiomy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3870,,CGH test developmental delay,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3890,,Fecal DNA analysis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3900,,Surface EMG,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3902,,Ballistocardiogram,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3904,,Masters two step,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S3905,,Auto handheld diag nerv test,D,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4005,,Interim labor facility globa,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4011,,IVF package,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4013,,Compl GIFT case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4014,,Compl ZIFT case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4015,,Complete IVF nos case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4016,,Frozen IVF case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4017,,IVF canc a stim case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4018,,F EMB trns canc case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4020,,IVF canc a aspir case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4021,,IVF canc p aspir case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4022,,Asst oocyte fert case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4023,,Incompl donor egg case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4025,,Donor serv IVF case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4026,,Procure donor sperm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4027,,Store prev froz embryos,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4028,,Microsurg epi sperm asp,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4030,,Sperm procure init visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4031,,Sperm procure subs visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4035,,Stimulated IUI case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4037,,Cryo embryo transf case rate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4040,,Monit store cryo embryo 30 d,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4042,,Ovulation mgmt per cycle,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4981,,Insert levonorgestrel ius,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4989,,Contracept IUD,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4990,,Nicotine patch legend,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4991,,Nicotine patch nonlegend,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4993,,Contraceptive pills for bc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S4995,,Smoking cessation gum,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5000,,"Prescription drug, generic",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5001,,"Prescription drug,brand name",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5010,,5% dextrose and 0.45% saline,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5011,,5% dextrose in lactated ring,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5012,,5% dextrose with potassium,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5013,,5%dextrose/0.45%saline1000ml,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5014,,D5W/0.45NS w KCl and MGS04,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5035,,HIT routine device maint,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5036,,HIT device repair,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5100,,Adult daycare services 15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5101,,Adult day care per half day,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5102,,Adult day care per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5105,,Centerbased day care perdiem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5108,,Homecare train pt 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5109,,Homecare train pt session,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5110,,Family homecare training 15m,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5111,,Family homecare train/sessio,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5115,,Nonfamily homecare train/15m,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5116,,Nonfamily HC train/session,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5120,,Chore services per 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5121,,Chore services per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5125,,Attendant care service /15m,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5126,,Attendant care service /diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5130,,Homaker service nos per 15m,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5131,,Homemaker service nos /diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5135,,Adult companioncare per 15m,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5136,,Adult companioncare per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5140,,Adult foster care per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5141,,Adult foster care per month,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5145,,Child fostercare th per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5146,,Ther fostercare child /month,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5150,,Unskilled respite care /15m,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5151,,Unskilled respitecare /diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5160,,Emer response sys instal&tst,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5161,,Emer rspns sys serv permonth,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5162,,Emer rspns system purchase,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5165,,Home modifications per serv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5170,,Homedelivered prepared meal,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5175,,"Laundry serv,ext,prof,/order",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5180,,HH respiratory thrpy in eval,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5181,,HH respiratory thrpy nos/day,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5185,,Med reminder serv per month,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5190,,Wellness assessment by nonph,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5199,,Personal care item nos each,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5497,,HIT cath care noc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5498,,HIT simple cath care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5501,,HIT complex cath care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5502,,HIT interim cath care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5517,,HIT declotting kit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5518,,HIT cath repair kit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5520,,HIT picc insert kit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5521,,HIT midline cath insert kit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5522,,HIT picc insert no supp,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5523,,HIP midline cath insert kit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5550,,Insulin rapid 5 u,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5551,,Insulin most rapid 5 u,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5552,,Insulin intermed 5 u,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5553,,Insulin long acting 5 u,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5560,,Insulin reuse pen 1.5 ml,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5561,,Insulin reuse pen 3 ml,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5565,,Insulin cartridge 150 u,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5566,,Insulin cartridge 300 u,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5570,,Insulin dispos pen 1.5 ml,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S5571,,Insulin dispos pen 3 ml,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8030,,Tantalum ring application,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8035,,Magnetic source imaging,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8037,,mrcp,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8040,,Topographic brain mapping,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8042,,MRI low field,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8049,,Intraoperative radiation the,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8055,,Us guidance fetal reduct,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8080,,Scintimammography,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8085,,Fluorine-18 fluorodeoxygluco,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8092,,Electron beam computed tomog,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8096,,Portable peak flow meter,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8097,,Asthma kit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8100,,Spacer without mask,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8101,,Spacer with mask,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8110,,Peak expiratory flow rate (p,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8120,,O2 contents gas cubic ft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8121,,O2 contents liquid lb,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8185,,Flutter device,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8186,,Swivel adaptor,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8189,,Trach supply noc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8210,,Mucus trap,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8262,,Mandib ortho repos device,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8265,,Haberman feeder,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8270,,Enuresis alarm,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8301,,Infect control supplies NOS,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8415,,Supplies for home delivery,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8420,,Custom gradient sleev/glov,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8421,,Ready gradient sleev/glov,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8422,,Custom grad sleeve med,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8423,,Custom grad sleeve heavy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8424,,Ready gradient sleeve,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8425,,Custom grad glove med,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8426,,Custom grad glove heavy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8427,,Ready gradient glove,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8428,,Ready gradient gauntlet,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8429,,Gradient pressure wrap,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8430,,Padding for comprssn bdg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8431,,Compression bandage,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8450,,Splint digit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8451,,Splint wrist or ankle,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8452,,Splint elbow,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8460,,Camisole post-mast,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8490,,100 insulin syringes,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8940,,Hippotherapy per session,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8948,,Low-level laser trmt 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8950,,"Complex lymphedema therapy,",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8990,,Pt or manip for maint,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S8999,,Resuscitation bag,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9001,,Home uterine monitor with or,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9007,,Ultrafiltration monitor,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9015,,Automated EEG monitoring,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9024,,Paranasal sinus ultrasound,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9025,,Omnicardiogram/cardiointegra,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9034,,ESWL for gallstones,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9055,,Procuren or other growth fac,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9056,,Coma stimulation per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9061,,Medical supplies and equipme,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9075,,Smoking cessation treatment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9083,,Urgent care center global,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9088,,Services provided in urgent,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9090,,Vertebral axial decompressio,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9097,,Home visit wound care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9098,,Home phototherapy visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9109,,CHF telemonitoring month,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9117,,Back school visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9122,,Home health aide or certifie,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9123,,Nursing care in home RN,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9124,,"Nursing care, in the home; b",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9125,,"Respite care, in the home, p",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9126,,"Hospice care, in the home, p",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9127,,"Social work visit, in the ho",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9128,,"Speech therapy, in the home,",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9129,,"Occupational therapy, in the",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9131,,PT in the home per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9140,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9141,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9145,,Insulin pump initiation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9150,,Evaluation by ocularist,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9152,,"Speech therapy, re-eval",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9208,,Home mgmt preterm labor,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9209,,Home mgmt PPROM,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9211,,Home mgmt gest hypertension,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9212,,Hm postpar hyper per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9213,,Hm preeclamp per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9214,,Hm gest dm per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9325,,HIT pain mgmt per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9326,,HIT cont pain per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9327,,HIT int pain per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9328,,HIT pain imp pump diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9329,,HIT chemo per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9330,,HIT cont chem diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9331,,HIT intermit chemo diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9335,,HT hemodialysis diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9336,,HIT cont anticoag diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9338,,HIT immunotherapy diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9339,,HIT periton dialysis diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9340,,HIT enteral per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9341,,HIT enteral grav diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9342,,HIT enteral pump diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9343,,HIT enteral bolus nurs,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9345,,HIT anti-hemophil diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9346,,HIT alpha-1-proteinas diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9347,,HIT longterm infusion diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9348,,HIT sympathomim diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9349,,HIT tocolysis diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9351,,HIT cont antiemetic diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9353,,HIT cont insulin diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9355,,HIT chelation diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9357,,HIT enzyme replace diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9359,,HIT anti-tnf per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9361,,HIT diuretic infus diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9363,,HIT anti-spasmotic diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9364,,HIT tpn total diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9365,,HIT tpn 1 liter diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9366,,HIT tpn 2 liter diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9367,,HIT tpn 3 liter diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9368,,HIT tpn over 3l diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9370,,HT inj antiemetic diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9372,,HT inj anticoag diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9373,,HIT hydra total diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9374,,HIT hydra 1 liter diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9375,,HIT hydra 2 liter diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9376,,HIT hydra 3 liter diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9377,,HIT hydra over 3l diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9379,,HIT noc per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9381,,HIT high risk/escort,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9401,,Anticoag clinic per session,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9430,,Pharmacy comp/disp serv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9433,,Medical food oral 100% nutr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9434,,Mod solid food suppl,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9435,,Medical foods for inborn err,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9436,,Lamaze class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9437,,Childbirth refresher class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9438,,Cesarean birth class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9439,,VBAC class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9441,,Asthma education,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9442,,Birthing class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9443,,Lactation class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9444,,Parenting class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9445,,PT education noc individ,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9446,,PT education noc group,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9447,,Infant safety class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9449,,Weight mgmt class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9451,,Exercise class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9452,,Nutrition class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9453,,Smoking cessation class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9454,,Stress mgmt class,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9455,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9460,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9465,,"Diabetic Management Program,",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9470,,"Nutritional counseling, diet",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9472,,Cardiac rehabilitation progr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9473,,Pulmonary rehabilitation pro,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9474,,Enterostomal therapy by a re,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9475,,Ambulatory setting substance,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9476,,Vestibular rehab per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9480,,Intensive outpatient psychia,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9482,,Family stabilization 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9484,,Crisis intervention per hour,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9485,,Crisis intervention mental h,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9490,,HIT corticosteroid/diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9494,,HIT antibiotic total diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9497,,HIT antibiotic q3h diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9500,,HIT antibiotic q24h diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9501,,HIT antibiotic q12h diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9502,,HIT antibiotic q8h diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9503,,HIT antibiotic q6h diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9504,,HIT antibiotic q4h diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9529,,Venipuncture home/snf,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9537,,HT hem horm inj diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9538,,HIT blood products diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9542,,HT inj noc per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9558,,HT inj growth horm diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9559,,HIT inj interferon diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9560,,HT inj hormone diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9562,,HT inj palivizumab diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9590,,HT irrigation diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9810,,HT pharm per hour,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9900,,Christian Sci Pract visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9970,,Health club membership yr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9975,,Transplant related per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9976,,Lodging per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9977,,Meals per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9981,,Med record copy admin,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9982,,Med record copy per page,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9986,,Not medically necessary svc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9988,,Serv part of phase I trial,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9989,,Services outside US,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9990,,Services provided as part of,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9991,,Services provided as part of,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9992,,Transportation costs to and,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9994,,Lodging costs (e.g. hotel ch,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9996,,Meals for clinical trial par,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
S9999,,Sales tax,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1000,,Private duty/independent nsg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1001,,Nursing assessment/evaluatn,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1002,,RN services up to 15 minutes,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1003,,LPN/LVN services up to 15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1004,,Nsg aide service up to 15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1005,,Respite care service 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1006,,Family/Couple Counseling,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1007,,Treatment Plan Development,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1009,,Child Sitting Services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1010,,Meals when Receive Services,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1012,,Alcohol/Substance Abuse Skil,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1013,,Sign Lang/Oral Interpreter,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1014,,"Telehealth transmit, per min",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1015,,Clinic service,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1016,,Case management,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1017,,Targeted case management,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1018,,School-based IEP ser bundled,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1019,,Personal care ser per 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1020,,Personal care ser per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1021,,HH Aide or cn aide per visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1022,,Contracted services per day,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1023,,Program intake assessment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1024,,Team evaluation & management,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1025,,"Ped compr care pkg, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1026,,"Ped compr care pkg, per hour",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1027,,Family training & counseling,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1028,,Home environment assessment,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1029,,Dwelling lead investigation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1030,,RN home care per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1031,,LPN home care per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1502,,Medication admin visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1503,,"Med admin, not oral/inject",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1505,,"Elec med comp dev, noc",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T1999,,NOC retail items andsupplies,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2001,,N-et; patient attend/escort,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2002,,N-et; per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2003,,N-et; encounter/trip,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2004,,N-et; commerc carrier pass,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2005,,N-et; stretcher van,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2007,,Non-emer transport wait time,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2010,,PASRR Level I,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2011,,PASRR Level II,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2012,,"Habil ed waiver, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2013,,Habil ed waiver per hour,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2014,,"Habil prevoc waiver, per d",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2015,,Habil prevoc waiver per hr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2016,,Habil res waiver per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2017,,Habil res waiver 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2018,,Habil sup empl waiver/diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2019,,Habil sup empl waiver 15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2020,,Day habil waiver per diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2021,,Day habil waiver per 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2022,,"Case management, per month",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2023,,Targeted case mgmt per month,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2024,,Serv asmnt/care plan waiver,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2025,,"Waiver service, nos",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2026,,Special childcare waiver/d,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2027,,Spec childcare waiver 15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2028,,"Special supply, nos waiver",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2029,,"Special med equip, noswaiver",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2030,,Assist living waiver/month,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2031,,Assist living waiver/diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2032,,"Res care, nos waiver/month",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2033,,"Res, nos waiver per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2034,,Crisis interven waiver/diem,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2035,,Utility services waiver,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2036,,Camp overnite waiver/session,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2037,,Camp day waiver/session,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2038,,Comm trans waiver/service,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2039,,Vehicle mod waiver/service,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2040,,Financial mgt waiver/15min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2041,,Support broker waiver/15 min,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2042,,Hospice routine home care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2043,,Hospice continuous home care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2044,,Hospice respite care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2045,,Hospice general care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2046,,"Hospice long term care, r&b",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2048,,"Bh ltc res r&b, per diem",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2049,,"N-ET; stretcher van, mileage",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T2101,,Breast milk proc/store/dist,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4521,,Adult size brief/diaper sm,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4522,,Adult size brief/diaper med,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4523,,Adult size brief/diaper lg,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4524,,Adult size brief/diaper xl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4525,,Adult size pull-on sm,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4526,,Adult size pull-on med,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4527,,Adult size pull-on lg,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4528,,Adult size pull-on xl,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4529,,Ped size brief/diaper sm/med,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4530,,Ped size brief/diaper lg,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4531,,Ped size pull-on sm/med,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4532,,Ped size pull-on lg,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4533,,Youth size brief/diaper,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4534,,Youth size pull-on,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4535,,Disposable liner/shield/pad,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4536,,Reusable pull-on any size,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4537,,Reusable underpad bed size,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4538,,Diaper serv reusable diaper,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4539,,Reuse diaper/brief any size,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4540,,Reusable underpad chair size,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4541,,Large disposable underpad,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4542,,Small disposable underpad,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T4543,,Disp bariatric brief/diaper,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T5001,,Position seat spec orth need,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
T5999,,"Supply, nos",I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2020,,Vision svcs frames purchases,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2025,,Eyeglasses delux frames,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2100,,Lens spher single plano 4.00,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2101,,Single visn sphere 4.12-7.00,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2102,,Singl visn sphere 7.12-20.00,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2103,,Spherocylindr 4.00d/12-2.00d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2104,,Spherocylindr 4.00d/2.12-4d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2105,,Spherocylinder 4.00d/4.25-6d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2106,,Spherocylinder 4.00d/>6.00d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2107,,Spherocylinder 4.25d/12-2d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2108,,Spherocylinder 4.25d/2.12-4d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2109,,Spherocylinder 4.25d/4.25-6d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2110,,Spherocylinder 4.25d/over 6d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2111,,Spherocylindr 7.25d/.25-2.25,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2112,,Spherocylindr 7.25d/2.25-4d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2113,,Spherocylindr 7.25d/4.25-6d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2114,,Spherocylinder over 12.00d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2115,,Lens lenticular bifocal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2118,,Lens aniseikonic single,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2121,,"Lenticular lens, single",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2199,,Lens single vision not oth c,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2200,,Lens spher bifoc plano 4.00d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2201,,Lens sphere bifocal 4.12-7.0,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2202,,Lens sphere bifocal 7.12-20.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2203,,Lens sphcyl bifocal 4.00d/.1,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2204,,Lens sphcy bifocal 4.00d/2.1,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2205,,Lens sphcy bifocal 4.00d/4.2,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2206,,Lens sphcy bifocal 4.00d/ove,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2207,,Lens sphcy bifocal 4.25-7d/.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2208,,Lens sphcy bifocal 4.25-7/2.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2209,,Lens sphcy bifocal 4.25-7/4.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2210,,Lens sphcy bifocal 4.25-7/ov,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2211,,Lens sphcy bifo 7.25-12/.25-,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2212,,Lens sphcyl bifo 7.25-12/2.2,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2213,,Lens sphcyl bifo 7.25-12/4.2,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2214,,Lens sphcyl bifocal over 12.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2215,,Lens lenticular bifocal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2218,,Lens aniseikonic bifocal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2219,,Lens bifocal seg width over,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2220,,Lens bifocal add over 3.25d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2221,,"Lenticular lens, bifocal",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2299,,Lens bifocal speciality,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2300,,Lens sphere trifocal 4.00d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2301,,Lens sphere trifocal 4.12-7.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2302,,Lens sphere trifocal 7.12-20,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2303,,Lens sphcy trifocal 4.0/.12-,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2304,,Lens sphcy trifocal 4.0/2.25,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2305,,Lens sphcy trifocal 4.0/4.25,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2306,,Lens sphcyl trifocal 4.00/>6,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2307,,Lens sphcy trifocal 4.25-7/.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2308,,Lens sphc trifocal 4.25-7/2.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2309,,Lens sphc trifocal 4.25-7/4.,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2310,,Lens sphc trifocal 4.25-7/>6,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2311,,Lens sphc trifo 7.25-12/.25-,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2312,,Lens sphc trifo 7.25-12/2.25,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2313,,Lens sphc trifo 7.25-12/4.25,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2314,,Lens sphcyl trifocal over 12,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2315,,Lens lenticular trifocal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2318,,Lens aniseikonic trifocal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2319,,Lens trifocal seg width > 28,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2320,,Lens trifocal add over 3.25d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2321,,"Lenticular lens, trifocal",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2399,,Lens trifocal speciality,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2410,,Lens variab asphericity sing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2430,,Lens variable asphericity bi,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2499,,Variable asphericity lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2500,,Contact lens pmma spherical,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2501,,Cntct lens pmma-toric/prism,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2502,,Contact lens pmma bifocal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2503,,Cntct lens pmma color vision,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2510,,Cntct gas permeable sphericl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2511,,Cntct toric prism ballast,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2512,,Cntct lens gas permbl bifocl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2513,,Contact lens extended wear,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2520,,Contact lens hydrophilic,P,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2521,,Cntct lens hydrophilic toric,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2522,,Cntct lens hydrophil bifocl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2523,,Cntct lens hydrophil extend,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2530,,Contact lens gas impermeable,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2531,,Contact lens gas permeable,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2599,,Contact lens/es other type,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2600,,Hand held low vision aids,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2610,,Single lens spectacle mount,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2615,,Telescop/othr compound lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2623,,Plastic eye prosth custom,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2624,,Polishing artifical eye,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2625,,Enlargemnt of eye prosthesis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2626,,Reduction of eye prosthesis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2627,,Scleral cover shell,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2628,,Fabrication & fitting,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2629,,Prosthetic eye other type,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2630,,Anter chamber intraocul lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2631,,Iris support intraoclr lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2632,,Post chmbr intraocular lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2700,,Balance lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2702,,Deluxe lens feature,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2710,,Glass/plastic slab off prism,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2715,,Prism lens/es,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2718,,Fresnell prism press-on lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2730,,Special base curve,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2744,,Tint photochromatic lens/es,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2745,,"Tint, any color/solid/grad",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2750,,Anti-reflective coating,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2755,,UV lens/es,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2756,,Eye glass case,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2760,,Scratch resistant coating,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2761,,Mirror coating,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2762,,"Polarization, any lens",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2770,,Occluder lens/es,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2780,,Oversize lens/es,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2781,,Progressive lens per lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2782,,"Lens, 1.54-1.65 p/1.60-1.79g",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2783,,"Lens, >= 1.66 p/>=1.80 g",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2784,,Lens polycarb or equal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2785,,Corneal tissue processing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2786,,Occupational multifocal lens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2787,,Astigmatism-correct function,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2788,,Presbyopia-correct function,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2790,,Amniotic membrane,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2797,,Vis item/svc in other code,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V2799,,Miscellaneous vision service,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5008,,Hearing screening,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5010,,Assessment for hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5011,,Hearing aid fitting/checking,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5014,,Hearing aid repair/modifying,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5020,,Conformity evaluation,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5030,,Body-worn hearing aid air,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5040,,Body-worn hearing aid bone,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5050,,Hearing aid monaural in ear,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5060,,Behind ear hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5070,,Glasses air conduction,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5080,,Glasses bone conduction,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5090,,Hearing aid dispensing fee,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5095,,Implant mid ear hearing pros,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5100,,Body-worn bilat hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5110,,Hearing aid dispensing fee,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5120,,Body-worn binaur hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5130,,In ear binaural hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5140,,Behind ear binaur hearing ai,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5150,,Glasses binaural hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5160,,Dispensing fee binaural,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5170,,Within ear cros hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5180,,Behind ear cros hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5190,,Glasses cros hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5200,,Cros hearing aid dispens fee,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5210,,In ear bicros hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5220,,Behind ear bicros hearing ai,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5230,,Glasses bicros hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5240,,Dispensing fee bicros,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5241,,"Dispensing fee, monaural",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5242,,"Hearing aid, monaural, cic",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5243,,"Hearing aid, monaural, itc",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5244,,"Hearing aid, prog, mon, cic",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5245,,"Hearing aid, prog, mon, itc",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5246,,"Hearing aid, prog, mon, ite",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5247,,"Hearing aid, prog, mon, bte",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5248,,"Hearing aid, binaural, cic",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5249,,"Hearing aid, binaural, itc",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5250,,"Hearing aid, prog, bin, cic",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5251,,"Hearing aid, prog, bin, itc",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5252,,"Hearing aid, prog, bin, ite",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5253,,"Hearing aid, prog, bin, bte",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5254,,"Hearing id, digit, mon, cic",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5255,,"Hearing aid, digit, mon, itc",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5256,,"Hearing aid, digit, mon, ite",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5257,,"Hearing aid, digit, mon, bte",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5258,,"Hearing aid, digit, bin, cic",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5259,,"Hearing aid, digit, bin, itc",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5260,,"Hearing aid, digit, bin, ite",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5261,,"Hearing aid, digit, bin, bte",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5262,,"Hearing aid, disp, monaural",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5263,,"Hearing aid, disp, binaural",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5264,,Ear mold/insert,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5265,,"Ear mold/insert, disp",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5266,,Battery for hearing device,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5267,,Hearing aid supply/accessory,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5268,,ALD Telephone Amplifier,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5269,,"Alerting device, any type",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5270,,"ALD, TV amplifier, any type",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5271,,"ALD, TV caption decoder",N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5272,,Tdd,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5273,,ALD for cochlear implant,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5274,,ALD unspecified,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5275,,Ear impression,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5298,,Hearing aid noc,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5299,,Hearing service,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
V5336,,Repair communication device,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
V5362,,Speech screening,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
V5363,,Language screening,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
V5364,,Dysphagia screening,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
0001F,,Heart failure composite,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0005F,,Osteoarthritis composite,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00100,,Anesth salivary gland,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00102,,Anesth repair of cleft lip,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00103,,Anesth blepharoplasty,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00104,,Anesth electroshock,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0012F,,Cap bacterial assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00120,,Anesth ear surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00124,,Anesth ear exam,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00126,,Anesth tympanotomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0014F,,Comp preop assess cat surg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00140,,Anesth procedures on eye,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00142,,Anesth lens surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00144,,Anesth corneal transplant,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00145,,Anesth vitreoretinal surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00147,,Anesth iridectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00148,,Anesth eye exam,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0015F,,Melan follow-up complete,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00160,,Anesth nose/sinus surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00162,,Anesth nose/sinus surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00164,,Anesth biopsy of nose,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00170,,Anesth procedure on mouth,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00172,,Anesth cleft palate repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00174,,Anesth pharyngeal surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00176,,Anesth pharyngeal surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0019T,,Extracorp shock wv tx ms nos,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00190,,Anesth face/skull bone surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00192,,Anesth facial bone surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00210,,Anesth cranial surg nos,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00211,,Anesth cran surg hemotoma,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00212,,Anesth skull drainage,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00214,,Anesth skull drainage,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00215,,Anesth skull repair/fract,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00216,,Anesth head vessel surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00218,,Anesth special head surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00220,,Anesth intrcrn nerve,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00222,,Anesth head nerve surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0030T,,Antiprothrombin antibody,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00300,,Anesth head/neck/ptrunk,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00320,,Anesth neck organ 1 & over,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00322,,Anesth biopsy of thyroid,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00326,,Anesth larynx/trach < 1 yr,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00350,,Anesth neck vessel surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00352,,Anesth neck vessel surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00400,,Anesth skin ext/per/atrunk,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00402,,Anesth surgery of breast,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00404,,Anesth surgery of breast,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00406,,Anesth surgery of breast,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00410,,Anesth correct heart rhythm,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0042T,,Ct perfusion w/contrast cbf,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00450,,Anesth surgery of shoulder,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00452,,Anesth surgery of shoulder,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00454,,Anesth collar bone biopsy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00470,,Anesth removal of rib,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00472,,Anesth chest wall repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00474,,Anesth surgery of rib(s),J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0048T,,Implant ventricular device,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0050T,,Removal circulation assist,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00500,,Anesth esophageal surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0051T,,Implant total heart system,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0052T,,Replace component heart syst,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00520,,Anesth chest procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00522,,Anesth chest lining biopsy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00524,,Anesth chest drainage,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00528,,Anesth chest partition view,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00529,,Anesth chest partition view,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0053T,,Replace component heart syst,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00530,,Anesth pacemaker insertion,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00532,,Anesth vascular access,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00534,,Anesth cardioverter/defib,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00537,,Anesth cardiac electrophys,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00539,,Anesth trach-bronch reconst,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0054T,,Bone surgery using computer,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00540,,Anesth chest surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00541,,Anesth one lung ventilation,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00542,,Anesth release of lung,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00546,,Anesth lung chest wall surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00548,,Anesth trachea bronchi surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0055T,,Bone surgery using computer,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00550,,Anesth sternal debridement,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00560,,Anesth heart surg w/o pump,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00561,,Anesth heart surg < 1 yr,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00562,,Anesth hrt surg w/pmp age 1+,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00563,,Anesth heart surg w/arrest,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00566,,Anesth cabg w/o pump,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00567,,Anesth cabg w/pump,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0058T,,Cryopreservation ovary tiss,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00580,,Anesth heart/lung transplnt,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0059T,,Cryopreservation oocyte,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00600,,Anesth spine cord surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00604,,Anesth sitting procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00620,,Anesth spine cord surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00622,,Anesth removal of nerves,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00625,,Anes spine tranthor w/o vent,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00626,,Anes spine transthor w/vent,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00630,,Anesth spine cord surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00632,,Anesth removal of nerves,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00634,,Anesth for chemonucleolysis,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00635,,Anesth lumbar puncture,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00640,,Anesth spine manipulation,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00670,,Anesth spine cord surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00700,,Anesth abdominal wall surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00702,,Anesth for liver biopsy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0071T,,U/s leiomyomata ablate <200,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0072T,,U/s leiomyomata ablate >200,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0073T,,Delivery comp imrt,A,,0.00,15.29,,13.27,,15.29,NA,13.27,NA,0.01,15.30,13.28,15.30,13.28,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00730,,Anesth abdominal wall surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00740,,Anesth upper gi visualize,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0075T,,Perq stent/chest vert art,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0075T,TC,Perq stent/chest vert art,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0075T,26,Perq stent/chest vert art,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00750,,Anesth repair of hernia,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00752,,Anesth repair of hernia,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00754,,Anesth repair of hernia,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00756,,Anesth repair of hernia,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0076T,,S&i stent/chest vert art,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0076T,TC,S&i stent/chest vert art,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0076T,26,S&i stent/chest vert art,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00770,,Anesth blood vessel repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0078T,,Endovasc aort repr w/device,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0079T,,Endovasc visc extnsn repr,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00790,,Anesth surg upper abdomen,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00792,,Anesth hemorr/excise liver,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00794,,Anesth pancreas removal,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00796,,Anesth for liver transplant,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00797,,Anesth surgery for obesity,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0080T,,Endovasc aort repr rad s&i,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00800,,Anesth abdominal wall surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00802,,Anesth fat layer removal,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0081T,,Endovasc visc extnsn s&i,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00810,,Anesth low intestine scope,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00820,,Anesth abdominal wall surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00830,,Anesth repair of hernia,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00832,,Anesth repair of hernia,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00834,,Anesth hernia repair < 1 yr,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00836,,Anesth hernia repair preemie,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00840,,Anesth surg lower abdomen,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00842,,Anesth amniocentesis,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00844,,Anesth pelvis surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00846,,Anesth hysterectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00848,,Anesth pelvic organ surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0085T,,Breath test heart reject,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00851,,Anesth tubal ligation,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00860,,Anesth surgery of abdomen,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00862,,Anesth kidney/ureter surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00864,,Anesth removal of bladder,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00865,,Anesth removal of prostate,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00866,,Anesth removal of adrenal,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00868,,Anesth kidney transplant,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00870,,Anesth bladder stone surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00872,,Anesth kidney stone destruct,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00873,,Anesth kidney stone destruct,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00880,,Anesth abdomen vessel surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00882,,Anesth major vein ligation,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00902,,Anesth anorectal surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00904,,Anesth perineal surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00906,,Anesth removal of vulva,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00908,,Anesth removal of prostate,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00910,,Anesth bladder surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00912,,Anesth bladder tumor surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00914,,Anesth removal of prostate,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00916,,Anesth bleeding control,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00918,,Anesth stone removal,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0092T,,Artific disc addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00920,,Anesth genitalia surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00921,,Anesth vasectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00922,,Anesth sperm duct surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00924,,Anesth testis exploration,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00926,,Anesth removal of testis,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00928,,Anesth removal of testis,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00930,,Anesth testis suspension,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00932,,Anesth amputation of penis,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00934,,Anesth penis nodes removal,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00936,,Anesth penis nodes removal,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00938,,Anesth insert penis device,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00940,,Anesth vaginal procedures,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00942,,Anesth surg on vag/urethral,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00944,,Anesth vaginal hysterectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00948,,Anesth repair of cervix,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0095T,,Artific diskectomy addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
00950,,Anesth vaginal endoscopy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
00952,,Anesth hysteroscope/graph,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0098T,,Rev artific disc addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0099T,,Implant corneal ring,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0100T,,Prosth retina receive&gen,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0101T,,Extracorp shockwv tx hi enrg,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0102T,,Extracorp shockwv tx anesth,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0103T,,Holotranscobalamin,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0106T,,Touch quant sensory test,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0107T,,Vibrate quant sensory test,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0108T,,Cool quant sensory test,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0109T,,Heat quant sensory test,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0110T,,Nos quant sensory test,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0111T,,Rbc membranes fatty acids,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01112,,Anesth bone aspirate/bx,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01120,,Anesth pelvis surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01130,,Anesth body cast procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01140,,Anesth amputation at pelvis,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01150,,Anesth pelvic tumor surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01160,,Anesth pelvis procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01170,,Anesth pelvis surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01173,,Anesth fx repair pelvis,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01180,,Anesth pelvis nerve removal,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01190,,Anesth pelvis nerve removal,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01200,,Anesth hip joint procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01202,,Anesth arthroscopy of hip,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01210,,Anesth hip joint surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01212,,Anesth hip disarticulation,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01214,,Anesth hip arthroplasty,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01215,,Anesth revise hip repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01220,,Anesth procedure on femur,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0123T,,Scleral fistulization,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01230,,Anesth surgery of femur,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01232,,Anesth amputation of femur,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01234,,Anesth radical femur surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0124T,,Conjunctival drug placement,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01250,,Anesth upper leg surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0126T,,Chd risk imt study,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01260,,Anesth upper leg veins surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01270,,Anesth thigh arteries surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01272,,Anesth femoral artery surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01274,,Anesth femoral embolectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01320,,Anesth knee area surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01340,,Anesth knee area procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01360,,Anesth knee area surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01380,,Anesth knee joint procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01382,,Anesth dx knee arthroscopy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01390,,Anesth knee area procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01392,,Anesth knee area surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01400,,Anesth knee joint surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01402,,Anesth knee arthroplasty,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01404,,Anesth amputation at knee,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0141T,,Perq islet transplant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0142T,,Open islet transplant,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01420,,Anesth knee joint casting,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0143T,,Laparoscopic islet transplnt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01430,,Anesth knee veins surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01432,,Anesth knee vessel surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01440,,Anesth knee arteries surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01442,,Anesth knee artery surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01444,,Anesth knee artery repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01462,,Anesth lower leg procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01464,,Anesth ankle/ft arthroscopy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01470,,Anesth lower leg surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01472,,Anesth achilles tendon surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01474,,Anesth lower leg surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01480,,Anesth lower leg bone surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01482,,Anesth radical leg surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01484,,Anesth lower leg revision,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01486,,Anesth ankle replacement,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01490,,Anesth lower leg casting,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01500,,Anesth leg arteries surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01502,,Anesth lwr leg embolectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01520,,Anesth lower leg vein surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01522,,Anesth lower leg vein surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0155T,,Lap impl gast curve electrd,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0156T,,Lap remv gast curve electrd,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0157T,,Open impl gast curve electrd,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0158T,,Open remv gast curve electrd,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0159T,,Cad breast mri,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0159T,TC,Cad breast mri,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0159T,26,Cad breast mri,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01610,,Anesth surgery of shoulder,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01620,,Anesth shoulder procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01622,,Anes dx shoulder arthroscopy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0163T,,Lumb artif diskectomy addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01630,,Anesth surgery of shoulder,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01634,,Anesth shoulder joint amput,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01636,,Anesth forequarter amput,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01638,,Anesth shoulder replacement,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0164T,,Remove lumb artif disc addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0165T,,Revise lumb artif disc addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01650,,Anesth shoulder artery surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01652,,Anesth shoulder vessel surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01654,,Anesth shoulder vessel surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01656,,Anesth arm-leg vessel surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0166T,,Tcath vsd close w/o bypass,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0167T,,Tcath vsd close w/bypass,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01670,,Anesth shoulder vein surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0168T,,Rhinophototx light app bilat,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01680,,Anesth shoulder casting,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01682,,Anesth airplane cast,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0169T,,Place stereo cath brain,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0171T,,Lumbar spine proces distract,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01710,,Anesth elbow area surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01712,,Anesth uppr arm tendon surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01714,,Anesth uppr arm tendon surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01716,,Anesth biceps tendon repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0172T,,Lumbar spine process addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0173T,,Iop monit io pressure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01730,,Anesth uppr arm procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01732,,Anesth dx elbow arthroscopy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0174T,,Cad cxr with interp,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01740,,Anesth upper arm surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01742,,Anesth humerus surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01744,,Anesth humerus repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0175T,,Cad cxr remote,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01756,,Anesth radical humerus surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01758,,Anesth humeral lesion surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01760,,Anesth elbow replacement,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01770,,Anesth uppr arm artery surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01772,,Anesth uppr arm embolectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0178T,,64 lead ecg w/i&r,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
01780,,Anesth upper arm vein surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01782,,Anesth uppr arm vein repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0179T,,64 lead ecg w/tracing,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
0180T,,64 lead ecg w/i&r only,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0181T,,Corneal hysteresis,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01810,,Anesth lower arm surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0182T,,Hdr elect brachytherapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0182T,TC,Hdr elect brachytherapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0182T,26,Hdr elect brachytherapy,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01820,,Anesth lower arm procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01829,,Anesth dx wrist arthroscopy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0183T,,Wound ultrasound,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01830,,Anesth lower arm surgery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01832,,Anesth wrist replacement,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0184T,,Exc rectal tumor endoscopic,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01840,,Anesth lwr arm artery surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01842,,Anesth lwr arm embolectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01844,,Anesth vascular shunt surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0185T,,Comptr probability analysis,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01850,,Anesth lower arm vein surg,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01852,,Anesth lwr arm vein repair,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0186T,,Suprachoroidal drug delivery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01860,,Anesth lower arm casting,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0188T,,Videoconf crit care 74 min,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0189T,,Videoconf crit care addl 30,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0190T,,Place intraoc radiation src,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0191T,,Insert ant segment drain int,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01916,,Anesth dx arteriography,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0192T,,Insert ant segment drain ext,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01920,,Anesth catheterize heart,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01922,,Anesth cat or mri scan,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01924,,Anes ther interven rad art,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01925,,Anes ther interven rad car,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01926,,Anes tx interv rad hrt/cran,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01930,,Anes ther interven rad vei,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01931,,Anes ther interven rad tip,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01932,,Anes tx interv rad th vein,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01933,,Anes tx interv rad cran v,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01935,,Anesth perc img dx sp proc,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01936,,Anesth perc img tx sp proc,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0195T,,Arthrod presac interbody,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01951,,Anesth burn less 4 percent,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01952,,Anesth burn 4-9 percent,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01953,,Anesth burn each 9 percent,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01958,,Anesth antepartum manipul,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0196T,,Arthrod presac interbody eac,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01960,,Anesth vaginal delivery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01961,,Anesth cs delivery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01962,,Anesth emer hysterectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01963,,Anesth cs hysterectomy,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01965,,Anesth inc/missed ab proc,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01966,,Anesth induced ab procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01967,,Anesth/analg vag delivery,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01968,,Anes/analg cs deliver add-on,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01969,,Anesth/analg cs hyst add-on,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0197T,,Intrafraction track motion,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0198T,,Ocular blood flow measure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0199T,,Physiologic tremor record,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
01990,,Support for organ donor,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01991,,Anesth nerve block/inj,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01992,,Anesth n block/inj prone,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01996,,Hosp manage cont drug admin,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
01999,,Unlisted anesth procedure,J,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0200T,,Perq sacral augmt unilat inj,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0201T,,Perq sacral augmt bilat inj,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0202T,,Post vert arthrplst 1 lumbar,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0205T,,Inirs each vessel add-on,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0206T,,Remote algorithm analys ecg,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0207T,,Clear eyelid gland w/heat,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0208T,,Audiometry air only,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0209T,,Audiometry air & bone,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0210T,,Speech audiometry threshold,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0211T,,Speech audiom thresh & recog,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0212T,,Compre audiometry evaluation,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0213T,,Njx paravert w/us cer/thor,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0214T,,Njx paravert w/us cer/thor,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0215T,,Njx paravert w/us cer/thor,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0216T,,Njx paravert w/us lumb/sac,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0217T,,Njx paravert w/us lumb/sac,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0218T,,Njx paravert w/us lumb/sac,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0219T,,Plmt post facet implt cerv,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0220T,,Plmt post facet implt thor,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0221T,,Plmt post facet implt lumb,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0222T,,Plmt post facet implt addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0223T,,Acoustic ecg w/i&r,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0224T,,Acoustic ecg 1+ analysis,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0225T,,Acoustic ecg analy & reprog,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0226T,,Anoscopy hra w/spec collect,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0227T,,Anoscopy hra w/biopsy,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0228T,,Njx tfrml eprl w/us cer/thor,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0229T,,Njx tfrml eprl w/us cer/thor,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0230T,,Njx tfrml eprl w/us lumb/sac,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0231T,,Njx tfrml eprl w/us lumb/sac,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0232T,,Njx platelet plasma,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0233T,,Skin glycation spectroscopy,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0234T,,Trluml perip athrc renal art,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0235T,,Trluml perip athrc visceral,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0236T,,Trluml perip athrc abd aorta,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0237T,,Trluml perip athrc brchiocph,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0238T,,Trluml perip athrc iliac art,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0239T,,Bioimpedance spectroscopy,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0240T,,Esoph motility 3d topography,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0240T,TC,Esoph motility 3d topography,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0240T,26,Esoph motility 3d topography,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0241T,,Esoph motility w/stim/perf,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0241T,TC,Esoph motility w/stim/perf,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0241T,26,Esoph motility w/stim/perf,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0242T,,Gi tract transit & pres meas,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0242T,TC,Gi tract transit & pres meas,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0242T,26,Gi tract transit & pres meas,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0243T,,Intm msr bronchodil wheeze,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0243T,TC,Intm msr bronchodil wheeze,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0243T,26,Intm msr bronchodil wheeze,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0244T,,Cont msr bronchodil wheeze,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0244T,TC,Cont msr bronchodil wheeze,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0244T,26,Cont msr bronchodil wheeze,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0245T,,Opn tx rib fx 1-2 ribs,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0246T,,Opn tx rib fx 3-4 ribs,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0247T,,Opn tx rib fx 5-6 ribs,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0248T,,Opn tx rib fx 7+ ribs,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0249T,,Ligation hemorrhoid w/us,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0250T,,Insert bronchial valve,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0251T,,Remov bronchial valve,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0252T,,Remov bronch valve addl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0253T,,Insert aqueous drain device,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0254T,,Evasc rpr iliac art bifur,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0255T,,Evasc rpr iliac art bifr s&i,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0255T,TC,Evasc rpr iliac art bifr s&i,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0255T,26,Evasc rpr iliac art bifr s&i,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0256T,,Evasc aortic hrt valve,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0257T,,Opn tthrc aortic hrt valve,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0258T,,Aortic hrt valv w/o card byp,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0259T,,Aortic hrt valve w/card byp,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0260T,,Hypthrm bdy neonate 28d/<,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0261T,,Hypthrm head neonate 28d/<,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0262T,,Impltj pulm vlv evasc appr,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0263T,,Im b1 mrw cel ther cmpl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0264T,,Im b1 mrw cel ther xcl hrvst,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0265T,,Im b1 mrw cel ther hrvst onl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0266T,,Implt/rpl crtd sns dev total,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0267T,,Implt/rpl crtd sns dev lead,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0268T,,Implt/rpl crtd sns dev gen,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0269T,,Rev/remvl crtd sns dev total,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0270T,,Rev/remvl crtd sns dev lead,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0271T,,Rev/remvl crtd sns dev gen,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0272T,,Interrogate crtd sns dev,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0273T,,Interrogate crtd sns w/pgrmg,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0274T,,Perq lamot/lam crv/thrc,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0275T,,Perq lamot/lam lumbar,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
0500F,,Initial prenatal care visit,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0501F,,Prenatal flow sheet,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0502F,,Subsequent prenatal care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0503F,,Postpartum care visit,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0505F,,Hemodialysis plan docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0507F,,Periton dialysis plan docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0509F,,Urine incon plan docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0513F,,Elev bp plan of care docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0514F,,Care plan hgb docd esa pt,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0516F,,Anemia plan of care docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0517F,,Glaucoma plan of care docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0518F,,Fall plan of care docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0519F,,Pland chemo docd b/4 txmnt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0520F,,Rad dos limts b/4 3d rad,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0521F,,Plan of care 4 pain docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0525F,,Initial visit for episode,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0526F,,Subs visit for episode,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0528F,,Rcmnd flw-up 10 yrs docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0529F,,Intrvl 3+yrs pts clnscp docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0535F,,Dyspnea mngmnt plan docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0540F,,Gluco mngmnt plan docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0545F,,Follow up care plan mdd docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
0575F,,HIV rna plan care docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1000F,,Tobacco use assessed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1002F,,Assess anginal symptom/level,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
10021,,Fna w/o image,A,,1.27,2.70,,2.77,,0.58,,0.64,,0.22,4.19,4.26,2.07,2.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
10022,,Fna w/image,A,,1.27,2.61,,2.46,,0.52,,0.52,,0.14,4.02,3.87,1.93,1.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1003F,,Level of activity assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1004F,,Clin symp vol ovrld assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
10040,,Acne surgery,A,,1.21,1.59,,1.64,,1.22,,1.28,,0.18,2.98,3.03,2.61,2.67,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1005F,,Asthma symptoms evaluate,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1006F,,Osteoarthritis assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
10060,,Drainage of skin abscess,A,,1.22,1.86,,1.99,,1.37,,1.46,,0.12,3.20,3.33,2.71,2.80,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
10061,,Drainage of skin abscess,A,,2.45,2.59,,2.74,,1.93,,2.03,,0.30,5.34,5.49,4.68,4.78,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1007F,,Anti-inflm/anlgsc otc assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1008F,,Gi/renal risk assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
10080,,Drainage of pilonidal cyst,A,,1.22,3.48,,3.60,,1.46,,1.58,,0.20,4.90,5.02,2.88,3.00,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
10081,,Drainage of pilonidal cyst,A,,2.50,4.61,,4.76,,1.97,,2.13,,0.45,7.56,7.71,4.92,5.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
10120,,Remove foreign body,A,,1.25,2.54,,2.65,,1.25,,1.33,,0.16,3.95,4.06,2.66,2.74,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
10121,,Remove foreign body,A,,2.74,4.52,,4.79,,2.21,,2.36,,0.41,7.67,7.94,5.36,5.51,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
10140,,Drainage of hematoma/fluid,A,,1.58,2.75,,2.92,,1.63,,1.69,,0.20,4.53,4.70,3.41,3.47,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1015F,,Copd symptoms assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
10160,,Puncture drainage of lesion,A,,1.25,2.26,,2.35,,1.36,,1.40,,0.16,3.67,3.76,2.77,2.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1018F,,Assess dyspnea not present,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
10180,,Complex drainage wound,A,,2.30,4.11,,4.33,,2.38,,2.49,,0.48,6.89,7.11,5.16,5.27,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1019F,,Assess dyspnea present,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1022F,,Pneumo imm status assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1026F,,Co-morbid condition assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1030F,,Influenza imm status assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1034F,,Current tobacco smoker,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1035F,,Smokeless tobacco user,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1036F,,Tobacco non-user,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1038F,,Persistent asthma,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1039F,,Intermittent asthma,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1040F,,Dsm-iv info mdd docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1050F,,History of mole changes,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1055F,,Visual funct status assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1060F,,Doc perm/cont/parox atr fib,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1061F,,Doc lack perm+cont+parox fib,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1065F,,Ischm stroke symp lt3 hrsb/4,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1066F,,Ischm stroke symp ge3 hrsb/4,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1070F,,Alarm symp assessed-absent,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1071F,,Alarm symp assessed-1+ prsnt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1090F,,Pres/absn urine incon assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1091F,,Urine incon characterized,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1100F,,Ptfalls assess-docd ge2+/yr,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11000,,Debride infected skin,A,,0.60,0.88,,0.92,,0.22,,0.21,,0.05,1.53,1.57,0.87,0.86,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11001,,Debride infected skin add-on,A,,0.30,0.29,,0.29,,0.11,,0.10,,0.03,0.62,0.62,0.44,0.43,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11004,,Debride genitalia & perineum,A,,10.80,4.53,NA,4.70,NA,4.53,,4.70,,1.89,17.22,17.39,17.22,17.39,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11005,,Debride abdom wall,A,,14.24,5.87,NA,6.30,NA,5.87,,6.30,,2.97,23.08,23.51,23.08,23.51,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11006,,Debride genit/per/abdom wall,A,,13.10,5.57,NA,5.82,NA,5.57,,5.82,,2.34,21.01,21.26,21.01,21.26,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11008,,Remove mesh from abd wall,A,,5.00,2.06,NA,2.20,NA,2.06,,2.20,,1.05,8.11,8.25,8.11,8.25,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1101F,,Pt falls assess-docd le1/yr,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11010,,Debride skin at fx site,A,,4.19,8.91,,9.41,,3.27,,3.48,,0.76,13.86,14.36,8.22,8.43,0,010,0.10,0.80,0.10,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11011,,Debride skin musc at fx site,A,,4.94,9.29,,9.58,,2.91,,3.10,,0.98,15.21,15.50,8.83,9.02,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11012,,Deb skin bone at fx site,A,,6.87,12.23,,12.44,,4.44,,4.66,,1.31,20.41,20.62,12.62,12.84,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11042,,Deb subq tissue 20 sq cm/<,A,,0.80,1.65,,2.12,,0.49,,0.61,,0.10,2.55,3.02,1.39,1.51,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11043,,Deb musc/fascia 20 sq cm/<,A,,2.00,3.28,,3.28,,1.27,,1.27,,0.33,5.61,5.61,3.60,3.60,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11044,,Deb bone 20 sq cm/<,A,,3.60,4.33,,4.33,,2.02,,2.02,,0.63,8.56,8.56,6.25,6.25,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11045,,Deb subq tissue add-on,A,,0.33,0.51,,0.51,,0.13,,0.13,,0.07,0.91,0.91,0.53,0.53,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11046,,Deb musc/fascia add-on,A,,0.70,0.76,,0.76,,0.30,,0.30,,0.12,1.58,1.58,1.12,1.12,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11047,,Deb bone add-on,A,,1.20,1.18,,1.18,,0.53,,0.53,,0.22,2.60,2.60,1.95,1.95,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11055,,Trim skin lesion,R,,0.43,0.95,,1.00,,0.14,,0.13,,0.03,1.41,1.46,0.60,0.59,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11056,,Trim skin lesions 2 to 4,R,,0.61,1.04,,1.09,,0.20,,0.18,,0.04,1.69,1.74,0.85,0.83,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11057,,Trim skin lesions over 4,R,,0.79,1.16,,1.22,,0.26,,0.24,,0.05,2.00,2.06,1.10,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1110F,,Pt lft inpt fac w/in 60 days,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11100,,Biopsy skin lesion,A,,0.81,2.09,,2.09,,0.54,,0.58,,0.11,3.01,3.01,1.46,1.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11101,,Biopsy skin add-on,A,,0.41,0.50,,0.51,,0.28,,0.30,,0.05,0.96,0.97,0.74,0.76,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1111F,,Dschrg med/current med merge,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1116F,,Auric/peri pain assessed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1118F,,GERD symps assessed 12 month,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1119F,,Init eval for condition,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11200,,Removal of skin tags,A,,0.82,1.53,,1.60,,1.14,,1.21,,0.11,2.46,2.53,2.07,2.14,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11201,,Remove skin tags add-on,A,,0.29,0.22,,0.24,,0.16,,0.18,,0.04,0.55,0.57,0.49,0.51,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1121F,,Subs eval for condition,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1123F,,Acp discuss/dscn mkr docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1124F,,Acp discuss-no dscnmkr docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1125F,,Amnt pain noted pain prsnt,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1126F,,Amnt pain noted none prsnt,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1130F,,Bk pain + fxn assessed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11300,,Shave skin lesion,A,,0.51,1.41,,1.44,,0.30,,0.33,,0.07,1.99,2.02,0.88,0.91,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11301,,Shave skin lesion,A,,0.85,1.74,,1.77,,0.54,,0.59,,0.11,2.70,2.73,1.50,1.55,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11302,,Shave skin lesion,A,,1.05,2.04,,2.07,,0.68,,0.74,,0.14,3.23,3.26,1.87,1.93,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11303,,Shave skin lesion,A,,1.24,2.39,,2.44,,0.78,,0.86,,0.18,3.81,3.86,2.20,2.28,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11305,,Shave skin lesion,A,,0.67,1.27,,1.32,,0.27,,0.26,,0.05,1.99,2.04,0.99,0.98,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11306,,Shave skin lesion,A,,0.99,1.66,,1.71,,0.51,,0.52,,0.11,2.76,2.81,1.61,1.62,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11307,,Shave skin lesion,A,,1.14,1.99,,2.03,,0.65,,0.68,,0.14,3.27,3.31,1.93,1.96,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11308,,Shave skin lesion,A,,1.41,2.07,,2.14,,0.68,,0.70,,0.14,3.62,3.69,2.23,2.25,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11310,,Shave skin lesion,A,,0.73,1.63,,1.66,,0.45,,0.49,,0.10,2.46,2.49,1.28,1.32,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11311,,Shave skin lesion,A,,1.05,1.91,,1.94,,0.68,,0.74,,0.14,3.10,3.13,1.87,1.93,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11312,,Shave skin lesion,A,,1.20,2.23,,2.26,,0.79,,0.86,,0.18,3.61,3.64,2.17,2.24,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11313,,Shave skin lesion,A,,1.62,2.62,,2.68,,1.04,,1.14,,0.24,4.48,4.54,2.90,3.00,0,000,0.00,0.00,0.00,2,9,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1134F,,Epsd bk pain for =< 6 wks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1135F,,Epsd bk pain for > 6 wks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1136F,,Epsd bk pain for <= 12 wks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1137F,,Epsd bk pain for > 12 wks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11400,,Exc tr-ext b9+marg 0.5 < cm,A,,0.90,2.42,,2.49,,1.23,,1.31,,0.12,3.44,3.51,2.25,2.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11401,,Exc tr-ext b9+marg 0.6-1 cm,A,,1.28,2.73,,2.82,,1.49,,1.60,,0.20,4.21,4.30,2.97,3.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11402,,Exc tr-ext b9+marg 1.1-2 cm,A,,1.45,3.00,,3.10,,1.59,,1.70,,0.24,4.69,4.79,3.28,3.39,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11403,,Exc tr-ext b9+marg 2.1-3 cm,A,,1.84,3.24,,3.39,,2.03,,2.20,,0.31,5.39,5.54,4.18,4.35,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11404,,Exc tr-ext b9+marg 3.1-4 cm,A,,2.11,3.65,,3.81,,2.15,,2.32,,0.37,6.13,6.29,4.63,4.80,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11406,,Exc tr-ext b9+marg > 4.0 cm,A,,3.52,4.55,,4.88,,2.79,,3.09,,0.67,8.74,9.07,6.98,7.28,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11420,,Exc h-f-nk-sp b9+marg 0.5 <,A,,1.03,2.28,,2.37,,1.20,,1.26,,0.12,3.43,3.52,2.35,2.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11421,,Exc h-f-nk-sp b9+marg 0.6-1,A,,1.47,2.77,,2.88,,1.52,,1.61,,0.22,4.46,4.57,3.21,3.30,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11422,,Exc h-f-nk-sp b9+marg 1.1-2,A,,1.68,3.03,,3.15,,1.95,,2.08,,0.26,4.97,5.09,3.89,4.02,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11423,,Exc h-f-nk-sp b9+marg 2.1-3,A,,2.06,3.37,,3.50,,2.14,,2.29,,0.33,5.76,5.89,4.53,4.68,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11424,,Exc h-f-nk-sp b9+marg 3.1-4,A,,2.48,3.73,,3.88,,2.29,,2.45,,0.41,6.62,6.77,5.18,5.34,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11426,,Exc h-f-nk-sp b9+marg > 4 cm,A,,4.09,4.67,,4.93,,3.10,,3.36,,0.71,9.47,9.73,7.90,8.16,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11440,,Exc face-mm b9+marg 0.5 < cm,A,,1.05,2.58,,2.65,,1.71,,1.81,,0.16,3.79,3.86,2.92,3.02,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11441,,Exc face-mm b9+marg 0.6-1 cm,A,,1.53,3.00,,3.10,,2.01,,2.13,,0.24,4.77,4.87,3.78,3.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11442,,Exc face-mm b9+marg 1.1-2 cm,A,,1.77,3.32,,3.43,,2.15,,2.28,,0.29,5.38,5.49,4.21,4.34,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11443,,Exc face-mm b9+marg 2.1-3 cm,A,,2.34,3.69,,3.84,,2.45,,2.61,,0.38,6.41,6.56,5.17,5.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11444,,Exc face-mm b9+marg 3.1-4 cm,A,,3.19,4.35,,4.56,,2.88,,3.11,,0.52,8.06,8.27,6.59,6.82,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11446,,Exc face-mm b9+marg > 4 cm,A,,4.80,5.50,,5.93,,3.80,,4.19,,0.80,11.10,11.53,9.40,9.79,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11450,,Removal sweat gland lesion,A,,3.22,6.63,,7.02,,3.20,,3.52,,0.65,10.50,10.89,7.07,7.39,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11451,,Removal sweat gland lesion,A,,4.43,8.09,,8.40,,3.82,,4.16,,0.90,13.42,13.73,9.15,9.49,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11462,,Removal sweat gland lesion,A,,3.00,6.71,,7.02,,3.19,,3.47,,0.60,10.31,10.62,6.79,7.07,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11463,,Removal sweat gland lesion,A,,4.43,8.39,,8.61,,3.99,,4.31,,0.88,13.70,13.92,9.30,9.62,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11470,,Removal sweat gland lesion,A,,3.74,7.03,,7.50,,3.53,,3.90,,0.71,11.48,11.95,7.98,8.35,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11471,,Removal sweat gland lesion,A,,4.89,8.40,,8.89,,4.07,,4.49,,0.91,14.20,14.69,9.87,10.29,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1150F,,Doc pt rsk death w/in 1yr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1151F,,Doc no pt rsk death w/in 1yr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1152F,,Doc advncd dis comfort 1st,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1153F,,Doc advncd dis cmfrt not 1st,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1157F,,Advnc care plan in rcrd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1158F,,Advnc care plan tlk docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1159F,,Med list docd in rcrd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
1160F,,Rvw meds by rx/dr in rcrd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11600,,Exc tr-ext mlg+marg 0.5 < cm,A,,1.63,3.47,,3.64,,1.52,,1.68,,0.26,5.36,5.53,3.41,3.57,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11601,,Exc tr-ext mlg+marg 0.6-1 cm,A,,2.07,4.14,,4.28,,1.96,,2.11,,0.31,6.52,6.66,4.34,4.49,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11602,,Exc tr-ext mlg+marg 1.1-2 cm,A,,2.27,4.52,,4.64,,2.17,,2.34,,0.34,7.13,7.25,4.78,4.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11603,,Exc tr-ext mlg+marg 2.1-3 cm,A,,2.82,4.86,,5.05,,2.44,,2.67,,0.42,8.10,8.29,5.68,5.91,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11604,,Exc tr-ext mlg+marg 3.1-4 cm,A,,3.17,5.29,,5.51,,2.56,,2.81,,0.52,8.98,9.20,6.25,6.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11606,,Exc tr-ext mlg+marg > 4 cm,A,,5.02,6.82,,7.29,,3.34,,3.76,,0.88,12.72,13.19,9.24,9.66,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11620,,Exc h-f-nk-sp mlg+marg 0.5 <,A,,1.64,3.56,,3.71,,1.57,,1.73,,0.26,5.46,5.61,3.47,3.63,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11621,,Exc h-f-nk-sp mlg+marg 0.6-1,A,,2.08,4.18,,4.32,,1.99,,2.14,,0.31,6.57,6.71,4.38,4.53,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11622,,Exc h-f-nk-sp mlg+marg 1.1-2,A,,2.41,4.62,,4.74,,2.27,,2.43,,0.37,7.40,7.52,5.05,5.21,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11623,,Exc h-f-nk-sp mlg+marg 2.1-3,A,,3.11,5.05,,5.25,,2.61,,2.85,,0.49,8.65,8.85,6.21,6.45,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11624,,Exc h-f-nk-sp mlg+marg 3.1-4,A,,3.62,5.50,,5.75,,2.81,,3.07,,0.60,9.72,9.97,7.03,7.29,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11626,,Exc h-f-nk-sp mlg+mar > 4 cm,A,,4.61,6.33,,6.64,,3.26,,3.54,,0.80,11.74,12.05,8.67,8.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11640,,Exc face-mm malig+marg 0.5 <,A,,1.67,3.74,,3.88,,1.69,,1.83,,0.26,5.67,5.81,3.62,3.76,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11641,,Exc face-mm malig+marg 0.6-1,A,,2.17,4.36,,4.46,,2.12,,2.25,,0.33,6.86,6.96,4.62,4.75,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11642,,Exc face-mm malig+marg 1.1-2,A,,2.62,4.85,,4.96,,2.43,,2.59,,0.39,7.86,7.97,5.44,5.60,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11643,,Exc face-mm malig+marg 2.1-3,A,,3.42,5.30,,5.49,,2.84,,3.07,,0.54,9.26,9.45,6.80,7.03,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11644,,Exc face-mm malig+marg 3.1-4,A,,4.34,6.36,,6.62,,3.38,,3.66,,0.71,11.41,11.67,8.43,8.71,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11646,,Exc face-mm mlg+marg > 4 cm,A,,6.26,7.63,,8.02,,4.44,,4.80,,1.05,14.94,15.33,11.75,12.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1170F,,Fxnl status assessed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11719,,Trim nail(s),R,,0.17,0.44,,0.47,,0.06,,0.05,,0.01,0.62,0.65,0.24,0.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11720,,Debride nail 1-5,A,,0.32,0.55,,0.58,,0.10,,0.10,,0.03,0.90,0.93,0.45,0.45,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11721,,Debride nail 6 or more,A,,0.54,0.65,,0.67,,0.18,,0.16,,0.04,1.23,1.25,0.76,0.74,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11730,,Removal of nail plate,A,,1.10,1.58,,1.65,,0.36,,0.33,,0.08,2.76,2.83,1.54,1.51,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11732,,Remove nail plate add-on,A,,0.57,0.65,,0.68,,0.19,,0.17,,0.04,1.26,1.29,0.80,0.78,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11740,,Drain blood from under nail,A,,0.37,0.94,,1.00,,0.52,,0.54,,0.03,1.34,1.40,0.92,0.94,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11750,,Removal of nail bed,A,,2.50,3.52,,3.73,,2.30,,2.37,,0.22,6.24,6.45,5.02,5.09,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11752,,Remove nail bed/finger tip,A,,3.63,4.98,,5.36,,3.57,,3.69,,0.39,9.00,9.38,7.59,7.71,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11755,,Biopsy nail unit,A,,1.31,2.39,,2.48,,0.93,,0.93,,0.11,3.81,3.90,2.35,2.35,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11760,,Repair of nail bed,A,,1.63,4.30,,4.69,,1.94,,2.03,,0.26,6.19,6.58,3.83,3.92,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11762,,Reconstruction of nail bed,A,,2.94,4.54,,4.86,,2.24,,2.22,,0.31,7.79,8.11,5.49,5.47,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11765,,Excision of nail fold toe,A,,0.74,3.14,,3.36,,1.20,,1.27,,0.05,3.93,4.15,1.99,2.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11770,,Removal of pilonidal lesion,A,,2.66,4.49,,4.75,,2.06,,2.25,,0.52,7.67,7.93,5.24,5.43,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11771,,Removal of pilonidal lesion,A,,6.09,8.58,,9.25,,4.98,,5.45,,1.24,15.91,16.58,12.31,12.78,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11772,,Removal of pilonidal lesion,A,,7.35,10.25,,10.88,,7.24,,7.80,,1.47,19.07,19.70,16.06,16.62,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1180F,,Thromboemb risk assessed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11900,,Injection into skin lesions,A,,0.52,1.04,,1.04,,0.34,,0.38,,0.07,1.63,1.63,0.93,0.97,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11901,,Added skin lesions injection,A,,0.80,1.15,,1.17,,0.54,,0.59,,0.11,2.06,2.08,1.45,1.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11920,,Correct skin color defects,R,,1.61,3.20,,3.11,,1.48,,1.58,,0.31,5.12,5.03,3.40,3.50,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11921,,Correct skin color defects,R,,1.93,3.60,,3.58,,1.71,,1.84,,0.37,5.90,5.88,4.01,4.14,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11922,,Correct skin color defects,R,,0.49,1.20,,1.22,,0.31,,0.35,,0.08,1.77,1.79,0.88,0.92,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11950,,Therapy for contour defects,R,,0.84,1.12,,1.05,,0.49,,0.48,,0.10,2.06,1.99,1.43,1.42,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11951,,Therapy for contour defects,R,,1.19,1.50,,1.50,,0.69,,0.74,,0.24,2.93,2.93,2.12,2.17,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11952,,Therapy for contour defects,R,,1.69,1.84,,1.61,,0.88,,0.80,,0.24,3.77,3.54,2.81,2.73,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11954,,Therapy for contour defects,R,,1.85,2.49,,2.55,,1.23,,1.38,,0.35,4.69,4.75,3.43,3.58,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11960,,Insert tissue expander(s),A,,11.49,13.02,NA,12.99,NA,13.02,,12.99,,1.84,26.35,26.32,26.35,26.32,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11970,,Replace tissue expander,A,,8.01,8.32,NA,9.01,NA,8.32,,9.01,,1.57,17.90,18.59,17.90,18.59,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11971,,Remove tissue expander(s),A,,3.41,9.44,,9.46,,5.08,,5.35,,0.64,13.49,13.51,9.13,9.40,0,090,0.10,0.71,0.19,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11975,,Insert contraceptive cap,N,+,1.48,2.11,,2.13,,0.64,,0.65,,0.10,3.69,3.71,2.22,2.23,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11976,,Removal of contraceptive cap,R,,1.78,2.16,,2.13,,0.75,,0.83,,0.30,4.24,4.21,2.83,2.91,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11977,,Removal/reinsert contra cap,N,+,3.30,2.95,,2.96,,1.43,,1.45,,0.24,6.49,6.50,4.97,4.99,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
11980,,Implant hormone pellet(s),A,,1.48,1.33,,1.36,,0.68,,0.73,,0.23,3.04,3.07,2.39,2.44,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11981,,Insert drug implant device,A,,1.48,2.21,,2.17,,0.74,,0.71,,0.24,3.93,3.89,2.46,2.43,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11982,,Remove drug implant device,A,,1.78,2.36,,2.23,,0.90,,0.84,,0.24,4.38,4.25,2.92,2.86,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
11983,,Remove/insert drug implant,A,,3.30,2.86,,2.54,,1.55,,1.35,,0.35,6.51,6.19,5.20,5.00,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1200F,,Seizure type& frequ docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
12001,,Repair superficial wound(s),A,,0.84,1.83,,1.51,,0.64,,0.37,,0.14,2.81,2.49,1.62,1.35,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12002,,Repair superficial wound(s),A,,1.14,1.97,,1.71,,0.75,,0.46,,0.19,3.30,3.04,2.08,1.79,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12004,,Repair superficial wound(s),A,,1.44,2.24,,1.91,,0.85,,0.55,,0.24,3.92,3.59,2.53,2.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12005,,Repair superficial wound(s),A,,1.97,2.75,,2.38,,1.03,,0.72,,0.33,5.05,4.68,3.33,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12006,,Repair superficial wound(s),A,,2.39,3.30,,2.86,,1.27,,0.90,,0.41,6.10,5.66,4.07,3.70,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12007,,Repair superficial wound(s),A,,2.90,3.71,,3.19,,1.49,,1.07,,0.50,7.11,6.59,4.89,4.47,0,000,0.00,0.00,0.00,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
12011,,Repair superficial wound(s),A,,1.07,2.11,,1.86,,0.68,,0.43,,0.19,3.37,3.12,1.94,1.69,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12013,,Repair superficial wound(s),A,,1.22,2.20,,1.87,,0.77,,0.46,,0.20,3.62,3.29,2.19,1.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12014,,Repair superficial wound(s),A,,1.57,2.46,,2.07,,0.89,,0.57,,0.26,4.29,3.90,2.72,2.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12015,,Repair superficial wound(s),A,,1.98,2.95,,2.45,,1.03,,0.66,,0.33,5.26,4.76,3.34,2.97,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12016,,Repair superficial wound(s),A,,2.68,3.44,,2.91,,1.29,,0.91,,0.46,6.58,6.05,4.43,4.05,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12017,,Repair superficial wound(s),A,,3.18,1.34,NA,0.76,NA,1.34,,0.76,,0.56,5.08,4.50,5.08,4.50,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12018,,Repair superficial wound(s),A,,3.61,1.77,NA,0.85,NA,1.77,,0.85,,0.64,6.02,5.10,6.02,5.10,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12020,,Closure of split wound,A,,2.67,4.71,,4.91,,2.33,,2.46,,0.42,7.80,8.00,5.42,5.55,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12021,,Closure of split wound,A,,1.89,2.44,,2.62,,1.80,,1.93,,0.31,4.64,4.82,4.00,4.13,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12031,,Intmd wnd repair s/tr/ext,A,,2.20,4.51,,4.74,,2.19,,2.40,,0.35,7.06,7.29,4.74,4.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12032,,Intmd wnd repair s/tr/ext,A,,2.52,5.99,,6.04,,2.83,,2.97,,0.38,8.89,8.94,5.73,5.87,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12034,,Intmd wnd repair s/tr/ext,A,,2.97,5.40,,5.63,,2.51,,2.71,,0.50,8.87,9.10,5.98,6.18,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12035,,Intmd wnd repair s/tr/ext,A,,3.47,6.65,,6.87,,2.81,,2.97,,0.64,10.76,10.98,6.92,7.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12036,,Intmd wnd repair s/tr/ext,A,,4.09,6.89,,7.21,,3.05,,3.24,,0.78,11.76,12.08,7.92,8.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12037,,Intmd wnd repair s/tr/ext,A,,4.71,7.57,,7.87,,3.57,,3.77,,0.90,13.18,13.48,9.18,9.38,0,010,0.10,0.80,0.10,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
12041,,Intmd wnd repair n-hf/genit,A,,2.42,4.58,,4.84,,2.24,,2.46,,0.37,7.37,7.63,5.03,5.25,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12042,,Intmd wnd repair n-hg/genit,A,,2.79,5.24,,5.36,,2.65,,2.85,,0.41,8.44,8.56,5.85,6.05,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12044,,Intmd wnd repair n-hg/genit,A,,3.19,6.29,,6.69,,2.51,,2.70,,0.52,10.00,10.40,6.22,6.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12045,,Intmd wnd repair n-hg/genit,A,,3.68,6.41,,6.59,,2.78,,2.91,,0.63,10.72,10.90,7.09,7.22,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12046,,Intmd wnd repair n-hg/genit,A,,4.29,7.59,,7.76,,3.29,,3.45,,0.84,12.72,12.89,8.42,8.58,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12047,,Intmd wnd repair n-hg/genit,A,,4.69,8.21,,8.56,,3.47,,3.50,,0.91,13.81,14.16,9.07,9.10,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
1205F,,EPI etiol synd rvwd and docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
12051,,Intmd wnd repair face/mm,A,,2.52,4.89,,5.02,,2.44,,2.62,,0.39,7.80,7.93,5.35,5.53,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12052,,Intmd wnd repair face/mm,A,,2.87,5.61,,5.77,,3.10,,3.34,,0.42,8.90,9.06,6.39,6.63,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12053,,Intmd wnd repair face/mm,A,,3.17,6.16,,6.43,,2.68,,2.88,,0.50,9.83,10.10,6.35,6.55,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12054,,Intmd wnd repair face/mm,A,,3.50,6.34,,6.67,,2.59,,2.76,,0.59,10.43,10.76,6.68,6.85,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12055,,Intmd wnd repair face/mm,A,,4.47,7.32,,7.80,,2.79,,2.97,,0.73,12.52,13.00,7.99,8.17,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12056,,Intmd wnd repair face/mm,A,,5.28,8.99,,9.94,,4.12,,4.85,,0.67,14.94,15.89,10.07,10.80,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
12057,,Intmd wnd repair face/mm,A,,6.00,10.28,,11.61,,4.39,,4.77,,0.76,17.04,18.37,11.15,11.53,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
1220F,,Pt screened for depression,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
13100,,Repair of wound or lesion,A,,3.17,5.44,,5.50,,3.23,,3.36,,0.50,9.11,9.17,6.90,7.03,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13101,,Repair of wound or lesion,A,,3.96,7.01,,7.11,,3.84,,4.03,,0.61,11.58,11.68,8.41,8.60,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13102,,Repair wound/lesion add-on,A,,1.24,1.68,,1.76,,0.76,,0.83,,0.23,3.15,3.23,2.23,2.30,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13120,,Repair of wound or lesion,A,,3.35,5.61,,5.68,,3.36,,3.53,,0.52,9.48,9.55,7.23,7.40,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13121,,Repair of wound or lesion,A,,4.42,7.82,,7.97,,4.56,,4.81,,0.67,12.91,13.06,9.65,9.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13122,,Repair wound/lesion add-on,A,,1.44,1.78,,1.84,,0.85,,0.93,,0.26,3.48,3.54,2.55,2.63,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13131,,Repair of wound or lesion,A,,3.83,6.05,,6.14,,3.73,,3.90,,0.59,10.47,10.56,8.15,8.32,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13132,,Repair of wound or lesion,A,,6.58,9.40,,9.67,,6.34,,6.68,,0.98,16.96,17.23,13.90,14.24,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13133,,Repair wound/lesion add-on,A,,2.19,2.39,,2.49,,1.41,,1.53,,0.34,4.92,5.02,3.94,4.06,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13150,,Repair of wound or lesion,A,,3.85,5.95,,6.06,,3.63,,3.84,,0.61,10.41,10.52,8.09,8.30,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13151,,Repair of wound or lesion,A,,4.49,6.70,,6.82,,4.23,,4.43,,0.67,11.86,11.98,9.39,9.59,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13152,,Repair of wound or lesion,A,,6.37,9.08,,9.31,,5.28,,5.55,,0.95,16.40,16.63,12.60,12.87,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13153,,Repair wound/lesion add-on,A,,2.38,2.64,,2.78,,1.48,,1.62,,0.38,5.40,5.54,4.24,4.38,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
13160,,Late closure of wound,A,,12.04,9.41,NA,10.00,NA,9.41,,10.00,,2.23,23.68,24.27,23.68,24.27,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
1400F,,Prkns diag rviewed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
14000,,Skin tissue rearrangement,A,,6.37,10.64,,10.96,,7.38,,7.72,,1.13,18.14,18.46,14.88,15.22,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14001,,Skin tissue rearrangement,A,,8.78,13.11,,13.51,,9.22,,9.59,,1.54,23.43,23.83,19.54,19.91,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14020,,Skin tissue rearrangement,A,,7.22,11.94,,12.28,,8.50,,8.83,,1.21,20.37,20.71,16.93,17.26,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14021,,Skin tissue rearrangement,A,,9.72,14.33,,14.74,,10.34,,10.68,,1.55,25.60,26.01,21.61,21.95,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14040,,Skin tissue rearrangement,A,,8.60,12.54,,12.92,,9.12,,9.45,,1.32,22.46,22.84,19.04,19.37,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14041,,Skin tissue rearrangement,A,,10.83,15.39,,15.79,,11.02,,11.39,,1.62,27.84,28.24,23.47,23.84,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14060,,Skin tissue rearrangement,A,,9.23,12.18,,12.64,,9.50,,9.92,,1.42,22.83,23.29,20.15,20.57,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14061,,Skin tissue rearrangement,A,,11.48,16.69,,17.11,,11.86,,12.26,,1.71,29.88,30.30,25.05,25.45,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14301,,Skin tissue rearrangement,A,,12.65,17.47,,17.47,,12.25,,12.25,,2.14,32.26,32.26,27.04,27.04,0,090,0.10,0.71,0.19,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14302,,Skin tissue rearrange add-on,A,,3.73,2.54,,2.54,,2.54,,2.54,,0.63,6.90,6.90,6.90,6.90,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
14350,,Skin tissue rearrangement,A,,11.05,8.58,NA,8.67,NA,8.58,,8.67,,1.55,21.18,21.27,21.18,21.27,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15002,,Wound prep trk/arm/leg,A,,3.65,5.48,,5.83,,2.36,,2.59,,0.65,9.78,10.13,6.66,6.89,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15003,,Wound prep addl 100 cm,A,,0.80,1.17,,1.23,,0.38,,0.42,,0.16,2.13,2.19,1.34,1.38,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15004,,Wound prep f/n/hf/g,A,,4.58,6.25,,6.49,,2.80,,2.98,,0.67,11.50,11.74,8.05,8.23,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15005,,Wnd prep f/n/hf/g addl cm,A,,1.60,1.62,,1.73,,0.76,,0.85,,0.31,3.53,3.64,2.67,2.76,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15040,,Harvest cultured skin graft,A,,2.00,4.99,,5.03,,1.37,,1.46,,0.37,7.36,7.40,3.74,3.83,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15050,,Skin pinch graft,A,,5.57,9.77,,10.46,,6.64,,7.09,,0.90,16.24,16.93,13.11,13.56,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15100,,Skin splt grft trnk/arm/leg,A,,9.90,13.24,,13.60,,9.22,,9.76,,1.95,25.09,25.45,21.07,21.61,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15101,,Skin splt grft t/a/l add-on,A,,1.72,3.36,,3.33,,1.22,,1.28,,0.34,5.42,5.39,3.28,3.34,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15110,,Epidrm autogrft trnk/arm/leg,A,,10.97,11.63,,12.14,,8.48,,9.08,,2.15,24.75,25.26,21.60,22.20,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15111,,Epidrm autogrft t/a/l add-on,A,,1.85,1.23,,1.22,,0.88,,0.90,,0.38,3.46,3.45,3.11,3.13,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15115,,Epidrm a-grft face/nck/hf/g,A,,11.28,12.01,,12.84,,9.13,,9.83,,1.85,25.14,25.97,22.26,22.96,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15116,,Epidrm a-grft f/n/hf/g addl,A,,2.50,1.98,,2.23,,1.54,,1.80,,0.49,4.97,5.22,4.53,4.79,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15120,,Skn splt a-grft fac/nck/hf/g,A,,11.16,14.63,,15.53,,10.12,,10.88,,1.93,27.72,28.62,23.21,23.97,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15121,,Skn splt a-grft f/n/hf/g add,A,,2.67,4.58,,4.69,,1.88,,2.01,,0.50,7.75,7.86,5.05,5.18,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15130,,Derm autograft trnk/arm/leg,A,,7.53,10.62,,10.99,,7.53,,8.00,,1.48,19.63,20.00,16.54,17.01,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15131,,Derm autograft t/a/l add-on,A,,1.50,1.16,,1.30,,0.90,,1.08,,0.31,2.97,3.11,2.71,2.89,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15135,,Derm autograft face/nck/hf/g,A,,11.03,12.41,,13.27,,9.58,,10.27,,1.88,25.32,26.18,22.49,23.18,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15136,,Derm autograft f/n/hf/g add,A,,1.50,0.98,,1.17,,0.80,,1.00,,0.10,2.58,2.77,2.40,2.60,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15150,,Cult epiderm grft t/arm/leg,A,,9.39,8.81,,8.93,,7.14,,7.29,,1.99,20.19,20.31,18.52,18.67,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15151,,Cult epiderm grft t/a/l addl,A,,2.00,1.45,,1.66,,1.17,,1.40,,0.42,3.87,4.08,3.59,3.82,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15152,,Cult epiderm graft t/a/l +%,A,,2.50,1.56,,1.37,,1.26,,1.12,,0.49,4.55,4.36,4.25,4.11,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15155,,Cult epiderm graft f/n/hf/g,A,,10.14,7.90,,6.90,,6.52,,5.54,,0.76,18.80,17.80,17.42,16.44,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15156,,Cult epidrm grft f/n/hfg add,A,,2.75,1.62,,1.46,,1.34,,1.20,,0.59,4.96,4.80,4.68,4.54,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15157,,Cult epiderm grft f/n/hfg +%,A,,3.00,1.60,,1.20,,1.24,,0.89,,0.22,4.82,4.42,4.46,4.11,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15170,,Acell graft trunk/arms/legs,A,,5.99,5.56,,6.07,,3.80,,4.26,,1.09,12.64,13.15,10.88,11.34,0,090,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15171,,Acell graft t/arm/leg add-on,A,,1.55,0.90,,0.98,,0.75,,0.81,,0.31,2.76,2.84,2.61,2.67,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15175,,Acellular graft f/n/hf/g,A,,7.99,6.02,,6.20,,4.37,,4.51,,1.05,15.06,15.24,13.41,13.55,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15176,,Acell graft f/n/hf/g add-on,A,,2.45,1.47,,1.57,,1.18,,1.26,,0.39,4.31,4.41,4.02,4.10,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15200,,Skin full graft trunk,A,,9.15,13.04,,13.84,,8.81,,9.57,,1.65,23.84,24.64,19.61,20.37,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15201,,Skin full graft trunk add-on,A,,1.32,2.74,,2.80,,0.80,,0.90,,0.26,4.32,4.38,2.38,2.48,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15220,,Skin full graft sclp/arm/leg,A,,8.09,12.96,,13.46,,8.79,,9.25,,1.39,22.44,22.94,18.27,18.73,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15221,,Skin full graft add-on,A,,1.19,2.58,,2.61,,0.73,,0.79,,0.23,4.00,4.03,2.15,2.21,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15240,,Skin full grft face/genit/hf,A,,10.41,15.02,,15.76,,11.53,,12.25,,1.70,27.13,27.87,23.64,24.36,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15241,,Skin full graft add-on,A,,1.86,3.20,,3.33,,1.18,,1.29,,0.33,5.39,5.52,3.37,3.48,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15260,,Skin full graft een & lips,A,,11.64,16.01,,16.76,,12.15,,12.83,,1.77,29.42,30.17,25.56,26.24,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15261,,Skin full graft add-on,A,,2.23,3.69,,3.83,,1.66,,1.77,,0.37,6.29,6.43,4.26,4.37,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15300,,Apply skinallogrft t/arm/lg,A,,4.65,4.62,,5.03,,3.05,,3.35,,0.86,10.13,10.54,8.56,8.86,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15301,,Apply sknallogrft t/a/l addl,A,,1.00,0.64,,0.68,,0.48,,0.51,,0.20,1.84,1.88,1.68,1.71,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15320,,Apply skin allogrft f/n/hf/g,A,,5.36,4.77,,4.96,,3.07,,3.16,,0.73,10.86,11.05,9.16,9.25,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15321,,Aply sknallogrft f/n/hfg add,A,,1.50,0.96,,1.03,,0.75,,0.81,,0.30,2.76,2.83,2.55,2.61,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15330,,Aply acell alogrft t/arm/leg,A,,3.99,4.67,,5.09,,3.06,,3.36,,0.76,9.42,9.84,7.81,8.11,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15331,,Aply acell grft t/a/l add-on,A,,1.00,0.67,,0.75,,0.53,,0.59,,0.20,1.87,1.95,1.73,1.79,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15335,,Apply acell graft f/n/hf/g,A,,4.50,4.25,,4.43,,2.70,,2.78,,0.50,9.25,9.43,7.70,7.78,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15336,,Aply acell grft f/n/hf/g add,A,,1.43,1.06,,1.33,,0.80,,1.03,,0.10,2.59,2.86,2.33,2.56,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15340,,Apply cult skin substitute,A,,3.82,4.75,,4.90,,3.41,,3.56,,0.52,9.09,9.24,7.75,7.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15341,,Apply cult skin sub add-on,A,,0.50,0.79,,0.82,,0.20,,0.20,,0.07,1.36,1.39,0.77,0.77,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15360,,Apply cult derm sub t/a/l,A,,4.02,5.75,,5.84,,4.21,,4.33,,0.60,10.37,10.46,8.83,8.95,0,090,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15361,,Aply cult derm sub t/a/l add,A,,1.15,0.57,,0.50,,0.40,,0.34,,0.20,1.92,1.85,1.75,1.69,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15365,,Apply cult derm sub f/n/hf/g,A,,4.30,5.20,,5.31,,3.80,,3.90,,0.41,9.91,10.02,8.51,8.61,0,090,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15366,,Apply cult derm f/hf/g add,A,,1.45,0.76,,0.75,,0.54,,0.53,,0.16,2.37,2.36,2.15,2.14,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15400,,Apply skin xenograft t/a/l,A,,4.47,6.59,,7.09,,5.22,,5.50,,0.69,11.75,12.25,10.38,10.66,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15401,,Apply skn xenogrft t/a/l add,A,,1.00,1.43,,1.36,,0.47,,0.51,,0.22,2.65,2.58,1.69,1.73,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15420,,Apply skin xgraft f/n/hf/g,A,,4.98,7.11,,7.29,,5.61,,5.78,,0.67,12.76,12.94,11.26,11.43,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15421,,Apply skn xgrft f/n/hf/g add,A,,1.50,1.58,,1.69,,0.74,,0.82,,0.30,3.38,3.49,2.54,2.62,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15430,,Apply acellular xenograft,A,,6.20,8.46,,9.01,,7.82,,8.30,,1.05,15.71,16.26,15.07,15.55,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15431,,Apply acellular xgraft add,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15570,,Form skin pedicle flap,A,,10.21,13.72,,14.38,,8.96,,9.63,,2.07,26.00,26.66,21.24,21.91,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15572,,Form skin pedicle flap,A,,10.12,13.40,,14.34,,9.69,,10.60,,1.82,25.34,26.28,21.63,22.54,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15574,,Form skin pedicle flap,A,,10.70,13.98,,14.79,,10.07,,10.84,,1.82,26.50,27.31,22.59,23.36,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15576,,Form skin pedicle flap,A,,9.37,12.63,,13.26,,8.97,,9.63,,1.54,23.54,24.17,19.88,20.54,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15600,,Skin graft,A,,2.01,7.04,,6.96,,3.61,,3.76,,0.38,9.43,9.35,6.00,6.15,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15610,,Skin graft,A,,2.52,6.93,,7.35,,4.05,,4.23,,0.45,9.90,10.32,7.02,7.20,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15620,,Skin graft,A,,3.75,8.37,,8.47,,5.09,,5.39,,0.61,12.73,12.83,9.45,9.75,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15630,,Skin graft,A,,4.08,8.73,,8.85,,5.51,,5.75,,0.65,13.46,13.58,10.24,10.48,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15650,,Transfer skin pedicle flap,A,,4.77,9.33,,9.37,,5.86,,6.05,,0.78,14.88,14.92,11.41,11.60,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15731,,Forehead flap w/vasc pedicle,A,,14.38,16.62,,17.56,,13.43,,14.38,,2.41,33.41,34.35,30.22,31.17,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15732,,Muscle-skin graft head/neck,A,,19.90,20.55,,21.83,,15.91,,17.49,,3.54,43.99,45.27,39.35,40.93,0,090,0.10,0.71,0.19,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15734,,Muscle-skin graft trunk,A,,19.86,20.86,,21.62,,15.88,,16.83,,3.99,44.71,45.47,39.73,40.68,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15736,,Muscle-skin graft arm,A,,17.04,18.94,,19.62,,13.81,,14.86,,3.36,39.34,40.02,34.21,35.26,0,090,0.10,0.71,0.19,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15738,,Muscle-skin graft leg,A,,19.04,19.03,,19.68,,14.25,,15.19,,3.81,41.88,42.53,37.10,38.04,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15740,,Island pedicle flap graft,A,,11.80,16.41,,17.05,,12.12,,12.77,,1.77,29.98,30.62,25.69,26.34,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15750,,Neurovascular pedicle graft,A,,12.96,11.71,NA,12.47,NA,11.71,,12.47,,2.29,26.96,27.72,26.96,27.72,0,090,0.10,0.71,0.19,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15756,,Free myo/skin flap microvasc,A,,36.94,26.52,NA,28.89,NA,26.52,,28.89,,6.36,69.82,72.19,69.82,72.19,0,090,0.10,0.71,0.19,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
15757,,Free skin flap microvasc,A,,37.15,26.05,NA,28.34,NA,26.05,,28.34,,5.92,69.12,71.41,69.12,71.41,0,090,0.10,0.71,0.19,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
15758,,Free fascial flap microvasc,A,,36.90,26.00,NA,28.16,NA,26.00,,28.16,,5.92,68.82,70.98,68.82,70.98,0,090,0.10,0.71,0.19,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
15760,,Composite skin graft,A,,9.86,13.44,,14.16,,9.57,,10.26,,1.58,24.88,25.60,21.01,21.70,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15770,,Derma-fat-fascia graft,A,,8.96,9.05,NA,9.78,NA,9.05,,9.78,,1.63,19.64,20.37,19.64,20.37,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15775,,Hair transplant punch grafts,R,,3.95,4.16,,3.83,,1.97,,1.99,,0.29,8.40,8.07,6.21,6.23,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15776,,Hair transplant punch grafts,R,,5.53,6.39,,6.61,,3.15,,3.36,,0.38,12.30,12.52,9.06,9.27,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15780,,Abrasion treatment of skin,A,,8.73,14.03,,14.13,,8.61,,8.59,,1.20,23.96,24.06,18.54,18.52,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15781,,Abrasion treatment of skin,A,,5.02,10.05,,10.41,,6.90,,7.17,,0.76,15.83,16.19,12.68,12.95,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15782,,Abrasion treatment of skin,A,,4.44,11.04,,10.78,,6.58,,6.37,,0.63,16.11,15.85,11.65,11.44,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15783,,Abrasion treatment of skin,A,,4.41,9.15,,9.29,,5.98,,6.29,,0.63,14.19,14.33,11.02,11.33,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15786,,Abrasion lesion single,A,,2.08,4.62,,4.70,,1.67,,1.74,,0.33,7.03,7.11,4.08,4.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15787,,Abrasion lesions add-on,A,,0.33,1.02,,1.00,,0.15,,0.16,,0.04,1.39,1.37,0.52,0.53,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15788,,Chemical peel face epiderm,R,,2.09,10.58,,11.08,,4.77,,5.05,,0.35,13.02,13.52,7.21,7.49,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15789,,Chemical peel face dermal,R,,4.91,10.75,,10.71,,6.91,,7.11,,0.68,16.34,16.30,12.50,12.70,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15792,,Chemical peel nonfacial,R,,1.86,10.34,,10.56,,5.54,,5.62,,0.30,12.50,12.72,7.70,7.78,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15793,,Chemical peel nonfacial,A,,3.96,9.62,,9.95,,6.17,,6.49,,0.56,14.14,14.47,10.69,11.01,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15819,,Plastic surgery neck,A,,10.65,8.13,NA,7.58,NA,8.13,,7.58,,2.10,20.88,20.33,20.88,20.33,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15820,,Revision of lower eyelid,A,,6.27,8.81,,9.43,,7.33,,7.98,,1.24,16.32,16.94,14.84,15.49,0,090,0.10,0.71,0.19,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15821,,Revision of lower eyelid,A,,6.84,9.24,,10.02,,7.59,,8.37,,1.33,17.41,18.19,15.76,16.54,0,090,0.10,0.71,0.19,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15822,,Revision of upper eyelid,A,,4.62,7.21,,7.72,,5.77,,6.29,,0.82,12.65,13.16,11.21,11.73,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15823,,Revision of upper eyelid,A,,6.81,9.75,,10.11,,8.13,,8.45,,1.27,17.83,18.19,16.21,16.53,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15824,,Removal of forehead wrinkles,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15825,,Removal of neck wrinkles,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15826,,Removal of brow wrinkles,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15828,,Removal of face wrinkles,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15829,,Removal of skin wrinkles,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15830,,Exc skin abd,R,,17.11,13.76,NA,15.07,NA,13.76,,15.07,,3.39,34.26,35.57,34.26,35.57,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15832,,Excise excessive skin tissue,A,,12.85,11.70,NA,13.22,NA,11.70,,13.22,,2.57,27.12,28.64,27.12,28.64,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15833,,Excise excessive skin tissue,A,,11.90,11.24,NA,12.54,NA,11.24,,12.54,,2.33,25.47,26.77,25.47,26.77,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15834,,Excise excessive skin tissue,A,,12.17,11.07,NA,12.73,NA,11.07,,12.73,,2.40,25.64,27.30,25.64,27.30,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15835,,Excise excessive skin tissue,A,,12.99,11.58,NA,13.30,NA,11.58,,13.30,,2.56,27.13,28.85,27.13,28.85,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15836,,Excise excessive skin tissue,A,,10.61,8.49,NA,8.50,NA,8.49,,8.50,,2.08,21.18,21.19,21.18,21.19,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15837,,Excise excessive skin tissue,A,,9.55,12.61,,14.45,,8.91,,10.00,,2.01,24.17,26.01,20.47,21.56,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15838,,Excise excessive skin tissue,A,,8.25,7.62,NA,8.16,NA,7.62,,8.16,,1.06,16.93,17.47,16.93,17.47,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15839,,Excise excessive skin tissue,A,,10.50,12.71,,13.44,,8.88,,9.49,,1.93,25.14,25.87,21.31,21.92,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15840,,Graft for face nerve palsy,A,,14.99,12.70,NA,13.81,NA,12.70,,13.81,,2.40,30.09,31.20,30.09,31.20,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15841,,Graft for face nerve palsy,A,,25.99,20.34,NA,22.80,NA,20.34,,22.80,,3.36,49.69,52.15,49.69,52.15,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15842,,Flap for face nerve palsy,A,,41.01,28.26,NA,29.27,NA,28.26,,29.27,,5.28,74.55,75.56,74.55,75.56,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15845,,Skin and muscle repair face,A,,14.32,12.58,NA,14.17,NA,12.58,,14.17,,1.84,28.74,30.33,28.74,30.33,0,090,0.10,0.71,0.19,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15847,,Exc skin abd add-on,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15850,,Removal of sutures,B,+,0.78,1.68,,1.61,,0.34,,0.34,,0.05,2.51,2.44,1.17,1.17,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
15851,,Removal of sutures,A,,0.86,1.77,,1.84,,0.37,,0.42,,0.12,2.75,2.82,1.35,1.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15852,,Dressing change not for burn,A,,0.86,0.38,NA,0.41,NA,0.38,,0.41,,0.14,1.38,1.41,1.38,1.41,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15860,,Test for blood flow in graft,A,,1.95,0.89,NA,0.90,NA,0.89,,0.90,,0.38,3.22,3.23,3.22,3.23,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15876,,Suction assisted lipectomy,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15877,,Suction assisted lipectomy,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15878,,Suction assisted lipectomy,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15879,,Suction assisted lipectomy,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15920,,Removal of tail bone ulcer,A,,8.29,7.54,NA,8.19,NA,7.54,,8.19,,1.71,17.54,18.19,17.54,18.19,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15922,,Removal of tail bone ulcer,A,,10.38,10.18,NA,11.51,NA,10.18,,11.51,,2.03,22.59,23.92,22.59,23.92,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15931,,Remove sacrum pressure sore,A,,10.07,7.49,NA,8.04,NA,7.49,,8.04,,2.07,19.63,20.18,19.63,20.18,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15933,,Remove sacrum pressure sore,A,,11.77,10.14,NA,10.89,NA,10.14,,10.89,,2.41,24.32,25.07,24.32,25.07,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15934,,Remove sacrum pressure sore,A,,13.68,10.57,NA,11.51,NA,10.57,,11.51,,2.78,27.03,27.97,27.03,27.97,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15935,,Remove sacrum pressure sore,A,,15.78,13.04,NA,13.93,NA,13.04,,13.93,,3.18,32.00,32.89,32.00,32.89,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15936,,Remove sacrum pressure sore,A,,13.16,10.26,NA,11.10,NA,10.26,,11.10,,2.67,26.09,26.93,26.09,26.93,0,090,0.10,0.71,0.19,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15937,,Remove sacrum pressure sore,A,,15.14,12.33,NA,13.34,NA,12.33,,13.34,,3.06,30.53,31.54,30.53,31.54,0,090,0.10,0.71,0.19,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15940,,Remove hip pressure sore,A,,10.20,7.96,NA,8.63,NA,7.96,,8.63,,2.07,20.23,20.90,20.23,20.90,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15941,,Remove hip pressure sore,A,,12.41,11.34,NA,12.07,NA,11.34,,12.07,,2.48,26.23,26.96,26.23,26.96,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15944,,Remove hip pressure sore,A,,12.44,11.15,NA,12.13,NA,11.15,,12.13,,2.50,26.09,27.07,26.09,27.07,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15945,,Remove hip pressure sore,A,,13.75,12.47,NA,13.57,NA,12.47,,13.57,,2.74,28.96,30.06,28.96,30.06,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15946,,Remove hip pressure sore,A,,24.12,19.21,NA,20.86,NA,19.21,,20.86,,4.82,48.15,49.80,48.15,49.80,0,090,0.10,0.71,0.19,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15950,,Remove thigh pressure sore,A,,8.03,7.01,NA,7.38,NA,7.01,,7.38,,1.59,16.63,17.00,16.63,17.00,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
15951,,Remove thigh pressure sore,A,,11.58,11.20,NA,13.04,NA,11.20,,13.04,,2.27,25.05,26.89,25.05,26.89,0,090,0.10,0.71,0.19,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15952,,Remove thigh pressure sore,A,,12.31,9.54,NA,9.52,NA,9.54,,9.52,,2.63,24.48,24.46,24.48,24.46,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15953,,Remove thigh pressure sore,A,,13.57,10.62,NA,10.45,NA,10.62,,10.45,,2.67,26.86,26.69,26.86,26.69,0,090,0.10,0.71,0.19,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15956,,Remove thigh pressure sore,A,,16.79,13.63,NA,14.86,NA,13.63,,14.86,,3.42,33.84,35.07,33.84,35.07,0,090,0.10,0.71,0.19,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15958,,Remove thigh pressure sore,A,,16.75,14.39,NA,15.65,NA,14.39,,15.65,,3.39,34.53,35.79,34.53,35.79,0,090,0.10,0.71,0.19,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
15999,,Removal of pressure sore,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
16000,,Initial treatment of burn(s),A,,0.89,0.97,,1.02,,0.34,,0.39,,0.12,1.98,2.03,1.35,1.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
16020,,Dress/debrid p-thick burn s,A,,0.80,1.48,,1.56,,0.75,,0.82,,0.11,2.39,2.47,1.66,1.73,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
16025,,Dress/debrid p-thick burn m,A,,1.85,2.13,,2.26,,1.22,,1.33,,0.31,4.29,4.42,3.38,3.49,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
16030,,Dress/debrid p-thick burn l,A,,2.08,2.71,,2.86,,1.40,,1.52,,0.37,5.16,5.31,3.85,3.97,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
16035,,Incision of burn scab initi,A,,3.74,1.62,NA,1.57,NA,1.62,,1.57,,0.63,5.99,5.94,5.99,5.94,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
16036,,Escharotomy addl incision,A,,1.50,0.65,NA,0.67,NA,0.65,,0.67,,0.27,2.42,2.44,2.42,2.44,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17000,,Destruct premalg lesion,A,,0.65,1.61,,1.63,,0.90,,0.94,,0.08,2.34,2.36,1.63,1.67,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17003,,Destruct premalg les 2-14,A,,0.07,0.13,,0.12,,0.05,,0.05,,0.01,0.21,0.20,0.13,0.13,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17004,,Destroy premlg lesions 15+,A,,1.85,2.94,,2.92,,1.83,,1.85,,0.27,5.06,5.04,3.95,3.97,0,010,0.10,0.80,0.10,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17106,,Destruction of skin lesions,A,,3.69,5.76,,5.85,,3.92,,4.02,,0.53,9.98,10.07,8.14,8.24,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17107,,Destruction of skin lesions,A,,4.79,7.43,,7.37,,4.98,,4.94,,0.73,12.95,12.89,10.50,10.46,0,090,0.10,0.71,0.19,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17108,,Destruction of skin lesions,A,,7.49,9.70,,10.06,,6.65,,6.85,,1.31,18.50,18.86,15.45,15.65,0,090,0.10,0.71,0.19,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17110,,Destruct b9 lesion 1-14,A,,0.70,2.41,,2.40,,1.23,,1.28,,0.08,3.19,3.18,2.01,2.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17111,,Destruct lesion 15 or more,A,,0.97,2.71,,2.72,,1.41,,1.46,,0.12,3.80,3.81,2.50,2.55,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17250,,Chemical cautery tissue,A,,0.50,1.63,,1.68,,0.48,,0.51,,0.07,2.20,2.25,1.05,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17260,,Destruction of skin lesions,A,,0.96,1.68,,1.69,,0.92,,0.97,,0.12,2.76,2.77,2.00,2.05,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17261,,Destruction of skin lesions,A,,1.22,2.77,,2.79,,1.32,,1.38,,0.18,4.17,4.19,2.72,2.78,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17262,,Destruction of skin lesions,A,,1.63,3.20,,3.22,,1.60,,1.69,,0.23,5.06,5.08,3.46,3.55,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17263,,Destruction of skin lesions,A,,1.84,3.47,,3.50,,1.73,,1.83,,0.26,5.57,5.60,3.83,3.93,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17264,,Destruction of skin lesions,A,,1.99,3.69,,3.73,,1.81,,1.91,,0.29,5.97,6.01,4.09,4.19,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17266,,Destruction of skin lesions,A,,2.39,4.04,,4.09,,2.03,,2.17,,0.34,6.77,6.82,4.76,4.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17270,,Destruction of skin lesions,A,,1.37,2.78,,2.83,,1.38,,1.46,,0.20,4.35,4.40,2.95,3.03,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17271,,Destruction of skin lesions,A,,1.54,3.01,,3.04,,1.54,,1.62,,0.23,4.78,4.81,3.31,3.39,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17272,,Destruction of skin lesions,A,,1.82,3.37,,3.41,,1.73,,1.83,,0.26,5.45,5.49,3.81,3.91,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17273,,Destruction of skin lesions,A,,2.10,3.67,,3.72,,1.90,,2.02,,0.30,6.07,6.12,4.30,4.42,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17274,,Destruction of skin lesions,A,,2.64,4.15,,4.21,,2.24,,2.36,,0.37,7.16,7.22,5.25,5.37,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17276,,Destruction of skin lesions,A,,3.25,4.56,,4.66,,2.56,,2.72,,0.48,8.29,8.39,6.29,6.45,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17280,,Destruction of skin lesions,A,,1.22,2.68,,2.71,,1.29,,1.36,,0.18,4.08,4.11,2.69,2.76,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17281,,Destruction of skin lesions,A,,1.77,3.14,,3.18,,1.69,,1.78,,0.26,5.17,5.21,3.72,3.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17282,,Destruction of skin lesions,A,,2.09,3.60,,3.65,,1.91,,2.02,,0.30,5.99,6.04,4.30,4.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17283,,Destruction of skin lesions,A,,2.69,4.13,,4.21,,2.29,,2.43,,0.38,7.20,7.28,5.36,5.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17284,,Destruction of skin lesions,A,,3.26,4.64,,4.73,,2.64,,2.80,,0.45,8.35,8.44,6.35,6.51,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17286,,Destruction of skin lesions,A,,4.48,5.42,,5.60,,3.36,,3.56,,0.67,10.57,10.75,8.51,8.71,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17311,,Mohs 1 stage h/n/hf/g,A,,6.20,12.59,,12.16,,4.32,,4.65,,0.87,19.66,19.23,11.39,11.72,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17312,,Mohs addl stage,A,,3.30,7.98,,7.64,,2.30,,2.47,,0.45,11.73,11.39,6.05,6.22,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17313,,Mohs 1 stage t/a/l,A,,5.56,11.59,,11.18,,3.88,,4.17,,0.78,17.93,17.52,10.22,10.51,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17314,,Mohs addl stage t/a/l,A,,3.06,7.40,,7.08,,2.13,,2.29,,0.42,10.88,10.56,5.61,5.77,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17315,,Mohs surg addl block,A,,0.87,1.38,,1.36,,0.61,,0.65,,0.11,2.36,2.34,1.59,1.63,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17340,,Cryotherapy of skin,A,,0.77,0.58,,0.65,,0.52,,0.59,,0.10,1.45,1.52,1.39,1.46,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17360,,Skin peel therapy,A,,1.46,2.18,,2.20,,1.31,,1.38,,0.22,3.86,3.88,2.99,3.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17380,,Hair removal by electrolysis,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
17999,,Skin tissue procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
19000,,Drainage of breast lesion,A,,0.84,2.25,,2.14,,0.35,,0.33,,0.11,3.20,3.09,1.30,1.28,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19001,,Drain breast lesion add-on,A,,0.42,0.31,,0.29,,0.17,,0.16,,0.05,0.78,0.76,0.64,0.63,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19020,,Incision of breast lesion,A,,3.83,8.42,,8.85,,3.97,,4.30,,0.78,13.03,13.46,8.58,8.91,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19030,,Injection for breast x-ray,A,,1.53,3.08,,2.82,,0.63,,0.57,,0.14,4.75,4.49,2.30,2.24,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19100,,Bx breast percut w/o image,A,,1.27,2.65,,2.76,,0.50,,0.55,,0.26,4.18,4.29,2.03,2.08,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19101,,Biopsy of breast open,A,,3.23,5.63,,5.88,,2.43,,2.61,,0.67,9.53,9.78,6.33,6.51,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19102,,Bx breast percut w/image,A,,2.00,4.04,,3.72,,0.82,,0.76,,0.22,6.26,5.94,3.04,2.98,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19103,,Bx breast percut w/device,A,,3.69,11.92,,11.10,,1.51,,1.43,,0.48,16.09,15.27,5.68,5.60,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19105,,Cryosurg ablate fa each,A,,3.69,55.82,,49.17,,1.60,,1.61,,0.39,59.90,53.25,5.68,5.69,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19110,,Nipple exploration,A,,4.44,8.16,,8.71,,4.28,,4.68,,0.93,13.53,14.08,9.65,10.05,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19112,,Excise breast duct fistula,A,,3.81,8.09,,8.58,,4.13,,4.50,,0.80,12.70,13.19,8.74,9.11,0,090,0.10,0.71,0.19,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19120,,Removal of breast lesion,A,,5.92,6.62,,7.14,,4.54,,4.96,,1.25,13.79,14.31,11.71,12.13,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19125,,Excision breast lesion,A,,6.69,7.20,,7.80,,4.91,,5.39,,1.42,15.31,15.91,13.02,13.50,0,090,0.10,0.71,0.19,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19126,,Excision addl breast lesion,A,,2.93,1.16,NA,1.27,NA,1.16,,1.27,,0.63,4.72,4.83,4.72,4.83,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19260,,Removal of chest wall lesion,A,,17.78,13.56,NA,14.15,NA,13.56,,14.15,,3.96,35.30,35.89,35.30,35.89,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19271,,Revision of chest wall,A,,22.19,20.64,NA,20.89,NA,20.64,,20.89,,5.05,47.88,48.13,47.88,48.13,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19272,,Extensive chest wall surgery,A,,25.17,21.89,NA,22.01,NA,21.89,,22.01,,5.96,53.02,53.14,53.02,53.14,0,090,0.10,0.71,0.19,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19290,,Place needle wire breast,A,,1.27,3.30,,3.07,,0.53,,0.48,,0.12,4.69,4.46,1.92,1.87,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19291,,Place needle wire breast,A,,0.63,1.31,,1.21,,0.26,,0.24,,0.05,1.99,1.89,0.94,0.92,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19295,,Place breast clip percut,A,,0.00,2.65,,2.44,,2.65,NA,2.44,NA,0.01,2.66,2.45,2.66,2.45,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19296,,Place po breast cath for rad,A,,3.63,111.86,,108.19,,1.75,,1.89,,0.73,116.22,112.55,6.11,6.25,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19297,,Place breast cath for rad,A,,1.72,0.69,NA,0.75,NA,0.69,,0.75,,0.35,2.76,2.82,2.76,2.82,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19298,,Place breast rad tube/caths,A,,6.00,28.90,,24.78,,2.81,,2.83,,0.76,35.66,31.54,9.57,9.59,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19300,,Removal of breast tissue,A,,5.31,8.19,,8.53,,5.07,,5.53,,1.13,14.63,14.97,11.51,11.97,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19301,,Partical mastectomy,A,,10.13,6.23,NA,7.01,NA,6.23,,7.01,,2.15,18.51,19.29,18.51,19.29,0,090,0.10,0.71,0.19,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19302,,P-mastectomy w/ln removal,A,,13.99,8.56,NA,9.32,NA,8.56,,9.32,,2.98,25.53,26.29,25.53,26.29,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19303,,Mast simple complete,A,,15.85,9.43,NA,10.66,NA,9.43,,10.66,,3.38,28.66,29.89,28.66,29.89,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19304,,Mast subq,A,,7.95,6.68,NA,7.31,NA,6.68,,7.31,,1.67,16.30,16.93,16.30,16.93,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19305,,Mast radical,A,,17.46,11.19,NA,12.28,NA,11.19,,12.28,,3.73,32.38,33.47,32.38,33.47,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19306,,Mast rad urban type,A,,18.13,12.11,NA,13.42,NA,12.11,,13.42,,3.87,34.11,35.42,34.11,35.42,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19307,,Mast mod rad,A,,18.23,12.02,NA,13.22,NA,12.02,,13.22,,3.87,34.12,35.32,34.12,35.32,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19316,,Suspension of breast,A,,11.09,9.46,NA,10.17,NA,9.46,,10.17,,2.19,22.74,23.45,22.74,23.45,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19318,,Reduction of large breast,A,,16.03,13.82,NA,14.84,NA,13.82,,14.84,,3.16,33.01,34.03,33.01,34.03,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19324,,Enlarge breast,A,,6.80,5.84,NA,6.14,NA,5.84,,6.14,,1.46,14.10,14.40,14.10,14.40,0,090,0.10,0.71,0.19,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19325,,Enlarge breast with implant,A,,8.64,8.71,NA,9.41,NA,8.71,,9.41,,1.69,19.04,19.74,19.04,19.74,0,090,0.10,0.71,0.19,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19328,,Removal of breast implant,A,,6.48,6.76,NA,7.31,NA,6.76,,7.31,,1.28,14.52,15.07,14.52,15.07,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19330,,Removal of implant material,A,,8.54,8.35,NA,9.06,NA,8.35,,9.06,,1.66,18.55,19.26,18.55,19.26,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19340,,Immediate breast prosthesis,A,,13.99,8.94,NA,14.04,NA,8.94,,14.04,,2.75,25.68,30.78,25.68,30.78,0,090,0.10,0.71,0.19,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19342,,Delayed breast prosthesis,A,,12.63,12.19,NA,13.23,NA,12.19,,13.23,,2.44,27.26,28.30,27.26,28.30,0,090,0.10,0.71,0.19,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19350,,Breast reconstruction,A,,9.11,13.55,,13.79,,9.02,,9.68,,1.78,24.44,24.68,19.91,20.57,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19355,,Correct inverted nipple(s),A,,8.52,10.10,,10.09,,6.21,,6.49,,1.82,20.44,20.43,16.55,16.83,0,090,0.10,0.71,0.19,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19357,,Breast reconstruction,A,,18.50,21.46,NA,23.69,NA,21.46,,23.69,,3.62,43.58,45.81,43.58,45.81,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19361,,Breast reconstr w/lat flap,A,,23.36,21.92,NA,24.33,NA,21.92,,24.33,,4.60,49.88,52.29,49.88,52.29,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19364,,Breast reconstruction,A,,42.58,31.56,NA,34.42,NA,31.56,,34.42,,8.25,82.39,85.25,82.39,85.25,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19366,,Breast reconstruction,A,,21.84,14.35,NA,15.66,NA,14.35,,15.66,,4.46,40.65,41.96,40.65,41.96,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19367,,Breast reconstruction,A,,26.80,21.40,NA,23.19,NA,21.40,,23.19,,5.27,53.47,55.26,53.47,55.26,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19368,,Breast reconstruction,A,,33.90,25.53,NA,28.01,NA,25.53,,28.01,,6.67,66.10,68.58,66.10,68.58,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19369,,Breast reconstruction,A,,31.31,23.56,NA,26.14,NA,23.56,,26.14,,6.15,61.02,63.60,61.02,63.60,0,090,0.10,0.71,0.19,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
19370,,Surgery of breast capsule,A,,9.17,9.24,NA,10.00,NA,9.24,,10.00,,1.80,20.21,20.97,20.21,20.97,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19371,,Removal of breast capsule,A,,10.62,10.47,NA,11.33,NA,10.47,,11.33,,2.07,23.16,24.02,23.16,24.02,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19380,,Revise breast reconstruction,A,,10.41,10.33,NA,11.17,NA,10.33,,11.17,,2.03,22.77,23.61,22.77,23.61,0,090,0.10,0.71,0.19,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19396,,Design custom breast implant,A,,2.17,4.42,,5.12,,1.39,,1.58,,0.45,7.04,7.74,4.01,4.20,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
19499,,Breast surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
2000F,,Blood pressure measure,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20005,,I&d abscess subfascial,A,,3.58,4.53,,4.62,,2.61,,2.65,,0.59,8.70,8.79,6.78,6.82,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
2001F,,Weight record,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2002F,,Clin sign vol ovrld assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2004F,,Initial exam involved joints,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2010F,,Vital signs recorded,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20100,,Explore wound neck,A,,10.38,5.13,NA,5.73,NA,5.13,,5.73,,1.96,17.47,18.07,17.47,18.07,0,010,0.10,0.80,0.10,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20101,,Explore wound chest,A,,3.23,7.71,,7.88,,1.97,,2.03,,0.69,11.63,11.80,5.89,5.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20102,,Explore wound abdomen,A,,3.98,8.94,,9.25,,2.57,,2.78,,0.80,13.72,14.03,7.35,7.56,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20103,,Explore wound extremity,A,,5.34,10.17,,10.58,,3.91,,4.13,,0.99,16.50,16.91,10.24,10.46,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
2014F,,Mental status assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20150,,Excise epiphyseal bar,A,,14.75,11.25,NA,12.53,NA,11.25,,12.53,,2.93,28.93,30.21,28.93,30.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
2018F,,Hydration status assess,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2019F,,Dilated macul exam done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2020F,,Dilated fundus eval done,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20200,,Muscle biopsy,A,,1.46,3.94,,4.11,,0.96,,1.03,,0.33,5.73,5.90,2.75,2.82,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20205,,Deep muscle biopsy,A,,2.35,4.98,,5.26,,1.55,,1.67,,0.56,7.89,8.17,4.46,4.58,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20206,,Needle biopsy muscle,A,,0.99,6.18,,5.63,,0.69,,0.63,,0.10,7.27,6.72,1.78,1.72,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
2021F,,Dilat macul+ exam done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2022F,,Dil retina exam interp rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20220,,Bone biopsy trocar/needle,A,,1.27,3.40,,2.93,,0.82,,0.74,,0.11,4.78,4.31,2.20,2.12,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20225,,Bone biopsy trocar/needle,A,,1.87,15.82,,13.27,,1.24,,1.14,,0.23,17.92,15.37,3.34,3.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
2024F,,7 field photo interp doc rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20240,,Bone biopsy excisional,A,,3.28,2.76,NA,2.84,NA,2.76,,2.84,,0.52,6.56,6.64,6.56,6.64,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20245,,Bone biopsy excisional,A,,8.95,7.84,NA,8.30,NA,7.84,,8.30,,1.65,18.44,18.90,18.44,18.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20250,,Open bone biopsy,A,,5.19,4.68,NA,4.96,NA,4.68,,4.96,,1.22,11.09,11.37,11.09,11.37,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20251,,Open bone biopsy,A,,5.72,5.08,NA,5.26,NA,5.08,,5.26,,1.32,12.12,12.30,12.12,12.30,0,010,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
2026F,,Eye image valid to dx rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2027F,,Optic nerve head eval done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2028F,,Foot exam performed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2029F,,Complete phys skin exam done,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2030F,,H2o stat docd normal,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2031F,,H2o stat docd dehydrated,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2035F,,Tymp memb motion examd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2040F,,Bk pn xm on init visit date,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2044F,,Doc mntl tst b/4 bk trxmnt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
2050F,,Wound char size etc docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20500,,Injection of sinus tract,A,,1.28,1.79,,1.66,,1.20,,1.10,,0.12,3.19,3.06,2.60,2.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20501,,Inject sinus tract for x-ray,A,,0.76,2.79,,2.52,,0.32,,0.28,,0.07,3.62,3.35,1.15,1.11,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20520,,Removal of foreign body,A,,1.90,3.43,,3.61,,1.98,,2.09,,0.30,5.63,5.81,4.18,4.29,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20525,,Removal of foreign body,A,,3.54,9.46,,9.64,,3.06,,3.23,,0.64,13.64,13.82,7.24,7.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20526,,Ther injection carp tunnel,A,,0.94,1.09,,1.13,,0.59,,0.62,,0.14,2.17,2.21,1.67,1.70,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20550,,Inj tendon sheath/ligament,A,,0.75,0.82,,0.85,,0.37,,0.40,,0.08,1.65,1.68,1.20,1.23,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20551,,Inj tendon origin/insertion,A,,0.75,0.85,,0.91,,0.41,,0.44,,0.08,1.68,1.74,1.24,1.27,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20552,,Inj trigger point 1/2 muscl,A,,0.66,0.81,,0.86,,0.35,,0.40,,0.07,1.54,1.59,1.08,1.13,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20553,,Inject trigger points =/> 3,A,,0.75,0.92,,1.00,,0.39,,0.45,,0.07,1.74,1.82,1.21,1.27,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20555,,Place ndl musc/tis for rt,A,,6.00,2.83,NA,2.81,NA,2.83,,2.81,,0.86,9.69,9.67,9.69,9.67,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
2060F,,Pt talk eval hlthwkr re mdd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20600,,Drain/inject joint/bursa,A,,0.66,0.83,,0.86,,0.41,,0.42,,0.07,1.56,1.59,1.14,1.15,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20605,,Drain/inject joint/bursa,A,,0.68,0.94,,0.98,,0.44,,0.45,,0.08,1.70,1.74,1.20,1.21,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20610,,Drain/inject joint/bursa,A,,0.79,1.35,,1.43,,0.55,,0.58,,0.12,2.26,2.34,1.46,1.49,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20612,,Aspirate/inj ganglion cyst,A,,0.70,0.91,,0.96,,0.44,,0.46,,0.08,1.69,1.74,1.22,1.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20615,,Treatment of bone cyst,A,,2.33,3.68,,3.76,,1.99,,2.07,,0.29,6.30,6.38,4.61,4.69,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20650,,Insert and remove bone pin,A,,2.28,3.13,,3.30,,1.88,,1.95,,0.29,5.70,5.87,4.45,4.52,0,010,0.10,0.80,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20660,,Apply rem fixation device,A,,4.00,2.09,NA,2.22,NA,2.09,,2.22,,1.10,7.19,7.32,7.19,7.32,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20661,,Application of head brace,A,,5.26,7.33,NA,7.74,NA,7.33,,7.74,,1.65,14.24,14.65,14.24,14.65,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20662,,Application of pelvis brace,A,,6.38,5.59,NA,4.72,NA,5.59,,4.72,,0.61,12.58,11.71,12.58,11.71,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20663,,Application of thigh brace,A,,5.74,6.43,NA,6.96,NA,6.43,,6.96,,1.14,13.31,13.84,13.31,13.84,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20664,,Application of halo,A,,10.06,10.12,NA,10.58,NA,10.12,,10.58,,3.61,23.79,24.25,23.79,24.25,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20665,,Removal of fixation device,A,,1.36,1.73,,1.55,,1.24,,1.16,,0.11,3.20,3.02,2.71,2.63,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20670,,Removal of support implant,A,,1.79,9.12,,8.78,,2.23,,2.29,,0.30,11.21,10.87,4.32,4.38,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20680,,Removal of support implant,A,,5.96,10.63,,11.12,,5.34,,5.72,,1.06,17.65,18.14,12.36,12.74,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20690,,Apply bone fixation device,A,,8.78,6.39,NA,7.24,NA,6.39,,7.24,,1.62,16.79,17.64,16.79,17.64,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20692,,Apply bone fixation device,A,,16.27,12.48,NA,14.32,NA,12.48,,14.32,,2.80,31.55,33.39,31.55,33.39,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20693,,Adjust bone fixation device,A,,6.06,6.14,NA,6.36,NA,6.14,,6.36,,1.08,13.28,13.50,13.28,13.50,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20694,,Remove bone fixation device,A,,4.28,7.23,,7.37,,4.76,,4.99,,0.76,12.27,12.41,9.80,10.03,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20696,,Comp multiplane ext fixation,A,,17.56,12.64,NA,15.44,NA,12.64,,15.44,,1.25,31.45,34.25,31.45,34.25,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20697,,Comp ext fixate strut change,A,,0.00,49.27,,57.76,,49.27,NA,57.76,NA,0.01,49.28,57.77,49.28,57.77,0,000,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20802,,Replantation arm complete,A,,42.62,22.04,NA,23.00,NA,22.04,,23.00,,3.05,67.71,68.67,67.71,68.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20805,,Replant forearm complete,A,,51.46,22.17,NA,17.98,NA,22.17,,17.98,,10.14,83.77,79.58,83.77,79.58,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20808,,Replantation hand complete,A,,63.09,47.03,NA,50.11,NA,47.03,,50.11,,12.43,122.55,125.63,122.55,125.63,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20816,,Replantation digit complete,A,,31.95,27.11,NA,26.83,NA,27.11,,26.83,,3.99,63.05,62.77,63.05,62.77,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20822,,Replantation digit complete,A,,26.66,23.80,NA,23.99,NA,23.80,,23.99,,5.27,55.73,55.92,55.73,55.92,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20824,,Replantation thumb complete,A,,31.95,25.52,NA,24.04,NA,25.52,,24.04,,6.29,63.76,62.28,63.76,62.28,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20827,,Replantation thumb complete,A,,27.48,24.97,NA,24.59,NA,24.97,,24.59,,5.42,57.87,57.49,57.87,57.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20838,,Replantation foot complete,A,,42.88,23.57,NA,23.42,NA,23.57,,23.42,,3.06,69.51,69.36,69.51,69.36,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20900,,Removal of bone for graft,A,,3.00,8.46,,8.59,,3.23,,2.76,,0.56,12.02,12.15,6.79,6.32,0,000,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20902,,Removal of bone for graft,A,,4.58,4.15,NA,3.73,NA,4.15,,3.73,,0.87,9.60,9.18,9.60,9.18,0,000,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20910,,Remove cartilage for graft,A,,5.53,6.13,NA,6.28,NA,6.13,,6.28,,0.71,12.37,12.52,12.37,12.52,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20912,,Remove cartilage for graft,A,,6.54,6.79,NA,7.21,NA,6.79,,7.21,,0.99,14.32,14.74,14.32,14.74,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20920,,Removal of fascia for graft,A,,5.51,5.58,NA,5.86,NA,5.58,,5.86,,0.69,11.78,12.06,11.78,12.06,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20922,,Removal of fascia for graft,A,,6.93,9.24,,8.97,,6.25,,6.19,,1.28,17.45,17.18,14.46,14.40,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20924,,Removal of tendon for graft,A,,6.68,6.85,NA,7.18,NA,6.85,,7.18,,1.20,14.73,15.06,14.73,15.06,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20926,,Removal of tissue for graft,A,,5.79,5.80,NA,5.96,NA,5.80,,5.96,,1.17,12.76,12.92,12.76,12.92,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20930,,Sp bone algrft morsel add-on,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20931,,Sp bone algrft struct add-on,A,,1.81,0.99,NA,1.02,NA,0.99,,1.02,,0.56,3.36,3.39,3.36,3.39,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20936,,Sp bone agrft local add-on,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
20937,,Sp bone agrft morsel add-on,A,,2.79,1.56,NA,1.62,NA,1.56,,1.62,,0.68,5.03,5.09,5.03,5.09,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20938,,Sp bone agrft struct add-on,A,,3.02,1.67,NA,1.74,NA,1.67,,1.74,,0.83,5.52,5.59,5.52,5.59,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20950,,Fluid pressure muscle,A,,1.26,5.65,,5.58,,1.16,,1.21,,0.23,7.14,7.07,2.65,2.70,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20955,,Fibula bone graft microvasc,A,,40.26,28.46,NA,30.82,NA,28.46,,30.82,,6.67,75.39,77.75,75.39,77.75,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20956,,Iliac bone graft microvasc,A,,41.18,28.61,NA,30.52,NA,28.61,,30.52,,8.13,77.92,79.83,77.92,79.83,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20957,,Mt bone graft microvasc,A,,42.61,24.83,NA,28.51,NA,24.83,,28.51,,8.41,75.85,79.53,75.85,79.53,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20962,,Other bone graft microvasc,A,,39.21,30.31,NA,33.05,NA,30.31,,33.05,,7.73,77.25,79.99,77.25,79.99,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20969,,Bone/skin graft microvasc,A,,45.43,31.04,NA,33.65,NA,31.04,,33.65,,6.67,83.14,85.75,83.14,85.75,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20970,,Bone/skin graft iliac crest,A,,44.58,29.83,NA,31.25,NA,29.83,,31.25,,8.81,83.22,84.64,83.22,84.64,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20972,,Bone/skin graft metatarsal,A,,44.51,19.65,NA,17.67,NA,19.65,,17.67,,3.43,67.59,65.61,67.59,65.61,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20973,,Bone/skin graft great toe,A,,47.27,28.38,NA,34.47,NA,28.38,,34.47,,3.38,79.03,85.12,79.03,85.12,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20974,,Electrical bone stimulation,A,,0.62,1.28,,1.42,,0.67,,0.72,,0.12,2.02,2.16,1.41,1.46,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20975,,Electrical bone stimulation,A,,2.60,2.01,NA,2.09,NA,2.01,,2.09,,0.59,5.20,5.28,5.20,5.28,0,000,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
20979,,Us bone stimulation,A,,0.62,0.82,,0.84,,0.29,,0.29,,0.08,1.52,1.54,0.99,0.99,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20982,,Ablate bone tumor(s) perq,A,,7.27,97.10,,88.57,,3.30,,3.05,,0.80,105.17,96.64,11.37,11.12,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20985,,Cptr-asst dir ms px,A,,2.50,1.39,NA,1.49,NA,1.39,,1.49,,0.49,4.38,4.48,4.38,4.48,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
20999,,Musculoskeletal surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
21010,,Incision of jaw joint,A,,11.04,8.76,NA,9.51,NA,8.76,,9.51,,1.42,21.22,21.97,21.22,21.97,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21011,,Exc face les sc < 2 cm,A,,2.99,6.23,,6.23,,3.93,,3.93,,0.45,9.67,9.67,7.37,7.37,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21012,,Exc face les sbq 2+ cm,A,,4.45,5.02,NA,5.02,NA,5.02,,5.02,,0.72,10.19,10.19,10.19,10.19,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21013,,Exc face tum deep < 2 cm,A,,5.42,8.70,,8.70,,5.63,,5.63,,0.82,14.94,14.94,11.87,11.87,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21014,,Exc face tum deep 2+ cm,A,,7.13,7.43,NA,7.43,NA,7.43,,7.43,,1.16,15.72,15.72,15.72,15.72,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21015,,Resect face tum < 2 cm,A,,9.89,7.56,NA,9.46,NA,7.56,,9.46,,1.86,19.31,21.21,19.31,21.21,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21016,,Resect face tum + cm,A,,15.26,13.01,NA,13.01,NA,13.01,,13.01,,2.91,31.18,31.18,31.18,31.18,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21025,,Excision of bone lower jaw,A,,10.03,14.36,,15.10,,10.46,,11.25,,1.44,25.83,26.57,21.93,22.72,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21026,,Excision of facial bone(s),A,,5.70,11.09,,11.70,,7.90,,8.38,,0.83,17.62,18.23,14.43,14.91,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21029,,Contour of face bone lesion,A,,8.39,12.43,,13.15,,8.88,,9.52,,1.65,22.47,23.19,18.92,19.56,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21030,,Excise max/zygoma b9 tumor,A,,4.91,9.10,,9.67,,6.37,,6.84,,0.76,14.77,15.34,12.04,12.51,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21031,,Remove exostosis mandible,A,,3.30,7.41,,7.77,,4.70,,5.04,,0.41,11.12,11.48,8.41,8.75,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21032,,Remove exostosis maxilla,A,,3.34,7.55,,7.92,,4.57,,4.92,,0.42,11.31,11.68,8.33,8.68,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21034,,Excise max/zygoma mlg tumor,A,,17.38,19.22,,20.51,,14.74,,15.98,,2.44,39.04,40.33,34.56,35.80,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21040,,Excise mandible lesion,A,,4.91,9.22,,9.80,,6.37,,6.92,,0.75,14.88,15.46,12.03,12.58,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21044,,Removal of jaw bone lesion,A,,12.80,11.42,NA,12.31,NA,11.42,,12.31,,1.78,26.00,26.89,26.00,26.89,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21045,,Extensive jaw surgery,A,,18.37,15.34,NA,16.65,NA,15.34,,16.65,,2.52,36.23,37.54,36.23,37.54,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21046,,Remove mandible cyst complex,A,,14.21,15.96,NA,17.33,NA,15.96,,17.33,,1.82,31.99,33.36,31.99,33.36,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21047,,Excise lwr jaw cyst w/repair,A,,20.07,15.59,NA,17.15,NA,15.59,,17.15,,2.59,38.25,39.81,38.25,39.81,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21048,,Remove maxilla cyst complex,A,,14.71,16.11,NA,17.74,NA,16.11,,17.74,,1.89,32.71,34.34,32.71,34.34,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21049,,Excis uppr jaw cyst w/repair,A,,19.32,14.90,NA,15.75,NA,14.90,,15.75,,2.46,36.68,37.53,36.68,37.53,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21050,,Removal of jaw joint,A,,11.76,11.75,NA,12.40,NA,11.75,,12.40,,2.30,25.81,26.46,25.81,26.46,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21060,,Remove jaw joint cartilage,A,,11.07,10.65,NA,11.65,NA,10.65,,11.65,,2.34,24.06,25.06,24.06,25.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21070,,Remove coronoid process,A,,8.62,8.62,NA,9.08,NA,8.62,,9.08,,1.10,18.34,18.80,18.34,18.80,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21073,,Mnpj of tmj w/anesth,A,,3.45,7.12,,7.61,,3.27,,3.68,,0.68,11.25,11.74,7.40,7.81,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21076,,Prepare face/oral prosthesis,A,,13.40,13.26,,14.99,,9.11,,10.44,,1.70,28.36,30.09,24.21,25.54,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21077,,Prepare face/oral prosthesis,A,,33.70,32.64,,37.39,,23.35,,26.42,,4.33,70.67,75.42,61.38,64.45,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21079,,Prepare face/oral prosthesis,A,,22.31,22.81,,25.68,,15.48,,17.65,,2.87,47.99,50.86,40.66,42.83,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21080,,Prepare face/oral prosthesis,A,,25.06,25.90,,28.92,,17.21,,19.55,,3.23,54.19,57.21,45.50,47.84,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21081,,Prepare face/oral prosthesis,A,,22.85,23.93,,26.78,,15.73,,17.80,,2.95,49.73,52.58,41.53,43.60,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21082,,Prepare face/oral prosthesis,A,,20.84,23.14,,26.20,,15.23,,17.50,,2.67,46.65,49.71,38.74,41.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21083,,Prepare face/oral prosthesis,A,,19.27,22.66,,25.56,,14.18,,16.33,,1.37,43.30,46.20,34.82,36.97,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21084,,Prepare face/oral prosthesis,A,,22.48,25.71,,28.68,,16.45,,18.72,,2.90,51.09,54.06,41.83,44.10,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21085,,Prepare face/oral prosthesis,A,,8.99,10.82,,12.59,,6.36,,7.20,,3.35,23.16,24.93,18.70,19.54,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21086,,Prepare face/oral prosthesis,A,,24.88,23.82,,27.93,,16.82,,19.30,,3.20,51.90,56.01,44.90,47.38,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21087,,Prepare face/oral prosthesis,A,,24.88,23.72,,27.71,,16.67,,18.95,,3.20,51.80,55.79,44.75,47.03,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21088,,Prepare face/oral prosthesis,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.10,0.69,0.21,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21089,,Prepare face/oral prosthesis,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
21100,,Maxillofacial fixation,A,,4.73,13.63,,11.81,,5.45,,4.69,,0.64,19.00,17.18,10.82,10.06,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21110,,Interdental fixation,A,,5.99,15.73,,16.65,,12.24,,13.03,,0.76,22.48,23.40,18.99,19.78,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21116,,Injection jaw joint x-ray,A,,0.81,3.41,,3.32,,0.35,,0.38,,0.05,4.27,4.18,1.21,1.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21120,,Reconstruction of chin,A,,5.10,12.53,,12.98,,8.93,,9.44,,1.01,18.64,19.09,15.04,15.55,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21121,,Reconstruction of chin,A,,7.81,14.05,,15.00,,10.44,,11.18,,0.54,22.40,23.35,18.79,19.53,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21122,,Reconstruction of chin,A,,8.71,11.12,NA,11.73,NA,11.12,,11.73,,0.61,20.44,21.05,20.44,21.05,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21123,,Reconstruction of chin,A,,11.34,13.41,NA,15.49,NA,13.41,,15.49,,0.80,25.55,27.63,25.55,27.63,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21125,,Augmentation lower jaw bone,A,,10.80,75.92,,74.00,,10.28,,11.43,,2.14,88.86,86.94,23.22,24.37,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21127,,Augmentation lower jaw bone,A,,12.44,94.49,,96.07,,11.83,,13.18,,1.59,108.52,110.10,25.86,27.21,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21137,,Reduction of forehead,A,,10.24,8.87,NA,9.21,NA,8.87,,9.21,,2.00,21.11,21.45,21.11,21.45,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21138,,Reduction of forehead,A,,12.87,11.39,NA,12.30,NA,11.39,,12.30,,1.82,26.08,26.99,26.08,26.99,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21139,,Reduction of forehead,A,,15.02,12.87,NA,14.11,NA,12.87,,14.11,,1.06,28.95,30.19,28.95,30.19,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21141,,Reconstruct midface lefort,A,,19.57,17.01,NA,18.17,NA,17.01,,18.17,,3.85,40.43,41.59,40.43,41.59,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21142,,Reconstruct midface lefort,A,,20.28,16.48,NA,18.51,NA,16.48,,18.51,,4.00,40.76,42.79,40.76,42.79,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21143,,Reconstruct midface lefort,A,,21.05,17.66,NA,19.67,NA,17.66,,19.67,,4.49,43.20,45.21,43.20,45.21,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21145,,Reconstruct midface lefort,A,,23.94,18.27,NA,20.34,NA,18.27,,20.34,,1.69,43.90,45.97,43.90,45.97,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21146,,Reconstruct midface lefort,A,,24.87,20.64,NA,23.12,NA,20.64,,23.12,,4.90,50.41,52.89,50.41,52.89,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21147,,Reconstruct midface lefort,A,,26.47,19.77,NA,20.90,NA,19.77,,20.90,,1.88,48.12,49.25,48.12,49.25,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21150,,Reconstruct midface lefort,A,,25.96,20.40,NA,22.65,NA,20.40,,22.65,,1.84,48.20,50.45,48.20,50.45,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21151,,Reconstruct midface lefort,A,,29.02,24.96,NA,24.43,NA,24.96,,24.43,,3.74,57.72,57.19,57.72,57.19,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21154,,Reconstruct midface lefort,A,,31.29,27.25,NA,31.19,NA,27.25,,31.19,,4.01,62.55,66.49,62.55,66.49,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21155,,Reconstruct midface lefort,A,,35.22,26.00,NA,28.50,NA,26.00,,28.50,,2.50,63.72,66.22,63.72,66.22,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21159,,Reconstruct midface lefort,A,,43.14,33.69,NA,39.72,NA,33.69,,39.72,,5.53,82.36,88.39,82.36,88.39,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21160,,Reconstruct midface lefort,A,,47.19,28.47,NA,28.73,NA,28.47,,28.73,,3.36,79.02,79.28,79.02,79.28,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21172,,Reconstruct orbit/forehead,A,,28.20,20.75,NA,23.86,NA,20.75,,23.86,,3.62,52.57,55.68,52.57,55.68,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21175,,Reconstruct orbit/forehead,A,,33.56,25.08,NA,28.70,NA,25.08,,28.70,,12.03,70.67,74.29,70.67,74.29,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21179,,Reconstruct entire forehead,A,,22.65,17.84,NA,20.10,NA,17.84,,20.10,,4.46,44.95,47.21,44.95,47.21,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21180,,Reconstruct entire forehead,A,,25.58,20.06,NA,22.30,NA,20.06,,22.30,,3.29,48.93,51.17,48.93,51.17,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21181,,Contour cranial bone lesion,A,,10.28,9.35,NA,10.54,NA,9.35,,10.54,,1.31,20.94,22.13,20.94,22.13,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21182,,Reconstruct cranial bone,A,,32.58,21.74,NA,22.59,NA,21.74,,22.59,,4.18,58.50,59.35,58.50,59.35,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21183,,Reconstruct cranial bone,A,,35.70,23.80,NA,24.42,NA,23.80,,24.42,,7.02,66.52,67.14,66.52,67.14,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21184,,Reconstruct cranial bone,A,,38.62,27.00,NA,30.48,NA,27.00,,30.48,,7.62,73.24,76.72,73.24,76.72,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21188,,Reconstruction of midface,A,,23.15,21.32,NA,22.12,NA,21.32,,22.12,,2.98,47.45,48.25,47.45,48.25,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21193,,Reconst lwr jaw w/o graft,A,,18.90,15.70,NA,17.86,NA,15.70,,17.86,,4.04,38.64,40.80,38.64,40.80,0,090,0.10,0.69,0.21,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21194,,Reconst lwr jaw w/graft,A,,21.82,16.51,NA,17.50,NA,16.51,,17.50,,2.80,41.13,42.12,41.13,42.12,0,090,0.10,0.69,0.21,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21195,,Reconst lwr jaw w/o fixation,A,,19.16,17.94,NA,19.33,NA,17.94,,19.33,,2.45,39.55,40.94,39.55,40.94,0,090,0.10,0.69,0.21,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21196,,Reconst lwr jaw w/fixation,A,,20.83,19.78,NA,21.71,NA,19.78,,21.71,,2.67,43.28,45.21,43.28,45.21,0,090,0.10,0.69,0.21,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21198,,Reconstr lwr jaw segment,A,,15.71,16.30,NA,17.54,NA,16.30,,17.54,,2.18,34.19,35.43,34.19,35.43,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21199,,Reconstr lwr jaw w/advance,A,,16.73,11.25,NA,12.27,NA,11.25,,12.27,,2.15,30.13,31.15,30.13,31.15,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21206,,Reconstruct upper jaw bone,A,,15.59,17.12,NA,19.43,NA,17.12,,19.43,,3.09,35.80,38.11,35.80,38.11,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21208,,Augmentation of facial bones,A,,11.42,39.19,,40.95,,11.05,,11.44,,2.25,52.86,54.62,24.72,25.11,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21209,,Reduction of facial bones,A,,7.82,15.11,,15.66,,10.03,,10.65,,1.54,24.47,25.02,19.39,20.01,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21210,,Face bone graft,A,,11.69,50.02,,52.78,,11.50,,12.81,,1.51,63.22,65.98,24.70,26.01,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21215,,Lower jaw bone graft,A,,12.23,95.64,,100.91,,11.74,,13.08,,2.40,110.27,115.54,26.37,27.71,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21230,,Rib cartilage graft,A,,11.17,9.54,NA,10.20,NA,9.54,,10.20,,2.19,22.90,23.56,22.90,23.56,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21235,,Ear cartilage graft,A,,7.50,12.81,,13.27,,8.26,,8.75,,1.10,21.41,21.87,16.86,17.35,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21240,,Reconstruction of jaw joint,A,,16.07,14.19,NA,15.56,NA,14.19,,15.56,,2.04,32.30,33.67,32.30,33.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21242,,Reconstruction of jaw joint,A,,14.59,13.16,NA,14.20,NA,13.16,,14.20,,1.88,29.63,30.67,29.63,30.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21243,,Reconstruction of jaw joint,A,,24.53,21.08,NA,23.17,NA,21.08,,23.17,,3.16,48.77,50.86,48.77,50.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21244,,Reconstruction of lower jaw,A,,13.62,15.62,NA,16.73,NA,15.62,,16.73,,1.93,31.17,32.28,31.17,32.28,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21245,,Reconstruction of jaw,A,,13.12,18.33,,19.00,,11.87,,12.48,,1.67,33.12,33.79,26.66,27.27,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21246,,Reconstruction of jaw,A,,12.92,10.07,NA,10.74,NA,10.07,,10.74,,1.65,24.64,25.31,24.64,25.31,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21247,,Reconstruct lower jaw bone,A,,24.37,18.76,NA,19.67,NA,18.76,,19.67,,4.82,47.95,48.86,47.95,48.86,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21248,,Reconstruction of jaw,A,,12.74,17.16,,18.55,,11.56,,12.86,,1.63,31.53,32.92,25.93,27.23,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21249,,Reconstruction of jaw,A,,18.77,22.21,,24.30,,15.61,,17.84,,2.40,43.38,45.47,36.78,39.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21255,,Reconstruct lower jaw bone,A,,18.46,19.79,NA,19.71,NA,19.79,,19.71,,2.35,40.60,40.52,40.60,40.52,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21256,,Reconstruction of orbit,A,,17.66,14.90,NA,16.50,NA,14.90,,16.50,,2.26,34.82,36.42,34.82,36.42,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21260,,Revise eye sockets,A,,17.90,19.86,NA,21.70,NA,19.86,,21.70,,1.27,39.03,40.87,39.03,40.87,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21261,,Revise eye sockets,A,,34.07,24.21,NA,23.56,NA,24.21,,23.56,,6.72,65.00,64.35,65.00,64.35,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21263,,Revise eye sockets,A,,31.01,22.29,NA,22.22,NA,22.29,,22.22,,2.20,55.50,55.43,55.50,55.43,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21267,,Revise eye sockets,A,,20.69,22.45,NA,24.03,NA,22.45,,24.03,,4.08,47.22,48.80,47.22,48.80,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21268,,Revise eye sockets,A,,27.07,21.64,NA,20.50,NA,21.64,,20.50,,5.34,54.05,52.91,54.05,52.91,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21270,,Augmentation cheek bone,A,,10.63,15.63,,17.21,,9.26,,10.57,,1.51,27.77,29.35,21.40,22.71,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21275,,Revision orbitofacial bones,A,,11.76,10.58,NA,11.79,NA,10.58,,11.79,,2.30,24.64,25.85,24.64,25.85,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21280,,Revision of eyelid,A,,7.13,8.00,NA,8.86,NA,8.00,,8.86,,1.40,16.53,17.39,16.53,17.39,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21282,,Revision of eyelid,A,,4.27,5.83,NA,6.34,NA,5.83,,6.34,,0.78,10.88,11.39,10.88,11.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21295,,Revision of jaw muscle/bone,A,,1.90,2.91,NA,2.89,NA,2.91,,2.89,,0.37,5.18,5.16,5.18,5.16,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21296,,Revision of jaw muscle/bone,A,,4.78,6.37,NA,5.91,NA,6.37,,5.91,,0.61,11.76,11.30,11.76,11.30,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21299,,Cranio/maxillofacial surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
21310,,Treatment of nose fracture,A,,0.58,2.59,,2.72,,0.15,,0.16,,0.10,3.27,3.40,0.83,0.84,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21315,,Treatment of nose fracture,A,,1.83,5.77,,6.01,,2.32,,2.44,,0.29,7.89,8.13,4.44,4.56,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21320,,Treatment of nose fracture,A,,1.88,5.29,,5.49,,1.88,,1.99,,0.27,7.44,7.64,4.03,4.14,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21325,,Treatment of nose fracture,A,,4.18,9.02,NA,9.11,NA,9.02,,9.11,,0.67,13.87,13.96,13.87,13.96,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21330,,Treatment of nose fracture,A,,5.79,10.22,NA,10.49,NA,10.22,,10.49,,0.73,16.74,17.01,16.74,17.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21335,,Treatment of nose fracture,A,,9.02,11.34,NA,11.81,NA,11.34,,11.81,,1.22,21.58,22.05,21.58,22.05,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21336,,Treat nasal septal fracture,A,,6.77,11.39,NA,11.87,NA,11.39,,11.87,,0.91,19.07,19.55,19.07,19.55,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21337,,Treat nasal septal fracture,A,,3.39,7.78,,8.08,,4.69,,4.99,,0.52,11.69,11.99,8.60,8.90,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21338,,Treat nasoethmoid fracture,A,,6.87,13.74,NA,14.21,NA,13.74,,14.21,,1.36,21.97,22.44,21.97,22.44,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21339,,Treat nasoethmoid fracture,A,,8.50,13.51,NA,13.36,NA,13.51,,13.36,,1.66,23.67,23.52,23.67,23.52,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21340,,Treatment of nose fracture,A,,11.49,9.93,NA,10.10,NA,9.93,,10.10,,1.48,22.90,23.07,22.90,23.07,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21343,,Treatment of sinus fracture,A,,14.32,16.77,NA,17.05,NA,16.77,,17.05,,2.83,33.92,34.20,33.92,34.20,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21344,,Treatment of sinus fracture,A,,21.57,19.88,NA,22.00,NA,19.88,,22.00,,7.74,49.19,51.31,49.19,51.31,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
21345,,Treat nose/jaw fracture,A,,9.06,12.81,,13.05,,8.53,,8.72,,1.17,23.04,23.28,18.76,18.95,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21346,,Treat nose/jaw fracture,A,,11.45,14.46,NA,14.75,NA,14.46,,14.75,,1.48,27.39,27.68,27.39,27.68,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21347,,Treat nose/jaw fracture,A,,13.53,17.21,NA,18.39,NA,17.21,,18.39,,1.71,32.45,33.63,32.45,33.63,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21348,,Treat nose/jaw fracture,A,,17.52,14.40,NA,16.50,NA,14.40,,16.50,,2.25,34.17,36.27,34.17,36.27,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
21355,,Treat cheek bone fracture,A,,4.45,8.01,,8.45,,4.71,,5.14,,0.56,13.02,13.46,9.72,10.15,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21356,,Treat cheek bone fracture,A,,4.83,8.93,,9.27,,5.51,,5.83,,0.71,14.47,14.81,11.05,11.37,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21360,,Treat cheek bone fracture,A,,7.19,7.50,NA,8.12,NA,7.50,,8.12,,0.91,15.60,16.22,15.60,16.22,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21365,,Treat cheek bone fracture,A,,16.77,13.34,NA,14.60,NA,13.34,,14.60,,2.80,32.91,34.17,32.91,34.17,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21366,,Treat cheek bone fracture,A,,18.60,15.07,NA,17.29,NA,15.07,,17.29,,3.67,37.34,39.56,37.34,39.56,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
21385,,Treat eye socket fracture,A,,9.57,9.74,NA,10.14,NA,9.74,,10.14,,1.22,20.53,20.93,20.53,20.93,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21386,,Treat eye socket fracture,A,,9.57,8.16,NA,8.44,NA,8.16,,8.44,,1.88,19.61,19.89,19.61,19.89,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21387,,Treat eye socket fracture,A,,10.11,9.99,NA,10.45,NA,9.99,,10.45,,1.97,22.07,22.53,22.07,22.53,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21390,,Treat eye socket fracture,A,,11.23,10.21,NA,11.26,NA,10.21,,11.26,,1.89,23.33,24.38,23.33,24.38,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21395,,Treat eye socket fracture,A,,14.70,12.08,NA,13.68,NA,12.08,,13.68,,1.88,28.66,30.26,28.66,30.26,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21400,,Treat eye socket fracture,A,,1.50,3.60,,3.79,,2.62,,2.78,,0.27,5.37,5.56,4.39,4.55,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21401,,Treat eye socket fracture,A,,3.68,9.47,,9.52,,4.41,,4.59,,0.72,13.87,13.92,8.81,8.99,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21406,,Treat eye socket fracture,A,,7.42,7.79,NA,8.69,NA,7.79,,8.69,,0.95,16.16,17.06,16.16,17.06,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21407,,Treat eye socket fracture,A,,9.02,8.47,NA,9.18,NA,8.47,,9.18,,1.59,19.08,19.79,19.08,19.79,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21408,,Treat eye socket fracture,A,,12.78,11.30,NA,12.55,NA,11.30,,12.55,,2.52,26.60,27.85,26.60,27.85,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
21421,,Treat mouth roof fracture,A,,6.02,14.66,,15.22,,11.43,,11.93,,1.18,21.86,22.42,18.63,19.13,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21422,,Treat mouth roof fracture,A,,8.73,9.63,NA,10.25,NA,9.63,,10.25,,1.13,19.49,20.11,19.49,20.11,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21423,,Treat mouth roof fracture,A,,10.85,11.20,NA,12.35,NA,11.20,,12.35,,2.14,24.19,25.34,24.19,25.34,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
21431,,Treat craniofacial fracture,A,,7.90,12.36,NA,12.48,NA,12.36,,12.48,,1.55,21.81,21.93,21.81,21.93,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21432,,Treat craniofacial fracture,A,,8.82,10.12,NA,11.29,NA,10.12,,11.29,,1.71,20.65,21.82,20.65,21.82,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21433,,Treat craniofacial fracture,A,,26.29,18.31,NA,18.87,NA,18.31,,18.87,,5.19,49.79,50.35,49.79,50.35,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21435,,Treat craniofacial fracture,A,,20.26,15.53,NA,16.14,NA,15.53,,16.14,,2.60,38.39,39.00,38.39,39.00,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21436,,Treat craniofacial fracture,A,,30.30,24.22,NA,27.24,NA,24.22,,27.24,,5.97,60.49,63.51,60.49,63.51,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
21440,,Treat dental ridge fracture,A,,3.44,12.04,,12.52,,9.21,,9.55,,0.67,16.15,16.63,13.32,13.66,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21445,,Treat dental ridge fracture,A,,6.26,14.99,,15.50,,11.03,,11.49,,0.80,22.05,22.56,18.09,18.55,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21450,,Treat lower jaw fracture,A,,3.71,12.57,,13.23,,9.55,,9.90,,0.65,16.93,17.59,13.91,14.26,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21451,,Treat lower jaw fracture,A,,5.65,15.59,,16.56,,12.03,,12.67,,0.72,21.96,22.93,18.40,19.04,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21452,,Treat lower jaw fracture,A,,2.40,14.13,,13.35,,7.08,,7.20,,0.48,17.01,16.23,9.96,10.08,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21453,,Treat lower jaw fracture,A,,6.64,17.96,,19.09,,14.71,,15.44,,1.05,25.65,26.78,22.40,23.13,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21454,,Treat lower jaw fracture,A,,7.36,8.03,NA,8.72,NA,8.03,,8.72,,0.93,16.32,17.01,16.32,17.01,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21461,,Treat lower jaw fracture,A,,9.31,48.52,,51.58,,16.62,,17.48,,1.40,59.23,62.29,27.33,28.19,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21462,,Treat lower jaw fracture,A,,11.01,50.40,,53.07,,17.55,,18.68,,1.42,62.83,65.50,29.98,31.11,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21465,,Treat lower jaw fracture,A,,13.12,12.26,NA,13.70,NA,12.26,,13.70,,2.59,27.97,29.41,27.97,29.41,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21470,,Treat lower jaw fracture,A,,17.54,15.09,NA,16.63,NA,15.09,,16.63,,2.90,35.53,37.07,35.53,37.07,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21480,,Reset dislocated jaw,A,,0.61,1.97,,2.01,,0.24,,0.26,,0.10,2.68,2.72,0.95,0.97,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21485,,Reset dislocated jaw,A,,4.77,14.36,,15.22,,11.28,,11.91,,0.61,19.74,20.60,16.66,17.29,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21490,,Repair dislocated jaw,A,,12.95,11.92,NA,12.84,NA,11.92,,12.84,,2.56,27.43,28.35,27.43,28.35,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21495,,Treat hyoid bone fracture,A,,6.79,12.98,NA,13.77,NA,12.98,,13.77,,0.86,20.63,21.42,20.63,21.42,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21497,,Interdental wiring,A,,4.64,14.25,,14.66,,11.33,,11.66,,0.90,19.79,20.20,16.87,17.20,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21499,,Head surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
21501,,Drain neck/chest lesion,A,,3.98,8.28,,8.59,,4.65,,4.86,,0.75,13.01,13.32,9.38,9.59,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21502,,Drain chest lesion,A,,7.55,5.85,NA,5.71,NA,5.85,,5.71,,1.61,15.01,14.87,15.01,14.87,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21510,,Drainage of bone lesion,A,,6.20,6.16,NA,6.32,NA,6.16,,6.32,,1.46,13.82,13.98,13.82,13.98,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21550,,Biopsy of neck/chest,A,,2.11,5.09,,5.19,,2.23,,2.29,,0.30,7.50,7.60,4.64,4.70,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21552,,Exc neck les sc 3+ cm,A,,6.49,5.61,NA,5.61,NA,5.61,,5.61,,1.28,13.38,13.38,13.38,13.38,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21554,,Exc neck tum deep 5+ cm,A,,11.13,8.75,NA,8.75,NA,8.75,,8.75,,2.08,21.96,21.96,21.96,21.96,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21555,,Exc neck les sc < 3 cm,A,,3.96,7.22,,7.42,,4.27,,4.36,,0.78,11.96,12.16,9.01,9.10,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21556,,Exc neck tum deep < 5 cm,A,,7.66,6.02,NA,6.89,NA,6.02,,6.89,,1.44,15.12,15.99,15.12,15.99,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21557,,Resect neck tum < 5 cm,A,,14.75,8.69,NA,11.35,NA,8.69,,11.35,,2.79,26.23,28.89,26.23,28.89,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21558,,Resect neck tum 5+ cm,A,,21.58,15.18,NA,15.18,NA,15.18,,15.18,,4.08,40.84,40.84,40.84,40.84,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21600,,Partial removal of rib,A,,7.26,7.67,NA,8.08,NA,7.67,,8.08,,1.57,16.50,16.91,16.50,16.91,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21610,,Partial removal of rib,A,,15.91,12.44,NA,14.01,NA,12.44,,14.01,,5.72,34.07,35.64,34.07,35.64,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21615,,Removal of rib,A,,10.45,6.64,NA,6.49,NA,6.64,,6.49,,2.46,19.55,19.40,19.55,19.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21616,,Removal of rib and nerves,A,,12.69,8.16,NA,6.92,NA,8.16,,6.92,,3.04,23.89,22.65,23.89,22.65,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21620,,Partial removal of sternum,A,,7.28,6.55,NA,6.71,NA,6.55,,6.71,,1.62,15.45,15.61,15.45,15.61,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21627,,Sternal debridement,A,,7.30,7.24,NA,7.33,NA,7.24,,7.33,,1.65,16.19,16.28,16.19,16.28,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21630,,Extensive sternum surgery,A,,19.18,14.23,NA,14.84,NA,14.23,,14.84,,4.04,37.45,38.06,37.45,38.06,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21632,,Extensive sternum surgery,A,,19.68,12.65,NA,12.81,NA,12.65,,12.81,,4.94,37.27,37.43,37.27,37.43,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21685,,Hyoid myotomy & suspension,A,,15.26,12.43,NA,13.48,NA,12.43,,13.48,,1.96,29.65,30.70,29.65,30.70,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21700,,Revision of neck muscle,A,,6.31,4.86,NA,4.69,NA,4.86,,4.69,,1.50,12.67,12.50,12.67,12.50,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21705,,Revision of neck muscle/rib,A,,9.92,5.67,NA,4.71,NA,5.67,,4.71,,2.34,17.93,16.97,17.93,16.97,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21720,,Revision of neck muscle,A,,5.80,5.30,NA,5.84,NA,5.30,,5.84,,2.07,13.17,13.71,13.17,13.71,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21725,,Revision of neck muscle,A,,7.19,6.99,NA,7.42,NA,6.99,,7.42,,1.42,15.60,16.03,15.60,16.03,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21740,,Reconstruction of sternum,A,,17.57,9.76,NA,9.32,NA,9.76,,9.32,,3.47,30.80,30.36,30.80,30.36,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21742,,Repair stern/nuss w/o scope,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21743,,Repair sternum/nuss w/scope,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21750,,Repair of sternum separation,A,,11.40,6.83,NA,6.65,NA,6.83,,6.65,,2.71,20.94,20.76,20.94,20.76,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21800,,Treatment of rib fracture,A,,1.01,1.78,,1.91,,1.85,,2.00,,0.18,2.97,3.10,3.04,3.19,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21805,,Treatment of rib fracture,A,,2.88,4.14,NA,4.21,NA,4.14,,4.21,,0.67,7.69,7.76,7.69,7.76,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21810,,Treatment of rib fracture(s),A,,7.03,6.62,NA,7.23,NA,6.62,,7.23,,1.63,15.28,15.89,15.28,15.89,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21820,,Treat sternum fracture,A,,1.36,2.32,,2.49,,2.39,,2.58,,0.26,3.94,4.11,4.01,4.20,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21825,,Treat sternum fracture,A,,7.76,7.07,NA,7.10,NA,7.07,,7.10,,1.82,16.65,16.68,16.65,16.68,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21899,,Neck/chest surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
21920,,Biopsy soft tissue of back,A,,2.11,5.06,,5.12,,2.29,,2.41,,0.34,7.51,7.57,4.74,4.86,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21925,,Biopsy soft tissue of back,A,,4.63,6.94,,7.34,,4.48,,4.82,,0.93,12.50,12.90,10.04,10.38,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21930,,Exc back les sc < 3 cm,A,,4.94,7.53,,7.76,,4.66,,4.76,,1.02,13.49,13.72,10.62,10.72,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21931,,Exc back les sc 3+ cm,A,,6.88,5.68,NA,5.68,NA,5.68,,5.68,,1.42,13.98,13.98,13.98,13.98,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21932,,Exc back tum deep < 5 cm,A,,9.82,8.05,NA,8.05,NA,8.05,,8.05,,2.08,19.95,19.95,19.95,19.95,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21933,,Exc back tum deep 5+ cm,A,,11.13,8.50,NA,8.50,NA,8.50,,8.50,,2.35,21.98,21.98,21.98,21.98,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
21935,,Resect back tum < 5 cm,A,,15.72,11.36,NA,11.67,NA,11.36,,11.67,,3.21,30.29,30.60,30.29,30.60,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
21936,,Resect back tum 5+ cm,A,,22.55,15.43,NA,15.43,NA,15.43,,15.43,,4.60,42.58,42.58,42.58,42.58,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22010,,I&d p-spine c/t/cerv-thor,A,,12.75,11.31,NA,11.97,NA,11.31,,11.97,,3.29,27.35,28.01,27.35,28.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22015,,I&d p-spine l/s/ls,A,,12.64,11.20,NA,11.74,NA,11.20,,11.74,,3.08,26.92,27.46,26.92,27.46,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22100,,Remove part of neck vertebra,A,,11.00,10.57,NA,11.28,NA,10.57,,11.28,,3.96,25.53,26.24,25.53,26.24,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22101,,Remove part thorax vertebra,A,,11.08,9.94,NA,10.02,NA,9.94,,10.02,,3.97,24.99,25.07,24.99,25.07,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22102,,Remove part lumbar vertebra,A,,11.08,10.26,NA,10.72,NA,10.26,,10.72,,2.67,24.01,24.47,24.01,24.47,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22103,,Remove extra spine segment,A,,2.34,1.31,NA,1.36,NA,1.31,,1.36,,0.64,4.29,4.34,4.29,4.34,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22110,,Remove part of neck vertebra,A,,14.00,12.36,NA,13.05,NA,12.36,,13.05,,5.04,31.40,32.09,31.40,32.09,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22112,,Remove part thorax vertebra,A,,14.07,11.84,NA,12.88,NA,11.84,,12.88,,5.05,30.96,32.00,30.96,32.00,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22114,,Remove part lumbar vertebra,A,,14.07,12.11,NA,12.75,NA,12.11,,12.75,,2.78,28.96,29.60,28.96,29.60,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22116,,Remove extra spine segment,A,,2.32,1.27,NA,1.32,NA,1.27,,1.32,,0.60,4.19,4.24,4.19,4.24,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22206,,Cut spine 3 col thor,A,,37.18,24.60,NA,26.32,NA,24.60,,26.32,,7.32,69.10,70.82,69.10,70.82,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22207,,Cut spine 3 col lumb,A,,36.68,24.34,NA,26.02,NA,24.34,,26.02,,9.20,70.22,71.90,70.22,71.90,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22208,,Cut spine 3 col addl seg,A,,9.66,5.25,NA,5.60,NA,5.25,,5.60,,2.59,17.50,17.85,17.50,17.85,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22210,,Revision of neck spine,A,,25.38,19.65,NA,20.66,NA,19.65,,20.66,,6.75,51.78,52.79,51.78,52.79,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22212,,Revision of thorax spine,A,,20.99,16.96,NA,17.94,NA,16.96,,17.94,,4.97,42.92,43.90,42.92,43.90,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22214,,Revision of lumbar spine,A,,21.02,17.06,NA,17.90,NA,17.06,,17.90,,5.12,43.20,44.04,43.20,44.04,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22216,,Revise extra spine segment,A,,6.03,3.38,NA,3.50,NA,3.38,,3.50,,1.51,10.92,11.04,10.92,11.04,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22220,,Revision of neck spine,A,,22.94,17.77,NA,18.96,NA,17.77,,18.96,,6.42,47.13,48.32,47.13,48.32,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22222,,Revision of thorax spine,A,,23.09,16.09,NA,19.26,NA,16.09,,19.26,,4.55,43.73,46.90,43.73,46.90,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22224,,Revision of lumbar spine,A,,23.09,17.71,NA,18.80,NA,17.71,,18.80,,5.38,46.18,47.27,46.18,47.27,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22226,,Revise extra spine segment,A,,6.03,3.34,NA,3.47,NA,3.34,,3.47,,1.58,10.95,11.08,10.95,11.08,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22305,,Treat spine process fracture,A,,2.13,2.88,,3.06,,2.43,,2.59,,0.41,5.42,5.60,4.97,5.13,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22310,,Treat spine fracture,A,,3.89,4.01,,4.35,,3.40,,3.70,,0.78,8.68,9.02,8.07,8.37,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22315,,Treat spine fracture,A,,10.11,12.76,,13.50,,9.79,,10.42,,2.55,25.42,26.16,22.45,23.08,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22318,,Treat odontoid fx w/o graft,A,,22.72,17.36,NA,18.20,NA,17.36,,18.20,,7.68,47.76,48.60,47.76,48.60,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22319,,Treat odontoid fx w/graft,A,,25.33,18.76,NA,20.03,NA,18.76,,20.03,,9.11,53.20,54.47,53.20,54.47,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22325,,Treat spine fracture,A,,19.87,16.18,NA,17.09,NA,16.18,,17.09,,5.69,41.74,42.65,41.74,42.65,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22326,,Treat neck spine fracture,A,,20.84,16.22,NA,17.09,NA,16.22,,17.09,,6.30,43.36,44.23,43.36,44.23,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22327,,Treat thorax spine fracture,A,,20.77,16.67,NA,17.81,NA,16.67,,17.81,,5.62,43.06,44.20,43.06,44.20,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22328,,Treat each add spine fx,A,,4.60,2.51,NA,2.61,NA,2.51,,2.61,,1.36,8.47,8.57,8.47,8.57,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22505,,Manipulation of spine,A,,1.87,1.30,NA,1.42,NA,1.30,,1.42,,0.29,3.46,3.58,3.46,3.58,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22520,,Percut vertebroplasty thor,A,,9.22,55.34,,53.09,,5.13,,4.78,,1.06,65.62,63.37,15.41,15.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22521,,Percut vertebroplasty lumb,A,,8.65,54.72,,52.86,,4.91,,4.59,,1.01,64.38,62.52,14.57,14.25,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22522,,Percut vertebroplasty addl,A,,4.30,1.96,NA,1.88,NA,1.96,,1.88,,0.54,6.80,6.72,6.80,6.72,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22523,,Percut kyphoplasty thor,A,,9.26,6.20,NA,6.11,NA,6.20,,6.11,,1.82,17.28,17.19,17.28,17.19,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22524,,Percut kyphoplasty lumbar,A,,8.86,6.01,NA,5.94,NA,6.01,,5.94,,1.74,16.61,16.54,16.61,16.54,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22525,,Percut kyphoplasty add-on,A,,4.47,2.34,NA,2.32,NA,2.34,,2.32,,0.95,7.76,7.74,7.76,7.74,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
22526,,Idet single level,N,+,6.10,54.88,,58.74,,2.92,,3.48,,0.54,61.52,65.38,9.56,10.12,9,010,0.10,0.80,0.10,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
22527,,Idet 1 or more levels,N,+,3.03,46.21,,50.43,,1.02,,1.33,,0.24,49.48,53.70,4.29,4.60,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
22532,,Lat thorax spine fusion,A,,25.99,18.75,NA,19.82,NA,18.75,,19.82,,7.57,52.31,53.38,52.31,53.38,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22533,,Lat lumbar spine fusion,A,,24.79,18.11,NA,19.15,NA,18.11,,19.15,,6.38,49.28,50.32,49.28,50.32,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22534,,Lat thor/lumb addl seg,A,,5.99,3.30,NA,3.41,NA,3.30,,3.41,,1.59,10.88,10.99,10.88,10.99,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22548,,Neck spine fusion,A,,27.06,20.26,NA,21.72,NA,20.26,,21.72,,9.72,57.04,58.50,57.04,58.50,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22551,,Neck spine fuse&remov bel c2,A,,25.00,18.57,NA,18.57,NA,18.57,,18.57,,7.57,51.14,51.14,51.14,51.14,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22552,,Addl neck spine fusion,A,,6.50,3.64,NA,3.64,NA,3.64,,3.64,,1.78,11.92,11.92,11.92,11.92,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22554,,Neck spine fusion,A,,17.69,14.22,NA,14.64,NA,14.22,,14.64,,5.47,37.38,37.80,37.38,37.80,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22556,,Thorax spine fusion,A,,24.70,17.70,NA,18.56,NA,17.70,,18.56,,6.63,49.03,49.89,49.03,49.89,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22558,,Lumbar spine fusion,A,,23.53,16.12,NA,17.08,NA,16.12,,17.08,,5.66,45.31,46.27,45.31,46.27,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22585,,Additional spinal fusion,A,,5.52,2.98,NA,3.09,NA,2.98,,3.09,,1.59,10.09,10.20,10.09,10.20,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22590,,Spine & skull spinal fusion,A,,21.76,17.30,NA,18.18,NA,17.30,,18.18,,7.05,46.11,46.99,46.11,46.99,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22595,,Neck spinal fusion,A,,20.64,16.62,NA,17.48,NA,16.62,,17.48,,6.57,43.83,44.69,43.83,44.69,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22600,,Neck spine fusion,A,,17.40,14.71,NA,15.47,NA,14.71,,15.47,,5.32,37.43,38.19,37.43,38.19,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22610,,Thorax spine fusion,A,,17.28,14.53,NA,15.28,NA,14.53,,15.28,,4.86,36.67,37.42,36.67,37.42,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22612,,Lumbar spine fusion,A,,23.53,17.15,NA,17.97,NA,17.15,,17.97,,6.23,46.91,47.73,46.91,47.73,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22614,,Spine fusion extra segment,A,,6.43,3.56,NA,3.67,NA,3.56,,3.67,,1.77,11.76,11.87,11.76,11.87,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22630,,Lumbar spine fusion,A,,22.09,16.84,NA,17.60,NA,16.84,,17.60,,6.27,45.20,45.96,45.20,45.96,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22632,,Spine fusion extra segment,A,,5.22,2.87,NA,2.97,NA,2.87,,2.97,,1.50,9.59,9.69,9.59,9.69,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22800,,Fusion of spine,A,,19.50,15.30,NA,15.99,NA,15.30,,15.99,,4.90,39.70,40.39,39.70,40.39,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22802,,Fusion of spine,A,,32.11,22.55,NA,23.55,NA,22.55,,23.55,,7.51,62.17,63.17,62.17,63.17,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22804,,Fusion of spine,A,,37.50,25.63,NA,26.80,NA,25.63,,26.80,,8.53,71.66,72.83,71.66,72.83,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22808,,Fusion of spine,A,,27.51,19.27,NA,20.13,NA,19.27,,20.13,,7.27,54.05,54.91,54.05,54.91,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22810,,Fusion of spine,A,,31.50,20.69,NA,21.62,NA,20.69,,21.62,,7.93,60.12,61.05,60.12,61.05,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22812,,Fusion of spine,A,,34.25,23.99,NA,25.73,NA,23.99,,25.73,,6.75,64.99,66.73,64.99,66.73,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22818,,Kyphectomy 1-2 segments,A,,34.33,23.17,NA,24.74,NA,23.17,,24.74,,6.76,64.26,65.83,64.26,65.83,0,090,0.11,0.76,0.13,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
22819,,Kyphectomy 3 or more,A,,39.38,26.77,NA,28.59,NA,26.77,,28.59,,14.15,80.30,82.12,80.30,82.12,0,090,0.11,0.76,0.13,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
22830,,Exploration of spinal fusion,A,,11.22,9.54,NA,9.95,NA,9.54,,9.95,,2.90,23.66,24.07,23.66,24.07,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22840,,Insert spine fixation device,A,,12.52,6.91,NA,7.14,NA,6.91,,7.14,,3.48,22.91,23.14,22.91,23.14,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22841,,Insert spine fixation device,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
22842,,Insert spine fixation device,A,,12.56,6.95,NA,7.18,NA,6.95,,7.18,,3.44,22.95,23.18,22.95,23.18,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22843,,Insert spine fixation device,A,,13.44,7.43,NA,7.74,NA,7.43,,7.74,,3.50,24.37,24.68,24.37,24.68,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22844,,Insert spine fixation device,A,,16.42,9.31,NA,9.58,NA,9.31,,9.58,,3.69,29.42,29.69,29.42,29.69,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22845,,Insert spine fixation device,A,,11.94,6.50,NA,6.73,NA,6.50,,6.73,,3.66,22.10,22.33,22.10,22.33,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22846,,Insert spine fixation device,A,,12.40,6.76,NA,6.99,NA,6.76,,6.99,,3.77,22.93,23.16,22.93,23.16,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22847,,Insert spine fixation device,A,,13.78,7.48,NA,7.68,NA,7.48,,7.68,,4.95,26.21,26.41,26.21,26.41,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22848,,Insert pelv fixation device,A,,5.99,3.40,NA,3.50,NA,3.40,,3.50,,1.39,10.78,10.88,10.78,10.88,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22849,,Reinsert spinal fixation,A,,19.17,13.99,NA,14.59,NA,13.99,,14.59,,5.14,38.30,38.90,38.30,38.90,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22850,,Remove spine fixation device,A,,9.82,8.58,NA,8.96,NA,8.58,,8.96,,2.61,21.01,21.39,21.01,21.39,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22851,,Apply spine prosth device,A,,6.70,3.67,NA,3.81,NA,3.67,,3.81,,1.89,12.26,12.40,12.26,12.40,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22852,,Remove spine fixation device,A,,9.37,8.30,NA,8.69,NA,8.30,,8.69,,2.41,20.08,20.47,20.08,20.47,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22855,,Remove spine fixation device,A,,15.86,12.19,NA,12.74,NA,12.19,,12.74,,4.75,32.80,33.35,32.80,33.35,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22856,,Cerv artific diskectomy,A,,24.05,17.40,NA,18.08,NA,17.40,,18.08,,7.28,48.73,49.41,48.73,49.41,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22857,,Lumbar artif diskectomy,R,,27.13,16.47,NA,16.12,NA,16.47,,16.12,,5.78,49.38,49.03,49.38,49.03,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22861,,Revise cerv artific disc,A,,33.36,16.97,NA,17.36,NA,16.97,,17.36,,9.12,59.45,59.84,59.45,59.84,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22862,,Revise lumbar artif disc,R,,32.63,17.17,NA,17.53,NA,17.17,,17.53,,6.42,56.22,56.58,56.22,56.58,0,090,0.10,0.71,0.19,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
22864,,Remove cerv artif disc,A,,29.40,18.37,NA,21.67,NA,18.37,,21.67,,8.04,55.81,59.11,55.81,59.11,0,090,0.10,0.69,0.21,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
22865,,Remove lumb artif disc,R,,31.75,21.67,NA,21.07,NA,21.67,,21.07,,6.25,59.67,59.07,59.67,59.07,0,090,0.10,0.71,0.19,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
22899,,Spine surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
22900,,Exc abdl tum deep < 5 cm,A,,8.32,5.46,NA,6.58,NA,5.46,,6.58,,1.71,15.49,16.61,15.49,16.61,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22901,,Exc abdl tum deep > 5 cm,A,,10.11,7.36,NA,7.36,NA,7.36,,7.36,,2.10,19.57,19.57,19.57,19.57,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22902,,Exc abd les sc < 3 cm,A,,4.42,7.72,,7.72,,4.93,,4.93,,0.71,12.85,12.85,10.06,10.06,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22903,,Exc abd les sc > 3 cm,A,,6.39,5.54,NA,5.54,NA,5.54,,5.54,,1.21,13.14,13.14,13.14,13.14,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
22904,,Resect abd tum < 5 cm,A,,16.69,10.36,NA,10.36,NA,10.36,,10.36,,3.55,30.60,30.60,30.60,30.60,0,090,0.09,0.81,0.10,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
22905,,Resect abd tum > 5 cm,A,,21.58,13.62,NA,13.62,NA,13.62,,13.62,,4.60,39.80,39.80,39.80,39.80,0,090,0.09,0.81,0.10,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
22999,,Abdomen surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
23000,,Removal of calcium deposits,A,,4.48,10.62,,11.32,,5.23,,5.56,,0.86,15.96,16.66,10.57,10.90,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23020,,Release shoulder joint,A,,9.36,8.83,NA,9.21,NA,8.83,,9.21,,1.80,19.99,20.37,19.99,20.37,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23030,,Drain shoulder lesion,A,,3.47,8.27,,8.55,,3.30,,3.45,,0.68,12.42,12.70,7.45,7.60,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23031,,Drain shoulder bursa,A,,2.79,8.24,,8.66,,2.91,,3.10,,0.53,11.56,11.98,6.23,6.42,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23035,,Drain shoulder bone lesion,A,,9.16,8.88,NA,9.17,NA,8.88,,9.17,,1.80,19.84,20.13,19.84,20.13,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23040,,Exploratory shoulder surgery,A,,9.75,9.25,NA,9.70,NA,9.25,,9.70,,1.91,20.91,21.36,20.91,21.36,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23044,,Exploratory shoulder surgery,A,,7.59,7.49,NA,7.79,NA,7.49,,7.79,,1.50,16.58,16.88,16.58,16.88,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23065,,Biopsy shoulder tissues,A,,2.30,3.58,,3.70,,2.23,,2.35,,0.38,6.26,6.38,4.91,5.03,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23066,,Biopsy shoulder tissues,A,,4.30,9.94,,10.45,,4.85,,5.13,,0.84,15.08,15.59,9.99,10.27,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23071,,Exc shoulder les sc > 3 cm,A,,5.91,5.34,NA,5.34,NA,5.34,,5.34,,1.21,12.46,12.46,12.46,12.46,0,090,0.10,0.80,0.10,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23073,,Exc shoulder tum deep > 5 cm,A,,10.13,8.47,NA,8.47,NA,8.47,,8.47,,2.04,20.64,20.64,20.64,20.64,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23075,,Exc shoulder les sc < 3 cm,A,,4.21,6.51,,8.46,,3.35,,4.51,,0.86,11.58,13.53,8.42,9.58,0,090,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23076,,Exc shoulder tum deep < 5 cm,A,,7.41,6.82,NA,6.99,NA,6.82,,6.99,,1.51,15.74,15.91,15.74,15.91,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23077,,Resect shoulder tum < 5 cm,A,,17.66,12.66,NA,13.10,NA,12.66,,13.10,,3.59,33.91,34.35,33.91,34.35,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23078,,Resect shoulder tum > 5 cm,A,,22.55,14.04,NA,14.04,NA,14.04,,14.04,,4.82,41.41,41.41,41.41,41.41,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23100,,Biopsy of shoulder joint,A,,6.20,6.91,NA,7.34,NA,6.91,,7.34,,1.22,14.33,14.76,14.33,14.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23101,,Shoulder joint surgery,A,,5.72,6.17,NA,6.42,NA,6.17,,6.42,,1.13,13.02,13.27,13.02,13.27,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23105,,Remove shoulder joint lining,A,,8.48,8.35,NA,8.74,NA,8.35,,8.74,,1.66,18.49,18.88,18.49,18.88,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23106,,Incision of collarbone joint,A,,6.13,6.77,NA,7.30,NA,6.77,,7.30,,1.21,14.11,14.64,14.11,14.64,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23107,,Explore treat shoulder joint,A,,8.87,8.59,NA,8.99,NA,8.59,,8.99,,1.71,19.17,19.57,19.17,19.57,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23120,,Partial removal collar bone,A,,7.39,7.98,NA,8.41,NA,7.98,,8.41,,1.46,16.83,17.26,16.83,17.26,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23125,,Removal of collar bone,A,,9.64,8.98,NA,9.53,NA,8.98,,9.53,,1.89,20.51,21.06,20.51,21.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23130,,Remove shoulder bone part,A,,7.77,8.31,NA,8.72,NA,8.31,,8.72,,1.52,17.60,18.01,17.60,18.01,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23140,,Removal of bone lesion,A,,7.12,6.55,NA,6.98,NA,6.55,,6.98,,1.42,15.09,15.52,15.09,15.52,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23145,,Removal of bone lesion,A,,9.40,8.91,NA,9.39,NA,8.91,,9.39,,1.85,20.16,20.64,20.16,20.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23146,,Removal of bone lesion,A,,8.08,8.06,NA,8.71,NA,8.06,,8.71,,1.59,17.73,18.38,17.73,18.38,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23150,,Removal of humerus lesion,A,,8.91,8.46,NA,8.87,NA,8.46,,8.87,,1.71,19.08,19.49,19.08,19.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23155,,Removal of humerus lesion,A,,10.86,10.04,NA,10.59,NA,10.04,,10.59,,2.14,23.04,23.59,23.04,23.59,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23156,,Removal of humerus lesion,A,,9.11,8.73,NA,9.22,NA,8.73,,9.22,,1.80,19.64,20.13,19.64,20.13,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23170,,Remove collar bone lesion,A,,7.21,7.21,NA,7.94,NA,7.21,,7.94,,1.42,15.84,16.57,15.84,16.57,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23172,,Remove shoulder blade lesion,A,,7.31,7.43,NA,8.00,NA,7.43,,8.00,,1.46,16.20,16.77,16.20,16.77,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23174,,Remove humerus lesion,A,,10.05,9.95,NA,10.47,NA,9.95,,10.47,,1.97,21.97,22.49,21.97,22.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23180,,Remove collar bone lesion,A,,8.99,8.94,NA,9.09,NA,8.94,,9.09,,1.81,19.74,19.89,19.74,19.89,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23182,,Remove shoulder blade lesion,A,,8.61,8.99,NA,9.36,NA,8.99,,9.36,,1.69,19.29,19.66,19.29,19.66,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23184,,Remove humerus lesion,A,,9.90,9.68,NA,9.95,NA,9.68,,9.95,,1.91,21.49,21.76,21.49,21.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23190,,Partial removal of scapula,A,,7.47,7.46,NA,7.99,NA,7.46,,7.99,,1.48,16.41,16.94,16.41,16.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23195,,Removal of head of humerus,A,,10.36,9.53,NA,10.07,NA,9.53,,10.07,,2.03,21.92,22.46,21.92,22.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23200,,Resect clavicle tumor,A,,22.71,14.19,NA,18.34,NA,14.19,,18.34,,4.48,41.38,45.53,41.38,45.53,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23210,,Resect scapula tumor,A,,27.21,15.85,NA,21.02,NA,15.85,,21.02,,5.36,48.42,53.59,48.42,53.59,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23220,,Resect prox humerus tumor,A,,30.21,17.29,NA,22.49,NA,17.29,,22.49,,5.96,53.46,58.66,53.46,58.66,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23330,,Remove shoulder foreign body,A,,1.90,4.36,,4.52,,2.09,,2.17,,0.35,6.61,6.77,4.34,4.42,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23331,,Remove shoulder foreign body,A,,7.63,7.98,NA,8.36,NA,7.98,,8.36,,1.50,17.11,17.49,17.11,17.49,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23332,,Remove shoulder foreign body,A,,12.37,10.96,NA,11.47,NA,10.96,,11.47,,2.40,25.73,26.24,25.73,26.24,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23350,,Injection for shoulder x-ray,A,,1.00,3.26,,2.97,,0.42,,0.40,,0.10,4.36,4.07,1.52,1.50,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23395,,Muscle transfer shoulder/arm,A,,18.54,15.44,NA,16.23,NA,15.44,,16.23,,3.59,37.57,38.36,37.57,38.36,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23397,,Muscle transfers,A,,16.76,13.42,NA,14.10,NA,13.42,,14.10,,3.31,33.49,34.17,33.49,34.17,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23400,,Fixation of shoulder blade,A,,13.87,11.82,NA,12.38,NA,11.82,,12.38,,2.74,28.43,28.99,28.43,28.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23405,,Incision of tendon & muscle,A,,8.54,8.06,NA,8.37,NA,8.06,,8.37,,1.66,18.26,18.57,18.26,18.57,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23406,,Incise tendon(s) & muscle(s),A,,11.01,9.58,NA,9.97,NA,9.58,,9.97,,2.16,22.75,23.14,22.75,23.14,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23410,,Repair rotator cuff acute,A,,11.39,10.42,NA,10.82,NA,10.42,,10.82,,2.22,24.03,24.43,24.03,24.43,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23412,,Repair rotator cuff chronic,A,,11.93,10.76,NA,11.14,NA,10.76,,11.14,,2.31,25.00,25.38,25.00,25.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23415,,Release of shoulder ligament,A,,9.23,9.17,NA,9.60,NA,9.17,,9.60,,1.81,20.21,20.64,20.21,20.64,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23420,,Repair of shoulder,A,,13.54,12.17,NA,12.68,NA,12.17,,12.68,,2.65,28.36,28.87,28.36,28.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23430,,Repair biceps tendon,A,,10.17,9.47,NA,10.03,NA,9.47,,10.03,,1.97,21.61,22.17,21.61,22.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23440,,Remove/transplant tendon,A,,10.64,9.35,NA,9.75,NA,9.35,,9.75,,2.07,22.06,22.46,22.06,22.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23450,,Repair shoulder capsule,A,,13.70,11.32,NA,11.87,NA,11.32,,11.87,,2.71,27.73,28.28,27.73,28.28,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23455,,Repair shoulder capsule,A,,14.67,11.93,NA,12.47,NA,11.93,,12.47,,2.86,29.46,30.00,29.46,30.00,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23460,,Repair shoulder capsule,A,,15.82,13.05,NA,13.65,NA,13.05,,13.65,,3.13,32.00,32.60,32.00,32.60,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23462,,Repair shoulder capsule,A,,15.72,12.61,NA,13.27,NA,12.61,,13.27,,3.12,31.45,32.11,31.45,32.11,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23465,,Repair shoulder capsule,A,,16.30,13.21,NA,13.86,NA,13.21,,13.86,,3.21,32.72,33.37,32.72,33.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23466,,Repair shoulder capsule,A,,15.80,13.76,NA,14.45,NA,13.76,,14.45,,3.12,32.68,33.37,32.68,33.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23470,,Reconstruct shoulder joint,A,,17.89,14.12,NA,14.75,NA,14.12,,14.75,,3.51,35.52,36.15,35.52,36.15,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23472,,Reconstruct shoulder joint,A,,22.65,16.94,NA,17.76,NA,16.94,,17.76,,4.42,44.01,44.83,44.01,44.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23480,,Revision of collar bone,A,,11.54,10.13,NA,10.66,NA,10.13,,10.66,,2.26,23.93,24.46,23.93,24.46,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23485,,Revision of collar bone,A,,13.91,11.48,NA,12.00,NA,11.48,,12.00,,2.72,28.11,28.63,28.11,28.63,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23490,,Reinforce clavicle,A,,12.16,10.93,NA,12.09,NA,10.93,,12.09,,2.40,25.49,26.65,25.49,26.65,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23491,,Reinforce shoulder bones,A,,14.54,12.25,NA,12.84,NA,12.25,,12.84,,2.87,29.66,30.25,29.66,30.25,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23500,,Treat clavicle fracture,A,,2.21,3.48,,3.66,,3.51,,3.75,,0.41,6.10,6.28,6.13,6.37,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23505,,Treat clavicle fracture,A,,3.83,5.36,,5.65,,4.83,,5.12,,0.72,9.91,10.20,9.38,9.67,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23515,,Treat clavicle fracture,A,,9.69,9.36,NA,10.05,NA,9.36,,10.05,,1.89,20.94,21.63,20.94,21.63,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23520,,Treat clavicle dislocation,A,,2.29,3.68,,3.97,,3.75,,4.06,,0.44,6.41,6.70,6.48,6.79,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23525,,Treat clavicle dislocation,A,,3.79,5.98,,6.89,,5.13,,5.83,,0.73,10.50,11.41,9.65,10.35,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23530,,Treat clavicle dislocation,A,,7.48,7.19,NA,7.99,NA,7.19,,7.99,,1.48,16.15,16.95,16.15,16.95,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23532,,Treat clavicle dislocation,A,,8.20,8.25,NA,8.67,NA,8.25,,8.67,,1.61,18.06,18.48,18.06,18.48,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23540,,Treat clavicle dislocation,A,,2.36,3.44,,3.61,,3.45,,3.71,,0.42,6.22,6.39,6.23,6.49,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23545,,Treat clavicle dislocation,A,,3.43,5.08,,5.40,,4.31,,4.58,,0.60,9.11,9.43,8.34,8.61,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23550,,Treat clavicle dislocation,A,,7.59,7.52,NA,7.85,NA,7.52,,7.85,,1.47,16.58,16.91,16.58,16.91,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23552,,Treat clavicle dislocation,A,,8.82,8.59,NA,9.00,NA,8.59,,9.00,,1.70,19.11,19.52,19.11,19.52,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23570,,Treat shoulder blade fx,A,,2.36,3.69,,3.89,,3.83,,4.08,,0.44,6.49,6.69,6.63,6.88,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23575,,Treat shoulder blade fx,A,,4.23,6.17,,6.62,,5.50,,5.92,,0.83,11.23,11.68,10.56,10.98,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23585,,Treat scapula fracture,A,,14.23,11.43,NA,12.35,NA,11.43,,12.35,,2.76,28.42,29.34,28.42,29.34,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23600,,Treat humerus fracture,A,,3.11,5.40,,5.65,,4.77,,5.09,,0.60,9.11,9.36,8.48,8.80,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23605,,Treat humerus fracture,A,,5.06,7.20,,7.54,,6.16,,6.48,,0.98,13.24,13.58,12.20,12.52,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23615,,Treat humerus fracture,A,,12.30,11.03,NA,11.67,NA,11.03,,11.67,,2.40,25.73,26.37,25.73,26.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23616,,Treat humerus fracture,A,,18.37,14.80,NA,15.25,NA,14.80,,15.25,,3.58,36.75,37.20,36.75,37.20,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
23620,,Treat humerus fracture,A,,2.55,4.49,,4.74,,4.10,,4.38,,0.49,7.53,7.78,7.14,7.42,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23625,,Treat humerus fracture,A,,4.10,5.89,,6.19,,5.20,,5.48,,0.78,10.77,11.07,10.08,10.36,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23630,,Treat humerus fracture,A,,10.57,9.84,NA,10.63,NA,9.84,,10.63,,2.07,22.48,23.27,22.48,23.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23650,,Treat shoulder dislocation,A,,3.53,4.34,,4.56,,3.65,,3.92,,0.61,8.48,8.70,7.79,8.06,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23655,,Treat shoulder dislocation,A,,4.76,5.57,NA,5.98,NA,5.57,,5.98,,0.88,11.21,11.62,11.21,11.62,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23660,,Treat shoulder dislocation,A,,7.66,7.72,NA,8.12,NA,7.72,,8.12,,1.50,16.88,17.28,16.88,17.28,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23665,,Treat dislocation/fracture,A,,4.66,6.47,,6.80,,5.72,,6.02,,0.88,12.01,12.34,11.26,11.56,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23670,,Treat dislocation/fracture,A,,12.28,10.53,NA,11.40,NA,10.53,,11.40,,2.40,25.21,26.08,25.21,26.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23675,,Treat dislocation/fracture,A,,6.27,8.17,,8.63,,6.91,,7.30,,1.20,15.64,16.10,14.38,14.77,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23680,,Treat dislocation/fracture,A,,13.15,11.18,NA,11.96,NA,11.18,,11.96,,2.57,26.90,27.68,26.90,27.68,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23700,,Fixation of shoulder,A,,2.57,2.57,NA,2.69,NA,2.57,,2.69,,0.49,5.63,5.75,5.63,5.75,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23800,,Fusion of shoulder joint,A,,14.73,12.36,NA,13.00,NA,12.36,,13.00,,2.93,30.02,30.66,30.02,30.66,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23802,,Fusion of shoulder joint,A,,18.42,15.08,NA,16.33,NA,15.08,,16.33,,3.62,37.12,38.37,37.12,38.37,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23900,,Amputation of arm & girdle,A,,20.72,14.96,NA,16.83,NA,14.96,,16.83,,4.10,39.78,41.65,39.78,41.65,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23920,,Amputation at shoulder joint,A,,16.23,12.87,NA,14.27,NA,12.87,,14.27,,3.20,32.30,33.70,32.30,33.70,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
23921,,Amputation follow-up surgery,A,,5.72,5.73,NA,6.94,NA,5.73,,6.94,,1.36,12.81,14.02,12.81,14.02,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23929,,Shoulder surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
23930,,Drainage of arm lesion,A,,2.99,6.59,,6.66,,2.70,,2.82,,0.61,10.19,10.26,6.30,6.42,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23931,,Drainage of arm bursa,A,,1.84,5.88,,6.00,,2.40,,2.51,,0.34,8.06,8.18,4.58,4.69,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
23935,,Drain arm/elbow bone lesion,A,,6.38,6.94,NA,7.40,NA,6.94,,7.40,,1.24,14.56,15.02,14.56,15.02,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24000,,Exploratory elbow surgery,A,,6.08,6.52,NA,6.88,NA,6.52,,6.88,,1.17,13.77,14.13,13.77,14.13,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24006,,Release elbow joint,A,,9.74,9.12,NA,9.62,NA,9.12,,9.62,,1.82,20.68,21.18,20.68,21.18,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
24065,,Biopsy arm/elbow soft tissue,A,,2.13,4.91,,5.03,,2.44,,2.56,,0.34,7.38,7.50,4.91,5.03,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24066,,Biopsy arm/elbow soft tissue,A,,5.35,10.86,,11.40,,5.33,,5.72,,1.08,17.29,17.83,11.76,12.15,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24071,,Exc arm/elbow les sc 3+ cm,A,,5.70,5.29,NA,5.29,NA,5.29,,5.29,,1.16,12.15,12.15,12.15,12.15,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24073,,Ex arm/elbow tum deep > 5 cm,A,,10.13,8.57,NA,8.57,NA,8.57,,8.57,,2.01,20.71,20.71,20.71,20.71,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24075,,Exc arm/elbow les sc < 3 cm,A,,4.24,8.96,,9.11,,4.37,,4.64,,0.84,14.04,14.19,9.45,9.72,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24076,,Ex arm/elbow tum deep < 5 cm,A,,7.41,6.47,NA,7.14,NA,6.47,,7.14,,1.48,15.36,16.03,15.36,16.03,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24077,,Resect arm/elbow tum < 5 cm,A,,15.72,10.47,NA,12.10,NA,10.47,,12.10,,3.18,29.37,31.00,29.37,31.00,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24079,,Resect arm/elbow tum > 5 cm,A,,20.61,13.20,NA,13.20,NA,13.20,,13.20,,4.38,38.19,38.19,38.19,38.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24100,,Biopsy elbow joint lining,A,,5.07,5.81,NA,6.23,NA,5.81,,6.23,,1.01,11.89,12.31,11.89,12.31,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24101,,Explore/treat elbow joint,A,,6.30,6.94,NA,7.28,NA,6.94,,7.28,,1.21,14.45,14.79,14.45,14.79,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24102,,Remove elbow joint lining,A,,8.26,8.01,NA,8.44,NA,8.01,,8.44,,1.55,17.82,18.25,17.82,18.25,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24105,,Removal of elbow bursa,A,,3.78,5.41,NA,5.74,NA,5.41,,5.74,,0.72,9.91,10.24,9.91,10.24,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24110,,Remove humerus lesion,A,,7.58,7.88,NA,8.30,NA,7.88,,8.30,,1.50,16.96,17.38,16.96,17.38,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24115,,Remove/graft bone lesion,A,,10.12,9.24,NA,9.82,NA,9.24,,9.82,,1.99,21.35,21.93,21.35,21.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24116,,Remove/graft bone lesion,A,,12.23,10.51,NA,11.07,NA,10.51,,11.07,,2.41,25.15,25.71,25.15,25.71,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24120,,Remove elbow lesion,A,,6.82,7.10,NA,7.53,NA,7.10,,7.53,,1.29,15.21,15.64,15.21,15.64,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24125,,Remove/graft bone lesion,A,,8.14,8.10,NA,8.64,NA,8.10,,8.64,,1.59,17.83,18.37,17.83,18.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24126,,Remove/graft bone lesion,A,,8.62,8.47,NA,8.92,NA,8.47,,8.92,,1.69,18.78,19.23,18.78,19.23,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24130,,Removal of head of radius,A,,6.42,7.02,NA,7.36,NA,7.02,,7.36,,1.20,14.64,14.98,14.64,14.98,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24134,,Removal of arm bone lesion,A,,10.22,9.60,NA,9.99,NA,9.60,,9.99,,2.00,21.82,22.21,21.82,22.21,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24136,,Remove radius bone lesion,A,,8.40,7.76,NA,8.65,NA,7.76,,8.65,,1.65,17.81,18.70,17.81,18.70,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24138,,Remove elbow bone lesion,A,,8.50,9.25,NA,9.76,NA,9.25,,9.76,,1.66,19.41,19.92,19.41,19.92,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24140,,Partial removal of arm bone,A,,9.55,9.32,NA,9.59,NA,9.32,,9.59,,1.78,20.65,20.92,20.65,20.92,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24145,,Partial removal of radius,A,,7.81,8.02,NA,8.19,NA,8.02,,8.19,,1.54,17.37,17.54,17.37,17.54,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24147,,Partial removal of elbow,A,,7.84,8.81,NA,9.09,NA,8.81,,9.09,,1.51,18.16,18.44,18.16,18.44,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24149,,Radical resection of elbow,A,,16.22,14.84,NA,15.86,NA,14.84,,15.86,,2.98,34.04,35.06,34.04,35.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24150,,Resect distal humerus tumor,A,,23.46,14.97,NA,18.67,NA,14.97,,18.67,,4.63,43.06,46.76,43.06,46.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24152,,Resect radius tumor,A,,19.99,12.70,NA,16.61,NA,12.70,,16.61,,3.93,36.62,40.53,36.62,40.53,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24155,,Removal of elbow joint,A,,12.09,10.36,NA,10.98,NA,10.36,,10.98,,2.38,24.83,25.45,24.83,25.45,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24160,,Remove elbow joint implant,A,,8.00,8.07,NA,8.51,NA,8.07,,8.51,,1.50,17.57,18.01,17.57,18.01,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24164,,Remove radius head implant,A,,6.43,6.71,NA,7.02,NA,6.71,,7.02,,1.27,14.41,14.72,14.41,14.72,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24200,,Removal of arm foreign body,A,,1.81,3.67,,3.84,,1.88,,2.02,,0.31,5.79,5.96,4.00,4.14,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24201,,Removal of arm foreign body,A,,4.70,10.30,,10.49,,4.96,,5.19,,0.93,15.93,16.12,10.59,10.82,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24220,,Injection for elbow x-ray,A,,1.31,3.31,,2.99,,0.59,,0.57,,0.12,4.74,4.42,2.02,2.00,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24300,,Manipulate elbow w/anesth,A,,4.04,6.84,NA,7.20,NA,6.84,,7.20,,0.72,11.60,11.96,11.60,11.96,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24301,,Muscle/tendon transfer,A,,10.38,9.47,NA,9.90,NA,9.47,,9.90,,2.03,21.88,22.31,21.88,22.31,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24305,,Arm tendon lengthening,A,,7.62,7.81,NA,8.23,NA,7.81,,8.23,,1.36,16.79,17.21,16.79,17.21,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24310,,Revision of arm tendon,A,,6.12,6.49,NA,6.81,NA,6.49,,6.81,,1.18,13.79,14.11,13.79,14.11,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24320,,Repair of arm tendon,A,,10.86,9.67,NA,10.25,NA,9.67,,10.25,,2.14,22.67,23.25,22.67,23.25,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24330,,Revision of arm muscles,A,,9.79,9.15,NA,9.61,NA,9.15,,9.61,,1.92,20.86,21.32,20.86,21.32,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24331,,Revision of arm muscles,A,,10.95,10.33,NA,11.21,NA,10.33,,11.21,,2.16,23.44,24.32,23.44,24.32,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24332,,Tenolysis triceps,A,,7.91,8.22,NA,8.66,NA,8.22,,8.66,,1.55,17.68,18.12,17.68,18.12,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24340,,Repair of biceps tendon,A,,8.08,8.14,NA,8.53,NA,8.14,,8.53,,1.58,17.80,18.19,17.80,18.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24341,,Repair arm tendon/muscle,A,,9.49,10.13,NA,10.78,NA,10.13,,10.78,,1.85,21.47,22.12,21.47,22.12,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24342,,Repair of ruptured tendon,A,,10.86,9.78,NA,10.24,NA,9.78,,10.24,,2.07,22.71,23.17,22.71,23.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24343,,Repr elbow lat ligmnt w/tiss,A,,9.16,9.58,NA,10.05,NA,9.58,,10.05,,1.67,20.41,20.88,20.41,20.88,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24344,,Reconstruct elbow lat ligmnt,A,,15.21,13.73,NA,14.51,NA,13.73,,14.51,,3.01,31.95,32.73,31.95,32.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24345,,Repr elbw med ligmnt w/tissu,A,,9.16,9.46,NA,9.95,NA,9.46,,9.95,,1.67,20.29,20.78,20.29,20.78,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24346,,Reconstruct elbow med ligmnt,A,,15.21,13.78,NA,14.51,NA,13.78,,14.51,,3.01,32.00,32.73,32.00,32.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24357,,Repair elbow perc,A,,5.44,6.40,NA,6.69,NA,6.40,,6.69,,1.03,12.87,13.16,12.87,13.16,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24358,,Repair elbow w/deb open,A,,6.66,7.24,NA,7.62,NA,7.24,,7.62,,1.25,15.15,15.53,15.15,15.53,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24359,,Repair elbow deb/attch open,A,,8.98,8.41,NA,9.01,NA,8.41,,9.01,,1.67,19.06,19.66,19.06,19.66,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24360,,Reconstruct elbow joint,A,,12.67,11.11,NA,11.65,NA,11.11,,11.65,,2.48,26.26,26.80,26.26,26.80,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24361,,Reconstruct elbow joint,A,,14.41,12.24,NA,12.79,NA,12.24,,12.79,,2.84,29.49,30.04,29.49,30.04,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24362,,Reconstruct elbow joint,A,,15.32,12.68,NA,13.33,NA,12.68,,13.33,,3.04,31.04,31.69,31.04,31.69,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24363,,Replace elbow joint,A,,22.65,17.03,NA,18.11,NA,17.03,,18.11,,4.21,43.89,44.97,43.89,44.97,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24365,,Reconstruct head of radius,A,,8.62,8.28,NA,8.65,NA,8.28,,8.65,,1.69,18.59,18.96,18.59,18.96,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24366,,Reconstruct head of radius,A,,9.36,8.73,NA,9.16,NA,8.73,,9.16,,1.77,19.86,20.29,19.86,20.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24400,,Revision of humerus,A,,11.33,10.37,NA,10.83,NA,10.37,,10.83,,2.19,23.89,24.35,23.89,24.35,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24410,,Revision of humerus,A,,15.11,12.62,NA,13.48,NA,12.62,,13.48,,2.99,30.72,31.58,30.72,31.58,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24420,,Revision of humerus,A,,13.73,12.45,NA,13.08,NA,12.45,,13.08,,2.71,28.89,29.52,28.89,29.52,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24430,,Repair of humerus,A,,15.25,12.66,NA,13.47,NA,12.66,,13.47,,2.95,30.86,31.67,30.86,31.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24435,,Repair humerus with graft,A,,14.99,13.47,NA,14.27,NA,13.47,,14.27,,2.93,31.39,32.19,31.39,32.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24470,,Revision of elbow joint,A,,8.93,8.21,NA,9.21,NA,8.21,,9.21,,1.77,18.91,19.91,18.91,19.91,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24495,,Decompression of forearm,A,,8.41,8.94,NA,9.04,NA,8.94,,9.04,,1.80,19.15,19.25,19.15,19.25,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24498,,Reinforce humerus,A,,12.28,10.66,NA,11.15,NA,10.66,,11.15,,2.41,25.35,25.84,25.35,25.84,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24500,,Treat humerus fracture,A,,3.41,5.89,,6.20,,5.00,,5.34,,0.64,9.94,10.25,9.05,9.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24505,,Treat humerus fracture,A,,5.39,7.77,,8.14,,6.52,,6.85,,1.05,14.21,14.58,12.96,13.29,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24515,,Treat humerus fracture,A,,12.12,11.07,NA,11.62,NA,11.07,,11.62,,2.34,25.53,26.08,25.53,26.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24516,,Treat humerus fracture,A,,12.19,10.58,NA,11.08,NA,10.58,,11.08,,2.38,25.15,25.65,25.15,25.65,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
24530,,Treat humerus fracture,A,,3.69,6.27,,6.60,,5.29,,5.63,,0.69,10.65,10.98,9.67,10.01,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24535,,Treat humerus fracture,A,,7.11,9.16,,9.58,,7.90,,8.30,,1.37,17.64,18.06,16.38,16.78,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24538,,Treat humerus fracture,A,,9.77,9.92,NA,10.35,NA,9.92,,10.35,,1.92,21.61,22.04,21.61,22.04,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24545,,Treat humerus fracture,A,,13.15,11.27,NA,12.04,NA,11.27,,12.04,,2.56,26.98,27.75,26.98,27.75,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24546,,Treat humerus fracture,A,,14.91,12.72,NA,13.27,NA,12.72,,13.27,,2.90,30.53,31.08,30.53,31.08,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
24560,,Treat humerus fracture,A,,2.98,5.39,,5.66,,4.44,,4.76,,0.56,8.93,9.20,7.98,8.30,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24565,,Treat humerus fracture,A,,5.78,7.99,,8.64,,6.83,,7.44,,1.14,14.91,15.56,13.75,14.36,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24566,,Treat humerus fracture,A,,9.06,9.81,NA,10.35,NA,9.81,,10.35,,1.80,20.67,21.21,20.67,21.21,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24575,,Treat humerus fracture,A,,9.71,9.70,NA,10.15,NA,9.70,,10.15,,1.88,21.29,21.74,21.29,21.74,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24576,,Treat humerus fracture,A,,3.06,5.82,,6.15,,4.88,,5.21,,0.59,9.47,9.80,8.53,8.86,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24577,,Treat humerus fracture,A,,6.01,8.24,,8.84,,7.01,,7.58,,1.18,15.43,16.03,14.20,14.77,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24579,,Treat humerus fracture,A,,11.44,10.64,NA,11.21,NA,10.64,,11.21,,2.20,24.28,24.85,24.28,24.85,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24582,,Treat humerus fracture,A,,10.14,11.03,NA,11.75,NA,11.03,,11.75,,1.99,23.16,23.88,23.16,23.88,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24586,,Treat elbow fracture,A,,15.78,13.02,NA,13.64,NA,13.02,,13.64,,3.05,31.85,32.47,31.85,32.47,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24587,,Treat elbow fracture,A,,15.79,13.07,NA,13.78,NA,13.07,,13.78,,2.93,31.79,32.50,31.79,32.50,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24600,,Treat elbow dislocation,A,,4.37,5.08,,5.24,,4.22,,4.46,,0.76,10.21,10.37,9.35,9.59,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24605,,Treat elbow dislocation,A,,5.64,6.63,NA,7.02,NA,6.63,,7.02,,1.09,13.36,13.75,13.36,13.75,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24615,,Treat elbow dislocation,A,,9.83,9.07,NA,9.50,NA,9.07,,9.50,,1.84,20.74,21.17,20.74,21.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24620,,Treat elbow fracture,A,,7.22,7.39,NA,7.76,NA,7.39,,7.76,,1.36,15.97,16.34,15.97,16.34,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24635,,Treat elbow fracture,A,,8.80,9.98,NA,9.47,NA,9.98,,9.47,,1.67,20.45,19.94,20.45,19.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24640,,Treat elbow dislocation,A,,1.25,2.13,,2.35,,1.07,,1.18,,0.23,3.61,3.83,2.55,2.66,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24650,,Treat radius fracture,A,,2.31,4.53,,4.76,,3.90,,4.18,,0.42,7.26,7.49,6.63,6.91,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24655,,Treat radius fracture,A,,4.62,6.83,,7.09,,5.80,,6.08,,0.86,12.31,12.57,11.28,11.56,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24665,,Treat radius fracture,A,,8.36,8.90,NA,9.37,NA,8.90,,9.37,,1.59,18.85,19.32,18.85,19.32,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24666,,Treat radius fracture,A,,9.86,9.56,NA,10.04,NA,9.56,,10.04,,1.86,21.28,21.76,21.28,21.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24670,,Treat ulnar fracture,A,,2.69,4.93,,5.17,,4.13,,4.40,,0.50,8.12,8.36,7.32,7.59,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24675,,Treat ulnar fracture,A,,4.91,7.13,,7.45,,6.08,,6.38,,0.93,12.97,13.29,11.92,12.22,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24685,,Treat ulnar fracture,A,,8.37,8.90,NA,9.36,NA,8.90,,9.36,,1.62,18.89,19.35,18.89,19.35,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24800,,Fusion of elbow joint,A,,11.41,10.07,NA,11.02,NA,10.07,,11.02,,2.25,23.73,24.68,23.73,24.68,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24802,,Fusion/graft of elbow joint,A,,14.32,12.08,NA,12.75,NA,12.08,,12.75,,2.83,29.23,29.90,29.23,29.90,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24900,,Amputation of upper arm,A,,10.18,8.97,NA,9.59,NA,8.97,,9.59,,2.01,21.16,21.78,21.16,21.78,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24920,,Amputation of upper arm,A,,10.13,8.93,NA,9.67,NA,8.93,,9.67,,1.99,21.05,21.79,21.05,21.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
24925,,Amputation follow-up surgery,A,,7.30,7.57,NA,7.99,NA,7.57,,7.99,,1.44,16.31,16.73,16.31,16.73,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24930,,Amputation follow-up surgery,A,,10.83,9.34,NA,10.09,NA,9.34,,10.09,,2.14,22.31,23.06,22.31,23.06,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24931,,Amputate upper arm & implant,A,,13.44,8.14,NA,8.38,NA,8.14,,8.38,,0.95,22.53,22.77,22.53,22.77,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24935,,Revision of amputation,A,,16.45,8.53,NA,7.55,NA,8.53,,7.55,,3.24,28.22,27.24,28.22,27.24,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24940,,Revision of upper arm,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
24999,,Upper arm/elbow surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
25000,,Incision of tendon sheath,A,,3.55,5.73,NA,5.65,NA,5.73,,5.65,,0.64,9.92,9.84,9.92,9.84,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25001,,Incise flexor carpi radialis,A,,3.79,5.31,NA,5.67,NA,5.31,,5.67,,0.67,9.77,10.13,9.77,10.13,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25020,,Decompress forearm 1 space,A,,6.06,9.56,NA,9.85,NA,9.56,,9.85,,1.06,16.68,16.97,16.68,16.97,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25023,,Decompress forearm 1 space,A,,13.83,15.54,NA,16.15,NA,15.54,,16.15,,2.74,32.11,32.72,32.11,32.72,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25024,,Decompress forearm 2 spaces,A,,10.79,9.72,NA,10.23,NA,9.72,,10.23,,2.12,22.63,23.14,22.63,23.14,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25025,,Decompress forearm 2 spaces,A,,17.94,13.97,NA,15.21,NA,13.97,,15.21,,3.54,35.45,36.69,35.45,36.69,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25028,,Drainage of forearm lesion,A,,5.39,8.54,NA,8.78,NA,8.54,,8.78,,1.03,14.96,15.20,14.96,15.20,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25031,,Drainage of forearm bursa,A,,4.26,5.41,NA,5.12,NA,5.41,,5.12,,0.83,10.50,10.21,10.50,10.21,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25035,,Treat forearm bone lesion,A,,7.65,8.76,NA,8.16,NA,8.76,,8.16,,1.48,17.89,17.29,17.89,17.29,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25040,,Explore/treat wrist joint,A,,7.50,7.58,NA,7.81,NA,7.58,,7.81,,1.36,16.44,16.67,16.44,16.67,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25065,,Biopsy forearm soft tissues,A,,2.04,4.98,,5.09,,2.48,,2.57,,0.33,7.35,7.46,4.85,4.94,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25066,,Biopsy forearm soft tissues,A,,4.27,5.59,NA,5.46,NA,5.59,,5.46,,0.80,10.66,10.53,10.66,10.53,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25071,,Exc forearm les sc > 3 cm,A,,5.91,5.69,NA,5.69,NA,5.69,,5.69,,1.17,12.77,12.77,12.77,12.77,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25073,,Exc forearm tum deep 3+ cm,A,,7.13,7.47,NA,7.47,NA,7.47,,7.47,,1.36,15.96,15.96,15.96,15.96,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25075,,Exc forearm les sc < 3 cm,A,,3.96,9.16,,9.16,,4.75,,4.64,,0.76,13.88,13.88,9.47,9.36,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25076,,Exc forearm tum deep < 3 cm,A,,6.74,7.01,NA,7.25,NA,7.01,,7.25,,1.28,15.03,15.27,15.03,15.27,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25077,,Resect forearm/wrist tum<3cm,A,,12.93,10.20,NA,10.88,NA,10.20,,10.88,,2.61,25.74,26.42,25.74,26.42,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25078,,Resect forearm/wrist tum3+cm,A,,17.69,11.93,NA,11.93,NA,11.93,,11.93,,3.78,33.40,33.40,33.40,33.40,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25085,,Incision of wrist capsule,A,,5.64,6.55,NA,6.59,NA,6.55,,6.59,,1.10,13.29,13.33,13.29,13.33,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25100,,Biopsy of wrist joint,A,,4.02,5.21,NA,5.34,NA,5.21,,5.34,,0.78,10.01,10.14,10.01,10.14,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25101,,Explore/treat wrist joint,A,,4.83,6.01,NA,6.18,NA,6.01,,6.18,,0.90,11.74,11.91,11.74,11.91,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25105,,Remove wrist joint lining,A,,6.02,7.02,NA,7.15,NA,7.02,,7.15,,1.10,14.14,14.27,14.14,14.27,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25107,,Remove wrist joint cartilage,A,,7.70,8.87,NA,9.23,NA,8.87,,9.23,,1.36,17.93,18.29,17.93,18.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25109,,Excise tendon forearm/wrist,A,,6.94,7.25,NA,7.80,NA,7.25,,7.80,,1.24,15.43,15.98,15.43,15.98,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25110,,Remove wrist tendon lesion,A,,4.04,5.36,NA,5.20,NA,5.36,,5.20,,0.75,10.15,9.99,10.15,9.99,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25111,,Remove wrist tendon lesion,A,,3.53,4.99,NA,5.17,NA,4.99,,5.17,,0.67,9.19,9.37,9.19,9.37,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25112,,Reremove wrist tendon lesion,A,,4.67,5.61,NA,5.85,NA,5.61,,5.85,,0.87,11.15,11.39,11.15,11.39,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25115,,Remove wrist/forearm lesion,A,,10.09,10.99,NA,10.78,NA,10.99,,10.78,,1.80,22.88,22.67,22.88,22.67,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25116,,Remove wrist/forearm lesion,A,,7.56,9.35,NA,8.91,NA,9.35,,8.91,,1.33,18.24,17.80,18.24,17.80,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25118,,Excise wrist tendon sheath,A,,4.51,5.78,NA,5.95,NA,5.78,,5.95,,0.80,11.09,11.26,11.09,11.26,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25119,,Partial removal of ulna,A,,6.21,7.17,NA,7.26,NA,7.17,,7.26,,1.22,14.60,14.69,14.60,14.69,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25120,,Removal of forearm lesion,A,,6.27,7.88,NA,7.29,NA,7.88,,7.29,,1.17,15.32,14.73,15.32,14.73,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25125,,Remove/graft forearm lesion,A,,7.67,8.91,NA,8.36,NA,8.91,,8.36,,1.51,18.09,17.54,18.09,17.54,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25126,,Remove/graft forearm lesion,A,,7.74,8.90,NA,8.40,NA,8.90,,8.40,,1.52,18.16,17.66,18.16,17.66,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25130,,Removal of wrist lesion,A,,5.43,6.64,NA,6.85,NA,6.64,,6.85,,0.99,13.06,13.27,13.06,13.27,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25135,,Remove & graft wrist lesion,A,,7.08,7.80,NA,8.00,NA,7.80,,8.00,,1.39,16.27,16.47,16.27,16.47,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25136,,Remove & graft wrist lesion,A,,6.14,6.98,NA,7.19,NA,6.98,,7.19,,1.21,14.33,14.54,14.33,14.54,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25145,,Remove forearm bone lesion,A,,6.54,8.00,NA,7.43,NA,8.00,,7.43,,1.28,15.82,15.25,15.82,15.25,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25150,,Partial removal of ulna,A,,7.38,7.88,NA,8.00,NA,7.88,,8.00,,1.36,16.62,16.74,16.62,16.74,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25151,,Partial removal of radius,A,,7.68,8.68,NA,8.14,NA,8.68,,8.14,,1.51,17.87,17.33,17.87,17.33,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25170,,Resect radius/ulnar tumor,A,,22.21,14.83,NA,17.82,NA,14.83,,17.82,,4.37,41.41,44.40,41.41,44.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25210,,Removal of wrist bone,A,,6.12,7.05,NA,7.29,NA,7.05,,7.29,,1.08,14.25,14.49,14.25,14.49,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25215,,Removal of wrist bones,A,,8.14,8.61,NA,8.83,NA,8.61,,8.83,,1.40,18.15,18.37,18.15,18.37,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25230,,Partial removal of radius,A,,5.37,6.29,NA,6.49,NA,6.29,,6.49,,0.90,12.56,12.76,12.56,12.76,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25240,,Partial removal of ulna,A,,5.31,6.37,NA,6.43,NA,6.37,,6.43,,0.91,12.59,12.65,12.59,12.65,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25246,,Injection for wrist x-ray,A,,1.45,3.23,,2.93,,0.62,,0.59,,0.14,4.82,4.52,2.21,2.18,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25248,,Remove forearm foreign body,A,,5.31,6.07,NA,5.79,NA,6.07,,5.79,,1.05,12.43,12.15,12.43,12.15,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25250,,Removal of wrist prosthesis,A,,6.77,7.20,NA,7.55,NA,7.20,,7.55,,1.32,15.29,15.64,15.29,15.64,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25251,,Removal of wrist prosthesis,A,,9.82,9.17,NA,9.62,NA,9.17,,9.62,,1.93,20.92,21.37,20.92,21.37,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25259,,Manipulate wrist w/anesthes,A,,4.04,6.91,NA,7.28,NA,6.91,,7.28,,0.72,11.67,12.04,11.67,12.04,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25260,,Repair forearm tendon/muscle,A,,8.04,9.61,NA,9.21,NA,9.61,,9.21,,1.48,19.13,18.73,19.13,18.73,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25263,,Repair forearm tendon/muscle,A,,8.04,9.44,NA,8.92,NA,9.44,,8.92,,1.58,19.06,18.54,19.06,18.54,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25265,,Repair forearm tendon/muscle,A,,10.10,10.59,NA,10.13,NA,10.59,,10.13,,1.97,22.66,22.20,22.66,22.20,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25270,,Repair forearm tendon/muscle,A,,6.17,7.81,NA,7.26,NA,7.81,,7.26,,1.16,15.14,14.59,15.14,14.59,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25272,,Repair forearm tendon/muscle,A,,7.21,8.47,NA,7.90,NA,8.47,,7.90,,1.32,17.00,16.43,17.00,16.43,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25274,,Repair forearm tendon/muscle,A,,8.94,9.65,NA,9.11,NA,9.65,,9.11,,1.77,20.36,19.82,20.36,19.82,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25275,,Repair forearm tendon sheath,A,,8.96,8.89,NA,9.28,NA,8.89,,9.28,,1.77,19.62,20.01,19.62,20.01,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25280,,Revise wrist/forearm tendon,A,,7.39,8.57,NA,8.06,NA,8.57,,8.06,,1.28,17.24,16.73,17.24,16.73,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25290,,Incise wrist/forearm tendon,A,,5.43,7.64,NA,6.50,NA,7.64,,6.50,,0.98,14.05,12.91,14.05,12.91,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25295,,Release wrist/forearm tendon,A,,6.72,8.15,NA,7.62,NA,8.15,,7.62,,1.18,16.05,15.52,16.05,15.52,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25300,,Fusion of tendons at wrist,A,,9.02,9.17,NA,9.48,NA,9.17,,9.48,,1.78,19.97,20.28,19.97,20.28,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25301,,Fusion of tendons at wrist,A,,8.59,8.65,NA,8.97,NA,8.65,,8.97,,1.57,18.81,19.13,18.81,19.13,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25310,,Transplant forearm tendon,A,,8.08,9.32,NA,8.90,NA,9.32,,8.90,,1.39,18.79,18.37,18.79,18.37,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25312,,Transplant forearm tendon,A,,9.82,10.22,NA,9.80,NA,10.22,,9.80,,1.78,21.82,21.40,21.82,21.40,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25315,,Revise palsy hand tendon(s),A,,10.68,10.65,NA,10.14,NA,10.65,,10.14,,2.10,23.43,22.92,23.43,22.92,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25316,,Revise palsy hand tendon(s),A,,12.90,12.05,NA,11.80,NA,12.05,,11.80,,1.61,26.56,26.31,26.56,26.31,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25320,,Repair/revise wrist joint,A,,12.75,13.58,NA,14.40,NA,13.58,,14.40,,2.26,28.59,29.41,28.59,29.41,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25332,,Revise wrist joint,A,,11.74,10.70,NA,11.30,NA,10.70,,11.30,,2.18,24.62,25.22,24.62,25.22,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25335,,Realignment of hand,A,,13.39,10.00,NA,8.58,NA,10.00,,8.58,,0.95,24.34,22.92,24.34,22.92,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25337,,Reconstruct ulna/radioulnar,A,,11.73,12.17,NA,12.76,NA,12.17,,12.76,,2.01,25.91,26.50,25.91,26.50,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25350,,Revision of radius,A,,9.09,9.82,NA,9.31,NA,9.82,,9.31,,1.61,20.52,20.01,20.52,20.01,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25355,,Revision of radius,A,,10.53,10.66,NA,10.17,NA,10.66,,10.17,,2.07,23.26,22.77,23.26,22.77,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25360,,Revision of ulna,A,,8.74,9.57,NA,9.00,NA,9.57,,9.00,,1.65,19.96,19.39,19.96,19.39,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25365,,Revise radius & ulna,A,,12.91,12.08,NA,11.81,NA,12.08,,11.81,,2.55,27.54,27.27,27.54,27.27,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25370,,Revise radius or ulna,A,,14.10,13.30,NA,13.10,NA,13.30,,13.10,,2.78,30.18,29.98,30.18,29.98,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25375,,Revise radius & ulna,A,,13.55,12.60,NA,12.19,NA,12.60,,12.19,,0.95,27.10,26.69,27.10,26.69,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25390,,Shorten radius or ulna,A,,10.70,10.77,NA,10.37,NA,10.77,,10.37,,1.88,23.35,22.95,23.35,22.95,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25391,,Lengthen radius or ulna,A,,14.28,12.93,NA,12.63,NA,12.93,,12.63,,2.83,30.04,29.74,30.04,29.74,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25392,,Shorten radius & ulna,A,,14.58,13.12,NA,12.80,NA,13.12,,12.80,,2.90,30.60,30.28,30.60,30.28,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25393,,Lengthen radius & ulna,A,,16.56,14.99,NA,15.42,NA,14.99,,15.42,,3.28,34.83,35.26,34.83,35.26,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25394,,Repair carpal bone shorten,A,,10.85,9.80,NA,10.32,NA,9.80,,10.32,,2.14,22.79,23.31,22.79,23.31,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25400,,Repair radius or ulna,A,,11.28,11.08,NA,10.61,NA,11.08,,10.61,,2.07,24.43,23.96,24.43,23.96,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25405,,Repair/graft radius or ulna,A,,15.01,13.52,NA,13.20,NA,13.52,,13.20,,2.74,31.27,30.95,31.27,30.95,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25415,,Repair radius & ulna,A,,13.80,13.12,NA,12.84,NA,13.12,,12.84,,2.72,29.64,29.36,29.64,29.36,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25420,,Repair/graft radius & ulna,A,,17.04,14.84,NA,14.52,NA,14.84,,14.52,,3.38,35.26,34.94,35.26,34.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25425,,Repair/graft radius or ulna,A,,13.72,13.39,NA,12.29,NA,13.39,,12.29,,2.71,29.82,28.72,29.82,28.72,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25426,,Repair/graft radius & ulna,A,,16.45,13.13,NA,13.92,NA,13.13,,13.92,,3.24,32.82,33.61,32.82,33.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25430,,Vasc graft into carpal bone,A,,9.71,9.46,NA,10.06,NA,9.46,,10.06,,1.21,20.38,20.98,20.38,20.98,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25431,,Repair nonunion carpal bone,A,,10.89,9.82,NA,10.43,NA,9.82,,10.43,,2.15,22.86,23.47,22.86,23.47,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25440,,Repair/graft wrist bone,A,,10.68,9.89,NA,10.26,NA,9.89,,10.26,,1.89,22.46,22.83,22.46,22.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25441,,Reconstruct wrist joint,A,,13.29,12.09,NA,13.13,NA,12.09,,13.13,,1.65,27.03,28.07,27.03,28.07,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25442,,Reconstruct wrist joint,A,,11.12,10.46,NA,11.04,NA,10.46,,11.04,,1.39,22.97,23.55,22.97,23.55,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25443,,Reconstruct wrist joint,A,,10.66,10.01,NA,10.45,NA,10.01,,10.45,,2.10,22.77,23.21,22.77,23.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25444,,Reconstruct wrist joint,A,,11.42,10.88,NA,11.82,NA,10.88,,11.82,,0.80,23.10,24.04,23.10,24.04,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25445,,Reconstruct wrist joint,A,,9.88,9.29,NA,9.78,NA,9.29,,9.78,,1.80,20.97,21.46,20.97,21.46,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25446,,Wrist replacement,A,,17.30,14.04,NA,14.88,NA,14.04,,14.88,,2.95,34.29,35.13,34.29,35.13,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25447,,Repair wrist joint(s),A,,11.14,10.83,NA,11.54,NA,10.83,,11.54,,1.96,23.93,24.64,23.93,24.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25449,,Remove wrist joint implant,A,,14.94,12.64,NA,13.45,NA,12.64,,13.45,,2.95,30.53,31.34,30.53,31.34,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25450,,Revision of wrist joint,A,,8.06,6.80,NA,6.03,NA,6.80,,6.03,,1.58,16.44,15.67,16.44,15.67,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25455,,Revision of wrist joint,A,,9.71,7.72,NA,6.97,NA,7.72,,6.97,,0.68,18.11,17.36,18.11,17.36,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25490,,Reinforce radius,A,,9.73,9.51,NA,8.80,NA,9.51,,8.80,,1.25,20.49,19.78,20.49,19.78,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25491,,Reinforce ulna,A,,10.15,10.35,NA,9.84,NA,10.35,,9.84,,1.99,22.49,21.98,22.49,21.98,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25492,,Reinforce radius and ulna,A,,12.66,12.08,NA,11.77,NA,12.08,,11.77,,2.48,27.22,26.91,27.22,26.91,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25500,,Treat fracture of radius,A,,2.60,4.43,,4.73,,3.80,,4.13,,0.45,7.48,7.78,6.85,7.18,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25505,,Treat fracture of radius,A,,5.45,7.75,,8.10,,6.64,,6.98,,1.03,14.23,14.58,13.12,13.46,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25515,,Treat fracture of radius,A,,8.80,8.88,NA,9.33,NA,8.88,,9.33,,1.67,19.35,19.80,19.35,19.80,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25520,,Treat fracture of radius,A,,6.50,8.17,,8.85,,7.39,,8.04,,1.28,15.95,16.63,15.17,15.82,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25525,,Treat fracture of radius,A,,10.55,10.41,NA,10.72,NA,10.41,,10.72,,2.01,22.97,23.28,22.97,23.28,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
25526,,Treat fracture of radius,A,,13.15,12.55,NA,12.66,NA,12.55,,12.66,,2.60,28.30,28.41,28.30,28.41,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
25530,,Treat fracture of ulna,A,,2.24,4.60,,4.84,,3.90,,4.17,,0.41,7.25,7.49,6.55,6.82,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25535,,Treat fracture of ulna,A,,5.36,7.47,,7.88,,6.54,,6.91,,1.02,13.85,14.26,12.92,13.29,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25545,,Treat fracture of ulna,A,,7.94,8.59,NA,8.96,NA,8.59,,8.96,,1.51,18.04,18.41,18.04,18.41,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25560,,Treat fracture radius & ulna,A,,2.59,4.53,,4.81,,3.78,,4.11,,0.48,7.60,7.88,6.85,7.18,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25565,,Treat fracture radius & ulna,A,,5.85,7.91,,8.26,,6.62,,6.94,,1.10,14.86,15.21,13.57,13.89,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25574,,Treat fracture radius & ulna,A,,8.80,8.90,NA,9.41,NA,8.90,,9.41,,1.70,19.40,19.91,19.40,19.91,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
25575,,Treat fracture radius/ulna,A,,12.29,11.47,NA,12.08,NA,11.47,,12.08,,2.34,26.10,26.71,26.10,26.71,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25600,,Treat fracture radius/ulna,A,,2.78,4.88,,5.12,,4.14,,4.44,,0.52,8.18,8.42,7.44,7.74,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25605,,Treat fracture radius/ulna,A,,7.25,9.10,,9.62,,8.14,,8.64,,1.39,17.74,18.26,16.78,17.28,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25606,,Treat fx distal radial,A,,8.31,9.35,NA,9.66,NA,9.35,,9.66,,1.61,19.27,19.58,19.27,19.58,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25607,,Treat fx rad extra-articul,A,,9.56,9.73,NA,10.41,NA,9.73,,10.41,,1.82,21.11,21.79,21.11,21.79,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25608,,Treat fx rad intra-articul,A,,11.07,10.58,NA,11.32,NA,10.58,,11.32,,2.07,23.72,24.46,23.72,24.46,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25609,,Treat fx radial 3+ frag,A,,14.38,13.18,NA,14.14,NA,13.18,,14.14,,2.69,30.25,31.21,30.25,31.21,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25622,,Treat wrist bone fracture,A,,2.79,5.15,,5.44,,4.37,,4.71,,0.52,8.46,8.75,7.68,8.02,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25624,,Treat wrist bone fracture,A,,4.77,7.42,,7.69,,6.28,,6.57,,0.88,13.07,13.34,11.93,12.22,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25628,,Treat wrist bone fracture,A,,9.67,9.46,NA,9.98,NA,9.46,,9.98,,1.74,20.87,21.39,20.87,21.39,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25630,,Treat wrist bone fracture,A,,3.03,4.98,,5.23,,4.23,,4.56,,0.56,8.57,8.82,7.82,8.15,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25635,,Treat wrist bone fracture,A,,4.61,7.17,,7.72,,5.96,,6.63,,0.90,12.68,13.23,11.47,12.14,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25645,,Treat wrist bone fracture,A,,7.42,7.57,NA,7.95,NA,7.57,,7.95,,1.47,16.46,16.84,16.46,16.84,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25650,,Treat wrist bone fracture,A,,3.23,5.16,,5.44,,4.53,,4.91,,0.60,8.99,9.27,8.36,8.74,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25651,,Pin ulnar styloid fracture,A,,5.82,6.97,NA,7.42,NA,6.97,,7.42,,1.10,13.89,14.34,13.89,14.34,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25652,,Treat fracture ulnar styloid,A,,8.06,8.45,NA,8.93,NA,8.45,,8.93,,1.47,17.98,18.46,17.98,18.46,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25660,,Treat wrist dislocation,A,,4.98,5.67,NA,5.90,NA,5.67,,5.90,,0.90,11.55,11.78,11.55,11.78,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25670,,Treat wrist dislocation,A,,8.09,7.97,NA,8.30,NA,7.97,,8.30,,1.50,17.56,17.89,17.56,17.89,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25671,,Pin radioulnar dislocation,A,,6.46,7.51,NA,7.97,NA,7.51,,7.97,,1.27,15.24,15.70,15.24,15.70,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25675,,Treat wrist dislocation,A,,4.89,6.50,,6.82,,5.51,,5.81,,0.87,12.26,12.58,11.27,11.57,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25676,,Treat wrist dislocation,A,,8.29,8.47,NA,8.90,NA,8.47,,8.90,,1.54,18.30,18.73,18.30,18.73,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25680,,Treat wrist fracture,A,,6.23,5.96,NA,6.34,NA,5.96,,6.34,,1.08,13.27,13.65,13.27,13.65,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25685,,Treat wrist fracture,A,,10.09,9.26,NA,9.79,NA,9.26,,9.79,,1.97,21.32,21.85,21.32,21.85,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25690,,Treat wrist dislocation,A,,5.72,6.77,NA,7.27,NA,6.77,,7.27,,1.14,13.63,14.13,13.63,14.13,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25695,,Treat wrist dislocation,A,,8.51,8.21,NA,8.60,NA,8.21,,8.60,,1.66,18.38,18.77,18.38,18.77,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25800,,Fusion of wrist joint,A,,10.07,9.57,NA,9.91,NA,9.57,,9.91,,1.81,21.45,21.79,21.45,21.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25805,,Fusion/graft of wrist joint,A,,11.73,10.79,NA,11.10,NA,10.79,,11.10,,2.30,24.82,25.13,24.82,25.13,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25810,,Fusion/graft of wrist joint,A,,11.95,11.24,NA,11.82,NA,11.24,,11.82,,2.12,25.31,25.89,25.31,25.89,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25820,,Fusion of hand bones,A,,7.64,8.76,NA,9.16,NA,8.76,,9.16,,1.37,17.77,18.17,17.77,18.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25825,,Fuse hand bones with graft,A,,9.69,10.56,NA,11.08,NA,10.56,,11.08,,1.69,21.94,22.46,21.94,22.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25830,,Fusion radioulnar jnt/ulna,A,,10.88,14.60,NA,14.94,NA,14.60,,14.94,,2.15,27.63,27.97,27.63,27.97,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
25900,,Amputation of forearm,A,,9.61,9.92,NA,9.72,NA,9.92,,9.72,,1.82,21.35,21.15,21.35,21.15,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25905,,Amputation of forearm,A,,9.59,9.56,NA,9.36,NA,9.56,,9.36,,1.89,21.04,20.84,21.04,20.84,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25907,,Amputation follow-up surgery,A,,8.09,8.73,NA,8.47,NA,8.73,,8.47,,1.59,18.41,18.15,18.41,18.15,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25909,,Amputation follow-up surgery,A,,9.31,9.45,NA,9.19,NA,9.45,,9.19,,1.84,20.60,20.34,20.60,20.34,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25915,,Amputation of forearm,A,,17.52,12.55,NA,10.13,NA,12.55,,10.13,,3.10,33.17,30.75,33.17,30.75,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25920,,Amputate hand at wrist,A,,9.03,9.30,NA,9.80,NA,9.30,,9.80,,1.78,20.11,20.61,20.11,20.61,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25922,,Amputate hand at wrist,A,,7.65,6.81,NA,6.20,NA,6.81,,6.20,,0.53,14.99,14.38,14.99,14.38,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25924,,Amputation follow-up surgery,A,,8.81,8.10,NA,7.63,NA,8.10,,7.63,,1.71,18.62,18.15,18.62,18.15,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25927,,Amputation of hand,A,,9.09,12.25,NA,12.86,NA,12.25,,12.86,,1.80,23.14,23.75,23.14,23.75,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25929,,Amputation follow-up surgery,A,,7.82,7.79,NA,8.90,NA,7.79,,8.90,,1.54,17.15,18.26,17.15,18.26,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25931,,Amputation follow-up surgery,A,,8.04,10.43,NA,9.96,NA,10.43,,9.96,,1.70,20.17,19.70,20.17,19.70,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
25999,,Forearm or wrist surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
26010,,Drainage of finger abscess,A,,1.59,5.44,,5.50,,2.03,,2.15,,0.27,7.30,7.36,3.89,4.01,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26011,,Drainage of finger abscess,A,,2.24,8.43,,8.47,,2.69,,2.83,,0.39,11.06,11.10,5.32,5.46,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26020,,Drain hand tendon sheath,A,,5.08,6.44,NA,6.82,NA,6.44,,6.82,,0.93,12.45,12.83,12.45,12.83,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26025,,Drainage of palm bursa,A,,5.08,6.09,NA,6.45,NA,6.09,,6.45,,0.91,12.08,12.44,12.08,12.44,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26030,,Drainage of palm bursa(s),A,,6.25,6.82,NA,7.22,NA,6.82,,7.22,,1.16,14.23,14.63,14.23,14.63,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26034,,Treat hand bone lesion,A,,6.63,7.61,NA,8.03,NA,7.61,,8.03,,1.22,15.46,15.88,15.46,15.88,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26035,,Decompress fingers/hand,A,,11.37,10.92,NA,11.82,NA,10.92,,11.82,,2.23,24.52,25.42,24.52,25.42,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26037,,Decompress fingers/hand,A,,7.57,7.55,NA,8.00,NA,7.55,,8.00,,1.44,16.56,17.01,16.56,17.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26040,,Release palm contracture,A,,3.46,4.86,NA,5.14,NA,4.86,,5.14,,0.56,8.88,9.16,8.88,9.16,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26045,,Release palm contracture,A,,5.73,6.64,NA,6.97,NA,6.64,,6.97,,1.09,13.46,13.79,13.46,13.79,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26055,,Incise finger tendon sheath,A,,3.11,12.42,,12.26,,5.07,,5.39,,0.56,16.09,15.93,8.74,9.06,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26060,,Incision of finger tendon,A,,2.91,4.20,NA,4.43,NA,4.20,,4.43,,0.54,7.65,7.88,7.65,7.88,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26070,,Explore/treat hand joint,A,,3.81,4.31,NA,4.66,NA,4.31,,4.66,,0.65,8.77,9.12,8.77,9.12,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26075,,Explore/treat finger joint,A,,3.91,4.63,NA,4.93,NA,4.63,,4.93,,0.67,9.21,9.51,9.21,9.51,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26080,,Explore/treat finger joint,A,,4.47,5.87,NA,6.22,NA,5.87,,6.22,,0.78,11.12,11.47,11.12,11.47,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26100,,Biopsy hand joint lining,A,,3.79,4.93,NA,5.27,NA,4.93,,5.27,,0.73,9.45,9.79,9.45,9.79,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26105,,Biopsy finger joint lining,A,,3.83,5.01,NA,5.29,NA,5.01,,5.29,,0.75,9.59,9.87,9.59,9.87,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26110,,Biopsy finger joint lining,A,,3.65,4.89,NA,5.18,NA,4.89,,5.18,,0.64,9.18,9.47,9.18,9.47,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26111,,Exc hand les sc > 1.5 cm,A,,5.42,6.06,NA,6.06,NA,6.06,,6.06,,0.99,12.47,12.47,12.47,12.47,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26113,,Exc hand tum deep > 1.5 cm,A,,7.13,7.96,NA,7.96,NA,7.96,,7.96,,1.25,16.34,16.34,16.34,16.34,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26115,,Exc hand les sc < 1.5 cm,A,,3.96,11.38,,9.88,,5.26,,5.15,,0.71,16.05,14.55,9.93,9.82,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26116,,Exc hand tum deep < 1.5 cm,A,,6.74,7.26,NA,7.72,NA,7.26,,7.72,,1.20,15.20,15.66,15.20,15.66,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26117,,Exc hand tum ra < 3 cm,A,,10.13,9.25,NA,10.48,NA,9.25,,10.48,,1.85,21.23,22.46,21.23,22.46,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26118,,Exc hand tum ra > 3 cm,A,,14.81,14.22,NA,14.22,NA,14.22,,14.22,,2.94,31.97,31.97,31.97,31.97,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26121,,Release palm contracture,A,,7.73,8.17,NA,8.62,NA,8.17,,8.62,,1.40,17.30,17.75,17.30,17.75,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26123,,Release palm contracture,A,,10.88,11.24,NA,12.02,NA,11.24,,12.02,,1.92,24.04,24.82,24.04,24.82,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26125,,Release palm contracture,A,,4.60,2.77,NA,2.94,NA,2.77,,2.94,,0.82,8.19,8.36,8.19,8.36,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26130,,Remove wrist joint lining,A,,5.59,6.59,NA,7.02,NA,6.59,,7.02,,1.06,13.24,13.67,13.24,13.67,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26135,,Revise finger joint each,A,,7.13,7.55,NA,7.97,NA,7.55,,7.97,,1.27,15.95,16.37,15.95,16.37,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26140,,Revise finger joint each,A,,6.34,7.10,NA,7.49,NA,7.10,,7.49,,1.14,14.58,14.97,14.58,14.97,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26145,,Tendon excision palm/finger,A,,6.49,7.13,NA,7.52,NA,7.13,,7.52,,1.18,14.80,15.19,14.80,15.19,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26160,,Remove tendon sheath lesion,A,,3.57,12.10,,12.22,,5.25,,5.58,,0.65,16.32,16.44,9.47,9.80,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26170,,Removal of palm tendon each,A,,4.91,5.92,NA,6.24,NA,5.92,,6.24,,0.86,11.69,12.01,11.69,12.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26180,,Removal of finger tendon,A,,5.35,6.44,NA,6.75,NA,6.44,,6.75,,0.90,12.69,13.00,12.69,13.00,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26185,,Remove finger bone,A,,6.52,7.87,NA,8.38,NA,7.87,,8.38,,1.28,15.67,16.18,15.67,16.18,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26200,,Remove hand bone lesion,A,,5.65,6.33,NA,6.65,NA,6.33,,6.65,,1.03,13.01,13.33,13.01,13.33,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26205,,Remove/graft bone lesion,A,,7.93,7.98,NA,8.33,NA,7.98,,8.33,,1.57,17.48,17.83,17.48,17.83,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26210,,Removal of finger lesion,A,,5.32,6.45,NA,6.80,NA,6.45,,6.80,,0.95,12.72,13.07,12.72,13.07,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26215,,Remove/graft finger lesion,A,,7.27,7.52,NA,7.93,NA,7.52,,7.93,,1.44,16.23,16.64,16.23,16.64,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26230,,Partial removal of hand bone,A,,6.47,6.85,NA,7.20,NA,6.85,,7.20,,1.13,14.45,14.80,14.45,14.80,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26235,,Partial removal finger bone,A,,6.33,6.86,NA,7.26,NA,6.86,,7.26,,1.10,14.29,14.69,14.29,14.69,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26236,,Partial removal finger bone,A,,5.46,6.28,NA,6.61,NA,6.28,,6.61,,0.98,12.72,13.05,12.72,13.05,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26250,,Extensive hand surgery,A,,15.21,10.62,NA,13.76,NA,10.62,,13.76,,3.01,28.84,31.98,28.84,31.98,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26260,,Resect prox finger tumor,A,,11.16,9.25,NA,11.49,NA,9.25,,11.49,,2.19,22.60,24.84,22.60,24.84,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26262,,Resect distal finger tumor,A,,8.29,7.46,NA,8.86,NA,7.46,,8.86,,1.62,17.37,18.77,17.37,18.77,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26320,,Removal of implant from hand,A,,4.10,5.16,NA,5.45,NA,5.16,,5.45,,0.71,9.97,10.26,9.97,10.26,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26340,,Manipulate finger w/anesth,A,,2.80,6.05,NA,6.40,NA,6.05,,6.40,,0.52,9.37,9.72,9.37,9.72,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26350,,Repair finger/hand tendon,A,,6.21,13.12,NA,13.07,NA,13.12,,13.07,,1.13,20.46,20.41,20.46,20.41,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26352,,Repair/graft hand tendon,A,,7.87,13.95,NA,14.02,NA,13.95,,14.02,,1.55,23.37,23.44,23.37,23.44,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26356,,Repair finger/hand tendon,A,,10.62,18.68,NA,19.12,NA,18.68,,19.12,,1.92,31.22,31.66,31.22,31.66,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26357,,Repair finger/hand tendon,A,,8.77,14.48,NA,14.55,NA,14.48,,14.55,,1.71,24.96,25.03,24.96,25.03,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26358,,Repair/graft hand tendon,A,,9.36,15.45,NA,15.74,NA,15.45,,15.74,,1.85,26.66,26.95,26.66,26.95,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26370,,Repair finger/hand tendon,A,,7.28,13.39,NA,13.35,NA,13.39,,13.35,,1.36,22.03,21.99,22.03,21.99,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26372,,Repair/graft hand tendon,A,,9.01,14.74,NA,14.70,NA,14.74,,14.70,,1.78,25.53,25.49,25.53,25.49,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26373,,Repair finger/hand tendon,A,,8.41,14.33,NA,14.34,NA,14.33,,14.34,,1.65,24.39,24.40,24.39,24.40,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26390,,Revise hand/finger tendon,A,,9.43,12.71,NA,12.96,NA,12.71,,12.96,,1.86,24.00,24.25,24.00,24.25,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26392,,Repair/graft hand tendon,A,,10.50,15.42,NA,15.59,NA,15.42,,15.59,,2.07,27.99,28.16,27.99,28.16,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26410,,Repair hand tendon,A,,4.77,10.60,NA,10.53,NA,10.60,,10.53,,0.87,16.24,16.17,16.24,16.17,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26412,,Repair/graft hand tendon,A,,6.48,12.05,NA,12.07,NA,12.05,,12.07,,1.16,19.69,19.71,19.69,19.71,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26415,,Excision hand/finger tendon,A,,8.51,10.41,NA,10.23,NA,10.41,,10.23,,1.17,20.09,19.91,20.09,19.91,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26416,,Graft hand or finger tendon,A,,9.56,12.69,NA,14.31,NA,12.69,,14.31,,1.88,24.13,25.75,24.13,25.75,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26418,,Repair finger tendon,A,,4.47,11.19,NA,11.17,NA,11.19,,11.17,,0.82,16.48,16.46,16.48,16.46,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26420,,Repair/graft finger tendon,A,,6.94,12.12,NA,12.04,NA,12.12,,12.04,,1.37,20.43,20.35,20.43,20.35,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26426,,Repair finger/hand tendon,A,,6.32,8.12,NA,7.39,NA,8.12,,7.39,,1.14,15.58,14.85,15.58,14.85,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26428,,Repair/graft finger tendon,A,,7.40,12.79,NA,12.87,NA,12.79,,12.87,,1.47,21.66,21.74,21.66,21.74,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26432,,Repair finger tendon,A,,4.16,9.36,NA,9.36,NA,9.36,,9.36,,0.73,14.25,14.25,14.25,14.25,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26433,,Repair finger tendon,A,,4.70,9.69,NA,9.67,NA,9.69,,9.67,,0.86,15.25,15.23,15.25,15.23,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26434,,Repair/graft finger tendon,A,,6.26,10.95,NA,11.07,NA,10.95,,11.07,,1.24,18.45,18.57,18.45,18.57,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26437,,Realignment of tendons,A,,5.99,10.81,NA,10.91,NA,10.81,,10.91,,1.03,17.83,17.93,17.83,17.93,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26440,,Release palm/finger tendon,A,,5.16,11.80,NA,11.68,NA,11.80,,11.68,,0.90,17.86,17.74,17.86,17.74,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26442,,Release palm & finger tendon,A,,9.75,16.12,NA,16.49,NA,16.12,,16.49,,1.74,27.61,27.98,27.61,27.98,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26445,,Release hand/finger tendon,A,,4.45,11.38,NA,11.25,NA,11.38,,11.25,,0.78,16.61,16.48,16.61,16.48,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26449,,Release forearm/hand tendon,A,,8.59,11.15,NA,10.63,NA,11.15,,10.63,,1.51,21.25,20.73,21.25,20.73,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26450,,Incision of palm tendon,A,,3.79,7.10,NA,7.19,NA,7.10,,7.19,,0.68,11.57,11.66,11.57,11.66,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26455,,Incision of finger tendon,A,,3.76,7.08,NA,7.20,NA,7.08,,7.20,,0.69,11.53,11.65,11.53,11.65,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26460,,Incise hand/finger tendon,A,,3.58,7.01,NA,7.14,NA,7.01,,7.14,,0.63,11.22,11.35,11.22,11.35,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26471,,Fusion of finger tendons,A,,5.90,10.69,NA,10.83,NA,10.69,,10.83,,1.03,17.62,17.76,17.62,17.76,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26474,,Fusion of finger tendons,A,,5.49,10.62,NA,10.83,NA,10.62,,10.83,,1.08,17.19,17.40,17.19,17.40,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26476,,Tendon lengthening,A,,5.35,10.42,NA,10.73,NA,10.42,,10.73,,1.06,16.83,17.14,16.83,17.14,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26477,,Tendon shortening,A,,5.32,10.36,NA,10.46,NA,10.36,,10.46,,1.02,16.70,16.80,16.70,16.80,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26478,,Lengthening of hand tendon,A,,5.97,10.86,NA,10.86,NA,10.86,,10.86,,1.09,17.92,17.92,17.92,17.92,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26479,,Shortening of hand tendon,A,,5.91,10.79,NA,10.86,NA,10.79,,10.86,,1.17,17.87,17.94,17.87,17.94,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26480,,Transplant hand tendon,A,,6.90,13.51,NA,13.53,NA,13.51,,13.53,,1.21,21.62,21.64,21.62,21.64,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26483,,Transplant/graft hand tendon,A,,8.48,14.26,NA,14.27,NA,14.26,,14.27,,1.57,24.31,24.32,24.31,24.32,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26485,,Transplant palm tendon,A,,7.89,13.99,NA,13.99,NA,13.99,,13.99,,1.40,23.28,23.28,23.28,23.28,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26489,,Transplant/graft palm tendon,A,,9.86,14.35,NA,15.20,NA,14.35,,15.20,,1.93,26.14,26.99,26.14,26.99,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26490,,Revise thumb tendon,A,,8.60,12.56,NA,12.86,NA,12.56,,12.86,,1.69,22.85,23.15,22.85,23.15,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26492,,Tendon transfer with graft,A,,9.84,13.54,NA,13.78,NA,13.54,,13.78,,1.93,25.31,25.55,25.31,25.55,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26494,,Hand tendon/muscle transfer,A,,8.66,12.58,NA,12.75,NA,12.58,,12.75,,1.69,22.93,23.10,22.93,23.10,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26496,,Revise thumb tendon,A,,9.78,13.22,NA,13.51,NA,13.22,,13.51,,1.65,24.65,24.94,24.65,24.94,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26497,,Finger tendon transfer,A,,9.76,13.20,NA,13.40,NA,13.20,,13.40,,1.92,24.88,25.08,24.88,25.08,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26498,,Finger tendon transfer,A,,14.21,16.05,NA,16.39,NA,16.05,,16.39,,2.80,33.06,33.40,33.06,33.40,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26499,,Revision of finger,A,,9.17,12.83,NA,13.05,NA,12.83,,13.05,,1.81,23.81,24.03,23.81,24.03,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26500,,Hand tendon reconstruction,A,,6.13,10.75,NA,10.87,NA,10.75,,10.87,,1.14,18.02,18.14,18.02,18.14,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26502,,Hand tendon reconstruction,A,,7.31,11.76,NA,12.09,NA,11.76,,12.09,,1.46,20.53,20.86,20.53,20.86,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26508,,Release thumb contracture,A,,6.18,10.82,NA,11.02,NA,10.82,,11.02,,1.10,18.10,18.30,18.10,18.30,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26510,,Thumb tendon transfer,A,,5.60,10.52,NA,10.53,NA,10.52,,10.53,,0.98,17.10,17.11,17.10,17.11,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26516,,Fusion of knuckle joint,A,,7.32,11.51,NA,11.64,NA,11.51,,11.64,,1.29,20.12,20.25,20.12,20.25,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26517,,Fusion of knuckle joints,A,,9.08,12.86,NA,13.00,NA,12.86,,13.00,,1.80,23.74,23.88,23.74,23.88,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26518,,Fusion of knuckle joints,A,,9.27,13.06,NA,13.34,NA,13.06,,13.34,,1.82,24.15,24.43,24.15,24.43,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26520,,Release knuckle contracture,A,,5.47,12.29,NA,12.22,NA,12.29,,12.22,,0.99,18.75,18.68,18.75,18.68,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26525,,Release finger contracture,A,,5.50,12.31,NA,12.22,NA,12.31,,12.22,,0.95,18.76,18.67,18.76,18.67,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26530,,Revise knuckle joint,A,,6.88,7.39,NA,7.81,NA,7.39,,7.81,,1.22,15.49,15.91,15.49,15.91,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26531,,Revise knuckle with implant,A,,8.13,8.51,NA,9.02,NA,8.51,,9.02,,1.39,18.03,18.54,18.03,18.54,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26535,,Revise finger joint,A,,5.41,5.53,NA,6.05,NA,5.53,,6.05,,0.83,11.77,12.29,11.77,12.29,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26536,,Revise/implant finger joint,A,,6.56,12.17,NA,12.88,NA,12.17,,12.88,,1.13,19.86,20.57,19.86,20.57,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26540,,Repair hand joint,A,,6.60,11.15,NA,11.23,NA,11.15,,11.23,,1.18,18.93,19.01,18.93,19.01,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26541,,Repair hand joint with graft,A,,8.81,12.65,NA,12.77,NA,12.65,,12.77,,1.52,22.98,23.10,22.98,23.10,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26542,,Repair hand joint with graft,A,,6.95,11.39,NA,11.50,NA,11.39,,11.50,,1.25,19.59,19.70,19.59,19.70,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26545,,Reconstruct finger joint,A,,7.11,11.63,NA,11.83,NA,11.63,,11.83,,1.27,20.01,20.21,20.01,20.21,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26546,,Repair nonunion hand,A,,10.83,15.66,NA,16.11,NA,15.66,,16.11,,1.85,28.34,28.79,28.34,28.79,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26548,,Reconstruct finger joint,A,,8.22,12.27,NA,12.48,NA,12.27,,12.48,,1.50,21.99,22.20,21.99,22.20,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26550,,Construct thumb replacement,A,,21.68,19.65,NA,22.42,NA,19.65,,22.42,,4.26,45.59,48.36,45.59,48.36,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26551,,Great toe-hand transfer,A,,48.48,30.75,NA,28.76,NA,30.75,,28.76,,9.55,88.78,86.79,88.78,86.79,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26553,,Single transfer toe-hand,A,,48.17,35.13,NA,44.59,NA,35.13,,44.59,,3.43,86.73,96.19,86.73,96.19,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26554,,Double transfer toe-hand,A,,57.01,34.07,NA,32.81,NA,34.07,,32.81,,4.06,95.14,93.88,95.14,93.88,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26555,,Positional change of finger,A,,17.08,19.23,NA,19.68,NA,19.23,,19.68,,3.38,39.69,40.14,39.69,40.14,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26556,,Toe joint transfer,A,,49.75,29.36,NA,32.40,NA,29.36,,32.40,,3.96,83.07,86.11,83.07,86.11,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26560,,Repair of web finger,A,,5.52,10.13,NA,10.54,NA,10.13,,10.54,,1.09,16.74,17.15,16.74,17.15,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26561,,Repair of web finger,A,,11.10,13.86,NA,14.96,NA,13.86,,14.96,,2.35,27.31,28.41,27.31,28.41,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26562,,Repair of web finger,A,,16.68,18.62,NA,19.31,NA,18.62,,19.31,,1.18,36.48,37.17,36.48,37.17,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26565,,Correct metacarpal flaw,A,,6.91,11.25,NA,11.35,NA,11.25,,11.35,,1.36,19.52,19.62,19.52,19.62,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26567,,Correct finger deformity,A,,6.99,11.31,NA,11.39,NA,11.31,,11.39,,1.24,19.54,19.62,19.54,19.62,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26568,,Lengthen metacarpal/finger,A,,9.27,14.71,NA,14.85,NA,14.71,,14.85,,1.82,25.80,25.94,25.80,25.94,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26580,,Repair hand deformity,A,,19.75,15.82,NA,15.15,NA,15.82,,15.15,,3.89,39.46,38.79,39.46,38.79,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26587,,Reconstruct extra finger,A,,14.50,12.47,NA,14.76,NA,12.47,,14.76,,3.10,30.07,32.36,30.07,32.36,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26590,,Repair finger deformity,A,,18.67,14.34,NA,15.11,NA,14.34,,15.11,,3.70,36.71,37.48,36.71,37.48,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26591,,Repair muscles of hand,A,,3.38,8.54,NA,8.45,NA,8.54,,8.45,,0.61,12.53,12.44,12.53,12.44,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26593,,Release muscles of hand,A,,5.50,10.71,NA,10.82,NA,10.71,,10.82,,0.93,17.14,17.25,17.14,17.25,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26596,,Excision constricting tissue,A,,9.14,10.60,NA,11.29,NA,10.60,,11.29,,1.81,21.55,22.24,21.55,22.24,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26600,,Treat metacarpal fracture,A,,2.60,4.99,,5.35,,4.46,,4.89,,0.48,8.07,8.43,7.54,7.97,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26605,,Treat metacarpal fracture,A,,3.03,5.43,,5.70,,4.64,,4.93,,0.56,9.02,9.29,8.23,8.52,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26607,,Treat metacarpal fracture,A,,5.48,6.35,NA,6.93,NA,6.35,,6.93,,1.06,12.89,13.47,12.89,13.47,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26608,,Treat metacarpal fracture,A,,5.55,7.14,NA,7.47,NA,7.14,,7.47,,1.03,13.72,14.05,13.72,14.05,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26615,,Treat metacarpal fracture,A,,7.07,8.00,NA,8.71,NA,8.00,,8.71,,1.29,16.36,17.07,16.36,17.07,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26641,,Treat thumb dislocation,A,,4.13,5.33,,5.42,,4.50,,4.64,,0.72,10.18,10.27,9.35,9.49,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26645,,Treat thumb fracture,A,,4.58,6.47,,6.98,,5.53,,6.02,,0.88,11.93,12.44,10.99,11.48,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26650,,Treat thumb fracture,A,,5.35,7.37,NA,7.68,NA,7.37,,7.68,,1.02,13.74,14.05,13.74,14.05,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26665,,Treat thumb fracture,A,,7.94,8.57,NA,9.16,NA,8.57,,9.16,,1.47,17.98,18.57,17.98,18.57,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26670,,Treat hand dislocation,A,,3.83,4.80,,5.04,,3.95,,4.25,,0.67,9.30,9.54,8.45,8.75,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26675,,Treat hand dislocation,A,,4.83,6.92,,7.46,,5.94,,6.46,,0.95,12.70,13.24,11.72,12.24,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26676,,Pin hand dislocation,A,,5.74,7.57,NA,7.89,NA,7.57,,7.89,,1.06,14.37,14.69,14.37,14.69,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26685,,Treat hand dislocation,A,,7.07,8.07,NA,8.62,NA,8.07,,8.62,,1.39,16.53,17.08,16.53,17.08,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26686,,Treat hand dislocation,A,,8.17,8.24,NA,8.67,NA,8.24,,8.67,,1.61,18.02,18.45,18.02,18.45,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26700,,Treat knuckle dislocation,A,,3.83,4.41,,4.66,,3.86,,4.17,,0.65,8.89,9.14,8.34,8.65,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26705,,Treat knuckle dislocation,A,,4.38,6.50,,7.02,,5.53,,6.04,,0.82,11.70,12.22,10.73,11.24,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26706,,Pin knuckle dislocation,A,,5.31,6.32,NA,6.77,NA,6.32,,6.77,,0.95,12.58,13.03,12.58,13.03,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26715,,Treat knuckle dislocation,A,,7.03,7.95,NA,8.59,NA,7.95,,8.59,,1.31,16.29,16.93,16.29,16.93,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26720,,Treat finger fracture each,A,,1.76,3.38,,3.56,,2.96,,3.19,,0.33,5.47,5.65,5.05,5.28,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26725,,Treat finger fracture each,A,,3.48,5.44,,5.67,,4.50,,4.79,,0.64,9.56,9.79,8.62,8.91,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26727,,Treat finger fracture each,A,,5.42,7.10,NA,7.43,NA,7.10,,7.43,,0.99,13.51,13.84,13.51,13.84,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26735,,Treat finger fracture each,A,,7.42,8.20,NA,8.90,NA,8.20,,8.90,,1.37,16.99,17.69,16.99,17.69,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26740,,Treat finger fracture each,A,,2.07,3.94,,4.19,,3.55,,3.81,,0.35,6.36,6.61,5.97,6.23,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26742,,Treat finger fracture each,A,,3.99,5.69,,5.90,,4.75,,4.98,,0.72,10.40,10.61,9.46,9.69,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26746,,Treat finger fracture each,A,,9.80,9.51,NA,10.50,NA,9.51,,10.50,,1.78,21.09,22.08,21.09,22.08,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26750,,Treat finger fracture each,A,,1.80,2.96,,3.11,,2.90,,3.12,,0.33,5.09,5.24,5.03,5.25,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26755,,Treat finger fracture each,A,,3.23,4.98,,5.18,,3.88,,4.11,,0.59,8.80,9.00,7.70,7.93,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26756,,Pin finger fracture each,A,,4.58,6.55,NA,6.86,NA,6.55,,6.86,,0.83,11.96,12.27,11.96,12.27,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26765,,Treat finger fracture each,A,,5.86,7.16,NA,7.88,NA,7.16,,7.88,,1.09,14.11,14.83,14.11,14.83,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26770,,Treat finger dislocation,A,,3.15,3.88,,4.09,,3.31,,3.58,,0.54,7.57,7.78,7.00,7.27,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26775,,Treat finger dislocation,A,,3.90,6.16,,6.46,,5.12,,5.47,,0.69,10.75,11.05,9.71,10.06,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26776,,Pin finger dislocation,A,,4.99,6.79,NA,7.10,NA,6.79,,7.10,,0.91,12.69,13.00,12.69,13.00,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26785,,Treat finger dislocation,A,,6.60,7.58,NA,8.38,NA,7.58,,8.38,,1.21,15.39,16.19,15.39,16.19,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26820,,Thumb fusion with graft,A,,8.45,12.51,NA,12.62,NA,12.51,,12.62,,1.66,22.62,22.73,22.62,22.73,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26841,,Fusion of thumb,A,,7.35,12.22,NA,12.32,NA,12.22,,12.32,,1.39,20.96,21.06,20.96,21.06,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26842,,Thumb fusion with graft,A,,8.49,12.58,NA,12.67,NA,12.58,,12.67,,1.66,22.73,22.82,22.73,22.82,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26843,,Fusion of hand joint,A,,7.78,11.84,NA,11.97,NA,11.84,,11.97,,1.54,21.16,21.29,21.16,21.29,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26844,,Fusion/graft of hand joint,A,,8.98,12.79,NA,12.94,NA,12.79,,12.94,,1.78,23.55,23.70,23.55,23.70,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26850,,Fusion of knuckle,A,,7.14,11.53,NA,11.65,NA,11.53,,11.65,,1.24,19.91,20.03,19.91,20.03,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26852,,Fusion of knuckle with graft,A,,8.71,12.67,NA,12.90,NA,12.67,,12.90,,1.47,22.85,23.08,22.85,23.08,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26860,,Fusion of finger joint,A,,4.88,10.39,NA,10.45,NA,10.39,,10.45,,0.84,16.11,16.17,16.11,16.17,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26861,,Fusion of finger jnt add-on,A,,1.74,1.03,NA,1.10,NA,1.03,,1.10,,0.31,3.08,3.15,3.08,3.15,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26862,,Fusion/graft of finger joint,A,,7.56,11.96,NA,12.15,NA,11.96,,12.15,,1.31,20.83,21.02,20.83,21.02,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
26863,,Fuse/graft added joint,A,,3.89,2.25,NA,2.32,NA,2.25,,2.32,,0.75,6.89,6.96,6.89,6.96,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26910,,Amputate metacarpal bone,A,,7.79,11.32,NA,11.54,NA,11.32,,11.54,,1.50,20.61,20.83,20.61,20.83,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26951,,Amputation of finger/thumb,A,,6.04,11.21,NA,11.62,NA,11.21,,11.62,,1.14,18.39,18.80,18.39,18.80,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26952,,Amputation of finger/thumb,A,,6.48,10.94,NA,11.03,NA,10.94,,11.03,,1.21,18.63,18.72,18.63,18.72,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26989,,Hand/finger surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
26990,,Drainage of pelvis lesion,A,,7.95,8.49,NA,8.91,NA,8.49,,8.91,,1.58,18.02,18.44,18.02,18.44,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26991,,Drainage of pelvis bursa,A,,7.06,11.81,,12.18,,6.74,,7.15,,1.39,20.26,20.63,15.19,15.60,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
26992,,Drainage of bone lesion,A,,13.48,11.88,NA,12.48,NA,11.88,,12.48,,2.67,28.03,28.63,28.03,28.63,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27000,,Incision of hip tendon,A,,5.74,5.93,NA,6.04,NA,5.93,,6.04,,1.08,12.75,12.86,12.75,12.86,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27001,,Incision of hip tendon,A,,7.14,7.13,NA,7.47,NA,7.13,,7.47,,1.40,15.67,16.01,15.67,16.01,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27003,,Incision of hip tendon,A,,7.81,7.81,NA,8.30,NA,7.81,,8.30,,1.54,17.16,17.65,17.16,17.65,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27005,,Incision of hip tendon,A,,10.07,9.13,NA,9.57,NA,9.13,,9.57,,1.97,21.17,21.61,21.17,21.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27006,,Incision of hip tendons,A,,10.11,9.38,NA,9.86,NA,9.38,,9.86,,1.96,21.45,21.93,21.45,21.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27025,,Incision of hip/thigh fascia,A,,12.89,11.02,NA,11.77,NA,11.02,,11.77,,2.57,26.48,27.23,26.48,27.23,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27027,,Buttock fasciotomy,A,,13.04,10.35,NA,11.40,NA,10.35,,11.40,,0.91,24.30,25.35,24.30,25.35,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27030,,Drainage of hip joint,A,,13.65,11.09,NA,11.52,NA,11.09,,11.52,,2.67,27.41,27.84,27.41,27.84,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27033,,Exploration of hip joint,A,,14.11,11.64,NA,12.19,NA,11.64,,12.19,,2.78,28.53,29.08,28.53,29.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27035,,Denervation of hip joint,A,,17.37,12.68,NA,14.47,NA,12.68,,14.47,,3.43,33.48,35.27,33.48,35.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27036,,Excision of hip joint/muscle,A,,14.38,12.22,NA,12.86,NA,12.22,,12.86,,2.79,29.39,30.03,29.39,30.03,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27040,,Biopsy of soft tissues,A,,2.92,6.39,,6.35,,2.43,,2.44,,0.48,9.79,9.75,5.83,5.84,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27041,,Biopsy of soft tissues,A,,10.18,7.78,NA,7.96,NA,7.78,,7.96,,1.81,19.77,19.95,19.77,19.95,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27043,,Exc hip pelvis les sc > 3 cm,A,,6.88,5.68,NA,5.68,NA,5.68,,5.68,,1.42,13.98,13.98,13.98,13.98,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27045,,Exc hip/pelv tum deep > 5 cm,A,,11.13,8.79,NA,8.79,NA,8.79,,8.79,,2.26,22.18,22.18,22.18,22.18,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27047,,Exc hip/pelvis les sc < 3 cm,A,,4.94,8.16,,7.70,,5.20,,4.76,,1.02,14.12,13.66,11.16,10.72,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27048,,Exc hip/pelv tum deep < 5 cm,A,,8.85,6.66,NA,7.50,NA,6.66,,7.50,,1.81,17.32,18.16,17.32,18.16,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27049,,Resect hip/pelv tum < 5 cm,A,,21.55,12.62,NA,14.88,NA,12.62,,14.88,,4.33,38.50,40.76,38.50,40.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27050,,Biopsy of sacroiliac joint,A,,4.74,5.27,NA,6.14,NA,5.27,,6.14,,0.93,10.94,11.81,10.94,11.81,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27052,,Biopsy of hip joint,A,,7.42,7.61,NA,8.15,NA,7.61,,8.15,,1.47,16.50,17.04,16.50,17.04,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27054,,Removal of hip joint lining,A,,9.21,8.84,NA,9.30,NA,8.84,,9.30,,1.81,19.86,20.32,19.86,20.32,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27057,,Buttock fasciotomy w/dbrdmt,A,,14.91,11.37,NA,12.52,NA,11.37,,12.52,,1.06,27.34,28.49,27.34,28.49,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27059,,Resect hip/pelv tum > 5 cm,A,,29.35,19.17,NA,19.17,NA,19.17,,19.17,,5.78,54.30,54.30,54.30,54.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27060,,Removal of ischial bursa,A,,5.87,6.01,NA,6.70,NA,6.01,,6.70,,1.17,13.05,13.74,13.05,13.74,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27062,,Remove femur lesion/bursa,A,,5.75,6.27,NA,6.62,NA,6.27,,6.62,,1.13,13.15,13.50,13.15,13.50,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27065,,Remove hip bone les super,A,,6.55,6.79,NA,7.11,NA,6.79,,7.11,,1.28,14.62,14.94,14.62,14.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27066,,Remove hip bone les deep,A,,11.20,10.22,NA,10.76,NA,10.22,,10.76,,2.20,23.62,24.16,23.62,24.16,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27067,,Remove/graft hip bone lesion,A,,14.72,12.61,NA,13.25,NA,12.61,,13.25,,2.91,30.24,30.88,30.24,30.88,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27070,,Part remove hip bone super,A,,11.56,10.95,NA,11.47,NA,10.95,,11.47,,2.27,24.78,25.30,24.78,25.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27071,,Part removal hip bone deep,A,,12.39,11.71,NA,12.23,NA,11.71,,12.23,,2.44,26.54,27.06,26.54,27.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27075,,Resect hip tumor,A,,32.71,22.51,NA,23.19,NA,22.51,,23.19,,6.44,61.66,62.34,61.66,62.34,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27076,,Resect hip tum incl acetabul,A,,40.21,22.44,NA,28.11,NA,22.44,,28.11,,7.93,70.58,76.25,70.58,76.25,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27077,,Resect hip tum w/innom bone,A,,45.21,28.61,NA,31.64,NA,28.61,,31.64,,8.91,82.73,85.76,82.73,85.76,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27078,,Rsect hip tum incl femur,A,,32.21,17.82,NA,23.89,NA,17.82,,23.89,,6.34,56.37,62.44,56.37,62.44,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27080,,Removal of tail bone,A,,6.89,6.36,NA,6.83,NA,6.36,,6.83,,1.42,14.67,15.14,14.67,15.14,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27086,,Remove hip foreign body,A,,1.92,4.84,,4.89,,2.04,,2.12,,0.31,7.07,7.12,4.27,4.35,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27087,,Remove hip foreign body,A,,8.83,7.80,NA,8.10,NA,7.80,,8.10,,1.70,18.33,18.63,18.33,18.63,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27090,,Removal of hip prosthesis,A,,11.69,10.25,NA,10.75,NA,10.25,,10.75,,2.29,24.23,24.73,24.23,24.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27091,,Removal of hip prosthesis,A,,24.35,17.81,NA,18.88,NA,17.81,,18.88,,4.80,46.96,48.03,46.96,48.03,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27093,,Injection for hip x-ray,A,,1.30,4.13,,4.02,,0.63,,0.66,,0.14,5.57,5.46,2.07,2.10,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27095,,Injection for hip x-ray,A,,1.50,5.14,,5.05,,0.73,,0.78,,0.18,6.82,6.73,2.41,2.46,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27096,,Inject sacroiliac joint,A,,1.40,3.91,,4.14,,0.56,,0.68,,0.12,5.43,5.66,2.08,2.20,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27097,,Revision of hip tendon,A,,9.27,8.51,NA,9.16,NA,8.51,,9.16,,1.82,19.60,20.25,19.60,20.25,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27098,,Transfer tendon to pelvis,A,,9.32,8.21,NA,9.44,NA,8.21,,9.44,,1.84,19.37,20.60,19.37,20.60,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27100,,Transfer of abdominal muscle,A,,11.35,10.42,NA,10.98,NA,10.42,,10.98,,2.23,24.00,24.56,24.00,24.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27105,,Transfer of spinal muscle,A,,12.04,10.84,NA,11.39,NA,10.84,,11.39,,2.35,25.23,25.78,25.23,25.78,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27110,,Transfer of iliopsoas muscle,A,,13.77,11.65,NA,12.42,NA,11.65,,12.42,,2.72,28.14,28.91,28.14,28.91,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27111,,Transfer of iliopsoas muscle,A,,12.60,10.54,NA,11.73,NA,10.54,,11.73,,2.46,25.60,26.79,25.60,26.79,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27120,,Reconstruction of hip socket,A,,19.25,14.91,NA,15.93,NA,14.91,,15.93,,3.80,37.96,38.98,37.96,38.98,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27122,,Reconstruction of hip socket,A,,16.09,13.06,NA,13.70,NA,13.06,,13.70,,3.16,32.31,32.95,32.31,32.95,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27125,,Partial hip replacement,A,,16.64,13.24,NA,14.02,NA,13.24,,14.02,,3.28,33.16,33.94,33.16,33.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27130,,Total hip arthroplasty,A,,21.79,16.31,NA,17.19,NA,16.31,,17.19,,4.29,42.39,43.27,42.39,43.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27132,,Total hip arthroplasty,A,,25.69,18.74,NA,19.69,NA,18.74,,19.69,,5.06,49.49,50.44,49.49,50.44,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27134,,Revise hip joint replacement,A,,30.28,20.68,NA,21.62,NA,20.68,,21.62,,5.96,56.92,57.86,56.92,57.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27137,,Revise hip joint replacement,A,,22.70,16.41,NA,17.20,NA,16.41,,17.20,,4.46,43.57,44.36,43.57,44.36,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27138,,Revise hip joint replacement,A,,23.70,16.97,NA,17.79,NA,16.97,,17.79,,4.67,45.34,46.16,45.34,46.16,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27140,,Transplant femur ridge,A,,12.78,10.89,NA,11.35,NA,10.89,,11.35,,2.52,26.19,26.65,26.19,26.65,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27146,,Incision of hip bone,A,,18.92,14.77,NA,15.86,NA,14.77,,15.86,,3.74,37.43,38.52,37.43,38.52,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27147,,Revision of hip bone,A,,22.07,16.75,NA,17.74,NA,16.75,,17.74,,4.34,43.16,44.15,43.16,44.15,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27151,,Incision of hip bones,A,,24.12,16.93,NA,18.96,NA,16.93,,18.96,,4.76,45.81,47.84,45.81,47.84,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27156,,Revision of hip bones,A,,26.23,18.98,NA,20.22,NA,18.98,,20.22,,5.16,50.37,51.61,50.37,51.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27158,,Revision of pelvis,A,,21.04,15.69,NA,16.90,NA,15.69,,16.90,,4.15,40.88,42.09,40.88,42.09,0,090,0.10,0.69,0.21,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27161,,Incision of neck of femur,A,,17.89,14.27,NA,14.94,NA,14.27,,14.94,,3.51,35.67,36.34,35.67,36.34,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27165,,Incision/fixation of femur,A,,20.29,15.99,NA,16.92,NA,15.99,,16.92,,3.99,40.27,41.20,40.27,41.20,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27170,,Repair/graft femur head/neck,A,,17.61,13.53,NA,14.22,NA,13.53,,14.22,,3.47,34.61,35.30,34.61,35.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27175,,Treat slipped epiphysis,A,,9.38,8.19,NA,8.65,NA,8.19,,8.65,,1.85,19.42,19.88,19.42,19.88,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27176,,Treat slipped epiphysis,A,,12.92,11.25,NA,11.92,NA,11.25,,11.92,,2.56,26.73,27.40,26.73,27.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27177,,Treat slipped epiphysis,A,,16.09,13.32,NA,14.06,NA,13.32,,14.06,,3.17,32.58,33.32,32.58,33.32,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27178,,Treat slipped epiphysis,A,,12.92,11.16,NA,11.92,NA,11.16,,11.92,,2.56,26.64,27.40,26.64,27.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27179,,Revise head/neck of femur,A,,13.97,11.78,NA,12.43,NA,11.78,,12.43,,2.75,28.50,29.15,28.50,29.15,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27181,,Treat slipped epiphysis,A,,16.18,13.34,NA,14.23,NA,13.34,,14.23,,3.20,32.72,33.61,32.72,33.61,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27185,,Revision of femur epiphysis,A,,9.79,7.05,NA,6.78,NA,7.05,,6.78,,0.69,17.53,17.26,17.53,17.26,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27187,,Reinforce hip bones,A,,14.23,12.01,NA,12.56,NA,12.01,,12.56,,2.80,29.04,29.59,29.04,29.59,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27193,,Treat pelvic ring fracture,A,,6.09,6.28,,6.64,,6.43,,6.82,,1.20,13.57,13.93,13.72,14.11,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27194,,Treat pelvic ring fracture,A,,10.20,8.34,NA,8.52,NA,8.34,,8.52,,1.66,20.20,20.38,20.20,20.38,0,090,0.10,0.69,0.21,2,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27200,,Treat tail bone fracture,A,,1.92,2.77,,2.96,,2.92,,3.16,,0.35,5.04,5.23,5.19,5.43,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27202,,Treat tail bone fracture,A,,7.31,8.75,NA,7.82,NA,8.75,,7.82,,1.46,17.52,16.59,17.52,16.59,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27215,,Treat pelvic fracture(s),I,+,10.45,7.37,NA,6.55,NA,7.37,,6.55,,0.73,18.55,17.73,18.55,17.73,9,090,0.10,0.69,0.21,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
27216,,Treat pelvic ring fracture,I,+,15.73,10.56,NA,9.48,NA,10.56,,9.48,,1.13,27.42,26.34,27.42,26.34,9,090,0.10,0.69,0.21,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
27217,,Treat pelvic ring fracture,I,+,14.65,10.18,NA,9.01,NA,10.18,,9.01,,1.05,25.88,24.71,25.88,24.71,9,090,0.10,0.69,0.21,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
27218,,Treat pelvic ring fracture,I,+,20.93,13.01,NA,11.76,NA,13.01,,11.76,,1.50,35.44,34.19,35.44,34.19,9,090,0.10,0.69,0.21,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
27220,,Treat hip socket fracture,A,,6.83,7.11,,7.52,,6.99,,7.39,,1.33,15.27,15.68,15.15,15.55,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27222,,Treat hip socket fracture,A,,14.11,11.68,NA,12.22,NA,11.68,,12.22,,2.76,28.55,29.09,28.55,29.09,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27226,,Treat hip wall fracture,A,,15.57,12.08,NA,13.13,NA,12.08,,13.13,,3.08,30.73,31.78,30.73,31.78,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27227,,Treat hip fracture(s),A,,25.41,18.63,NA,19.64,NA,18.63,,19.64,,5.01,49.05,50.06,49.05,50.06,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27228,,Treat hip fracture(s),A,,29.33,20.89,NA,21.92,NA,20.89,,21.92,,5.78,56.00,57.03,56.00,57.03,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27230,,Treat thigh fracture,A,,5.81,6.66,,7.00,,6.53,,6.91,,1.14,13.61,13.95,13.48,13.86,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27232,,Treat thigh fracture,A,,11.72,8.46,NA,8.85,NA,8.46,,8.85,,2.25,22.43,22.82,22.43,22.82,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27235,,Treat thigh fracture,A,,13.00,11.08,NA,11.63,NA,11.08,,11.63,,2.56,26.64,27.19,26.64,27.19,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27236,,Treat thigh fracture,A,,17.61,13.95,NA,14.78,NA,13.95,,14.78,,3.47,35.03,35.86,35.03,35.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27238,,Treat thigh fracture,A,,5.75,6.30,NA,6.63,NA,6.30,,6.63,,1.13,13.18,13.51,13.18,13.51,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27240,,Treat thigh fracture,A,,13.81,11.41,NA,12.00,NA,11.41,,12.00,,2.69,27.91,28.50,27.91,28.50,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27244,,Treat thigh fracture,A,,18.18,14.29,NA,15.15,NA,14.29,,15.15,,3.57,36.04,36.90,36.04,36.90,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27245,,Treat thigh fracture,A,,18.18,14.68,NA,15.17,NA,14.68,,15.17,,3.57,36.43,36.92,36.43,36.92,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27246,,Treat thigh fracture,A,,4.83,5.31,,5.57,,5.34,,5.62,,0.93,11.07,11.33,11.10,11.38,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27248,,Treat thigh fracture,A,,10.78,8.97,NA,9.30,NA,8.97,,9.30,,2.12,21.87,22.20,21.87,22.20,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27250,,Treat hip dislocation,A,,3.82,1.53,NA,0.98,NA,1.53,,0.98,,0.67,6.02,5.47,6.02,5.47,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27252,,Treat hip dislocation,A,,11.03,8.88,NA,9.33,NA,8.88,,9.33,,2.14,22.05,22.50,22.05,22.50,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27253,,Treat hip dislocation,A,,13.58,11.34,NA,11.87,NA,11.34,,11.87,,2.67,27.59,28.12,27.59,28.12,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27254,,Treat hip dislocation,A,,18.94,14.52,NA,15.26,NA,14.52,,15.26,,3.73,37.19,37.93,37.19,37.93,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27256,,Treat hip dislocation,A,,4.28,3.42,,3.52,,1.85,,1.78,,0.75,8.45,8.55,6.88,6.81,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27257,,Treat hip dislocation,A,,5.38,3.39,NA,3.57,NA,3.39,,3.57,,0.98,9.75,9.93,9.75,9.93,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27258,,Treat hip dislocation,A,,16.18,13.11,NA,13.86,NA,13.11,,13.86,,3.20,32.49,33.24,32.49,33.24,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27259,,Treat hip dislocation,A,,23.26,17.73,NA,18.78,NA,17.73,,18.78,,4.57,45.56,46.61,45.56,46.61,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27265,,Treat hip dislocation,A,,5.24,5.14,NA,5.28,NA,5.14,,5.28,,0.93,11.31,11.45,11.31,11.45,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27266,,Treat hip dislocation,A,,7.78,7.56,NA,7.95,NA,7.56,,7.95,,1.52,16.86,17.25,16.86,17.25,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27267,,Cltx thigh fx,A,,5.50,5.74,NA,6.23,NA,5.74,,6.23,,1.09,12.33,12.82,12.33,12.82,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27268,,Cltx thigh fx w/mnpj,A,,7.12,6.75,NA,7.44,NA,6.75,,7.44,,1.40,15.27,15.96,15.27,15.96,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27269,,Optx thigh fx,A,,18.89,13.34,NA,14.53,NA,13.34,,14.53,,3.70,35.93,37.12,35.93,37.12,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27275,,Manipulation of hip joint,A,,2.32,2.44,NA,2.53,NA,2.44,,2.53,,0.39,5.15,5.24,5.15,5.24,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27280,,Fusion of sacroiliac joint,A,,14.64,12.42,NA,13.05,NA,12.42,,13.05,,3.04,30.10,30.73,30.10,30.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27282,,Fusion of pubic bones,A,,11.85,10.10,NA,11.28,NA,10.10,,11.28,,2.31,24.26,25.44,24.26,25.44,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27284,,Fusion of hip joint,A,,25.06,16.60,NA,18.77,NA,16.60,,18.77,,4.95,46.61,48.78,46.61,48.78,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27286,,Fusion of hip joint,A,,25.17,18.64,NA,19.59,NA,18.64,,19.59,,4.97,48.78,49.73,48.78,49.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27290,,Amputation of leg at hip,A,,24.55,17.67,NA,19.43,NA,17.67,,19.43,,4.85,47.07,48.83,47.07,48.83,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27295,,Amputation of leg at hip,A,,19.66,13.64,NA,14.42,NA,13.64,,14.42,,4.01,37.31,38.09,37.31,38.09,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27299,,Pelvis/hip joint surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
27301,,Drain thigh/knee lesion,A,,6.78,11.03,,11.38,,6.35,,6.71,,1.37,19.18,19.53,14.50,14.86,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27303,,Drainage of bone lesion,A,,8.63,8.25,NA,8.66,NA,8.25,,8.66,,1.69,18.57,18.98,18.57,18.98,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27305,,Incise thigh tendon & fascia,A,,6.18,6.33,NA,6.77,NA,6.33,,6.77,,1.22,13.73,14.17,13.73,14.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27306,,Incision of thigh tendon,A,,4.74,5.20,NA,5.35,NA,5.20,,5.35,,0.93,10.87,11.02,10.87,11.02,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27307,,Incision of thigh tendons,A,,6.06,6.44,NA,6.92,NA,6.44,,6.92,,1.20,13.70,14.18,13.70,14.18,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27310,,Exploration of knee joint,A,,10.00,9.27,NA,9.78,NA,9.27,,9.78,,1.96,21.23,21.74,21.23,21.74,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27323,,Biopsy thigh soft tissues,A,,2.33,5.06,,5.21,,2.49,,2.59,,0.41,7.80,7.95,5.23,5.33,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27324,,Biopsy thigh soft tissues,A,,5.04,5.20,NA,5.52,NA,5.20,,5.52,,1.05,11.29,11.61,11.29,11.61,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27325,,Neurectomy hamstring,A,,7.20,7.15,NA,7.86,NA,7.15,,7.86,,1.42,15.77,16.48,15.77,16.48,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27326,,Neurectomy popliteal,A,,6.47,6.77,NA,7.43,NA,6.77,,7.43,,1.27,14.51,15.17,14.51,15.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27327,,Exc thigh/knee les sc < 3 cm,A,,3.96,7.92,,8.45,,4.45,,4.42,,0.80,12.68,13.21,9.21,9.18,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27328,,Exc thigh/knee tum deep <5cm,A,,8.85,6.48,NA,7.75,NA,6.48,,7.75,,1.81,17.14,18.41,17.14,18.41,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27329,,Resect thigh/knee tum < 5 cm,A,,15.72,11.56,NA,12.26,NA,11.56,,12.26,,3.18,30.46,31.16,30.46,31.16,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27330,,Biopsy knee joint lining,A,,5.11,5.68,NA,6.11,NA,5.68,,6.11,,0.95,11.74,12.17,11.74,12.17,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27331,,Explore/treat knee joint,A,,6.02,6.53,NA,6.85,NA,6.53,,6.85,,1.18,13.73,14.05,13.73,14.05,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27332,,Removal of knee cartilage,A,,8.46,8.46,NA,8.88,NA,8.46,,8.88,,1.65,18.57,18.99,18.57,18.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27333,,Removal of knee cartilage,A,,7.55,7.87,NA,8.29,NA,7.87,,8.29,,1.50,16.92,17.34,16.92,17.34,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27334,,Remove knee joint lining,A,,9.19,8.82,NA,9.31,NA,8.82,,9.31,,1.81,19.82,20.31,19.82,20.31,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27335,,Remove knee joint lining,A,,10.55,9.63,NA,10.08,NA,9.63,,10.08,,2.07,22.25,22.70,22.25,22.70,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27337,,Exc thigh/knee les sc 3+ cm,A,,5.91,5.38,NA,5.38,NA,5.38,,5.38,,1.21,12.50,12.50,12.50,12.50,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27339,,Exc thigh/knee tum deep 5+cm,A,,11.13,9.09,NA,9.09,NA,9.09,,9.09,,2.26,22.48,22.48,22.48,22.48,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27340,,Removal of kneecap bursa,A,,4.32,5.47,NA,5.76,NA,5.47,,5.76,,0.84,10.63,10.92,10.63,10.92,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27345,,Removal of knee cyst,A,,6.09,6.62,NA,6.91,NA,6.62,,6.91,,1.20,13.91,14.20,13.91,14.20,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27347,,Remove knee cyst,A,,6.73,7.12,NA,7.57,NA,7.12,,7.57,,1.32,15.17,15.62,15.17,15.62,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27350,,Removal of kneecap,A,,8.66,8.56,NA,8.98,NA,8.56,,8.98,,1.69,18.91,19.33,18.91,19.33,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27355,,Remove femur lesion,A,,8.00,7.92,NA,8.28,NA,7.92,,8.28,,1.58,17.50,17.86,17.50,17.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27356,,Remove femur lesion/graft,A,,10.09,9.36,NA,9.81,NA,9.36,,9.81,,1.97,21.42,21.87,21.42,21.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27357,,Remove femur lesion/graft,A,,11.16,10.33,NA,10.86,NA,10.33,,10.86,,2.20,23.69,24.22,23.69,24.22,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27358,,Remove femur lesion/fixation,A,,4.73,2.72,NA,2.82,NA,2.72,,2.82,,0.91,8.36,8.46,8.36,8.46,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27360,,Partial removal leg bone(s),A,,11.46,11.04,NA,11.56,NA,11.04,,11.56,,2.26,24.76,25.28,24.76,25.28,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27364,,Resect thigh/knee tum 5+ cm,A,,24.49,17.23,NA,17.23,NA,17.23,,17.23,,4.97,46.69,46.69,46.69,46.69,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27365,,Resect femur/knee tumor,A,,32.21,18.72,NA,23.74,NA,18.72,,23.74,,6.36,57.29,62.31,57.29,62.31,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27370,,Injection for knee x-ray,A,,0.96,3.84,,3.83,,0.47,,0.51,,0.12,4.92,4.91,1.55,1.59,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27372,,Removal of foreign body,A,,5.21,11.06,,11.37,,5.51,,5.77,,1.03,17.30,17.61,11.75,12.01,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27380,,Repair of kneecap tendon,A,,7.45,8.25,NA,8.58,NA,8.25,,8.58,,1.47,17.17,17.50,17.17,17.50,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27381,,Repair/graft kneecap tendon,A,,10.76,10.37,NA,10.79,NA,10.37,,10.79,,2.12,23.25,23.67,23.25,23.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27385,,Repair of thigh muscle,A,,8.11,8.65,NA,9.00,NA,8.65,,9.00,,1.59,18.35,18.70,18.35,18.70,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27386,,Repair/graft of thigh muscle,A,,11.13,10.86,NA,11.34,NA,10.86,,11.34,,2.19,24.18,24.66,24.18,24.66,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27390,,Incision of thigh tendon,A,,5.53,6.24,NA,6.60,NA,6.24,,6.60,,1.09,12.86,13.22,12.86,13.22,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27391,,Incision of thigh tendons,A,,7.49,7.69,NA,8.10,NA,7.69,,8.10,,1.48,16.66,17.07,16.66,17.07,0,090,0.10,0.69,0.21,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27392,,Incision of thigh tendons,A,,9.63,9.04,NA,9.63,NA,9.04,,9.63,,1.89,20.56,21.15,20.56,21.15,0,090,0.10,0.69,0.21,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27393,,Lengthening of thigh tendon,A,,6.59,6.78,NA,7.06,NA,6.78,,7.06,,1.29,14.66,14.94,14.66,14.94,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27394,,Lengthening of thigh tendons,A,,8.79,8.38,NA,8.73,NA,8.38,,8.73,,1.70,18.87,19.22,18.87,19.22,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27395,,Lengthening of thigh tendons,A,,12.24,10.97,NA,11.51,NA,10.97,,11.51,,2.41,25.62,26.16,25.62,26.16,0,090,0.10,0.69,0.21,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27396,,Transplant of thigh tendon,A,,8.15,8.11,NA,8.49,NA,8.11,,8.49,,1.61,17.87,18.25,17.87,18.25,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27397,,Transplants of thigh tendons,A,,12.66,11.45,NA,12.13,NA,11.45,,12.13,,2.48,26.59,27.27,26.59,27.27,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27400,,Revise thigh muscles/tendons,A,,9.33,8.95,NA,9.45,NA,8.95,,9.45,,1.84,20.12,20.62,20.12,20.62,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27403,,Repair of knee cartilage,A,,8.62,8.32,NA,8.70,NA,8.32,,8.70,,1.67,18.61,18.99,18.61,18.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27405,,Repair of knee ligament,A,,9.08,8.80,NA,9.21,NA,8.80,,9.21,,1.80,19.68,20.09,19.68,20.09,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27407,,Repair of knee ligament,A,,10.85,9.77,NA,10.57,NA,9.77,,10.57,,2.14,22.76,23.56,22.76,23.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27409,,Repair of knee ligaments,A,,13.71,11.77,NA,12.39,NA,11.77,,12.39,,2.71,28.19,28.81,28.19,28.81,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27412,,Autochondrocyte implant knee,A,,24.74,18.79,NA,19.87,NA,18.79,,19.87,,4.89,48.42,49.50,48.42,49.50,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27415,,Osteochondral knee allograft,A,,20.00,16.19,NA,17.22,NA,16.19,,17.22,,3.93,40.12,41.15,40.12,41.15,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27416,,Osteochondral knee autograft,A,,14.16,11.50,NA,12.36,NA,11.50,,12.36,,2.79,28.45,29.31,28.45,29.31,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27418,,Repair degenerated kneecap,A,,11.60,10.41,NA,10.87,NA,10.41,,10.87,,2.26,24.27,24.73,24.27,24.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27420,,Revision of unstable kneecap,A,,10.26,9.47,NA,9.91,NA,9.47,,9.91,,2.00,21.73,22.17,21.73,22.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27422,,Revision of unstable kneecap,A,,10.21,9.44,NA,9.88,NA,9.44,,9.88,,1.99,21.64,22.08,21.64,22.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27424,,Revision/removal of kneecap,A,,10.24,9.43,NA,9.82,NA,9.43,,9.82,,2.00,21.67,22.06,21.67,22.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27425,,Lat retinacular release open,A,,5.39,6.42,NA,6.74,NA,6.42,,6.74,,1.06,12.87,13.19,12.87,13.19,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27427,,Reconstruction knee,A,,9.79,9.17,NA,9.60,NA,9.17,,9.60,,1.92,20.88,21.31,20.88,21.31,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27428,,Reconstruction knee,A,,15.58,13.77,NA,14.53,NA,13.77,,14.53,,3.09,32.44,33.20,32.44,33.20,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27429,,Reconstruction knee,A,,17.54,15.28,NA,16.06,NA,15.28,,16.06,,3.47,36.29,37.07,36.29,37.07,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27430,,Revision of thigh muscles,A,,10.16,9.39,NA,9.84,NA,9.39,,9.84,,1.99,21.54,21.99,21.54,21.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27435,,Incision of knee joint,A,,10.88,10.36,NA,10.92,NA,10.36,,10.92,,2.15,23.39,23.95,23.39,23.95,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27437,,Revise kneecap,A,,8.93,8.52,NA,8.94,NA,8.52,,8.94,,1.77,19.22,19.64,19.22,19.64,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27438,,Revise kneecap with implant,A,,11.89,10.30,NA,10.83,NA,10.30,,10.83,,2.33,24.52,25.05,24.52,25.05,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27440,,Revision of knee joint,A,,11.09,9.57,NA,10.49,NA,9.57,,10.49,,2.18,22.84,23.76,22.84,23.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27441,,Revision of knee joint,A,,11.54,9.78,NA,10.76,NA,9.78,,10.76,,2.26,23.58,24.56,23.58,24.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27442,,Revision of knee joint,A,,12.37,10.57,NA,11.15,NA,10.57,,11.15,,2.42,25.36,25.94,25.36,25.94,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27443,,Revision of knee joint,A,,11.41,10.15,NA,10.68,NA,10.15,,10.68,,2.25,23.81,24.34,23.81,24.34,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27445,,Revision of knee joint,A,,18.66,14.49,NA,15.19,NA,14.49,,15.19,,3.70,36.85,37.55,36.85,37.55,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27446,,Revision of knee joint,A,,16.38,12.93,NA,13.48,NA,12.93,,13.48,,3.23,32.54,33.09,32.54,33.09,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27447,,Total knee arthroplasty,A,,23.25,17.49,NA,18.37,NA,17.49,,18.37,,4.57,45.31,46.19,45.31,46.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27448,,Incision of thigh,A,,11.60,10.02,NA,10.51,NA,10.02,,10.51,,2.29,23.91,24.40,23.91,24.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27450,,Incision of thigh,A,,14.61,12.22,NA,12.75,NA,12.22,,12.75,,2.90,29.73,30.26,29.73,30.26,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27454,,Realignment of thigh bone,A,,19.17,14.94,NA,16.01,NA,14.94,,16.01,,3.78,37.89,38.96,37.89,38.96,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27455,,Realignment of knee,A,,13.36,11.54,NA,12.13,NA,11.54,,12.13,,2.63,27.53,28.12,27.53,28.12,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27457,,Realignment of knee,A,,14.03,11.47,NA,12.01,NA,11.47,,12.01,,2.76,28.26,28.80,28.26,28.80,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27465,,Shortening of thigh bone,A,,18.60,14.19,NA,15.32,NA,14.19,,15.32,,3.69,36.48,37.61,36.48,37.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27466,,Lengthening of thigh bone,A,,17.28,13.87,NA,14.47,NA,13.87,,14.47,,3.42,34.57,35.17,34.57,35.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27468,,Shorten/lengthen thighs,A,,19.97,15.39,NA,16.37,NA,15.39,,16.37,,3.93,39.29,40.27,39.29,40.27,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27470,,Repair of thigh,A,,17.14,14.05,NA,14.75,NA,14.05,,14.75,,3.39,34.58,35.28,34.58,35.28,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27472,,Repair/graft of thigh,A,,18.72,14.79,NA,15.45,NA,14.79,,15.45,,3.70,37.21,37.87,37.21,37.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27475,,Surgery to stop leg growth,A,,8.93,7.18,NA,6.31,NA,7.18,,6.31,,1.77,17.88,17.01,17.88,17.01,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27477,,Surgery to stop leg growth,A,,10.14,9.21,NA,9.68,NA,9.21,,9.68,,1.99,21.34,21.81,21.34,21.81,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27479,,Surgery to stop leg growth,A,,13.16,11.19,NA,11.73,NA,11.19,,11.73,,0.93,25.28,25.82,25.28,25.82,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27485,,Surgery to stop leg growth,A,,9.13,8.59,NA,9.00,NA,8.59,,9.00,,1.81,19.53,19.94,19.53,19.94,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27486,,Revise/replace knee joint,A,,21.12,16.16,NA,16.98,NA,16.16,,16.98,,4.15,41.43,42.25,41.43,42.25,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27487,,Revise/replace knee joint,A,,27.11,19.56,NA,20.50,NA,19.56,,20.50,,5.34,52.01,52.95,52.01,52.95,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27488,,Removal of knee prosthesis,A,,17.60,14.16,NA,14.90,NA,14.16,,14.90,,3.47,35.23,35.97,35.23,35.97,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27495,,Reinforce thigh,A,,16.54,13.34,NA,13.96,NA,13.34,,13.96,,3.25,33.13,33.75,33.13,33.75,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27496,,Decompression of thigh/knee,A,,6.78,7.12,NA,7.93,NA,7.12,,7.93,,1.33,15.23,16.04,15.23,16.04,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27497,,Decompression of thigh/knee,A,,7.79,7.09,NA,7.95,NA,7.09,,7.95,,1.54,16.42,17.28,16.42,17.28,0,090,0.10,0.69,0.21,2,1,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27498,,Decompression of thigh/knee,A,,8.66,7.84,NA,9.05,NA,7.84,,9.05,,1.69,18.19,19.40,18.19,19.40,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27499,,Decompression of thigh/knee,A,,9.43,8.49,NA,9.51,NA,8.49,,9.51,,1.86,19.78,20.80,19.78,20.80,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27500,,Treatment of thigh fracture,A,,6.30,7.33,,7.73,,6.28,,6.67,,1.22,14.85,15.25,13.80,14.19,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27501,,Treatment of thigh fracture,A,,6.45,6.84,,7.18,,6.68,,7.06,,1.27,14.56,14.90,14.40,14.78,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27502,,Treatment of thigh fracture,A,,11.36,9.27,NA,9.65,NA,9.27,,9.65,,2.19,22.82,23.20,22.82,23.20,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27503,,Treatment of thigh fracture,A,,11.27,9.95,NA,10.49,NA,9.95,,10.49,,2.20,23.42,23.96,23.42,23.96,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27506,,Treatment of thigh fracture,A,,19.65,15.71,NA,16.59,NA,15.71,,16.59,,3.87,39.23,40.11,39.23,40.11,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27507,,Treatment of thigh fracture,A,,14.48,11.34,NA,11.85,NA,11.34,,11.85,,2.86,28.68,29.19,28.68,29.19,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27508,,Treatment of thigh fracture,A,,6.20,7.62,,7.98,,6.77,,7.14,,1.20,15.02,15.38,14.17,14.54,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27509,,Treatment of thigh fracture,A,,8.14,8.99,NA,9.37,NA,8.99,,9.37,,1.59,18.72,19.10,18.72,19.10,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27510,,Treatment of thigh fracture,A,,9.80,8.51,NA,8.80,NA,8.51,,8.80,,1.88,20.19,20.48,20.19,20.48,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27511,,Treatment of thigh fracture,A,,15.11,11.57,NA,11.90,NA,11.57,,11.90,,2.98,29.66,29.99,29.66,29.99,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27513,,Treatment of thigh fracture,A,,19.25,14.02,NA,14.35,NA,14.02,,14.35,,3.80,37.07,37.40,37.07,37.40,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27514,,Treatment of thigh fracture,A,,14.60,11.63,NA,11.58,NA,11.63,,11.58,,2.87,29.10,29.05,29.10,29.05,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27516,,Treat thigh fx growth plate,A,,5.59,7.67,,8.18,,6.84,,7.32,,1.10,14.36,14.87,13.53,14.01,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27517,,Treat thigh fx growth plate,A,,9.12,8.95,NA,9.43,NA,8.95,,9.43,,1.80,19.87,20.35,19.87,20.35,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27519,,Treat thigh fx growth plate,A,,13.25,10.77,NA,10.87,NA,10.77,,10.87,,2.61,26.63,26.73,26.63,26.73,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27520,,Treat kneecap fracture,A,,3.04,5.43,,5.70,,4.62,,4.94,,0.59,9.06,9.33,8.25,8.57,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27524,,Treat kneecap fracture,A,,10.37,9.55,NA,10.00,NA,9.55,,10.00,,2.03,21.95,22.40,21.95,22.40,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27530,,Treat knee fracture,A,,4.09,6.40,,6.72,,5.64,,5.98,,0.78,11.27,11.59,10.51,10.85,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27532,,Treat knee fracture,A,,7.55,8.71,,9.17,,7.71,,8.13,,1.48,17.74,18.20,16.74,17.16,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27535,,Treat knee fracture,A,,13.41,10.57,NA,10.89,NA,10.57,,10.89,,2.63,26.61,26.93,26.61,26.93,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27536,,Treat knee fracture,A,,17.39,14.10,NA,14.88,NA,14.10,,14.88,,3.43,34.92,35.70,34.92,35.70,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27538,,Treat knee fracture(s),A,,5.09,7.36,,7.73,,6.53,,6.91,,0.99,13.44,13.81,12.61,12.99,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27540,,Treat knee fracture,A,,11.30,10.36,NA,10.72,NA,10.36,,10.72,,2.22,23.88,24.24,23.88,24.24,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27550,,Treat knee dislocation,A,,5.98,7.10,,7.44,,6.12,,6.46,,1.10,14.18,14.52,13.20,13.54,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27552,,Treat knee dislocation,A,,8.18,8.33,NA,8.79,NA,8.33,,8.79,,1.61,18.12,18.58,18.12,18.58,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27556,,Treat knee dislocation,A,,13.00,10.62,NA,10.72,NA,10.62,,10.72,,2.57,26.19,26.29,26.19,26.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27557,,Treat knee dislocation,A,,15.90,12.31,NA,12.45,NA,12.31,,12.45,,3.14,31.35,31.49,31.35,31.49,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27558,,Treat knee dislocation,A,,18.39,13.56,NA,13.93,NA,13.56,,13.93,,3.62,35.57,35.94,35.57,35.94,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27560,,Treat kneecap dislocation,A,,3.99,5.95,,6.34,,5.10,,5.62,,0.76,10.70,11.09,9.85,10.37,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27562,,Treat kneecap dislocation,A,,5.98,6.53,NA,7.10,NA,6.53,,7.10,,1.18,13.69,14.26,13.69,14.26,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27566,,Treat kneecap dislocation,A,,12.71,10.85,NA,11.36,NA,10.85,,11.36,,2.50,26.06,26.57,26.06,26.57,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27570,,Fixation of knee joint,A,,1.79,2.18,NA,2.30,NA,2.18,,2.30,,0.34,4.31,4.43,4.31,4.43,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27580,,Fusion of knee,A,,21.10,17.04,NA,17.83,NA,17.04,,17.83,,4.15,42.29,43.08,42.29,43.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27590,,Amputate leg at thigh,A,,13.47,8.08,NA,8.41,NA,8.08,,8.41,,2.95,24.50,24.83,24.50,24.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27591,,Amputate leg at thigh,A,,13.94,9.91,NA,10.13,NA,9.91,,10.13,,2.91,26.76,26.98,26.76,26.98,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27592,,Amputate leg at thigh,A,,10.98,7.48,NA,7.79,NA,7.48,,7.79,,2.34,20.80,21.11,20.80,21.11,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27594,,Amputation follow-up surgery,A,,7.29,6.23,NA,6.42,NA,6.23,,6.42,,1.55,15.07,15.26,15.07,15.26,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27596,,Amputation follow-up surgery,A,,11.29,8.04,NA,8.33,NA,8.04,,8.33,,2.40,21.73,22.02,21.73,22.02,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27598,,Amputate lower leg at knee,A,,11.22,8.48,NA,8.82,NA,8.48,,8.82,,2.33,22.03,22.37,22.03,22.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27599,,Leg surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
27600,,Decompression of lower leg,A,,6.03,5.07,NA,5.12,NA,5.07,,5.12,,1.27,12.37,12.42,12.37,12.42,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27601,,Decompression of lower leg,A,,6.05,5.76,NA,5.98,NA,5.76,,5.98,,1.27,13.08,13.30,13.08,13.30,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27602,,Decompression of lower leg,A,,7.82,5.63,NA,5.66,NA,5.63,,5.66,,1.74,15.19,15.22,15.19,15.22,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27603,,Drain lower leg lesion,A,,5.23,9.17,,9.60,,5.21,,5.51,,1.01,15.41,15.84,11.45,11.75,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27604,,Drain lower leg bursa,A,,4.59,8.11,,8.60,,4.49,,4.68,,0.78,13.48,13.97,9.86,10.05,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27605,,Incision of achilles tendon,A,,2.92,6.78,,6.53,,2.26,,2.19,,0.34,10.04,9.79,5.52,5.45,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27606,,Incision of achilles tendon,A,,4.18,3.58,NA,3.66,NA,3.58,,3.66,,0.72,8.48,8.56,8.48,8.56,0,010,0.10,0.80,0.10,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27607,,Treat lower leg bone lesion,A,,8.62,7.72,NA,8.11,NA,7.72,,8.11,,1.58,17.92,18.31,17.92,18.31,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27610,,Explore/treat ankle joint,A,,9.13,8.32,NA,8.71,NA,8.32,,8.71,,1.63,19.08,19.47,19.08,19.47,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27612,,Exploration of ankle joint,A,,8.15,7.07,NA,7.34,NA,7.07,,7.34,,1.16,16.38,16.65,16.38,16.65,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27613,,Biopsy lower leg soft tissue,A,,2.22,4.75,,4.90,,2.30,,2.38,,0.31,7.28,7.43,4.83,4.91,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27614,,Biopsy lower leg soft tissue,A,,5.80,9.62,,10.09,,5.12,,5.28,,1.03,16.45,16.92,11.95,12.11,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27615,,Resect leg/ankle tum < 5 cm,A,,15.72,10.98,NA,12.21,NA,10.98,,12.21,,3.14,29.84,31.07,29.84,31.07,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27616,,Resect leg/ankle tum 5+ cm,A,,19.63,14.60,NA,14.60,NA,14.60,,14.60,,3.91,38.14,38.14,38.14,38.14,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27618,,Exc leg/ankle tum < 3 cm,A,,3.96,8.04,,8.32,,4.57,,4.38,,0.73,12.73,13.01,9.26,9.07,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27619,,Exc leg/ankle tum deep <5 cm,A,,6.91,6.49,NA,6.31,NA,6.49,,6.31,,1.22,14.62,14.44,14.62,14.44,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27620,,Explore/treat ankle joint,A,,6.15,6.18,NA,6.41,NA,6.18,,6.41,,1.05,13.38,13.61,13.38,13.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27625,,Remove ankle joint lining,A,,8.49,7.15,NA,7.31,NA,7.15,,7.31,,1.27,16.91,17.07,16.91,17.07,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27626,,Remove ankle joint lining,A,,9.10,7.82,NA,8.09,NA,7.82,,8.09,,1.52,18.44,18.71,18.44,18.71,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27630,,Removal of tendon lesion,A,,4.94,10.04,,10.59,,4.99,,5.16,,0.78,15.76,16.31,10.71,10.88,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27632,,Exc leg/ankle les sc 3+ cm,A,,5.91,5.33,NA,5.33,NA,5.33,,5.33,,1.13,12.37,12.37,12.37,12.37,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27634,,Exc leg/ankle tum deep 5+ cm,A,,10.13,8.13,NA,8.13,NA,8.13,,8.13,,1.80,20.06,20.06,20.06,20.06,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27635,,Remove lower leg bone lesion,A,,8.03,7.78,NA,8.13,NA,7.78,,8.13,,1.50,17.31,17.66,17.31,17.66,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27637,,Remove/graft leg bone lesion,A,,10.31,9.82,NA,10.37,NA,9.82,,10.37,,2.01,22.14,22.69,22.14,22.69,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27638,,Remove/graft leg bone lesion,A,,10.99,9.56,NA,9.89,NA,9.56,,9.89,,2.16,22.71,23.04,22.71,23.04,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27640,,Partial removal of tibia,A,,12.24,10.48,NA,10.69,NA,10.48,,10.69,,2.20,24.92,25.13,24.92,25.13,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27641,,Partial removal of fibula,A,,9.84,8.34,NA,8.45,NA,8.34,,8.45,,1.67,19.85,19.96,19.85,19.96,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27645,,Resect tibia tumor,A,,27.21,16.69,NA,21.02,NA,16.69,,21.02,,5.36,49.26,53.59,49.26,53.59,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27646,,Resect fibula tumor,A,,23.21,14.73,NA,18.64,NA,14.73,,18.64,,4.57,42.51,46.42,42.51,46.42,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27647,,Resect talus/calcaneus tum,A,,20.26,9.49,NA,10.84,NA,9.49,,10.84,,2.03,31.78,33.13,31.78,33.13,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27648,,Injection for ankle x-ray,A,,0.96,3.64,,3.62,,0.46,,0.49,,0.12,4.72,4.70,1.54,1.57,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27650,,Repair achilles tendon,A,,9.21,8.80,NA,9.15,NA,8.80,,9.15,,1.51,19.52,19.87,19.52,19.87,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27652,,Repair/graft achilles tendon,A,,10.78,8.50,NA,8.57,NA,8.50,,8.57,,1.51,20.79,20.86,20.79,20.86,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27654,,Repair of achilles tendon,A,,10.53,8.78,NA,9.15,NA,8.78,,9.15,,1.51,20.82,21.19,20.82,21.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27656,,Repair leg fascia defect,A,,4.71,11.28,,12.62,,5.29,,6.04,,0.91,16.90,18.24,10.91,11.66,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27658,,Repair of leg tendon each,A,,5.12,5.13,NA,5.28,NA,5.13,,5.28,,0.78,11.03,11.18,11.03,11.18,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27659,,Repair of leg tendon each,A,,7.10,6.23,NA,6.42,NA,6.23,,6.42,,0.99,14.32,14.51,14.32,14.51,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27664,,Repair of leg tendon each,A,,4.73,5.15,NA,5.37,NA,5.15,,5.37,,0.75,10.63,10.85,10.63,10.85,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27665,,Repair of leg tendon each,A,,5.57,5.58,NA,5.71,NA,5.58,,5.71,,0.88,12.03,12.16,12.03,12.16,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27675,,Repair lower leg tendons,A,,7.35,6.08,NA,6.16,NA,6.08,,6.16,,1.02,14.45,14.53,14.45,14.53,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27676,,Repair lower leg tendons,A,,8.73,7.80,NA,8.10,NA,7.80,,8.10,,1.70,18.23,18.53,18.23,18.53,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27680,,Release of lower leg tendon,A,,5.88,5.77,NA,6.04,NA,5.77,,6.04,,0.98,12.63,12.90,12.63,12.90,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27681,,Release of lower leg tendons,A,,7.05,7.11,NA,7.74,NA,7.11,,7.74,,1.39,15.55,16.18,15.55,16.18,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27685,,Revision of lower leg tendon,A,,6.69,11.01,,11.82,,6.06,,6.23,,0.91,18.61,19.42,13.66,13.83,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27686,,Revise lower leg tendons,A,,7.75,7.23,NA,7.46,NA,7.23,,7.46,,1.29,16.27,16.50,16.27,16.50,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27687,,Revision of calf tendon,A,,6.41,5.98,NA,6.19,NA,5.98,,6.19,,0.99,13.38,13.59,13.38,13.59,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27690,,Revise lower leg tendon,A,,9.17,8.08,NA,8.52,NA,8.08,,8.52,,1.32,18.57,19.01,18.57,19.01,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27691,,Revise lower leg tendon,A,,10.49,9.66,NA,10.15,NA,9.66,,10.15,,1.82,21.97,22.46,21.97,22.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27692,,Revise additional leg tendon,A,,1.87,1.01,NA,1.05,NA,1.01,,1.05,,0.34,3.22,3.26,3.22,3.26,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27695,,Repair of ankle ligament,A,,6.70,6.39,NA,6.49,NA,6.39,,6.49,,1.08,14.17,14.27,14.17,14.27,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27696,,Repair of ankle ligaments,A,,8.58,6.88,NA,7.00,NA,6.88,,7.00,,1.16,16.62,16.74,16.62,16.74,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27698,,Repair of ankle ligament,A,,9.61,7.83,NA,8.08,NA,7.83,,8.08,,1.51,18.95,19.20,18.95,19.20,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27700,,Revision of ankle joint,A,,9.66,6.67,NA,6.78,NA,6.67,,6.78,,1.20,17.53,17.64,17.53,17.64,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27702,,Reconstruct ankle joint,A,,14.42,11.77,NA,12.13,NA,11.77,,12.13,,2.65,28.84,29.20,28.84,29.20,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27703,,Reconstruction ankle joint,A,,16.94,13.29,NA,13.72,NA,13.29,,13.72,,3.18,33.41,33.84,33.41,33.84,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27704,,Removal of ankle implant,A,,7.81,7.49,NA,7.97,NA,7.49,,7.97,,1.42,16.72,17.20,16.72,17.20,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27705,,Incision of tibia,A,,10.86,9.47,NA,9.91,NA,9.47,,9.91,,2.01,22.34,22.78,22.34,22.78,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27707,,Incision of fibula,A,,4.78,6.00,NA,6.33,NA,6.00,,6.33,,0.90,11.68,12.01,11.68,12.01,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27709,,Incision of tibia & fibula,A,,17.48,13.27,NA,14.60,NA,13.27,,14.60,,3.38,34.13,35.46,34.13,35.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27712,,Realignment of lower leg,A,,15.87,13.30,NA,14.05,NA,13.30,,14.05,,3.14,32.31,33.06,32.31,33.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27715,,Revision of lower leg,A,,15.50,12.54,NA,12.98,NA,12.54,,12.98,,3.08,31.12,31.56,31.12,31.56,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27720,,Repair of tibia,A,,12.36,10.91,NA,11.37,NA,10.91,,11.37,,2.40,25.67,26.13,25.67,26.13,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27722,,Repair/graft of tibia,A,,12.45,10.96,NA,11.64,NA,10.96,,11.64,,2.44,25.85,26.53,25.85,26.53,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27724,,Repair/graft of tibia,A,,19.31,14.39,NA,15.06,NA,14.39,,15.06,,3.80,37.50,38.17,37.50,38.17,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27725,,Repair of lower leg,A,,17.41,14.72,NA,15.63,NA,14.72,,15.63,,3.44,35.57,36.48,35.57,36.48,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27726,,Repair fibula nonunion,A,,14.34,10.88,NA,12.08,NA,10.88,,12.08,,2.78,28.00,29.20,28.00,29.20,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27727,,Repair of lower leg,A,,14.84,11.66,NA,13.21,NA,11.66,,13.21,,2.94,29.44,30.99,29.44,30.99,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27730,,Repair of tibia epiphysis,A,,7.70,7.74,NA,8.15,NA,7.74,,8.15,,1.52,16.96,17.37,16.96,17.37,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27732,,Repair of fibula epiphysis,A,,5.46,5.85,NA,6.65,NA,5.85,,6.65,,1.08,12.39,13.19,12.39,13.19,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27734,,Repair lower leg epiphyses,A,,8.83,7.76,NA,8.91,NA,7.76,,8.91,,0.63,17.22,18.37,17.22,18.37,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27740,,Repair of leg epiphyses,A,,9.61,7.08,NA,6.73,NA,7.08,,6.73,,1.89,18.58,18.23,18.58,18.23,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27742,,Repair of leg epiphyses,A,,10.63,8.07,NA,8.98,NA,8.07,,8.98,,2.08,20.78,21.69,20.78,21.69,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27745,,Reinforce tibia,A,,10.49,9.49,NA,9.89,NA,9.49,,9.89,,2.04,22.02,22.42,22.02,22.42,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27750,,Treatment of tibia fracture,A,,3.37,5.72,,6.01,,4.93,,5.23,,0.64,9.73,10.02,8.94,9.24,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27752,,Treatment of tibia fracture,A,,6.27,7.96,,8.34,,6.86,,7.22,,1.21,15.44,15.82,14.34,14.70,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27756,,Treatment of tibia fracture,A,,7.45,7.73,NA,8.12,NA,7.73,,8.12,,1.46,16.64,17.03,16.64,17.03,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27758,,Treatment of tibia fracture,A,,12.54,11.03,NA,11.61,NA,11.03,,11.61,,2.45,26.02,26.60,26.02,26.60,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27759,,Treatment of tibia fracture,A,,14.45,12.03,NA,12.60,NA,12.03,,12.60,,2.84,29.32,29.89,29.32,29.89,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27760,,Cltx medial ankle fx,A,,3.21,5.60,,5.87,,4.77,,5.07,,0.59,9.40,9.67,8.57,8.87,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27762,,Cltx med ankle fx w/mnpj,A,,5.47,7.30,,7.57,,6.20,,6.45,,1.01,13.78,14.05,12.68,12.93,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27766,,Optx medial ankle fx,A,,7.89,8.35,NA,8.74,NA,8.35,,8.74,,1.51,17.75,18.14,17.75,18.14,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27767,,Cltx post ankle fx,A,,2.64,4.65,,5.05,,4.69,,5.10,,0.50,7.79,8.19,7.83,8.24,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27768,,Cltx post ankle fx w/mnpj,A,,5.14,6.10,NA,6.78,NA,6.10,,6.78,,1.02,12.26,12.94,12.26,12.94,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27769,,Optx post ankle fx,A,,10.14,8.80,NA,9.81,NA,8.80,,9.81,,1.99,20.93,21.94,20.93,21.94,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27780,,Treatment of fibula fracture,A,,2.83,5.15,,5.45,,4.38,,4.70,,0.53,8.51,8.81,7.74,8.06,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27781,,Treatment of fibula fracture,A,,4.59,6.61,,6.95,,5.78,,6.11,,0.87,12.07,12.41,11.24,11.57,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27784,,Treatment of fibula fracture,A,,9.67,9.15,NA,9.84,NA,9.15,,9.84,,1.88,20.70,21.39,20.70,21.39,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27786,,Treatment of ankle fracture,A,,3.02,5.33,,5.59,,4.48,,4.77,,0.54,8.89,9.15,8.04,8.33,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27788,,Treatment of ankle fracture,A,,4.64,6.58,,6.86,,5.61,,5.87,,0.84,12.06,12.34,11.09,11.35,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27792,,Treatment of ankle fracture,A,,9.71,9.16,NA,9.75,NA,9.16,,9.75,,1.84,20.71,21.30,20.71,21.30,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27808,,Treatment of ankle fracture,A,,3.03,5.77,,6.04,,4.83,,5.12,,0.56,9.36,9.63,8.42,8.71,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27810,,Treatment of ankle fracture,A,,5.32,7.16,,7.41,,6.04,,6.26,,1.01,13.49,13.74,12.37,12.59,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27814,,Treatment of ankle fracture,A,,10.62,9.94,NA,10.39,NA,9.94,,10.39,,2.04,22.60,23.05,22.60,23.05,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27816,,Treatment of ankle fracture,A,,3.07,5.28,,5.60,,4.39,,4.70,,0.54,8.89,9.21,8.00,8.31,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27818,,Treatment of ankle fracture,A,,5.69,7.09,,7.30,,5.82,,6.00,,1.05,13.83,14.04,12.56,12.74,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27822,,Treatment of ankle fracture,A,,11.21,11.36,NA,11.71,NA,11.36,,11.71,,2.16,24.73,25.08,24.73,25.08,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27823,,Treatment of ankle fracture,A,,13.16,12.42,NA,12.86,NA,12.42,,12.86,,2.55,28.13,28.57,28.13,28.57,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27824,,Treat lower leg fracture,A,,3.31,4.93,,5.18,,4.64,,4.93,,0.61,8.85,9.10,8.56,8.85,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27825,,Treat lower leg fracture,A,,6.69,7.79,,8.13,,6.45,,6.75,,1.28,15.76,16.10,14.42,14.72,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27826,,Treat lower leg fracture,A,,11.10,11.08,NA,11.72,NA,11.08,,11.72,,2.14,24.32,24.96,24.32,24.96,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27827,,Treat lower leg fracture,A,,14.79,14.11,NA,14.68,NA,14.11,,14.68,,2.90,31.80,32.37,31.80,32.37,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27828,,Treat lower leg fracture,A,,18.43,16.06,NA,16.80,NA,16.06,,16.80,,3.59,38.08,38.82,38.08,38.82,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27829,,Treat lower leg joint,A,,8.80,9.24,NA,9.84,NA,9.24,,9.84,,1.69,19.73,20.33,19.73,20.33,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
27830,,Treat lower leg dislocation,A,,3.96,5.83,,6.37,,5.14,,5.65,,0.76,10.55,11.09,9.86,10.37,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27831,,Treat lower leg dislocation,A,,4.73,5.62,NA,6.10,NA,5.62,,6.10,,0.91,11.26,11.74,11.26,11.74,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27832,,Treat lower leg dislocation,A,,10.17,9.37,NA,10.31,NA,9.37,,10.31,,1.99,21.53,22.47,21.53,22.47,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27840,,Treat ankle dislocation,A,,4.77,4.68,NA,4.94,NA,4.68,,4.94,,0.83,10.28,10.54,10.28,10.54,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27842,,Treat ankle dislocation,A,,6.46,6.58,NA,7.04,NA,6.58,,7.04,,1.21,14.25,14.71,14.25,14.71,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27846,,Treat ankle dislocation,A,,10.28,9.26,NA,9.63,NA,9.26,,9.63,,1.95,21.49,21.86,21.49,21.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27848,,Treat ankle dislocation,A,,11.68,10.24,NA,10.50,NA,10.24,,10.50,,2.25,24.17,24.43,24.17,24.43,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27860,,Fixation of ankle joint,A,,2.39,2.32,NA,2.36,NA,2.32,,2.36,,0.39,5.10,5.14,5.10,5.14,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27870,,Fusion of ankle joint open,A,,15.41,12.40,NA,12.92,NA,12.40,,12.92,,2.80,30.61,31.13,30.61,31.13,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27871,,Fusion of tibiofibular joint,A,,9.54,8.87,NA,9.26,NA,8.87,,9.26,,1.85,20.26,20.65,20.26,20.65,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27880,,Amputation of lower leg,A,,15.37,9.03,NA,9.50,NA,9.03,,9.50,,3.32,27.72,28.19,27.72,28.19,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27881,,Amputation of lower leg,A,,13.47,9.97,NA,10.24,NA,9.97,,10.24,,2.80,26.24,26.51,26.24,26.51,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27882,,Amputation of lower leg,A,,9.79,6.63,NA,6.68,NA,6.63,,6.68,,2.15,18.57,18.62,18.57,18.62,0,090,0.10,0.69,0.21,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27884,,Amputation follow-up surgery,A,,8.76,6.77,NA,7.00,NA,6.77,,7.00,,1.86,17.39,17.62,17.39,17.62,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27886,,Amputation follow-up surgery,A,,10.02,7.66,NA,7.90,NA,7.66,,7.90,,2.14,19.82,20.06,19.82,20.06,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27888,,Amputation of foot at ankle,A,,10.37,8.11,NA,8.15,NA,8.11,,8.15,,1.93,20.41,20.45,20.41,20.45,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27889,,Amputation of foot at ankle,A,,10.86,7.02,NA,7.04,NA,7.02,,7.04,,2.41,20.29,20.31,20.29,20.31,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
27892,,Decompression of leg,A,,7.94,6.64,NA,7.00,NA,6.64,,7.00,,1.63,16.21,16.57,16.21,16.57,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27893,,Decompression of leg,A,,7.90,7.58,NA,8.60,NA,7.58,,8.60,,1.67,17.15,18.17,17.15,18.17,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27894,,Decompression of leg,A,,12.67,9.97,NA,10.44,NA,9.97,,10.44,,2.67,25.31,25.78,25.31,25.78,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
27899,,Leg/ankle surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
28001,,Drainage of bursa of foot,A,,2.78,4.73,,4.98,,2.01,,1.97,,0.23,7.74,7.99,5.02,4.98,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28002,,Treatment of foot infection,A,,5.93,8.05,,8.52,,4.50,,4.57,,0.67,14.65,15.12,11.10,11.17,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28003,,Treatment of foot infection,A,,9.06,9.39,,9.78,,5.78,,5.75,,1.06,19.51,19.90,15.90,15.87,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28005,,Treat foot bone lesion,A,,9.44,7.03,NA,7.11,NA,7.03,,7.11,,1.02,17.49,17.57,17.49,17.57,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28008,,Incision of foot fascia,A,,4.59,7.24,,7.62,,3.66,,3.67,,0.41,12.24,12.62,8.66,8.67,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28010,,Incision of toe tendon,A,,2.97,3.47,,3.63,,2.91,,2.97,,0.27,6.71,6.87,6.15,6.21,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28011,,Incision of toe tendons,A,,4.28,4.77,,5.05,,3.92,,4.04,,0.49,9.54,9.82,8.69,8.81,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28020,,Exploration of foot joint,A,,5.15,9.15,,9.85,,4.68,,4.83,,0.67,14.97,15.67,10.50,10.65,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28022,,Exploration of foot joint,A,,4.81,8.25,,8.72,,4.18,,4.17,,0.49,13.55,14.02,9.48,9.47,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28024,,Exploration of toe joint,A,,4.52,7.86,,8.25,,3.97,,3.91,,0.42,12.80,13.19,8.91,8.85,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28035,,Decompression of tibia nerve,A,,5.23,8.96,,9.46,,4.59,,4.63,,0.65,14.84,15.34,10.47,10.51,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28039,,Exc foot/toe tum sc > 1.5 cm,A,,5.42,8.34,,8.34,,4.04,,4.04,,0.54,14.30,14.30,10.00,10.00,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28041,,Exc foot/toe tum deep 1.5cm+,A,,7.13,5.27,NA,5.27,NA,5.27,,5.27,,0.73,13.13,13.13,13.13,13.13,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28043,,Exc foot/toe tum sc < 1.5 cm,A,,3.96,6.49,,7.50,,3.48,,3.52,,0.39,10.84,11.85,7.83,7.87,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28045,,Exc foot/toe tum deep <1.5cm,A,,5.45,8.42,,8.86,,4.30,,4.53,,0.56,14.43,14.87,10.31,10.54,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28046,,Resect foot/toe tumor < 3 cm,A,,12.38,7.91,NA,8.52,NA,7.91,,8.52,,1.66,21.95,22.56,21.95,22.56,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28047,,Resect foot/toe tumor > 3 cm,A,,17.45,8.52,NA,8.52,NA,8.52,,8.52,,1.33,27.30,27.30,27.30,27.30,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28050,,Biopsy of foot joint lining,A,,4.39,7.69,,7.69,,3.81,,3.55,,0.39,12.47,12.47,8.59,8.33,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28052,,Biopsy of foot joint lining,A,,4.06,7.57,,8.03,,3.65,,3.66,,0.49,12.12,12.58,8.20,8.21,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28054,,Biopsy of toe joint lining,A,,3.57,7.05,,7.11,,3.31,,3.11,,0.27,10.89,10.95,7.15,6.95,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28055,,Neurectomy foot,A,,6.29,4.36,NA,4.40,NA,4.36,,4.40,,0.53,11.18,11.22,11.18,11.22,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28060,,Partial removal foot fascia,A,,5.40,8.61,,9.16,,4.50,,4.58,,0.54,14.55,15.10,10.44,10.52,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28062,,Removal of foot fascia,A,,6.69,9.48,,9.92,,4.76,,4.80,,0.60,16.77,17.21,12.05,12.09,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28070,,Removal of foot joint lining,A,,5.24,8.99,,9.87,,4.55,,4.77,,0.56,14.79,15.67,10.35,10.57,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28072,,Removal of foot joint lining,A,,4.72,9.16,,9.77,,4.66,,4.67,,0.64,14.52,15.13,10.02,10.03,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28080,,Removal of foot lesion,A,,4.86,9.13,,9.83,,5.14,,5.38,,0.48,14.47,15.17,10.48,10.72,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28086,,Excise foot tendon sheath,A,,4.92,9.77,,10.22,,4.91,,5.01,,0.72,15.41,15.86,10.55,10.65,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28088,,Excise foot tendon sheath,A,,3.98,9.00,,9.81,,4.37,,4.56,,0.54,13.52,14.33,8.89,9.08,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28090,,Removal of foot lesion,A,,4.55,8.17,,8.70,,4.01,,4.08,,0.48,13.20,13.73,9.04,9.11,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28092,,Removal of toe lesions,A,,3.78,7.83,,8.31,,3.80,,3.85,,0.39,12.00,12.48,7.97,8.02,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28100,,Removal of ankle/heel lesion,A,,5.83,10.32,,10.80,,5.29,,5.41,,0.76,16.91,17.39,11.88,12.00,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28102,,Remove/graft foot lesion,A,,7.92,7.78,NA,8.50,NA,7.78,,8.50,,0.61,16.31,17.03,16.31,17.03,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28103,,Remove/graft foot lesion,A,,6.67,4.90,NA,4.44,NA,4.90,,4.44,,0.50,12.07,11.61,12.07,11.61,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28104,,Removal of foot lesion,A,,5.26,8.66,,9.19,,4.36,,4.39,,0.54,14.46,14.99,10.16,10.19,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28106,,Remove/graft foot lesion,A,,7.35,5.05,NA,4.81,NA,5.05,,4.81,,0.56,12.96,12.72,12.96,12.72,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28107,,Remove/graft foot lesion,A,,5.73,9.07,,8.96,,4.46,,4.16,,0.42,15.22,15.11,10.61,10.31,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28108,,Removal of toe lesions,A,,4.30,7.58,,8.08,,3.73,,3.78,,0.38,12.26,12.76,8.41,8.46,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28110,,Part removal of metatarsal,A,,4.22,8.31,,8.83,,3.82,,3.89,,0.41,12.94,13.46,8.45,8.52,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28111,,Part removal of metatarsal,A,,5.15,8.78,,9.18,,4.13,,4.18,,0.60,14.53,14.93,9.88,9.93,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28112,,Part removal of metatarsal,A,,4.63,8.77,,9.29,,4.13,,4.20,,0.52,13.92,14.44,9.28,9.35,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28113,,Part removal of metatarsal,A,,6.11,10.08,,10.76,,5.73,,5.94,,0.63,16.82,17.50,12.47,12.68,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28114,,Removal of metatarsal heads,A,,12.00,16.85,,17.97,,10.73,,11.25,,1.65,30.50,31.62,24.38,24.90,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28116,,Revision of foot,A,,9.14,11.31,,12.17,,6.61,,6.86,,0.95,21.40,22.26,16.70,16.95,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28118,,Removal of heel bone,A,,6.13,9.81,,10.43,,5.21,,5.33,,0.75,16.69,17.31,12.09,12.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28119,,Removal of heel spur,A,,5.56,8.68,,9.25,,4.47,,4.56,,0.53,14.77,15.34,10.56,10.65,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28120,,Part removal of ankle/heel,A,,8.27,10.79,,12.06,,5.97,,6.94,,1.14,20.20,21.47,15.38,16.35,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28122,,Partial removal of foot bone,A,,7.72,10.21,,10.67,,6.06,,6.13,,0.82,18.75,19.21,14.60,14.67,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28124,,Partial removal of toe,A,,5.00,8.06,,8.53,,4.29,,4.33,,0.42,13.48,13.95,9.71,9.75,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28126,,Partial removal of toe,A,,3.64,7.09,,7.55,,3.34,,3.35,,0.34,11.07,11.53,7.32,7.33,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28130,,Removal of ankle bone,A,,9.50,8.91,NA,10.25,NA,8.91,,10.25,,1.86,20.27,21.61,20.27,21.61,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28140,,Removal of metatarsal,A,,7.14,9.56,,9.84,,5.23,,5.22,,0.90,17.60,17.88,13.27,13.26,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28150,,Removal of toe,A,,4.23,7.63,,8.09,,3.74,,3.79,,0.42,12.28,12.74,8.39,8.44,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28153,,Partial removal of toe,A,,3.80,7.42,,7.96,,3.57,,3.69,,0.37,11.59,12.13,7.74,7.86,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28160,,Partial removal of toe,A,,3.88,7.59,,8.10,,3.72,,3.75,,0.38,11.85,12.36,7.98,8.01,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28171,,Resect tarsal tumor,A,,16.41,7.05,NA,7.68,NA,7.05,,7.68,,1.25,24.71,25.34,24.71,25.34,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28173,,Resect metatarsal tumor,A,,14.16,6.65,NA,7.45,NA,6.65,,7.45,,1.57,22.38,23.18,22.38,23.18,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28175,,Resect phalanx of toe tumor,A,,8.29,5.00,NA,5.56,NA,5.00,,5.56,,0.80,14.09,14.65,14.09,14.65,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28190,,Removal of foot foreign body,A,,2.01,4.92,,5.20,,1.71,,1.75,,0.20,7.13,7.41,3.92,3.96,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28192,,Removal of foot foreign body,A,,4.78,8.12,,8.58,,4.04,,4.08,,0.49,13.39,13.85,9.31,9.35,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28193,,Removal of foot foreign body,A,,5.90,8.73,,9.18,,4.50,,4.53,,0.56,15.19,15.64,10.96,10.99,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28200,,Repair of foot tendon,A,,4.74,8.24,,8.77,,4.06,,4.09,,0.45,13.43,13.96,9.25,9.28,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28202,,Repair/graft of foot tendon,A,,7.07,9.34,,9.48,,4.85,,4.73,,0.64,17.05,17.19,12.56,12.44,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28208,,Repair of foot tendon,A,,4.51,8.12,,8.72,,4.03,,4.15,,0.49,13.12,13.72,9.03,9.15,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28210,,Repair/graft of foot tendon,A,,6.52,9.16,,9.60,,4.86,,4.91,,0.64,16.32,16.76,12.02,12.07,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28220,,Release of foot tendon,A,,4.67,7.60,,8.05,,3.82,,3.82,,0.41,12.68,13.13,8.90,8.90,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28222,,Release of foot tendons,A,,5.76,8.26,,8.74,,4.22,,4.18,,0.50,14.52,15.00,10.48,10.44,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28225,,Release of foot tendon,A,,3.78,7.06,,7.54,,3.33,,3.37,,0.35,11.19,11.67,7.46,7.50,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28226,,Release of foot tendons,A,,4.67,8.31,,8.89,,4.17,,4.19,,0.35,13.33,13.91,9.19,9.21,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28230,,Incision of foot tendon(s),A,,4.36,7.44,,7.85,,3.64,,3.57,,0.39,12.19,12.60,8.39,8.32,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28232,,Incision of toe tendon,A,,3.51,7.15,,7.60,,3.43,,3.41,,0.34,11.00,11.45,7.28,7.26,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28234,,Incision of foot tendon,A,,3.54,7.65,,8.18,,3.90,,3.97,,0.35,11.54,12.07,7.79,7.86,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28238,,Revision of foot tendon,A,,7.96,10.44,,11.09,,5.65,,5.78,,0.86,19.26,19.91,14.47,14.60,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28240,,Release of big toe,A,,4.48,7.58,,7.94,,3.72,,3.65,,0.44,12.50,12.86,8.64,8.57,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28250,,Revision of foot fascia,A,,6.06,9.37,,10.08,,4.99,,5.13,,0.76,16.19,16.90,11.81,11.95,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28260,,Release of midfoot joint,A,,8.19,10.49,,11.47,,6.02,,6.32,,1.03,19.71,20.69,15.24,15.54,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28261,,Revision of foot tendon,A,,13.11,13.22,,14.07,,8.22,,8.35,,1.28,27.61,28.46,22.61,22.74,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28262,,Revision of foot and ankle,A,,17.21,19.62,,21.00,,12.92,,13.47,,3.01,39.84,41.22,33.14,33.69,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28264,,Release of midfoot joint,A,,10.65,14.59,,16.92,,9.12,,10.17,,0.82,26.06,28.39,20.59,21.64,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28270,,Release of foot contracture,A,,4.93,8.39,,9.04,,4.39,,4.49,,0.50,13.82,14.47,9.82,9.92,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28272,,Release of toe joint each,A,,3.92,6.87,,7.27,,3.26,,3.27,,0.31,11.10,11.50,7.49,7.50,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28280,,Fusion of toes,A,,5.33,8.90,,9.31,,4.56,,4.50,,0.60,14.83,15.24,10.49,10.43,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28285,,Repair of hammertoe,A,,4.76,8.08,,8.64,,4.20,,4.30,,0.45,13.29,13.85,9.41,9.51,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28286,,Repair of hammertoe,A,,4.70,7.78,,8.28,,3.80,,3.85,,0.39,12.87,13.37,8.89,8.94,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28288,,Partial removal of foot bone,A,,6.02,10.40,,11.29,,5.96,,6.19,,0.67,17.09,17.98,12.65,12.88,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28289,,Repair hallux rigidus,A,,8.31,11.66,,12.41,,6.84,,7.06,,1.01,20.98,21.73,16.16,16.38,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28290,,Correction of bunion,A,,5.83,10.01,,10.77,,5.14,,5.23,,0.69,16.53,17.29,11.66,11.75,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28292,,Correction of bunion,A,,9.05,12.49,,13.35,,7.62,,7.94,,0.87,22.41,23.27,17.54,17.86,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28293,,Correction of bunion,A,,11.48,17.20,,18.18,,8.38,,8.63,,0.95,29.63,30.61,20.81,21.06,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28294,,Correction of bunion,A,,8.75,11.20,,11.60,,5.79,,5.77,,0.93,20.88,21.28,15.47,15.45,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28296,,Correction of bunion,A,,8.35,11.37,,11.87,,6.29,,6.35,,0.76,20.48,20.98,15.40,15.46,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28297,,Correction of bunion,A,,9.43,12.89,,13.59,,6.88,,6.94,,1.18,23.50,24.20,17.49,17.55,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28298,,Correction of bunion,A,,8.13,11.43,,12.21,,5.90,,6.03,,0.87,20.43,21.21,14.90,15.03,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28299,,Correction of bunion,A,,11.57,12.99,,13.70,,7.29,,7.42,,1.14,25.70,26.41,20.00,20.13,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28300,,Incision of heel bone,A,,9.73,8.12,NA,8.42,NA,8.12,,8.42,,1.61,19.46,19.76,19.46,19.76,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28302,,Incision of ankle bone,A,,9.74,8.68,NA,9.63,NA,8.68,,9.63,,1.92,20.34,21.29,20.34,21.29,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28304,,Incision of midfoot bones,A,,9.41,12.24,,13.22,,6.84,,7.13,,1.21,22.86,23.84,17.46,17.75,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28305,,Incise/graft midfoot bones,A,,10.77,7.69,NA,7.64,NA,7.69,,7.64,,0.82,19.28,19.23,19.28,19.23,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28306,,Incision of metatarsal,A,,6.00,10.59,,11.36,,5.12,,5.31,,0.83,17.42,18.19,11.95,12.14,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28307,,Incision of metatarsal,A,,6.50,12.41,,12.49,,5.92,,5.92,,1.28,20.19,20.27,13.70,13.70,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28308,,Incision of metatarsal,A,,5.48,9.67,,10.39,,4.84,,5.03,,0.61,15.76,16.48,10.93,11.12,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28309,,Incision of metatarsals,A,,14.16,9.96,NA,10.56,NA,9.96,,10.56,,2.10,26.22,26.82,26.22,26.82,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28310,,Revision of big toe,A,,5.57,9.16,,9.78,,4.31,,4.42,,0.54,15.27,15.89,10.42,10.53,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28312,,Revision of toe,A,,4.69,8.96,,9.57,,4.14,,4.19,,0.50,14.15,14.76,9.33,9.38,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28313,,Repair deformity of toe,A,,5.15,9.10,,9.77,,4.91,,4.88,,0.69,14.94,15.61,10.75,10.72,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28315,,Removal of sesamoid bone,A,,5.00,7.96,,8.48,,4.00,,4.06,,0.49,13.45,13.97,9.49,9.55,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28320,,Repair of foot bones,A,,9.37,7.34,NA,7.47,NA,7.34,,7.47,,1.39,18.10,18.23,18.10,18.23,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28322,,Repair of metatarsals,A,,8.53,12.51,,13.35,,7.13,,7.40,,1.31,22.35,23.19,16.97,17.24,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28340,,Resect enlarged toe tissue,A,,7.15,9.17,,9.34,,4.72,,4.58,,0.54,16.86,17.03,12.41,12.27,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28341,,Resect enlarged toe,A,,8.72,10.08,,10.41,,5.33,,5.25,,0.67,19.47,19.80,14.72,14.64,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28344,,Repair extra toe(s),A,,4.40,8.08,,7.81,,3.94,,3.63,,0.34,12.82,12.55,8.68,8.37,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28345,,Repair webbed toe(s),A,,6.09,8.89,,8.79,,4.64,,4.27,,0.45,15.43,15.33,11.18,10.81,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28360,,Reconstruct cleft foot,A,,14.92,12.51,NA,14.46,NA,12.51,,14.46,,3.18,30.61,32.56,30.61,32.56,0,090,0.10,0.69,0.21,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28400,,Treatment of heel fracture,A,,2.31,4.34,,4.53,,3.76,,3.94,,0.37,7.02,7.21,6.44,6.62,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28405,,Treatment of heel fracture,A,,4.74,5.82,,6.20,,4.94,,5.17,,0.65,11.21,11.59,10.33,10.56,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28406,,Treatment of heel fracture,A,,6.56,7.54,NA,7.81,NA,7.54,,7.81,,1.17,15.27,15.54,15.27,15.54,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28415,,Treat heel fracture,A,,16.19,13.98,NA,14.37,NA,13.98,,14.37,,2.83,33.00,33.39,33.00,33.39,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28420,,Treat/graft heel fracture,A,,17.52,15.10,NA,16.46,NA,15.10,,16.46,,3.46,36.08,37.44,36.08,37.44,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28430,,Treatment of ankle fracture,A,,2.22,4.04,,4.25,,3.31,,3.53,,0.35,6.61,6.82,5.88,6.10,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28435,,Treatment of ankle fracture,A,,3.54,5.54,,6.27,,4.66,,5.21,,0.69,9.77,10.50,8.89,9.44,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28436,,Treatment of ankle fracture,A,,4.90,6.84,NA,7.30,NA,6.84,,7.30,,0.98,12.72,13.18,12.72,13.18,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28445,,Treat ankle fracture,A,,15.76,12.62,NA,13.08,NA,12.62,,13.08,,2.78,31.16,31.62,31.16,31.62,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28446,,Osteochondral talus autogrft,A,,17.71,14.26,NA,15.45,NA,14.26,,15.45,,3.50,35.47,36.66,35.47,36.66,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28450,,Treat midfoot fracture each,A,,2.03,3.75,,3.92,,3.10,,3.27,,0.30,6.08,6.25,5.43,5.60,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28455,,Treat midfoot fracture each,A,,3.24,4.68,,4.97,,3.98,,4.13,,0.44,8.36,8.65,7.66,7.81,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28456,,Treat midfoot fracture,A,,2.86,5.32,NA,6.08,NA,5.32,,6.08,,0.56,8.74,9.50,8.74,9.50,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28465,,Treat midfoot fracture each,A,,8.80,7.75,NA,8.04,NA,7.75,,8.04,,1.27,17.82,18.11,17.82,18.11,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28470,,Treat metatarsal fracture,A,,2.03,3.65,,3.80,,3.06,,3.22,,0.33,6.01,6.16,5.42,5.58,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28475,,Treat metatarsal fracture,A,,3.01,3.99,,4.12,,3.29,,3.31,,0.38,7.38,7.51,6.68,6.70,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28476,,Treat metatarsal fracture,A,,3.60,5.80,NA,6.04,NA,5.80,,6.04,,0.53,9.93,10.17,9.93,10.17,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28485,,Treat metatarsal fracture,A,,7.44,7.08,NA,7.40,NA,7.08,,7.40,,0.95,15.47,15.79,15.47,15.79,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28490,,Treat big toe fracture,A,,1.17,2.66,,2.82,,2.14,,2.26,,0.16,3.99,4.15,3.47,3.59,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28495,,Treat big toe fracture,A,,1.68,3.10,,3.31,,2.42,,2.51,,0.20,4.98,5.19,4.30,4.39,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28496,,Treat big toe fracture,A,,2.48,9.43,,9.83,,3.83,,4.01,,0.35,12.26,12.66,6.66,6.84,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28505,,Treat big toe fracture,A,,7.44,10.75,,11.34,,6.08,,6.51,,0.93,19.12,19.71,14.45,14.88,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28510,,Treatment of toe fracture,A,,1.17,2.11,,2.25,,2.03,,2.15,,0.14,3.42,3.56,3.34,3.46,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28515,,Treatment of toe fracture,A,,1.56,2.75,,2.92,,2.31,,2.39,,0.18,4.49,4.66,4.05,4.13,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28525,,Treat toe fracture,A,,5.62,9.89,,10.43,,5.21,,5.57,,0.71,16.22,16.76,11.54,11.90,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28530,,Treat sesamoid bone fracture,A,,1.11,2.03,,2.17,,1.72,,1.79,,0.11,3.25,3.39,2.94,3.01,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28531,,Treat sesamoid bone fracture,A,,2.57,7.32,,7.20,,2.58,,2.60,,0.50,10.39,10.27,5.65,5.67,0,090,0.10,0.69,0.21,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
28540,,Treat foot dislocation,A,,2.19,3.33,,3.52,,2.85,,2.95,,0.22,5.74,5.93,5.26,5.36,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28545,,Treat foot dislocation,A,,2.60,4.70,,5.48,,3.95,,4.54,,0.50,7.80,8.58,7.05,7.64,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28546,,Treat foot dislocation,A,,3.40,10.94,,12.53,,5.25,,5.85,,0.67,15.01,16.60,9.32,9.92,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28555,,Repair foot dislocation,A,,9.65,13.84,,14.60,,8.18,,8.65,,1.61,25.10,25.86,19.44,19.91,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28570,,Treat foot dislocation,A,,1.76,2.84,,2.85,,2.26,,2.19,,0.12,4.72,4.73,4.14,4.07,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28575,,Treat foot dislocation,A,,3.49,5.84,,6.46,,5.03,,5.48,,0.68,10.01,10.63,9.20,9.65,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28576,,Treat foot dislocation,A,,4.60,5.43,NA,6.14,NA,5.43,,6.14,,0.90,10.93,11.64,10.93,11.64,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28585,,Repair foot dislocation,A,,11.13,13.66,,14.46,,8.51,,8.73,,1.65,26.44,27.24,21.29,21.51,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28600,,Treat foot dislocation,A,,2.02,3.85,,4.11,,3.10,,3.24,,0.29,6.16,6.42,5.41,5.55,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28605,,Treat foot dislocation,A,,2.89,4.61,,4.96,,3.97,,4.19,,0.56,8.06,8.41,7.42,7.64,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28606,,Treat foot dislocation,A,,5.09,5.42,NA,5.70,NA,5.42,,5.70,,0.84,11.35,11.63,11.35,11.63,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28615,,Repair foot dislocation,A,,10.70,10.50,NA,11.03,NA,10.50,,11.03,,1.77,22.97,23.50,22.97,23.50,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28630,,Treat toe dislocation,A,,1.75,2.34,,2.53,,1.20,,1.26,,0.23,4.32,4.51,3.18,3.24,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28635,,Treat toe dislocation,A,,1.96,2.89,,3.09,,1.76,,1.82,,0.22,5.07,5.27,3.94,4.00,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28636,,Treat toe dislocation,A,,2.77,4.67,,4.42,,2.28,,1.98,,0.39,7.83,7.58,5.44,5.14,0,010,0.10,0.80,0.10,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
28645,,Repair toe dislocation,A,,7.44,9.96,,10.81,,5.63,,5.98,,0.80,18.20,19.05,13.87,14.22,0,090,0.10,0.69,0.21,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28660,,Treat toe dislocation,A,,1.28,1.70,,1.83,,1.04,,1.11,,0.20,3.18,3.31,2.52,2.59,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28665,,Treat toe dislocation,A,,1.97,2.24,,2.38,,1.69,,1.73,,0.24,4.45,4.59,3.90,3.94,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28666,,Treat toe dislocation,A,,2.66,2.77,NA,3.08,NA,2.77,,3.08,,0.52,5.95,6.26,5.95,6.26,0,010,0.10,0.80,0.10,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
28675,,Repair of toe dislocation,A,,5.62,10.21,,10.64,,5.48,,5.77,,0.75,16.58,17.01,11.85,12.14,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28705,,Fusion of foot bones,A,,20.33,14.40,NA,14.90,NA,14.40,,14.90,,3.46,38.19,38.69,38.19,38.69,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28715,,Fusion of foot bones,A,,14.60,11.48,NA,11.96,NA,11.48,,11.96,,2.48,28.56,29.04,28.56,29.04,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28725,,Fusion of foot bones,A,,12.18,9.21,NA,9.57,NA,9.21,,9.57,,1.88,23.27,23.63,23.27,23.63,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28730,,Fusion of foot bones,A,,12.42,10.35,NA,10.86,NA,10.35,,10.86,,1.92,24.69,25.20,24.69,25.20,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28735,,Fusion of foot bones,A,,12.23,9.31,NA,9.70,NA,9.31,,9.70,,1.78,23.32,23.71,23.32,23.71,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28737,,Revision of foot bones,A,,11.03,7.74,NA,7.75,NA,7.74,,7.75,,1.28,20.05,20.06,20.05,20.06,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28740,,Fusion of foot bones,A,,9.29,13.90,,14.62,,7.83,,8.17,,1.36,24.55,25.27,18.48,18.82,0,090,0.10,0.69,0.21,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28750,,Fusion of big toe joint,A,,8.57,13.99,,14.51,,7.78,,8.04,,1.31,23.87,24.39,17.66,17.92,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28755,,Fusion of big toe joint,A,,4.88,8.90,,9.36,,4.27,,4.32,,0.52,14.30,14.76,9.67,9.72,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28760,,Fusion of big toe joint,A,,9.14,12.43,,13.36,,6.89,,7.18,,1.05,22.62,23.55,17.08,17.37,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28800,,Amputation of midfoot,A,,8.79,6.47,NA,6.55,NA,6.47,,6.55,,1.31,16.57,16.65,16.57,16.65,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28805,,Amputation thru metatarsal,A,,12.71,7.53,NA,7.80,NA,7.53,,7.80,,2.14,22.38,22.65,22.38,22.65,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28810,,Amputation toe & metatarsal,A,,6.64,5.24,NA,5.36,NA,5.24,,5.36,,1.18,13.06,13.18,13.06,13.18,0,090,0.10,0.69,0.21,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28820,,Amputation of toe,A,,5.00,9.42,,9.64,,4.48,,4.56,,0.73,15.15,15.37,10.21,10.29,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28825,,Partial amputation of toe,A,,6.01,9.86,,10.29,,5.09,,5.33,,0.84,16.71,17.14,11.94,12.18,0,090,0.10,0.69,0.21,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
28890,,High energy eswt plantar f,A,,3.45,6.04,,6.21,,2.84,,3.02,,0.35,9.84,10.01,6.64,6.82,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
28899,,Foot/toes surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
29000,,Application of body cast,A,,2.25,5.94,,6.97,,2.46,,2.76,,0.18,8.37,9.40,4.89,5.19,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29010,,Application of body cast,A,,2.06,5.64,,6.87,,2.30,,2.65,,0.39,8.09,9.32,4.75,5.10,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29015,,Application of body cast,A,,2.41,3.99,,4.11,,1.84,,1.91,,0.41,6.81,6.93,4.66,4.73,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29020,,Application of body cast,A,,2.11,3.91,,3.89,,1.58,,1.52,,0.08,6.10,6.08,3.77,3.71,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29025,,Application of body cast,A,,2.40,4.30,,4.25,,2.05,,1.98,,0.48,7.18,7.13,4.93,4.86,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29035,,Application of body cast,A,,1.77,4.96,,5.22,,2.03,,2.15,,0.34,7.07,7.33,4.14,4.26,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29040,,Application of body cast,A,,2.22,4.13,,4.43,,1.89,,1.98,,0.42,6.77,7.07,4.53,4.62,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29044,,Application of body cast,A,,2.12,5.27,,5.72,,2.29,,2.45,,0.41,7.80,8.25,4.82,4.98,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29046,,Application of body cast,A,,2.41,4.81,,4.53,,2.24,,2.05,,0.48,7.70,7.42,5.13,4.94,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29049,,Application of figure eight,A,,0.89,1.58,,1.80,,0.85,,1.01,,0.18,2.65,2.87,1.92,2.08,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29055,,Application of shoulder cast,A,,1.78,3.98,,4.29,,1.85,,1.99,,0.35,6.11,6.42,3.98,4.12,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29058,,Application of shoulder cast,A,,1.31,1.38,,1.23,,0.80,,0.79,,0.23,2.92,2.77,2.34,2.33,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29065,,Application of long arm cast,A,,0.87,1.66,,1.74,,0.94,,0.99,,0.16,2.69,2.77,1.97,2.02,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29075,,Application of forearm cast,A,,0.77,1.60,,1.68,,0.88,,0.93,,0.14,2.51,2.59,1.79,1.84,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29085,,Apply hand/wrist cast,A,,0.87,1.65,,1.74,,0.91,,0.98,,0.14,2.66,2.75,1.92,1.99,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29086,,Apply finger cast,A,,0.62,1.41,,1.55,,0.74,,0.81,,0.08,2.11,2.25,1.44,1.51,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29105,,Apply long arm splint,A,,0.87,1.43,,1.49,,0.70,,0.75,,0.14,2.44,2.50,1.71,1.76,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29125,,Apply forearm splint,A,,0.59,1.26,,1.32,,0.56,,0.60,,0.10,1.95,2.01,1.25,1.29,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29126,,Apply forearm splint,A,,0.77,1.34,,1.42,,0.64,,0.70,,0.11,2.22,2.30,1.52,1.58,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29130,,Application of finger splint,A,,0.50,0.58,,0.61,,0.26,,0.28,,0.07,1.15,1.18,0.83,0.85,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29131,,Application of finger splint,A,,0.55,0.83,,0.88,,0.34,,0.37,,0.08,1.46,1.51,0.97,1.00,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29200,,Strapping of chest,A,,0.65,0.81,,0.86,,0.45,,0.49,,0.05,1.51,1.56,1.15,1.19,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29240,,Strapping of shoulder,A,,0.71,0.87,,0.88,,0.49,,0.51,,0.05,1.63,1.64,1.25,1.27,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29260,,Strapping of elbow or wrist,A,,0.55,0.86,,0.90,,0.47,,0.51,,0.05,1.46,1.50,1.07,1.11,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29280,,Strapping of hand or finger,A,,0.51,0.87,,0.91,,0.47,,0.52,,0.04,1.42,1.46,1.02,1.07,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29305,,Application of hip cast,A,,2.03,4.41,,4.71,,2.18,,2.30,,0.39,6.83,7.13,4.60,4.72,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29325,,Application of hip casts,A,,2.32,4.82,,5.14,,2.41,,2.54,,0.45,7.59,7.91,5.18,5.31,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29345,,Application of long leg cast,A,,1.40,2.18,,2.29,,1.28,,1.34,,0.27,3.85,3.96,2.95,3.01,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29355,,Application of long leg cast,A,,1.53,2.18,,2.32,,1.31,,1.38,,0.29,4.00,4.14,3.13,3.20,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29358,,Apply long leg cast brace,A,,1.43,2.73,,2.94,,1.31,,1.39,,0.29,4.45,4.66,3.03,3.11,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29365,,Application of long leg cast,A,,1.18,2.06,,2.17,,1.16,,1.21,,0.23,3.47,3.58,2.57,2.62,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29405,,Apply short leg cast,A,,0.86,1.53,,1.60,,0.86,,0.89,,0.12,2.51,2.58,1.84,1.87,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29425,,Apply short leg cast,A,,1.01,1.55,,1.62,,0.85,,0.88,,0.12,2.68,2.75,1.98,2.01,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29435,,Apply short leg cast,A,,1.18,1.96,,2.04,,1.08,,1.11,,0.23,3.37,3.45,2.49,2.52,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29440,,Addition of walker to cast,A,,0.57,0.73,,0.66,,0.28,,0.25,,0.08,1.38,1.31,0.93,0.90,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29445,,Apply rigid leg cast,A,,1.78,2.02,,2.07,,1.15,,1.19,,0.24,4.04,4.09,3.17,3.21,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29450,,Application of leg cast,A,,2.08,1.88,,1.91,,1.10,,1.06,,0.22,4.18,4.21,3.40,3.36,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29505,,Application long leg splint,A,,0.69,1.39,,1.46,,0.59,,0.63,,0.11,2.19,2.26,1.39,1.43,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29515,,Application lower leg splint,A,,0.73,1.21,,1.29,,0.60,,0.63,,0.10,2.04,2.12,1.43,1.46,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29520,,Strapping of hip,A,,0.54,0.83,,0.85,,0.46,,0.47,,0.04,1.41,1.43,1.04,1.05,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29530,,Strapping of knee,A,,0.57,0.86,,0.90,,0.46,,0.50,,0.05,1.48,1.52,1.08,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29540,,Strapping of ankle and/or ft,A,,0.32,0.62,,0.62,,0.34,,0.32,,0.03,0.97,0.97,0.69,0.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29550,,Strapping of toes,A,,0.15,0.62,,0.62,,0.31,,0.27,,0.01,0.78,0.78,0.47,0.43,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29580,,Application of paste boot,A,,0.55,0.88,,0.92,,0.43,,0.44,,0.07,1.50,1.54,1.05,1.06,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29581,,Apply multlay comprs lwr leg,A,,0.60,2.03,,2.03,,0.27,,0.27,,0.07,2.70,2.70,0.94,0.94,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29590,,Application of foot splint,A,,0.76,0.71,,0.74,,0.32,,0.31,,0.05,1.52,1.55,1.13,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29700,,Removal/revision of cast,A,,0.57,1.19,,1.25,,0.34,,0.36,,0.10,1.86,1.92,1.01,1.03,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29705,,Removal/revision of cast,A,,0.76,1.02,,1.07,,0.50,,0.53,,0.12,1.90,1.95,1.38,1.41,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29710,,Removal/revision of cast,A,,1.34,1.86,,2.02,,0.85,,0.92,,0.27,3.47,3.63,2.46,2.53,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29715,,Removal/revision of cast,A,,0.94,1.38,,1.31,,0.53,,0.53,,0.12,2.44,2.37,1.59,1.59,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29720,,Repair of body cast,A,,0.68,1.51,,1.61,,0.48,,0.51,,0.12,2.31,2.41,1.28,1.31,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29730,,Windowing of cast,A,,0.75,0.98,,1.03,,0.46,,0.49,,0.11,1.84,1.89,1.32,1.35,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29740,,Wedging of cast,A,,1.12,1.29,,1.30,,0.59,,0.59,,0.18,2.59,2.60,1.89,1.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29750,,Wedging of clubfoot cast,A,,1.26,1.40,,1.46,,0.74,,0.78,,0.26,2.92,2.98,2.26,2.30,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29799,,Casting/strapping procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
29800,,Jaw arthroscopy/surgery,A,,6.84,7.09,NA,7.45,NA,7.09,,7.45,,1.33,15.26,15.62,15.26,15.62,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29804,,Jaw arthroscopy/surgery,A,,8.87,8.47,NA,9.14,NA,8.47,,9.14,,1.74,19.08,19.75,19.08,19.75,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29805,,Shoulder arthroscopy dx,A,,6.03,6.47,NA,6.77,NA,6.47,,6.77,,1.18,13.68,13.98,13.68,13.98,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29806,,Shoulder arthroscopy/surgery,A,,15.14,12.96,NA,13.55,NA,12.96,,13.55,,2.98,31.08,31.67,31.08,31.67,0,090,0.10,0.69,0.21,3,1,1,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29807,,Shoulder arthroscopy/surgery,A,,14.67,12.79,NA,13.42,NA,12.79,,13.42,,2.87,30.33,30.96,30.33,30.96,0,090,0.10,0.69,0.21,3,1,1,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29819,,Shoulder arthroscopy/surgery,A,,7.79,7.78,NA,8.13,NA,7.78,,8.13,,1.52,17.09,17.44,17.09,17.44,0,090,0.10,0.69,0.21,3,1,1,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29820,,Shoulder arthroscopy/surgery,A,,7.21,7.12,NA,7.42,NA,7.12,,7.42,,1.40,15.73,16.03,15.73,16.03,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29821,,Shoulder arthroscopy/surgery,A,,7.89,7.78,NA,8.12,NA,7.78,,8.12,,1.55,17.22,17.56,17.22,17.56,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29822,,Shoulder arthroscopy/surgery,A,,7.60,7.64,NA,7.96,NA,7.64,,7.96,,1.50,16.74,17.06,16.74,17.06,0,090,0.10,0.69,0.21,3,1,2,0,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29823,,Shoulder arthroscopy/surgery,A,,8.36,8.28,NA,8.62,NA,8.28,,8.62,,1.63,18.27,18.61,18.27,18.61,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29824,,Shoulder arthroscopy/surgery,A,,8.98,8.90,NA,9.31,NA,8.90,,9.31,,1.77,19.65,20.06,19.65,20.06,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29825,,Shoulder arthroscopy/surgery,A,,7.79,7.74,NA,8.07,NA,7.74,,8.07,,1.52,17.05,17.38,17.05,17.38,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29826,,Shoulder arthroscopy/surgery,A,,9.16,8.52,NA,8.87,NA,8.52,,8.87,,1.80,19.48,19.83,19.48,19.83,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29827,,Arthroscop rotator cuff repr,A,,15.59,12.98,NA,13.50,NA,12.98,,13.50,,3.08,31.65,32.17,31.65,32.17,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29828,,Arthroscopy biceps tenodesis,A,,13.16,11.09,NA,11.81,NA,11.09,,11.81,,2.59,26.84,27.56,26.84,27.56,0,090,0.10,0.69,0.21,3,1,2,1,0,29805,33.9764,09,0,99,0.00,0.00,0.00
29830,,Elbow arthroscopy,A,,5.88,6.16,NA,6.45,NA,6.16,,6.45,,1.17,13.21,13.50,13.21,13.50,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29834,,Elbow arthroscopy/surgery,A,,6.42,6.68,NA,6.98,NA,6.68,,6.98,,1.22,14.32,14.62,14.32,14.62,0,090,0.10,0.69,0.21,3,1,2,1,0,29830,33.9764,09,0,99,0.00,0.00,0.00
29835,,Elbow arthroscopy/surgery,A,,6.62,6.82,NA,7.14,NA,6.82,,7.14,,1.29,14.73,15.05,14.73,15.05,0,090,0.10,0.69,0.21,3,1,2,1,0,29830,33.9764,09,0,99,0.00,0.00,0.00
29836,,Elbow arthroscopy/surgery,A,,7.72,7.75,NA,8.09,NA,7.75,,8.09,,1.52,16.99,17.33,16.99,17.33,0,090,0.10,0.69,0.21,3,1,2,1,0,29830,33.9764,09,0,99,0.00,0.00,0.00
29837,,Elbow arthroscopy/surgery,A,,7.01,7.04,NA,7.36,NA,7.04,,7.36,,1.36,15.41,15.73,15.41,15.73,0,090,0.10,0.69,0.21,3,1,2,1,0,29830,33.9764,09,0,99,0.00,0.00,0.00
29838,,Elbow arthroscopy/surgery,A,,7.88,7.86,NA,8.23,NA,7.86,,8.23,,1.50,17.24,17.61,17.24,17.61,0,090,0.10,0.69,0.21,3,1,0,0,0,29830,33.9764,09,0,99,0.00,0.00,0.00
29840,,Wrist arthroscopy,A,,5.68,6.28,NA,6.58,NA,6.28,,6.58,,1.13,13.09,13.39,13.09,13.39,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29843,,Wrist arthroscopy/surgery,A,,6.15,6.66,NA,6.97,NA,6.66,,6.97,,1.21,14.02,14.33,14.02,14.33,0,090,0.10,0.69,0.21,3,1,2,1,0,29840,33.9764,09,0,99,0.00,0.00,0.00
29844,,Wrist arthroscopy/surgery,A,,6.51,6.77,NA,7.17,NA,6.77,,7.17,,1.18,14.46,14.86,14.46,14.86,0,090,0.10,0.69,0.21,3,1,2,0,0,29840,33.9764,09,0,99,0.00,0.00,0.00
29845,,Wrist arthroscopy/surgery,A,,7.69,7.64,NA,8.14,NA,7.64,,8.14,,1.37,16.70,17.20,16.70,17.20,0,090,0.10,0.69,0.21,3,1,2,1,0,29840,33.9764,09,0,99,0.00,0.00,0.00
29846,,Wrist arthroscopy/surgery,A,,6.89,7.06,NA,7.44,NA,7.06,,7.44,,1.22,15.17,15.55,15.17,15.55,0,090,0.10,0.69,0.21,3,1,0,0,0,29840,33.9764,09,0,99,0.00,0.00,0.00
29847,,Wrist arthroscopy/surgery,A,,7.22,7.18,NA,7.49,NA,7.18,,7.49,,1.42,15.82,16.13,15.82,16.13,0,090,0.10,0.69,0.21,3,1,2,0,0,29840,33.9764,09,0,99,0.00,0.00,0.00
29848,,Wrist endoscopy/surgery,A,,6.39,7.16,NA,7.64,NA,7.16,,7.64,,1.17,14.72,15.20,14.72,15.20,0,090,0.10,0.69,0.21,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29850,,Knee arthroscopy/surgery,A,,8.27,7.55,NA,8.64,NA,7.55,,8.64,,1.62,17.44,18.53,17.44,18.53,0,090,0.10,0.69,0.21,2,1,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
29851,,Knee arthroscopy/surgery,A,,13.26,11.42,NA,11.99,NA,11.42,,11.99,,2.61,27.29,27.86,27.29,27.86,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
29855,,Tibial arthroscopy/surgery,A,,10.76,10.08,NA,10.54,NA,10.08,,10.54,,2.12,22.96,23.42,22.96,23.42,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
29856,,Tibial arthroscopy/surgery,A,,14.28,12.15,NA,12.71,NA,12.15,,12.71,,2.83,29.26,29.82,29.26,29.82,0,090,0.10,0.69,0.21,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
29860,,Hip arthroscopy dx,A,,9.00,8.49,NA,9.07,NA,8.49,,9.07,,1.78,19.27,19.85,19.27,19.85,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29861,,Hip arthro w/fb removal,A,,10.10,9.14,NA,9.73,NA,9.14,,9.73,,1.97,21.21,21.80,21.21,21.80,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,33.9764,09,0,99,0.00,0.00,0.00
29862,,Hip arthr0 w/debridement,A,,11.17,10.44,NA,11.04,NA,10.44,,11.04,,2.19,23.80,24.40,23.80,24.40,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,33.9764,09,0,99,0.00,0.00,0.00
29863,,Hip arthr0 w/synovectomy,A,,11.17,10.36,NA,10.98,NA,10.36,,10.98,,2.20,23.73,24.35,23.73,24.35,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,33.9764,09,0,99,0.00,0.00,0.00
29866,,Autgrft implnt knee w/scope,A,,14.67,13.07,NA,13.76,NA,13.07,,13.76,,2.91,30.65,31.34,30.65,31.34,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29867,,Allgrft implnt knee w/scope,A,,18.39,15.30,NA,16.26,NA,15.30,,16.26,,3.62,37.31,38.27,37.31,38.27,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29868,,Meniscal trnspl knee w/scpe,A,,25.10,19.12,NA,20.26,NA,19.12,,20.26,,4.95,49.17,50.31,49.17,50.31,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29870,,Knee arthroscopy dx,A,,5.19,10.79,,10.79,,5.73,,6.02,,1.02,17.00,17.00,11.94,12.23,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29871,,Knee arthroscopy/drainage,A,,6.69,6.92,NA,7.27,NA,6.92,,7.27,,1.31,14.92,15.27,14.92,15.27,0,090,0.10,0.69,0.21,3,1,1,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29873,,Knee arthroscopy/surgery,A,,6.24,7.64,NA,8.02,NA,7.64,,8.02,,1.22,15.10,15.48,15.10,15.48,0,090,0.10,0.69,0.21,3,1,1,1,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29874,,Knee arthroscopy/surgery,A,,7.19,7.10,NA,7.45,NA,7.10,,7.45,,1.40,15.69,16.04,15.69,16.04,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29875,,Knee arthroscopy/surgery,A,,6.45,6.70,NA,7.01,NA,6.70,,7.01,,1.27,14.42,14.73,14.42,14.73,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29876,,Knee arthroscopy/surgery,A,,8.87,8.50,NA,8.97,NA,8.50,,8.97,,1.74,19.11,19.58,19.11,19.58,0,090,0.10,0.69,0.21,3,1,1,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29877,,Knee arthroscopy/surgery,A,,8.30,8.18,NA,8.63,NA,8.18,,8.63,,1.62,18.10,18.55,18.10,18.55,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29879,,Knee arthroscopy/surgery,A,,8.99,8.56,NA,9.02,NA,8.56,,9.02,,1.77,19.32,19.78,19.32,19.78,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29880,,Knee arthroscopy/surgery,A,,9.45,8.84,NA,9.31,NA,8.84,,9.31,,1.85,20.14,20.61,20.14,20.61,0,090,0.10,0.69,0.21,3,1,0,1,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29881,,Knee arthroscopy/surgery,A,,8.71,8.41,NA,8.87,NA,8.41,,8.87,,1.70,18.82,19.28,18.82,19.28,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29882,,Knee arthroscopy/surgery,A,,9.60,8.86,NA,9.37,NA,8.86,,9.37,,1.89,20.35,20.86,20.35,20.86,0,090,0.10,0.69,0.21,3,1,1,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29883,,Knee arthroscopy/surgery,A,,11.77,10.50,NA,10.97,NA,10.50,,10.97,,2.30,24.57,25.04,24.57,25.04,0,090,0.10,0.69,0.21,3,1,0,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29884,,Knee arthroscopy/surgery,A,,8.28,8.15,NA,8.60,NA,8.15,,8.60,,1.62,18.05,18.50,18.05,18.50,0,090,0.10,0.69,0.21,3,1,2,1,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29885,,Knee arthroscopy/surgery,A,,10.21,9.66,NA,10.20,NA,9.66,,10.20,,2.00,21.87,22.41,21.87,22.41,0,090,0.10,0.69,0.21,3,1,2,1,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29886,,Knee arthroscopy/surgery,A,,8.49,8.31,NA,8.77,NA,8.31,,8.77,,1.66,18.46,18.92,18.46,18.92,0,090,0.10,0.69,0.21,3,1,1,0,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29887,,Knee arthroscopy/surgery,A,,10.16,9.58,NA,10.11,NA,9.58,,10.11,,1.99,21.73,22.26,21.73,22.26,0,090,0.10,0.69,0.21,3,1,2,1,0,29870,33.9764,09,0,99,0.00,0.00,0.00
29888,,Knee arthroscopy/surgery,A,,14.30,11.90,NA,12.47,NA,11.90,,12.47,,2.80,29.00,29.57,29.00,29.57,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29889,,Knee arthroscopy/surgery,A,,17.41,14.86,NA,15.61,NA,14.86,,15.61,,3.42,35.69,36.44,35.69,36.44,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29891,,Ankle arthroscopy/surgery,A,,9.67,8.88,NA,9.22,NA,8.88,,9.22,,1.65,20.20,20.54,20.20,20.54,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29892,,Ankle arthroscopy/surgery,A,,10.27,7.18,NA,6.15,NA,7.18,,6.15,,2.01,19.46,18.43,19.46,18.43,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29893,,Scope plantar fasciotomy,A,,6.32,10.39,,11.00,,5.59,,5.77,,0.50,17.21,17.82,12.41,12.59,0,090,0.10,0.69,0.21,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29894,,Ankle arthroscopy/surgery,A,,7.35,6.50,NA,6.86,NA,6.50,,6.86,,1.22,15.07,15.43,15.07,15.43,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29895,,Ankle arthroscopy/surgery,A,,7.13,6.15,NA,6.39,NA,6.15,,6.39,,1.13,14.41,14.65,14.41,14.65,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29897,,Ankle arthroscopy/surgery,A,,7.32,6.54,NA,6.72,NA,6.54,,6.72,,1.24,15.10,15.28,15.10,15.28,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29898,,Ankle arthroscopy/surgery,A,,8.49,7.00,NA,7.24,NA,7.00,,7.24,,1.29,16.78,17.02,16.78,17.02,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29899,,Ankle arthroscopy/surgery,A,,15.41,12.42,NA,12.93,NA,12.42,,12.93,,2.87,30.70,31.21,30.70,31.21,0,090,0.10,0.69,0.21,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
29900,,Mcp joint arthroscopy dx,A,,5.88,6.83,NA,7.56,NA,6.83,,7.56,,0.41,13.12,13.85,13.12,13.85,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29901,,Mcp joint arthroscopy surg,A,,6.59,7.17,NA,7.87,NA,7.17,,7.87,,1.29,15.05,15.75,15.05,15.75,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29902,,Mcp joint arthroscopy surg,A,,7.16,6.24,NA,5.74,NA,6.24,,5.74,,2.57,15.97,15.47,15.97,15.47,0,090,0.10,0.69,0.21,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29904,,Subtalar arthro w/fb rmvl,A,,8.65,8.05,NA,8.64,NA,8.05,,8.64,,1.69,18.39,18.98,18.39,18.98,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29905,,Subtalar arthro w/exc,A,,9.18,8.89,NA,9.54,NA,8.89,,9.54,,1.81,19.88,20.53,19.88,20.53,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29906,,Subtalar arthro w/deb,A,,9.65,9.38,NA,10.06,NA,9.38,,10.06,,1.89,20.92,21.60,20.92,21.60,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29907,,Subtalar arthro w/fusion,A,,12.18,10.79,NA,11.57,NA,10.79,,11.57,,2.40,25.37,26.15,25.37,26.15,0,090,0.10,0.69,0.21,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
29914,,Hip arthro w/femoroplasty,A,,14.67,12.74,NA,12.74,NA,12.74,,12.74,,2.91,30.32,30.32,30.32,30.32,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,33.9764,09,0,99,0.00,0.00,0.00
29915,,Hip arthro acetabuloplasty,A,,15.00,12.94,NA,12.94,NA,12.94,,12.94,,2.95,30.89,30.89,30.89,30.89,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,33.9764,09,0,99,0.00,0.00,0.00
29916,,Hip arthro w/labral repair,A,,15.00,12.94,NA,12.94,NA,12.94,,12.94,,2.95,30.89,30.89,30.89,30.89,0,090,0.10,0.69,0.21,3,1,2,1,0,29860,33.9764,09,0,99,0.00,0.00,0.00
29999,,Arthroscopy of joint,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
30000,,Drainage of nose lesion,A,,1.48,5.04,,5.13,,1.80,,1.90,,0.22,6.74,6.83,3.50,3.60,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30020,,Drainage of nose lesion,A,,1.48,4.99,,5.24,,1.83,,1.94,,0.20,6.67,6.92,3.51,3.62,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3006F,,Cxr doc rev,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3008F,,Body mass index docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30100,,Intranasal biopsy,A,,0.94,3.06,,3.17,,0.99,,1.02,,0.11,4.11,4.22,2.04,2.07,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3011F,,Lipid panel doc rev,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30110,,Removal of nose polyp(s),A,,1.68,4.76,,4.97,,1.95,,2.06,,0.23,6.67,6.88,3.86,3.97,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30115,,Removal of nose polyp(s),A,,4.44,7.62,NA,7.97,NA,7.62,,7.97,,0.56,12.62,12.97,12.62,12.97,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30117,,Removal of intranasal lesion,A,,3.26,21.25,,22.07,,6.19,,6.46,,0.41,24.92,25.74,9.86,10.13,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30118,,Removal of intranasal lesion,A,,9.92,11.38,NA,11.99,NA,11.38,,11.99,,1.31,22.61,23.22,22.61,23.22,0,090,0.10,0.76,0.14,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
30120,,Revision of nose,A,,5.39,8.97,,9.28,,6.85,,6.99,,0.84,15.20,15.51,13.08,13.22,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30124,,Removal of nose lesion,A,,3.20,4.41,NA,4.66,NA,4.41,,4.66,,0.41,8.02,8.27,8.02,8.27,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30125,,Removal of nose lesion,A,,7.30,9.75,NA,10.18,NA,9.75,,10.18,,0.93,17.98,18.41,17.98,18.41,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30130,,Excise inferior turbinate,A,,3.47,7.17,NA,7.46,NA,7.17,,7.46,,0.44,11.08,11.37,11.08,11.37,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3014F,,Screen mammo doc rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30140,,Resect inferior turbinate,A,,3.57,8.75,NA,9.12,NA,8.75,,9.12,,0.45,12.77,13.14,12.77,13.14,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3015F,,Cerv cancer screen docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30150,,Partial removal of nose,A,,9.55,11.98,NA,12.31,NA,11.98,,12.31,,1.42,22.95,23.28,22.95,23.28,0,090,0.10,0.76,0.14,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3016F,,Pt scrnd unhlthy OH use,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30160,,Removal of nose,A,,9.99,11.75,NA,12.22,NA,11.75,,12.22,,1.28,23.02,23.49,23.02,23.49,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3017F,,Colorectal ca screen doc rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3018F,,Pre-prxd rsk et al docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3020F,,Lvf assess,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30200,,Injection treatment of nose,A,,0.78,2.42,,2.52,,0.89,,0.94,,0.10,3.30,3.40,1.77,1.82,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3021F,,Lvef mod/sever deprs syst,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30210,,Nasal sinus therapy,A,,1.13,3.08,,3.21,,1.66,,1.74,,0.14,4.35,4.48,2.93,3.01,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3022F,,Lvef >=40% systolic,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30220,,Insert nasal septal button,A,,1.59,6.89,,7.20,,1.91,,2.01,,0.22,8.70,9.01,3.72,3.82,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3023F,,Spirom doc rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3025F,,Spirom fev/fvc<70% w/copd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3027F,,Spirom fev/fvc>=70%/w/o copd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3028F,,O2 saturation doc rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30300,,Remove nasal foreign body,A,,1.09,5.41,,5.51,,2.40,,2.52,,0.14,6.64,6.74,3.63,3.75,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30310,,Remove nasal foreign body,A,,2.01,3.75,NA,3.89,NA,3.75,,3.89,,0.26,6.02,6.16,6.02,6.16,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30320,,Remove nasal foreign body,A,,4.64,8.03,NA,8.36,NA,8.03,,8.36,,0.60,13.27,13.60,13.27,13.60,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3035F,,O2 saturation<=88% /pao<=55,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3037F,,O2 saturation> 88% /pao>55,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3038F,,Pulm fx w/in 12 mon b/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3040F,,Fev<40% predicted value,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30400,,Reconstruction of nose,R,,10.86,17.84,NA,18.13,NA,17.84,,18.13,,1.39,30.09,30.38,30.09,30.38,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30410,,Reconstruction of nose,R,,14.00,19.59,NA,19.98,NA,19.59,,19.98,,1.80,35.39,35.78,35.39,35.78,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3042F,,Fev>=40% predicted value,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30420,,Reconstruction of nose,R,,16.90,21.20,NA,22.17,NA,21.20,,22.17,,2.40,40.50,41.47,40.50,41.47,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30430,,Revision of nose,R,,8.24,16.81,NA,16.60,NA,16.81,,16.60,,1.62,26.67,26.46,26.67,26.46,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30435,,Revision of nose,R,,12.73,21.08,NA,22.18,NA,21.08,,22.18,,1.63,35.44,36.54,35.44,36.54,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3044F,,Hg a1c level lt 7.0%,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3045F,,Hg a1c level 7.0-9.0%,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30450,,Revision of nose,R,,19.66,23.00,NA,23.30,NA,23.00,,23.30,,2.52,45.18,45.48,45.18,45.48,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3046F,,Hemoglobin a1c level > 9.0%,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30460,,Revision of nose,A,,10.32,10.24,NA,10.59,NA,10.24,,10.59,,2.01,22.57,22.92,22.57,22.92,0,090,0.10,0.76,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
30462,,Revision of nose,A,,20.28,21.76,NA,23.40,NA,21.76,,23.40,,4.00,46.04,47.68,46.04,47.68,0,090,0.10,0.76,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
30465,,Repair nasal stenosis,A,,12.36,14.83,NA,15.66,NA,14.83,,15.66,,1.74,28.93,29.76,28.93,29.76,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3048F,,Ldl-c <100 mg/dl,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3049F,,Ldl-c 100-129 mg/dl,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3050F,,Ldl-c >= 130 mg/dl,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30520,,Repair of nasal septum,A,,7.01,10.21,NA,10.94,NA,10.21,,10.94,,0.90,18.12,18.85,18.12,18.85,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30540,,Repair nasal defect,A,,7.92,11.05,NA,11.84,NA,11.05,,11.84,,1.02,19.99,20.78,19.99,20.78,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30545,,Repair nasal defect,A,,11.62,13.07,NA,12.24,NA,13.07,,12.24,,0.82,25.51,24.68,25.51,24.68,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30560,,Release of nasal adhesions,A,,1.31,6.39,,6.53,,2.59,,2.67,,0.18,7.88,8.02,4.08,4.16,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30580,,Repair upper jaw fistula,A,,6.88,10.69,,11.40,,6.90,,7.54,,0.87,18.44,19.15,14.65,15.29,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3060F,,Pos microalbuminuria rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30600,,Repair mouth/nose fistula,A,,6.16,9.89,,10.31,,5.84,,6.15,,0.78,16.83,17.25,12.78,13.09,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3061F,,Neg microalbuminuria rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3062F,,Pos macroalbuminuria rev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30620,,Intranasal reconstruction,A,,6.16,11.17,NA,11.59,NA,11.17,,11.59,,0.88,18.21,18.63,18.21,18.63,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30630,,Repair nasal septum defect,A,,7.29,10.11,NA,10.62,NA,10.11,,10.62,,0.99,18.39,18.90,18.39,18.90,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3066F,,Nephropathy doc tx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3072F,,Low risk for retinopathy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3073F,,Pre-surg eye measures docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3074F,,Syst bp lt 130 mm hg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3075F,,Syst bp ge 130 - 139mm hg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3077F,,Syst bp >= 140 mm hg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3078F,,Diast bp < 80 mm hg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3079F,,Diast bp 80-89 mm hg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3080F,,Diast bp >= 90 mm hg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30801,,Ablate inf turbinate superf,A,,1.14,5.32,,5.44,,2.67,,2.79,,0.14,6.60,6.72,3.95,4.07,0,010,0.10,0.80,0.10,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30802,,Ablate inf turbinate submuc,A,,2.08,6.12,,6.30,,3.22,,3.39,,0.27,8.47,8.65,5.57,5.74,0,010,0.10,0.80,0.10,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3082F,,Kt/v <1.2,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3083F,,Kt/v > 1.2 <1.7,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3084F,,Kt/v ge 1.7,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3085F,,Suicide risk assessed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3088F,,Mdd mild,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3089F,,Mdd moderate,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3090F,,Mdd severe w/o psych,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30901,,Control of nosebleed,A,,1.10,1.56,,1.54,,0.43,,0.46,,0.16,2.82,2.80,1.69,1.72,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30903,,Control of nosebleed,A,,1.54,4.00,,4.21,,0.63,,0.70,,0.23,5.77,5.98,2.40,2.47,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30905,,Control of nosebleed,A,,1.97,4.89,,5.13,,0.78,,0.83,,0.30,7.16,7.40,3.05,3.10,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
30906,,Repeat control of nosebleed,A,,2.45,5.33,,5.55,,1.21,,1.30,,0.33,8.11,8.33,3.99,4.08,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3091F,,Mdd severe w/psych,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30915,,Ligation nasal sinus artery,A,,7.44,8.57,NA,9.07,NA,8.57,,9.07,,0.99,17.00,17.50,17.00,17.50,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3092F,,Mdd in remission,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30920,,Ligation upper jaw artery,A,,11.14,11.93,NA,12.75,NA,11.93,,12.75,,1.46,24.53,25.35,24.53,25.35,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3093F,,Doc new diag 1st/addl mdd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30930,,Ther fx nasal inf turbinate,A,,1.31,2.12,NA,2.24,NA,2.12,,2.24,,0.18,3.61,3.73,3.61,3.73,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3095F,,Central dexa results docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3096F,,Central dexa ordered,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
30999,,Nasal surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
3100F,,Image test ref carot diam,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31000,,Irrigation maxillary sinus,A,,1.20,3.91,,4.03,,1.74,,1.81,,0.14,5.25,5.37,3.08,3.15,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31002,,Irrigation sphenoid sinus,A,,1.96,3.67,NA,3.76,NA,3.67,,3.76,,0.26,5.89,5.98,5.89,5.98,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31020,,Exploration maxillary sinus,A,,3.07,10.60,,10.77,,6.92,,7.17,,0.39,14.06,14.23,10.38,10.63,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31030,,Exploration maxillary sinus,A,,6.01,13.39,,13.68,,8.51,,8.96,,0.75,20.15,20.44,15.27,15.72,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31032,,Explore sinus remove polyps,A,,6.69,9.20,NA,9.69,NA,9.20,,9.69,,0.87,16.76,17.25,16.76,17.25,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31040,,Exploration behind upper jaw,A,,9.77,10.87,NA,11.50,NA,10.87,,11.50,,1.39,22.03,22.66,22.03,22.66,0,090,0.10,0.76,0.14,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31050,,Exploration sphenoid sinus,A,,5.37,8.29,NA,8.55,NA,8.29,,8.55,,0.68,14.34,14.60,14.34,14.60,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31051,,Sphenoid sinus surgery,A,,7.25,10.76,NA,11.29,NA,10.76,,11.29,,0.91,18.92,19.45,18.92,19.45,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31070,,Exploration of frontal sinus,A,,4.40,7.86,NA,8.21,NA,7.86,,8.21,,0.59,12.85,13.20,12.85,13.20,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31075,,Exploration of frontal sinus,A,,9.51,12.31,NA,12.92,NA,12.31,,12.92,,1.22,23.04,23.65,23.04,23.65,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31080,,Removal of frontal sinus,A,,12.74,15.63,NA,16.83,NA,15.63,,16.83,,1.63,30.00,31.20,30.00,31.20,0,090,0.10,0.76,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31081,,Removal of frontal sinus,A,,14.19,21.30,NA,24.08,NA,21.30,,24.08,,5.09,40.58,43.36,40.58,43.36,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31084,,Removal of frontal sinus,A,,14.95,17.51,NA,18.13,NA,17.51,,18.13,,1.92,34.38,35.00,34.38,35.00,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31085,,Removal of frontal sinus,A,,15.64,18.10,NA,18.53,NA,18.10,,18.53,,5.62,39.36,39.79,39.36,39.79,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31086,,Removal of frontal sinus,A,,14.36,16.79,NA,17.78,NA,16.79,,17.78,,1.85,33.00,33.99,33.00,33.99,0,090,0.10,0.76,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31087,,Removal of frontal sinus,A,,14.57,15.66,NA,16.43,NA,15.66,,16.43,,1.86,32.09,32.86,32.09,32.86,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31090,,Exploration of sinuses,A,,11.17,17.20,NA,18.19,NA,17.20,,18.19,,1.47,29.84,30.83,29.84,30.83,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3110F,,Pres/absn hmrhg/lesion docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3111F,,Ct/mri brain done w/in 24hrs,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3112F,,Ct/mri brain done >24 hrs,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3120F,,12-lead ecg performed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31200,,Removal of ethmoid sinus,A,,5.14,10.15,NA,10.57,NA,10.15,,10.57,,0.73,16.02,16.44,16.02,16.44,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31201,,Removal of ethmoid sinus,A,,8.60,11.81,NA,12.49,NA,11.81,,12.49,,1.14,21.55,22.23,21.55,22.23,0,090,0.10,0.76,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31205,,Removal of ethmoid sinus,A,,10.58,13.61,NA,14.55,NA,13.61,,14.55,,1.59,25.78,26.72,25.78,26.72,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31225,,Removal of upper jaw,A,,26.70,24.55,NA,26.67,NA,24.55,,26.67,,3.55,54.80,56.92,54.80,56.92,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31230,,Removal of upper jaw,A,,30.82,26.37,NA,28.72,NA,26.37,,28.72,,3.96,61.15,63.50,61.15,63.50,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31231,,Nasal endoscopy dx,A,,1.10,4.37,,4.46,,1.06,,1.12,,0.12,5.59,5.68,2.28,2.34,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31233,,Nasal/sinus endoscopy dx,A,,2.18,5.34,,5.47,,1.64,,1.75,,0.29,7.81,7.94,4.11,4.22,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31235,,Nasal/sinus endoscopy dx,A,,2.64,5.88,,5.97,,1.87,,1.99,,0.33,8.85,8.94,4.84,4.96,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31237,,Nasal/sinus endoscopy surg,A,,2.98,6.22,,6.37,,2.07,,2.23,,0.38,9.58,9.73,5.43,5.59,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31238,,Nasal/sinus endoscopy surg,A,,3.26,6.19,,6.34,,2.23,,2.39,,0.41,9.86,10.01,5.90,6.06,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31239,,Nasal/sinus endoscopy surg,A,,9.33,9.33,NA,10.07,NA,9.33,,10.07,,1.24,19.90,20.64,19.90,20.64,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31240,,Nasal/sinus endoscopy surg,A,,2.61,1.88,NA,2.01,NA,1.88,,2.01,,0.34,4.83,4.96,4.83,4.96,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31254,,Revision of ethmoid sinus,A,,4.64,2.99,NA,3.21,NA,2.99,,3.21,,0.60,8.23,8.45,8.23,8.45,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31255,,Removal of ethmoid sinus,A,,6.95,4.23,NA,4.56,NA,4.23,,4.56,,0.88,12.06,12.39,12.06,12.39,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31256,,Exploration maxillary sinus,A,,3.29,2.25,NA,2.41,NA,2.25,,2.41,,0.41,5.95,6.11,5.95,6.11,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31267,,Endoscopy maxillary sinus,A,,5.45,3.42,NA,3.68,NA,3.42,,3.68,,0.69,9.56,9.82,9.56,9.82,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31276,,Sinus endoscopy surgical,A,,8.84,5.24,NA,5.66,NA,5.24,,5.66,,1.14,15.22,15.64,15.22,15.64,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31287,,Nasal/sinus endoscopy surg,A,,3.91,2.58,NA,2.77,NA,2.58,,2.77,,0.50,6.99,7.18,6.99,7.18,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31288,,Nasal/sinus endoscopy surg,A,,4.57,2.95,NA,3.17,NA,2.95,,3.17,,0.60,8.12,8.34,8.12,8.34,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31290,,Nasal/sinus endoscopy surg,A,,18.61,13.40,NA,14.39,NA,13.40,,14.39,,2.64,34.65,35.64,34.65,35.64,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31291,,Nasal/sinus endoscopy surg,A,,19.56,14.04,NA,15.10,NA,14.04,,15.10,,3.14,36.74,37.80,36.74,37.80,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31292,,Nasal/sinus endoscopy surg,A,,15.90,11.88,NA,12.74,NA,11.88,,12.74,,2.04,29.82,30.68,29.82,30.68,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31293,,Nasal/sinus endoscopy surg,A,,17.47,12.79,NA,13.73,NA,12.79,,13.73,,2.23,32.49,33.43,32.49,33.43,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31294,,Nasal/sinus endoscopy surg,A,,20.31,14.31,NA,15.40,NA,14.31,,15.40,,2.61,37.23,38.32,37.23,38.32,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31295,,Sinus endo w/balloon dil,A,,2.70,56.78,,56.78,,2.11,,2.11,,0.35,59.83,59.83,5.16,5.16,0,000,0.00,0.00,0.00,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31296,,Sinus endo w/balloon dil,A,,3.29,108.31,,108.31,,2.45,,2.45,,0.42,112.02,112.02,6.16,6.16,0,000,0.00,0.00,0.00,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31297,,Sinus endo w/balloon dil,A,,2.64,107.99,,107.99,,2.07,,2.07,,0.34,110.97,110.97,5.05,5.05,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31299,,Sinus surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
3130F,,Upper gi endoscopy performed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31300,,Removal of larynx lesion,A,,15.91,19.36,NA,20.47,NA,19.36,,20.47,,2.03,37.30,38.41,37.30,38.41,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3132F,,Doc ref upper gi endoscopy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31320,,Diagnostic incision larynx,A,,5.73,12.77,NA,13.21,NA,12.77,,13.21,,0.72,19.22,19.66,19.22,19.66,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31360,,Removal of larynx,A,,29.91,26.91,NA,29.73,NA,26.91,,29.73,,3.92,60.74,63.56,60.74,63.56,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31365,,Removal of larynx,A,,38.81,31.53,NA,34.91,NA,31.53,,34.91,,5.08,75.42,78.80,75.42,78.80,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31367,,Partial removal of larynx,A,,30.57,30.31,NA,32.73,NA,30.31,,32.73,,3.97,64.85,67.27,64.85,67.27,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31368,,Partial removal of larynx,A,,34.19,33.45,NA,36.00,NA,33.45,,36.00,,4.38,72.02,74.57,72.02,74.57,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31370,,Partial removal of larynx,A,,27.57,29.81,NA,31.95,NA,29.81,,31.95,,3.54,60.92,63.06,60.92,63.06,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31375,,Partial removal of larynx,A,,26.07,28.33,NA,30.43,NA,28.33,,30.43,,3.36,57.76,59.86,57.76,59.86,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31380,,Partial removal of larynx,A,,25.57,28.03,NA,30.14,NA,28.03,,30.14,,3.29,56.89,59.00,56.89,59.00,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31382,,Partial removal of larynx,A,,28.57,30.17,NA,32.54,NA,30.17,,32.54,,3.69,62.43,64.80,62.43,64.80,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31390,,Removal of larynx & pharynx,A,,42.51,35.48,NA,38.78,NA,35.48,,38.78,,5.84,83.83,87.13,83.83,87.13,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31395,,Reconstruct larynx & pharynx,A,,43.80,39.07,NA,42.53,NA,39.07,,42.53,,5.63,88.50,91.96,88.50,91.96,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3140F,,Upper gi endo shows barrtts,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31400,,Revision of larynx,A,,11.60,16.47,NA,17.10,NA,16.47,,17.10,,1.50,29.57,30.20,29.57,30.20,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3141F,,Upper gi endo not barrtts,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3142F,,Barium swallow test ordered,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31420,,Removal of epiglottis,A,,11.43,11.84,NA,12.58,NA,11.84,,12.58,,1.47,24.74,25.48,24.74,25.48,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3150F,,Forceps esoph biopsy done,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31500,,Insert emergency airway,A,,2.33,0.60,NA,0.64,NA,0.60,,0.64,,0.31,3.24,3.28,3.24,3.28,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31502,,Change of windpipe airway,A,,0.65,0.32,NA,0.34,NA,0.32,,0.34,,0.07,1.04,1.06,1.04,1.06,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31505,,Diagnostic laryngoscopy,A,,0.61,1.76,,1.78,,0.77,,0.80,,0.07,2.44,2.46,1.45,1.48,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31510,,Laryngoscopy with biopsy,A,,1.92,4.05,,4.13,,1.44,,1.54,,0.26,6.23,6.31,3.62,3.72,0,000,0.00,0.00,0.00,3,0,0,0,0,31505,33.9764,09,0,99,0.00,0.00,0.00
31511,,Remove foreign body larynx,A,,2.16,3.75,,3.83,,1.36,,1.41,,0.31,6.22,6.30,3.83,3.88,0,000,0.00,0.00,0.00,3,0,1,0,0,31505,33.9764,09,0,99,0.00,0.00,0.00
31512,,Removal of larynx lesion,A,,2.07,3.82,,3.93,,1.57,,1.70,,0.27,6.16,6.27,3.91,4.04,0,000,0.00,0.00,0.00,3,0,0,0,0,31505,33.9764,09,0,99,0.00,0.00,0.00
31513,,Injection into vocal cord,A,,2.10,1.60,NA,1.71,NA,1.60,,1.71,,0.27,3.97,4.08,3.97,4.08,0,000,0.00,0.00,0.00,3,0,0,0,0,31505,33.9764,09,0,99,0.00,0.00,0.00
31515,,Laryngoscopy for aspiration,A,,1.80,4.10,,4.14,,1.24,,1.31,,0.24,6.14,6.18,3.28,3.35,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31520,,Dx laryngoscopy newborn,A,,2.56,1.79,NA,1.98,NA,1.79,,1.98,,0.33,4.68,4.87,4.68,4.87,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31525,,Dx laryngoscopy excl nb,A,,2.63,4.44,,4.60,,1.82,,1.94,,0.34,7.41,7.57,4.79,4.91,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31526,,Dx laryngoscopy w/oper scope,A,,2.57,1.86,NA,1.98,NA,1.86,,1.98,,0.33,4.76,4.88,4.76,4.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31527,,Laryngoscopy for treatment,A,,3.27,2.18,NA,2.40,NA,2.18,,2.40,,0.41,5.86,6.08,5.86,6.08,0,000,0.00,0.00,0.00,3,0,0,0,0,31525,33.9764,09,0,99,0.00,0.00,0.00
31528,,Laryngoscopy and dilation,A,,2.37,1.68,NA,1.81,NA,1.68,,1.81,,0.31,4.36,4.49,4.36,4.49,0,000,0.00,0.00,0.00,3,0,0,0,0,31525,33.9764,09,0,99,0.00,0.00,0.00
31529,,Laryngoscopy and dilation,A,,2.68,1.86,NA,1.99,NA,1.86,,1.99,,0.34,4.88,5.01,4.88,5.01,0,000,0.00,0.00,0.00,3,0,0,0,0,31525,33.9764,09,0,99,0.00,0.00,0.00
31530,,Laryngoscopy w/fb removal,A,,3.38,2.15,NA,2.32,NA,2.15,,2.32,,0.44,5.97,6.14,5.97,6.14,0,000,0.00,0.00,0.00,3,0,1,0,0,31525,33.9764,09,0,99,0.00,0.00,0.00
31531,,Laryngoscopy w/fb & op scope,A,,3.58,2.39,NA,2.55,NA,2.39,,2.55,,0.45,6.42,6.58,6.42,6.58,0,000,0.00,0.00,0.00,3,0,0,0,0,31526,33.9764,09,0,99,0.00,0.00,0.00
31535,,Laryngoscopy w/biopsy,A,,3.16,2.16,NA,2.32,NA,2.16,,2.32,,0.41,5.73,5.89,5.73,5.89,0,000,0.00,0.00,0.00,3,0,1,0,0,31525,33.9764,09,0,99,0.00,0.00,0.00
31536,,Laryngoscopy w/bx & op scope,A,,3.55,2.39,NA,2.56,NA,2.39,,2.56,,0.45,6.39,6.56,6.39,6.56,0,000,0.00,0.00,0.00,3,0,1,0,0,31526,33.9764,09,0,99,0.00,0.00,0.00
31540,,Laryngoscopy w/exc of tumor,A,,4.12,2.69,NA,2.89,NA,2.69,,2.89,,0.53,7.34,7.54,7.34,7.54,0,000,0.00,0.00,0.00,3,0,1,0,0,31525,33.9764,09,0,99,0.00,0.00,0.00
31541,,Larynscop w/tumr exc + scope,A,,4.52,2.91,NA,3.13,NA,2.91,,3.13,,0.59,8.02,8.24,8.02,8.24,0,000,0.00,0.00,0.00,3,0,1,0,0,31526,33.9764,09,0,99,0.00,0.00,0.00
31545,,Remove vc lesion w/scope,A,,6.30,3.87,NA,4.20,NA,3.87,,4.20,,0.80,10.97,11.30,10.97,11.30,0,000,0.00,0.00,0.00,3,1,1,0,0,31526,33.9764,09,0,99,0.00,0.00,0.00
31546,,Remove vc lesion scope/graft,A,,9.73,5.64,NA,6.23,NA,5.64,,6.23,,1.25,16.62,17.21,16.62,17.21,0,000,0.00,0.00,0.00,3,1,1,0,0,31526,33.9764,09,0,99,0.00,0.00,0.00
3155F,,Cytogen test marrow b/4 tx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31560,,Laryngoscop w/arytenoidectom,A,,5.45,3.36,NA,3.64,NA,3.36,,3.64,,0.69,9.50,9.78,9.50,9.78,0,000,0.00,0.00,0.00,3,0,0,0,0,31525,33.9764,09,0,99,0.00,0.00,0.00
31561,,Larynscop remve cart + scop,A,,5.99,3.64,NA,3.94,NA,3.64,,3.94,,0.76,10.39,10.69,10.39,10.69,0,000,0.00,0.00,0.00,3,0,0,0,0,31526,33.9764,09,0,99,0.00,0.00,0.00
31570,,Laryngoscope w/vc inj,A,,3.86,5.78,,5.87,,2.52,,2.71,,0.53,10.17,10.26,6.91,7.10,0,000,0.00,0.00,0.00,3,0,1,0,0,31525,33.9764,09,0,99,0.00,0.00,0.00
31571,,Laryngoscop w/vc inj + scope,A,,4.26,2.76,NA,2.97,NA,2.76,,2.97,,0.54,7.56,7.77,7.56,7.77,0,000,0.00,0.00,0.00,3,0,1,0,0,31526,33.9764,09,0,99,0.00,0.00,0.00
31575,,Diagnostic laryngoscopy,A,,1.10,2.17,,2.20,,1.05,,1.11,,0.12,3.39,3.42,2.27,2.33,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31576,,Laryngoscopy with biopsy,A,,1.97,4.43,,4.50,,1.50,,1.59,,0.24,6.64,6.71,3.71,3.80,0,000,0.00,0.00,0.00,3,0,1,0,0,31575,33.9764,09,0,99,0.00,0.00,0.00
31577,,Remove foreign body larynx,A,,2.47,4.37,,4.50,,1.67,,1.77,,0.33,7.17,7.30,4.47,4.57,0,000,0.00,0.00,0.00,3,0,0,0,0,31575,33.9764,09,0,99,0.00,0.00,0.00
31578,,Removal of larynx lesion,A,,2.84,5.13,,5.27,,1.95,,2.15,,0.35,8.32,8.46,5.14,5.34,0,000,0.00,0.00,0.00,3,0,0,0,0,31575,33.9764,09,0,99,0.00,0.00,0.00
31579,,Diagnostic laryngoscopy,A,,2.26,3.81,,3.83,,1.68,,1.80,,0.30,6.37,6.39,4.24,4.36,0,000,0.00,0.00,0.00,3,0,1,0,0,31575,33.9764,09,0,99,0.00,0.00,0.00
31580,,Revision of larynx,A,,14.66,19.36,NA,20.52,NA,19.36,,20.52,,1.88,35.90,37.06,35.90,37.06,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31582,,Revision of larynx,A,,23.22,30.12,NA,31.32,NA,30.12,,31.32,,2.99,56.33,57.53,56.33,57.53,0,090,0.10,0.76,0.14,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31584,,Treat larynx fracture,A,,20.47,21.64,NA,22.91,NA,21.64,,22.91,,2.63,44.74,46.01,44.74,46.01,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31587,,Revision of larynx,A,,15.27,12.38,NA,13.55,NA,12.38,,13.55,,1.95,29.60,30.77,29.60,30.77,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31588,,Revision of larynx,A,,14.99,16.86,NA,17.86,NA,16.86,,17.86,,1.93,33.78,34.78,33.78,34.78,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31590,,Reinnervate larynx,A,,7.85,17.46,NA,17.85,NA,17.46,,17.85,,1.02,26.33,26.72,26.33,26.72,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31595,,Larynx nerve surgery,A,,8.84,12.65,NA,13.16,NA,12.65,,13.16,,1.14,22.63,23.14,22.63,23.14,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31599,,Larynx surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
3160F,,Doc fe+ stores b/4 epo thx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31600,,Incision of windpipe,A,,7.17,3.43,NA,3.64,NA,3.43,,3.64,,1.27,11.87,12.08,11.87,12.08,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31601,,Incision of windpipe,A,,4.44,2.82,NA,3.04,NA,2.82,,3.04,,0.56,7.82,8.04,7.82,8.04,0,000,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31603,,Incision of windpipe,A,,4.14,1.86,NA,2.01,NA,1.86,,2.01,,0.69,6.69,6.84,6.69,6.84,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31605,,Incision of windpipe,A,,3.57,1.26,NA,1.34,NA,1.26,,1.34,,0.63,5.46,5.54,5.46,5.54,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31610,,Incision of windpipe,A,,9.38,10.34,NA,10.93,NA,10.34,,10.93,,1.32,21.04,21.63,21.04,21.63,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31611,,Surgery/speech prosthesis,A,,6.00,9.12,NA,9.55,NA,9.12,,9.55,,0.76,15.88,16.31,15.88,16.31,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31612,,Puncture/clear windpipe,A,,0.91,1.37,,1.44,,0.40,,0.44,,0.11,2.39,2.46,1.42,1.46,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31613,,Repair windpipe opening,A,,4.71,7.81,NA,8.12,NA,7.81,,8.12,,0.72,13.24,13.55,13.24,13.55,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31614,,Repair windpipe opening,A,,8.63,12.30,NA,13.04,NA,12.30,,13.04,,1.18,22.11,22.85,22.11,22.85,0,090,0.10,0.76,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31615,,Visualization of windpipe,A,,2.09,3.04,,3.10,,1.47,,1.58,,0.26,5.39,5.45,3.82,3.93,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31620,,Endobronchial us add-on,A,,1.40,6.66,,6.25,,0.49,,0.50,,0.12,8.18,7.77,2.01,2.02,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31622,,Dx bronchoscope/wash,A,,2.78,6.12,,5.82,,1.22,,1.26,,0.34,9.24,8.94,4.34,4.38,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31623,,Dx bronchoscope/brush,A,,2.88,6.77,,6.26,,1.20,,1.24,,0.26,9.91,9.40,4.34,4.38,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31624,,Dx bronchoscope/lavage,A,,2.88,6.12,,5.73,,1.21,,1.26,,0.26,9.26,8.87,4.35,4.40,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31625,,Bronchoscopy w/biopsy(s),A,,3.36,6.28,,5.89,,1.37,,1.42,,0.31,9.95,9.56,5.04,5.09,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31626,,Bronchoscopy w/markers,A,,4.16,8.56,,8.56,,1.72,,1.72,,0.31,13.03,13.03,6.19,6.19,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31627,,Navigational bronchoscopy,A,,2.00,35.28,,35.28,,0.88,,0.88,,0.14,37.42,37.42,3.02,3.02,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31628,,Bronchoscopy/lung bx each,A,,3.80,7.55,,6.78,,1.50,,1.56,,0.30,11.65,10.88,5.60,5.66,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31629,,Bronchoscopy/needle bx each,A,,4.09,13.68,,12.40,,1.61,,1.68,,0.34,18.11,16.83,6.04,6.11,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31630,,Bronchoscopy dilate/fx repr,A,,3.81,1.75,NA,1.76,NA,1.75,,1.76,,0.49,6.05,6.06,6.05,6.06,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31631,,Bronchoscopy dilate w/stent,A,,4.36,1.94,NA,1.97,NA,1.94,,1.97,,0.60,6.90,6.93,6.90,6.93,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31632,,Bronchoscopy/lung bx addl,A,,1.03,1.00,,0.98,,0.35,,0.37,,0.07,2.10,2.08,1.45,1.47,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31633,,Bronchoscopy/needle bx addl,A,,1.32,1.15,,1.14,,0.44,,0.47,,0.10,2.57,2.56,1.86,1.89,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31634,,Bronch w/balloon occlusion,A,,4.00,48.76,,48.76,,1.75,,1.75,,0.33,53.09,53.09,6.08,6.08,0,000,0.00,0.00,0.00,3,0,2,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31635,,Bronchoscopy w/fb removal,A,,3.67,6.15,,5.77,,1.55,,1.59,,0.39,10.21,9.83,5.61,5.65,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31636,,Bronchoscopy bronch stents,A,,4.30,1.82,NA,1.82,NA,1.82,,1.82,,0.56,6.68,6.68,6.68,6.68,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31637,,Bronchoscopy stent add-on,A,,1.58,0.59,NA,0.61,NA,0.59,,0.61,,0.11,2.28,2.30,2.28,2.30,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31638,,Bronchoscopy revise stent,A,,4.88,2.11,NA,2.14,NA,2.11,,2.14,,0.65,7.64,7.67,7.64,7.67,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31640,,Bronchoscopy w/tumor excise,A,,4.93,2.14,NA,2.16,NA,2.14,,2.16,,0.64,7.71,7.73,7.71,7.73,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31641,,Bronchoscopy treat blockage,A,,5.02,2.08,NA,2.17,NA,2.08,,2.17,,0.59,7.69,7.78,7.69,7.78,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31643,,Diag bronchoscope/catheter,A,,3.49,1.40,NA,1.44,NA,1.40,,1.44,,0.29,5.18,5.22,5.18,5.22,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31645,,Bronchoscopy clear airways,A,,3.16,5.47,,5.15,,1.30,,1.36,,0.29,8.92,8.60,4.75,4.81,0,000,0.00,0.00,0.00,3,0,1,0,0,31622,33.9764,09,0,99,0.00,0.00,0.00
31646,,Bronchoscopy reclear airway,A,,2.72,5.15,,4.85,,1.15,,1.19,,0.26,8.13,7.83,4.13,4.17,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31656,,Bronchoscopy inj for x-ray,A,,2.17,6.71,,6.05,,0.92,,0.93,,0.16,9.04,8.38,3.25,3.26,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3170F,,Flow cyto done b/4 tx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
31715,,Injection for bronchus x-ray,A,,1.11,0.39,NA,0.37,NA,0.39,,0.37,,0.08,1.58,1.56,1.58,1.56,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31717,,Bronchial brush biopsy,A,,2.12,6.12,,5.41,,0.97,,1.03,,0.16,8.40,7.69,3.25,3.31,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31720,,Clearance of airways,A,,1.06,0.38,NA,0.41,NA,0.38,,0.41,,0.08,1.52,1.55,1.52,1.55,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31725,,Clearance of airways,A,,1.96,0.65,NA,0.73,NA,0.65,,0.73,,0.20,2.81,2.89,2.81,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31730,,Intro windpipe wire/tube,A,,2.85,26.66,,29.64,,1.12,,1.19,,0.45,29.96,32.94,4.42,4.49,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31750,,Repair of windpipe,A,,15.39,22.58,NA,23.62,NA,22.58,,23.62,,2.27,40.24,41.28,40.24,41.28,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31755,,Repair of windpipe,A,,17.54,31.06,NA,32.25,NA,31.06,,32.25,,2.25,50.85,52.04,50.85,52.04,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31760,,Repair of windpipe,A,,23.48,12.74,NA,12.32,NA,12.74,,12.32,,5.48,41.70,41.28,41.70,41.28,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31766,,Reconstruction of windpipe,A,,31.67,14.95,NA,14.61,NA,14.95,,14.61,,7.40,54.02,53.68,54.02,53.68,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31770,,Repair/graft of bronchus,A,,23.54,11.40,NA,11.15,NA,11.40,,11.15,,5.50,40.44,40.19,40.44,40.19,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31775,,Reconstruct bronchus,A,,24.59,11.06,NA,10.45,NA,11.06,,10.45,,5.76,41.41,40.80,41.41,40.80,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31780,,Reconstruct windpipe,A,,19.84,12.69,NA,13.47,NA,12.69,,13.47,,3.23,35.76,36.54,35.76,36.54,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31781,,Reconstruct windpipe,A,,24.85,12.12,NA,11.16,NA,12.12,,11.16,,5.81,42.78,41.82,42.78,41.82,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31785,,Remove windpipe lesion,A,,18.35,11.33,NA,12.13,NA,11.33,,12.13,,2.61,32.29,33.09,32.29,33.09,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31786,,Remove windpipe lesion,A,,25.42,12.98,NA,12.14,NA,12.98,,12.14,,5.96,44.36,43.52,44.36,43.52,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31800,,Repair of windpipe injury,A,,8.18,11.44,NA,11.98,NA,11.44,,11.98,,1.05,20.67,21.21,20.67,21.21,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31805,,Repair of windpipe injury,A,,13.42,8.15,NA,7.91,NA,8.15,,7.91,,3.16,24.73,24.49,24.73,24.49,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
31820,,Closure of windpipe lesion,A,,4.64,7.49,,7.85,,4.46,,4.74,,0.67,12.80,13.16,9.77,10.05,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31825,,Repair of windpipe defect,A,,7.07,9.75,,10.23,,6.30,,6.69,,0.99,17.81,18.29,14.36,14.75,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31830,,Revise windpipe scar,A,,4.62,7.60,,7.96,,4.83,,5.11,,0.71,12.93,13.29,10.16,10.44,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
31899,,Airways surgical procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
3200F,,Barium swallow test not req,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32035,,Exploration of chest,A,,11.29,7.78,NA,7.97,NA,7.78,,7.97,,2.57,21.64,21.83,21.64,21.83,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32036,,Exploration of chest,A,,12.30,8.18,NA,8.24,NA,8.18,,8.24,,2.90,23.38,23.44,23.38,23.44,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32095,,Biopsy through chest wall,A,,10.14,6.57,NA,6.57,NA,6.57,,6.57,,2.34,19.05,19.05,19.05,19.05,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3210F,,Grp a strep test performed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32100,,Exploration/biopsy of chest,A,,16.16,9.05,NA,8.92,NA,9.05,,8.92,,3.80,29.01,28.88,29.01,28.88,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32110,,Explore/repair chest,A,,25.28,13.05,NA,13.25,NA,13.05,,13.25,,5.74,44.07,44.27,44.07,44.27,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32120,,Re-exploration of chest,A,,14.39,8.67,NA,8.61,NA,8.67,,8.61,,3.40,26.46,26.40,26.46,26.40,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32124,,Explore chest free adhesions,A,,15.45,8.97,NA,8.99,NA,8.97,,8.99,,3.67,28.09,28.11,28.09,28.11,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32140,,Removal of lung lesion(s),A,,16.66,9.39,NA,9.34,NA,9.39,,9.34,,3.89,29.94,29.89,29.94,29.89,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32141,,Remove/treat lung lesions,A,,27.18,12.70,NA,12.96,NA,12.70,,12.96,,6.40,46.28,46.54,46.28,46.54,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3215F,,Pt immunity to hep a docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32150,,Removal of lung lesion(s),A,,16.82,9.51,NA,9.56,NA,9.51,,9.56,,3.93,30.26,30.31,30.26,30.31,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32151,,Remove lung foreign body,A,,16.94,9.70,NA,9.40,NA,9.70,,9.40,,3.97,30.61,30.31,30.61,30.31,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3216F,,Pt immunity to hep b docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32160,,Open chest heart massage,A,,13.10,7.36,NA,7.50,NA,7.36,,7.50,,2.99,23.45,23.59,23.45,23.59,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3218F,,Rna tstng hep c docd done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3220F,,Hep c quant rna tstng docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32200,,Drain open lung lesion,A,,18.68,11.23,NA,11.41,NA,11.23,,11.41,,4.29,34.20,34.38,34.20,34.38,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32201,,Drain percut lung lesion,A,,3.99,22.83,,21.19,,1.66,,1.48,,0.38,27.20,25.56,6.03,5.85,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32215,,Treat chest lining,A,,13.05,8.12,NA,8.03,NA,8.12,,8.03,,3.05,24.22,24.13,24.22,24.13,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32220,,Release of lung,A,,26.65,15.34,NA,15.16,NA,15.34,,15.16,,6.30,48.29,48.11,48.29,48.11,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32225,,Partial release of lung,A,,16.75,9.51,NA,9.48,NA,9.51,,9.48,,3.92,30.18,30.15,30.18,30.15,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3230F,,Note hring tst w/in 6 mon,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32310,,Removal of chest lining,A,,15.28,8.87,NA,8.79,NA,8.87,,8.79,,3.62,27.77,27.69,27.77,27.69,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32320,,Free/remove chest lining,A,,27.25,14.89,NA,14.89,NA,14.89,,14.89,,6.33,48.47,48.47,48.47,48.47,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32400,,Needle biopsy chest lining,A,,1.76,2.48,,2.30,,0.69,,0.65,,0.18,4.42,4.24,2.63,2.59,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32402,,Open biopsy chest lining,A,,8.97,6.09,NA,6.03,NA,6.09,,6.03,,2.03,17.09,17.03,17.09,17.03,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32405,,Biopsy lung or mediastinum,A,,1.93,0.81,,0.71,,0.80,,0.71,,0.18,2.92,2.82,2.91,2.82,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32420,,Puncture/clear lung,A,,2.18,0.87,NA,0.82,NA,0.87,,0.82,,0.24,3.29,3.24,3.29,3.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32421,,Thoracentesis for aspiration,A,,1.54,2.89,,2.65,,0.60,,0.58,,0.14,4.57,4.33,2.28,2.26,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32422,,Thoracentesis w/tube insert,A,,2.19,3.38,,3.13,,1.26,,1.20,,0.22,5.79,5.54,3.67,3.61,0,000,0.00,0.00,0.00,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32440,,Removal of lung,A,,27.28,14.21,NA,13.83,NA,14.21,,13.83,,6.36,47.85,47.47,47.85,47.47,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32442,,Sleeve pneumonectomy,A,,56.47,22.70,NA,23.12,NA,22.70,,23.12,,4.25,83.42,83.84,83.42,83.84,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32445,,Removal of lung,A,,63.84,27.27,NA,28.12,NA,27.27,,28.12,,14.94,106.05,106.90,106.05,106.90,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32480,,Partial removal of lung,A,,25.82,13.39,NA,13.11,NA,13.39,,13.11,,6.06,45.27,44.99,45.27,44.99,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32482,,Bilobectomy,A,,27.44,14.53,NA,14.26,NA,14.53,,14.26,,6.42,48.39,48.12,48.39,48.12,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32484,,Segmentectomy,A,,25.38,12.59,NA,12.34,NA,12.59,,12.34,,5.91,43.88,43.63,43.88,43.63,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32486,,Sleeve lobectomy,A,,42.88,18.57,NA,18.59,NA,18.57,,18.59,,10.14,71.59,71.61,71.59,71.61,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32488,,Completion pneumonectomy,A,,42.99,19.52,NA,19.78,NA,19.52,,19.78,,10.11,72.62,72.88,72.62,72.88,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32491,,Lung volume reduction,R,,25.24,13.99,NA,13.48,NA,13.99,,13.48,,5.88,45.11,44.60,45.11,44.60,0,090,0.10,0.76,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3250F,,Nonprim loc anat bx site tum,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32500,,Partial removal of lung,A,,24.64,13.45,NA,13.12,NA,13.45,,13.12,,5.80,43.89,43.56,43.89,43.56,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32501,,Repair bronchus add-on,A,,4.68,1.76,NA,1.70,NA,1.76,,1.70,,1.09,7.53,7.47,7.53,7.47,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32503,,Resect apical lung tumor,A,,31.74,15.93,NA,15.55,NA,15.93,,15.55,,7.50,55.17,54.79,55.17,54.79,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32504,,Resect apical lung tum/chest,A,,36.54,17.67,NA,16.81,NA,17.67,,16.81,,8.52,62.73,61.87,62.73,61.87,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32540,,Removal of lung lesion,A,,30.35,14.66,NA,14.79,NA,14.66,,14.79,,7.10,52.11,52.24,52.11,52.24,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32550,,Insert pleural cath,A,,4.17,18.58,,17.43,,1.93,,1.85,,0.69,23.44,22.29,6.79,6.71,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32551,,Insertion of chest tube,A,,3.29,1.34,NA,1.29,NA,1.34,,1.29,,0.52,5.15,5.10,5.15,5.10,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32552,,Remove lung catheter,A,,2.53,2.42,,2.42,,1.75,,1.75,,0.60,5.55,5.55,4.88,4.88,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32553,,Ins mark thor for rt perq,A,,3.80,13.57,,13.57,,1.53,,1.53,,0.88,18.25,18.25,6.21,6.21,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32560,,Treat pleurodesis w/agent,A,,1.54,5.86,,5.19,,0.68,,0.57,,0.27,7.67,7.00,2.49,2.38,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32561,,Lyse chest fibrin init day,A,,1.39,1.21,,1.21,,0.51,,0.51,,0.24,2.84,2.84,2.14,2.14,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32562,,Lyse chest fibrin subq day,A,,1.24,1.07,,1.07,,0.46,,0.46,,0.23,2.54,2.54,1.93,1.93,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3260F,,Pt cat/pn cat/hist grd docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32601,,Thoracoscopy diagnostic,A,,5.45,2.69,NA,2.63,NA,2.69,,2.63,,1.27,9.41,9.35,9.41,9.35,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32602,,Thoracoscopy diagnostic,A,,5.95,2.88,NA,2.82,NA,2.88,,2.82,,1.36,10.19,10.13,10.19,10.13,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32603,,Thoracoscopy diagnostic,A,,7.80,3.55,NA,3.42,NA,3.55,,3.42,,1.95,13.30,13.17,13.30,13.17,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32604,,Thoracoscopy diagnostic,A,,8.77,3.95,NA,3.76,NA,3.95,,3.76,,2.04,14.76,14.57,14.76,14.57,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32605,,Thoracoscopy diagnostic,A,,6.92,3.19,NA,3.11,NA,3.19,,3.11,,1.62,11.73,11.65,11.73,11.65,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32606,,Thoracoscopy diagnostic,A,,8.39,3.82,NA,3.71,NA,3.82,,3.71,,1.93,14.14,14.03,14.14,14.03,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3265F,,Rna tstng hepc vir ord/docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32650,,Thoracoscopy surgical,A,,10.83,6.94,NA,6.78,NA,6.94,,6.78,,2.48,20.25,20.09,20.25,20.09,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32651,,Thoracoscopy surgical,A,,18.78,9.85,NA,10.07,NA,9.85,,10.07,,4.31,32.94,33.16,32.94,33.16,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32652,,Thoracoscopy surgical,A,,29.13,14.17,NA,14.37,NA,14.17,,14.37,,6.72,50.02,50.22,50.02,50.22,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32653,,Thoracoscopy surgical,A,,18.17,9.45,NA,9.59,NA,9.45,,9.59,,4.12,31.74,31.88,31.74,31.88,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32654,,Thoracoscopy surgical,A,,20.52,10.27,NA,10.42,NA,10.27,,10.42,,4.65,35.44,35.59,35.44,35.59,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32655,,Thoracoscopy surgical,A,,16.17,8.94,NA,9.00,NA,8.94,,9.00,,3.77,28.88,28.94,28.88,28.94,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32656,,Thoracoscopy surgical,A,,13.26,7.97,NA,7.80,NA,7.97,,7.80,,3.01,24.24,24.07,24.24,24.07,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32657,,Thoracoscopy surgical,A,,12.93,7.95,NA,7.78,NA,7.95,,7.78,,3.04,23.92,23.75,23.92,23.75,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32658,,Thoracoscopy surgical,A,,11.71,7.32,NA,6.99,NA,7.32,,6.99,,2.75,21.78,21.45,21.78,21.45,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32659,,Thoracoscopy surgical,A,,11.94,7.58,NA,7.34,NA,7.58,,7.34,,2.80,22.32,22.08,22.32,22.08,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3266F,,Hepc gn tstng docd b/4txmnt,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32660,,Thoracoscopy surgical,A,,17.77,9.67,NA,9.31,NA,9.67,,9.31,,4.45,31.89,31.53,31.89,31.53,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32661,,Thoracoscopy surgical,A,,13.33,7.88,NA,7.56,NA,7.88,,7.56,,3.13,24.34,24.02,24.34,24.02,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32662,,Thoracoscopy surgical,A,,14.99,8.79,NA,8.49,NA,8.79,,8.49,,3.50,27.28,26.98,27.28,26.98,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32663,,Thoracoscopy surgical,A,,24.64,12.24,NA,11.97,NA,12.24,,11.97,,5.74,42.62,42.35,42.62,42.35,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32664,,Thoracoscopy surgical,A,,14.28,8.12,NA,7.90,NA,8.12,,7.90,,3.36,25.76,25.54,25.76,25.54,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32665,,Thoracoscopy surgical,A,,21.53,10.70,NA,10.63,NA,10.70,,10.63,,4.60,36.83,36.76,36.83,36.76,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3268F,,Psa/t/glsc docd b/4 txmnt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3269F,,Bone scn b/4 txmnt/aftr Dx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3270F,,No bone scn b/4 txmnt/aftrDx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3271F,,Low risk prostate cancer,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3272F,,Med risk prostate cancer,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3273F,,High risk prostate cancer,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3274F,,Prost Cncr rsk not lw/md/hgh,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3278F,,Serum lvls CA/iPTH/lpd ord,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3279F,,Hgb lvl >/= 13 g/dl,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3280F,,Hgb lvl 11-12.9 g/dL,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32800,,Repair lung hernia,A,,15.71,9.01,NA,8.98,NA,9.01,,8.98,,3.69,28.41,28.38,28.41,28.38,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3281F,,Hgb lvl < 11 g/dl,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32810,,Close chest after drainage,A,,14.95,8.85,NA,8.65,NA,8.85,,8.65,,3.51,27.31,27.11,27.31,27.11,0,090,0.10,0.76,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32815,,Close bronchial fistula,A,,50.03,22.34,NA,23.21,NA,22.34,,23.21,,11.90,84.27,85.14,84.27,85.14,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32820,,Reconstruct injured chest,A,,22.51,12.87,NA,12.28,NA,12.87,,12.28,,5.28,40.66,40.07,40.66,40.07,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3284F,,Iop down >15% of pre-svc lvl,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3285F,,IOP down <15% of pre-svc lvl,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32850,,Donor pneumonectomy,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32851,,Lung transplant single,A,,41.61,27.23,NA,26.20,NA,27.23,,26.20,,9.80,78.64,77.61,78.64,77.61,0,090,0.10,0.76,0.14,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
32852,,Lung transplant with bypass,A,,45.48,30.87,NA,29.49,NA,30.87,,29.49,,10.66,87.01,85.63,87.01,85.63,0,090,0.10,0.76,0.14,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
32853,,Lung transplant double,A,,50.78,30.73,NA,29.48,NA,30.73,,29.48,,12.02,93.53,92.28,93.53,92.28,0,090,0.10,0.76,0.14,2,2,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
32854,,Lung transplant with bypass,A,,54.74,34.68,NA,33.30,NA,34.68,,33.30,,12.90,102.32,100.94,102.32,100.94,0,090,0.10,0.76,0.14,2,2,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
32855,,Prepare donor lung single,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32856,,Prepare donor lung double,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3288F,,Fall risk assessment docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3290F,,Pt=D(Rh)- and unsensitized,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32900,,Removal of rib(s),A,,23.81,12.70,NA,13.07,NA,12.70,,13.07,,5.48,41.99,42.36,41.99,42.36,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32905,,Revise & repair chest wall,A,,23.29,11.89,NA,11.59,NA,11.89,,11.59,,5.44,40.62,40.32,40.62,40.32,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32906,,Revise & repair chest wall,A,,29.30,14.14,NA,13.71,NA,14.14,,13.71,,6.87,50.31,49.88,50.31,49.88,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3291F,,Pt=d(rh)+ or sensitized,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3292F,,Hiv tstng asked/docd/revwd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3293F,,Abo rh blood typing docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3294F,,Grp b strep screening docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
32940,,Revision of lung,A,,21.34,11.09,NA,10.99,NA,11.09,,10.99,,5.01,37.44,37.34,37.44,37.34,0,090,0.10,0.76,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
32960,,Therapeutic pneumothorax,A,,1.84,1.91,,1.75,,0.86,,0.83,,0.42,4.17,4.01,3.12,3.09,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32997,,Total lung lavage,A,,7.31,2.35,NA,2.42,NA,2.35,,2.42,,0.91,10.57,10.64,10.57,10.64,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32998,,Perq rf ablate tx pul tumor,A,,5.68,78.71,,74.08,,2.54,,2.21,,0.60,84.99,80.36,8.82,8.49,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
32999,,Chest surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
3300F,,AJCC stage docd b/4 thxpy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3301F,,Cancer stage docd metast,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33010,,Drainage of heart sac,A,,2.24,1.03,NA,0.84,NA,1.03,,0.84,,0.45,3.72,3.53,3.72,3.53,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33011,,Repeat drainage of heart sac,A,,2.24,0.99,NA,0.87,NA,0.99,,0.87,,0.49,3.72,3.60,3.72,3.60,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33015,,Incision of heart sac,A,,8.52,5.62,NA,4.78,NA,5.62,,4.78,,1.67,15.81,14.97,15.81,14.97,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33020,,Incision of heart sac,A,,14.95,8.24,NA,8.18,NA,8.24,,8.18,,3.51,26.70,26.64,26.70,26.64,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33025,,Incision of heart sac,A,,13.70,7.49,NA,7.33,NA,7.49,,7.33,,3.25,24.44,24.28,24.44,24.28,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33030,,Partial removal of heart sac,A,,22.39,11.66,NA,11.56,NA,11.66,,11.56,,5.32,39.37,39.27,39.37,39.27,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33031,,Partial removal of heart sac,A,,25.38,12.35,NA,12.08,NA,12.35,,12.08,,6.11,43.84,43.57,43.84,43.57,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33050,,Removal of heart sac lesion,A,,16.97,9.60,NA,9.62,NA,9.60,,9.62,,3.97,30.54,30.56,30.54,30.56,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33120,,Removal of heart lesion,A,,27.45,13.63,NA,13.26,NA,13.63,,13.26,,6.57,47.65,47.28,47.65,47.28,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33130,,Removal of heart lesion,A,,24.17,12.22,NA,11.90,NA,12.22,,11.90,,6.04,42.43,42.11,42.43,42.11,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33140,,Heart revascularize (tmr),A,,28.34,13.39,NA,13.01,NA,13.39,,13.01,,7.08,48.81,48.43,48.81,48.43,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33141,,Heart tmr w/other procedure,A,,2.54,1.09,NA,0.93,NA,1.09,,0.93,,0.61,4.24,4.08,4.24,4.08,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3315F,,Er+ or pr+ breast cancer,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3316F,,ER- or PR- breast cancer,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3317F,,Path rpt malig cancer docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3318F,,Path rpt malig cancer docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3319F,,X-ray/ct/ultrsnd et al ord,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3320F,,No xray/ct/ et al ordd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33202,,Insert epicard eltrd open,A,,13.20,7.40,NA,7.08,NA,7.40,,7.08,,3.16,23.76,23.44,23.76,23.44,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33203,,Insert epicard eltrd endo,A,,13.97,7.68,NA,6.97,NA,7.68,,6.97,,3.28,24.93,24.22,24.93,24.22,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33206,,Insertion of heart pacemaker,A,,7.39,5.20,NA,4.34,NA,5.20,,4.34,,1.62,14.21,13.35,14.21,13.35,0,090,0.09,0.84,0.07,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33207,,Insertion of heart pacemaker,A,,8.05,5.32,NA,4.39,NA,5.32,,4.39,,1.77,15.14,14.21,15.14,14.21,0,090,0.09,0.84,0.07,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33208,,Insertion of heart pacemaker,A,,8.77,5.66,NA,4.66,NA,5.66,,4.66,,1.92,16.35,15.35,16.35,15.35,0,090,0.09,0.84,0.07,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
3321F,,AJCC cncr 0/IA melan docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33210,,Insertion of heart electrode,A,,3.30,1.60,NA,1.28,NA,1.60,,1.28,,0.71,5.61,5.29,5.61,5.29,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33211,,Insertion of heart electrode,A,,3.39,1.56,NA,1.30,NA,1.56,,1.30,,0.75,5.70,5.44,5.70,5.44,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33212,,Insertion of pulse generator,A,,5.52,3.80,NA,3.16,NA,3.80,,3.16,,1.21,10.53,9.89,10.53,9.89,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33213,,Insertion of pulse generator,A,,6.37,4.24,NA,3.47,NA,4.24,,3.47,,1.40,12.01,11.24,12.01,11.24,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33214,,Upgrade of pacemaker system,A,,7.84,5.45,NA,4.58,NA,5.45,,4.58,,1.70,14.99,14.12,14.99,14.12,0,090,0.09,0.84,0.07,2,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33215,,Reposition pacing-defib lead,A,,4.92,3.51,NA,2.88,NA,3.51,,2.88,,1.08,9.51,8.88,9.51,8.88,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33216,,Insert 1 electrode pm-defib,A,,5.87,4.59,NA,3.74,NA,4.59,,3.74,,1.28,11.74,10.89,11.74,10.89,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33217,,Insert 2 electrode pm-defib,A,,5.84,4.55,NA,3.75,NA,4.55,,3.75,,1.28,11.67,10.87,11.67,10.87,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33218,,Repair lead pace-defib one,A,,6.07,4.85,NA,4.03,NA,4.85,,4.03,,1.32,12.24,11.42,12.24,11.42,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3322F,,Melanoma>ajcc stage 0 or ia,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33220,,Repair lead pace-defib dual,A,,6.15,4.86,NA,4.03,NA,4.86,,4.03,,1.33,12.34,11.51,12.34,11.51,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33222,,Revise pocket pacemaker,A,,5.10,4.53,NA,3.83,NA,4.53,,3.83,,1.14,10.77,10.07,10.77,10.07,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33223,,Revise pocket for defib,A,,6.55,4.92,NA,4.00,NA,4.92,,4.00,,1.46,12.93,12.01,12.93,12.01,0,090,0.09,0.84,0.07,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33224,,Insert pacing lead & connect,A,,9.04,4.81,NA,3.86,NA,4.81,,3.86,,1.99,15.84,14.89,15.84,14.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33225,,L ventric pacing lead add-on,A,,8.33,4.13,NA,3.25,NA,4.13,,3.25,,1.82,14.28,13.40,14.28,13.40,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33226,,Reposition l ventric lead,A,,8.68,4.66,NA,3.75,NA,4.66,,3.75,,1.91,15.25,14.34,15.25,14.34,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3323F,,Clin node stgng docdb/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33233,,Removal of pacemaker system,A,,3.39,3.32,NA,2.72,NA,3.32,,2.72,,0.73,7.44,6.84,7.44,6.84,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33234,,Removal of pacemaker system,A,,7.91,5.52,NA,4.53,NA,5.52,,4.53,,1.74,15.17,14.18,15.17,14.18,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33235,,Removal pacemaker electrode,A,,10.15,7.40,NA,6.12,NA,7.40,,6.12,,2.25,19.80,18.52,19.80,18.52,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33236,,Remove electrode/thoracotomy,A,,12.73,8.15,NA,7.86,NA,8.15,,7.86,,3.18,24.06,23.77,24.06,23.77,0,090,0.09,0.84,0.07,2,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33237,,Remove electrode/thoracotomy,A,,13.84,8.69,NA,7.58,NA,8.69,,7.58,,3.24,25.77,24.66,25.77,24.66,0,090,0.09,0.84,0.07,2,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33238,,Remove electrode/thoracotomy,A,,15.40,9.57,NA,9.34,NA,9.57,,9.34,,3.69,28.66,28.43,28.66,28.43,0,090,0.09,0.84,0.07,2,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
3324F,,Mri ct scan ord rvwd rqstd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33240,,Insert pulse generator,A,,7.64,5.15,NA,4.11,NA,5.15,,4.11,,1.66,14.45,13.41,14.45,13.41,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33241,,Remove pulse generator,A,,3.29,3.01,NA,2.42,NA,3.01,,2.42,,0.71,7.01,6.42,7.01,6.42,0,090,0.09,0.84,0.07,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33243,,Remove eltrd/thoracotomy,A,,23.57,13.01,NA,12.07,NA,13.01,,12.07,,5.57,42.15,41.21,42.15,41.21,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33244,,Remove eltrd transven,A,,13.99,9.57,NA,7.77,NA,9.57,,7.77,,3.10,26.66,24.86,26.66,24.86,0,090,0.09,0.84,0.07,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33249,,Eltrd/insert pace-defib,A,,15.17,9.84,NA,7.91,NA,9.84,,7.91,,3.32,28.33,26.40,28.33,26.40,0,090,0.09,0.84,0.07,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3325F,,Preop asses 4 cataract surg,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33250,,Ablate heart dysrhythm focus,A,,25.90,12.91,NA,12.51,NA,12.91,,12.51,,6.46,45.27,44.87,45.27,44.87,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33251,,Ablate heart dysrhythm focus,A,,28.92,14.27,NA,14.11,NA,14.27,,14.11,,7.01,50.20,50.04,50.20,50.04,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33254,,Ablate atria lmtd,A,,23.71,12.45,NA,12.21,NA,12.45,,12.21,,5.92,42.08,41.84,42.08,41.84,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33255,,Ablate atria w/o bypass ext,A,,29.04,14.77,NA,13.97,NA,14.77,,13.97,,7.25,51.06,50.26,51.06,50.26,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33256,,Ablate atria w/bypass exten,A,,34.90,17.04,NA,16.09,NA,17.04,,16.09,,8.75,60.69,59.74,60.69,59.74,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33257,,Ablate atria lmtd add-on,A,,9.63,6.00,NA,5.82,NA,6.00,,5.82,,2.31,17.94,17.76,17.94,17.76,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33258,,Ablate atria x10sv add-on,A,,11.00,6.55,NA,6.34,NA,6.55,,6.34,,2.63,20.18,19.97,20.18,19.97,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33259,,Ablate atria w/bypass add-on,A,,14.14,8.49,NA,8.21,NA,8.49,,8.21,,3.43,26.06,25.78,26.06,25.78,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33261,,Ablate heart dysrhythm focus,A,,28.92,13.85,NA,13.43,NA,13.85,,13.43,,7.23,50.00,49.58,50.00,49.58,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33265,,Ablate atria lmtd endo,A,,23.71,12.22,NA,11.84,NA,12.22,,11.84,,5.65,41.58,41.20,41.58,41.20,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33266,,Ablate atria x10sv endo,A,,33.04,15.83,NA,15.23,NA,15.83,,15.23,,7.98,56.85,56.25,56.85,56.25,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3328F,,Prfrmnc docd 2 wks b/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33282,,Implant pat-active ht record,A,,4.80,4.24,NA,3.43,NA,4.24,,3.43,,1.05,10.09,9.28,10.09,9.28,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33284,,Remove pat-active ht record,A,,3.14,3.44,NA,2.79,NA,3.44,,2.79,,0.68,7.26,6.61,7.26,6.61,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3330F,,Imaging study ordered (bkp),I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33300,,Repair of heart wound,A,,44.97,18.53,NA,19.17,NA,18.53,,19.17,,10.74,74.24,74.88,74.24,74.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33305,,Repair of heart wound,A,,76.93,29.49,NA,30.48,NA,29.49,,30.48,,18.43,124.85,125.84,124.85,125.84,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3331F,,Bk imaging tst not ordered,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33310,,Exploratory heart surgery,A,,20.34,10.73,NA,10.44,NA,10.73,,10.44,,4.49,35.56,35.27,35.56,35.27,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33315,,Exploratory heart surgery,A,,26.17,13.14,NA,12.69,NA,13.14,,12.69,,6.29,45.60,45.15,45.60,45.15,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33320,,Repair major blood vessel(s),A,,18.54,9.78,NA,9.52,NA,9.78,,9.52,,4.30,32.62,32.36,32.62,32.36,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33321,,Repair major vessel,A,,20.81,10.78,NA,10.55,NA,10.78,,10.55,,4.87,36.46,36.23,36.46,36.23,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33322,,Repair major blood vessel(s),A,,24.42,12.57,NA,12.26,NA,12.57,,12.26,,5.87,42.86,42.55,42.86,42.55,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33330,,Insert major vessel graft,A,,25.29,12.22,NA,12.17,NA,12.22,,12.17,,6.33,43.84,43.79,43.84,43.79,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33332,,Insert major vessel graft,A,,24.56,12.33,NA,11.75,NA,12.33,,11.75,,6.12,43.01,42.43,43.01,42.43,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33335,,Insert major vessel graft,A,,33.91,15.96,NA,15.58,NA,15.96,,15.58,,8.18,58.05,57.67,58.05,57.67,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3340F,,Mammo assess inc xray docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33400,,Repair of aortic valve,A,,41.50,19.12,NA,18.50,NA,19.12,,18.50,,9.89,70.51,69.89,70.51,69.89,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33401,,Valvuloplasty open,A,,24.63,14.14,NA,12.33,NA,14.14,,12.33,,5.38,44.15,42.34,44.15,42.34,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33403,,Valvuloplasty w/cp bypass,A,,25.61,14.13,NA,13.23,NA,14.13,,13.23,,6.40,46.14,45.24,46.14,45.24,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33404,,Prepare heart-aorta conduit,A,,31.37,15.48,NA,14.69,NA,15.48,,14.69,,7.34,54.19,53.40,54.19,53.40,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33405,,Replacement of aortic valve,A,,41.32,19.65,NA,18.83,NA,19.65,,18.83,,9.92,70.89,70.07,70.89,70.07,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33406,,Replacement of aortic valve,A,,52.68,23.36,NA,22.65,NA,23.36,,22.65,,12.77,88.81,88.10,88.81,88.10,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3341F,,Mammo assess negative docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33410,,Replacement of aortic valve,A,,46.41,21.04,NA,20.63,NA,21.04,,20.63,,11.15,78.60,78.19,78.60,78.19,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33411,,Replacement of aortic valve,A,,62.07,26.47,NA,26.26,NA,26.47,,26.26,,14.93,103.47,103.26,103.47,103.26,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33412,,Replacement of aortic valve,A,,43.94,21.28,NA,20.13,NA,21.28,,20.13,,11.00,76.22,75.07,76.22,75.07,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33413,,Replacement of aortic valve,A,,59.87,25.98,NA,24.98,NA,25.98,,24.98,,14.02,99.87,98.87,99.87,98.87,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33414,,Repair of aortic valve,A,,39.37,17.80,NA,16.93,NA,17.80,,16.93,,9.84,67.01,66.14,67.01,66.14,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33415,,Revision subvalvular tissue,A,,37.27,16.37,NA,16.29,NA,16.37,,16.29,,8.52,62.16,62.08,62.16,62.08,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33416,,Revise ventricle muscle,A,,36.56,17.20,NA,17.07,NA,17.20,,17.07,,8.81,62.57,62.44,62.57,62.44,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33417,,Repair of aortic valve,A,,29.33,15.13,NA,14.56,NA,15.13,,14.56,,7.04,51.50,50.93,51.50,50.93,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3342F,,Mammo assess bengn docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33420,,Revision of mitral valve,A,,25.79,13.64,NA,15.71,NA,13.64,,15.71,,3.54,42.97,45.04,42.97,45.04,0,090,0.09,0.84,0.07,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33422,,Revision of mitral valve,A,,29.73,14.95,NA,14.39,NA,14.95,,14.39,,7.42,52.10,51.54,52.10,51.54,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33425,,Repair of mitral valve,A,,49.96,21.63,NA,21.93,NA,21.63,,21.93,,11.99,83.58,83.88,83.58,83.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33426,,Repair of mitral valve,A,,43.28,20.20,NA,19.61,NA,20.20,,19.61,,10.41,73.89,73.30,73.89,73.30,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33427,,Repair of mitral valve,A,,44.83,20.46,NA,19.50,NA,20.46,,19.50,,10.78,76.07,75.11,76.07,75.11,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3343F,,Mammo probably bengn docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33430,,Replacement of mitral valve,A,,50.93,23.34,NA,23.06,NA,23.34,,23.06,,12.26,86.53,86.25,86.53,86.25,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3344F,,Mammo assess susp docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3345F,,Mammo assess hghlymalig doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33460,,Revision of tricuspid valve,A,,44.70,18.54,NA,18.33,NA,18.54,,18.33,,11.17,74.41,74.20,74.41,74.20,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33463,,Valvuloplasty tricuspid,A,,57.08,23.79,NA,24.16,NA,23.79,,24.16,,13.79,94.66,95.03,94.66,95.03,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33464,,Valvuloplasty tricuspid,A,,44.62,19.86,NA,19.99,NA,19.86,,19.99,,10.74,75.22,75.35,75.22,75.35,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33465,,Replace tricuspid valve,A,,50.72,21.54,NA,21.76,NA,21.54,,21.76,,12.29,84.55,84.77,84.55,84.77,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33468,,Revision of tricuspid valve,A,,32.94,16.38,NA,15.03,NA,16.38,,15.03,,8.25,57.57,56.22,57.57,56.22,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33470,,Revision of pulmonary valve,A,,21.54,12.11,NA,12.45,NA,12.11,,12.45,,5.05,38.70,39.04,38.70,39.04,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33471,,Valvotomy pulmonary valve,A,,22.96,12.75,NA,13.03,NA,12.75,,13.03,,1.62,37.33,37.61,37.33,37.61,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33472,,Revision of pulmonary valve,A,,23.06,11.84,NA,11.04,NA,11.84,,11.04,,1.63,36.53,35.73,36.53,35.73,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33474,,Revision of pulmonary valve,A,,39.40,16.70,NA,17.25,NA,16.70,,17.25,,9.23,65.33,65.88,65.33,65.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33475,,Replacement pulmonary valve,A,,42.40,19.12,NA,18.71,NA,19.12,,18.71,,10.60,72.12,71.71,72.12,71.71,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33476,,Revision of heart chamber,A,,26.57,13.32,NA,13.27,NA,13.32,,13.27,,6.64,46.53,46.48,46.53,46.48,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33478,,Revision of heart chamber,A,,27.54,14.02,NA,13.47,NA,14.02,,13.47,,6.89,48.45,47.90,48.45,47.90,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33496,,Repair prosth valve clot,A,,29.84,14.62,NA,14.15,NA,14.62,,14.15,,6.98,51.44,50.97,51.44,50.97,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3350F,,Mammo bx proven malig docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33500,,Repair heart vessel fistula,A,,27.94,13.73,NA,13.22,NA,13.73,,13.22,,6.98,48.65,48.14,48.65,48.14,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33501,,Repair heart vessel fistula,A,,19.51,10.11,NA,9.87,NA,10.11,,9.87,,4.89,34.51,34.27,34.51,34.27,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33502,,Coronary artery correction,A,,21.85,11.88,NA,11.49,NA,11.88,,11.49,,5.46,39.19,38.80,39.19,38.80,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33503,,Coronary artery graft,A,,22.51,13.49,NA,11.53,NA,13.49,,11.53,,4.93,40.93,38.97,40.93,38.97,0,090,0.09,0.84,0.07,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33504,,Coronary artery graft,A,,25.46,13.09,NA,12.79,NA,13.09,,12.79,,6.36,44.91,44.61,44.91,44.61,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33505,,Repair artery w/tunnel,A,,38.40,15.65,NA,15.32,NA,15.65,,15.32,,9.60,63.65,63.32,63.65,63.32,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33506,,Repair artery translocation,A,,37.85,20.01,NA,22.85,NA,20.01,,22.85,,8.87,66.73,69.57,66.73,69.57,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33507,,Repair art intramural,A,,31.40,14.26,NA,13.42,NA,14.26,,13.42,,7.35,53.01,52.17,53.01,52.17,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33508,,Endoscopic vein harvest,A,,0.31,0.12,NA,0.11,NA,0.12,,0.11,,0.07,0.50,0.49,0.50,0.49,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3351F,,Neg scrn dep symp by deptool,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33510,,Cabg vein single,A,,34.98,16.97,NA,16.23,NA,16.97,,16.23,,8.41,60.36,59.62,60.36,59.62,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33511,,Cabg vein two,A,,38.45,18.43,NA,17.68,NA,18.43,,17.68,,9.25,66.13,65.38,66.13,65.38,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33512,,Cabg vein three,A,,43.98,20.43,NA,19.73,NA,20.43,,19.73,,10.60,75.01,74.31,75.01,74.31,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33513,,Cabg vein four,A,,45.37,20.53,NA,20.10,NA,20.53,,20.10,,10.97,76.87,76.44,76.87,76.44,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33514,,Cabg vein five,A,,48.08,21.75,NA,20.98,NA,21.75,,20.98,,11.54,81.37,80.60,81.37,80.60,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33516,,Cabg vein six or more,A,,49.76,22.62,NA,21.68,NA,22.62,,21.68,,12.43,84.81,83.87,84.81,83.87,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33517,,Cabg artery-vein single,A,,3.61,1.33,NA,1.31,NA,1.33,,1.31,,0.86,5.80,5.78,5.80,5.78,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33518,,Cabg artery-vein two,A,,7.93,2.88,NA,2.89,NA,2.88,,2.89,,1.91,12.72,12.73,12.72,12.73,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33519,,Cabg artery-vein three,A,,10.49,3.85,NA,3.82,NA,3.85,,3.82,,2.52,16.86,16.83,16.86,16.83,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3352F,,No sig dep symp by dep tool,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33521,,Cabg artery-vein four,A,,12.59,4.67,NA,4.60,NA,4.67,,4.60,,3.05,20.31,20.24,20.31,20.24,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33522,,Cabg artery-vein five,A,,14.14,5.30,NA,5.17,NA,5.30,,5.17,,3.43,22.87,22.74,22.87,22.74,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33523,,Cabg art-vein six or more,A,,16.08,6.01,NA,5.83,NA,6.01,,5.83,,3.87,25.96,25.78,25.96,25.78,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3353F,,Mild-mod dep symp by deptool,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33530,,Coronary artery bypass/reop,A,,10.13,3.65,NA,3.68,NA,3.65,,3.68,,2.42,16.20,16.23,16.20,16.23,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33533,,Cabg arterial single,A,,33.75,16.52,NA,15.61,NA,16.52,,15.61,,8.13,58.40,57.49,58.40,57.49,0,090,0.09,0.82,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33534,,Cabg arterial two,A,,39.88,19.06,NA,18.18,NA,19.06,,18.18,,9.58,68.52,67.64,68.52,67.64,0,090,0.09,0.82,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33535,,Cabg arterial three,A,,44.75,20.82,NA,19.95,NA,20.82,,19.95,,10.75,76.32,75.45,76.32,75.45,0,090,0.09,0.82,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33536,,Cabg arterial four or more,A,,48.43,21.96,NA,21.34,NA,21.96,,21.34,,11.70,82.09,81.47,82.09,81.47,0,090,0.09,0.82,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3354F,,Clin sig dep sym by dep tool,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33542,,Removal of heart lesion,A,,48.21,20.83,NA,21.06,NA,20.83,,21.06,,11.64,80.68,80.91,80.68,80.91,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33545,,Repair of heart damage,A,,57.06,24.08,NA,24.16,NA,24.08,,24.16,,13.68,94.82,94.90,94.82,94.90,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33548,,Restore/remodel ventricle,A,,54.14,24.76,NA,23.96,NA,24.76,,23.96,,13.11,92.01,91.21,92.01,91.21,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33572,,Open coronary endarterectomy,A,,4.44,1.69,NA,1.61,NA,1.69,,1.61,,1.08,7.21,7.13,7.21,7.13,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33600,,Closure of valve,A,,30.31,14.96,NA,14.64,NA,14.96,,14.64,,7.08,52.35,52.03,52.35,52.03,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33602,,Closure of valve,A,,29.34,14.31,NA,14.29,NA,14.31,,14.29,,6.25,49.90,49.88,49.90,49.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33606,,Anastomosis/artery-aorta,A,,31.53,16.46,NA,16.97,NA,16.46,,16.97,,6.72,54.71,55.22,54.71,55.22,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33608,,Repair anomaly w/conduit,A,,31.88,15.98,NA,15.19,NA,15.98,,15.19,,7.46,55.32,54.53,55.32,54.53,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33610,,Repair by enlargement,A,,31.40,15.46,NA,14.86,NA,15.46,,14.86,,7.35,54.21,53.61,54.21,53.61,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33611,,Repair double ventricle,A,,35.57,16.04,NA,15.36,NA,16.04,,15.36,,8.90,60.51,59.83,60.51,59.83,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33612,,Repair double ventricle,A,,36.57,16.18,NA,15.54,NA,16.18,,15.54,,7.98,60.73,60.09,60.73,60.09,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33615,,Repair modified fontan,A,,35.89,17.26,NA,16.21,NA,17.26,,16.21,,8.41,61.56,60.51,61.56,60.51,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33617,,Repair single ventricle,A,,39.09,17.73,NA,17.38,NA,17.73,,17.38,,9.16,65.98,65.63,65.98,65.63,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33619,,Repair single ventricle,A,,48.76,23.63,NA,25.72,NA,23.63,,25.72,,11.42,83.81,85.90,83.81,85.90,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33620,,Apply r&l pulm art bands,A,,30.00,13.40,NA,13.40,NA,13.40,,13.40,,7.50,50.90,50.90,50.90,50.90,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33621,,Transthor cath for stent,A,,16.18,7.39,NA,7.39,NA,7.39,,7.39,,3.76,27.33,27.33,27.33,27.33,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33622,,Redo compl cardiac anomaly,A,,64.00,28.20,NA,28.20,NA,28.20,,28.20,,14.98,107.18,107.18,107.18,107.18,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33641,,Repair heart septum defect,A,,29.58,13.70,NA,13.76,NA,13.70,,13.76,,7.12,50.40,50.46,50.40,50.46,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33645,,Revision of heart veins,A,,28.10,13.73,NA,13.19,NA,13.73,,13.19,,7.02,48.85,48.31,48.85,48.31,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33647,,Repair heart septum defects,A,,29.53,15.31,NA,14.36,NA,15.31,,14.36,,7.38,52.22,51.27,52.22,51.27,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33660,,Repair of heart defects,A,,31.83,17.56,NA,20.04,NA,17.56,,20.04,,7.96,57.35,59.83,57.35,59.83,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33665,,Repair of heart defects,A,,34.85,15.75,NA,15.11,NA,15.75,,15.11,,8.74,59.34,58.70,59.34,58.70,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33670,,Repair of heart chambers,A,,36.63,15.45,NA,14.78,NA,15.45,,14.78,,9.17,61.25,60.58,61.25,60.58,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33675,,Close mult vsd,A,,35.95,16.00,NA,15.37,NA,16.00,,15.37,,8.98,60.93,60.30,60.93,60.30,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33676,,Close mult vsd w/resection,A,,36.95,18.12,NA,18.56,NA,18.12,,18.56,,2.63,57.70,58.14,57.70,58.14,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33677,,Cl mult vsd w/rem pul band,A,,38.45,15.78,NA,13.36,NA,15.78,,13.36,,2.74,56.97,54.55,56.97,54.55,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33681,,Repair heart septum defect,A,,32.34,16.46,NA,16.15,NA,16.46,,16.15,,7.80,56.60,56.29,56.60,56.29,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33684,,Repair heart septum defect,A,,34.37,15.57,NA,14.94,NA,15.57,,14.94,,8.60,58.54,57.91,58.54,57.91,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33688,,Repair heart septum defect,A,,34.75,14.56,NA,14.22,NA,14.56,,14.22,,8.70,58.01,57.67,58.01,57.67,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33690,,Reinforce pulmonary artery,A,,20.36,12.29,NA,13.21,NA,12.29,,13.21,,4.76,37.41,38.33,37.41,38.33,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33692,,Repair of heart defects,A,,31.54,15.90,NA,16.26,NA,15.90,,16.26,,2.23,49.67,50.03,49.67,50.03,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33694,,Repair of heart defects,A,,35.57,16.18,NA,15.19,NA,16.18,,15.19,,8.90,60.65,59.66,60.65,59.66,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33697,,Repair of heart defects,A,,37.57,18.53,NA,16.36,NA,18.53,,16.36,,8.19,64.29,62.12,64.29,62.12,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3370F,,AJCC brst cncr stage 0 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33702,,Repair of heart defects,A,,27.24,13.52,NA,13.21,NA,13.52,,13.21,,6.81,47.57,47.26,47.57,47.26,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33710,,Repair of heart defects,A,,30.41,17.03,NA,14.17,NA,17.03,,14.17,,7.12,54.56,51.70,54.56,51.70,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3372F,,Ajcc brst cncr stage 1 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33720,,Repair of heart defect,A,,27.26,13.71,NA,13.08,NA,13.71,,13.08,,6.38,47.35,46.72,47.35,46.72,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33722,,Repair of heart defect,A,,29.21,14.53,NA,15.24,NA,14.53,,15.24,,7.29,51.03,51.74,51.03,51.74,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33724,,Repair venous anomaly,A,,27.63,13.49,NA,12.54,NA,13.49,,12.54,,6.45,47.57,46.62,47.57,46.62,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33726,,Repair pul venous stenosis,A,,37.12,18.54,NA,19.30,NA,18.54,,19.30,,9.28,64.94,65.70,64.94,65.70,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33730,,Repair heart-vein defect(s),A,,36.14,15.93,NA,16.05,NA,15.93,,16.05,,9.05,61.12,61.24,61.12,61.24,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33732,,Repair heart-vein defect,A,,28.96,14.68,NA,14.16,NA,14.68,,14.16,,7.24,50.88,50.36,50.88,50.36,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33735,,Revision of heart chamber,A,,22.20,11.92,NA,11.66,NA,11.92,,11.66,,5.57,39.69,39.43,39.69,39.43,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33736,,Revision of heart chamber,A,,24.32,12.86,NA,12.40,NA,12.86,,12.40,,6.07,43.25,42.79,43.25,42.79,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33737,,Revision of heart chamber,A,,22.47,11.89,NA,11.41,NA,11.89,,11.41,,5.27,39.63,39.15,39.63,39.15,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3374F,,Ajcc brst cncr stage 1 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33750,,Major vessel shunt,A,,22.22,12.09,NA,9.50,NA,12.09,,9.50,,7.98,42.29,39.70,42.29,39.70,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33755,,Major vessel shunt,A,,22.60,11.96,NA,11.92,NA,11.96,,11.92,,4.94,39.50,39.46,39.50,39.46,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3376F,,AJCC brstcncr stage 2 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33762,,Major vessel shunt,A,,22.60,12.19,NA,12.35,NA,12.19,,12.35,,1.61,36.40,36.56,36.40,36.56,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33764,,Major vessel shunt & graft,A,,22.60,12.34,NA,13.16,NA,12.34,,13.16,,4.83,39.77,40.59,39.77,40.59,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33766,,Major vessel shunt,A,,23.57,12.55,NA,11.15,NA,12.55,,11.15,,5.13,41.25,39.85,41.25,39.85,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33767,,Major vessel shunt,A,,25.30,12.05,NA,11.88,NA,12.05,,11.88,,6.33,43.68,43.51,43.68,43.51,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33768,,Cavopulmonary shunting,A,,8.00,3.40,NA,3.51,NA,3.40,,3.51,,0.56,11.96,12.07,11.96,12.07,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33770,,Repair great vessels defect,A,,39.07,16.78,NA,15.94,NA,16.78,,15.94,,9.16,65.01,64.17,65.01,64.17,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33771,,Repair great vessels defect,A,,40.63,18.41,NA,19.28,NA,18.41,,19.28,,2.90,61.94,62.81,61.94,62.81,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33774,,Repair great vessels defect,A,,31.73,15.89,NA,15.18,NA,15.89,,15.18,,7.93,55.55,54.84,55.55,54.84,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33775,,Repair great vessels defect,A,,32.99,17.45,NA,17.61,NA,17.45,,17.61,,2.33,52.77,52.93,52.77,52.93,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33776,,Repair great vessels defect,A,,34.75,18.53,NA,18.72,NA,18.53,,18.72,,2.45,55.73,55.92,55.73,55.92,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33777,,Repair great vessels defect,A,,34.17,14.80,NA,12.30,NA,14.80,,12.30,,2.42,51.39,48.89,51.39,48.89,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33778,,Repair great vessels defect,A,,42.75,21.14,NA,21.61,NA,21.14,,21.61,,3.05,66.94,67.41,66.94,67.41,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33779,,Repair great vessels defect,A,,43.23,20.08,NA,20.70,NA,20.08,,20.70,,3.09,66.40,67.02,66.40,67.02,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3378F,,AJCC brstcncr stage 3 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33780,,Repair great vessels defect,A,,43.90,21.07,NA,21.18,NA,21.07,,21.18,,3.13,68.10,68.21,68.10,68.21,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33781,,Repair great vessels defect,A,,43.21,19.52,NA,20.41,NA,19.52,,20.41,,3.09,65.82,66.71,65.82,66.71,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33782,,Nikaidoh proc,A,,60.08,24.03,NA,24.03,NA,24.03,,24.03,,14.07,98.18,98.18,98.18,98.18,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33783,,Nikaidoh proc w/ostia implt,A,,65.08,25.79,NA,25.79,NA,25.79,,25.79,,15.24,106.11,106.11,106.11,106.11,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33786,,Repair arterial trunk,A,,41.87,18.27,NA,17.27,NA,18.27,,17.27,,2.98,63.12,62.12,63.12,62.12,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33788,,Revision of pulmonary artery,A,,27.42,13.26,NA,12.49,NA,13.26,,12.49,,1.93,42.61,41.84,42.61,41.84,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3380F,,AJCC brstcncr stage 4 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33800,,Aortic suspension,A,,17.28,8.59,NA,8.48,NA,8.59,,8.48,,4.31,30.18,30.07,30.18,30.07,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33802,,Repair vessel defect,A,,18.37,11.01,NA,11.96,NA,11.01,,11.96,,4.60,33.98,34.93,33.98,34.93,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33803,,Repair vessel defect,A,,20.31,9.78,NA,9.68,NA,9.78,,9.68,,5.08,35.17,35.07,35.17,35.07,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33813,,Repair septal defect,A,,21.36,13.02,NA,12.33,NA,13.02,,12.33,,5.01,39.39,38.70,39.39,38.70,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33814,,Repair septal defect,A,,26.57,13.72,NA,13.18,NA,13.72,,13.18,,6.64,46.93,46.39,46.93,46.39,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3382F,,AJCC cln cncr stage 0 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33820,,Revise major vessel,A,,16.69,9.16,NA,8.71,NA,9.16,,8.71,,4.18,30.03,29.58,30.03,29.58,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33822,,Revise major vessel,A,,17.71,10.08,NA,10.09,NA,10.08,,10.09,,1.25,29.04,29.05,29.04,29.05,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33824,,Revise major vessel,A,,20.23,11.56,NA,11.80,NA,11.56,,11.80,,4.74,36.53,36.77,36.53,36.77,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3384F,,AJCC cln cncr stage 1 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33840,,Remove aorta constriction,A,,21.34,12.10,NA,13.25,NA,12.10,,13.25,,5.34,38.78,39.93,38.78,39.93,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33845,,Remove aorta constriction,A,,22.93,13.02,NA,11.91,NA,13.02,,11.91,,5.73,41.68,40.57,41.68,40.57,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33851,,Remove aorta constriction,A,,21.98,15.11,NA,18.42,NA,15.11,,18.42,,5.48,42.57,45.88,42.57,45.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33852,,Repair septal defect,A,,24.41,12.41,NA,11.77,NA,12.41,,11.77,,6.10,42.92,42.28,42.92,42.28,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33853,,Repair septal defect,A,,32.51,16.71,NA,15.25,NA,16.71,,15.25,,8.14,57.36,55.90,57.36,55.90,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3386F,,AJCC cln cncr stage 2 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33860,,Ascending aortic graft,A,,59.46,25.06,NA,24.99,NA,25.06,,24.99,,14.25,98.77,98.70,98.77,98.70,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33863,,Ascending aortic graft,A,,58.79,24.53,NA,23.92,NA,24.53,,23.92,,14.07,97.39,96.78,97.39,96.78,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33864,,Ascending aortic graft,A,,60.08,25.30,NA,24.32,NA,25.30,,24.32,,14.32,99.70,98.72,99.70,98.72,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33870,,Transverse aortic arch graft,A,,46.06,20.87,NA,20.01,NA,20.87,,20.01,,11.00,77.93,77.07,77.93,77.07,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33875,,Thoracic aortic graft,A,,35.78,17.08,NA,17.12,NA,17.08,,17.12,,8.55,61.41,61.45,61.41,61.45,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33877,,Thoracoabdominal graft,A,,69.03,26.18,NA,26.54,NA,26.18,,26.54,,16.35,111.56,111.92,111.56,111.92,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3388F,,AJCC cln cncr stage 3 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33880,,Endovasc taa repr incl subcl,A,,34.58,14.32,NA,13.59,NA,14.32,,13.59,,7.72,56.62,55.89,56.62,55.89,0,090,0.09,0.84,0.07,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33881,,Endovasc taa repr w/o subcl,A,,29.58,12.53,NA,11.96,NA,12.53,,11.96,,6.60,48.71,48.14,48.71,48.14,0,090,0.09,0.84,0.07,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33883,,Insert endovasc prosth taa,A,,21.09,9.52,NA,9.12,NA,9.52,,9.12,,4.70,35.31,34.91,35.31,34.91,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33884,,Endovasc prosth taa add-on,A,,8.20,2.83,NA,2.76,NA,2.83,,2.76,,1.84,12.87,12.80,12.87,12.80,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33886,,Endovasc prosth delayed,A,,18.09,8.26,NA,7.94,NA,8.26,,7.94,,4.30,30.65,30.33,30.65,30.33,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33889,,Artery transpose/endovas taa,A,,15.92,5.49,NA,5.46,NA,5.49,,5.46,,3.78,25.19,25.16,25.19,25.16,0,000,0.00,0.00,0.00,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
33891,,Car-car bp grft/endovas taa,A,,20.00,6.36,NA,5.94,NA,6.36,,5.94,,4.75,31.11,30.69,31.11,30.69,0,000,0.00,0.00,0.00,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
3390F,,AJCC cln cncr stage 4 docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33910,,Remove lung artery emboli,A,,29.71,14.59,NA,14.26,NA,14.59,,14.26,,7.42,51.72,51.39,51.72,51.39,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33915,,Remove lung artery emboli,A,,24.95,11.40,NA,11.10,NA,11.40,,11.10,,5.44,41.79,41.49,41.79,41.49,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33916,,Surgery of great vessel,A,,28.42,14.93,NA,13.26,NA,14.93,,13.26,,7.10,50.45,48.78,50.45,48.78,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33917,,Repair pulmonary artery,A,,25.30,14.10,NA,12.87,NA,14.10,,12.87,,5.92,45.32,44.09,45.32,44.09,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33920,,Repair pulmonary atresia,A,,32.74,15.15,NA,14.50,NA,15.15,,14.50,,8.18,56.07,55.42,56.07,55.42,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33922,,Transect pulmonary artery,A,,24.22,12.42,NA,12.02,NA,12.42,,12.02,,6.06,42.70,42.30,42.70,42.30,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33924,,Remove pulmonary shunt,A,,5.49,1.99,NA,1.91,NA,1.99,,1.91,,1.28,8.76,8.68,8.76,8.68,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33925,,Rpr pul art unifocal w/o cpb,A,,31.30,14.60,NA,13.54,NA,14.60,,13.54,,7.32,53.22,52.16,53.22,52.16,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33926,,Repr pul art unifocal w/cpb,A,,44.73,21.91,NA,26.73,NA,21.91,,26.73,,11.17,77.81,82.63,77.81,82.63,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33930,,Removal of donor heart/lung,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33933,,Prepare donor heart/lung,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33935,,Transplantation heart/lung,R,,62.01,29.24,NA,27.88,NA,29.24,,27.88,,15.50,106.75,105.39,106.75,105.39,0,090,0.09,0.84,0.07,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
33940,,Removal of donor heart,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
33944,,Prepare donor heart,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33945,,Transplantation of heart,R,,89.50,37.02,NA,37.34,NA,37.02,,37.34,,21.34,147.86,148.18,147.86,148.18,0,090,0.09,0.84,0.07,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
33960,,External circulation assist,A,,19.33,7.08,NA,7.10,NA,7.08,,7.10,,3.82,30.23,30.25,30.23,30.25,0,000,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33961,,External circulation assist,A,,10.91,4.13,NA,4.00,NA,4.13,,4.00,,1.66,16.70,16.57,16.70,16.57,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33967,,Insert ia percut device,A,,4.84,2.34,NA,1.87,NA,2.34,,1.87,,1.08,8.26,7.79,8.26,7.79,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33968,,Remove aortic assist device,A,,0.64,0.28,NA,0.25,NA,0.28,,0.25,,0.14,1.06,1.03,1.06,1.03,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33970,,Aortic circulation assist,A,,6.74,2.84,NA,2.49,NA,2.84,,2.49,,1.57,11.15,10.80,11.15,10.80,0,000,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33971,,Aortic circulation assist,A,,11.99,7.20,NA,6.70,NA,7.20,,6.70,,2.80,21.99,21.49,21.99,21.49,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33973,,Insert balloon device,A,,9.75,4.17,NA,3.65,NA,4.17,,3.65,,2.26,16.18,15.66,16.18,15.66,0,000,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
33974,,Remove intra-aortic balloon,A,,15.03,8.94,NA,7.89,NA,8.94,,7.89,,3.77,27.74,26.69,27.74,26.69,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33975,,Implant ventricular device,A,,20.97,7.99,NA,7.62,NA,7.99,,7.62,,4.99,33.95,33.58,33.95,33.58,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33976,,Implant ventricular device,A,,22.97,8.96,NA,8.11,NA,8.96,,8.11,,5.74,37.67,36.82,37.67,36.82,0,XXX,0.00,0.00,0.00,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33977,,Remove ventricular device,A,,20.28,11.93,NA,11.38,NA,11.93,,11.38,,4.82,37.03,36.48,37.03,36.48,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33978,,Remove ventricular device,A,,22.72,12.75,NA,12.43,NA,12.75,,12.43,,5.69,41.16,40.84,41.16,40.84,0,090,0.09,0.84,0.07,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33979,,Insert intracorporeal device,A,,45.93,17.31,NA,16.41,NA,17.31,,16.41,,11.00,74.24,73.34,74.24,73.34,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33980,,Remove intracorporeal device,A,,65.20,30.57,NA,29.72,NA,30.57,,29.72,,15.73,111.50,110.65,111.50,110.65,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33981,,Replace vad pump ext,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33982,,Replace vad intra w/o bp,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33983,,Replace vad intra w/bp,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
33999,,Cardiac surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
34001,,Removal of artery clot,A,,17.88,8.60,NA,8.81,NA,8.60,,8.81,,4.07,30.55,30.76,30.55,30.76,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34051,,Removal of artery clot,A,,16.99,9.16,NA,9.07,NA,9.16,,9.07,,4.25,30.40,30.31,30.40,30.31,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34101,,Removal of artery clot,A,,10.93,5.69,NA,5.65,NA,5.69,,5.65,,2.46,19.08,19.04,19.08,19.04,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34111,,Removal of arm artery clot,A,,10.93,5.70,NA,5.67,NA,5.70,,5.67,,2.44,19.07,19.04,19.07,19.04,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34151,,Removal of artery clot,A,,26.52,11.58,NA,11.75,NA,11.58,,11.75,,5.97,44.07,44.24,44.07,44.24,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34201,,Removal of artery clot,A,,19.48,8.36,NA,8.77,NA,8.36,,8.77,,4.48,32.32,32.73,32.32,32.73,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34203,,Removal of leg artery clot,A,,17.86,8.51,NA,8.43,NA,8.51,,8.43,,4.11,30.48,30.40,30.48,30.40,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34401,,Removal of vein clot,A,,26.52,13.90,NA,14.53,NA,13.90,,14.53,,5.66,46.08,46.71,46.08,46.71,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34421,,Removal of vein clot,A,,13.37,6.86,NA,6.83,NA,6.86,,6.83,,2.97,23.20,23.17,23.20,23.17,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34451,,Removal of vein clot,A,,28.52,11.37,NA,10.32,NA,11.37,,10.32,,6.78,46.67,45.62,46.67,45.62,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34471,,Removal of vein clot,A,,21.11,10.41,NA,12.18,NA,10.41,,12.18,,4.50,36.02,37.79,36.02,37.79,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34490,,Removal of vein clot,A,,10.91,5.95,NA,6.03,NA,5.95,,6.03,,2.42,19.28,19.36,19.28,19.36,0,090,0.09,0.84,0.07,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3450F,,Dyspnea scrnd no-mild dysp,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
34501,,Repair valve femoral vein,A,,16.85,8.24,NA,7.48,NA,8.24,,7.48,,4.00,29.09,28.33,29.09,28.33,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34502,,Reconstruct vena cava,A,,28.07,13.45,NA,13.11,NA,13.45,,13.11,,5.89,47.41,47.07,47.41,47.07,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3451F,,Dyspnea scrnd mod-high dysp,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
34510,,Transposition of vein valve,A,,19.91,10.62,NA,11.68,NA,10.62,,11.68,,4.23,34.76,35.82,34.76,35.82,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3452F,,Dyspnea not screened,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
34520,,Cross-over vein graft,A,,19.18,8.35,NA,7.66,NA,8.35,,7.66,,4.55,32.08,31.39,32.08,31.39,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
34530,,Leg vein fusion,A,,17.93,8.30,NA,7.59,NA,8.30,,7.59,,3.82,30.05,29.34,30.05,29.34,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3455F,,TB scrng done-interpd 6mon,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3470F,,Ra disease activity low,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3471F,,Ra disease activity mod,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3472F,,Ra disease activity high,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3475F,,Disease progn RA poor docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3476F,,Disease progn RA good docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
34800,,Endovas aaa repr w/sm tube,A,,21.54,9.52,NA,9.02,NA,9.52,,9.02,,4.57,35.63,35.13,35.63,35.13,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34802,,Endovas aaa repr w/2-p part,A,,23.79,10.50,NA,10.09,NA,10.50,,10.09,,5.09,39.38,38.97,39.38,38.97,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34803,,Endovas aaa repr w/3-p part,A,,24.82,10.53,NA,10.18,NA,10.53,,10.18,,5.34,40.69,40.34,40.69,40.34,0,090,0.09,0.84,0.07,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34804,,Endovas aaa repr w/1-p part,A,,23.79,10.49,NA,10.07,NA,10.49,,10.07,,5.14,39.42,39.00,39.42,39.00,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34805,,Endovas aaa repr w/long tube,A,,22.67,9.77,NA,9.58,NA,9.77,,9.58,,5.04,37.48,37.29,37.48,37.29,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34806,,Aneurysm press sensor add-on,A,,2.06,0.74,NA,0.69,NA,0.74,,0.69,,0.45,3.25,3.20,3.25,3.20,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34808,,Endovas iliac a device addon,A,,4.12,1.44,NA,1.42,NA,1.44,,1.42,,0.90,6.46,6.44,6.46,6.44,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34812,,Xpose for endoprosth femorl,A,,6.74,2.33,NA,2.33,NA,2.33,,2.33,,1.55,10.62,10.62,10.62,10.62,0,000,0.00,0.00,0.00,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34813,,Femoral endovas graft add-on,A,,4.79,1.61,NA,1.61,NA,1.61,,1.61,,1.10,7.50,7.50,7.50,7.50,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34820,,Xpose for endoprosth iliac,A,,9.74,3.39,NA,3.33,NA,3.39,,3.33,,2.18,15.31,15.25,15.31,15.25,0,000,0.00,0.00,0.00,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34825,,Endovasc extend prosth init,A,,12.80,6.54,NA,6.25,NA,6.54,,6.25,,2.75,22.09,21.80,22.09,21.80,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34826,,Endovasc exten prosth addl,A,,4.12,1.48,NA,1.43,NA,1.48,,1.43,,0.88,6.48,6.43,6.48,6.43,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34830,,Open aortic tube prosth repr,A,,35.23,13.45,NA,12.40,NA,13.45,,12.40,,8.36,57.04,55.99,57.04,55.99,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34831,,Open aortoiliac prosth repr,A,,37.98,13.86,NA,13.22,NA,13.86,,13.22,,9.02,60.86,60.22,60.86,60.22,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34832,,Open aortofemor prosth repr,A,,37.98,14.33,NA,13.22,NA,14.33,,13.22,,9.02,61.33,60.22,61.33,60.22,0,090,0.09,0.84,0.07,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34833,,Xpose for endoprosth iliac,A,,11.98,4.48,NA,4.38,NA,4.48,,4.38,,2.79,19.25,19.15,19.25,19.15,0,000,0.00,0.00,0.00,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
34834,,Xpose endoprosth brachial,A,,5.34,2.12,NA,2.05,NA,2.12,,2.05,,1.24,8.70,8.63,8.70,8.63,0,000,0.00,0.00,0.00,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
3490F,,History aids-defining cond,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
34900,,Endovasc iliac repr w/graft,A,,16.85,7.93,NA,7.60,NA,7.93,,7.60,,3.58,28.36,28.03,28.36,28.03,0,090,0.09,0.84,0.07,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
3491F,,HIV unsure baby of HIV+moms,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3492F,,History cd4+ cell count <350,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3493F,,No hist cd4+ cell count<350,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3494F,,CD4+cell count <200cells/mm3,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3495F,,Cd4+cell cnt 200-499 cells,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3496F,,Cd4+ cell count + 500 cells,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3497F,,CD4+ cell percentage <15%,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3498F,,Cd4+ cell % >=15% (hiv),I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
3500F,,Cd4+cell cnt/% docd as done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35001,,Repair defect of artery,A,,20.81,10.00,NA,9.69,NA,10.00,,9.69,,4.82,35.63,35.32,35.63,35.32,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35002,,Repair artery rupture neck,A,,22.23,9.52,NA,8.53,NA,9.52,,8.53,,4.75,36.50,35.51,36.50,35.51,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35005,,Repair defect of artery,A,,19.29,10.75,NA,11.52,NA,10.75,,11.52,,4.57,34.61,35.38,34.61,35.38,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35011,,Repair defect of artery,A,,18.58,8.62,NA,8.66,NA,8.62,,8.66,,4.22,31.42,31.46,31.42,31.46,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35013,,Repair artery rupture arm,A,,23.23,10.81,NA,11.10,NA,10.81,,11.10,,5.28,39.32,39.61,39.32,39.61,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3502F,,HIV rna vrl ld <lmts quantif,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35021,,Repair defect of artery,A,,22.17,9.93,NA,8.74,NA,9.93,,8.74,,5.20,37.30,36.11,37.30,36.11,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35022,,Repair artery rupture chest,A,,25.70,11.99,NA,12.10,NA,11.99,,12.10,,6.02,43.71,43.82,43.71,43.82,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3503F,,HIV rna vrl ldnot<lmts quntf,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35045,,Repair defect of arm artery,A,,18.01,8.80,NA,9.15,NA,8.80,,9.15,,4.00,30.81,31.16,30.81,31.16,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35081,,Repair defect of artery,A,,33.53,14.14,NA,14.38,NA,14.14,,14.38,,7.77,55.44,55.68,55.44,55.68,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35082,,Repair artery rupture aorta,A,,42.09,17.39,NA,17.66,NA,17.39,,17.66,,9.66,69.14,69.41,69.14,69.41,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35091,,Repair defect of artery,A,,35.35,13.62,NA,13.33,NA,13.62,,13.33,,8.19,57.16,56.87,57.16,56.87,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35092,,Repair artery rupture aorta,A,,50.97,19.62,NA,19.63,NA,19.62,,19.63,,11.79,82.38,82.39,82.38,82.39,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3510F,,Doc tb scrng-rslts interpd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35102,,Repair defect of artery,A,,36.53,14.90,NA,15.01,NA,14.90,,15.01,,8.45,59.88,59.99,59.88,59.99,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35103,,Repair artery rupture groin,A,,43.62,17.32,NA,17.28,NA,17.32,,17.28,,9.99,70.93,70.89,70.93,70.89,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3511F,,Chlmyd/gonrh tsts docd done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35111,,Repair defect of artery,A,,26.28,13.01,NA,14.43,NA,13.01,,14.43,,5.61,44.90,46.32,44.90,46.32,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35112,,Repair artery rupture spleen,A,,32.57,15.60,NA,17.32,NA,15.60,,17.32,,6.94,55.11,56.83,55.11,56.83,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3512F,,Syph scrng docd as done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35121,,Repair defect of artery,A,,31.52,13.36,NA,13.58,NA,13.36,,13.58,,7.25,52.13,52.35,52.13,52.35,0,090,0.09,0.84,0.07,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
35122,,Repair artery rupture belly,A,,37.89,14.50,NA,13.19,NA,14.50,,13.19,,8.08,60.47,59.16,60.47,59.16,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3513F,,Hep B scrng docd as done,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35131,,Repair defect of artery,A,,26.40,11.63,NA,11.54,NA,11.63,,11.54,,6.10,44.13,44.04,44.13,44.04,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35132,,Repair artery rupture groin,A,,32.57,12.57,NA,11.61,NA,12.57,,11.61,,7.44,52.58,51.62,52.58,51.62,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3514F,,Hep C scrng docd as done,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35141,,Repair defect of artery,A,,20.91,9.35,NA,9.30,NA,9.35,,9.30,,4.83,35.09,35.04,35.09,35.04,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35142,,Repair artery rupture thigh,A,,25.16,11.09,NA,10.96,NA,11.09,,10.96,,5.78,42.03,41.90,42.03,41.90,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3515F,,Pt has docd immun to hep C,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35151,,Repair defect of artery,A,,23.72,10.42,NA,10.35,NA,10.42,,10.35,,5.47,39.61,39.54,39.61,39.54,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35152,,Repair artery rupture knee,A,,27.66,11.14,NA,10.15,NA,11.14,,10.15,,6.57,45.37,44.38,45.37,44.38,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35180,,Repair blood vessel lesion,A,,15.10,10.08,NA,11.34,NA,10.08,,11.34,,3.58,28.76,30.02,28.76,30.02,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35182,,Repair blood vessel lesion,A,,31.71,14.96,NA,14.73,NA,14.96,,14.73,,6.76,53.43,53.20,53.43,53.20,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35184,,Repair blood vessel lesion,A,,18.82,9.07,NA,9.29,NA,9.07,,9.29,,4.01,31.90,32.12,31.90,32.12,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35188,,Repair blood vessel lesion,A,,15.16,7.30,NA,6.43,NA,7.30,,6.43,,3.24,25.70,24.83,25.70,24.83,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35189,,Repair blood vessel lesion,A,,29.98,14.69,NA,16.19,NA,14.69,,16.19,,7.50,52.17,53.67,52.17,53.67,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35190,,Repair blood vessel lesion,A,,13.42,7.05,NA,7.11,NA,7.05,,7.11,,3.06,23.53,23.59,23.53,23.59,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35201,,Repair blood vessel lesion,A,,16.93,8.66,NA,8.76,NA,8.66,,8.76,,3.76,29.35,29.45,29.35,29.45,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35206,,Repair blood vessel lesion,A,,13.84,7.20,NA,7.37,NA,7.20,,7.37,,3.06,24.10,24.27,24.10,24.27,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35207,,Repair blood vessel lesion,A,,10.94,9.19,NA,9.85,NA,9.19,,9.85,,1.93,22.06,22.72,22.06,22.72,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35211,,Repair blood vessel lesion,A,,24.58,12.26,NA,12.00,NA,12.26,,12.00,,5.91,42.75,42.49,42.75,42.49,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35216,,Repair blood vessel lesion,A,,36.61,16.92,NA,17.86,NA,16.92,,17.86,,8.64,62.17,63.11,62.17,63.11,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35221,,Repair blood vessel lesion,A,,26.62,11.72,NA,12.22,NA,11.72,,12.22,,5.83,44.17,44.67,44.17,44.67,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35226,,Repair blood vessel lesion,A,,15.30,7.56,NA,7.36,NA,7.56,,7.36,,3.52,26.38,26.18,26.38,26.18,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35231,,Repair blood vessel lesion,A,,21.16,11.15,NA,11.47,NA,11.15,,11.47,,4.16,36.47,36.79,36.47,36.79,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35236,,Repair blood vessel lesion,A,,18.02,8.62,NA,8.69,NA,8.62,,8.69,,3.99,30.63,30.70,30.63,30.70,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35241,,Repair blood vessel lesion,A,,25.58,13.13,NA,13.22,NA,13.13,,13.22,,6.30,45.01,45.10,45.01,45.10,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35246,,Repair blood vessel lesion,A,,28.23,12.01,NA,10.44,NA,12.01,,10.44,,6.70,46.94,45.37,46.94,45.37,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35251,,Repair blood vessel lesion,A,,31.91,13.41,NA,13.92,NA,13.41,,13.92,,7.00,52.32,52.83,52.32,52.83,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35256,,Repair blood vessel lesion,A,,19.06,8.68,NA,8.59,NA,8.68,,8.59,,4.36,32.10,32.01,32.10,32.01,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35261,,Repair blood vessel lesion,A,,18.96,9.40,NA,9.51,NA,9.40,,9.51,,4.64,33.00,33.11,33.00,33.11,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35266,,Repair blood vessel lesion,A,,15.83,7.67,NA,7.72,NA,7.67,,7.72,,3.62,27.12,27.17,27.12,27.17,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35271,,Repair blood vessel lesion,A,,24.58,12.24,NA,12.01,NA,12.24,,12.01,,6.14,42.96,42.73,42.96,42.73,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35276,,Repair blood vessel lesion,A,,25.83,12.75,NA,12.55,NA,12.75,,12.55,,6.04,44.62,44.42,44.62,44.42,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35281,,Repair blood vessel lesion,A,,30.06,13.29,NA,13.68,NA,13.29,,13.68,,6.79,50.14,50.53,50.14,50.53,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35286,,Repair blood vessel lesion,A,,17.19,8.47,NA,8.39,NA,8.47,,8.39,,3.96,29.62,29.54,29.62,29.54,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35301,,Rechanneling of artery,A,,19.61,9.05,NA,9.03,NA,9.05,,9.03,,4.56,33.22,33.20,33.22,33.20,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35302,,Rechanneling of artery,A,,21.35,9.15,NA,9.38,NA,9.15,,9.38,,4.93,35.43,35.66,35.43,35.66,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35303,,Rechanneling of artery,A,,23.60,10.05,NA,10.40,NA,10.05,,10.40,,5.43,39.08,39.43,39.08,39.43,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35304,,Rechanneling of artery,A,,24.60,10.22,NA,10.46,NA,10.22,,10.46,,5.65,40.47,40.71,40.47,40.71,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35305,,Rechanneling of artery,A,,23.60,9.96,NA,10.27,NA,9.96,,10.27,,5.43,38.99,39.30,38.99,39.30,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35306,,Rechanneling of artery,A,,9.25,3.50,NA,4.02,NA,3.50,,4.02,,2.19,14.94,15.46,14.94,15.46,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35311,,Rechanneling of artery,A,,28.60,12.45,NA,12.22,NA,12.45,,12.22,,6.70,47.75,47.52,47.75,47.52,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35321,,Rechanneling of artery,A,,16.59,7.84,NA,7.83,NA,7.84,,7.83,,3.77,28.20,28.19,28.20,28.19,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35331,,Rechanneling of artery,A,,27.72,12.27,NA,12.12,NA,12.27,,12.12,,6.44,46.43,46.28,46.43,46.28,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35341,,Rechanneling of artery,A,,26.21,11.14,NA,10.89,NA,11.14,,10.89,,6.06,43.41,43.16,43.41,43.16,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35351,,Rechanneling of artery,A,,24.61,10.45,NA,10.49,NA,10.45,,10.49,,5.65,40.71,40.75,40.71,40.75,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35355,,Rechanneling of artery,A,,19.86,8.60,NA,8.54,NA,8.60,,8.54,,4.56,33.02,32.96,33.02,32.96,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35361,,Rechanneling of artery,A,,30.24,11.89,NA,10.92,NA,11.89,,10.92,,7.19,49.32,48.35,49.32,48.35,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35363,,Rechanneling of artery,A,,32.35,14.57,NA,14.26,NA,14.57,,14.26,,7.57,54.49,54.18,54.49,54.18,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35371,,Rechanneling of artery,A,,15.31,7.24,NA,7.24,NA,7.24,,7.24,,3.52,26.07,26.07,26.07,26.07,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35372,,Rechanneling of artery,A,,18.58,8.32,NA,8.26,NA,8.32,,8.26,,4.26,31.16,31.10,31.16,31.10,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35390,,Reoperation carotid add-on,A,,3.19,1.12,NA,1.11,NA,1.12,,1.11,,0.73,5.04,5.03,5.04,5.03,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35400,,Angioscopy,A,,3.00,1.05,NA,1.01,NA,1.05,,1.01,,0.68,4.73,4.69,4.73,4.69,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35450,,Repair arterial blockage,A,,10.05,3.91,NA,3.80,NA,3.91,,3.80,,2.25,16.21,16.10,16.21,16.10,0,000,0.00,0.00,0.00,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35452,,Repair arterial blockage,A,,6.90,2.80,NA,2.78,NA,2.80,,2.78,,1.58,11.28,11.26,11.28,11.26,0,000,0.00,0.00,0.00,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35458,,Repair arterial blockage,A,,9.48,3.78,NA,3.78,NA,3.78,,3.78,,2.14,15.40,15.40,15.40,15.40,0,000,0.00,0.00,0.00,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35460,,Repair venous blockage,A,,6.03,2.47,NA,2.53,NA,2.47,,2.53,,1.32,9.82,9.88,9.82,9.88,0,000,0.00,0.00,0.00,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35471,,Repair arterial blockage,A,,10.05,74.92,,60.97,,4.78,,3.97,,1.99,86.96,73.01,16.82,16.01,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
35472,,Repair arterial blockage,A,,6.90,54.63,,47.54,,3.09,,2.78,,1.44,62.97,55.88,11.43,11.12,0,000,0.00,0.00,0.00,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35475,,Repair arterial blockage,R,,9.48,57.34,,53.95,,4.08,,3.76,,1.52,68.34,64.95,15.08,14.76,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
35476,,Repair venous blockage,A,,6.03,44.78,,42.20,,2.70,,2.51,,0.83,51.64,49.06,9.56,9.37,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3550F,,Low rsk thromboembolism,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35500,,Harvest vein for bypass,A,,6.44,2.21,NA,2.21,NA,2.21,,2.21,,1.50,10.15,10.15,10.15,10.15,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35501,,Artery bypass graft,A,,29.09,13.89,NA,14.22,NA,13.89,,14.22,,6.70,49.68,50.01,49.68,50.01,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35506,,Artery bypass graft,A,,25.33,11.00,NA,10.69,NA,11.00,,10.69,,6.02,42.35,42.04,42.35,42.04,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35508,,Artery bypass graft,A,,26.09,12.11,NA,12.28,NA,12.11,,12.28,,6.52,44.72,44.89,44.72,44.89,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35509,,Artery bypass graft,A,,28.09,12.42,NA,11.98,NA,12.42,,11.98,,6.67,47.18,46.74,47.18,46.74,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3551F,,Intrmed rsk thromboembolism,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35510,,Artery bypass graft,A,,24.39,9.82,NA,8.92,NA,9.82,,8.92,,5.78,39.99,39.09,39.99,39.09,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35511,,Artery bypass graft,A,,22.20,11.62,NA,12.92,NA,11.62,,12.92,,5.28,39.10,40.40,39.10,40.40,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35512,,Artery bypass graft,A,,23.89,9.53,NA,8.77,NA,9.53,,8.77,,5.68,39.10,38.34,39.10,38.34,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35515,,Artery bypass graft,A,,26.09,10.13,NA,9.93,NA,10.13,,9.93,,6.19,42.41,42.21,42.41,42.21,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35516,,Artery bypass graft,A,,24.21,9.03,NA,8.83,NA,9.03,,8.83,,5.74,38.98,38.78,38.98,38.78,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35518,,Artery bypass graft,A,,22.65,9.29,NA,8.27,NA,9.29,,8.27,,5.38,37.32,36.30,37.32,36.30,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3552F,,Hgh risk for thromboembolism,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35521,,Artery bypass graft,A,,24.13,12.15,NA,13.65,NA,12.15,,13.65,,5.73,42.01,43.51,42.01,43.51,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35522,,Artery bypass graft,A,,23.15,10.20,NA,10.14,NA,10.20,,10.14,,5.48,38.83,38.77,38.83,38.77,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35523,,Artery bypass graft,A,,24.13,11.14,NA,10.83,NA,11.14,,10.83,,5.48,40.75,40.44,40.75,40.44,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35525,,Artery bypass graft,A,,21.69,9.67,NA,9.76,NA,9.67,,9.76,,4.83,36.19,36.28,36.19,36.28,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35526,,Artery bypass graft,A,,31.55,12.76,NA,11.34,NA,12.76,,11.34,,7.89,52.20,50.78,52.20,50.78,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35531,,Artery bypass graft,A,,39.11,16.07,NA,16.17,NA,16.07,,16.17,,8.91,64.09,64.19,64.09,64.19,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35533,,Artery bypass graft,A,,29.92,14.60,NA,16.16,NA,14.60,,16.16,,7.10,51.62,53.18,51.62,53.18,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35535,,Artery bypass graft,A,,38.13,14.94,NA,13.31,NA,14.94,,13.31,,2.71,55.78,54.15,55.78,54.15,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35536,,Artery bypass graft,A,,33.73,12.80,NA,11.96,NA,12.80,,11.96,,8.02,54.55,53.71,54.55,53.71,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35537,,Artery bypass graft,A,,41.88,19.21,NA,21.49,NA,19.21,,21.49,,9.94,71.03,73.31,71.03,73.31,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35538,,Artery bypass graft,A,,47.03,21.43,NA,23.78,NA,21.43,,23.78,,11.16,79.62,81.97,79.62,81.97,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35539,,Artery bypass graft,A,,44.11,15.96,NA,15.12,NA,15.96,,15.12,,10.48,70.55,69.71,70.55,69.71,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35540,,Artery bypass graft,A,,49.33,19.93,NA,20.90,NA,19.93,,20.90,,11.35,80.61,81.58,80.61,81.58,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35548,,Artery bypass graft,A,,22.68,9.47,NA,8.67,NA,9.47,,8.67,,5.39,37.54,36.74,37.54,36.74,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35549,,Artery bypass graft,A,,24.45,13.75,NA,16.06,NA,13.75,,16.06,,5.21,43.41,45.72,43.41,45.72,0,090,0.09,0.84,0.07,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3555F,,Pt inr measurement performed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35551,,Artery bypass graft,A,,27.83,14.13,NA,15.24,NA,14.13,,15.24,,5.95,47.91,49.02,47.91,49.02,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35556,,Artery bypass graft,A,,26.75,11.46,NA,11.63,NA,11.46,,11.63,,6.14,44.35,44.52,44.35,44.52,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35558,,Artery bypass graft,A,,23.13,10.66,NA,10.80,NA,10.66,,10.80,,5.34,39.13,39.27,39.13,39.27,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35560,,Artery bypass graft,A,,34.03,13.22,NA,12.05,NA,13.22,,12.05,,8.08,55.33,54.16,55.33,54.16,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35563,,Artery bypass graft,A,,26.12,10.41,NA,9.70,NA,10.41,,9.70,,6.19,42.72,42.01,42.72,42.01,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35565,,Artery bypass graft,A,,25.13,11.06,NA,11.01,NA,11.06,,11.01,,5.74,41.93,41.88,41.93,41.88,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35566,,Artery bypass graft,A,,32.35,13.30,NA,13.46,NA,13.30,,13.46,,7.50,53.15,53.31,53.15,53.31,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35570,,Artery bypass graft,A,,29.15,12.05,NA,10.74,NA,12.05,,10.74,,2.07,43.27,41.96,43.27,41.96,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35571,,Artery bypass graft,A,,25.52,11.05,NA,10.92,NA,11.05,,10.92,,5.89,42.46,42.33,42.46,42.33,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35572,,Harvest femoropopliteal vein,A,,6.81,2.54,NA,2.47,NA,2.54,,2.47,,1.59,10.94,10.87,10.94,10.87,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
35583,,Vein bypass graft,A,,27.75,11.76,NA,11.99,NA,11.76,,11.99,,6.36,45.87,46.10,45.87,46.10,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35585,,Vein bypass graft,A,,32.35,13.59,NA,13.77,NA,13.59,,13.77,,7.40,53.34,53.52,53.34,53.52,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35587,,Vein bypass graft,A,,26.21,11.67,NA,11.66,NA,11.67,,11.66,,6.04,43.92,43.91,43.92,43.91,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35600,,Harvest art for cabg add-on,A,,4.94,1.92,NA,1.84,NA,1.92,,1.84,,1.20,8.06,7.98,8.06,7.98,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35601,,Artery bypass graft,A,,27.09,12.78,NA,13.22,NA,12.78,,13.22,,6.34,46.21,46.65,46.21,46.65,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35606,,Artery bypass graft,A,,22.46,9.70,NA,9.59,NA,9.70,,9.59,,5.25,37.41,37.30,37.41,37.30,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35612,,Artery bypass graft,A,,16.82,7.79,NA,6.93,NA,7.79,,6.93,,4.00,28.61,27.75,28.61,27.75,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35616,,Artery bypass graft,A,,21.82,10.67,NA,12.00,NA,10.67,,12.00,,4.65,37.14,38.47,37.14,38.47,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35621,,Artery bypass graft,A,,21.03,9.13,NA,9.07,NA,9.13,,9.07,,4.87,35.03,34.97,35.03,34.97,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35623,,Bypass graft not vein,A,,25.92,12.88,NA,14.42,NA,12.88,,14.42,,6.14,44.94,46.48,44.94,46.48,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35626,,Artery bypass graft,A,,29.14,13.20,NA,12.85,NA,13.20,,12.85,,6.98,49.32,48.97,49.32,48.97,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35631,,Artery bypass graft,A,,36.03,14.29,NA,14.10,NA,14.29,,14.10,,8.42,58.74,58.55,58.74,58.55,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35632,,Artery bypass graft,A,,36.13,14.27,NA,12.72,NA,14.27,,12.72,,2.57,52.97,51.42,52.97,51.42,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35633,,Artery bypass graft,A,,39.11,15.99,NA,15.01,NA,15.99,,15.01,,2.78,57.88,56.90,57.88,56.90,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35634,,Artery bypass graft,A,,35.33,14.54,NA,13.53,NA,14.54,,13.53,,2.50,52.37,51.36,52.37,51.36,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35636,,Artery bypass graft,A,,31.75,15.22,NA,16.96,NA,15.22,,16.96,,7.54,54.51,56.25,54.51,56.25,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35637,,Artery bypass graft,A,,33.05,13.73,NA,13.98,NA,13.73,,13.98,,7.65,54.43,54.68,54.43,54.68,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35638,,Artery bypass graft,A,,33.60,14.21,NA,14.43,NA,14.21,,14.43,,7.83,55.64,55.86,55.64,55.86,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35642,,Artery bypass graft,A,,18.94,10.88,NA,11.89,NA,10.88,,11.89,,4.49,34.31,35.32,34.31,35.32,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35645,,Artery bypass graft,A,,18.43,9.68,NA,10.87,NA,9.68,,10.87,,4.61,32.72,33.91,32.72,33.91,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35646,,Artery bypass graft,A,,32.98,13.98,NA,13.87,NA,13.98,,13.87,,7.59,54.55,54.44,54.55,54.44,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35647,,Artery bypass graft,A,,29.73,12.91,NA,12.91,NA,12.91,,12.91,,6.90,49.54,49.54,49.54,49.54,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35650,,Artery bypass graft,A,,20.16,9.16,NA,9.25,NA,9.16,,9.25,,4.60,33.92,34.01,33.92,34.01,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35651,,Artery bypass graft,A,,26.08,10.77,NA,9.68,NA,10.77,,9.68,,5.58,42.43,41.34,42.43,41.34,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35654,,Artery bypass graft,A,,26.28,11.33,NA,11.31,NA,11.33,,11.31,,6.07,43.68,43.66,43.68,43.66,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35656,,Artery bypass graft,A,,20.47,9.23,NA,9.23,NA,9.23,,9.23,,4.71,34.41,34.41,34.41,34.41,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35661,,Artery bypass graft,A,,20.35,9.51,NA,9.48,NA,9.51,,9.48,,4.70,34.56,34.53,34.56,34.53,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35663,,Artery bypass graft,A,,23.93,10.44,NA,10.23,NA,10.44,,10.23,,5.47,39.84,39.63,39.84,39.63,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35665,,Artery bypass graft,A,,22.35,9.91,NA,9.82,NA,9.91,,9.82,,5.12,37.38,37.29,37.38,37.29,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35666,,Artery bypass graft,A,,23.66,11.32,NA,11.24,NA,11.32,,11.24,,5.44,40.42,40.34,40.42,40.34,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35671,,Artery bypass graft,A,,20.77,10.06,NA,9.96,NA,10.06,,9.96,,4.78,35.61,35.51,35.61,35.51,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35681,,Composite bypass graft,A,,1.60,0.56,NA,0.56,NA,0.56,,0.56,,0.37,2.53,2.53,2.53,2.53,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35682,,Composite bypass graft,A,,7.19,2.41,NA,2.37,NA,2.41,,2.37,,1.66,11.26,11.22,11.26,11.22,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35683,,Composite bypass graft,A,,8.49,2.70,NA,2.52,NA,2.70,,2.52,,2.00,13.19,13.01,13.19,13.01,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35685,,Bypass graft patency/patch,A,,4.04,1.37,NA,1.37,NA,1.37,,1.37,,0.93,6.34,6.34,6.34,6.34,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35686,,Bypass graft/av fist patency,A,,3.34,1.17,NA,1.13,NA,1.17,,1.13,,0.75,5.26,5.22,5.26,5.22,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35691,,Arterial transposition,A,,18.41,7.94,NA,7.23,NA,7.94,,7.23,,4.37,30.72,30.01,30.72,30.01,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35693,,Arterial transposition,A,,15.73,7.75,NA,7.01,NA,7.75,,7.01,,3.74,27.22,26.48,27.22,26.48,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35694,,Arterial transposition,A,,19.28,8.58,NA,8.52,NA,8.58,,8.52,,4.57,32.43,32.37,32.43,32.37,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35695,,Arterial transposition,A,,20.06,8.39,NA,7.72,NA,8.39,,7.72,,4.76,33.21,32.54,33.21,32.54,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35697,,Reimplant artery each,A,,3.00,1.03,NA,1.02,NA,1.03,,1.02,,0.69,4.72,4.71,4.72,4.71,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
3570F,,Rprt bone scint xref w xray,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35700,,Reoperation bypass graft,A,,3.08,1.07,NA,1.06,NA,1.07,,1.06,,0.71,4.86,4.85,4.86,4.85,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35701,,Exploration carotid artery,A,,9.19,6.15,NA,6.54,NA,6.15,,6.54,,1.80,17.14,17.53,17.14,17.53,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3572F,,Pt consid poss risk fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35721,,Exploration femoral artery,A,,7.72,4.82,NA,4.72,NA,4.82,,4.72,,1.74,14.28,14.18,14.28,14.18,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
3573F,,Pt not consid poss risk fx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
35741,,Exploration popliteal artery,A,,8.69,5.21,NA,5.30,NA,5.21,,5.30,,1.93,15.83,15.92,15.83,15.92,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35761,,Exploration of artery/vein,A,,5.93,4.65,NA,4.81,NA,4.65,,4.81,,1.29,11.87,12.03,11.87,12.03,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35800,,Explore neck vessels,A,,8.07,5.38,NA,5.57,NA,5.38,,5.57,,1.70,15.15,15.34,15.15,15.34,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35820,,Explore chest vessels,A,,36.89,15.46,NA,15.96,NA,15.46,,15.96,,8.83,61.18,61.68,61.18,61.68,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35840,,Explore abdominal vessels,A,,10.96,6.46,NA,6.75,NA,6.46,,6.75,,2.35,19.77,20.06,19.77,20.06,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35860,,Explore limb vessels,A,,6.80,4.43,NA,4.43,NA,4.43,,4.43,,1.55,12.78,12.78,12.78,12.78,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35870,,Repair vessel graft defect,A,,24.50,12.26,NA,13.79,NA,12.26,,13.79,,5.81,42.57,44.10,42.57,44.10,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35875,,Removal of clot in graft,A,,10.72,5.68,NA,5.71,NA,5.68,,5.71,,2.44,18.84,18.87,18.84,18.87,0,090,0.09,0.84,0.07,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35876,,Removal of clot in graft,A,,17.82,8.09,NA,8.10,NA,8.09,,8.10,,4.08,29.99,30.00,29.99,30.00,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35879,,Revise graft w/vein,A,,17.41,8.05,NA,8.04,NA,8.05,,8.04,,4.01,29.47,29.46,29.47,29.46,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35881,,Revise graft w/vein,A,,19.35,8.79,NA,8.65,NA,8.79,,8.65,,4.49,32.63,32.49,32.63,32.49,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35883,,Revise graft w/nonauto graft,A,,23.15,9.71,NA,9.99,NA,9.71,,9.99,,5.34,38.20,38.48,38.20,38.48,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35884,,Revise graft w/vein,A,,24.65,9.26,NA,8.93,NA,9.26,,8.93,,5.84,39.75,39.42,39.75,39.42,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35901,,Excision graft neck,A,,8.38,5.60,NA,5.59,NA,5.60,,5.59,,1.91,15.89,15.88,15.89,15.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35903,,Excision graft extremity,A,,9.53,6.18,NA,6.14,NA,6.18,,6.14,,2.15,17.86,17.82,17.86,17.82,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35905,,Excision graft thorax,A,,33.52,12.93,NA,11.90,NA,12.93,,11.90,,7.96,54.41,53.38,54.41,53.38,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
35907,,Excision graft abdomen,A,,37.27,15.07,NA,15.18,NA,15.07,,15.18,,8.59,60.93,61.04,60.93,61.04,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36000,,Place needle in vein,A,,0.18,0.53,,0.48,,0.08,,0.08,,0.03,0.74,0.69,0.29,0.29,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36002,,Pseudoaneurysm injection trt,A,,1.96,2.70,,2.44,,1.04,,0.95,,0.30,4.96,4.70,3.30,3.21,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36005,,Injection ext venography,A,,0.95,9.19,,8.54,,0.40,,0.35,,0.14,10.28,9.63,1.49,1.44,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36010,,Place catheter in vein,A,,2.43,13.93,,11.95,,0.95,,0.88,,0.35,16.71,14.73,3.73,3.66,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36011,,Place catheter in vein,A,,3.14,23.82,,21.52,,1.25,,1.17,,0.44,27.40,25.10,4.83,4.75,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36012,,Place catheter in vein,A,,3.51,22.54,,21.16,,1.44,,1.29,,0.52,26.57,25.19,5.47,5.32,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36013,,Place catheter in artery,A,,2.52,21.22,,19.50,,1.01,,0.94,,0.45,24.19,22.47,3.98,3.91,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36014,,Place catheter in artery,A,,3.02,22.01,,20.49,,1.27,,1.12,,0.33,25.36,23.84,4.62,4.47,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36015,,Place catheter in artery,A,,3.51,23.68,,21.82,,1.46,,1.29,,0.37,27.56,25.70,5.34,5.17,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36100,,Establish access to artery,A,,3.02,12.14,,10.80,,1.29,,1.13,,0.67,15.83,14.49,4.98,4.82,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36120,,Establish access to artery,A,,2.01,11.10,,10.39,,0.75,,0.71,,0.33,13.44,12.73,3.09,3.05,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36140,,Establish access to artery,A,,2.01,11.95,,10.60,,0.81,,0.73,,0.39,14.35,13.00,3.21,3.13,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36147,,Access av dial grft for eval,A,,3.72,20.11,,20.11,,1.43,,1.43,,0.50,24.33,24.33,5.65,5.65,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36148,,Access av dial grft for proc,A,,1.00,6.55,,6.55,,0.37,,0.37,,0.12,7.67,7.67,1.49,1.49,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36160,,Establish access to aorta,A,,2.52,12.64,,11.11,,1.06,,0.90,,0.38,15.54,14.01,3.96,3.80,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36200,,Place catheter in aorta,A,,3.02,15.80,,14.25,,1.18,,1.06,,0.60,19.42,17.87,4.80,4.68,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36215,,Place catheter in artery,A,,4.67,29.00,,26.51,,2.05,,1.80,,0.82,34.49,32.00,7.54,7.29,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36216,,Place catheter in artery,A,,5.27,31.75,,29.29,,2.33,,2.08,,0.93,37.95,35.49,8.53,8.28,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36217,,Place catheter in artery,A,,6.29,54.62,,50.61,,2.79,,2.53,,1.06,61.97,57.96,10.14,9.88,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36218,,Place catheter in artery,A,,1.01,4.57,,4.16,,0.44,,0.40,,0.16,5.74,5.33,1.61,1.57,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36245,,Place catheter in artery,A,,4.67,30.85,,26.43,,2.14,,1.78,,0.87,36.39,31.97,7.68,7.32,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36246,,Place catheter in artery,A,,5.27,30.51,,27.23,,2.21,,1.93,,0.98,36.76,33.48,8.46,8.18,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36247,,Place catheter in artery,A,,6.29,50.32,,45.07,,2.61,,2.28,,1.18,57.79,52.54,10.08,9.75,0,XXX,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36248,,Place catheter in artery,A,,1.01,3.65,,3.20,,0.42,,0.36,,0.16,4.82,4.37,1.59,1.53,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36260,,Insertion of infusion pump,A,,9.91,6.52,NA,7.17,NA,6.52,,7.17,,2.12,18.55,19.20,18.55,19.20,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36261,,Revision of infusion pump,A,,5.63,4.59,NA,4.99,NA,4.59,,4.99,,1.33,11.55,11.95,11.55,11.95,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36262,,Removal of infusion pump,A,,4.11,3.73,NA,4.05,NA,3.73,,4.05,,0.87,8.71,9.03,8.71,9.03,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36299,,Vessel injection procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
36400,,Bl draw < 3 yrs fem/jugular,A,,0.38,0.43,,0.52,,0.09,,0.08,,0.05,0.86,0.95,0.52,0.51,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36405,,Bl draw < 3 yrs scalp vein,A,,0.31,0.35,,0.35,,0.12,,0.13,,0.05,0.71,0.71,0.48,0.49,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36406,,Bl draw < 3 yrs other vein,A,,0.18,0.30,,0.28,,0.07,,0.07,,0.03,0.51,0.49,0.28,0.28,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36410,,Non-routine bl draw > 3 yrs,A,,0.18,0.33,,0.27,,0.07,,0.08,,0.03,0.54,0.48,0.28,0.29,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36415,,Routine venipuncture,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
36416,,Capillary blood draw,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
36420,,Vein access cutdown < 1 yr,A,,1.01,0.27,NA,0.23,NA,0.27,,0.23,,0.12,1.40,1.36,1.40,1.36,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36425,,Vein access cutdown > 1 yr,A,,0.76,0.31,NA,0.34,NA,0.31,,0.34,,0.11,1.18,1.21,1.18,1.21,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36430,,Blood transfusion service,A,,0.00,1.02,,0.90,,1.02,NA,0.90,NA,0.01,1.03,0.91,1.03,0.91,5,XXX,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36440,,Bl push transfuse 2 yr or <,A,,1.03,0.42,NA,0.50,NA,0.42,,0.50,,0.24,1.69,1.77,1.69,1.77,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36450,,Bl exchange/transfuse nb,A,,2.23,1.03,NA,1.09,NA,1.03,,1.09,,0.11,3.37,3.43,3.37,3.43,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36455,,Bl exchange/transfuse non-nb,A,,2.43,0.99,NA,0.85,NA,0.99,,0.85,,0.14,3.56,3.42,3.56,3.42,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36460,,Transfusion service fetal,A,,6.58,2.71,NA,3.06,NA,2.71,,3.06,,1.40,10.69,11.04,10.69,11.04,0,XXX,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36468,,Injection(s) spider veins,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36469,,Injection(s) spider veins,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36470,,Injection therapy of vein,A,,1.10,2.94,,2.91,,0.83,,0.84,,0.22,4.26,4.23,2.15,2.16,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36471,,Injection therapy of veins,A,,1.65,3.26,,3.21,,1.07,,1.09,,0.33,5.24,5.19,3.05,3.07,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36475,,Endovenous rf 1st vein,A,,6.72,46.32,,43.76,,2.73,,2.77,,1.42,54.46,51.90,10.87,10.91,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36476,,Endovenous rf vein add-on,A,,3.38,7.80,,7.57,,1.22,,1.23,,0.72,11.90,11.67,5.32,5.33,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36478,,Endovenous laser 1st vein,A,,6.72,35.01,,31.30,,2.76,,2.72,,1.32,43.05,39.34,10.80,10.76,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36479,,Endovenous laser vein addon,A,,3.38,8.22,,7.78,,1.26,,1.28,,0.65,12.25,11.81,5.29,5.31,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36481,,Insertion of catheter vein,A,,6.98,29.48,,53.44,,3.00,,3.00,,0.88,37.34,61.30,10.86,10.86,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3650F,,Eeg ordered rvwd reqstd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
36500,,Insertion of catheter vein,A,,3.51,1.48,NA,1.35,NA,1.48,,1.35,,0.53,5.52,5.39,5.52,5.39,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36510,,Insertion of catheter vein,A,,1.09,1.81,,1.52,,0.50,,0.53,,0.24,3.14,2.85,1.83,1.86,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36511,,Apheresis wbc,A,,1.74,0.82,NA,0.89,NA,0.82,,0.89,,0.27,2.83,2.90,2.83,2.90,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36512,,Apheresis rbc,A,,1.74,0.84,NA,0.87,NA,0.84,,0.87,,0.16,2.74,2.77,2.74,2.77,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36513,,Apheresis platelets,A,,1.74,0.91,NA,0.98,NA,0.91,,0.98,,0.34,2.99,3.06,2.99,3.06,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36514,,Apheresis plasma,A,,1.74,13.33,,12.13,,0.77,,0.80,,0.27,15.34,14.14,2.78,2.81,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36515,,Apheresis adsorp/reinfuse,A,,1.74,55.17,,50.11,,0.78,,0.88,,0.24,57.15,52.09,2.76,2.86,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36516,,Apheresis selective,A,,1.22,61.60,,54.14,,0.53,,0.56,,0.35,63.17,55.71,2.10,2.13,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36522,,Photopheresis,A,,1.67,38.36,,34.80,,1.19,,1.20,,0.16,40.19,36.63,3.02,3.03,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36555,,Insert non-tunnel cv cath,A,,2.68,5.07,,4.66,,0.74,,0.66,,0.22,7.97,7.56,3.64,3.56,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36556,,Insert non-tunnel cv cath,A,,2.50,4.13,,3.92,,0.80,,0.84,,0.31,6.94,6.73,3.61,3.65,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36557,,Insert tunneled cv cath,A,,5.14,21.59,,22.62,,3.36,,3.58,,1.09,27.82,28.85,9.59,9.81,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36558,,Insert tunneled cv cath,A,,4.84,18.39,,16.82,,2.94,,2.80,,0.72,23.95,22.38,8.50,8.36,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36560,,Insert tunneled cv cath,A,,6.29,30.60,,31.86,,3.82,,4.10,,0.59,37.48,38.74,10.70,10.98,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36561,,Insert tunneled cv cath,A,,6.04,27.95,,26.73,,3.52,,3.59,,1.10,35.09,33.87,10.66,10.73,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36563,,Insert tunneled cv cath,A,,6.24,29.76,,30.35,,3.64,,3.87,,1.31,37.31,37.90,11.19,11.42,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36565,,Insert tunneled cv cath,A,,6.04,22.48,,21.50,,3.31,,3.33,,1.29,29.81,28.83,10.64,10.66,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36566,,Insert tunneled cv cath,A,,6.54,124.76,,140.45,,3.58,,3.70,,1.27,132.57,148.26,11.39,11.51,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36568,,Insert picc cath,A,,1.92,6.73,,5.85,,0.76,,0.75,,0.18,8.83,7.95,2.86,2.85,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36569,,Insert picc cath,A,,1.82,5.65,,4.95,,0.79,,0.73,,0.18,7.65,6.95,2.79,2.73,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36570,,Insert picvad cath,A,,5.36,27.56,,24.17,,3.20,,2.98,,0.49,33.41,30.02,9.05,8.83,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36571,,Insert picvad cath,A,,5.34,31.38,,30.28,,3.25,,3.34,,1.02,37.74,36.64,9.61,9.70,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36575,,Repair tunneled cv cath,A,,0.67,4.04,,3.85,,0.30,,0.30,,0.10,4.81,4.62,1.07,1.07,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36576,,Repair tunneled cv cath,A,,3.24,7.32,,7.11,,2.06,,2.05,,0.56,11.12,10.91,5.86,5.85,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36578,,Replace tunneled cv cath,A,,3.54,11.13,,10.48,,2.47,,2.37,,0.53,15.20,14.55,6.54,6.44,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36580,,Replace cvad cath,A,,1.31,5.16,,4.57,,0.55,,0.54,,0.16,6.63,6.04,2.02,2.01,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36581,,Replace tunneled cv cath,A,,3.48,18.82,,17.51,,2.12,,1.96,,0.44,22.74,21.43,6.04,5.88,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36582,,Replace tunneled cv cath,A,,5.24,26.57,,25.46,,3.17,,3.11,,0.88,32.69,31.58,9.29,9.23,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36583,,Replace tunneled cv cath,A,,5.29,30.01,,32.29,,3.43,,3.66,,1.14,36.44,38.72,9.86,10.09,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36584,,Replace picc cath,A,,1.20,5.05,,4.34,,0.71,,0.66,,0.11,6.36,5.65,2.02,1.97,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36585,,Replace picvad cath,A,,4.84,27.34,,25.61,,3.00,,2.86,,0.67,32.85,31.12,8.51,8.37,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36589,,Removal tunneled cv cath,A,,2.28,2.35,,2.27,,1.57,,1.54,,0.37,5.00,4.92,4.22,4.19,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36590,,Removal tunneled cv cath,A,,3.35,4.52,,4.65,,2.14,,2.22,,0.63,8.50,8.63,6.12,6.20,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36591,,Draw blood off venous device,T,,0.00,0.67,,0.61,,0.67,NA,0.61,NA,0.01,0.68,0.62,0.68,0.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36592,,Collect blood from picc,T,,0.00,0.75,,0.69,,0.75,NA,0.69,NA,0.01,0.76,0.70,0.76,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36593,,Declot vascular device,A,,0.00,0.84,,0.82,,0.84,NA,0.82,NA,0.01,0.85,0.83,0.85,0.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36595,,Mech remov tunneled cv cath,A,,3.59,13.52,,11.87,,1.68,,1.52,,0.39,17.50,15.85,5.66,5.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36596,,Mech remov tunneled cv cath,A,,0.75,3.18,,2.88,,0.52,,0.48,,0.10,4.03,3.73,1.37,1.33,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36597,,Reposition venous catheter,A,,1.21,2.41,,2.20,,0.54,,0.48,,0.11,3.73,3.52,1.86,1.80,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36598,,Inj w/fluor eval cv device,T,,0.74,2.55,,2.31,,0.67,,0.27,,0.07,3.36,3.12,1.48,1.08,9,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36600,,Withdrawal of arterial blood,A,,0.32,0.56,,0.53,,0.11,,0.11,,0.03,0.91,0.88,0.46,0.46,0,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36620,,Insertion catheter artery,A,,1.15,0.25,NA,0.29,NA,0.25,,0.29,,0.10,1.50,1.54,1.50,1.54,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36625,,Insertion catheter artery,A,,2.11,0.70,NA,0.71,NA,0.70,,0.71,,0.42,3.23,3.24,3.23,3.24,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36640,,Insertion catheter artery,A,,2.10,1.29,NA,1.40,NA,1.29,,1.40,,0.42,3.81,3.92,3.81,3.92,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36660,,Insertion catheter artery,A,,1.40,0.53,NA,0.68,NA,0.53,,0.68,,0.34,2.27,2.42,2.27,2.42,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36680,,Insert needle bone cavity,A,,1.20,0.37,NA,0.34,NA,0.37,,0.34,,0.22,1.79,1.76,1.79,1.76,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36800,,Insertion of cannula,A,,2.43,2.00,NA,2.01,NA,2.00,,2.01,,0.42,4.85,4.86,4.85,4.86,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36810,,Insertion of cannula,A,,3.96,1.74,NA,1.80,NA,1.74,,1.80,,0.73,6.43,6.49,6.43,6.49,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36815,,Insertion of cannula,A,,2.62,1.42,NA,1.46,NA,1.42,,1.46,,0.56,4.60,4.64,4.60,4.64,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36818,,Av fuse uppr arm cephalic,A,,11.89,6.26,NA,6.34,NA,6.26,,6.34,,2.65,20.80,20.88,20.80,20.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36819,,Av fuse uppr arm basilic,A,,14.47,7.05,NA,7.20,NA,7.05,,7.20,,3.25,24.77,24.92,24.77,24.92,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36820,,Av fusion/forearm vein,A,,14.47,7.24,NA,7.49,NA,7.24,,7.49,,3.24,24.95,25.20,24.95,25.20,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36821,,Av fusion direct any site,A,,12.11,6.43,NA,6.77,NA,6.43,,6.77,,2.71,21.25,21.59,21.25,21.59,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36822,,Insertion of cannula(s),A,,5.57,4.79,NA,4.69,NA,4.79,,4.69,,1.29,11.65,11.55,11.65,11.55,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36823,,Insertion of cannula(s),A,,22.98,11.91,NA,12.41,NA,11.91,,12.41,,5.01,39.90,40.40,39.90,40.40,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36825,,Artery-vein autograft,A,,15.13,6.71,NA,7.79,NA,6.71,,7.79,,3.38,25.22,26.30,25.22,26.30,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36830,,Artery-vein nonautograft,A,,12.03,5.68,NA,5.78,NA,5.68,,5.78,,2.71,20.42,20.52,20.42,20.52,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36831,,Open thrombect av fistula,A,,8.04,4.34,NA,4.43,NA,4.34,,4.43,,1.80,14.18,14.27,14.18,14.27,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36832,,Av fistula revision open,A,,10.53,5.15,NA,5.26,NA,5.15,,5.26,,2.34,18.02,18.13,18.02,18.13,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36833,,Av fistula revision,A,,11.98,5.70,NA,5.83,NA,5.70,,5.83,,2.69,20.37,20.50,20.37,20.50,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36835,,Artery to vein shunt,A,,7.51,5.51,NA,5.92,NA,5.51,,5.92,,1.78,14.80,15.21,14.80,15.21,0,090,0.09,0.84,0.07,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36838,,Dist revas ligation hemo,A,,21.69,9.52,NA,9.44,NA,9.52,,9.44,,4.94,36.15,36.07,36.15,36.07,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
36860,,External cannula declotting,A,,2.01,3.71,,3.79,,0.94,,1.04,,0.26,5.98,6.06,3.21,3.31,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36861,,Cannula declotting,A,,2.52,1.62,NA,1.61,NA,1.62,,1.61,,0.48,4.62,4.61,4.62,4.61,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
36870,,Percut thrombect av fistula,A,,5.20,49.76,,46.24,,3.35,,3.10,,0.68,55.64,52.12,9.23,8.98,0,090,0.09,0.84,0.07,2,1,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
3700F,,Psych disorders assessed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
37140,,Revision of circulation,A,,25.23,12.88,NA,14.11,NA,12.88,,14.11,,5.38,43.49,44.72,43.49,44.72,0,090,0.09,0.84,0.07,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37145,,Revision of circulation,A,,26.24,13.67,NA,14.45,NA,13.67,,14.45,,5.72,45.63,46.41,45.63,46.41,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37160,,Revision of circulation,A,,23.24,11.99,NA,13.24,NA,11.99,,13.24,,4.97,40.20,41.45,40.20,41.45,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37180,,Revision of circulation,A,,26.24,13.07,NA,14.55,NA,13.07,,14.55,,5.61,44.92,46.40,44.92,46.40,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37181,,Splice spleen/kidney veins,A,,28.37,14.08,NA,15.47,NA,14.08,,15.47,,6.04,48.49,49.88,48.49,49.88,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37182,,Insert hepatic shunt (tips),A,,16.97,7.31,NA,6.31,NA,7.31,,6.31,,1.62,25.90,24.90,25.90,24.90,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37183,,Remove hepatic shunt (tips),A,,7.99,151.60,,151.60,,3.52,,2.99,,0.73,160.32,160.32,12.24,11.71,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37184,,Prim art mech thrombectomy,A,,8.66,61.00,,54.42,,3.90,,3.55,,1.51,71.17,64.59,14.07,13.72,0,000,0.00,0.00,0.00,2,1,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
37185,,Prim art m-thrombect add-on,A,,3.28,19.61,,17.42,,1.32,,1.20,,0.61,23.50,21.31,5.21,5.09,0,ZZZ,0.00,0.00,0.00,0,2,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
37186,,Sec art m-thrombect add-on,A,,4.92,40.44,,34.22,,2.08,,1.80,,0.95,46.31,40.09,7.95,7.67,0,ZZZ,0.00,0.00,0.00,0,2,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
37187,,Venous mech thrombectomy,A,,8.03,58.58,,52.07,,3.57,,3.18,,1.13,67.74,61.23,12.73,12.34,0,000,0.00,0.00,0.00,2,1,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
37188,,Venous m-thrombectomy add-on,A,,5.71,50.73,,44.73,,2.69,,2.38,,0.69,57.13,51.13,9.09,8.78,0,000,0.00,0.00,0.00,2,1,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
37195,,Thrombolytic therapy stroke,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
3720F,,Cognit impairment assessed,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
37200,,Transcatheter biopsy,A,,4.55,1.89,NA,1.63,NA,1.89,,1.63,,0.42,6.86,6.60,6.86,6.60,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37201,,Transcatheter therapy infuse,A,,4.99,2.75,NA,2.48,NA,2.75,,2.48,,0.76,8.50,8.23,8.50,8.23,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37202,,Transcatheter therapy infuse,A,,5.67,3.49,NA,2.96,NA,3.49,,2.96,,1.18,10.34,9.81,10.34,9.81,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37203,,Transcatheter retrieval,A,,5.02,34.36,,31.49,,2.36,,2.08,,0.68,40.06,37.19,8.06,7.78,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37204,,Transcatheter occlusion,A,,18.11,7.32,NA,6.50,NA,7.32,,6.50,,2.22,27.65,26.83,27.65,26.83,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37205,,Transcath iv stent percut,A,,8.27,118.17,,107.98,,3.63,,3.04,,1.57,128.01,117.82,13.47,12.88,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37206,,Transcath iv stent/perc addl,A,,4.12,72.04,,65.64,,1.70,,1.48,,0.82,76.98,70.58,6.64,6.42,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37207,,Transcath iv stent open,A,,8.27,3.26,NA,3.22,NA,3.26,,3.22,,1.86,13.39,13.35,13.39,13.35,0,000,0.00,0.00,0.00,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
37208,,Transcath iv stent/open addl,A,,4.12,1.42,NA,1.41,NA,1.42,,1.41,,0.93,6.47,6.46,6.47,6.46,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
37209,,Change iv cath at thromb tx,A,,2.27,0.89,NA,0.80,NA,0.89,,0.80,,0.33,3.49,3.40,3.49,3.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37210,,Embolization uterine fibroid,A,,10.60,94.83,,88.25,,4.66,,3.99,,1.02,106.45,99.87,16.28,15.61,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37215,,Transcath stent cca w/eps,R,,19.68,10.47,NA,8.91,NA,10.47,,8.91,,4.19,34.34,32.78,34.34,32.78,0,090,0.09,0.84,0.07,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37216,,Transcath stent cca w/o eps,N,+,18.95,10.00,NA,10.06,NA,10.00,,10.06,,1.33,30.28,30.34,30.28,30.34,9,090,0.09,0.84,0.07,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
37220,,Iliac revasc,A,,8.15,83.53,,83.53,,3.02,,3.02,,1.67,93.35,93.35,12.84,12.84,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37221,,Iliac revasc w/stent,A,,10.00,126.04,,126.04,,3.73,,3.73,,1.89,137.93,137.93,15.62,15.62,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37222,,Iliac revasc add-on,A,,3.73,22.43,,22.43,,1.34,,1.34,,0.76,26.92,26.92,5.83,5.83,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37223,,Iliac revasc w/stent add-on,A,,4.25,70.87,,70.87,,1.53,,1.53,,0.84,75.96,75.96,6.62,6.62,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37224,,Fem/popl revas w/tla,A,,9.00,101.34,,101.34,,3.33,,3.33,,1.81,112.15,112.15,14.14,14.14,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37225,,Fem/popl revas w/ather,A,,12.00,302.09,,302.09,,4.53,,4.53,,2.52,316.61,316.61,19.05,19.05,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37226,,Fem/popl revasc w/stent,A,,10.49,253.23,,253.23,,3.91,,3.91,,1.29,265.01,265.01,15.69,15.69,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37227,,Fem/popl revasc stnt & ather,A,,14.50,410.48,,410.48,,5.46,,5.46,,3.05,428.03,428.03,23.01,23.01,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37228,,Tib/per revasc w/tla,A,,11.00,146.38,,146.38,,4.02,,4.02,,2.26,159.64,159.64,17.28,17.28,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37229,,Tib/per revasc w/ather,A,,14.05,296.88,,296.88,,5.28,,5.28,,2.98,313.91,313.91,22.31,22.31,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37230,,Tib/per revasc w/stent,A,,13.80,230.22,,230.22,,5.11,,5.11,,2.61,246.63,246.63,21.52,21.52,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37231,,Tib/per revasc stent & ather,A,,15.00,377.88,,377.88,,5.55,,5.55,,2.84,395.72,395.72,23.39,23.39,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37232,,Tib/per revasc add-on,A,,4.00,31.04,,31.04,,1.43,,1.43,,0.82,35.86,35.86,6.25,6.25,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37233,,Tibper revasc w/ather add-on,A,,6.50,35.96,,35.96,,2.40,,2.40,,1.37,43.83,43.83,10.27,10.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37234,,Revsc opn/prq tib/pero stent,A,,5.50,107.58,,107.58,,1.97,,1.97,,1.09,114.17,114.17,8.56,8.56,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37235,,Tib/per revasc stnt & ather,A,,7.80,112.63,,112.63,,2.80,,2.80,,1.55,121.98,121.98,12.15,12.15,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37250,,Iv us first vessel add-on,A,,2.10,0.84,NA,0.74,NA,0.84,,0.74,,0.45,3.39,3.29,3.39,3.29,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37251,,Iv us each add vessel add-on,A,,1.60,0.58,NA,0.53,NA,0.58,,0.53,,0.35,2.53,2.48,2.53,2.48,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37500,,Endoscopy ligate perf veins,A,,11.67,7.15,NA,7.12,NA,7.15,,7.12,,2.63,21.45,21.42,21.45,21.42,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37501,,Vascular endoscopy procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
37565,,Ligation of neck vein,A,,12.05,7.16,NA,7.63,NA,7.16,,7.63,,2.57,21.78,22.25,21.78,22.25,0,090,0.09,0.84,0.07,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37600,,Ligation of neck artery,A,,12.42,6.88,NA,7.10,NA,6.88,,7.10,,2.55,21.85,22.07,21.85,22.07,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37605,,Ligation of neck artery,A,,14.28,7.36,NA,7.51,NA,7.36,,7.51,,3.39,25.03,25.18,25.03,25.18,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37606,,Ligation of neck artery,A,,8.81,4.86,NA,4.32,NA,4.86,,4.32,,1.88,15.55,15.01,15.55,15.01,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37607,,Ligation of a-v fistula,A,,6.25,4.01,NA,4.09,NA,4.01,,4.09,,1.37,11.63,11.71,11.63,11.71,0,090,0.09,0.84,0.07,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37609,,Temporal artery procedure,A,,3.05,5.41,,5.60,,2.49,,2.66,,0.64,9.10,9.29,6.18,6.35,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37615,,Ligation of neck artery,A,,7.80,6.06,NA,6.95,NA,6.06,,6.95,,1.65,15.51,16.40,15.51,16.40,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37616,,Ligation of chest artery,A,,18.97,10.26,NA,10.36,NA,10.26,,10.36,,4.06,33.29,33.39,33.29,33.39,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37617,,Ligation of abdomen artery,A,,23.79,11.05,NA,11.70,NA,11.05,,11.70,,5.02,39.86,40.51,39.86,40.51,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37618,,Ligation of extremity artery,A,,6.03,4.39,NA,4.50,NA,4.39,,4.50,,1.32,11.74,11.85,11.74,11.85,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37620,,Revision of major vein,A,,11.57,6.52,NA,5.99,NA,6.52,,5.99,,1.70,19.79,19.26,19.79,19.26,0,090,0.09,0.84,0.07,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37650,,Revision of major vein,A,,8.49,4.72,NA,4.07,NA,4.72,,4.07,,1.88,15.09,14.44,15.09,14.44,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37660,,Revision of major vein,A,,22.28,11.10,NA,12.20,NA,11.10,,12.20,,4.75,38.13,39.23,38.13,39.23,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37700,,Revise leg vein,A,,3.82,3.11,NA,3.14,NA,3.11,,3.14,,0.84,7.77,7.80,7.77,7.80,0,090,0.09,0.84,0.07,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37718,,Ligate/strip short leg vein,A,,7.13,4.73,NA,4.84,NA,4.73,,4.84,,1.57,13.43,13.54,13.43,13.54,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37722,,Ligate/strip long leg vein,A,,8.16,4.98,NA,5.11,NA,4.98,,5.11,,1.81,14.95,15.08,14.95,15.08,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37735,,Removal of leg veins/lesion,A,,10.90,6.12,NA,6.14,NA,6.12,,6.14,,2.40,19.42,19.44,19.42,19.44,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37760,,Ligate leg veins radical,A,,10.78,6.71,NA,7.44,NA,6.71,,7.44,,2.29,19.78,20.51,19.78,20.51,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37761,,Ligate leg veins open,A,,9.13,6.18,NA,6.18,NA,6.18,,6.18,,1.96,17.27,17.27,17.27,17.27,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37765,,Stab phleb veins xtr 10-20,A,,7.71,10.64,,10.64,,4.73,,4.66,,1.57,19.92,19.92,14.01,13.94,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37766,,Phleb veins - extrem 20+,A,,9.66,12.06,,12.06,,5.49,,5.42,,2.01,23.73,23.73,17.16,17.09,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37780,,Revision of leg vein,A,,3.93,3.22,NA,3.24,NA,3.22,,3.24,,0.86,8.01,8.03,8.01,8.03,0,090,0.09,0.84,0.07,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37785,,Ligate/divide/excise vein,A,,3.93,6.01,,5.96,,3.24,,3.26,,0.86,10.80,10.75,8.03,8.05,0,090,0.09,0.84,0.07,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37788,,Revascularization penis,A,,23.33,13.68,NA,12.80,NA,13.68,,12.80,,4.98,41.99,41.11,41.99,41.11,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
37790,,Penile venous occlusion,A,,8.43,5.26,NA,4.99,NA,5.26,,4.99,,0.82,14.51,14.24,14.51,14.24,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
37799,,Vascular surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
38100,,Removal of spleen total,A,,19.55,9.63,NA,10.74,NA,9.63,,10.74,,4.08,33.26,34.37,33.26,34.37,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38101,,Removal of spleen partial,A,,19.55,9.81,NA,11.02,NA,9.81,,11.02,,4.16,33.52,34.73,33.52,34.73,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38102,,Removal of spleen total,A,,4.79,1.91,NA,2.08,NA,1.91,,2.08,,0.99,7.69,7.86,7.69,7.86,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38115,,Repair of ruptured spleen,A,,21.88,10.55,NA,11.78,NA,10.55,,11.78,,4.29,36.72,37.95,36.72,37.95,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38120,,Laparoscopy splenectomy,A,,17.07,9.78,NA,10.70,NA,9.78,,10.70,,3.61,30.46,31.38,30.46,31.38,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38129,,Laparoscope proc spleen,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
38200,,Injection for spleen x-ray,A,,2.64,1.17,NA,1.15,NA,1.17,,1.15,,0.63,4.44,4.42,4.44,4.42,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38204,,Bl donor search management,B,+,2.00,0.85,NA,0.88,NA,0.85,,0.88,,0.14,2.99,3.02,2.99,3.02,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38205,,Harvest allogenic stem cells,R,,1.50,0.77,NA,0.80,NA,0.77,,0.80,,0.08,2.35,2.38,2.35,2.38,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38206,,Harvest auto stem cells,R,,1.50,0.77,NA,0.81,NA,0.77,,0.81,,0.11,2.38,2.42,2.38,2.42,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38207,,Cryopreserve stem cells,I,+,0.89,0.46,NA,0.39,NA,0.46,,0.39,,0.05,1.40,1.33,1.40,1.33,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38208,,Thaw preserved stem cells,I,+,0.56,0.29,NA,0.25,NA,0.29,,0.25,,0.04,0.89,0.85,0.89,0.85,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38209,,Wash harvest stem cells,I,+,0.24,0.13,NA,0.11,NA,0.13,,0.11,,0.01,0.38,0.36,0.38,0.36,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38210,,T-cell depletion of harvest,I,+,1.57,0.82,NA,0.69,NA,0.82,,0.69,,0.10,2.49,2.36,2.49,2.36,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38211,,Tumor cell deplete of harvst,I,+,1.42,0.74,NA,0.62,NA,0.74,,0.62,,0.10,2.26,2.14,2.26,2.14,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38212,,Rbc depletion of harvest,I,+,0.94,0.49,NA,0.41,NA,0.49,,0.41,,0.05,1.48,1.40,1.48,1.40,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38213,,Platelet deplete of harvest,I,+,0.24,0.13,NA,0.11,NA,0.13,,0.11,,0.01,0.38,0.36,0.38,0.36,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38214,,Volume deplete of harvest,I,+,0.81,0.42,NA,0.35,NA,0.42,,0.35,,0.05,1.28,1.21,1.28,1.21,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38215,,Harvest stem cell concentrte,I,+,0.94,0.49,NA,0.41,NA,0.49,,0.41,,0.05,1.48,1.40,1.48,1.40,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
38220,,Bone marrow aspiration,A,,1.08,3.26,,2.92,,0.62,,0.63,,0.11,4.45,4.11,1.81,1.82,0,XXX,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38221,,Bone marrow biopsy,A,,1.37,3.36,,2.94,,0.78,,0.79,,0.08,4.81,4.39,2.23,2.24,0,XXX,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38230,,Bone marrow collection,R,,4.85,4.15,NA,4.43,NA,4.15,,4.43,,1.10,10.10,10.38,10.10,10.38,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38240,,Bone marrow/stem transplant,R,,2.24,1.29,NA,1.35,NA,1.29,,1.35,,0.16,3.69,3.75,3.69,3.75,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38241,,Bone marrow/stem transplant,R,,2.24,1.30,NA,1.33,NA,1.30,,1.33,,0.14,3.68,3.71,3.68,3.71,0,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38242,,Lymphocyte infuse transplant,A,,1.71,1.00,NA,1.05,NA,1.00,,1.05,,0.10,2.81,2.86,2.81,2.86,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38300,,Drainage lymph node lesion,A,,2.36,5.24,,5.27,,2.61,,2.69,,0.41,8.01,8.04,5.38,5.46,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38305,,Drainage lymph node lesion,A,,6.68,5.47,NA,5.68,NA,5.47,,5.68,,1.33,13.48,13.69,13.48,13.69,0,090,0.11,0.73,0.16,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38308,,Incision of lymph channels,A,,6.81,4.81,NA,5.15,NA,4.81,,5.15,,1.46,13.08,13.42,13.08,13.42,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38380,,Thoracic duct procedure,A,,8.46,7.27,NA,8.05,NA,7.27,,8.05,,1.09,16.82,17.60,16.82,17.60,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38381,,Thoracic duct procedure,A,,13.38,7.77,NA,7.63,NA,7.77,,7.63,,3.14,24.29,24.15,24.29,24.15,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38382,,Thoracic duct procedure,A,,10.65,6.93,NA,7.05,NA,6.93,,7.05,,2.26,19.84,19.96,19.84,19.96,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38500,,Biopsy/removal lymph nodes,A,,3.79,4.86,,5.13,,2.76,,2.97,,0.78,9.43,9.70,7.33,7.54,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38505,,Needle biopsy lymph nodes,A,,1.14,2.44,,2.32,,0.89,,0.84,,0.12,3.70,3.58,2.15,2.10,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38510,,Biopsy/removal lymph nodes,A,,6.74,7.16,,7.59,,4.40,,4.78,,1.21,15.11,15.54,12.35,12.73,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38520,,Biopsy/removal lymph nodes,A,,7.03,5.16,NA,5.50,NA,5.16,,5.50,,1.42,13.61,13.95,13.61,13.95,0,090,0.11,0.73,0.16,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38525,,Biopsy/removal lymph nodes,A,,6.43,4.69,NA,5.10,NA,4.69,,5.10,,1.36,12.48,12.89,12.48,12.89,0,090,0.11,0.73,0.16,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38530,,Biopsy/removal lymph nodes,A,,8.34,5.78,NA,6.25,NA,5.78,,6.25,,1.82,15.94,16.41,15.94,16.41,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38542,,Explore deep node(s) neck,A,,7.95,6.00,NA,6.49,NA,6.00,,6.49,,1.33,15.28,15.77,15.28,15.77,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38550,,Removal neck/armpit lesion,A,,7.11,5.78,NA,6.36,NA,5.78,,6.36,,1.52,14.41,14.99,14.41,14.99,0,090,0.11,0.73,0.16,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38555,,Removal neck/armpit lesion,A,,15.59,10.41,NA,11.07,NA,10.41,,11.07,,3.35,29.35,30.01,29.35,30.01,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38562,,Removal pelvic lymph nodes,A,,11.06,7.44,NA,7.63,NA,7.44,,7.63,,1.96,20.46,20.65,20.46,20.65,0,090,0.11,0.73,0.16,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38564,,Removal abdomen lymph nodes,A,,11.38,6.92,NA,7.32,NA,6.92,,7.32,,2.25,20.55,20.95,20.55,20.95,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38570,,Laparoscopy lymph node biop,A,,9.34,5.15,NA,5.12,NA,5.15,,5.12,,1.37,15.86,15.83,15.86,15.83,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
38571,,Laparoscopy lymphadenectomy,A,,14.76,7.77,NA,7.04,NA,7.77,,7.04,,1.48,24.01,23.28,24.01,23.28,0,010,0.10,0.80,0.10,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
38572,,Laparoscopy lymphadenectomy,A,,16.94,8.42,NA,8.88,NA,8.42,,8.88,,2.40,27.76,28.22,27.76,28.22,0,010,0.10,0.80,0.10,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
38589,,Laparoscope proc lymphatic,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
38700,,Removal of lymph nodes neck,A,,12.81,9.14,NA,10.13,NA,9.14,,10.13,,1.77,23.72,24.71,23.72,24.71,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38720,,Removal of lymph nodes neck,A,,21.95,14.28,NA,15.87,NA,14.28,,15.87,,3.39,39.62,41.21,39.62,41.21,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38724,,Removal of lymph nodes neck,A,,23.95,15.58,NA,17.57,NA,15.58,,17.57,,3.35,42.88,44.87,42.88,44.87,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38740,,Remove armpit lymph nodes,A,,10.70,6.91,NA,7.52,NA,6.91,,7.52,,2.26,19.87,20.48,19.87,20.48,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38745,,Remove armpit lymph nodes,A,,13.87,8.42,NA,9.21,NA,8.42,,9.21,,2.95,25.24,26.03,25.24,26.03,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38746,,Remove thoracic lymph nodes,A,,4.88,1.86,NA,1.79,NA,1.86,,1.79,,1.14,7.88,7.81,7.88,7.81,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38747,,Remove abdominal lymph nodes,A,,4.88,1.93,NA,2.09,NA,1.93,,2.09,,1.03,7.84,8.00,7.84,8.00,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38760,,Remove groin lymph nodes,A,,13.62,8.13,NA,8.70,NA,8.13,,8.70,,2.79,24.54,25.11,24.54,25.11,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38765,,Remove groin lymph nodes,A,,21.91,11.59,NA,12.29,NA,11.59,,12.29,,4.23,37.73,38.43,37.73,38.43,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38770,,Remove pelvis lymph nodes,A,,14.06,8.06,NA,7.83,NA,8.06,,7.83,,1.77,23.89,23.66,23.89,23.66,0,090,0.11,0.73,0.16,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38780,,Remove abdomen lymph nodes,A,,17.70,10.31,NA,10.22,NA,10.31,,10.22,,2.56,30.57,30.48,30.57,30.48,0,090,0.11,0.73,0.16,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38790,,Inject for lymphatic x-ray,A,,1.29,0.95,NA,0.96,NA,0.95,,0.96,,0.24,2.48,2.49,2.48,2.49,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38792,,Identify sentinel node,A,,0.52,0.59,NA,0.59,NA,0.59,,0.59,,0.08,1.19,1.19,1.19,1.19,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38794,,Access thoracic lymph duct,A,,4.62,3.78,NA,3.42,NA,3.78,,3.42,,0.42,8.82,8.46,8.82,8.46,0,090,0.11,0.73,0.16,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
38900,,Io map of sent lymph node,A,,2.50,1.01,,1.01,,1.01,,1.01,,0.53,4.04,4.04,4.04,4.04,0,ZZZ,0.00,0.00,0.00,0,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
38999,,Blood/lymph system procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
39000,,Exploration of chest,A,,7.57,5.67,NA,5.78,NA,5.67,,5.78,,1.67,14.91,15.02,14.91,15.02,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39010,,Exploration of chest,A,,13.19,7.86,NA,7.59,NA,7.86,,7.59,,3.13,24.18,23.91,24.18,23.91,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39200,,Removal chest lesion,A,,15.09,8.14,NA,7.99,NA,8.14,,7.99,,3.54,26.77,26.62,26.77,26.62,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39220,,Removal chest lesion,A,,19.55,10.56,NA,10.45,NA,10.56,,10.45,,4.44,34.55,34.44,34.55,34.44,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39400,,Visualization of chest,A,,8.05,5.39,NA,5.32,NA,5.39,,5.32,,1.88,15.32,15.25,15.32,15.25,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
39499,,Chest procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
39501,,Repair diaphragm laceration,A,,13.98,8.00,NA,8.44,NA,8.00,,8.44,,2.95,24.93,25.37,24.93,25.37,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39503,,Repair of diaphragm hernia,A,,108.91,45.81,NA,51.96,NA,45.81,,51.96,,23.23,177.95,184.10,177.95,184.10,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39540,,Repair of diaphragm hernia,A,,14.57,7.87,NA,8.40,NA,7.87,,8.40,,3.12,25.56,26.09,25.56,26.09,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39541,,Repair of diaphragm hernia,A,,15.75,8.55,NA,9.20,NA,8.55,,9.20,,3.40,27.70,28.35,27.70,28.35,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39545,,Revision of diaphragm,A,,14.67,8.82,NA,8.75,NA,8.82,,8.75,,3.42,26.91,26.84,26.91,26.84,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39560,,Resect diaphragm simple,A,,13.06,7.53,NA,7.85,NA,7.53,,7.85,,2.79,23.38,23.70,23.38,23.70,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39561,,Resect diaphragm complex,A,,19.99,12.38,NA,12.98,NA,12.38,,12.98,,4.38,36.75,37.35,36.75,37.35,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
39599,,Diaphragm surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4000F,,Tobacco use txmnt counseling,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4001F,,Tobacco use txmnt pharmacol,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4002F,,Statin therapy rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4003F,,Pt ed write/oral pts w/ hf,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4004F,,Pt tobacco screen rcvd tlk,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4005F,,Pharm thx for op rxd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4006F,,Beta-blocker therapy rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4009F,,Ace/arb inhibitor therapy rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4011F,,Oral antiplatelet therapy rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4012F,,Warfarin therapy rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4014F,,Written discharge instr prvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4015F,,Persist asthma medicine ctrl,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4016F,,Anti-inflm/anlgsc agent rx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4017F,,Gi prophylaxis for nsaid rx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4018F,,Therapy exercise joint rx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4019F,,Doc recpt counsl vit d/calc+,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4025F,,Inhaled bronchodilator rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4030F,,Oxygen therapy rx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4033F,,Pulmonary rehab rec,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4035F,,Influenza imm rec,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4037F,,Influenza imm order/admin,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4040F,,Pneumoc vac/admin/rcvd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4041F,,Doc order cefazolin/cefurox,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4042F,,Doc antibio not given,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4043F,,Doc order given stop antibio,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4044F,,Doc order given vte prophylx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4045F,,Empiric antibiotic rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4046F,,Doc antibio given b/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4047F,,Doc antibio given b/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4048F,,Doc antibio given b/4 surg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4049F,,Doc order given stop antibio,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40490,,Biopsy of lip,A,,1.22,2.40,,2.39,,0.82,,0.89,,0.18,3.80,3.79,2.22,2.29,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4050F,,Ht care plan doc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40500,,Partial excision of lip,A,,4.47,9.65,,10.00,,5.66,,5.96,,0.67,14.79,15.14,10.80,11.10,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4051F,,Referred for an AV fistula,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40510,,Partial excision of lip,A,,4.82,8.62,,8.98,,5.02,,5.38,,0.71,14.15,14.51,10.55,10.91,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4052F,,Hemodialysis via AV fistula,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40520,,Partial excision of lip,A,,4.79,8.92,,9.18,,5.13,,5.46,,0.75,14.46,14.72,10.67,11.00,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40525,,Reconstruct lip with flap,A,,7.72,7.50,NA,7.95,NA,7.50,,7.95,,1.27,16.49,16.94,16.49,16.94,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40527,,Reconstruct lip with flap,A,,9.32,8.35,NA,8.62,NA,8.35,,8.62,,1.20,18.87,19.14,18.87,19.14,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4053F,,Hemodialysis via AV graft,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40530,,Partial removal of lip,A,,5.54,9.56,,9.85,,5.67,,5.99,,0.86,15.96,16.25,12.07,12.39,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4054F,,Hemodialysis via catheter,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4055F,,Pt rcvng periton dialysis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4056F,,Approp oral rehyd recommd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4058F,,Ped gastro ed given caregvr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4060F,,Psych svcs provided,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4062F,,Pt referral psych docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4063F,,Antidepres rxthxpy not rxd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4064F,,Antidepressant rx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4065F,,Antipsychotic rx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40650,,Repair lip,A,,3.78,7.76,,8.00,,4.12,,4.31,,0.65,12.19,12.43,8.55,8.74,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40652,,Repair lip,A,,4.43,9.02,,9.24,,5.23,,5.50,,0.76,14.21,14.43,10.42,10.69,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40654,,Repair lip,A,,5.48,10.32,,10.58,,6.21,,6.52,,0.93,16.73,16.99,12.62,12.93,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4066F,,ECT provided,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4067F,,Pt referral for ect docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4070F,,Dvt prophylx recvd day 2,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40700,,Repair cleft lip/nasal,A,,14.17,12.51,NA,14.32,NA,12.51,,14.32,,1.82,28.50,30.31,28.50,30.31,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40701,,Repair cleft lip/nasal,A,,17.23,13.53,NA,13.83,NA,13.53,,13.83,,2.20,32.96,33.26,32.96,33.26,0,090,0.09,0.81,0.10,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40702,,Repair cleft lip/nasal,A,,14.27,9.15,NA,9.10,NA,9.15,,9.10,,1.02,24.44,24.39,24.44,24.39,0,090,0.09,0.81,0.10,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40720,,Repair cleft lip/nasal,A,,14.72,11.55,NA,12.06,NA,11.55,,12.06,,2.91,29.18,29.69,29.18,29.69,0,090,0.09,0.81,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4073F,,Oral antiplat thx rx dischrg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4075F,,Anticoag thx rx at dischrg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40761,,Repair cleft lip/nasal,A,,15.84,13.47,NA,14.86,NA,13.47,,14.86,,3.13,32.44,33.83,32.44,33.83,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4077F,,Doc t-pa admin considered,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4079F,,Doc rehab svcs considered,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40799,,Lip surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
40800,,Drainage of mouth lesion,A,,1.23,4.59,,4.77,,2.40,,2.53,,0.18,6.00,6.18,3.81,3.94,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40801,,Drainage of mouth lesion,A,,2.63,6.06,,6.36,,3.51,,3.74,,0.37,9.06,9.36,6.51,6.74,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40804,,Removal foreign body mouth,A,,1.30,4.69,,4.92,,2.38,,2.50,,0.16,6.15,6.38,3.84,3.96,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40805,,Removal foreign body mouth,A,,2.79,6.26,,6.53,,3.51,,3.71,,0.35,9.40,9.67,6.65,6.85,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40806,,Incision of lip fold,A,,0.31,2.73,,2.71,,0.57,,0.52,,0.04,3.08,3.06,0.92,0.87,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40808,,Biopsy of mouth lesion,A,,1.01,4.24,,4.39,,2.04,,2.13,,0.12,5.37,5.52,3.17,3.26,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40810,,Excision of mouth lesion,A,,1.36,4.42,,4.60,,2.22,,2.35,,0.18,5.96,6.14,3.76,3.89,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40812,,Excise/repair mouth lesion,A,,2.37,5.60,,5.89,,3.10,,3.32,,0.31,8.28,8.57,5.78,6.00,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40814,,Excise/repair mouth lesion,A,,3.52,7.15,,7.55,,4.96,,5.28,,0.48,11.15,11.55,8.96,9.28,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40816,,Excision of mouth lesion,A,,3.77,7.44,,7.83,,5.08,,5.40,,0.52,11.73,12.12,9.37,9.69,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40818,,Excise oral mucosa for graft,A,,2.83,7.10,,7.24,,4.79,,4.86,,0.37,10.30,10.44,7.99,8.06,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40819,,Excise lip or cheek fold,A,,2.51,6.03,,6.29,,4.04,,4.26,,0.33,8.87,9.13,6.88,7.10,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40820,,Treatment of mouth lesion,A,,1.34,6.20,,6.30,,3.57,,3.64,,0.18,7.72,7.82,5.09,5.16,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40830,,Repair mouth laceration,A,,1.82,5.06,,5.27,,2.59,,2.70,,0.31,7.19,7.40,4.72,4.83,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40831,,Repair mouth laceration,A,,2.57,6.57,,6.92,,3.61,,3.76,,0.42,9.56,9.91,6.60,6.75,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4084F,,Aspirin recvd w/in 24 hrs,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
40840,,Reconstruction of mouth,R,,9.15,14.07,,15.68,,8.71,,9.87,,1.18,24.40,26.01,19.04,20.20,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40842,,Reconstruction of mouth,R,,9.15,13.06,,14.06,,8.27,,9.42,,1.18,23.39,24.39,18.60,19.75,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40843,,Reconstruction of mouth,R,,12.79,15.94,,17.17,,9.08,,10.01,,2.52,31.25,32.48,24.39,25.32,0,090,0.09,0.81,0.10,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40844,,Reconstruction of mouth,R,,16.80,20.94,,22.30,,14.35,,15.99,,3.32,41.06,42.42,34.47,36.11,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40845,,Reconstruction of mouth,R,,19.36,21.30,,22.53,,14.77,,15.86,,2.48,43.14,44.37,36.61,37.70,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
40899,,Mouth surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4090F,,Pt rcvng epo thxpy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4095F,,Pt not rcvng epo thxpy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4100F,,Biphos thxpy vein ord/recvd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41000,,Drainage of mouth lesion,A,,1.35,3.18,,3.31,,1.77,,1.88,,0.18,4.71,4.84,3.30,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41005,,Drainage of mouth lesion,A,,1.31,5.04,,5.08,,2.30,,2.40,,0.16,6.51,6.55,3.77,3.87,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41006,,Drainage of mouth lesion,A,,3.34,6.74,,7.06,,3.96,,4.32,,0.42,10.50,10.82,7.72,8.08,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41007,,Drainage of mouth lesion,A,,3.20,6.87,,7.10,,3.76,,3.95,,0.41,10.48,10.71,7.37,7.56,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41008,,Drainage of mouth lesion,A,,3.46,6.95,,7.35,,3.99,,4.30,,0.44,10.85,11.25,7.89,8.20,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41009,,Drainage of mouth lesion,A,,3.71,7.36,,7.80,,4.39,,4.71,,0.48,11.55,11.99,8.58,8.90,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41010,,Incision of tongue fold,A,,1.11,4.75,,4.88,,2.01,,2.09,,0.14,6.00,6.13,3.26,3.34,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41015,,Drainage of mouth lesion,A,,4.08,8.07,,8.76,,5.42,,5.91,,0.52,12.67,13.36,10.02,10.51,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41016,,Drainage of mouth lesion,A,,4.19,7.95,,8.40,,5.53,,5.92,,0.53,12.67,13.12,10.25,10.64,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41017,,Drainage of mouth lesion,A,,4.19,8.06,,8.51,,5.57,,5.95,,0.53,12.78,13.23,10.29,10.67,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41018,,Drainage of mouth lesion,A,,5.22,8.56,,8.99,,5.96,,6.32,,0.67,14.45,14.88,11.85,12.21,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41019,,Place needles h&n for rt,A,,8.84,4.27,NA,4.21,NA,4.27,,4.21,,0.72,13.83,13.77,13.83,13.77,0,000,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4110F,,Int mam art used for cabg,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41100,,Biopsy of tongue,A,,1.42,3.32,,3.44,,1.62,,1.71,,0.20,4.94,5.06,3.24,3.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41105,,Biopsy of tongue,A,,1.47,3.32,,3.47,,1.65,,1.77,,0.20,4.99,5.14,3.32,3.44,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41108,,Biopsy of floor of mouth,A,,1.10,3.06,,3.20,,1.44,,1.53,,0.14,4.30,4.44,2.68,2.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41110,,Excision of tongue lesion,A,,1.56,4.43,,4.62,,2.15,,2.28,,0.22,6.21,6.40,3.93,4.06,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41112,,Excision of tongue lesion,A,,2.83,6.51,,6.83,,4.25,,4.51,,0.37,9.71,10.03,7.45,7.71,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41113,,Excision of tongue lesion,A,,3.29,6.88,,7.24,,4.52,,4.82,,0.42,10.59,10.95,8.23,8.53,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41114,,Excision of tongue lesion,A,,8.82,8.90,NA,9.60,NA,8.90,,9.60,,1.17,18.89,19.59,18.89,19.59,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41115,,Excision of tongue fold,A,,1.79,5.10,,5.26,,2.41,,2.60,,0.23,7.12,7.28,4.43,4.62,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41116,,Excision of mouth lesion,A,,2.52,6.74,,7.08,,3.66,,3.88,,0.34,9.60,9.94,6.52,6.74,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41120,,Partial removal of tongue,A,,11.14,18.61,NA,19.24,NA,18.61,,19.24,,1.48,31.23,31.86,31.23,31.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
41130,,Partial removal of tongue,A,,15.74,20.82,NA,21.95,NA,20.82,,21.95,,2.08,38.64,39.77,38.64,39.77,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
41135,,Tongue and neck surgery,A,,30.14,29.76,NA,31.85,NA,29.76,,31.85,,4.04,63.94,66.03,63.94,66.03,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
41140,,Removal of tongue,A,,29.15,32.25,NA,34.01,NA,32.25,,34.01,,3.76,65.16,66.92,65.16,66.92,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
41145,,Tongue removal neck surgery,A,,37.93,39.24,NA,41.92,NA,39.24,,41.92,,4.87,82.04,84.72,82.04,84.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4115F,,Beta blckr admin w/in 24 hrs,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41150,,Tongue mouth jaw surgery,A,,29.86,31.13,NA,33.03,NA,31.13,,33.03,,3.96,64.95,66.85,64.95,66.85,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
41153,,Tongue mouth neck surgery,A,,33.59,32.58,NA,34.94,NA,32.58,,34.94,,4.41,70.58,72.94,70.58,72.94,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
41155,,Tongue jaw & neck surgery,A,,44.30,37.99,NA,41.46,NA,37.99,,41.46,,5.92,88.21,91.68,88.21,91.68,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4120F,,Antibiot rxd/given,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4124F,,Antibiot not rxd/given,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41250,,Repair tongue laceration,A,,1.96,4.73,,5.21,,2.03,,2.25,,0.33,7.02,7.50,4.32,4.54,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41251,,Repair tongue laceration,A,,2.32,4.73,,5.43,,2.28,,2.52,,0.30,7.35,8.05,4.90,5.14,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41252,,Repair tongue laceration,A,,3.02,5.62,,5.97,,2.80,,3.00,,0.48,9.12,9.47,6.30,6.50,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4130F,,Topical prep rx aoe,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4131F,,Syst antimicrobial thx rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4132F,,No syst antimicrobial thx rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4133F,,Antihist/decong rx/recom,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4134F,,No antihist/decong rx/recom,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4135F,,Systemic corticosteroids rx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4136F,,Syst corticosteroids not rx,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4148F,,Hep A vac injxn admin/recvd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4149F,,Hep B vac injxn admin/recvd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4150F,,Pt recvng antivir txmnt hepc,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41500,,Fixation of tongue,A,,3.80,9.04,NA,9.36,NA,9.04,,9.36,,0.49,13.33,13.65,13.33,13.65,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4151F,,Pt not recvng antiv hep c,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41510,,Tongue to lip surgery,A,,3.51,7.30,NA,6.58,NA,7.30,,6.58,,0.44,11.25,10.53,11.25,10.53,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41512,,Tongue suspension,A,,6.86,11.04,NA,11.70,NA,11.04,,11.70,,0.49,18.39,19.05,18.39,19.05,0,090,0.10,0.76,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41520,,Reconstruction tongue fold,A,,2.83,6.95,,7.25,,4.34,,4.57,,0.35,10.13,10.43,7.52,7.75,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4153F,,Combo pegintf/rib rx,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41530,,Tongue base vol reduction,A,,4.51,90.03,,90.54,,7.21,,7.58,,0.31,94.85,95.36,12.03,12.40,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4155F,,Hep A vac series prev recvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4157F,,Hep B vac series prev recvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4158F,,Pt edu re alcoh drnkng done,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4159F,,Contrcp talk b/4 antiv txmnt,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41599,,Tongue and mouth surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4163F,,Pt couns 4 txmnt opt prost,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4164F,,Adjv hrmnl thxpy rxd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4165F,,3d-crt/imrt received,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4167F,,Hd bed tilted 1st day vent,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4168F,,Pt care icu&vent w/in 24hrs,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4169F,,No pt care ICU/vent in 24hrs,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4171F,,Pt rcvng esa thxpy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4172F,,Pt not rcvng esa thxpy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4174F,,Couns potent glauc impct,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4175F,,Vis of >= 20/40 w/in 90 days,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4176F,,Talk re uv light pt/crgvr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4177F,,Talk pt/crgvr re areds prev,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4178F,,Antid glbln rcvd w/in 26wks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4179F,,Tamoxifen/AI prescribed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4180F,,Adjv thxpyrxd/rcvd colon ca,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41800,,Drainage of gum lesion,A,,1.27,5.66,,6.17,,2.56,,2.79,,0.22,7.15,7.66,4.05,4.28,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41805,,Removal foreign body gum,A,,1.34,5.49,,5.71,,3.42,,3.56,,0.18,7.01,7.23,4.94,5.08,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41806,,Removal foreign body jawbone,A,,2.79,7.09,,7.66,,4.43,,4.78,,0.54,10.42,10.99,7.76,8.11,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4181F,,Conformal radn thxpy rcvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4182F,,No conformal radn thxpy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41820,,Excision gum each quadrant,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41821,,Excision of gum flap,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41822,,Excision of gum lesion,R,,2.41,5.64,,5.90,,2.55,,2.87,,0.31,8.36,8.62,5.27,5.59,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41823,,Excision of gum lesion,R,,3.77,8.16,,8.48,,5.21,,5.57,,0.48,12.41,12.73,9.46,9.82,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41825,,Excision of gum lesion,A,,1.41,4.47,,4.62,,2.08,,2.10,,0.20,6.08,6.23,3.69,3.71,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41826,,Excision of gum lesion,A,,2.41,6.00,,6.56,,3.39,,3.71,,0.31,8.72,9.28,6.11,6.43,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41827,,Excision of gum lesion,A,,3.83,8.30,,8.75,,4.69,,5.06,,0.49,12.62,13.07,9.01,9.38,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41828,,Excision of gum lesion,R,,3.14,5.27,,5.64,,2.75,,3.03,,0.39,8.80,9.17,6.28,6.56,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41830,,Removal of gum tissue,R,,3.45,7.38,,7.79,,4.36,,4.74,,0.44,11.27,11.68,8.25,8.63,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4185F,,Continuous ppi or h2ra rcvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41850,,Treatment of gum lesion,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4186F,,No cont ppi or h2ra rcvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4187F,,Anti rheum drugthxpyrxd/gvn,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41870,,Gum graft,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41872,,Repair gum,R,,3.01,7.16,,7.37,,4.30,,4.51,,0.60,10.77,10.98,7.91,8.12,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
41874,,Repair tooth socket,R,,3.19,7.10,,7.47,,3.86,,4.17,,0.39,10.68,11.05,7.44,7.75,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4188F,,Approp ACE/ARB tstng done,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4189F,,Approp digoxin tstng done,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
41899,,Dental surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4190F,,Approp diuretic tstng done,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4191F,,Approp anticonvuls tstng,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4192F,,Pt not rcvng glucoco thxpy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4193F,,Pt rcvng<10mg daily predniso,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4194F,,Pt rcvng>10mg daily predniso,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4195F,,Pt rcvng anti-rheum thxpy RA,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4196F,,Ptnot rcvng anti-rhm thxpyRA,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4200F,,External beam to prost only,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42000,,Drainage mouth roof lesion,A,,1.28,3.15,,3.25,,1.63,,1.75,,0.16,4.59,4.69,3.07,3.19,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4201F,,Extrnl beam other than prost,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4210F,,ACE/ARB thxpy for >= 6 mons,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42100,,Biopsy roof of mouth,A,,1.36,2.85,,2.98,,1.70,,1.81,,0.18,4.39,4.52,3.24,3.35,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42104,,Excision lesion mouth roof,A,,1.69,4.31,,4.57,,2.19,,2.36,,0.23,6.23,6.49,4.11,4.28,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42106,,Excision lesion mouth roof,A,,2.15,5.39,,5.71,,2.85,,3.01,,0.29,7.83,8.15,5.29,5.45,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42107,,Excision lesion mouth roof,A,,4.56,8.28,,8.74,,5.08,,5.45,,0.59,13.43,13.89,10.23,10.60,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42120,,Remove palate/lesion,A,,11.86,15.97,NA,16.98,NA,15.97,,16.98,,1.57,29.40,30.41,29.40,30.41,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42140,,Excision of uvula,A,,1.70,5.53,,5.75,,2.72,,2.85,,0.23,7.46,7.68,4.65,4.78,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42145,,Repair palate pharynx/uvula,A,,9.78,10.00,NA,10.74,NA,10.00,,10.74,,1.25,21.03,21.77,21.03,21.77,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42160,,Treatment mouth roof lesion,A,,1.85,4.85,,4.91,,2.37,,2.43,,0.24,6.94,7.00,4.46,4.52,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42180,,Repair palate,A,,2.55,4.00,,3.99,,2.39,,2.38,,0.33,6.88,6.87,5.27,5.26,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42182,,Repair palate,A,,3.87,5.21,,5.48,,3.41,,3.59,,0.49,9.57,9.84,7.77,7.95,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4220F,,Digoxin thxpy for >= 6 mons,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42200,,Reconstruct cleft palate,A,,12.53,11.67,NA,12.21,NA,11.67,,12.21,,1.61,25.81,26.35,25.81,26.35,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42205,,Reconstruct cleft palate,A,,13.66,12.84,NA,14.40,NA,12.84,,14.40,,1.77,28.27,29.83,28.27,29.83,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4221F,,Diuretic thxpy for >= 6 mons,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42210,,Reconstruct cleft palate,A,,15.03,13.28,NA,13.70,NA,13.28,,13.70,,2.97,31.28,31.70,31.28,31.70,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42215,,Reconstruct cleft palate,A,,8.99,10.57,NA,11.47,NA,10.57,,11.47,,1.78,21.34,22.24,21.34,22.24,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42220,,Reconstruct cleft palate,A,,7.16,7.93,NA,8.33,NA,7.93,,8.33,,0.50,15.59,15.99,15.59,15.99,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42225,,Reconstruct cleft palate,A,,9.77,16.11,NA,15.88,NA,16.11,,15.88,,1.25,27.13,26.90,27.13,26.90,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42226,,Lengthening of palate,A,,10.35,15.52,NA,15.73,NA,15.52,,15.73,,1.32,27.19,27.40,27.19,27.40,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42227,,Lengthening of palate,A,,9.90,14.80,NA,14.55,NA,14.80,,14.55,,1.27,25.97,25.72,25.97,25.72,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42235,,Repair palate,A,,8.01,12.97,NA,13.44,NA,12.97,,13.44,,1.03,22.01,22.48,22.01,22.48,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42260,,Repair nose to lip fistula,A,,10.22,12.71,,13.43,,8.34,,8.96,,1.31,24.24,24.96,19.87,20.49,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42280,,Preparation palate mold,A,,1.59,2.86,,3.08,,1.36,,1.57,,0.34,4.79,5.01,3.29,3.50,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42281,,Insertion palate prosthesis,A,,1.98,3.79,,4.01,,2.29,,2.42,,0.26,6.03,6.25,4.53,4.66,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42299,,Palate/uvula surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4230F,,Anticonv thxpy for >= 6 mons,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42300,,Drainage of salivary gland,A,,1.98,3.92,,4.12,,2.31,,2.46,,0.27,6.17,6.37,4.56,4.71,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42305,,Drainage of salivary gland,A,,6.31,5.68,NA,6.07,NA,5.68,,6.07,,0.86,12.85,13.24,12.85,13.24,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42310,,Drainage of salivary gland,A,,1.61,2.96,,3.12,,1.90,,2.03,,0.22,4.79,4.95,3.73,3.86,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42320,,Drainage of salivary gland,A,,2.40,4.68,,4.93,,2.57,,2.73,,0.31,7.39,7.64,5.28,5.44,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42330,,Removal of salivary stone,A,,2.26,4.30,,4.50,,2.37,,2.54,,0.30,6.86,7.06,4.93,5.10,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42335,,Removal of salivary stone,A,,3.41,7.16,,7.52,,3.87,,4.11,,0.42,10.99,11.35,7.70,7.94,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42340,,Removal of salivary stone,A,,4.72,8.36,,8.77,,4.75,,5.06,,0.61,13.69,14.10,10.08,10.39,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4240F,,Instr xrcz 4bk pn >12 weeks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42400,,Biopsy of salivary gland,A,,0.78,2.31,,2.32,,0.82,,0.82,,0.08,3.17,3.18,1.68,1.68,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42405,,Biopsy of salivary gland,A,,3.34,5.07,,5.24,,2.98,,3.16,,0.42,8.83,9.00,6.74,6.92,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42408,,Excision of salivary cyst,A,,4.66,8.18,,8.64,,4.55,,4.91,,0.60,13.44,13.90,9.81,10.17,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42409,,Drainage of salivary cyst,A,,2.91,6.54,,6.88,,3.39,,3.59,,0.37,9.82,10.16,6.67,6.87,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42410,,Excise parotid gland/lesion,A,,9.57,7.58,NA,8.17,NA,7.58,,8.17,,1.44,18.59,19.18,18.59,19.18,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42415,,Excise parotid gland/lesion,A,,18.12,12.73,NA,13.79,NA,12.73,,13.79,,2.42,33.27,34.33,33.27,34.33,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4242F,,Sprvsd xrcz bk pn >12 weeks,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42420,,Excise parotid gland/lesion,A,,21.00,14.28,NA,15.51,NA,14.28,,15.51,,2.83,38.11,39.34,38.11,39.34,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42425,,Excise parotid gland/lesion,A,,13.42,9.89,NA,10.61,NA,9.89,,10.61,,1.84,25.15,25.87,25.15,25.87,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42426,,Excise parotid gland/lesion,A,,22.66,14.89,NA,16.10,NA,14.89,,16.10,,3.12,40.67,41.88,40.67,41.88,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42440,,Excise submaxillary gland,A,,7.13,5.88,NA,6.34,NA,5.88,,6.34,,0.95,13.96,14.42,13.96,14.42,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4245F,,Pt instr nrml lifest,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42450,,Excise sublingual gland,A,,4.74,8.01,,8.40,,5.35,,5.68,,0.64,13.39,13.78,10.73,11.06,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4248F,,Pt instr no bd rest>= 4 days,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4250F,,Wrmng 4 surg normothermia,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42500,,Repair salivary duct,A,,4.42,7.77,,8.15,,5.20,,5.51,,0.60,12.79,13.17,10.22,10.53,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42505,,Repair salivary duct,A,,6.32,9.32,,9.80,,6.44,,6.85,,0.80,16.44,16.92,13.56,13.97,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42507,,Parotid duct diversion,A,,6.25,8.33,NA,8.74,NA,8.33,,8.74,,0.80,15.38,15.79,15.38,15.79,0,090,0.09,0.81,0.10,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42508,,Parotid duct diversion,A,,9.33,10.55,NA,10.70,NA,10.55,,10.70,,1.20,21.08,21.23,21.08,21.23,0,090,0.09,0.81,0.10,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42509,,Parotid duct diversion,A,,11.76,10.44,NA,10.13,NA,10.44,,10.13,,2.30,24.50,24.19,24.50,24.19,0,090,0.09,0.81,0.10,2,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42510,,Parotid duct diversion,A,,8.35,9.43,NA,9.97,NA,9.43,,9.97,,1.08,18.86,19.40,18.86,19.40,0,090,0.09,0.81,0.10,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4255F,,Anesth 60+ min as docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42550,,Injection for salivary x-ray,A,,1.25,2.74,,2.42,,0.52,,0.47,,0.11,4.10,3.78,1.88,1.83,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4256F,,Anesthe <60 min as docd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4260F,,Wound srfc culturetech used,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42600,,Closure of salivary fistula,A,,4.94,8.72,,9.08,,4.94,,5.21,,0.64,14.30,14.66,10.52,10.79,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4261F,,Tech other than surfc cultr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4265F,,Wet-dry dressings rx recmd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42650,,Dilation of salivary duct,A,,0.77,1.59,,1.67,,0.89,,0.94,,0.10,2.46,2.54,1.76,1.81,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4266F,,No wet-dry drssings rx recmd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42660,,Dilation of salivary duct,A,,1.13,1.87,,1.97,,1.05,,1.13,,0.14,3.14,3.24,2.32,2.40,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42665,,Ligation of salivary duct,A,,2.63,6.27,,6.59,,3.24,,3.42,,0.34,9.24,9.56,6.21,6.39,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4267F,,Comprssion thxpy prescribed,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4268F,,Pt ed re comp thxpy rcvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4269F,,Appropos mthd offloading Rxd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42699,,Salivary surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4270F,,Pt rcvng anti r-viral thxpy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42700,,Drainage of tonsil abscess,A,,1.67,3.69,,3.84,,2.17,,2.27,,0.23,5.59,5.74,4.07,4.17,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4271F,,Pt rcvng anti r-viral thxpy,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42720,,Drainage of throat abscess,A,,6.31,6.40,,6.84,,4.65,,5.04,,0.83,13.54,13.98,11.79,12.18,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42725,,Drainage of throat abscess,A,,12.41,10.25,NA,11.08,NA,10.25,,11.08,,1.59,24.25,25.08,24.25,25.08,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4274F,,Flu immuno admind rcvd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4275F,,Hep b vac inj admin/rcvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4276F,,Potent antivir thxpy Rxd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4279F,,PCP prophylaxis Rxd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4280F,,PCP prophylax Rxd 3mon low %,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42800,,Biopsy of throat,A,,1.44,3.06,,3.20,,1.73,,1.83,,0.20,4.70,4.84,3.37,3.47,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42802,,Biopsy of throat,A,,1.59,5.21,,5.20,,2.24,,2.29,,0.22,7.02,7.01,4.05,4.10,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42804,,Biopsy of upper nose/throat,A,,1.29,4.46,,4.50,,1.98,,2.04,,0.16,5.91,5.95,3.43,3.49,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42806,,Biopsy of upper nose/throat,A,,1.63,4.79,,4.85,,2.16,,2.23,,0.22,6.64,6.70,4.01,4.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42808,,Excise pharynx lesion,A,,2.35,4.10,,4.29,,2.24,,2.37,,0.30,6.75,6.94,4.89,5.02,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42809,,Remove pharynx foreign body,A,,1.86,2.91,,3.04,,1.77,,1.90,,0.27,5.04,5.17,3.90,4.03,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42810,,Excision of neck cyst,A,,3.38,7.69,,8.02,,4.80,,5.10,,0.42,11.49,11.82,8.60,8.90,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42815,,Excision of neck cyst,A,,7.31,8.32,NA,8.83,NA,8.32,,8.83,,1.01,16.64,17.15,16.64,17.15,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42820,,Remove tonsils and adenoids,A,,4.22,3.96,NA,4.23,NA,3.96,,4.23,,0.53,8.71,8.98,8.71,8.98,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42821,,Remove tonsils and adenoids,A,,4.36,4.15,NA,4.42,NA,4.15,,4.42,,0.56,9.07,9.34,9.07,9.34,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42825,,Removal of tonsils,A,,3.51,3.91,NA,4.13,NA,3.91,,4.13,,0.44,7.86,8.08,7.86,8.08,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42826,,Removal of tonsils,A,,3.45,3.66,NA,3.88,NA,3.66,,3.88,,0.44,7.55,7.77,7.55,7.77,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42830,,Removal of adenoids,A,,2.65,3.22,NA,3.41,NA,3.22,,3.41,,0.34,6.21,6.40,6.21,6.40,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42831,,Removal of adenoids,A,,2.81,3.53,NA,3.72,NA,3.53,,3.72,,0.35,6.69,6.88,6.69,6.88,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42835,,Removal of adenoids,A,,2.38,2.66,NA,2.58,NA,2.66,,2.58,,0.30,5.34,5.26,5.34,5.26,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42836,,Removal of adenoids,A,,3.26,3.57,NA,3.76,NA,3.57,,3.76,,0.41,7.24,7.43,7.24,7.43,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42842,,Extensive surgery of throat,A,,12.23,15.65,NA,16.75,NA,15.65,,16.75,,1.58,29.46,30.56,29.46,30.56,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42844,,Extensive surgery of throat,A,,17.78,20.73,NA,21.98,NA,20.73,,21.98,,2.27,40.78,42.03,40.78,42.03,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42845,,Extensive surgery of throat,A,,32.56,29.54,NA,31.77,NA,29.54,,31.77,,4.18,66.28,68.51,66.28,68.51,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42860,,Excision of tonsil tags,A,,2.30,3.04,NA,3.20,NA,3.04,,3.20,,0.30,5.64,5.80,5.64,5.80,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42870,,Excision of lingual tonsil,A,,5.52,11.02,NA,11.41,NA,11.02,,11.41,,0.71,17.25,17.64,17.25,17.64,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42890,,Partial removal of pharynx,A,,19.13,20.24,NA,21.85,NA,20.24,,21.85,,2.52,41.89,43.50,41.89,43.50,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42892,,Revision of pharyngeal walls,A,,26.03,25.83,NA,28.30,NA,25.83,,28.30,,3.42,55.28,57.75,55.28,57.75,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42894,,Revision of pharyngeal walls,A,,33.92,31.75,NA,34.51,NA,31.75,,34.51,,4.42,70.09,72.85,70.09,72.85,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4290F,,Pt scrned for inj drug use,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42900,,Repair throat wound,A,,5.29,4.24,NA,4.56,NA,4.24,,4.56,,0.68,10.21,10.53,10.21,10.53,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
4293F,,Pt scrnd hgh-risk sex behav,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
42950,,Reconstruction of throat,A,,8.27,14.28,NA,14.73,NA,14.28,,14.73,,1.14,23.69,24.14,23.69,24.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
42953,,Repair throat esophagus,A,,9.45,18.03,NA,18.18,NA,18.03,,18.18,,1.31,28.79,28.94,28.79,28.94,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42955,,Surgical opening of throat,A,,8.01,13.29,NA,13.95,NA,13.29,,13.95,,1.03,22.33,22.99,22.33,22.99,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42960,,Control throat bleeding,A,,2.38,2.38,NA,2.53,NA,2.38,,2.53,,0.31,5.07,5.22,5.07,5.22,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42961,,Control throat bleeding,A,,5.77,6.10,NA,6.49,NA,6.10,,6.49,,0.73,12.60,12.99,12.60,12.99,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42962,,Control throat bleeding,A,,7.40,7.19,NA,7.65,NA,7.19,,7.65,,0.95,15.54,16.00,15.54,16.00,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42970,,Control nose/throat bleeding,A,,5.82,5.13,NA,5.56,NA,5.13,,5.56,,0.84,11.79,12.22,11.79,12.22,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42971,,Control nose/throat bleeding,A,,6.60,6.27,NA,6.72,NA,6.27,,6.72,,0.84,13.71,14.16,13.71,14.16,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42972,,Control nose/throat bleeding,A,,7.59,6.78,NA,7.31,NA,6.78,,7.31,,0.98,15.35,15.88,15.35,15.88,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
42999,,Throat surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4300F,,Pt rcvng warf thxpy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4301F,,Pt not rcvng warf thxpy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43020,,Incision of esophagus,A,,8.23,6.60,NA,7.45,NA,6.60,,7.45,,1.06,15.89,16.74,15.89,16.74,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43030,,Throat muscle surgery,A,,7.99,6.44,NA,6.87,NA,6.44,,6.87,,1.17,15.60,16.03,15.60,16.03,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43045,,Incision of esophagus,A,,21.88,12.36,NA,12.19,NA,12.36,,12.19,,5.12,39.36,39.19,39.36,39.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4305F,,Pt ed re ft care inspct rcvd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
4306F,,Pt tlk psych & Rx opd addic,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43100,,Excision of esophagus lesion,A,,9.66,7.78,NA,8.55,NA,7.78,,8.55,,1.24,18.68,19.45,18.68,19.45,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43101,,Excision of esophagus lesion,A,,17.07,9.37,NA,9.25,NA,9.37,,9.25,,4.00,30.44,30.32,30.44,30.32,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43107,,Removal of esophagus,A,,44.18,22.09,NA,22.68,NA,22.09,,22.68,,9.87,76.14,76.73,76.14,76.73,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43108,,Removal of esophagus,A,,82.87,34.84,NA,40.18,NA,34.84,,40.18,,17.67,135.38,140.72,135.38,140.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43112,,Removal of esophagus,A,,47.48,22.52,NA,22.60,NA,22.52,,22.60,,10.77,80.77,80.85,80.77,80.85,0,090,0.09,0.81,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
43113,,Removal of esophagus,A,,80.06,36.45,NA,40.33,NA,36.45,,40.33,,17.08,133.59,137.47,133.59,137.47,0,090,0.09,0.81,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
43116,,Partial removal of esophagus,A,,92.99,47.38,NA,58.31,NA,47.38,,58.31,,11.94,152.31,163.24,152.31,163.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43117,,Partial removal of esophagus,A,,43.65,20.55,NA,20.83,NA,20.55,,20.83,,9.87,74.07,74.35,74.07,74.35,0,090,0.09,0.81,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
43118,,Partial removal of esophagus,A,,67.07,29.22,NA,33.31,NA,29.22,,33.31,,14.30,110.59,114.68,110.59,114.68,0,090,0.09,0.81,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
43121,,Partial removal of esophagus,A,,51.43,22.40,NA,23.09,NA,22.40,,23.09,,12.03,85.86,86.55,85.86,86.55,0,090,0.09,0.81,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
43122,,Partial removal of esophagus,A,,44.18,21.55,NA,22.65,NA,21.55,,22.65,,9.64,75.37,76.47,75.37,76.47,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43123,,Partial removal of esophagus,A,,83.12,35.76,NA,41.66,NA,35.76,,41.66,,17.71,136.59,142.49,136.59,142.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43124,,Removal of esophagus,A,,69.09,32.16,NA,36.43,NA,32.16,,36.43,,16.18,117.43,121.70,117.43,121.70,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43130,,Removal of esophagus pouch,A,,12.53,9.05,NA,9.62,NA,9.05,,9.62,,1.99,23.57,24.14,23.57,24.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43135,,Removal of esophagus pouch,A,,26.17,12.63,NA,13.16,NA,12.63,,13.16,,5.97,44.77,45.30,44.77,45.30,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4320F,,Pt talk psychsoc&rx oh dpnd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43200,,Esophagus endoscopy,A,,1.59,4.57,,4.53,,1.31,,1.38,,0.23,6.39,6.35,3.13,3.20,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43201,,Esoph scope w/submucous inj,A,,2.09,6.34,,6.20,,1.48,,1.49,,0.30,8.73,8.59,3.87,3.88,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43202,,Esophagus endoscopy biopsy,A,,1.89,6.18,,6.04,,1.27,,1.32,,0.29,8.36,8.22,3.45,3.50,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43204,,Esoph scope w/sclerosis inj,A,,3.76,2.32,NA,2.28,NA,2.32,,2.28,,0.59,6.67,6.63,6.67,6.63,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43205,,Esophagus endoscopy/ligation,A,,3.78,2.39,NA,2.40,NA,2.39,,2.40,,0.56,6.73,6.74,6.73,6.74,0,000,0.00,0.00,0.00,3,0,0,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43215,,Esophagus endoscopy,A,,2.60,1.62,NA,1.67,NA,1.62,,1.67,,0.41,4.63,4.68,4.63,4.68,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43216,,Esophagus endoscopy/lesion,A,,2.40,3.38,,3.65,,1.55,,1.59,,0.35,6.13,6.40,4.30,4.34,0,000,0.00,0.00,0.00,3,0,0,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43217,,Esophagus endoscopy,A,,2.90,7.80,,7.64,,1.74,,1.81,,0.49,11.19,11.03,5.13,5.20,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43219,,Esophagus endoscopy,A,,2.80,1.87,NA,1.87,NA,1.87,,1.87,,0.48,5.15,5.15,5.15,5.15,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43220,,Esoph endoscopy dilation,A,,2.10,1.40,NA,1.44,NA,1.40,,1.44,,0.31,3.81,3.85,3.81,3.85,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43226,,Esoph endoscopy dilation,A,,2.34,1.54,NA,1.55,NA,1.54,,1.55,,0.37,4.25,4.26,4.25,4.26,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43227,,Esoph endoscopy repair,A,,3.59,2.18,NA,2.22,NA,2.18,,2.22,,0.54,6.31,6.35,6.31,6.35,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43228,,Esoph endoscopy ablation,A,,3.76,2.35,NA,2.38,NA,2.35,,2.38,,0.59,6.70,6.73,6.70,6.73,0,000,0.00,0.00,0.00,3,0,1,0,0,43200,33.9764,09,0,99,0.00,0.00,0.00
43231,,Esoph endoscopy w/us exam,A,,3.19,2.05,NA,2.06,NA,2.05,,2.06,,0.48,5.72,5.73,5.72,5.73,0,000,0.00,0.00,0.00,3,0,0,2,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43232,,Esoph endoscopy w/us fn bx,A,,4.47,2.72,NA,2.73,NA,2.72,,2.73,,0.69,7.88,7.89,7.88,7.89,0,000,0.00,0.00,0.00,3,0,0,2,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43234,,Upper gi endoscopy exam,A,,2.01,5.93,,5.77,,1.27,,1.32,,0.34,8.28,8.12,3.62,3.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43235,,Uppr gi endoscopy diagnosis,A,,2.39,6.01,,5.71,,1.60,,1.61,,0.37,8.77,8.47,4.36,4.37,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43236,,Uppr gi scope w/submuc inj,A,,2.92,7.53,,7.11,,1.93,,1.92,,0.42,10.87,10.45,5.27,5.26,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43237,,Endoscopic us exam esoph,A,,3.98,2.50,NA,2.49,NA,2.50,,2.49,,0.60,7.08,7.07,7.08,7.07,0,000,0.00,0.00,0.00,3,0,0,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43238,,Uppr gi endoscopy w/us fn bx,A,,5.02,3.06,NA,3.03,NA,3.06,,3.03,,0.75,8.83,8.80,8.83,8.80,0,000,0.00,0.00,0.00,3,0,0,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43239,,Upper gi endoscopy biopsy,A,,2.87,6.87,,6.57,,1.85,,1.87,,0.42,10.16,9.86,5.14,5.16,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
4324F,,Pt queried prkns complic,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43240,,Esoph endoscope w/drain cyst,A,,6.85,4.04,NA,4.07,NA,4.04,,4.07,,1.03,11.92,11.95,11.92,11.95,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43241,,Upper GI endoscopy with tube,A,,2.59,1.69,NA,1.71,NA,1.69,,1.71,,0.39,4.67,4.69,4.67,4.69,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43242,,Uppr gi endoscopy w/us fn bx,A,,7.30,4.35,NA,4.36,NA,4.35,,4.36,,1.08,12.73,12.74,12.73,12.74,0,000,0.00,0.00,0.00,3,0,0,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43243,,Upper gi endoscopy & inject,A,,4.56,2.80,NA,2.80,NA,2.80,,2.80,,0.68,8.04,8.04,8.04,8.04,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43244,,Upper GI endoscopy/ligation,A,,5.04,3.11,NA,3.11,NA,3.11,,3.11,,0.73,8.88,8.88,8.88,8.88,0,000,0.00,0.00,0.00,3,0,0,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43245,,Uppr gi scope dilate strictr,A,,3.18,1.97,NA,2.00,NA,1.97,,2.00,,0.50,5.65,5.68,5.65,5.68,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43246,,Place gastrostomy tube,A,,4.32,2.55,NA,2.58,NA,2.55,,2.58,,0.69,7.56,7.59,7.56,7.59,0,000,0.00,0.00,0.00,3,0,0,2,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43247,,Operative upper GI endoscopy,A,,3.38,2.12,NA,2.14,NA,2.12,,2.14,,0.52,6.02,6.04,6.02,6.04,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43248,,Uppr gi endoscopy/guide wire,A,,3.15,2.06,NA,2.06,NA,2.06,,2.06,,0.45,5.66,5.66,5.66,5.66,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43249,,Esoph endoscopy dilation,A,,2.90,1.90,NA,1.90,NA,1.90,,1.90,,0.42,5.22,5.22,5.22,5.22,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
4325F,,Med txmnt options rvwd w/pt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43250,,Upper GI endoscopy/tumor,A,,3.20,1.95,NA,1.99,NA,1.95,,1.99,,0.52,5.67,5.71,5.67,5.71,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43251,,Operative upper GI endoscopy,A,,3.69,2.30,NA,2.32,NA,2.30,,2.32,,0.56,6.55,6.57,6.55,6.57,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43255,,Operative upper GI endoscopy,A,,4.81,2.97,NA,2.97,NA,2.97,,2.97,,0.71,8.49,8.49,8.49,8.49,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43256,,Uppr gi endoscopy w/stent,A,,4.34,2.64,NA,2.63,NA,2.64,,2.63,,0.68,7.66,7.65,7.66,7.65,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43257,,Uppr gi scope w/thrml txmnt,A,,5.50,3.26,NA,3.45,NA,3.26,,3.45,,0.80,9.56,9.75,9.56,9.75,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43258,,Operative upper GI endoscopy,A,,4.54,2.80,NA,2.81,NA,2.80,,2.81,,0.68,8.02,8.03,8.02,8.03,0,000,0.00,0.00,0.00,3,0,1,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
43259,,Endoscopic ultrasound exam,A,,5.19,3.19,NA,3.19,NA,3.19,,3.19,,0.75,9.13,9.13,9.13,9.13,0,000,0.00,0.00,0.00,3,0,0,0,0,43235,33.9764,09,0,99,0.00,0.00,0.00
4326F,,Pt asked re symp auto dysfxn,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43260,,Endo cholangiopancreatograph,A,,5.95,3.60,NA,3.60,NA,3.60,,3.60,,0.87,10.42,10.42,10.42,10.42,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43261,,Endo cholangiopancreatograph,A,,6.26,3.78,NA,3.78,NA,3.78,,3.78,,0.91,10.95,10.95,10.95,10.95,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43262,,Endo cholangiopancreatograph,A,,7.38,4.40,NA,4.40,NA,4.40,,4.40,,1.09,12.87,12.87,12.87,12.87,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43263,,Endo cholangiopancreatograph,A,,7.28,4.33,NA,4.27,NA,4.33,,4.27,,1.08,12.69,12.63,12.69,12.63,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43264,,Endo cholangiopancreatograph,A,,8.89,5.25,NA,5.24,NA,5.25,,5.24,,1.31,15.45,15.44,15.45,15.44,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43265,,Endo cholangiopancreatograph,A,,10.00,5.85,NA,5.84,NA,5.85,,5.84,,1.48,17.33,17.32,17.33,17.32,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43267,,Endo cholangiopancreatograph,A,,7.38,4.35,NA,4.35,NA,4.35,,4.35,,1.09,12.82,12.82,12.82,12.82,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43268,,Endo cholangiopancreatograph,A,,7.38,4.57,NA,4.56,NA,4.57,,4.56,,1.09,13.04,13.03,13.04,13.03,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43269,,Endo cholangiopancreatograph,A,,8.20,4.85,NA,4.85,NA,4.85,,4.85,,1.21,14.26,14.26,14.26,14.26,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43271,,Endo cholangiopancreatograph,A,,7.38,4.39,NA,4.39,NA,4.39,,4.39,,1.09,12.86,12.86,12.86,12.86,0,000,0.00,0.00,0.00,3,0,1,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43272,,Endo cholangiopancreatograph,A,,7.38,4.40,NA,4.43,NA,4.40,,4.43,,1.09,12.87,12.90,12.87,12.90,0,000,0.00,0.00,0.00,3,0,0,0,0,43260,33.9764,09,0,99,0.00,0.00,0.00
43273,,Endoscopic pancreatoscopy,A,,2.24,1.28,NA,1.24,NA,1.28,,1.24,,0.33,3.85,3.81,3.85,3.81,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43279,,Lap myotomy heller,A,,22.10,10.96,NA,12.01,NA,10.96,,12.01,,4.71,37.77,38.82,37.77,38.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4328F,,Pt asked re sleep disturb,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43280,,Laparoscopy fundoplasty,A,,18.10,9.52,NA,10.40,NA,9.52,,10.40,,3.85,31.47,32.35,31.47,32.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43281,,Lap paraesophag hern repair,A,,26.60,14.10,NA,14.10,NA,14.10,,14.10,,5.66,46.36,46.36,46.36,46.36,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43282,,Lap paraesoph her rpr w/mesh,A,,30.10,15.61,NA,15.61,NA,15.61,,15.61,,6.38,52.09,52.09,52.09,52.09,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43283,,Lap esoph lengthening,A,,2.95,1.28,NA,1.28,NA,1.28,,1.28,,0.60,4.83,4.83,4.83,4.83,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43289,,Laparoscope proc esoph,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4330F,,Cnslng epi spec sfty issues,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43300,,Repair of esophagus,A,,9.33,7.85,NA,8.56,NA,7.85,,8.56,,1.20,18.38,19.09,18.38,19.09,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43305,,Repair esophagus and fistula,A,,18.10,12.42,NA,13.55,NA,12.42,,13.55,,2.31,32.83,33.96,32.83,33.96,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43310,,Repair of esophagus,A,,26.26,12.78,NA,12.44,NA,12.78,,12.44,,6.14,45.18,44.84,45.18,44.84,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43312,,Repair esophagus and fistula,A,,29.25,13.17,NA,12.29,NA,13.17,,12.29,,6.86,49.28,48.40,49.28,48.40,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43313,,Esophagoplasty congenital,A,,48.45,23.58,NA,26.00,NA,23.58,,26.00,,11.35,83.38,85.80,83.38,85.80,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43314,,Tracheo-esophagoplasty cong,A,,53.43,24.78,NA,23.14,NA,24.78,,23.14,,6.87,85.08,83.44,85.08,83.44,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43320,,Fuse esophagus & stomach,A,,23.31,12.52,NA,13.36,NA,12.52,,13.36,,4.98,40.81,41.65,40.81,41.65,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43325,,Revise esophagus & stomach,A,,22.60,11.55,NA,12.35,NA,11.55,,12.35,,4.83,38.98,39.78,38.98,39.78,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43327,,Esoph fundoplasty lap,A,,13.35,8.12,NA,8.12,NA,8.12,,8.12,,2.84,24.31,24.31,24.31,24.31,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43328,,Esoph fundoplasty thor,A,,19.91,10.82,NA,10.82,NA,10.82,,10.82,,4.98,35.71,35.71,35.71,35.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43330,,Esophagomyotomy abdominal,A,,22.19,11.43,NA,12.41,NA,11.43,,12.41,,4.78,38.40,39.38,38.40,39.38,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43331,,Esophagomyotomy thoracic,A,,23.06,12.36,NA,12.26,NA,12.36,,12.26,,5.40,40.82,40.72,40.82,40.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43332,,Transab esoph hiat hern rpr,A,,19.62,11.02,NA,11.02,NA,11.02,,11.02,,4.18,34.82,34.82,34.82,34.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43333,,Transab esoph hiat hern rpr,A,,21.46,11.80,NA,11.80,NA,11.80,,11.80,,4.55,37.81,37.81,37.81,37.81,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43334,,Transthor diaphrag hern rpr,A,,22.12,11.39,NA,11.39,NA,11.39,,11.39,,4.71,38.22,38.22,38.22,38.22,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43335,,Transthor diaphrag hern rpr,A,,23.97,12.13,NA,12.13,NA,12.13,,12.13,,5.08,41.18,41.18,41.18,41.18,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43336,,Thorabd diaphr hern repair,A,,25.81,13.46,NA,13.46,NA,13.46,,13.46,,5.85,45.12,45.12,45.12,45.12,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43337,,Thorabd diaphr hern repair,A,,27.65,15.33,NA,15.33,NA,15.33,,15.33,,6.27,49.25,49.25,49.25,49.25,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43338,,Esoph lengthening,A,,2.21,1.30,NA,1.30,NA,1.30,,1.30,,0.50,4.01,4.01,4.01,4.01,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43340,,Fuse esophagus & intestine,A,,22.99,12.17,NA,13.22,NA,12.17,,13.22,,4.90,40.06,41.11,40.06,41.11,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43341,,Fuse esophagus & intestine,A,,24.23,14.11,NA,14.80,NA,14.11,,14.80,,5.68,44.02,44.71,44.02,44.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43350,,Surgical opening esophagus,A,,19.49,12.38,NA,14.42,NA,12.38,,14.42,,4.15,36.02,38.06,36.02,38.06,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43351,,Surgical opening esophagus,A,,22.05,12.18,NA,11.96,NA,12.18,,11.96,,5.16,39.39,39.17,39.39,39.17,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43352,,Surgical opening esophagus,A,,17.81,10.27,NA,10.15,NA,10.27,,10.15,,4.16,32.24,32.12,32.24,32.12,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43360,,Gastrointestinal repair,A,,40.11,18.95,NA,18.71,NA,18.95,,18.71,,9.40,68.46,68.22,68.46,68.22,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43361,,Gastrointestinal repair,A,,45.68,20.83,NA,20.54,NA,20.83,,20.54,,9.74,76.25,75.96,76.25,75.96,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
4340F,,Cnslng chldbrng women epi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43400,,Ligate esophagus veins,A,,25.60,15.61,NA,14.35,NA,15.61,,14.35,,3.77,44.98,43.72,44.98,43.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43401,,Esophagus surgery for veins,A,,26.49,12.33,NA,12.50,NA,12.33,,12.50,,5.65,44.47,44.64,44.47,44.64,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43405,,Ligate/staple esophagus,A,,24.73,14.52,NA,15.88,NA,14.52,,15.88,,5.28,44.53,45.89,44.53,45.89,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43410,,Repair esophagus wound,A,,16.41,10.61,NA,11.38,NA,10.61,,11.38,,3.84,30.86,31.63,30.86,31.63,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43415,,Repair esophagus wound,A,,28.91,15.65,NA,16.29,NA,15.65,,16.29,,6.60,51.16,51.80,51.16,51.80,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43420,,Repair esophagus opening,A,,16.78,11.20,NA,12.74,NA,11.20,,12.74,,2.15,30.13,31.67,30.13,31.67,0,090,0.09,0.81,0.10,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43425,,Repair esophagus opening,A,,25.04,14.40,NA,15.15,NA,14.40,,15.15,,5.35,44.79,45.54,44.79,45.54,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43450,,Dilate esophagus,A,,1.38,3.04,,2.89,,1.08,,1.07,,0.22,4.64,4.49,2.68,2.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43453,,Dilate esophagus,A,,1.51,6.99,,6.56,,1.15,,1.14,,0.23,8.73,8.30,2.89,2.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43456,,Dilate esophagus,A,,2.57,14.72,,13.78,,1.70,,1.72,,0.38,17.67,16.73,4.65,4.67,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43458,,Dilate esophagus,A,,3.06,7.94,,7.65,,1.94,,1.97,,0.45,11.45,11.16,5.45,5.48,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43460,,Pressure treatment esophagus,A,,3.79,2.31,NA,2.43,NA,2.31,,2.43,,0.54,6.64,6.76,6.64,6.76,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43496,,Free jejunum flap microvasc,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43499,,Esophagus surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
43500,,Surgical opening of stomach,A,,12.79,7.22,NA,7.91,NA,7.22,,7.91,,2.71,22.72,23.41,22.72,23.41,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43501,,Surgical repair of stomach,A,,22.60,11.55,NA,12.76,NA,11.55,,12.76,,4.78,38.93,40.14,38.93,40.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43502,,Surgical repair of stomach,A,,25.69,12.92,NA,14.34,NA,12.92,,14.34,,5.47,44.08,45.50,44.08,45.50,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43510,,Surgical opening of stomach,A,,15.14,10.29,NA,11.35,NA,10.29,,11.35,,2.22,27.65,28.71,27.65,28.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43520,,Incision of pyloric muscle,A,,11.29,6.52,NA,6.80,NA,6.52,,6.80,,2.50,20.31,20.59,20.31,20.59,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43605,,Biopsy of stomach,A,,13.72,7.68,NA,8.63,NA,7.68,,8.63,,2.87,24.27,25.22,24.27,25.22,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43610,,Excision of stomach lesion,A,,16.34,8.59,NA,9.48,NA,8.59,,9.48,,3.46,28.39,29.28,28.39,29.28,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43611,,Excision of stomach lesion,A,,20.38,10.67,NA,11.74,NA,10.67,,11.74,,4.30,35.35,36.42,35.35,36.42,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43620,,Removal of stomach,A,,34.04,15.97,NA,17.55,NA,15.97,,17.55,,7.25,57.26,58.84,57.26,58.84,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43621,,Removal of stomach,A,,39.53,17.83,NA,19.86,NA,17.83,,19.86,,8.41,65.77,67.80,65.77,67.80,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43622,,Removal of stomach,A,,40.03,18.12,NA,20.28,NA,18.12,,20.28,,8.55,66.70,68.86,66.70,68.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43631,,Removal of stomach partial,A,,24.51,12.36,NA,13.61,NA,12.36,,13.61,,5.20,42.07,43.32,42.07,43.32,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43632,,Removal of stomach partial,A,,35.14,15.96,NA,18.15,NA,15.96,,18.15,,7.42,58.52,60.71,58.52,60.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43633,,Removal of stomach partial,A,,33.14,15.31,NA,17.31,NA,15.31,,17.31,,7.00,55.45,57.45,55.45,57.45,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43634,,Removal of stomach partial,A,,36.64,16.89,NA,19.10,NA,16.89,,19.10,,7.81,61.34,63.55,61.34,63.55,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43635,,Removal of stomach partial,A,,2.06,0.80,NA,0.88,NA,0.80,,0.88,,0.42,3.28,3.36,3.28,3.36,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43640,,Vagotomy & pylorus repair,A,,19.56,10.39,NA,11.52,NA,10.39,,11.52,,4.12,34.07,35.20,34.07,35.20,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43641,,Vagotomy & pylorus repair,A,,19.81,10.53,NA,11.78,NA,10.53,,11.78,,4.22,34.56,35.81,34.56,35.81,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43644,,Lap gastric bypass/roux-en-y,A,,29.40,14.69,NA,16.12,NA,14.69,,16.12,,6.22,50.31,51.74,50.31,51.74,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43645,,Lap gastr bypass incl smll i,A,,31.53,15.51,NA,17.07,NA,15.51,,17.07,,6.74,53.78,55.34,53.78,55.34,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43647,,Lap impl electrode antrum,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43648,,Lap revise/remv eltrd antrum,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43651,,Laparoscopy vagus nerve,A,,10.13,6.53,NA,7.14,NA,6.53,,7.14,,2.16,18.82,19.43,18.82,19.43,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43652,,Laparoscopy vagus nerve,A,,12.13,7.30,NA,8.01,NA,7.30,,8.01,,2.59,22.02,22.73,22.02,22.73,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43653,,Laparoscopy gastrostomy,A,,8.48,6.06,NA,6.63,NA,6.06,,6.63,,1.81,16.35,16.92,16.35,16.92,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43659,,Laparoscope proc stom,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
43752,,Nasal/orogastric w/stent,A,,0.81,0.33,NA,0.32,NA,0.33,,0.32,,0.08,1.22,1.21,1.22,1.21,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43753,,Tx gastro intub w/asp,A,,0.45,0.13,NA,0.13,NA,0.13,,0.13,,0.03,0.61,0.61,0.61,0.61,0,000,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43754,,Dx gastr intub w/asp spec,A,,0.45,1.83,,1.83,,0.44,,0.44,,0.04,2.32,2.32,0.93,0.93,0,000,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43755,,Dx gastr intub w/asp specs,A,,0.94,2.52,,2.52,,0.68,,0.68,,0.08,3.54,3.54,1.70,1.70,0,000,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43756,,Dx duod intub w/asp spec,A,,0.77,5.60,,5.60,,0.71,,0.71,,0.05,6.42,6.42,1.53,1.53,0,000,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43757,,Dx duod intub w/asp specs,A,,1.26,6.92,,6.92,,0.87,,0.87,,0.08,8.26,8.26,2.21,2.21,0,000,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43760,,Change gastrostomy tube,A,,0.90,10.85,,12.27,,0.43,,0.41,,0.14,11.89,13.31,1.47,1.45,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43761,,Reposition gastrostomy tube,A,,2.01,1.30,,1.21,,0.87,,0.83,,0.24,3.55,3.46,3.12,3.08,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
43770,,Lap place gastr adj device,A,,18.00,10.49,NA,11.50,NA,10.49,,11.50,,3.81,32.30,33.31,32.30,33.31,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43771,,Lap revise gastr adj device,A,,20.79,11.58,NA,12.74,NA,11.58,,12.74,,4.44,36.81,37.97,36.81,37.97,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43772,,Lap rmvl gastr adj device,A,,15.70,8.67,NA,9.47,NA,8.67,,9.47,,3.36,27.73,28.53,27.73,28.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43773,,Lap replace gastr adj device,A,,20.79,11.58,NA,12.72,NA,11.58,,12.72,,4.44,36.81,37.95,36.81,37.95,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43774,,Lap rmvl gastr adj all parts,A,,15.76,8.69,NA,9.48,NA,8.69,,9.48,,3.36,27.81,28.60,27.81,28.60,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43775,,Lap sleeve gastrectomy,N,+,21.56,12.08,NA,12.08,NA,12.08,,12.08,,4.60,38.24,38.24,38.24,38.24,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43800,,Reconstruction of pylorus,A,,15.43,8.20,NA,8.98,NA,8.20,,8.98,,3.31,26.94,27.72,26.94,27.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43810,,Fusion of stomach and bowel,A,,16.88,8.85,NA,9.84,NA,8.85,,9.84,,3.59,29.32,30.31,29.32,30.31,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43820,,Fusion of stomach and bowel,A,,22.53,11.26,NA,12.74,NA,11.26,,12.74,,4.76,38.55,40.03,38.55,40.03,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43825,,Fusion of stomach and bowel,A,,21.76,11.37,NA,12.66,NA,11.37,,12.66,,4.64,37.77,39.06,37.77,39.06,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43830,,Place gastrostomy tube,A,,10.85,7.04,NA,7.68,NA,7.04,,7.68,,2.23,20.12,20.76,20.12,20.76,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43831,,Place gastrostomy tube,A,,8.49,6.71,NA,7.29,NA,6.71,,7.29,,1.81,17.01,17.59,17.01,17.59,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43832,,Place gastrostomy tube,A,,17.34,9.63,NA,10.37,NA,9.63,,10.37,,3.58,30.55,31.29,30.55,31.29,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43840,,Repair of stomach lesion,A,,22.83,11.42,NA,12.89,NA,11.42,,12.89,,4.82,39.07,40.54,39.07,40.54,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43842,,V-band gastroplasty,N,+,21.03,11.21,NA,11.62,NA,11.21,,11.62,,1.50,33.74,34.15,33.74,34.15,9,090,0.09,0.81,0.10,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
43843,,Gastroplasty w/o v-band,A,,21.21,11.14,NA,12.44,NA,11.14,,12.44,,4.52,36.87,38.17,36.87,38.17,0,090,0.09,0.81,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
43845,,Gastroplasty duodenal switch,A,,33.30,16.35,NA,18.30,NA,16.35,,18.30,,7.06,56.71,58.66,56.71,58.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43846,,Gastric bypass for obesity,A,,27.41,14.06,NA,15.51,NA,14.06,,15.51,,5.80,47.27,48.72,47.27,48.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43847,,Gastric bypass incl small i,A,,30.28,15.17,NA,17.05,NA,15.17,,17.05,,6.45,51.90,53.78,51.90,53.78,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43848,,Revision gastroplasty,A,,32.75,16.27,NA,18.02,NA,16.27,,18.02,,6.94,55.96,57.71,55.96,57.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43850,,Revise stomach-bowel fusion,A,,27.58,13.54,NA,15.16,NA,13.54,,15.16,,5.88,47.00,48.62,47.00,48.62,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43855,,Revise stomach-bowel fusion,A,,28.69,14.11,NA,15.64,NA,14.11,,15.64,,6.11,48.91,50.44,48.91,50.44,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43860,,Revise stomach-bowel fusion,A,,27.89,13.64,NA,15.02,NA,13.64,,15.02,,5.88,47.41,48.79,47.41,48.79,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43865,,Revise stomach-bowel fusion,A,,29.05,14.22,NA,15.80,NA,14.22,,15.80,,6.19,49.46,51.04,49.46,51.04,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43870,,Repair stomach opening,A,,11.44,6.72,NA,7.40,NA,6.72,,7.40,,2.35,20.51,21.19,20.51,21.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43880,,Repair stomach-bowel fistula,A,,27.18,13.40,NA,14.78,NA,13.40,,14.78,,5.70,46.28,47.66,46.28,47.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43881,,Impl/redo electrd antrum,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43882,,Revise/remove electrd antrum,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43886,,Revise gastric port open,A,,4.64,4.61,NA,5.04,NA,4.61,,5.04,,0.99,10.24,10.67,10.24,10.67,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43887,,Remove gastric port open,A,,4.32,4.06,NA,4.40,NA,4.06,,4.40,,0.91,9.29,9.63,9.29,9.63,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43888,,Change gastric port open,A,,6.44,5.31,NA,5.79,NA,5.31,,5.79,,1.37,13.12,13.60,13.12,13.60,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
43999,,Stomach surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
4400F,,Rehab thxpy options w/pt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
44005,,Freeing of bowel adhesion,A,,18.46,9.39,NA,10.36,NA,9.39,,10.36,,3.84,31.69,32.66,31.69,32.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44010,,Incision of small bowel,A,,14.26,7.79,NA,8.58,NA,7.79,,8.58,,3.01,25.06,25.85,25.06,25.85,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44015,,Insert needle cath bowel,A,,2.62,1.03,NA,1.10,NA,1.03,,1.10,,0.56,4.21,4.28,4.21,4.28,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44020,,Explore small intestine,A,,16.22,8.52,NA,9.43,NA,8.52,,9.43,,3.40,28.14,29.05,28.14,29.05,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44021,,Decompress small bowel,A,,16.31,8.69,NA,9.55,NA,8.69,,9.55,,3.44,28.44,29.30,28.44,29.30,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44025,,Incision of large bowel,A,,16.51,8.65,NA,9.56,NA,8.65,,9.56,,3.43,28.59,29.50,28.59,29.50,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44050,,Reduce bowel obstruction,A,,15.52,8.27,NA,9.13,NA,8.27,,9.13,,3.24,27.03,27.89,27.03,27.89,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44055,,Correct malrotation of bowel,A,,25.63,12.29,NA,13.63,NA,12.29,,13.63,,5.42,43.34,44.68,43.34,44.68,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44100,,Biopsy of bowel,A,,2.01,1.09,NA,1.08,NA,1.09,,1.08,,0.31,3.41,3.40,3.41,3.40,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44110,,Excise intestine lesion(s),A,,14.04,7.61,NA,8.38,NA,7.61,,8.38,,2.90,24.55,25.32,24.55,25.32,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44111,,Excision of bowel lesion(s),A,,16.52,8.56,NA,9.45,NA,8.56,,9.45,,3.44,28.52,29.41,28.52,29.41,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44120,,Removal of small intestine,A,,20.82,10.25,NA,11.39,NA,10.25,,11.39,,4.33,35.40,36.54,35.40,36.54,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44121,,Removal of small intestine,A,,4.44,1.75,NA,1.92,NA,1.75,,1.92,,0.90,7.09,7.26,7.09,7.26,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44125,,Removal of small intestine,A,,20.03,10.11,NA,11.20,NA,10.11,,11.20,,4.07,34.21,35.30,34.21,35.30,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44126,,Enterectomy w/o taper cong,A,,42.23,20.01,NA,22.46,NA,20.01,,22.46,,9.00,71.24,73.69,71.24,73.69,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44127,,Enterectomy w/taper cong,A,,49.30,22.71,NA,25.44,NA,22.71,,25.44,,10.51,82.52,85.25,82.52,85.25,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44128,,Enterectomy cong add-on,A,,4.44,1.76,NA,1.93,NA,1.76,,1.93,,0.93,7.13,7.30,7.13,7.30,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44130,,Bowel to bowel fusion,A,,22.11,11.08,NA,12.57,NA,11.08,,12.57,,4.56,37.75,39.24,37.75,39.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44132,,Enterectomy cadaver donor,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44133,,Enterectomy live donor,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44135,,Intestine transplnt cadaver,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44136,,Intestine transplant live,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44137,,Remove intestinal allograft,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44139,,Mobilization of colon,A,,2.23,0.88,NA,0.97,NA,0.88,,0.97,,0.44,3.55,3.64,3.55,3.64,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44140,,Partial removal of colon,A,,22.59,11.64,NA,12.83,NA,11.64,,12.83,,4.64,38.87,40.06,38.87,40.06,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44141,,Partial removal of colon,A,,29.91,16.41,NA,18.40,NA,16.41,,18.40,,6.18,52.50,54.49,52.50,54.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44143,,Partial removal of colon,A,,27.79,14.70,NA,16.23,NA,14.70,,16.23,,5.74,48.23,49.76,48.23,49.76,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44144,,Partial removal of colon,A,,29.91,15.04,NA,16.86,NA,15.04,,16.86,,6.18,51.13,52.95,51.13,52.95,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44145,,Partial removal of colon,A,,28.58,13.98,NA,15.44,NA,13.98,,15.44,,5.66,48.22,49.68,48.22,49.68,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44146,,Partial removal of colon,A,,35.30,18.96,NA,21.14,NA,18.96,,21.14,,6.87,61.13,63.31,61.13,63.31,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44147,,Partial removal of colon,A,,33.69,15.45,NA,17.71,NA,15.45,,17.71,,6.78,55.92,58.18,55.92,58.18,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44150,,Removal of colon,A,,30.18,17.64,NA,19.56,NA,17.64,,19.56,,6.12,53.94,55.86,53.94,55.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44151,,Removal of colon/ileostomy,A,,34.92,19.50,NA,21.61,NA,19.50,,21.61,,7.44,61.86,63.97,61.86,63.97,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44155,,Removal of colon/ileostomy,A,,34.42,19.13,NA,21.36,NA,19.13,,21.36,,6.46,60.01,62.24,60.01,62.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44156,,Removal of colon/ileostomy,A,,37.42,21.16,NA,23.53,NA,21.16,,23.53,,7.99,66.57,68.94,66.57,68.94,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44157,,Colectomy w/ileoanal anast,A,,35.70,19.62,NA,21.71,NA,19.62,,21.71,,7.62,62.94,65.03,62.94,65.03,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44158,,Colectomy w/neo-rectum pouch,A,,36.70,19.90,NA,21.99,NA,19.90,,21.99,,7.83,64.43,66.52,64.43,66.52,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44160,,Removal of colon,A,,20.89,10.80,NA,11.98,NA,10.80,,11.98,,4.26,35.95,37.13,35.95,37.13,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44180,,Lap enterolysis,A,,15.27,8.25,NA,9.02,NA,8.25,,9.02,,3.17,26.69,27.46,26.69,27.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44186,,Lap jejunostomy,A,,10.38,6.33,NA,6.82,NA,6.33,,6.82,,2.22,18.93,19.42,18.93,19.42,0,090,0.09,0.84,0.07,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44187,,Lap ileo/jejuno-stomy,A,,17.40,11.17,NA,12.24,NA,11.17,,12.24,,3.31,31.88,32.95,31.88,32.95,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44188,,Lap colostomy,A,,19.35,12.18,NA,13.36,NA,12.18,,13.36,,3.84,35.37,36.55,35.37,36.55,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44202,,Lap enterectomy,A,,23.39,11.99,NA,13.23,NA,11.99,,13.23,,4.85,40.23,41.47,40.23,41.47,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44203,,Lap resect s/intestine addl,A,,4.44,1.73,NA,1.91,NA,1.73,,1.91,,0.93,7.10,7.28,7.10,7.28,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44204,,Laparo partial colectomy,A,,26.42,13.08,NA,14.49,NA,13.08,,14.49,,5.23,44.73,46.14,44.73,46.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44205,,Lap colectomy part w/ileum,A,,22.95,11.49,NA,12.71,NA,11.49,,12.71,,4.50,38.94,40.16,38.94,40.16,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44206,,Lap part colectomy w/stoma,A,,29.79,15.17,NA,16.79,NA,15.17,,16.79,,6.06,51.02,52.64,51.02,52.64,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44207,,L colectomy/coloproctostomy,A,,31.92,15.08,NA,16.79,NA,15.08,,16.79,,6.18,53.18,54.89,53.18,54.89,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44208,,L colectomy/coloproctostomy,A,,33.99,17.39,NA,19.27,NA,17.39,,19.27,,6.40,57.78,59.66,57.78,59.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44210,,Laparo total proctocolectomy,A,,30.09,16.14,NA,17.88,NA,16.14,,17.88,,5.81,52.04,53.78,52.04,53.78,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44211,,Lap colectomy w/proctectomy,A,,37.08,19.92,NA,22.36,NA,19.92,,22.36,,7.92,64.92,67.36,64.92,67.36,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44212,,Laparo total proctocolectomy,A,,34.58,18.72,NA,20.70,NA,18.72,,20.70,,6.37,59.67,61.65,59.67,61.65,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44213,,Lap mobil splenic fl add-on,A,,3.50,1.37,NA,1.52,NA,1.37,,1.52,,0.67,5.54,5.69,5.54,5.69,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44227,,Lap close enterostomy,A,,28.62,14.08,NA,15.58,NA,14.08,,15.58,,5.84,48.54,50.04,48.54,50.04,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44238,,Laparoscope proc intestine,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
44300,,Open bowel to skin,A,,13.75,7.74,NA,8.48,NA,7.74,,8.48,,2.91,24.40,25.14,24.40,25.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44310,,Ileostomy/jejunostomy,A,,17.59,9.20,NA,10.16,NA,9.20,,10.16,,3.46,30.25,31.21,30.25,31.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44312,,Revision of ileostomy,A,,9.43,6.04,NA,6.44,NA,6.04,,6.44,,1.71,17.18,17.58,17.18,17.58,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44314,,Revision of ileostomy,A,,16.74,9.35,NA,10.18,NA,9.35,,10.18,,3.16,29.25,30.08,29.25,30.08,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44316,,Devise bowel pouch,A,,23.59,12.17,NA,13.55,NA,12.17,,13.55,,5.04,40.80,42.18,40.80,42.18,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44320,,Colostomy,A,,19.91,10.78,NA,11.91,NA,10.78,,11.91,,4.07,34.76,35.89,34.76,35.89,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44322,,Colostomy with biopsies,A,,13.32,12.23,NA,13.37,NA,12.23,,13.37,,2.84,28.39,29.53,28.39,29.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44340,,Revision of colostomy,A,,9.28,6.66,NA,7.35,NA,6.66,,7.35,,1.88,17.82,18.51,17.82,18.51,0,090,0.09,0.81,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44345,,Revision of colostomy,A,,17.22,9.77,NA,10.80,NA,9.77,,10.80,,3.44,30.43,31.46,30.43,31.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44346,,Revision of colostomy,A,,19.63,10.67,NA,11.86,NA,10.67,,11.86,,3.88,34.18,35.37,34.18,35.37,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44360,,Small bowel endoscopy,A,,2.59,1.76,NA,1.75,NA,1.76,,1.75,,0.38,4.73,4.72,4.73,4.72,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44361,,Small bowel endoscopy/biopsy,A,,2.87,1.92,NA,1.91,NA,1.92,,1.91,,0.41,5.20,5.19,5.20,5.19,0,000,0.00,0.00,0.00,3,0,1,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44363,,Small bowel endoscopy,A,,3.49,2.19,NA,2.23,NA,2.19,,2.23,,0.52,6.20,6.24,6.20,6.24,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44364,,Small bowel endoscopy,A,,3.73,2.37,NA,2.37,NA,2.37,,2.37,,0.54,6.64,6.64,6.64,6.64,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44365,,Small bowel endoscopy,A,,3.31,2.13,NA,2.14,NA,2.13,,2.14,,0.49,5.93,5.94,5.93,5.94,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44366,,Small bowel endoscopy,A,,4.40,2.77,NA,2.77,NA,2.77,,2.77,,0.64,7.81,7.81,7.81,7.81,0,000,0.00,0.00,0.00,3,0,1,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44369,,Small bowel endoscopy,A,,4.51,2.82,NA,2.83,NA,2.82,,2.83,,0.65,7.98,7.99,7.98,7.99,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44370,,Small bowel endoscopy/stent,A,,4.79,3.14,NA,3.17,NA,3.14,,3.17,,0.69,8.62,8.65,8.62,8.65,0,000,0.00,0.00,0.00,3,0,0,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44372,,Small bowel endoscopy,A,,4.40,2.58,NA,2.63,NA,2.58,,2.63,,0.69,7.67,7.72,7.67,7.72,0,000,0.00,0.00,0.00,3,0,1,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44373,,Small bowel endoscopy,A,,3.49,2.15,NA,2.15,NA,2.15,,2.15,,0.53,6.17,6.17,6.17,6.17,0,000,0.00,0.00,0.00,3,0,1,0,0,44360,33.9764,09,0,99,0.00,0.00,0.00
44376,,Small bowel endoscopy,A,,5.25,3.06,NA,3.09,NA,3.06,,3.09,,0.82,9.13,9.16,9.13,9.16,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44377,,Small bowel endoscopy/biopsy,A,,5.52,3.32,NA,3.32,NA,3.32,,3.32,,0.82,9.66,9.66,9.66,9.66,0,000,0.00,0.00,0.00,3,0,0,0,0,44376,33.9764,09,0,99,0.00,0.00,0.00
44378,,Small bowel endoscopy,A,,7.12,4.23,NA,4.26,NA,4.23,,4.26,,1.05,12.40,12.43,12.40,12.43,0,000,0.00,0.00,0.00,3,0,0,0,0,44376,33.9764,09,0,99,0.00,0.00,0.00
44379,,S bowel endoscope w/stent,A,,7.46,4.59,NA,4.67,NA,4.59,,4.67,,1.09,13.14,13.22,13.14,13.22,0,000,0.00,0.00,0.00,3,0,0,0,0,44376,33.9764,09,0,99,0.00,0.00,0.00
44380,,Small bowel endoscopy,A,,1.05,0.85,NA,0.84,NA,0.85,,0.84,,0.14,2.04,2.03,2.04,2.03,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44382,,Small bowel endoscopy,A,,1.27,1.01,NA,1.00,NA,1.01,,1.00,,0.20,2.48,2.47,2.48,2.47,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44383,,Ileoscopy w/stent,A,,2.94,1.78,NA,1.61,NA,1.78,,1.61,,0.33,5.05,4.88,5.05,4.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44385,,Endoscopy of bowel pouch,A,,1.82,5.37,,5.35,,1.08,,1.11,,0.26,7.45,7.43,3.16,3.19,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44386,,Endoscopy bowel pouch/biop,A,,2.12,7.81,,7.63,,1.31,,1.38,,0.33,10.26,10.08,3.76,3.83,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44388,,Colonoscopy,A,,2.82,7.00,,6.94,,1.69,,1.75,,0.45,10.27,10.21,4.96,5.02,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44389,,Colonoscopy with biopsy,A,,3.13,8.14,,7.89,,1.92,,1.96,,0.49,11.76,11.51,5.54,5.58,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,33.9764,09,0,99,0.00,0.00,0.00
44390,,Colonoscopy for foreign body,A,,3.82,9.29,,9.15,,2.31,,2.44,,0.56,13.67,13.53,6.69,6.82,0,000,0.00,0.00,0.00,3,0,0,0,0,44388,33.9764,09,0,99,0.00,0.00,0.00
44391,,Colonoscopy for bleeding,A,,4.31,10.02,,9.51,,2.58,,2.61,,0.65,14.98,14.47,7.54,7.57,0,000,0.00,0.00,0.00,3,0,0,0,0,44388,33.9764,09,0,99,0.00,0.00,0.00
44392,,Colonoscopy & polypectomy,A,,3.81,8.46,,8.37,,2.12,,2.20,,0.63,12.90,12.81,6.56,6.64,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,33.9764,09,0,99,0.00,0.00,0.00
44393,,Colonoscopy lesion removal,A,,4.83,9.35,,9.28,,2.75,,2.84,,0.76,14.94,14.87,8.34,8.43,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,33.9764,09,0,99,0.00,0.00,0.00
44394,,Colonoscopy w/snare,A,,4.42,9.77,,9.49,,2.57,,2.62,,0.69,14.88,14.60,7.68,7.73,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,33.9764,09,0,99,0.00,0.00,0.00
44397,,Colonoscopy w/stent,A,,4.70,2.88,NA,2.93,NA,2.88,,2.93,,0.68,8.26,8.31,8.26,8.31,0,000,0.00,0.00,0.00,3,0,1,0,0,44388,33.9764,09,0,99,0.00,0.00,0.00
44500,,Intro gastrointestinal tube,A,,0.49,0.20,NA,0.19,NA,0.20,,0.19,,0.04,0.73,0.72,0.73,0.72,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44602,,Suture small intestine,A,,24.72,10.85,NA,12.40,NA,10.85,,12.40,,5.10,40.67,42.22,40.67,42.22,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44603,,Suture small intestine,A,,28.16,12.74,NA,14.53,NA,12.74,,14.53,,5.76,46.66,48.45,46.66,48.45,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44604,,Suture large intestine,A,,18.16,8.79,NA,9.73,NA,8.79,,9.73,,3.72,30.67,31.61,30.67,31.61,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44605,,Repair of bowel lesion,A,,22.08,11.30,NA,12.49,NA,11.30,,12.49,,4.56,37.94,39.13,37.94,39.13,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44615,,Intestinal stricturoplasty,A,,18.16,9.35,NA,10.32,NA,9.35,,10.32,,3.73,31.24,32.21,31.24,32.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44620,,Repair bowel opening,A,,14.43,7.80,NA,8.68,NA,7.80,,8.68,,2.83,25.06,25.94,25.06,25.94,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44625,,Repair bowel opening,A,,17.28,8.90,NA,9.91,NA,8.90,,9.91,,3.36,29.54,30.55,29.54,30.55,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44626,,Repair bowel opening,A,,27.90,13.09,NA,14.50,NA,13.09,,14.50,,5.70,46.69,48.10,46.69,48.10,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44640,,Repair bowel-skin fistula,A,,24.20,11.68,NA,12.92,NA,11.68,,12.92,,4.89,40.77,42.01,40.77,42.01,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44650,,Repair bowel fistula,A,,25.12,12.03,NA,13.18,NA,12.03,,13.18,,5.06,42.21,43.36,42.21,43.36,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44660,,Repair bowel-bladder fistula,A,,23.91,11.88,NA,12.10,NA,11.88,,12.10,,3.85,39.64,39.86,39.64,39.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44661,,Repair bowel-bladder fistula,A,,27.35,12.99,NA,13.92,NA,12.99,,13.92,,5.10,45.44,46.37,45.44,46.37,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44680,,Surgical revision intestine,A,,17.96,9.25,NA,10.22,NA,9.25,,10.22,,3.84,31.05,32.02,31.05,32.02,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44700,,Suspend bowel w/prosthesis,A,,17.48,8.96,NA,9.94,NA,8.96,,9.94,,3.04,29.48,30.46,29.48,30.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44701,,Intraop colon lavage add-on,A,,3.10,1.21,NA,1.33,NA,1.21,,1.33,,0.59,4.90,5.02,4.90,5.02,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44715,,Prepare donor intestine,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44720,,Prep donor intestine/venous,A,,5.00,2.12,NA,2.17,NA,2.12,,2.17,,0.35,7.47,7.52,7.47,7.52,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44721,,Prep donor intestine/artery,A,,7.00,2.81,NA,3.07,NA,2.81,,3.07,,1.50,11.31,11.57,11.31,11.57,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44799,,Unlisted procedure intestine,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
44800,,Excision of bowel pouch,A,,12.05,7.53,NA,8.21,NA,7.53,,8.21,,2.44,22.02,22.70,22.02,22.70,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44820,,Excision of mesentery lesion,A,,13.73,7.75,NA,8.46,NA,7.75,,8.46,,2.83,24.31,25.02,24.31,25.02,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44850,,Repair of mesentery,A,,12.11,6.97,NA,7.73,NA,6.97,,7.73,,2.52,21.60,22.36,21.60,22.36,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44899,,Bowel surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
44900,,Drain app abscess open,A,,12.57,7.09,NA,7.87,NA,7.09,,7.87,,2.64,22.30,23.08,22.30,23.08,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44901,,Drain app abscess percut,A,,3.37,24.04,,21.42,,1.38,,1.25,,0.35,27.76,25.14,5.10,4.97,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
44950,,Appendectomy,A,,10.60,5.76,NA,6.32,NA,5.76,,6.32,,2.23,18.59,19.15,18.59,19.15,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44955,,Appendectomy add-on,A,,1.53,0.62,NA,0.67,NA,0.62,,0.67,,0.31,2.46,2.51,2.46,2.51,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44960,,Appendectomy,A,,14.50,7.68,NA,8.51,NA,7.68,,8.51,,3.08,25.26,26.09,25.26,26.09,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
44970,,Laparoscopy appendectomy,A,,9.45,5.83,NA,6.42,NA,5.83,,6.42,,1.97,17.25,17.84,17.25,17.84,0,090,0.09,0.81,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
44979,,Laparoscope proc app,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
45000,,Drainage of pelvic abscess,A,,6.30,4.72,NA,5.12,NA,4.72,,5.12,,1.09,12.11,12.51,12.11,12.51,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45005,,Drainage of rectal abscess,A,,2.02,5.06,,5.29,,2.09,,2.24,,0.38,7.46,7.69,4.49,4.64,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45020,,Drainage of rectal abscess,A,,8.56,5.99,NA,6.67,NA,5.99,,6.67,,1.62,16.17,16.85,16.17,16.85,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45100,,Biopsy of rectum,A,,4.04,3.71,NA,4.06,NA,3.71,,4.06,,0.72,8.47,8.82,8.47,8.82,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45108,,Removal of anorectal lesion,A,,5.12,4.23,NA,4.68,NA,4.23,,4.68,,1.09,10.44,10.89,10.44,10.89,0,090,0.09,0.81,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45110,,Removal of rectum,A,,30.76,16.99,NA,18.81,NA,16.99,,18.81,,5.83,53.58,55.40,53.58,55.40,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45111,,Partial removal of rectum,A,,18.01,9.98,NA,11.06,NA,9.98,,11.06,,3.55,31.54,32.62,31.54,32.62,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45112,,Removal of rectum,A,,33.18,15.54,NA,17.35,NA,15.54,,17.35,,6.08,54.80,56.61,54.80,56.61,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45113,,Partial proctectomy,A,,33.22,17.01,NA,18.91,NA,17.01,,18.91,,7.08,57.31,59.21,57.31,59.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45114,,Partial removal of rectum,A,,30.79,15.03,NA,16.91,NA,15.03,,16.91,,6.57,52.39,54.27,52.39,54.27,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45116,,Partial removal of rectum,A,,27.72,13.72,NA,15.56,NA,13.72,,15.56,,3.96,45.40,47.24,45.40,47.24,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45119,,Remove rectum w/reservoir,A,,33.48,17.10,NA,19.23,NA,17.10,,19.23,,5.87,56.45,58.58,56.45,58.58,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45120,,Removal of rectum,A,,26.40,13.85,NA,15.41,NA,13.85,,15.41,,5.63,45.88,47.44,45.88,47.44,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45121,,Removal of rectum and colon,A,,29.08,14.85,NA,16.57,NA,14.85,,16.57,,6.19,50.12,51.84,50.12,51.84,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45123,,Partial proctectomy,A,,18.86,10.12,NA,11.45,NA,10.12,,11.45,,3.17,32.15,33.48,32.15,33.48,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45126,,Pelvic exenteration,A,,49.10,24.86,NA,26.61,NA,24.86,,26.61,,10.47,84.43,86.18,84.43,86.18,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45130,,Excision of rectal prolapse,A,,18.50,9.76,NA,11.03,NA,9.76,,11.03,,3.13,31.39,32.66,31.39,32.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45135,,Excision of rectal prolapse,A,,22.36,12.30,NA,13.89,NA,12.30,,13.89,,4.76,39.42,41.01,39.42,41.01,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45136,,Excise ileoanal reservior,A,,30.82,17.10,NA,18.96,NA,17.10,,18.96,,4.41,52.33,54.19,52.33,54.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45150,,Excision of rectal stricture,A,,5.85,4.72,NA,5.14,NA,4.72,,5.14,,0.83,11.40,11.82,11.40,11.82,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45160,,Excision of rectal lesion,A,,16.33,9.32,NA,10.26,NA,9.32,,10.26,,3.48,29.13,30.07,29.13,30.07,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45171,,Exc rect tum transanal part,A,,8.13,8.03,NA,8.03,NA,8.03,,8.03,,1.51,17.67,17.67,17.67,17.67,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45172,,Exc rect tum transanal full,A,,12.13,9.76,NA,9.76,NA,9.76,,9.76,,2.23,24.12,24.12,24.12,24.12,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45190,,Destruction rectal tumor,A,,10.42,7.41,NA,8.23,NA,7.41,,8.23,,1.86,19.69,20.51,19.69,20.51,0,090,0.09,0.81,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45300,,Proctosigmoidoscopy dx,A,,0.80,2.42,,2.58,,0.60,,0.68,,0.12,3.34,3.50,1.52,1.60,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45303,,Proctosigmoidoscopy dilate,A,,1.50,24.08,,24.62,,0.86,,0.99,,0.26,25.84,26.38,2.62,2.75,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45305,,Proctosigmoidoscopy w/bx,A,,1.25,3.88,,4.07,,0.81,,0.90,,0.23,5.36,5.55,2.29,2.38,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45307,,Proctosigmoidoscopy fb,A,,1.70,3.99,,4.23,,0.93,,1.07,,0.33,6.02,6.26,2.96,3.10,0,000,0.00,0.00,0.00,3,0,0,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45308,,Proctosigmoidoscopy removal,A,,1.40,4.00,,4.35,,0.85,,0.97,,0.26,5.66,6.01,2.51,2.63,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45309,,Proctosigmoidoscopy removal,A,,1.50,4.26,,4.44,,0.97,,1.02,,0.27,6.03,6.21,2.74,2.79,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45315,,Proctosigmoidoscopy removal,A,,1.80,4.55,,4.84,,1.07,,1.14,,0.33,6.68,6.97,3.20,3.27,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45317,,Proctosigmoidoscopy bleed,A,,2.00,4.11,,4.42,,1.07,,1.23,,0.33,6.44,6.75,3.40,3.56,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45320,,Proctosigmoidoscopy ablate,A,,1.78,4.17,,4.25,,1.08,,1.14,,0.31,6.26,6.34,3.17,3.23,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45321,,Proctosigmoidoscopy volvul,A,,1.75,1.07,NA,1.16,NA,1.07,,1.16,,0.33,3.15,3.24,3.15,3.24,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45327,,Proctosigmoidoscopy w/stent,A,,2.00,1.31,NA,1.44,NA,1.31,,1.44,,0.42,3.73,3.86,3.73,3.86,0,000,0.00,0.00,0.00,3,0,1,0,0,45300,33.9764,09,0,99,0.00,0.00,0.00
45330,,Diagnostic sigmoidoscopy,A,,0.96,2.95,,2.92,,0.76,,0.79,,0.14,4.05,4.02,1.86,1.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45331,,Sigmoidoscopy and biopsy,A,,1.15,3.72,,3.56,,0.93,,0.94,,0.18,5.05,4.89,2.26,2.27,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45332,,Sigmoidoscopy w/fb removal,A,,1.79,6.35,,6.22,,1.22,,1.26,,0.29,8.43,8.30,3.30,3.34,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45333,,Sigmoidoscopy & polypectomy,A,,1.79,6.44,,6.34,,1.21,,1.24,,0.29,8.52,8.42,3.29,3.32,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45334,,Sigmoidoscopy for bleeding,A,,2.73,1.79,NA,1.80,NA,1.79,,1.80,,0.39,4.91,4.92,4.91,4.92,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45335,,Sigmoidoscopy w/submuc inj,A,,1.46,5.75,,5.79,,1.06,,1.08,,0.23,7.44,7.48,2.75,2.77,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45337,,Sigmoidoscopy & decompress,A,,2.36,1.51,NA,1.56,NA,1.51,,1.56,,0.38,4.25,4.30,4.25,4.30,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45338,,Sigmoidoscopy w/tumr remove,A,,2.34,6.65,,6.44,,1.54,,1.56,,0.35,9.34,9.13,4.23,4.25,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45339,,Sigmoidoscopy w/ablate tumr,A,,3.14,6.23,,6.26,,1.97,,1.99,,0.48,9.85,9.88,5.59,5.61,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45340,,Sig w/balloon dilation,A,,1.89,11.19,,11.28,,1.27,,1.30,,0.30,13.38,13.47,3.46,3.49,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45341,,Sigmoidoscopy w/ultrasound,A,,2.60,1.73,NA,1.74,NA,1.73,,1.74,,0.38,4.71,4.72,4.71,4.72,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45342,,Sigmoidoscopy w/us guide bx,A,,4.05,2.54,NA,2.56,NA,2.54,,2.56,,0.60,7.19,7.21,7.19,7.21,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45345,,Sigmoidoscopy w/stent,A,,2.92,1.87,NA,1.89,NA,1.87,,1.89,,0.44,5.23,5.25,5.23,5.25,0,000,0.00,0.00,0.00,3,0,1,0,0,45330,33.9764,09,0,99,0.00,0.00,0.00
45355,,Surgical colonoscopy,A,,3.51,1.98,NA,2.09,NA,1.98,,2.09,,0.59,6.08,6.19,6.08,6.19,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45378,,Diagnostic colonoscopy,A,,3.69,7.37,,7.12,,2.22,,2.26,,0.59,11.65,11.40,6.50,6.54,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45378,53,Diagnostic colonoscopy,A,,0.96,2.95,,2.92,,0.76,,0.79,,0.14,4.05,4.02,1.86,1.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45379,,Colonoscopy w/fb removal,A,,4.68,9.46,,9.23,,2.73,,2.82,,0.72,14.86,14.63,8.13,8.22,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45380,,Colonoscopy and biopsy,A,,4.43,8.82,,8.48,,2.69,,2.72,,0.67,13.92,13.58,7.79,7.82,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45381,,Colonoscopy submucous inj,A,,4.19,8.73,,8.35,,2.57,,2.59,,0.63,13.55,13.17,7.39,7.41,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45382,,Colonoscopy/control bleeding,A,,5.68,11.71,,11.11,,3.42,,3.43,,0.84,18.23,17.63,9.94,9.95,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45383,,Lesion removal colonoscopy,A,,5.86,9.95,,9.75,,3.28,,3.37,,0.91,16.72,16.52,10.05,10.14,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45384,,Lesion remove colonoscopy,A,,4.69,8.36,,8.16,,2.70,,2.76,,0.73,13.78,13.58,8.12,8.18,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45385,,Lesion removal colonoscopy,A,,5.30,9.59,,9.23,,3.14,,3.18,,0.80,15.69,15.33,9.24,9.28,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45386,,Colonoscopy dilate stricture,A,,4.57,14.17,,13.55,,2.68,,2.73,,0.72,19.46,18.84,7.97,8.02,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45387,,Colonoscopy w/stent,A,,5.90,3.57,NA,3.62,NA,3.57,,3.62,,0.88,10.35,10.40,10.35,10.40,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45391,,Colonoscopy w/endoscope us,A,,5.09,3.06,NA,3.09,NA,3.06,,3.09,,0.73,8.88,8.91,8.88,8.91,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45392,,Colonoscopy w/endoscopic fnb,A,,6.54,3.85,NA,3.89,NA,3.85,,3.89,,1.02,11.41,11.45,11.41,11.45,0,000,0.00,0.00,0.00,3,0,1,0,0,45378,33.9764,09,0,99,0.00,0.00,0.00
45395,,Lap removal of rectum,A,,33.00,18.65,NA,20.59,NA,18.65,,20.59,,5.99,57.64,59.58,57.64,59.58,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45397,,Lap remove rectum w/pouch,A,,36.50,19.65,NA,21.94,NA,19.65,,21.94,,6.02,62.17,64.46,62.17,64.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45400,,Laparoscopic proc,A,,19.44,10.36,NA,11.50,NA,10.36,,11.50,,3.57,33.37,34.51,33.37,34.51,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45402,,Lap proctopexy w/sig resect,A,,26.51,13.07,NA,14.58,NA,13.07,,14.58,,4.82,44.40,45.91,44.40,45.91,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45499,,Laparoscope proc rectum,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
45500,,Repair of rectum,A,,7.73,5.92,NA,6.60,NA,5.92,,6.60,,1.21,14.86,15.54,14.86,15.54,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45505,,Repair of rectum,A,,8.36,6.78,NA,7.60,NA,6.78,,7.60,,1.51,16.65,17.47,16.65,17.47,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45520,,Treatment of rectal prolapse,A,,0.55,3.42,,3.74,,0.52,,0.57,,0.07,4.04,4.36,1.14,1.19,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45540,,Correct rectal prolapse,A,,18.12,9.33,NA,10.39,NA,9.33,,10.39,,3.12,30.57,31.63,30.57,31.63,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45541,,Correct rectal prolapse,A,,14.85,9.19,NA,10.27,NA,9.19,,10.27,,2.59,26.63,27.71,26.63,27.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45550,,Repair rectum/remove sigmoid,A,,24.80,13.03,NA,14.60,NA,13.03,,14.60,,4.48,42.31,43.88,42.31,43.88,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45560,,Repair of rectocele,A,,11.50,7.15,NA,7.52,NA,7.15,,7.52,,1.80,20.45,20.82,20.45,20.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45562,,Exploration/repair of rectum,A,,17.98,10.87,NA,11.84,NA,10.87,,11.84,,3.38,32.23,33.20,32.23,33.20,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45563,,Exploration/repair of rectum,A,,26.38,15.24,NA,16.98,NA,15.24,,16.98,,5.63,47.25,48.99,47.25,48.99,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45800,,Repair rect/bladder fistula,A,,20.31,11.49,NA,11.90,NA,11.49,,11.90,,3.39,35.19,35.60,35.19,35.60,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45805,,Repair fistula w/colostomy,A,,23.32,13.63,NA,15.16,NA,13.63,,15.16,,4.98,41.93,43.46,41.93,43.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45820,,Repair rectourethral fistula,A,,20.37,11.70,NA,12.43,NA,11.70,,12.43,,1.96,34.03,34.76,34.03,34.76,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45825,,Repair fistula w/colostomy,A,,24.17,14.40,NA,15.49,NA,14.40,,15.49,,3.46,42.03,43.12,42.03,43.12,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
45900,,Reduction of rectal prolapse,A,,2.99,2.22,NA,2.43,NA,2.22,,2.43,,0.56,5.77,5.98,5.77,5.98,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45905,,Dilation of anal sphincter,A,,2.35,2.08,NA,2.22,NA,2.08,,2.22,,0.41,4.84,4.98,4.84,4.98,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45910,,Dilation of rectal narrowing,A,,2.85,2.33,NA,2.44,NA,2.33,,2.44,,0.48,5.66,5.77,5.66,5.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45915,,Remove rectal obstruction,A,,3.19,5.43,,5.71,,2.72,,2.93,,0.52,9.14,9.42,6.43,6.64,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
45990,,Surg dx exam anorectal,A,,1.80,1.02,NA,1.09,NA,1.02,,1.09,,0.31,3.13,3.20,3.13,3.20,0,000,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
45999,,Rectum surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
46020,,Placement of seton,A,,3.00,4.07,,4.50,,3.03,,3.36,,0.54,7.61,8.04,6.57,6.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46030,,Removal of rectal marker,A,,1.26,2.34,,2.55,,1.08,,1.19,,0.23,3.83,4.04,2.57,2.68,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46040,,Incision of rectal abscess,A,,5.37,8.32,,8.96,,5.25,,5.71,,1.05,14.74,15.38,11.67,12.13,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46045,,Incision of rectal abscess,A,,5.87,5.13,NA,5.70,NA,5.13,,5.70,,1.17,12.17,12.74,12.17,12.74,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46050,,Incision of anal abscess,A,,1.24,3.94,,4.22,,1.27,,1.39,,0.24,5.42,5.70,2.75,2.87,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46060,,Incision of rectal abscess,A,,6.37,5.78,NA,6.43,NA,5.78,,6.43,,1.18,13.33,13.98,13.33,13.98,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46070,,Incision of anal septum,A,,2.79,3.48,NA,3.81,NA,3.48,,3.81,,0.20,6.47,6.80,6.47,6.80,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46080,,Incision of anal sphincter,A,,2.52,3.87,,4.20,,1.58,,1.74,,0.49,6.88,7.21,4.59,4.75,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46083,,Incise external hemorrhoid,A,,1.45,3.31,,3.31,,1.38,,1.44,,0.24,5.00,5.00,3.07,3.13,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46200,,Removal of anal fissure,A,,3.59,7.69,,8.46,,4.77,,5.22,,0.63,11.91,12.68,8.99,9.44,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46220,,Excise anal ext tag/papilla,A,,1.61,3.75,,4.03,,1.47,,1.61,,0.30,5.66,5.94,3.38,3.52,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46221,,Ligation of hemorrhoid(s),A,,2.36,4.60,,4.98,,2.60,,2.83,,0.41,7.37,7.75,5.37,5.60,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46230,,Removal of anal tags,A,,2.62,4.48,,4.81,,1.85,,2.03,,0.48,7.58,7.91,4.95,5.13,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46250,,Remove ext hem groups 2+,A,,4.25,7.67,,8.22,,3.82,,4.18,,0.82,12.74,13.29,8.89,9.25,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46255,,Remove int/ext hem 1 group,A,,4.96,8.11,,8.61,,4.11,,4.48,,0.95,14.02,14.52,10.02,10.39,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46257,,Remove in/ex hem grp & fiss,A,,5.76,5.02,NA,5.59,NA,5.02,,5.59,,1.08,11.86,12.43,11.86,12.43,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46258,,Remove in/ex hem grp w/fistu,A,,6.41,5.43,NA,6.07,NA,5.43,,6.07,,1.37,13.21,13.85,13.21,13.85,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46260,,Remove in/ex hem groups 2+,A,,6.73,5.39,NA,5.99,NA,5.39,,5.99,,1.27,13.39,13.99,13.39,13.99,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46261,,Remove in/ex hem grps & fiss,A,,7.76,5.82,NA,6.48,NA,5.82,,6.48,,1.39,14.97,15.63,14.97,15.63,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46262,,Remove in/ex hem grps w/fist,A,,7.91,6.28,NA,6.98,NA,6.28,,6.98,,1.44,15.63,16.33,15.63,16.33,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46270,,Remove anal fist subq,A,,4.92,8.05,,8.74,,5.04,,5.59,,0.98,13.95,14.64,10.94,11.49,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46275,,Remove anal fist inter,A,,5.42,8.30,,9.09,,5.18,,5.74,,0.98,14.70,15.49,11.58,12.14,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46280,,Remove anal fist complex,A,,6.39,5.62,NA,6.26,NA,5.62,,6.26,,1.13,13.14,13.78,13.14,13.78,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46285,,Remove anal fist 2 stage,A,,5.42,8.11,,9.05,,5.15,,5.78,,0.91,14.44,15.38,11.48,12.11,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46288,,Repair anal fistula,A,,7.81,6.28,NA,7.01,NA,6.28,,7.01,,1.33,15.42,16.15,15.42,16.15,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46320,,Removal of hemorrhoid clot,A,,1.64,3.10,,3.34,,1.22,,1.35,,0.30,5.04,5.28,3.16,3.29,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46500,,Injection into hemorrhoid(s),A,,1.69,4.37,,4.79,,1.68,,1.83,,0.29,6.35,6.77,3.66,3.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46505,,Chemodenervation anal musc,A,,3.18,4.27,,4.58,,3.03,,3.31,,0.59,8.04,8.35,6.80,7.08,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46600,,Diagnostic anoscopy,A,,0.55,1.79,,1.86,,0.51,,0.57,,0.08,2.42,2.49,1.14,1.20,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46604,,Anoscopy and dilation,A,,1.03,14.88,,15.86,,0.72,,0.77,,0.16,16.07,17.05,1.91,1.96,0,000,0.00,0.00,0.00,3,0,1,0,0,46600,33.9764,09,0,99,0.00,0.00,0.00
46606,,Anoscopy and biopsy,A,,1.20,4.82,,4.93,,0.78,,0.86,,0.23,6.25,6.36,2.21,2.29,0,000,0.00,0.00,0.00,3,0,1,0,0,46600,33.9764,09,0,99,0.00,0.00,0.00
46608,,Anoscopy remove for body,A,,1.30,4.91,,5.09,,0.80,,0.86,,0.24,6.45,6.63,2.34,2.40,0,000,0.00,0.00,0.00,3,0,0,0,0,46600,33.9764,09,0,99,0.00,0.00,0.00
46610,,Anoscopy remove lesion,A,,1.28,4.82,,4.95,,0.83,,0.90,,0.24,6.34,6.47,2.35,2.42,0,000,0.00,0.00,0.00,3,0,1,0,0,46600,33.9764,09,0,99,0.00,0.00,0.00
46611,,Anoscopy,A,,1.30,3.42,,3.55,,0.85,,0.93,,0.23,4.95,5.08,2.38,2.46,0,000,0.00,0.00,0.00,3,0,0,0,0,46600,33.9764,09,0,99,0.00,0.00,0.00
46612,,Anoscopy remove lesions,A,,1.50,5.67,,5.76,,0.96,,1.01,,0.31,7.48,7.57,2.77,2.82,0,000,0.00,0.00,0.00,3,0,0,0,0,46600,33.9764,09,0,99,0.00,0.00,0.00
46614,,Anoscopy control bleeding,A,,1.00,2.48,,2.49,,0.76,,0.77,,0.14,3.62,3.63,1.90,1.91,0,000,0.00,0.00,0.00,3,0,1,0,0,46600,33.9764,09,0,99,0.00,0.00,0.00
46615,,Anoscopy,A,,1.50,2.36,,2.39,,0.97,,1.01,,0.29,4.15,4.18,2.76,2.80,0,000,0.00,0.00,0.00,3,0,0,0,0,46600,33.9764,09,0,99,0.00,0.00,0.00
46700,,Repair of anal stricture,A,,9.81,7.05,NA,7.93,NA,7.05,,7.93,,1.63,18.49,19.37,18.49,19.37,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46705,,Repair of anal stricture,A,,7.43,5.99,NA,6.20,NA,5.99,,6.20,,0.52,13.94,14.15,13.94,14.15,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46706,,Repr of anal fistula w/glue,A,,2.44,1.94,NA,2.08,NA,1.94,,2.08,,0.42,4.80,4.94,4.80,4.94,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46707,,Repair anorectal fist w/plug,A,,6.39,6.50,NA,6.50,NA,6.50,,6.50,,0.90,13.79,13.79,13.79,13.79,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46710,,Repr per/vag pouch sngl proc,A,,17.14,10.77,NA,11.54,NA,10.77,,11.54,,3.67,31.58,32.35,31.58,32.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46712,,Repr per/vag pouch dbl proc,A,,36.45,19.91,NA,22.11,NA,19.91,,22.11,,2.59,58.95,61.15,58.95,61.15,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46715,,Rep perf anoper fistu,A,,7.62,5.84,NA,6.35,NA,5.84,,6.35,,0.53,13.99,14.50,13.99,14.50,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46716,,Rep perf anoper/vestib fistu,A,,17.54,14.45,NA,13.74,NA,14.45,,13.74,,1.24,33.23,32.52,33.23,32.52,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46730,,Construction of absent anus,A,,30.65,18.42,NA,19.17,NA,18.42,,19.17,,2.18,51.25,52.00,51.25,52.00,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46735,,Construction of absent anus,A,,36.14,20.71,NA,21.57,NA,20.71,,21.57,,2.57,59.42,60.28,59.42,60.28,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46740,,Construction of absent anus,A,,33.90,20.20,NA,22.50,NA,20.20,,22.50,,7.23,61.33,63.63,61.33,63.63,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46742,,Repair of imperforated anus,A,,40.14,22.89,NA,25.12,NA,22.89,,25.12,,8.56,71.59,73.82,71.59,73.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46744,,Repair of cloacal anomaly,A,,58.94,30.46,NA,35.23,NA,30.46,,35.23,,8.42,97.82,102.59,97.82,102.59,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46746,,Repair of cloacal anomaly,A,,65.44,33.54,NA,34.55,NA,33.54,,34.55,,4.64,103.62,104.63,103.62,104.63,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46748,,Repair of cloacal anomaly,A,,71.42,33.62,NA,33.37,NA,33.62,,33.37,,5.08,110.12,109.87,110.12,109.87,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46750,,Repair of anal sphincter,A,,12.15,7.84,NA,8.60,NA,7.84,,8.60,,1.97,21.96,22.72,21.96,22.72,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46751,,Repair of anal sphincter,A,,9.30,6.89,NA,6.95,NA,6.89,,6.95,,1.57,17.76,17.82,17.76,17.82,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46753,,Reconstruction of anus,A,,8.89,6.28,NA,6.97,NA,6.28,,6.97,,1.51,16.68,17.37,16.68,17.37,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46754,,Removal of suture from anus,A,,3.01,4.86,,5.20,,3.01,,3.39,,0.42,8.29,8.63,6.44,6.82,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46760,,Repair of anal sphincter,A,,17.45,11.12,NA,12.49,NA,11.12,,12.49,,2.48,31.05,32.42,31.05,32.42,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46761,,Repair of anal sphincter,A,,15.29,9.09,NA,10.15,NA,9.09,,10.15,,2.42,26.80,27.86,26.80,27.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46762,,Implant artificial sphincter,A,,14.82,9.42,NA,10.44,NA,9.42,,10.44,,2.12,26.36,27.38,26.36,27.38,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
46900,,Destruction anal lesion(s),A,,1.91,4.45,,4.74,,1.76,,1.89,,0.30,6.66,6.95,3.97,4.10,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46910,,Destruction anal lesion(s),A,,1.91,4.68,,4.88,,1.59,,1.70,,0.34,6.93,7.13,3.84,3.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46916,,Cryosurgery anal lesion(s),A,,1.91,4.51,,4.54,,2.04,,2.15,,0.27,6.69,6.72,4.22,4.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46917,,Laser surgery anal lesions,A,,1.91,10.84,,10.92,,1.61,,1.73,,0.33,13.08,13.16,3.85,3.97,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46922,,Excision of anal lesion(s),A,,1.91,5.06,,5.37,,1.60,,1.74,,0.35,7.32,7.63,3.86,4.00,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46924,,Destruction anal lesion(s),A,,2.81,11.68,,11.99,,2.05,,2.24,,0.45,14.94,15.25,5.31,5.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46930,,Destroy internal hemorrhoids,A,,1.61,4.12,,3.92,,2.48,,2.40,,0.26,5.99,5.79,4.35,4.27,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46940,,Treatment of anal fissure,A,,2.35,3.57,,3.93,,1.49,,1.65,,0.37,6.29,6.65,4.21,4.37,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46942,,Treatment of anal fissure,A,,2.07,3.48,,3.83,,1.37,,1.52,,0.33,5.88,6.23,3.77,3.92,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46945,,Remove by ligat int hem grp,A,,2.21,5.73,,6.14,,3.69,,3.91,,0.38,8.32,8.73,6.28,6.50,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46946,,Remove by ligat int hem grps,A,,2.63,5.60,,5.84,,3.32,,3.47,,0.44,8.67,8.91,6.39,6.54,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46947,,Hemorrhoidopexy by stapling,A,,5.57,4.21,NA,4.66,NA,4.21,,4.66,,1.09,10.87,11.32,10.87,11.32,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
46999,,Anus surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
47000,,Needle biopsy of liver,A,,1.90,8.05,,8.17,,0.81,,0.74,,0.20,10.15,10.27,2.91,2.84,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47001,,Needle biopsy liver add-on,A,,1.90,0.75,NA,0.82,NA,0.75,,0.82,,0.38,3.03,3.10,3.03,3.10,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47010,,Open drainage liver lesion,A,,19.40,11.31,NA,12.14,NA,11.31,,12.14,,3.96,34.67,35.50,34.67,35.50,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47011,,Percut drain liver lesion,A,,3.69,1.54,NA,1.35,NA,1.54,,1.35,,0.35,5.58,5.39,5.58,5.39,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47015,,Inject/aspirate liver cyst,A,,18.50,10.94,NA,12.12,NA,10.94,,12.12,,3.93,33.37,34.55,33.37,34.55,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47100,,Wedge biopsy of liver,A,,12.91,8.64,NA,9.44,NA,8.64,,9.44,,2.69,24.24,25.04,24.24,25.04,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47120,,Partial removal of liver,A,,39.01,20.15,NA,22.08,NA,20.15,,22.08,,8.26,67.42,69.35,67.42,69.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47122,,Extensive removal of liver,A,,59.48,27.54,NA,30.18,NA,27.54,,30.18,,12.64,99.66,102.30,99.66,102.30,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47125,,Partial removal of liver,A,,53.04,24.99,NA,27.38,NA,24.99,,27.38,,11.20,89.23,91.62,89.23,91.62,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47130,,Partial removal of liver,A,,57.19,26.56,NA,29.04,NA,26.56,,29.04,,12.04,95.79,98.27,95.79,98.27,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47133,,Removal of donor liver,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
47135,,Transplantation of liver,R,,83.64,40.62,NA,44.70,NA,40.62,,44.70,,17.71,141.97,146.05,141.97,146.05,0,090,0.09,0.81,0.10,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
47136,,Transplantation of liver,R,,70.74,34.72,NA,37.44,NA,34.72,,37.44,,15.09,120.55,123.27,120.55,123.27,0,090,0.09,0.81,0.10,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
47140,,Partial removal donor liver,A,,59.40,30.99,NA,34.31,NA,30.99,,34.31,,12.67,103.06,106.38,103.06,106.38,0,090,0.09,0.81,0.10,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
47141,,Partial removal donor liver,A,,71.50,35.51,NA,38.33,NA,35.51,,38.33,,5.08,112.09,114.91,112.09,114.91,0,090,0.09,0.81,0.10,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
47142,,Partial removal donor liver,A,,79.44,39.70,NA,43.89,NA,39.70,,43.89,,16.93,136.07,140.26,136.07,140.26,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47143,,Prep donor liver whole,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47144,,Prep donor liver 3-segment,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47145,,Prep donor liver lobe split,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47146,,Prep donor liver/venous,A,,6.00,2.37,NA,2.61,NA,2.37,,2.61,,1.28,9.65,9.89,9.65,9.89,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47147,,Prep donor liver/arterial,A,,7.00,2.77,NA,3.05,NA,2.77,,3.05,,1.48,11.25,11.53,11.25,11.53,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47300,,Surgery for liver lesion,A,,18.14,10.67,NA,11.81,NA,10.67,,11.81,,3.84,32.65,33.79,32.65,33.79,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47350,,Repair liver wound,A,,22.49,12.45,NA,13.66,NA,12.45,,13.66,,4.70,39.64,40.85,39.64,40.85,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47360,,Repair liver wound,A,,31.31,16.23,NA,17.98,NA,16.23,,17.98,,6.67,54.21,55.96,54.21,55.96,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47361,,Repair liver wound,A,,52.60,24.32,NA,26.61,NA,24.32,,26.61,,10.70,87.62,89.91,87.62,89.91,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47362,,Repair liver wound,A,,23.54,13.08,NA,14.60,NA,13.08,,14.60,,4.94,41.56,43.08,41.56,43.08,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47370,,Laparo ablate liver tumor rf,A,,20.80,10.86,NA,11.88,NA,10.86,,11.88,,4.22,35.88,36.90,35.88,36.90,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47371,,Laparo ablate liver cryosurg,A,,20.80,11.35,NA,12.20,NA,11.35,,12.20,,4.44,36.59,37.44,36.59,37.44,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47379,,Laparoscope procedure liver,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
47380,,Open ablate liver tumor rf,A,,24.56,12.30,NA,13.32,NA,12.30,,13.32,,4.95,41.81,42.83,41.81,42.83,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47381,,Open ablate liver tumor cryo,A,,24.88,11.53,NA,11.31,NA,11.53,,11.31,,5.31,41.72,41.50,41.72,41.50,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47382,,Percut ablate liver rf,A,,15.22,119.61,,119.61,,7.14,,6.19,,1.48,136.31,136.31,23.84,22.89,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47399,,Liver surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
47400,,Incision of liver duct,A,,36.36,18.26,NA,20.18,NA,18.26,,20.18,,7.74,62.36,64.28,62.36,64.28,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47420,,Incision of bile duct,A,,22.03,12.09,NA,13.28,NA,12.09,,13.28,,4.67,38.79,39.98,38.79,39.98,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47425,,Incision of bile duct,A,,22.31,12.30,NA,13.63,NA,12.30,,13.63,,4.76,39.37,40.70,39.37,40.70,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47460,,Incise bile duct sphincter,A,,20.52,12.05,NA,12.85,NA,12.05,,12.85,,4.37,36.94,37.74,36.94,37.74,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47480,,Incision of gallbladder,A,,13.25,8.99,NA,9.86,NA,8.99,,9.86,,2.75,24.99,25.86,24.99,25.86,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47490,,Incision of gallbladder,A,,4.76,5.55,NA,4.30,NA,5.55,,4.30,,0.44,10.75,9.50,10.75,9.50,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47500,,Injection for liver x-rays,A,,1.96,0.81,NA,0.71,NA,0.81,,0.71,,0.20,2.97,2.87,2.97,2.87,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47505,,Injection for liver x-rays,A,,0.76,0.31,NA,0.28,NA,0.31,,0.28,,0.07,1.14,1.11,1.14,1.11,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47510,,Insert catheter bile duct,A,,8.03,5.44,NA,4.86,NA,5.44,,4.86,,0.80,14.27,13.69,14.27,13.69,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47511,,Insert bile duct drain,A,,10.77,5.86,NA,5.14,NA,5.86,,5.14,,1.02,17.65,16.93,17.65,16.93,0,090,0.09,0.81,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47525,,Change bile duct catheter,A,,1.54,13.46,,12.30,,1.22,,0.81,,0.14,15.14,13.98,2.90,2.49,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47530,,Revise/reinsert bile tube,A,,6.05,35.96,,33.50,,4.08,,3.64,,0.61,42.62,40.16,10.74,10.30,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47550,,Bile duct endoscopy add-on,A,,3.02,1.21,NA,1.31,NA,1.21,,1.31,,0.63,4.86,4.96,4.86,4.96,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47552,,Biliary endoscopy thru skin,A,,6.03,2.92,NA,2.59,NA,2.92,,2.59,,0.63,9.58,9.25,9.58,9.25,0,000,0.00,0.00,0.00,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47553,,Biliary endoscopy thru skin,A,,6.34,2.62,NA,2.33,NA,2.62,,2.33,,0.63,9.59,9.30,9.59,9.30,0,000,0.00,0.00,0.00,3,0,1,0,0,47552,33.9764,09,0,99,0.00,0.00,0.00
47554,,Biliary endoscopy thru skin,A,,9.05,4.14,NA,4.05,NA,4.14,,4.05,,1.51,14.70,14.61,14.70,14.61,0,000,0.00,0.00,0.00,3,0,1,1,0,47552,33.9764,09,0,99,0.00,0.00,0.00
47555,,Biliary endoscopy thru skin,A,,7.55,3.13,NA,2.70,NA,3.13,,2.70,,0.71,11.39,10.96,11.39,10.96,0,000,0.00,0.00,0.00,3,0,1,0,0,47552,33.9764,09,0,99,0.00,0.00,0.00
47556,,Biliary endoscopy thru skin,A,,8.55,3.56,NA,3.09,NA,3.56,,3.09,,0.80,12.91,12.44,12.91,12.44,0,000,0.00,0.00,0.00,3,0,1,0,0,47552,33.9764,09,0,99,0.00,0.00,0.00
47560,,Laparoscopy w/cholangio,A,,4.88,1.95,NA,2.12,NA,1.95,,2.12,,1.05,7.88,8.05,7.88,8.05,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47561,,Laparo w/cholangio/biopsy,A,,5.17,2.33,NA,2.54,NA,2.33,,2.54,,1.10,8.60,8.81,8.60,8.81,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47562,,Laparoscopic cholecystectomy,A,,11.76,7.29,NA,8.05,NA,7.29,,8.05,,2.48,21.53,22.29,21.53,22.29,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47563,,Laparo cholecystectomy/graph,A,,12.11,7.14,NA,7.83,NA,7.14,,7.83,,2.57,21.82,22.51,21.82,22.51,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47564,,Laparo cholecystectomy/explr,A,,14.24,7.74,NA,8.46,NA,7.74,,8.46,,3.04,25.02,25.74,25.02,25.74,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47570,,Laparo cholecystoenterostomy,A,,12.56,7.15,NA,7.83,NA,7.15,,7.83,,2.67,22.38,23.06,22.38,23.06,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47579,,Laparoscope proc biliary,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
47600,,Removal of gallbladder,A,,17.48,9.94,NA,11.10,NA,9.94,,11.10,,3.70,31.12,32.28,31.12,32.28,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47605,,Removal of gallbladder,A,,15.98,8.98,NA,9.88,NA,8.98,,9.88,,3.40,28.36,29.26,28.36,29.26,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47610,,Removal of gallbladder,A,,20.92,10.92,NA,12.03,NA,10.92,,12.03,,4.45,36.29,37.40,36.29,37.40,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47612,,Removal of gallbladder,A,,21.21,10.97,NA,12.10,NA,10.97,,12.10,,4.50,36.68,37.81,36.68,37.81,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47620,,Removal of gallbladder,A,,23.07,11.85,NA,13.12,NA,11.85,,13.12,,4.94,39.86,41.13,39.86,41.13,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47630,,Remove bile duct stone,A,,9.65,5.69,NA,5.25,NA,5.69,,5.25,,1.21,16.55,16.11,16.55,16.11,0,090,0.09,0.81,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47700,,Exploration of bile ducts,A,,16.50,10.30,NA,11.24,NA,10.30,,11.24,,3.52,30.32,31.26,30.32,31.26,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47701,,Bile duct revision,A,,28.73,16.14,NA,16.84,NA,16.14,,16.84,,6.11,50.98,51.68,50.98,51.68,0,090,0.09,0.81,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
47711,,Excision of bile duct tumor,A,,25.90,13.72,NA,15.11,NA,13.72,,15.11,,5.48,45.10,46.49,45.10,46.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47712,,Excision of bile duct tumor,A,,33.72,16.89,NA,18.74,NA,16.89,,18.74,,7.20,57.81,59.66,57.81,59.66,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47715,,Excision of bile duct cyst,A,,21.55,12.09,NA,13.45,NA,12.09,,13.45,,4.60,38.24,39.60,38.24,39.60,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47720,,Fuse gallbladder & bowel,A,,18.34,10.77,NA,11.87,NA,10.77,,11.87,,3.88,32.99,34.09,32.99,34.09,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47721,,Fuse upper gi structures,A,,21.99,12.28,NA,13.64,NA,12.28,,13.64,,4.70,38.97,40.33,38.97,40.33,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47740,,Fuse gallbladder & bowel,A,,21.23,11.95,NA,13.31,NA,11.95,,13.31,,4.52,37.70,39.06,37.70,39.06,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47741,,Fuse gallbladder & bowel,A,,24.21,13.16,NA,14.61,NA,13.16,,14.61,,5.16,42.53,43.98,42.53,43.98,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47760,,Fuse bile ducts and bowel,A,,38.32,18.45,NA,20.91,NA,18.45,,20.91,,8.11,64.88,67.34,64.88,67.34,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47765,,Fuse liver ducts & bowel,A,,52.19,23.76,NA,27.49,NA,23.76,,27.49,,11.13,87.08,90.81,87.08,90.81,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47780,,Fuse bile ducts and bowel,A,,42.32,19.83,NA,22.54,NA,19.83,,22.54,,8.98,71.13,73.84,71.13,73.84,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47785,,Fuse bile ducts and bowel,A,,56.19,25.09,NA,28.80,NA,25.09,,28.80,,11.99,93.27,96.98,93.27,96.98,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47800,,Reconstruction of bile ducts,A,,26.17,13.93,NA,15.43,NA,13.93,,15.43,,5.59,45.69,47.19,45.69,47.19,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47801,,Placement bile duct support,A,,17.60,10.36,NA,9.96,NA,10.36,,9.96,,2.44,30.40,30.00,30.40,30.00,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47802,,Fuse liver duct & intestine,A,,24.93,13.74,NA,15.21,NA,13.74,,15.21,,5.32,43.99,45.46,43.99,45.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47900,,Suture bile duct injury,A,,22.44,12.24,NA,13.44,NA,12.24,,13.44,,4.72,39.40,40.60,39.40,40.60,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
47999,,Bile tract surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
48000,,Drainage of abdomen,A,,31.95,15.62,NA,16.91,NA,15.62,,16.91,,6.18,53.75,55.04,53.75,55.04,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48001,,Placement of drain pancreas,A,,39.69,18.80,NA,20.84,NA,18.80,,20.84,,8.48,66.97,69.01,66.97,69.01,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48020,,Removal of pancreatic stone,A,,19.09,10.79,NA,11.88,NA,10.79,,11.88,,4.08,33.96,35.05,33.96,35.05,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48100,,Biopsy of pancreas open,A,,14.46,8.17,NA,8.97,NA,8.17,,8.97,,2.99,25.62,26.42,25.62,26.42,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48102,,Needle biopsy pancreas,A,,4.70,10.77,,10.21,,2.24,,1.97,,0.44,15.91,15.35,7.38,7.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
48105,,Resect/debride pancreas,A,,49.26,23.11,NA,25.74,NA,23.11,,25.74,,10.30,82.67,85.30,82.67,85.30,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48120,,Removal of pancreas lesion,A,,18.41,9.69,NA,10.69,NA,9.69,,10.69,,3.91,32.01,33.01,32.01,33.01,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48140,,Partial removal of pancreas,A,,26.32,13.33,NA,14.71,NA,13.33,,14.71,,5.58,45.23,46.61,45.23,46.61,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48145,,Partial removal of pancreas,A,,27.39,13.91,NA,15.49,NA,13.91,,15.49,,5.83,47.13,48.71,47.13,48.71,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48146,,Pancreatectomy,A,,30.60,16.93,NA,18.84,NA,16.93,,18.84,,6.52,54.05,55.96,54.05,55.96,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48148,,Removal of pancreatic duct,A,,20.39,11.18,NA,12.45,NA,11.18,,12.45,,4.34,35.91,37.18,35.91,37.18,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48150,,Partial removal of pancreas,A,,52.84,25.92,NA,28.42,NA,25.92,,28.42,,11.23,89.99,92.49,89.99,92.49,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48152,,Pancreatectomy,A,,48.65,24.53,NA,27.12,NA,24.53,,27.12,,10.38,83.56,86.15,83.56,86.15,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48153,,Pancreatectomy,A,,52.79,25.86,NA,28.39,NA,25.86,,28.39,,11.21,89.86,92.39,89.86,92.39,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48154,,Pancreatectomy,A,,48.88,24.53,NA,27.22,NA,24.53,,27.22,,10.43,83.84,86.53,83.84,86.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48155,,Removal of pancreas,A,,29.45,16.62,NA,18.27,NA,16.62,,18.27,,6.27,52.34,53.99,52.34,53.99,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48160,,Pancreas removal/transplant,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
48400,,Injection intraop add-on,A,,1.95,0.86,NA,0.85,NA,0.86,,0.85,,0.29,3.10,3.09,3.10,3.09,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
48500,,Surgery of pancreatic cyst,A,,18.16,10.98,NA,12.18,NA,10.98,,12.18,,3.87,33.01,34.21,33.01,34.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48510,,Drain pancreatic pseudocyst,A,,17.19,10.48,NA,11.52,NA,10.48,,11.52,,3.59,31.26,32.30,31.26,32.30,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48511,,Drain pancreatic pseudocyst,A,,3.99,23.36,,21.76,,1.67,,1.47,,0.38,27.73,26.13,6.04,5.84,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
48520,,Fuse pancreas cyst and bowel,A,,18.15,9.63,NA,10.60,NA,9.63,,10.60,,3.84,31.62,32.59,31.62,32.59,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48540,,Fuse pancreas cyst and bowel,A,,21.94,10.91,NA,11.92,NA,10.91,,11.92,,4.67,37.52,38.53,37.52,38.53,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48545,,Pancreatorrhaphy,A,,22.23,11.71,NA,13.13,NA,11.71,,13.13,,4.75,38.69,40.11,38.69,40.11,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48547,,Duodenal exclusion,A,,30.38,14.91,NA,16.67,NA,14.91,,16.67,,6.46,51.75,53.51,51.75,53.51,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48548,,Fuse pancreas and bowel,A,,28.09,14.15,NA,15.58,NA,14.15,,15.58,,5.97,48.21,49.64,48.21,49.64,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48550,,Donor pancreatectomy,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
48551,,Prep donor pancreas,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48552,,Prep donor pancreas/venous,A,,4.30,1.73,NA,1.87,NA,1.73,,1.87,,0.90,6.93,7.07,6.93,7.07,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
48554,,Transpl allograft pancreas,R,,37.80,27.54,NA,30.03,NA,27.54,,30.03,,7.89,73.23,75.72,73.23,75.72,0,090,0.09,0.81,0.10,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
48556,,Removal allograft pancreas,A,,19.47,12.79,NA,14.07,NA,12.79,,14.07,,4.15,36.41,37.69,36.41,37.69,0,090,0.09,0.81,0.10,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
48999,,Pancreas surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
49000,,Exploration of abdomen,A,,12.54,7.23,NA,7.81,NA,7.23,,7.81,,2.57,22.34,22.92,22.34,22.92,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49002,,Reopening of abdomen,A,,17.63,8.81,NA,9.92,NA,8.81,,9.92,,3.66,30.10,31.21,30.10,31.21,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49010,,Exploration behind abdomen,A,,16.06,8.34,NA,8.86,NA,8.34,,8.86,,3.20,27.60,28.12,27.60,28.12,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49020,,Drain abdominal abscess,A,,26.67,14.00,NA,15.35,NA,14.00,,15.35,,5.42,46.09,47.44,46.09,47.44,0,090,0.09,0.81,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49021,,Drain abdominal abscess,A,,3.37,22.71,,21.01,,1.40,,1.24,,0.31,26.39,24.69,5.08,4.92,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49040,,Drain open abdom abscess,A,,16.52,9.08,NA,9.94,NA,9.08,,9.94,,3.39,28.99,29.85,28.99,29.85,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49041,,Drain percut abdom abscess,A,,3.99,22.83,,21.44,,1.66,,1.46,,0.38,27.20,25.81,6.03,5.83,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49060,,Drain open retrop abscess,A,,18.53,9.90,NA,10.54,NA,9.90,,10.54,,3.69,32.12,32.76,32.12,32.76,0,090,0.09,0.81,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49061,,Drain percut retroper absc,A,,3.69,22.59,,21.09,,1.54,,1.35,,0.34,26.62,25.12,5.57,5.38,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49062,,Drain to peritoneal cavity,A,,12.22,7.05,NA,7.47,NA,7.05,,7.47,,2.46,21.73,22.15,21.73,22.15,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49080,,Puncture peritoneal cavity,A,,1.35,3.34,,2.96,,0.58,,0.53,,0.12,4.81,4.43,2.05,2.00,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49081,,Removal of abdominal fluid,A,,1.26,3.39,,3.30,,0.58,,0.57,,0.16,4.81,4.72,2.00,1.99,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49180,,Biopsy abdominal mass,A,,1.73,2.94,,2.63,,0.72,,0.64,,0.16,4.83,4.52,2.61,2.53,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49203,,Exc abd tum 5 cm or less,A,,20.13,10.70,NA,11.54,NA,10.70,,11.54,,3.93,34.76,35.60,34.76,35.60,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49204,,Exc abd tum over 5 cm,A,,26.13,13.06,NA,14.14,NA,13.06,,14.14,,5.08,44.27,45.35,44.27,45.35,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49205,,Exc abd tum over 10 cm,A,,30.13,14.65,NA,15.90,NA,14.65,,15.90,,6.03,50.81,52.06,50.81,52.06,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49215,,Excise sacral spine tumor,A,,37.81,18.69,NA,20.70,NA,18.69,,20.70,,7.54,64.04,66.05,64.04,66.05,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49220,,Multiple surgery abdomen,A,,15.79,8.93,NA,9.73,NA,8.93,,9.73,,3.39,28.11,28.91,28.11,28.91,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49250,,Excision of umbilicus,A,,9.01,5.98,NA,6.50,NA,5.98,,6.50,,1.84,16.83,17.35,16.83,17.35,0,090,0.09,0.81,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49255,,Removal of omentum,A,,12.56,7.71,NA,8.35,NA,7.71,,8.35,,2.55,22.82,23.46,22.82,23.46,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49320,,Diag laparo separate proc,A,,5.14,3.34,NA,3.55,NA,3.34,,3.55,,1.03,9.51,9.72,9.51,9.72,0,010,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49321,,Laparoscopy biopsy,A,,5.44,3.50,NA,3.75,NA,3.50,,3.75,,1.13,10.07,10.32,10.07,10.32,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
49322,,Laparoscopy aspiration,A,,6.01,3.65,NA,3.87,NA,3.65,,3.87,,1.16,10.82,11.04,10.82,11.04,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
49323,,Laparo drain lymphocele,A,,10.23,6.36,NA,6.88,NA,6.36,,6.88,,2.14,18.73,19.25,18.73,19.25,0,090,0.10,0.80,0.10,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
49324,,Lap insert tunnel ip cath,A,,6.32,3.81,NA,4.11,NA,3.81,,4.11,,1.33,11.46,11.76,11.46,11.76,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
49325,,Lap revision perm ip cath,A,,6.82,3.98,NA,4.31,NA,3.98,,4.31,,1.47,12.27,12.60,12.27,12.60,0,010,0.10,0.80,0.10,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
49326,,Lap w/omentopexy add-on,A,,3.50,1.32,NA,1.46,NA,1.32,,1.46,,0.73,5.55,5.69,5.55,5.69,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49327,,Lap ins device for rt,A,,2.38,1.03,NA,1.03,NA,1.03,,1.03,,0.48,3.89,3.89,3.89,3.89,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49329,,Laparo proc abdm/per/oment,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
49400,,Air injection into abdomen,A,,1.88,2.52,,1.80,,0.77,,0.70,,0.24,4.64,3.92,2.89,2.82,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49402,,Remove foreign body adbomen,A,,14.09,7.78,NA,8.53,NA,7.78,,8.53,,2.90,24.77,25.52,24.77,25.52,0,090,0.09,0.81,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49411,,Ins mark abd/pel for rt perq,A,,3.82,11.19,,11.19,,1.65,,1.65,,0.35,15.36,15.36,5.82,5.82,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49412,,Ins device for rt guide open,A,,1.50,0.63,NA,0.63,NA,0.63,,0.63,,0.30,2.43,2.43,2.43,2.43,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49418,,Insert tun ip cath perc,A,,4.21,39.87,,39.87,,2.07,,2.07,,0.63,44.71,44.71,6.91,6.91,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49419,,Insert tun ip cath w/port,A,,7.08,4.59,NA,4.78,NA,4.59,,4.78,,1.22,12.89,13.08,12.89,13.08,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49421,,Ins tun ip cath for dial opn,A,,4.21,2.89,NA,1.90,NA,2.89,,1.90,,0.83,7.93,6.94,7.93,6.94,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49422,,Remove tunneled ip cath,A,,6.29,3.61,NA,3.83,NA,3.61,,3.83,,1.29,11.19,11.41,11.19,11.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49423,,Exchange drainage catheter,A,,1.46,15.21,,14.12,,0.65,,0.56,,0.12,16.79,15.70,2.23,2.14,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49424,,Assess cyst contrast inject,A,,0.76,3.65,,3.33,,0.35,,0.31,,0.07,4.48,4.16,1.18,1.14,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49425,,Insert abdomen-venous drain,A,,12.22,7.18,NA,7.54,NA,7.18,,7.54,,2.67,22.07,22.43,22.07,22.43,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49426,,Revise abdomen-venous shunt,A,,10.41,6.14,NA,6.44,NA,6.14,,6.44,,2.07,18.62,18.92,18.62,18.92,0,090,0.09,0.81,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49427,,Injection abdominal shunt,A,,0.89,0.38,NA,0.34,NA,0.38,,0.34,,0.10,1.37,1.33,1.37,1.33,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49428,,Ligation of shunt,A,,6.87,4.34,NA,4.51,NA,4.34,,4.51,,1.47,12.68,12.85,12.68,12.85,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49429,,Removal of shunt,A,,7.44,4.31,NA,4.63,NA,4.31,,4.63,,1.59,13.34,13.66,13.34,13.66,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49435,,Insert subq exten to ip cath,A,,2.25,0.81,NA,0.89,NA,0.81,,0.89,,0.45,3.51,3.59,3.51,3.59,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49436,,Embedded ip cath exit-site,A,,2.72,2.09,NA,2.21,NA,2.09,,2.21,,0.59,5.40,5.52,5.40,5.52,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49440,,Place gastrostomy tube perc,A,,4.18,27.42,,25.02,,2.16,,2.00,,0.48,32.08,29.68,6.82,6.66,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49441,,Place duod/jej tube perc,A,,4.77,30.24,,28.18,,2.44,,2.29,,0.54,35.55,33.49,7.75,7.60,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49442,,Place cecostomy tube perc,A,,4.00,25.46,,21.69,,2.04,,2.01,,0.37,29.83,26.06,6.41,6.38,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49446,,Change g-tube to g-j perc,A,,3.31,26.04,,24.16,,1.39,,1.22,,0.31,29.66,27.78,5.01,4.84,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49450,,Replace g/c tube perc,A,,1.36,19.67,,17.07,,0.54,,0.51,,0.12,21.15,18.55,2.02,1.99,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49451,,Replace duod/jej tube perc,A,,1.84,19.39,,18.23,,0.78,,0.69,,0.20,21.43,20.27,2.82,2.73,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49452,,Replace g-j tube perc,A,,2.86,23.51,,21.85,,1.21,,1.06,,0.27,26.64,24.98,4.34,4.19,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49460,,Fix g/colon tube w/device,A,,0.96,22.28,,19.46,,0.40,,0.38,,0.10,23.34,20.52,1.46,1.44,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49465,,Fluoro exam of g/colon tube,A,,0.62,4.42,,4.12,,0.26,,0.23,,0.05,5.09,4.79,0.93,0.90,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
49491,,Rpr hern preemie reduc,A,,12.53,7.53,NA,8.36,NA,7.53,,8.36,,2.67,22.73,23.56,22.73,23.56,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49492,,Rpr ing hern premie blocked,A,,15.43,8.82,NA,9.71,NA,8.82,,9.71,,3.29,27.54,28.43,27.54,28.43,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49495,,Rpr ing hernia baby reduc,A,,6.20,4.11,NA,4.62,NA,4.11,,4.62,,1.32,11.63,12.14,11.63,12.14,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49496,,Rpr ing hernia baby blocked,A,,9.42,6.14,NA,6.77,NA,6.14,,6.77,,2.20,17.76,18.39,17.76,18.39,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49500,,Rpr ing hernia init reduce,A,,5.84,3.99,NA,3.94,NA,3.99,,3.94,,1.24,11.07,11.02,11.07,11.02,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49501,,Rpr ing hernia init blocked,A,,9.36,5.99,NA,6.59,NA,5.99,,6.59,,1.99,17.34,17.94,17.34,17.94,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49505,,Prp i/hern init reduc >5 yr,A,,7.96,5.31,NA,5.80,NA,5.31,,5.80,,1.66,14.93,15.42,14.93,15.42,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49507,,Prp i/hern init block >5 yr,A,,10.05,6.19,NA,6.77,NA,6.19,,6.77,,2.12,18.36,18.94,18.36,18.94,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49520,,Rerepair ing hernia reduce,A,,9.99,6.10,NA,6.67,NA,6.10,,6.67,,2.10,18.19,18.76,18.19,18.76,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49521,,Rerepair ing hernia blocked,A,,12.44,7.04,NA,7.70,NA,7.04,,7.70,,2.61,22.09,22.75,22.09,22.75,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49525,,Repair ing hernia sliding,A,,8.93,5.68,NA,6.20,NA,5.68,,6.20,,1.86,16.47,16.99,16.47,16.99,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49540,,Repair lumbar hernia,A,,10.74,6.49,NA,7.14,NA,6.49,,7.14,,2.26,19.49,20.14,19.49,20.14,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49550,,Rpr rem hernia init reduce,A,,8.99,5.69,NA,6.22,NA,5.69,,6.22,,1.89,16.57,17.10,16.57,17.10,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49553,,Rpr fem hernia init blocked,A,,9.92,6.14,NA,6.73,NA,6.14,,6.73,,2.10,18.16,18.75,18.16,18.75,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49555,,Rerepair fem hernia reduce,A,,9.39,5.85,NA,6.38,NA,5.85,,6.38,,1.97,17.21,17.74,17.21,17.74,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49557,,Rerepair fem hernia blocked,A,,11.62,6.81,NA,7.46,NA,6.81,,7.46,,2.45,20.88,21.53,20.88,21.53,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49560,,Rpr ventral hern init reduc,A,,11.92,6.88,NA,7.53,NA,6.88,,7.53,,2.48,21.28,21.93,21.28,21.93,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49561,,Rpr ventral hern init block,A,,15.38,8.26,NA,9.10,NA,8.26,,9.10,,3.24,26.88,27.72,26.88,27.72,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49565,,Rerepair ventrl hern reduce,A,,12.37,7.19,NA,7.90,NA,7.19,,7.90,,2.60,22.16,22.87,22.16,22.87,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49566,,Rerepair ventrl hern block,A,,15.53,8.35,NA,9.20,NA,8.35,,9.20,,3.29,27.17,28.02,27.17,28.02,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49568,,Hernia repair w/mesh,A,,4.88,1.93,NA,2.12,NA,1.93,,2.12,,1.03,7.84,8.03,7.84,8.03,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49570,,Rpr epigastric hern reduce,A,,6.05,4.55,NA,4.96,NA,4.55,,4.96,,1.28,11.88,12.29,11.88,12.29,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49572,,Rpr epigastric hern blocked,A,,7.87,5.22,NA,5.76,NA,5.22,,5.76,,1.65,14.74,15.28,14.74,15.28,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49580,,Rpr umbil hern reduc < 5 yr,A,,4.47,3.98,NA,4.37,NA,3.98,,4.37,,0.95,9.40,9.79,9.40,9.79,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49582,,Rpr umbil hern block < 5 yr,A,,7.13,5.11,NA,5.62,NA,5.11,,5.62,,1.52,13.76,14.27,13.76,14.27,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49585,,Rpr umbil hern reduc > 5 yr,A,,6.59,4.75,NA,5.18,NA,4.75,,5.18,,1.37,12.71,13.14,12.71,13.14,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49587,,Rpr umbil hern block > 5 yr,A,,8.04,5.30,NA,5.81,NA,5.30,,5.81,,1.69,15.03,15.54,15.03,15.54,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49590,,Repair spigelian hernia,A,,8.90,5.67,NA,6.21,NA,5.67,,6.21,,1.88,16.45,16.99,16.45,16.99,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49600,,Repair umbilical lesion,A,,11.55,7.15,NA,7.68,NA,7.15,,7.68,,2.45,21.15,21.68,21.15,21.68,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49605,,Repair umbilical lesion,A,,87.09,39.02,NA,42.03,NA,39.02,,42.03,,18.58,144.69,147.70,144.69,147.70,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49606,,Repair umbilical lesion,A,,19.00,9.76,NA,10.70,NA,9.76,,10.70,,4.06,32.82,33.76,32.82,33.76,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49610,,Repair umbilical lesion,A,,10.91,6.64,NA,7.18,NA,6.64,,7.18,,2.31,19.86,20.40,19.86,20.40,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49611,,Repair umbilical lesion,A,,9.34,6.12,NA,6.01,NA,6.12,,6.01,,0.65,16.11,16.00,16.11,16.00,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49650,,Lap ing hernia repair init,A,,6.36,4.56,NA,4.97,NA,4.56,,4.97,,1.33,12.25,12.66,12.25,12.66,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49651,,Lap ing hernia repair recur,A,,8.38,5.79,NA,6.35,NA,5.79,,6.35,,1.78,15.95,16.51,15.95,16.51,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49652,,Lap vent/abd hernia repair,A,,12.88,7.39,NA,8.11,NA,7.39,,8.11,,0.90,21.17,21.89,21.17,21.89,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49653,,Lap vent/abd hern proc comp,A,,16.21,9.16,NA,10.08,NA,9.16,,10.08,,1.16,26.53,27.45,26.53,27.45,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49654,,Lap inc hernia repair,A,,15.03,8.24,NA,9.07,NA,8.24,,9.07,,1.06,24.33,25.16,24.33,25.16,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49655,,Lap inc hern repair comp,A,,18.11,9.89,NA,10.89,NA,9.89,,10.89,,1.28,29.28,30.28,29.28,30.28,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49656,,Lap inc hernia repair recur,A,,15.08,8.26,NA,9.11,NA,8.26,,9.11,,1.08,24.42,25.27,24.42,25.27,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49657,,Lap inc hern recur comp,A,,22.11,11.44,NA,12.65,NA,11.44,,12.65,,1.57,35.12,36.33,35.12,36.33,0,090,0.09,0.81,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49659,,Laparo proc hernia repair,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
49900,,Repair of abdominal wall,A,,12.41,8.57,NA,9.26,NA,8.57,,9.26,,2.55,23.53,24.22,23.53,24.22,0,090,0.09,0.81,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49904,,Omental flap extra-abdom,A,,22.35,15.78,NA,15.80,NA,15.78,,15.80,,4.75,42.88,42.90,42.88,42.90,0,090,0.10,0.80,0.10,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
49905,,Omental flap intra-abdom,A,,6.54,2.59,NA,2.80,NA,2.59,,2.80,,1.24,10.37,10.58,10.37,10.58,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
49906,,Free omental flap microvasc,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
49999,,Abdomen surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
50010,,Exploration of kidney,A,,12.28,7.91,NA,7.75,NA,7.91,,7.75,,1.80,21.99,21.83,21.99,21.83,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50020,,Renal abscess open drain,A,,18.08,10.77,NA,10.76,NA,10.77,,10.76,,2.41,31.26,31.25,31.26,31.25,0,090,0.08,0.83,0.09,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50021,,Renal abscess percut drain,A,,3.37,24.20,,22.47,,1.39,,1.23,,0.31,27.88,26.15,5.07,4.91,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50040,,Drainage of kidney,A,,16.68,9.77,NA,8.76,NA,9.77,,8.76,,1.69,28.14,27.13,28.14,27.13,0,090,0.08,0.83,0.09,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50045,,Exploration of kidney,A,,16.82,9.78,NA,8.87,NA,9.78,,8.87,,1.62,28.22,27.31,28.22,27.31,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
5005F,,Pt counsld on exam for moles,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
50060,,Removal of kidney stone,A,,20.95,11.72,NA,10.49,NA,11.72,,10.49,,2.01,34.68,33.45,34.68,33.45,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50065,,Incision of kidney,A,,22.32,12.06,NA,11.02,NA,12.06,,11.02,,2.16,36.54,35.50,36.54,35.50,0,090,0.08,0.83,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50070,,Incision of kidney,A,,21.85,12.20,NA,10.84,NA,12.20,,10.84,,2.12,36.17,34.81,36.17,34.81,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50075,,Removal of kidney stone,A,,27.09,14.72,NA,13.11,NA,14.72,,13.11,,2.63,44.44,42.83,44.44,42.83,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50080,,Removal of kidney stone,A,,15.74,9.23,NA,8.22,NA,9.23,,8.22,,1.55,26.52,25.51,26.52,25.51,0,090,0.08,0.83,0.09,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50081,,Removal of kidney stone,A,,23.50,13.12,NA,11.72,NA,13.12,,11.72,,2.31,38.93,37.53,38.93,37.53,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
5010F,,Macul result to phy mng dm,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
50100,,Revise kidney blood vessels,A,,17.45,8.32,NA,7.23,NA,8.32,,7.23,,3.73,29.50,28.41,29.50,28.41,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50120,,Exploration of kidney,A,,17.21,9.90,NA,8.96,NA,9.90,,8.96,,1.66,28.77,27.83,28.77,27.83,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50125,,Explore and drain kidney,A,,17.82,11.06,NA,11.06,NA,11.06,,11.06,,1.71,30.59,30.59,30.59,30.59,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50130,,Removal of kidney stone,A,,18.82,10.83,NA,9.71,NA,10.83,,9.71,,1.82,31.47,30.35,31.47,30.35,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50135,,Exploration of kidney,A,,20.59,11.51,NA,10.35,NA,11.51,,10.35,,1.99,34.09,32.93,34.09,32.93,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
5015F,,Doc fx & test/txmnt for op,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
5020F,,Txmnts 2 main Dr by 1 mon,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
50200,,Renal biopsy perq,A,,2.63,14.10,,14.10,,1.42,,1.29,,0.31,17.04,17.04,4.36,4.23,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50205,,Renal biopsy open,A,,12.29,7.20,NA,7.61,NA,7.20,,7.61,,2.40,21.89,22.30,21.89,22.30,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50220,,Remove kidney open,A,,18.68,10.65,NA,9.83,NA,10.65,,9.83,,2.25,31.58,30.76,31.58,30.76,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50225,,Removal kidney open complex,A,,21.88,12.00,NA,11.01,NA,12.00,,11.01,,2.38,36.26,35.27,36.26,35.27,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50230,,Removal kidney open radical,A,,23.81,12.73,NA,11.45,NA,12.73,,11.45,,2.45,38.99,37.71,38.99,37.71,0,090,0.08,0.83,0.09,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
50234,,Removal of kidney & ureter,A,,24.05,13.10,NA,11.80,NA,13.10,,11.80,,2.44,39.59,38.29,39.59,38.29,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50236,,Removal of kidney & ureter,A,,26.94,15.08,NA,13.47,NA,15.08,,13.47,,2.64,44.66,43.05,44.66,43.05,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50240,,Partial removal of kidney,A,,24.21,13.66,NA,12.28,NA,13.66,,12.28,,2.42,40.29,38.91,40.29,38.91,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50250,,Cryoablate renal mass open,A,,22.22,12.79,NA,11.33,NA,12.79,,11.33,,2.18,37.19,35.73,37.19,35.73,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50280,,Removal of kidney lesion,A,,17.09,10.03,NA,9.19,NA,10.03,,9.19,,1.86,28.98,28.14,28.98,28.14,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50290,,Removal of kidney lesion,A,,16.15,9.85,NA,10.34,NA,9.85,,10.34,,1.57,27.57,28.06,27.57,28.06,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50300,,Remove cadaver donor kidney,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
50320,,Remove kidney living donor,A,,22.43,15.33,NA,15.42,NA,15.33,,15.42,,3.88,41.64,41.73,41.64,41.73,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50323,,Prep cadaver renal allograft,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50325,,Prep donor renal graft,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50327,,Prep renal graft/venous,A,,4.00,1.60,NA,1.69,NA,1.60,,1.69,,0.78,6.38,6.47,6.38,6.47,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50328,,Prep renal graft/arterial,A,,3.50,1.41,NA,1.48,NA,1.41,,1.48,,0.67,5.58,5.65,5.58,5.65,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50329,,Prep renal graft/ureteral,A,,3.34,1.42,NA,1.37,NA,1.42,,1.37,,0.48,5.24,5.19,5.24,5.19,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50340,,Removal of kidney,A,,14.04,10.06,NA,11.01,NA,10.06,,11.01,,3.01,27.11,28.06,27.11,28.06,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50360,,Transplantation of kidney,A,,40.90,24.82,NA,27.10,NA,24.82,,27.10,,8.30,74.02,76.30,74.02,76.30,0,090,0.08,0.83,0.09,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
50365,,Transplantation of kidney,A,,46.13,27.41,NA,29.69,NA,27.41,,29.69,,9.84,83.38,85.66,83.38,85.66,0,090,0.08,0.83,0.09,2,1,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
50370,,Remove transplanted kidney,A,,18.88,11.93,NA,12.95,NA,11.93,,12.95,,3.76,34.57,35.59,34.57,35.59,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50380,,Reimplantation of kidney,A,,30.11,21.93,NA,22.76,NA,21.93,,22.76,,6.41,58.45,59.28,58.45,59.28,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50382,,Change ureter stent percut,A,,5.50,31.69,,27.93,,2.37,,2.07,,0.52,37.71,33.95,8.39,8.09,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50384,,Remove ureter stent percut,A,,5.00,26.02,,21.93,,2.14,,1.85,,0.48,31.50,27.41,7.62,7.33,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50385,,Change stent via transureth,A,,4.44,31.98,,28.05,,2.30,,1.97,,0.42,36.84,32.91,7.16,6.83,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50386,,Remove stent via transureth,A,,3.30,20.40,,18.06,,1.80,,1.55,,0.31,24.01,21.67,5.41,5.16,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50387,,Change ext/int ureter stent,A,,2.00,15.28,,13.45,,0.84,,0.72,,0.20,17.48,15.65,3.04,2.92,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50389,,Remove renal tube w/fluoro,A,,1.10,8.52,,7.06,,0.46,,0.41,,0.10,9.72,8.26,1.66,1.61,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50390,,Drainage of kidney lesion,A,,1.96,0.81,NA,0.71,NA,0.81,,0.71,,0.18,2.95,2.85,2.95,2.85,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50391,,Instll rx agnt into rnal tub,A,,1.96,1.65,,1.43,,0.88,,0.79,,0.20,3.81,3.59,3.04,2.95,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50392,,Insert kidney drain,A,,3.37,1.76,NA,1.55,NA,1.76,,1.55,,0.31,5.44,5.23,5.44,5.23,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50393,,Insert ureteral tube,A,,4.15,2.09,NA,1.83,NA,2.09,,1.83,,0.38,6.62,6.36,6.62,6.36,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50394,,Injection for kidney x-ray,A,,0.76,2.26,,1.98,,0.68,,0.60,,0.07,3.09,2.81,1.51,1.43,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50395,,Create passage to kidney,A,,3.37,1.80,NA,1.58,NA,1.80,,1.58,,0.33,5.50,5.28,5.50,5.28,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50396,,Measure kidney pressure,A,,2.09,1.25,NA,1.09,NA,1.25,,1.09,,0.20,3.54,3.38,3.54,3.38,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50398,,Change kidney tube,A,,1.46,14.24,,12.69,,0.65,,0.57,,0.12,15.82,14.27,2.23,2.15,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50400,,Revision of kidney/ureter,A,,21.27,11.80,NA,10.67,NA,11.80,,10.67,,2.10,35.17,34.04,35.17,34.04,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50405,,Revision of kidney/ureter,A,,25.86,14.07,NA,12.63,NA,14.07,,12.63,,2.50,42.43,40.99,42.43,40.99,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
5050F,,Plan 2 main dr by 1 month,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
50500,,Repair of kidney wound,A,,21.22,11.61,NA,11.99,NA,11.61,,11.99,,4.52,37.35,37.73,37.35,37.73,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50520,,Close kidney-skin fistula,A,,18.88,10.66,NA,9.68,NA,10.66,,9.68,,1.84,31.38,30.40,31.38,30.40,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50525,,Repair renal-abdomen fistula,A,,24.39,13.88,NA,14.15,NA,13.88,,14.15,,5.20,43.47,43.74,43.47,43.74,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50526,,Repair renal-abdomen fistula,A,,26.31,13.71,NA,14.18,NA,13.71,,14.18,,1.86,41.88,42.35,41.88,42.35,0,090,0.08,0.83,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50540,,Revision of horseshoe kidney,A,,21.10,11.44,NA,10.55,NA,11.44,,10.55,,2.03,34.57,33.68,34.57,33.68,0,090,0.08,0.83,0.09,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50541,,Laparo ablate renal cyst,A,,16.86,9.46,NA,8.51,NA,9.46,,8.51,,1.70,28.02,27.07,28.02,27.07,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50542,,Laparo ablate renal mass,A,,21.36,12.11,NA,10.86,NA,12.11,,10.86,,2.10,35.57,34.32,35.57,34.32,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50543,,Laparo partial nephrectomy,A,,27.41,15.24,NA,13.65,NA,15.24,,13.65,,2.72,45.37,43.78,45.37,43.78,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50544,,Laparoscopy pyeloplasty,A,,23.37,12.36,NA,11.03,NA,12.36,,11.03,,2.31,38.04,36.71,38.04,36.71,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50545,,Laparo radical nephrectomy,A,,25.06,13.33,NA,11.93,NA,13.33,,11.93,,2.55,40.94,39.54,40.94,39.54,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50546,,Laparoscopic nephrectomy,A,,21.87,12.36,NA,11.17,NA,12.36,,11.17,,2.30,36.53,35.34,36.53,35.34,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50547,,Laparo removal donor kidney,A,,26.34,15.84,NA,16.33,NA,15.84,,16.33,,4.83,47.01,47.50,47.01,47.50,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50548,,Laparo remove w/ureter,A,,25.36,13.27,NA,11.84,NA,13.27,,11.84,,2.50,41.13,39.70,41.13,39.70,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50549,,Laparoscope proc renal,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
50551,,Kidney endoscopy,A,,5.59,4.92,,4.25,,2.88,,2.56,,0.54,11.05,10.38,9.01,8.69,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50553,,Kidney endoscopy,A,,5.98,5.11,,4.54,,2.99,,2.68,,0.65,11.74,11.17,9.62,9.31,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50555,,Kidney endoscopy & biopsy,A,,6.52,5.47,,4.76,,3.28,,2.93,,0.63,12.62,11.91,10.43,10.08,0,000,0.00,0.00,0.00,3,1,0,0,0,50551,33.9764,09,0,99,0.00,0.00,0.00
50557,,Kidney endoscopy & treatment,A,,6.61,5.60,,4.85,,3.33,,2.96,,0.64,12.85,12.10,10.58,10.21,0,000,0.00,0.00,0.00,3,1,0,0,0,50551,33.9764,09,0,99,0.00,0.00,0.00
50561,,Kidney endoscopy & treatment,A,,7.58,6.27,,5.44,,3.76,,3.34,,0.75,14.60,13.77,12.09,11.67,0,000,0.00,0.00,0.00,3,1,0,0,0,50551,33.9764,09,0,99,0.00,0.00,0.00
50562,,Renal scope w/tumor resect,A,,10.90,5.84,NA,5.15,NA,5.84,,5.15,,1.06,17.80,17.11,17.80,17.11,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50570,,Kidney endoscopy,A,,9.53,4.60,NA,4.06,NA,4.60,,4.06,,0.91,15.04,14.50,15.04,14.50,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50572,,Kidney endoscopy,A,,10.33,4.96,NA,4.38,NA,4.96,,4.38,,1.01,16.30,15.72,16.30,15.72,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,33.9764,09,0,99,0.00,0.00,0.00
50574,,Kidney endoscopy & biopsy,A,,11.00,5.25,NA,4.64,NA,5.25,,4.64,,1.08,17.33,16.72,17.33,16.72,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,33.9764,09,0,99,0.00,0.00,0.00
50575,,Kidney endoscopy,A,,13.96,6.56,NA,5.80,NA,6.56,,5.80,,1.36,21.88,21.12,21.88,21.12,0,000,0.00,0.00,0.00,3,1,1,0,0,50570,33.9764,09,0,99,0.00,0.00,0.00
50576,,Kidney endoscopy & treatment,A,,10.97,5.24,NA,4.63,NA,5.24,,4.63,,1.06,17.27,16.66,17.27,16.66,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,33.9764,09,0,99,0.00,0.00,0.00
50580,,Kidney endoscopy & treatment,A,,11.84,5.56,NA,4.97,NA,5.56,,4.97,,1.16,18.56,17.97,18.56,17.97,0,000,0.00,0.00,0.00,3,1,0,0,0,50570,33.9764,09,0,99,0.00,0.00,0.00
50590,,Fragmenting of kidney stone,A,,9.77,15.32,,11.22,,6.47,,5.80,,0.95,26.04,21.94,17.19,16.52,0,090,0.08,0.83,0.09,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50592,,Perc rf ablate renal tumor,A,,6.80,94.06,,76.33,,3.55,,3.15,,0.64,101.50,83.77,10.99,10.59,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50593,,Perc cryo ablate renal tum,A,,9.13,129.65,,115.17,,4.30,,4.21,,0.86,139.64,125.16,14.29,14.20,0,010,0.10,0.80,0.10,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
5060F,,Fndngs mammo 2pt w/in 3 days,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
50600,,Exploration of ureter,A,,17.17,9.64,NA,8.72,NA,9.64,,8.72,,1.66,28.47,27.55,28.47,27.55,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50605,,Insert ureteral support,A,,16.79,9.48,NA,9.37,NA,9.48,,9.37,,2.65,28.92,28.81,28.92,28.81,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50610,,Removal of ureter stone,A,,17.25,9.85,NA,8.82,NA,9.85,,8.82,,1.66,28.76,27.73,28.76,27.73,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
5062F,,Mammo result com to pt 5 day,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
50620,,Removal of ureter stone,A,,16.43,9.49,NA,8.50,NA,9.49,,8.50,,1.59,27.51,26.52,27.51,26.52,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50630,,Removal of ureter stone,A,,16.21,9.18,NA,8.41,NA,9.18,,8.41,,1.57,26.96,26.19,26.96,26.19,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50650,,Removal of ureter,A,,18.82,10.78,NA,9.72,NA,10.78,,9.72,,1.89,31.49,30.43,31.49,30.43,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50660,,Removal of ureter,A,,21.02,11.65,NA,10.52,NA,11.65,,10.52,,2.03,34.70,33.57,34.70,33.57,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50684,,Injection for ureter x-ray,A,,0.76,3.61,,2.14,,0.68,,0.62,,0.07,4.44,2.97,1.51,1.45,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50686,,Measure ureter pressure,A,,1.51,2.62,,2.62,,1.11,,1.03,,0.22,4.35,4.35,2.84,2.76,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50688,,Change of ureter tube/stent,A,,1.20,1.11,NA,0.99,NA,1.11,,0.99,,0.11,2.42,2.30,2.42,2.30,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50690,,Injection for ureter x-ray,A,,1.16,1.70,,1.48,,0.85,,0.76,,0.10,2.96,2.74,2.11,2.02,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50700,,Revision of ureter,A,,16.69,9.76,NA,8.82,NA,9.76,,8.82,,1.62,28.07,27.13,28.07,27.13,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50715,,Release of ureter,A,,20.64,11.27,NA,11.58,NA,11.27,,11.58,,3.01,34.92,35.23,34.92,35.23,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50722,,Release of ureter,A,,17.95,10.02,NA,10.50,NA,10.02,,10.50,,3.05,31.02,31.50,31.02,31.50,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50725,,Release/revise ureter,A,,20.20,11.96,NA,12.10,NA,11.96,,12.10,,1.95,34.11,34.25,34.11,34.25,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50727,,Revise ureter,A,,8.28,6.21,NA,5.65,NA,6.21,,5.65,,0.84,15.33,14.77,15.33,14.77,0,090,0.08,0.83,0.09,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
50728,,Revise ureter,A,,12.18,7.66,NA,7.06,NA,7.66,,7.06,,1.18,21.02,20.42,21.02,20.42,0,090,0.08,0.83,0.09,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
50740,,Fusion of ureter & kidney,A,,20.07,11.21,NA,11.40,NA,11.21,,11.40,,4.29,35.57,35.76,35.57,35.76,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50750,,Fusion of ureter & kidney,A,,21.22,11.92,NA,10.59,NA,11.92,,10.59,,2.04,35.18,33.85,35.18,33.85,0,090,0.08,0.83,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50760,,Fusion of ureters,A,,20.07,11.19,NA,10.57,NA,11.19,,10.57,,2.67,33.93,33.31,33.93,33.31,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50770,,Splicing of ureters,A,,21.22,11.25,NA,10.59,NA,11.25,,10.59,,2.04,34.51,33.85,34.51,33.85,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50780,,Reimplant ureter in bladder,A,,19.95,11.21,NA,10.32,NA,11.21,,10.32,,2.31,33.47,32.58,33.47,32.58,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50782,,Reimplant ureter in bladder,A,,19.66,10.83,NA,9.98,NA,10.83,,9.98,,4.19,34.68,33.83,34.68,33.83,0,090,0.08,0.83,0.09,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
50783,,Reimplant ureter in bladder,A,,20.70,11.93,NA,12.32,NA,11.93,,12.32,,2.00,34.63,35.02,34.63,35.02,0,090,0.08,0.83,0.09,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
50785,,Reimplant ureter in bladder,A,,22.23,12.31,NA,11.14,NA,12.31,,11.14,,2.25,36.79,35.62,36.79,35.62,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50800,,Implant ureter in bowel,A,,16.41,9.95,NA,9.07,NA,9.95,,9.07,,1.74,28.10,27.22,28.10,27.22,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50810,,Fusion of ureter & bowel,A,,22.61,12.09,NA,11.81,NA,12.09,,11.81,,4.83,39.53,39.25,39.53,39.25,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50815,,Urine shunt to intestine,A,,22.26,12.71,NA,11.45,NA,12.71,,11.45,,2.16,37.13,35.87,37.13,35.87,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50820,,Construct bowel bladder,A,,24.07,13.18,NA,12.18,NA,13.18,,12.18,,2.65,39.90,38.90,39.90,38.90,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50825,,Construct bowel bladder,A,,30.68,16.51,NA,14.97,NA,16.51,,14.97,,3.17,50.36,48.82,50.36,48.82,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50830,,Revise urine flow,A,,33.77,17.42,NA,15.95,NA,17.42,,15.95,,3.29,54.48,53.01,54.48,53.01,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50840,,Replace ureter by bowel,A,,22.39,12.82,NA,11.50,NA,12.82,,11.50,,2.18,37.39,36.07,37.39,36.07,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50845,,Appendico-vesicostomy,A,,22.46,13.31,NA,11.97,NA,13.31,,11.97,,2.18,37.95,36.61,37.95,36.61,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50860,,Transplant ureter to skin,A,,17.08,9.93,NA,8.97,NA,9.93,,8.97,,1.65,28.66,27.70,28.66,27.70,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50900,,Repair of ureter,A,,15.04,9.03,NA,8.47,NA,9.03,,8.47,,1.47,25.54,24.98,25.54,24.98,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50920,,Closure ureter/skin fistula,A,,15.81,9.44,NA,8.48,NA,9.44,,8.48,,1.54,26.79,25.83,26.79,25.83,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50930,,Closure ureter/bowel fistula,A,,20.19,10.69,NA,10.19,NA,10.69,,10.19,,4.30,35.18,34.68,35.18,34.68,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50940,,Release of ureter,A,,15.93,9.38,NA,8.52,NA,9.38,,8.52,,1.55,26.86,26.00,26.86,26.00,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50945,,Laparoscopy ureterolithotomy,A,,17.97,9.90,NA,8.88,NA,9.90,,8.88,,1.74,29.61,28.59,29.61,28.59,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50947,,Laparo new ureter/bladder,A,,25.78,13.66,NA,12.38,NA,13.66,,12.38,,2.50,41.94,40.66,41.94,40.66,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50948,,Laparo new ureter/bladder,A,,23.82,12.80,NA,11.36,NA,12.80,,11.36,,2.30,38.92,37.48,38.92,37.48,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
50949,,Laparoscope proc ureter,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
50951,,Endoscopy of ureter,A,,5.83,5.16,,4.45,,3.00,,2.66,,0.56,11.55,10.84,9.39,9.05,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50953,,Endoscopy of ureter,A,,6.23,5.38,,4.66,,3.54,,3.14,,0.61,12.22,11.50,10.38,9.98,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,33.9764,09,0,99,0.00,0.00,0.00
50955,,Ureter endoscopy & biopsy,A,,6.74,5.91,,4.91,,3.79,,3.35,,0.65,13.30,12.30,11.18,10.74,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,33.9764,09,0,99,0.00,0.00,0.00
50957,,Ureter endoscopy & treatment,A,,6.78,5.71,,4.96,,3.40,,3.02,,0.65,13.14,12.39,10.83,10.45,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,33.9764,09,0,99,0.00,0.00,0.00
50961,,Ureter endoscopy & treatment,A,,6.04,5.24,,4.53,,3.09,,2.73,,0.59,11.87,11.16,9.72,9.36,0,000,0.00,0.00,0.00,3,1,0,0,0,50951,33.9764,09,0,99,0.00,0.00,0.00
50970,,Ureter endoscopy,A,,7.13,3.53,NA,3.13,NA,3.53,,3.13,,0.68,11.34,10.94,11.34,10.94,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50972,,Ureter endoscopy & catheter,A,,6.88,3.40,NA,3.03,NA,3.40,,3.03,,0.67,10.95,10.58,10.95,10.58,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
50974,,Ureter endoscopy & biopsy,A,,9.16,4.44,NA,3.92,NA,4.44,,3.92,,0.88,14.48,13.96,14.48,13.96,0,000,0.00,0.00,0.00,3,1,0,0,0,50970,33.9764,09,0,99,0.00,0.00,0.00
50976,,Ureter endoscopy & treatment,A,,9.03,4.36,NA,3.87,NA,4.36,,3.87,,0.87,14.26,13.77,14.26,13.77,0,000,0.00,0.00,0.00,3,1,0,0,0,50970,33.9764,09,0,99,0.00,0.00,0.00
50980,,Ureter endoscopy & treatment,A,,6.84,3.41,NA,3.01,NA,3.41,,3.01,,0.65,10.90,10.50,10.90,10.50,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
5100F,,Rsk fx ref w/n 24 hrs xray,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
51020,,Incise & treat bladder,A,,7.69,5.78,NA,5.19,NA,5.78,,5.19,,0.78,14.25,13.66,14.25,13.66,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51030,,Incise & treat bladder,A,,7.81,5.56,NA,5.14,NA,5.56,,5.14,,0.75,14.12,13.70,14.12,13.70,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51040,,Incise & drain bladder,A,,4.49,3.90,NA,3.46,NA,3.90,,3.46,,0.44,8.83,8.39,8.83,8.39,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51045,,Incise bladder/drain ureter,A,,7.81,5.85,NA,5.56,NA,5.85,,5.56,,1.06,14.72,14.43,14.72,14.43,0,090,0.08,0.83,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51050,,Removal of bladder stone,A,,7.97,5.62,NA,5.04,NA,5.62,,5.04,,0.78,14.37,13.79,14.37,13.79,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51060,,Removal of ureter stone,A,,9.95,6.76,NA,6.05,NA,6.76,,6.05,,0.98,17.69,16.98,17.69,16.98,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51065,,Remove ureter calculus,A,,9.95,6.65,NA,5.97,NA,6.65,,5.97,,0.98,17.58,16.90,17.58,16.90,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51080,,Drainage of bladder abscess,A,,6.71,5.01,NA,4.53,NA,5.01,,4.53,,0.65,12.37,11.89,12.37,11.89,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51100,,Drain bladder by needle,A,,0.78,1.02,,0.95,,0.33,,0.31,,0.08,1.88,1.81,1.19,1.17,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51101,,Drain bladder by trocar/cath,A,,1.02,2.70,,2.45,,0.45,,0.44,,0.12,3.84,3.59,1.59,1.58,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51102,,Drain bl w/cath insertion,A,,2.70,4.01,,3.49,,1.49,,1.31,,0.29,7.00,6.48,4.48,4.30,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51500,,Removal of bladder cyst,A,,11.05,7.56,NA,7.92,NA,7.56,,7.92,,1.08,19.69,20.05,19.69,20.05,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51520,,Removal of bladder lesion,A,,10.21,6.70,NA,6.15,NA,6.70,,6.15,,0.99,17.90,17.35,17.90,17.35,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51525,,Removal of bladder lesion,A,,15.42,9.17,NA,8.23,NA,9.17,,8.23,,1.57,26.16,25.22,26.16,25.22,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51530,,Removal of bladder lesion,A,,13.71,8.45,NA,7.97,NA,8.45,,7.97,,1.65,23.81,23.33,23.81,23.33,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51535,,Repair of ureter lesion,A,,13.90,8.27,NA,7.58,NA,8.27,,7.58,,1.33,23.50,22.81,23.50,22.81,0,090,0.08,0.83,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51550,,Partial removal of bladder,A,,17.23,9.88,NA,9.18,NA,9.88,,9.18,,2.14,29.25,28.55,29.25,28.55,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51555,,Partial removal of bladder,A,,23.18,12.71,NA,11.68,NA,12.71,,11.68,,2.60,38.49,37.46,38.49,37.46,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51565,,Revise bladder & ureter(s),A,,23.68,13.12,NA,12.05,NA,13.12,,12.05,,2.42,39.22,38.15,39.22,38.15,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51570,,Removal of bladder,A,,27.46,14.60,NA,13.47,NA,14.60,,13.47,,2.80,44.86,43.73,44.86,43.73,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51575,,Removal of bladder & nodes,A,,34.18,17.94,NA,16.07,NA,17.94,,16.07,,3.35,55.47,53.60,55.47,53.60,0,090,0.08,0.83,0.09,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51580,,Remove bladder/revise tract,A,,35.37,18.97,NA,16.93,NA,18.97,,16.93,,3.44,57.78,55.74,57.78,55.74,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51585,,Removal of bladder & nodes,A,,39.64,20.85,NA,18.60,NA,20.85,,18.60,,3.85,64.34,62.09,64.34,62.09,0,090,0.08,0.83,0.09,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51590,,Remove bladder/revise tract,A,,36.33,18.83,NA,16.93,NA,18.83,,16.93,,3.67,58.83,56.93,58.83,56.93,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51595,,Remove bladder/revise tract,A,,41.32,21.29,NA,19.09,NA,21.29,,19.09,,4.11,66.72,64.52,66.72,64.52,0,090,0.08,0.83,0.09,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51596,,Remove bladder/create pouch,A,,44.26,23.09,NA,20.67,NA,23.09,,20.67,,4.34,71.69,69.27,71.69,69.27,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51597,,Removal of pelvic structures,A,,42.86,22.31,NA,20.33,NA,22.31,,20.33,,4.53,69.70,67.72,69.70,67.72,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51600,,Injection for bladder x-ray,A,,0.88,4.81,,4.21,,0.38,,0.34,,0.08,5.77,5.17,1.34,1.30,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51605,,Preparation for bladder xray,A,,0.64,0.47,NA,0.42,NA,0.47,,0.42,,0.05,1.16,1.11,1.16,1.11,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51610,,Injection for bladder x-ray,A,,1.05,2.16,,1.87,,0.78,,0.71,,0.10,3.31,3.02,1.93,1.86,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51700,,Irrigation of bladder,A,,0.88,1.62,,1.39,,0.39,,0.36,,0.08,2.58,2.35,1.35,1.32,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51701,,Insert bladder catheter,A,,0.50,1.21,,0.99,,0.28,,0.26,,0.05,1.76,1.54,0.83,0.81,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51702,,Insert temp bladder cath,A,,0.50,1.72,,1.43,,0.36,,0.33,,0.05,2.27,1.98,0.91,0.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51703,,Insert bladder cath complex,A,,1.47,2.50,,2.07,,0.87,,0.78,,0.14,4.11,3.68,2.48,2.39,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51705,,Change of bladder tube,A,,1.05,2.19,,1.84,,0.90,,0.80,,0.10,3.34,2.99,2.05,1.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51710,,Change of bladder tube,A,,1.52,2.99,,2.46,,1.23,,1.11,,0.14,4.65,4.12,2.89,2.77,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51715,,Endoscopic injection/implant,A,,3.73,4.72,,4.16,,1.94,,1.79,,0.39,8.84,8.28,6.06,5.91,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51720,,Treatment of bladder lesion,A,,1.50,1.76,,1.48,,0.83,,0.72,,0.14,3.40,3.12,2.47,2.36,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51725,,Simple cystometrogram,A,,1.51,4.57,,3.62,,4.57,NA,3.62,NA,0.13,6.21,5.26,6.21,5.26,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51725,TC,Simple cystometrogram,A,,0.00,3.91,,2.99,,3.91,NA,2.99,NA,0.01,3.92,3.00,3.92,3.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51725,26,Simple cystometrogram,A,,1.51,0.66,,0.63,,0.66,,0.63,,0.12,2.29,2.26,2.29,2.26,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51726,,Complex cystometrogram,A,,1.71,7.19,,5.69,,7.19,NA,5.69,NA,0.17,9.07,7.57,9.07,7.57,1,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51726,TC,Complex cystometrogram,A,,0.00,6.43,,4.98,,6.43,NA,4.98,NA,0.03,6.46,5.01,6.46,5.01,1,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51726,26,Complex cystometrogram,A,,1.71,0.76,,0.71,,0.76,,0.71,,0.14,2.61,2.56,2.61,2.56,1,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51727,,Cystometrogram w/up,A,,2.11,6.68,,6.68,,6.68,NA,6.68,NA,0.23,9.02,9.02,9.02,9.02,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51727,TC,Cystometrogram w/up,A,,0.00,5.78,,5.78,,5.78,NA,5.78,NA,0.01,5.79,5.79,5.79,5.79,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51727,26,Cystometrogram w/up,A,,2.11,0.90,,0.90,,0.90,,0.90,,0.22,3.23,3.23,3.23,3.23,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51728,,Cystometrogram w/vp,A,,2.11,6.63,,6.63,,6.63,NA,6.63,NA,0.19,8.93,8.93,8.93,8.93,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51728,TC,Cystometrogram w/vp,A,,0.00,5.76,,5.76,,5.76,NA,5.76,NA,0.01,5.77,5.77,5.77,5.77,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51728,26,Cystometrogram w/vp,A,,2.11,0.87,,0.87,,0.87,,0.87,,0.18,3.16,3.16,3.16,3.16,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51729,,Cystometrogram w/vp&up,A,,2.51,7.02,,7.02,,7.02,NA,7.02,NA,0.25,9.78,9.78,9.78,9.78,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51729,TC,Cystometrogram w/vp&up,A,,0.00,5.96,,5.96,,5.96,NA,5.96,NA,0.01,5.97,5.97,5.97,5.97,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51729,26,Cystometrogram w/vp&up,A,,2.51,1.06,,1.06,,1.06,,1.06,,0.24,3.81,3.81,3.81,3.81,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51736,,Urine flow measurement,A,,0.17,0.85,,0.66,,0.85,NA,0.66,NA,0.02,1.04,0.85,1.04,0.85,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51736,TC,Urine flow measurement,A,,0.00,0.67,,0.59,,0.67,NA,0.59,NA,0.01,0.68,0.60,0.68,0.60,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51736,26,Urine flow measurement,A,,0.17,0.18,,0.07,,0.18,,0.07,,0.01,0.36,0.25,0.36,0.25,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51741,,Electro-uroflowmetry first,A,,0.17,1.08,,0.75,,1.08,NA,0.75,NA,0.02,1.27,0.94,1.27,0.94,1,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51741,TC,Electro-uroflowmetry first,A,,0.00,0.77,,0.68,,0.77,NA,0.68,NA,0.01,0.78,0.69,0.78,0.69,1,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51741,26,Electro-uroflowmetry first,A,,0.17,0.31,,0.07,,0.31,,0.07,,0.01,0.49,0.25,0.49,0.25,1,XXX,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51784,,Anal/urinary muscle study,A,,1.53,4.40,,3.90,,4.40,NA,3.90,NA,0.13,6.06,5.56,6.06,5.56,1,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51784,TC,Anal/urinary muscle study,A,,0.00,3.73,,3.26,,3.73,NA,3.26,NA,0.01,3.74,3.27,3.74,3.27,1,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51784,26,Anal/urinary muscle study,A,,1.53,0.67,,0.64,,0.67,,0.64,,0.12,2.32,2.29,2.32,2.29,1,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51785,,Anal/urinary muscle study,A,,1.53,5.00,,4.50,,5.00,NA,4.50,NA,0.13,6.66,6.16,6.66,6.16,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51785,TC,Anal/urinary muscle study,A,,0.00,4.32,,3.85,,4.32,NA,3.85,NA,0.01,4.33,3.86,4.33,3.86,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
51785,26,Anal/urinary muscle study,A,,1.53,0.68,,0.65,,0.68,,0.65,,0.12,2.33,2.30,2.33,2.30,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51792,,Urinary reflex study,A,,1.10,5.65,,4.96,,5.65,NA,4.96,NA,0.11,6.86,6.17,6.86,6.17,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51792,TC,Urinary reflex study,A,,0.00,5.16,,4.49,,5.16,NA,4.49,NA,0.01,5.17,4.50,5.17,4.50,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51792,26,Urinary reflex study,A,,1.10,0.49,,0.47,,0.49,,0.47,,0.10,1.69,1.67,1.69,1.67,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51797,,Intraabdominal pressure test,A,,0.80,3.12,,2.27,,3.12,NA,2.27,NA,0.06,3.98,3.13,3.98,3.13,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51797,TC,Intraabdominal pressure test,A,,0.00,2.73,,1.94,,2.73,NA,1.94,NA,0.01,2.74,1.95,2.74,1.95,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
51797,26,Intraabdominal pressure test,A,,0.80,0.39,,0.33,,0.39,,0.33,,0.05,1.24,1.18,1.24,1.18,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51798,,Us urine capacity measure,A,,0.00,0.57,,0.50,,0.57,NA,0.50,NA,0.01,0.58,0.51,0.58,0.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
51800,,Revision of bladder/urethra,A,,18.89,10.94,NA,9.89,NA,10.94,,9.89,,1.95,31.78,30.73,31.78,30.73,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51820,,Revision of urinary tract,A,,19.59,10.89,NA,10.27,NA,10.89,,10.27,,1.89,32.37,31.75,32.37,31.75,0,090,0.08,0.83,0.09,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51840,,Attach bladder/urethra,A,,11.36,7.02,NA,6.78,NA,7.02,,6.78,,1.50,19.88,19.64,19.88,19.64,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51841,,Attach bladder/urethra,A,,13.68,8.14,NA,7.92,NA,8.14,,7.92,,1.84,23.66,23.44,23.66,23.44,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51845,,Repair bladder neck,A,,10.15,6.53,NA,6.05,NA,6.53,,6.05,,1.20,17.88,17.40,17.88,17.40,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51860,,Repair of bladder wound,A,,12.60,7.94,NA,7.68,NA,7.94,,7.68,,1.85,22.39,22.13,22.39,22.13,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51865,,Repair of bladder wound,A,,15.80,9.38,NA,8.71,NA,9.38,,8.71,,1.92,27.10,26.43,27.10,26.43,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51880,,Repair of bladder opening,A,,7.87,5.34,NA,4.97,NA,5.34,,4.97,,0.99,14.20,13.83,14.20,13.83,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51900,,Repair bladder/vagina lesion,A,,14.63,8.84,NA,8.34,NA,8.84,,8.34,,1.42,24.89,24.39,24.89,24.39,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51920,,Close bladder-uterus fistula,A,,13.41,8.18,NA,7.61,NA,8.18,,7.61,,1.29,22.88,22.31,22.88,22.31,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51925,,Hysterectomy/bladder repair,A,,17.53,11.30,NA,11.65,NA,11.30,,11.65,,2.97,31.80,32.15,31.80,32.15,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51940,,Correction of bladder defect,A,,30.66,15.48,NA,14.62,NA,15.48,,14.62,,2.98,49.12,48.26,49.12,48.26,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51960,,Revision of bladder & bowel,A,,25.40,14.25,NA,12.83,NA,14.25,,12.83,,2.65,42.30,40.88,42.30,40.88,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51980,,Construct bladder opening,A,,12.57,7.83,NA,7.07,NA,7.83,,7.07,,1.22,21.62,20.86,21.62,20.86,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51990,,Laparo urethral suspension,A,,13.36,7.64,NA,7.43,NA,7.64,,7.43,,1.77,22.77,22.56,22.77,22.56,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51992,,Laparo sling operation,A,,14.87,8.39,NA,8.51,NA,8.39,,8.51,,2.23,25.49,25.61,25.49,25.61,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
51999,,Laparoscope proc bla,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
5200F,,Eval appros surg thxpy epi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
52000,,Cystoscopy,A,,2.23,3.83,,3.29,,1.37,,1.25,,0.23,6.29,5.75,3.83,3.71,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52001,,Cystoscopy removal of clots,A,,5.44,5.49,,4.68,,2.80,,2.51,,0.53,11.46,10.65,8.77,8.48,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52005,,Cystoscopy & ureter catheter,A,,2.37,6.00,,5.09,,1.45,,1.30,,0.24,8.61,7.70,4.06,3.91,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52007,,Cystoscopy and biopsy,A,,3.02,12.13,,9.52,,1.74,,1.55,,0.30,15.45,12.84,5.06,4.87,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52010,,Cystoscopy & duct catheter,A,,3.02,8.60,,7.18,,1.65,,1.55,,0.30,11.92,10.50,4.97,4.87,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52204,,Cystoscopy w/biopsy(s),A,,2.59,9.64,,7.35,,1.46,,1.32,,0.26,12.49,10.20,4.31,4.17,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52214,,Cystoscopy and treatment,A,,3.70,14.60,,13.84,,2.31,,1.75,,0.35,18.65,17.89,6.36,5.80,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52224,,Cystoscopy and treatment,A,,3.14,18.84,,13.13,,1.72,,1.53,,0.31,22.29,16.58,5.17,4.98,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52234,,Cystoscopy and treatment,A,,4.62,2.46,NA,2.18,NA,2.46,,2.18,,0.44,7.52,7.24,7.52,7.24,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52235,,Cystoscopy and treatment,A,,5.44,2.85,NA,2.53,NA,2.85,,2.53,,0.53,8.82,8.50,8.82,8.50,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52240,,Cystoscopy and treatment,A,,9.71,4.75,NA,4.20,NA,4.75,,4.20,,0.95,15.41,14.86,15.41,14.86,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52250,,Cystoscopy and radiotracer,A,,4.49,2.48,NA,2.22,NA,2.48,,2.22,,0.45,7.42,7.16,7.42,7.16,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52260,,Cystoscopy and treatment,A,,3.91,2.11,NA,1.90,NA,2.11,,1.90,,0.39,6.41,6.20,6.41,6.20,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52265,,Cystoscopy and treatment,A,,2.94,8.90,,6.98,,1.66,,1.57,,0.35,12.19,10.27,4.95,4.86,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52270,,Cystoscopy & revise urethra,A,,3.36,8.00,,6.23,,1.87,,1.66,,0.33,11.69,9.92,5.56,5.35,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52275,,Cystoscopy & revise urethra,A,,4.69,10.76,,8.28,,2.46,,2.18,,0.45,15.90,13.42,7.60,7.32,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52276,,Cystoscopy and treatment,A,,4.99,2.64,NA,2.35,NA,2.64,,2.35,,0.49,8.12,7.83,8.12,7.83,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52277,,Cystoscopy and treatment,A,,6.16,3.18,NA,2.86,NA,3.18,,2.86,,0.60,9.94,9.62,9.94,9.62,0,000,0.00,0.00,0.00,3,0,0,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52281,,Cystoscopy and treatment,A,,2.60,5.77,,4.54,,1.60,,1.39,,0.27,8.64,7.41,4.47,4.26,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52282,,Cystoscopy implant stent,A,,6.39,3.25,NA,2.92,NA,3.25,,2.92,,0.65,10.29,9.96,10.29,9.96,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52283,,Cystoscopy and treatment,A,,3.73,4.41,,3.82,,2.05,,1.85,,0.37,8.51,7.92,6.15,5.95,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52285,,Cystoscopy and treatment,A,,3.60,4.61,,3.99,,2.00,,1.81,,0.37,8.58,7.96,5.97,5.78,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52290,,Cystoscopy and treatment,A,,4.58,2.45,NA,2.17,NA,2.45,,2.17,,0.44,7.47,7.19,7.47,7.19,0,000,0.00,0.00,0.00,3,2,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52300,,Cystoscopy and treatment,A,,5.30,2.80,NA,2.54,NA,2.80,,2.54,,0.56,8.66,8.40,8.66,8.40,0,000,0.00,0.00,0.00,3,2,0,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52301,,Cystoscopy and treatment,A,,5.50,2.92,NA,2.59,NA,2.92,,2.59,,0.53,8.95,8.62,8.95,8.62,0,000,0.00,0.00,0.00,3,2,0,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52305,,Cystoscopy and treatment,A,,5.30,2.70,NA,2.41,NA,2.70,,2.41,,0.52,8.52,8.23,8.52,8.23,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52310,,Cystoscopy and treatment,A,,2.81,4.37,,3.62,,1.54,,1.37,,0.29,7.47,6.72,4.64,4.47,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52315,,Cystoscopy and treatment,A,,5.20,7.38,,5.98,,2.68,,2.38,,0.50,13.08,11.68,8.38,8.08,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52317,,Remove bladder stone,A,,6.71,19.72,,15.10,,3.27,,2.89,,0.65,27.08,22.46,10.63,10.25,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52318,,Remove bladder stone,A,,9.18,4.42,NA,3.92,NA,4.42,,3.92,,0.88,14.48,13.98,14.48,13.98,0,000,0.00,0.00,0.00,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52320,,Cystoscopy and treatment,A,,4.69,2.39,NA,2.13,NA,2.39,,2.13,,0.45,7.53,7.27,7.53,7.27,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52325,,Cystoscopy stone removal,A,,6.15,3.05,NA,2.71,NA,3.05,,2.71,,0.60,9.80,9.46,9.80,9.46,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52327,,Cystoscopy inject material,A,,5.18,2.32,NA,2.05,NA,2.32,,2.05,,0.52,8.02,7.75,8.02,7.75,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52330,,Cystoscopy and treatment,A,,5.03,14.31,,8.33,,2.54,,2.26,,0.49,19.83,13.85,8.06,7.78,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52332,,Cystoscopy and treatment,A,,2.60,11.89,,10.78,,1.61,,1.39,,0.26,14.75,13.64,4.47,4.25,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52334,,Create passage to kidney,A,,4.82,2.55,NA,2.26,NA,2.55,,2.26,,0.48,7.85,7.56,7.85,7.56,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52341,,Cysto w/ureter stricture tx,A,,5.35,2.99,NA,2.63,NA,2.99,,2.63,,0.52,8.86,8.50,8.86,8.50,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52342,,Cysto w/up stricture tx,A,,5.85,3.22,NA,2.82,NA,3.22,,2.82,,0.56,9.63,9.23,9.63,9.23,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52343,,Cysto w/renal stricture tx,A,,6.55,3.53,NA,3.10,NA,3.53,,3.10,,0.64,10.72,10.29,10.72,10.29,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52344,,Cysto/uretero stricture tx,A,,7.05,3.90,NA,3.44,NA,3.90,,3.44,,0.68,11.63,11.17,11.63,11.17,0,000,0.00,0.00,0.00,3,1,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52345,,Cysto/uretero w/up stricture,A,,7.55,4.13,NA,3.64,NA,4.13,,3.64,,0.72,12.40,11.91,12.40,11.91,0,000,0.00,0.00,0.00,3,0,0,0,0,52351,33.9764,09,0,99,0.00,0.00,0.00
52346,,Cystouretero w/renal strict,A,,8.58,4.59,NA,4.03,NA,4.59,,4.03,,0.83,14.00,13.44,14.00,13.44,0,000,0.00,0.00,0.00,3,0,0,0,0,52351,33.9764,09,0,99,0.00,0.00,0.00
52351,,Cystouretero & or pyeloscope,A,,5.85,3.18,NA,2.83,NA,3.18,,2.83,,0.56,9.59,9.24,9.59,9.24,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52352,,Cystouretero w/stone remove,A,,6.87,3.73,NA,3.31,NA,3.73,,3.31,,0.67,11.27,10.85,11.27,10.85,0,000,0.00,0.00,0.00,3,1,1,0,0,52351,33.9764,09,0,99,0.00,0.00,0.00
52353,,Cystouretero w/lithotripsy,A,,7.96,4.22,NA,3.74,NA,4.22,,3.74,,0.76,12.94,12.46,12.94,12.46,0,000,0.00,0.00,0.00,3,1,1,0,0,52351,33.9764,09,0,99,0.00,0.00,0.00
52354,,Cystouretero w/biopsy,A,,7.33,3.94,NA,3.50,NA,3.94,,3.50,,0.71,11.98,11.54,11.98,11.54,0,000,0.00,0.00,0.00,3,1,1,0,0,52351,33.9764,09,0,99,0.00,0.00,0.00
52355,,Cystouretero w/excise tumor,A,,8.81,4.60,NA,4.08,NA,4.60,,4.08,,0.86,14.27,13.75,14.27,13.75,0,000,0.00,0.00,0.00,3,1,1,0,0,52351,33.9764,09,0,99,0.00,0.00,0.00
52400,,Cystouretero w/congen repr,A,,8.69,5.11,NA,4.49,NA,5.11,,4.49,,0.84,14.64,14.02,14.64,14.02,0,090,0.08,0.83,0.09,3,0,1,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52402,,Cystourethro cut ejacul duct,A,,5.27,2.39,NA,2.11,NA,2.39,,2.11,,0.50,8.16,7.88,8.16,7.88,0,000,0.00,0.00,0.00,3,0,0,0,0,52000,33.9764,09,0,99,0.00,0.00,0.00
52450,,Incision of prostate,A,,7.78,5.75,NA,5.16,NA,5.75,,5.16,,0.75,14.28,13.69,14.28,13.69,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52500,,Revision of bladder neck,A,,8.14,5.93,NA,5.30,NA,5.93,,5.30,,0.78,14.85,14.22,14.85,14.22,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52601,,Prostatectomy (TURP),A,,15.26,8.68,NA,8.04,NA,8.68,,8.04,,1.50,25.44,24.80,25.44,24.80,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52630,,Remove prostate regrowth,A,,7.73,5.02,NA,4.53,NA,5.02,,4.53,,0.75,13.50,13.01,13.50,13.01,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52640,,Relieve bladder contracture,A,,4.79,3.80,NA,3.31,NA,3.80,,3.31,,0.45,9.04,8.55,9.04,8.55,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52647,,Laser surgery of prostate,A,,11.30,48.67,,36.89,,7.27,,6.53,,1.10,61.07,49.29,19.67,18.93,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52648,,Laser surgery of prostate,A,,12.15,49.21,,37.46,,7.64,,6.86,,1.20,62.56,50.81,20.99,20.21,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52649,,Prostate laser enucleation,A,,17.29,10.47,NA,8.91,NA,10.47,,8.91,,1.67,29.43,27.87,29.43,27.87,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
52700,,Drainage of prostate abscess,A,,7.49,5.08,NA,4.65,NA,5.08,,4.65,,0.72,13.29,12.86,13.29,12.86,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53000,,Incision of urethra,A,,2.33,1.96,NA,1.74,NA,1.96,,1.74,,0.24,4.53,4.31,4.53,4.31,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53010,,Incision of urethra,A,,4.45,4.08,NA,3.65,NA,4.08,,3.65,,0.42,8.95,8.52,8.95,8.52,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53020,,Incision of urethra,A,,1.77,1.01,NA,0.91,NA,1.01,,0.91,,0.18,2.96,2.86,2.96,2.86,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53025,,Incision of urethra,A,,1.13,0.81,NA,0.83,NA,0.81,,0.83,,0.07,2.01,2.03,2.01,2.03,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53040,,Drainage of urethra abscess,A,,6.55,4.73,NA,4.26,NA,4.73,,4.26,,0.64,11.92,11.45,11.92,11.45,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53060,,Drainage of urethra abscess,A,,2.68,2.44,,2.39,,1.85,,1.89,,0.44,5.56,5.51,4.97,5.01,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53080,,Drainage of urinary leakage,A,,6.92,5.42,NA,4.64,NA,5.42,,4.64,,0.67,13.01,12.23,13.01,12.23,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53085,,Drainage of urinary leakage,A,,11.18,6.81,NA,6.69,NA,6.81,,6.69,,1.46,19.45,19.33,19.45,19.33,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53200,,Biopsy of urethra,A,,2.59,1.85,,1.68,,1.43,,1.32,,0.27,4.71,4.54,4.29,4.18,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53210,,Removal of urethra,A,,13.72,8.43,NA,7.68,NA,8.43,,7.68,,1.32,23.47,22.72,23.47,22.72,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53215,,Removal of urethra,A,,16.85,9.81,NA,8.74,NA,9.81,,8.74,,1.63,28.29,27.22,28.29,27.22,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53220,,Treatment of urethra lesion,A,,7.63,5.41,NA,4.93,NA,5.41,,4.93,,0.73,13.77,13.29,13.77,13.29,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53230,,Removal of urethra lesion,A,,10.44,6.87,NA,6.28,NA,6.87,,6.28,,1.17,18.48,17.89,18.48,17.89,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53235,,Removal of urethra lesion,A,,10.99,7.27,NA,6.44,NA,7.27,,6.44,,1.06,19.32,18.49,19.32,18.49,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53240,,Surgery for urethra pouch,A,,7.08,5.21,NA,4.61,NA,5.21,,4.61,,0.68,12.97,12.37,12.97,12.37,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53250,,Removal of urethra gland,A,,6.52,5.14,NA,4.82,NA,5.14,,4.82,,1.42,13.08,12.76,13.08,12.76,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53260,,Treatment of urethra lesion,A,,3.03,2.73,,2.50,,2.05,,1.94,,0.35,6.11,5.88,5.43,5.32,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53265,,Treatment of urethra lesion,A,,3.17,3.17,,2.79,,2.13,,1.96,,0.34,6.68,6.30,5.64,5.47,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53270,,Removal of urethra gland,A,,3.14,2.78,,2.65,,2.14,,2.11,,0.53,6.45,6.32,5.81,5.78,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53275,,Repair of urethra defect,A,,4.57,3.00,NA,2.65,NA,3.00,,2.65,,0.45,8.02,7.67,8.02,7.67,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53400,,Revise urethra stage 1,A,,14.13,8.84,NA,7.98,NA,8.84,,7.98,,1.42,24.39,23.53,24.39,23.53,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53405,,Revise urethra stage 2,A,,15.66,9.47,NA,8.41,NA,9.47,,8.41,,1.52,26.65,25.59,26.65,25.59,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53410,,Reconstruction of urethra,A,,17.68,10.44,NA,9.34,NA,10.44,,9.34,,1.71,29.83,28.73,29.83,28.73,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53415,,Reconstruction of urethra,A,,20.70,11.65,NA,10.44,NA,11.65,,10.44,,2.04,34.39,33.18,34.39,33.18,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53420,,Reconstruct urethra stage 1,A,,15.17,8.31,NA,8.01,NA,8.31,,8.01,,1.48,24.96,24.66,24.96,24.66,0,090,0.08,0.83,0.09,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53425,,Reconstruct urethra stage 2,A,,17.07,9.89,NA,8.75,NA,9.89,,8.75,,1.65,28.61,27.47,28.61,27.47,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53430,,Reconstruction of urethra,A,,17.43,9.84,NA,9.19,NA,9.84,,9.19,,1.97,29.24,28.59,29.24,28.59,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53431,,Reconstruct urethra/bladder,A,,21.18,11.88,NA,10.65,NA,11.88,,10.65,,2.04,35.10,33.87,35.10,33.87,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53440,,Male sling procedure,A,,15.54,9.78,NA,8.82,NA,9.78,,8.82,,1.52,26.84,25.88,26.84,25.88,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53442,,Remove/revise male sling,A,,13.49,8.91,NA,8.09,NA,8.91,,8.09,,1.31,23.71,22.89,23.71,22.89,0,090,0.08,0.83,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53444,,Insert tandem cuff,A,,14.19,8.62,NA,7.68,NA,8.62,,7.68,,1.37,24.18,23.24,24.18,23.24,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53445,,Insert uro/ves nck sphincter,A,,15.39,9.88,NA,8.77,NA,9.88,,8.77,,1.51,26.78,25.67,26.78,25.67,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53446,,Remove uro sphincter,A,,11.02,7.50,NA,6.67,NA,7.50,,6.67,,1.09,19.61,18.78,19.61,18.78,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53447,,Remove/replace ur sphincter,A,,14.28,9.02,NA,8.01,NA,9.02,,8.01,,1.40,24.70,23.69,24.70,23.69,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53448,,Remov/replc ur sphinctr comp,A,,23.44,13.30,NA,11.86,NA,13.30,,11.86,,2.26,39.00,37.56,39.00,37.56,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53449,,Repair uro sphincter,A,,10.56,7.05,NA,6.29,NA,7.05,,6.29,,1.05,18.66,17.90,18.66,17.90,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53450,,Revision of urethra,A,,6.77,5.01,NA,4.47,NA,5.01,,4.47,,0.65,12.43,11.89,12.43,11.89,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53460,,Revision of urethra,A,,7.75,5.44,NA,4.85,NA,5.44,,4.85,,0.73,13.92,13.33,13.92,13.33,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53500,,Urethrlys transvag w/ scope,A,,13.00,8.25,NA,7.59,NA,8.25,,7.59,,1.50,22.75,22.09,22.75,22.09,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53502,,Repair of urethra injury,A,,8.26,5.67,NA,5.14,NA,5.67,,5.14,,0.80,14.73,14.20,14.73,14.20,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53505,,Repair of urethra injury,A,,8.26,5.74,NA,5.12,NA,5.74,,5.12,,0.80,14.80,14.18,14.80,14.18,0,090,0.08,0.83,0.09,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53510,,Repair of urethra injury,A,,10.96,7.20,NA,6.42,NA,7.20,,6.42,,1.06,19.22,18.44,19.22,18.44,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53515,,Repair of urethra injury,A,,14.22,8.57,NA,7.70,NA,8.57,,7.70,,1.37,24.16,23.29,24.16,23.29,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
53520,,Repair of urethra defect,A,,9.48,6.53,NA,5.84,NA,6.53,,5.84,,0.91,16.92,16.23,16.92,16.23,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53600,,Dilate urethra stricture,A,,1.21,1.25,,1.07,,0.62,,0.55,,0.11,2.57,2.39,1.94,1.87,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53601,,Dilate urethra stricture,A,,0.98,1.44,,1.23,,0.56,,0.50,,0.08,2.50,2.29,1.62,1.56,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53605,,Dilate urethra stricture,A,,1.28,0.56,NA,0.50,NA,0.56,,0.50,,0.12,1.96,1.90,1.96,1.90,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53620,,Dilate urethra stricture,A,,1.62,1.87,,1.55,,0.89,,0.79,,0.16,3.65,3.33,2.67,2.57,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53621,,Dilate urethra stricture,A,,1.35,1.97,,1.63,,0.72,,0.64,,0.12,3.44,3.10,2.19,2.11,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53660,,Dilation of urethra,A,,0.71,1.41,,1.21,,0.48,,0.44,,0.07,2.19,1.99,1.26,1.22,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53661,,Dilation of urethra,A,,0.72,1.38,,1.17,,0.44,,0.40,,0.07,2.17,1.96,1.23,1.19,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53665,,Dilation of urethra,A,,0.76,0.33,NA,0.31,NA,0.33,,0.31,,0.08,1.17,1.15,1.17,1.15,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53850,,Prostatic microwave thermotx,A,,10.08,58.11,,43.20,,6.22,,5.58,,0.99,69.18,54.27,17.29,16.65,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53852,,Prostatic rf thermotx,A,,10.83,54.81,,40.73,,7.02,,6.31,,1.06,66.70,52.62,18.91,18.20,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53855,,Insert prost urethral stent,A,,1.64,19.26,,19.26,,0.64,,0.64,,0.16,21.06,21.06,2.44,2.44,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53860,,Transurethral rf treatment,A,,3.97,38.32,,38.32,,2.23,,2.23,,0.68,42.97,42.97,6.88,6.88,0,090,0.08,0.83,0.09,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
53899,,Urology surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
54000,,Slitting of prepuce,A,,1.59,2.91,,2.44,,1.53,,1.38,,0.14,4.64,4.17,3.26,3.11,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54001,,Slitting of prepuce,A,,2.24,3.29,,2.80,,1.75,,1.58,,0.23,5.76,5.27,4.22,4.05,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54015,,Drain penis lesion,A,,5.36,3.47,NA,3.08,NA,3.47,,3.08,,0.56,9.39,9.00,9.39,9.00,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54050,,Destruction penis lesion(s),A,,1.29,2.42,,2.39,,1.64,,1.66,,0.16,3.87,3.84,3.09,3.11,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54055,,Destruction penis lesion(s),A,,1.25,2.15,,2.00,,1.36,,1.31,,0.14,3.54,3.39,2.75,2.70,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54056,,Cryosurgery penis lesion(s),A,,1.29,2.68,,2.71,,1.81,,1.86,,0.18,4.15,4.18,3.28,3.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54057,,Laser surg penis lesion(s),A,,1.29,2.75,,2.45,,1.42,,1.32,,0.12,4.16,3.86,2.83,2.73,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54060,,Excision of penis lesion(s),A,,1.98,3.36,,2.92,,1.74,,1.61,,0.22,5.56,5.12,3.94,3.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54065,,Destruction penis lesion(s),A,,2.47,3.73,,3.64,,2.31,,2.37,,0.31,6.51,6.42,5.09,5.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54100,,Biopsy of penis,A,,1.90,3.77,,3.61,,1.62,,1.68,,0.24,5.91,5.75,3.76,3.82,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54105,,Biopsy of penis,A,,3.54,4.35,,3.68,,2.63,,2.33,,0.35,8.24,7.57,6.52,6.22,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54110,,Treatment of penis lesion,A,,10.92,7.00,NA,6.27,NA,7.00,,6.27,,1.06,18.98,18.25,18.98,18.25,0,090,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54111,,Treat penis lesion graft,A,,14.42,8.59,NA,7.64,NA,8.59,,7.64,,1.40,24.41,23.46,24.41,23.46,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54112,,Treat penis lesion graft,A,,16.98,10.00,NA,8.87,NA,10.00,,8.87,,1.63,28.61,27.48,28.61,27.48,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54115,,Treatment of penis lesion,A,,6.95,6.12,,5.44,,5.25,,4.72,,0.67,13.74,13.06,12.87,12.34,0,090,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54120,,Partial removal of penis,A,,11.01,7.14,NA,6.39,NA,7.14,,6.39,,1.09,19.24,18.49,19.24,18.49,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54125,,Removal of penis,A,,14.56,8.72,NA,7.83,NA,8.72,,7.83,,1.48,24.76,23.87,24.76,23.87,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54130,,Remove penis & nodes,A,,21.84,12.41,NA,11.06,NA,12.41,,11.06,,2.12,36.37,35.02,36.37,35.02,0,090,0.10,0.80,0.10,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54135,,Remove penis & nodes,A,,28.17,15.22,NA,13.54,NA,15.22,,13.54,,2.74,46.13,44.45,46.13,44.45,0,090,0.10,0.80,0.10,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54150,,Circumcision w/regionl block,A,,1.90,2.83,,2.33,,0.86,,0.80,,0.23,4.96,4.46,2.99,2.93,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54160,,Circumcision neonate,A,,2.53,4.12,,3.44,,1.61,,1.43,,0.24,6.89,6.21,4.38,4.20,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54161,,Circum 28 days or older,A,,3.32,2.34,NA,2.09,NA,2.34,,2.09,,0.34,6.00,5.75,6.00,5.75,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54162,,Lysis penil circumic lesion,A,,3.32,4.42,,3.71,,2.38,,2.17,,0.33,8.07,7.36,6.03,5.82,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54163,,Repair of circumcision,A,,3.32,3.01,NA,2.71,NA,3.01,,2.71,,0.33,6.66,6.36,6.66,6.36,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54164,,Frenulotomy of penis,A,,2.82,2.77,NA,2.48,NA,2.77,,2.48,,0.29,5.88,5.59,5.88,5.59,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54200,,Treatment of penis lesion,A,,1.11,2.11,,1.82,,1.36,,1.20,,0.10,3.32,3.03,2.57,2.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54205,,Treatment of penis lesion,A,,8.97,6.45,NA,5.69,NA,6.45,,5.69,,0.86,16.28,15.52,16.28,15.52,0,090,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54220,,Treatment of penis lesion,A,,2.42,3.64,,3.05,,1.43,,1.29,,0.26,6.32,5.73,4.11,3.97,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54230,,Prepare penis study,A,,1.34,1.48,,1.30,,0.96,,0.86,,0.12,2.94,2.76,2.42,2.32,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54231,,Dynamic cavernosometry,A,,2.04,2.03,,1.79,,1.32,,1.17,,0.20,4.27,4.03,3.56,3.41,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54235,,Penile injection,A,,1.19,1.44,,1.29,,0.93,,0.84,,0.11,2.74,2.59,2.23,2.14,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54240,,Penis study,A,,1.31,1.60,,1.43,,1.60,NA,1.43,NA,0.09,3.00,2.83,3.00,2.83,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54240,TC,Penis study,A,,0.00,1.03,,0.92,,1.03,NA,0.92,NA,0.01,1.04,0.93,1.04,0.93,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
54240,26,Penis study,A,,1.31,0.57,,0.51,,0.57,,0.51,,0.08,1.96,1.90,1.96,1.90,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54250,,Penis study,A,,2.22,1.32,,1.15,,1.32,NA,1.15,NA,0.15,3.69,3.52,3.69,3.52,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54250,TC,Penis study,A,,0.00,0.34,,0.28,,0.34,NA,0.28,NA,0.01,0.35,0.29,0.35,0.29,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
54250,26,Penis study,A,,2.22,0.98,,0.87,,0.98,,0.87,,0.14,3.34,3.23,3.34,3.23,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54300,,Revision of penis,A,,11.20,7.37,NA,6.49,NA,7.37,,6.49,,1.09,19.66,18.78,19.66,18.78,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54304,,Revision of penis,A,,13.28,8.42,NA,7.39,NA,8.42,,7.39,,1.28,22.98,21.95,22.98,21.95,0,090,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54308,,Reconstruction of urethra,A,,12.62,8.45,NA,7.86,NA,8.45,,7.86,,1.22,22.29,21.70,22.29,21.70,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54312,,Reconstruction of urethra,A,,14.51,9.62,NA,8.92,NA,9.62,,8.92,,1.40,25.53,24.83,25.53,24.83,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54316,,Reconstruction of urethra,A,,18.05,11.30,NA,10.51,NA,11.30,,10.51,,1.74,31.09,30.30,31.09,30.30,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54318,,Reconstruction of urethra,A,,12.43,8.50,NA,7.93,NA,8.50,,7.93,,0.87,21.80,21.23,21.80,21.23,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54322,,Reconstruction of urethra,A,,13.98,8.59,NA,7.54,NA,8.59,,7.54,,1.36,23.93,22.88,23.93,22.88,0,090,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54324,,Reconstruction of urethra,A,,17.55,10.46,NA,9.16,NA,10.46,,9.16,,1.69,29.70,28.40,29.70,28.40,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54326,,Reconstruction of urethra,A,,17.02,9.72,NA,9.06,NA,9.72,,9.06,,1.65,28.39,27.73,28.39,27.73,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54328,,Revise penis/urethra,A,,16.89,10.06,NA,9.01,NA,10.06,,9.01,,1.63,28.58,27.53,28.58,27.53,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54332,,Revise penis/urethra,A,,18.37,10.86,NA,9.59,NA,10.86,,9.59,,1.78,31.01,29.74,31.01,29.74,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54336,,Revise penis/urethra,A,,21.62,12.29,NA,12.42,NA,12.29,,12.42,,2.10,36.01,36.14,36.01,36.14,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54340,,Secondary urethral surgery,A,,9.71,6.61,NA,5.98,NA,6.61,,5.98,,0.93,17.25,16.62,17.25,16.62,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54344,,Secondary urethral surgery,A,,17.06,10.84,NA,10.07,NA,10.84,,10.07,,1.65,29.55,28.78,29.55,28.78,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54348,,Secondary urethral surgery,A,,18.32,14.62,NA,16.75,NA,14.62,,16.75,,1.29,34.23,36.36,34.23,36.36,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54352,,Reconstruct urethra/penis,A,,26.13,19.75,NA,22.73,NA,19.75,,22.73,,2.55,48.43,51.41,48.43,51.41,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54360,,Penis plastic surgery,A,,12.78,8.06,NA,7.08,NA,8.06,,7.08,,1.24,22.08,21.10,22.08,21.10,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54380,,Repair penis,A,,14.18,8.92,NA,7.84,NA,8.92,,7.84,,1.37,24.47,23.39,24.47,23.39,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54385,,Repair penis,A,,16.56,11.01,NA,9.02,NA,11.01,,9.02,,2.42,29.99,28.00,29.99,28.00,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54390,,Repair penis and bladder,A,,22.77,12.41,NA,12.73,NA,12.41,,12.73,,2.20,37.38,37.70,37.38,37.70,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54400,,Insert semi-rigid prosthesis,A,,9.17,6.12,NA,5.42,NA,6.12,,5.42,,0.88,16.17,15.47,16.17,15.47,0,090,0.10,0.80,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54401,,Insert self-contd prosthesis,A,,10.44,8.52,NA,7.59,NA,8.52,,7.59,,1.03,19.99,19.06,19.99,19.06,0,090,0.10,0.80,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54405,,Insert multi-comp penis pros,A,,14.52,8.73,NA,7.79,NA,8.73,,7.79,,1.42,24.67,23.73,24.67,23.73,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54406,,Remove muti-comp penis pros,A,,12.89,8.11,NA,7.24,NA,8.11,,7.24,,1.25,22.25,21.38,22.25,21.38,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54408,,Repair multi-comp penis pros,A,,13.91,8.79,NA,7.88,NA,8.79,,7.88,,1.37,24.07,23.16,24.07,23.16,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54410,,Remove/replace penis prosth,A,,15.18,9.58,NA,8.52,NA,9.58,,8.52,,1.48,26.24,25.18,26.24,25.18,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54411,,Remov/replc penis pros comp,A,,18.35,11.10,NA,9.96,NA,11.10,,9.96,,1.78,31.23,30.09,31.23,30.09,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54415,,Remove self-contd penis pros,A,,8.88,6.33,NA,5.66,NA,6.33,,5.66,,0.86,16.07,15.40,16.07,15.40,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54416,,Remv/repl penis contain pros,A,,12.08,8.35,NA,7.49,NA,8.35,,7.49,,1.18,21.61,20.75,21.61,20.75,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54417,,Remv/replc penis pros compl,A,,16.10,9.69,NA,8.67,NA,9.69,,8.67,,1.57,27.36,26.34,27.36,26.34,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54420,,Revision of penis,A,,12.39,7.94,NA,7.03,NA,7.94,,7.03,,1.21,21.54,20.63,21.54,20.63,0,090,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54430,,Revision of penis,A,,11.06,7.42,NA,6.57,NA,7.42,,6.57,,1.08,19.56,18.71,19.56,18.71,0,090,0.10,0.80,0.10,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54435,,Revision of penis,A,,6.81,5.25,NA,4.66,NA,5.25,,4.66,,0.65,12.71,12.12,12.71,12.12,0,090,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54440,,Repair of penis,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54450,,Preputial stretching,A,,1.12,0.95,,0.80,,0.54,,0.47,,0.10,2.17,2.02,1.76,1.69,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54500,,Biopsy of testis,A,,1.31,0.84,NA,0.75,NA,0.84,,0.75,,0.12,2.27,2.18,2.27,2.18,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54505,,Biopsy of testis,A,,3.50,2.59,NA,2.28,NA,2.59,,2.28,,0.34,6.43,6.12,6.43,6.12,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54512,,Excise lesion testis,A,,9.33,6.07,NA,5.49,NA,6.07,,5.49,,0.93,16.33,15.75,16.33,15.75,0,090,0.10,0.80,0.10,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54520,,Removal of testis,A,,5.30,4.02,NA,3.66,NA,4.02,,3.66,,0.61,9.93,9.57,9.93,9.57,0,090,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54522,,Orchiectomy partial,A,,10.25,6.46,NA,6.00,NA,6.46,,6.00,,1.01,17.72,17.26,17.72,17.26,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54530,,Removal of testis,A,,8.46,6.08,NA,5.43,NA,6.08,,5.43,,0.87,15.41,14.76,15.41,14.76,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54535,,Extensive testis surgery,A,,13.19,7.97,NA,7.32,NA,7.97,,7.32,,1.28,22.44,21.79,22.44,21.79,0,090,0.10,0.80,0.10,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54550,,Exploration for testis,A,,8.41,5.68,NA,5.14,NA,5.68,,5.14,,0.82,14.91,14.37,14.91,14.37,0,090,0.10,0.80,0.10,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54560,,Exploration for testis,A,,12.10,7.21,NA,6.82,NA,7.21,,6.82,,1.18,20.49,20.10,20.49,20.10,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54600,,Reduce testis torsion,A,,7.64,5.40,NA,4.84,NA,5.40,,4.84,,0.73,13.77,13.21,13.77,13.21,0,090,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54620,,Suspension of testis,A,,5.21,3.45,NA,3.05,NA,3.45,,3.05,,0.50,9.16,8.76,9.16,8.76,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54640,,Suspension of testis,A,,7.73,5.86,NA,5.45,NA,5.86,,5.45,,0.87,14.46,14.05,14.46,14.05,0,090,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54650,,Orchiopexy (Fowler-Stephens),A,,12.39,7.91,NA,7.21,NA,7.91,,7.21,,1.21,21.51,20.81,21.51,20.81,0,090,0.10,0.80,0.10,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54660,,Revision of testis,A,,5.74,4.54,NA,4.09,NA,4.54,,4.09,,0.54,10.82,10.37,10.82,10.37,0,090,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54670,,Repair testis injury,A,,6.65,5.01,NA,4.50,NA,5.01,,4.50,,0.64,12.30,11.79,12.30,11.79,0,090,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54680,,Relocation of testis(es),A,,14.04,8.38,NA,7.65,NA,8.38,,7.65,,1.36,23.78,23.05,23.78,23.05,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54690,,Laparoscopy orchiectomy,A,,11.70,6.63,NA,6.42,NA,6.63,,6.42,,2.48,20.81,20.60,20.81,20.60,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
54692,,Laparoscopy orchiopexy,A,,13.74,8.09,NA,7.19,NA,8.09,,7.19,,1.32,23.15,22.25,23.15,22.25,0,090,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54699,,Laparoscope proc testis,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
54700,,Drainage of scrotum,A,,3.47,2.61,NA,2.39,NA,2.61,,2.39,,0.39,6.47,6.25,6.47,6.25,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54800,,Biopsy of epididymis,A,,2.33,1.81,NA,2.06,NA,1.81,,2.06,,0.33,4.47,4.72,4.47,4.72,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54830,,Remove epididymis lesion,A,,6.01,4.68,NA,4.24,NA,4.68,,4.24,,0.63,11.32,10.88,11.32,10.88,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54840,,Remove epididymis lesion,A,,5.27,4.01,NA,3.57,NA,4.01,,3.57,,0.52,9.80,9.36,9.80,9.36,0,090,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54860,,Removal of epididymis,A,,6.95,5.11,NA,4.58,NA,5.11,,4.58,,0.68,12.74,12.21,12.74,12.21,0,090,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54861,,Removal of epididymis,A,,9.70,6.56,NA,5.89,NA,6.56,,5.89,,0.93,17.19,16.52,17.19,16.52,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54865,,Explore epididymis,A,,5.77,4.55,NA,4.10,NA,4.55,,4.10,,0.56,10.88,10.43,10.88,10.43,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54900,,Fusion of spermatic ducts,A,,14.20,7.99,NA,7.85,NA,7.99,,7.85,,1.02,23.21,23.07,23.21,23.07,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
54901,,Fusion of spermatic ducts,A,,19.10,11.82,NA,11.13,NA,11.82,,11.13,,1.36,32.28,31.59,32.28,31.59,0,090,0.10,0.80,0.10,2,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55000,,Drainage of hydrocele,A,,1.43,2.06,,1.78,,0.99,,0.91,,0.14,3.63,3.35,2.56,2.48,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55040,,Removal of hydrocele,A,,5.45,4.24,NA,3.83,NA,4.24,,3.83,,0.61,10.30,9.89,10.30,9.89,0,090,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55041,,Removal of hydroceles,A,,8.54,6.06,NA,5.49,NA,6.06,,5.49,,0.90,15.50,14.93,15.50,14.93,0,090,0.10,0.80,0.10,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55060,,Repair of hydrocele,A,,6.15,4.74,NA,4.31,NA,4.74,,4.31,,0.67,11.56,11.13,11.56,11.13,0,090,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55100,,Drainage of scrotum abscess,A,,2.45,3.86,,3.40,,2.27,,2.11,,0.30,6.61,6.15,5.02,4.86,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55110,,Explore scrotum,A,,6.33,4.78,NA,4.37,NA,4.78,,4.37,,0.68,11.79,11.38,11.79,11.38,0,090,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55120,,Removal of scrotum lesion,A,,5.72,4.49,NA,4.08,NA,4.49,,4.08,,0.61,10.82,10.41,10.82,10.41,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55150,,Removal of scrotum,A,,8.14,5.91,NA,5.38,NA,5.91,,5.38,,0.86,14.91,14.38,14.91,14.38,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55175,,Revision of scrotum,A,,5.87,4.60,NA,4.17,NA,4.60,,4.17,,0.60,11.07,10.64,11.07,10.64,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55180,,Revision of scrotum,A,,11.78,7.94,NA,7.28,NA,7.94,,7.28,,1.29,21.01,20.35,21.01,20.35,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55200,,Incision of sperm duct,A,,4.55,9.18,,7.31,,3.42,,3.11,,0.44,14.17,12.30,8.41,8.10,0,090,0.10,0.80,0.10,2,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55250,,Removal of sperm duct(s),A,,3.37,8.94,,7.28,,3.24,,2.94,,0.33,12.64,10.98,6.94,6.64,0,090,0.10,0.80,0.10,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55300,,Prepare sperm duct x-ray,A,,3.50,1.72,NA,1.67,NA,1.72,,1.67,,0.34,5.56,5.51,5.56,5.51,0,000,0.00,0.00,0.00,2,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55400,,Repair of sperm duct,A,,8.61,5.79,NA,5.12,NA,5.79,,5.12,,0.83,15.23,14.56,15.23,14.56,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55450,,Ligation of sperm duct,A,,4.43,6.44,,5.35,,2.92,,2.66,,0.42,11.29,10.20,7.77,7.51,0,010,0.10,0.80,0.10,2,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55500,,Removal of hydrocele,A,,6.22,4.78,NA,4.65,NA,4.78,,4.65,,0.88,11.88,11.75,11.88,11.75,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55520,,Removal of sperm cord lesion,A,,6.66,4.98,NA,5.36,NA,4.98,,5.36,,1.36,13.00,13.38,13.00,13.38,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55530,,Revise spermatic cord veins,A,,5.75,4.39,NA,3.96,NA,4.39,,3.96,,0.63,10.77,10.34,10.77,10.34,0,090,0.10,0.80,0.10,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55535,,Revise spermatic cord veins,A,,7.19,5.14,NA,4.66,NA,5.14,,4.66,,0.69,13.02,12.54,13.02,12.54,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55540,,Revise hernia & sperm veins,A,,8.30,5.66,NA,6.09,NA,5.66,,6.09,,1.65,15.61,16.04,15.61,16.04,0,090,0.10,0.80,0.10,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55550,,Laparo ligate spermatic vein,A,,7.20,4.99,NA,4.60,NA,4.99,,4.60,,0.69,12.88,12.49,12.88,12.49,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55559,,Laparo proc spermatic cord,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
55600,,Incise sperm duct pouch,A,,7.01,5.15,NA,4.60,NA,5.15,,4.60,,0.68,12.84,12.29,12.84,12.29,0,090,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55605,,Incise sperm duct pouch,A,,8.76,6.21,NA,6.18,NA,6.21,,6.18,,0.84,15.81,15.78,15.81,15.78,0,090,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55650,,Remove sperm duct pouch,A,,12.65,7.84,NA,7.12,NA,7.84,,7.12,,1.22,21.71,20.99,21.71,20.99,0,090,0.10,0.80,0.10,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55680,,Remove sperm pouch lesion,A,,5.67,4.15,NA,3.86,NA,4.15,,3.86,,0.54,10.36,10.07,10.36,10.07,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55700,,Biopsy of prostate,A,,2.58,4.03,,3.35,,1.38,,1.27,,0.26,6.87,6.19,4.22,4.11,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55705,,Biopsy of prostate,A,,4.61,3.09,NA,2.74,NA,3.09,,2.74,,0.45,8.15,7.80,8.15,7.80,0,010,0.10,0.80,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55706,,Prostate saturation sampling,A,,6.28,4.67,NA,3.99,NA,4.67,,3.99,,0.44,11.39,10.71,11.39,10.71,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55720,,Drainage of prostate abscess,A,,7.73,5.26,NA,4.72,NA,5.26,,4.72,,0.73,13.72,13.18,13.72,13.18,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55725,,Drainage of prostate abscess,A,,10.05,6.93,NA,6.29,NA,6.93,,6.29,,0.98,17.96,17.32,17.96,17.32,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55801,,Removal of prostate,A,,19.80,11.43,NA,10.35,NA,11.43,,10.35,,1.92,33.15,32.07,33.15,32.07,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55810,,Extensive prostate surgery,A,,24.29,13.32,NA,12.00,NA,13.32,,12.00,,2.48,40.09,38.77,40.09,38.77,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55812,,Extensive prostate surgery,A,,29.89,16.20,NA,14.50,NA,16.20,,14.50,,2.91,49.00,47.30,49.00,47.30,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55815,,Extensive prostate surgery,A,,32.95,17.59,NA,15.70,NA,17.59,,15.70,,3.20,53.74,51.85,53.74,51.85,0,090,0.10,0.80,0.10,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55821,,Removal of prostate,A,,15.76,9.33,NA,8.35,NA,9.33,,8.35,,1.55,26.64,25.66,26.64,25.66,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55831,,Removal of prostate,A,,17.19,9.96,NA,8.90,NA,9.96,,8.90,,1.66,28.81,27.75,28.81,27.75,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55840,,Extensive prostate surgery,A,,24.63,13.74,NA,12.28,NA,13.74,,12.28,,2.41,40.78,39.32,40.78,39.32,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55842,,Extensive prostate surgery,A,,26.49,14.57,NA,13.01,NA,14.57,,13.01,,2.60,43.66,42.10,43.66,42.10,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55845,,Extensive prostate surgery,A,,30.67,16.18,NA,14.46,NA,16.18,,14.46,,3.04,49.89,48.17,49.89,48.17,0,090,0.10,0.80,0.10,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55860,,Surgical exposure prostate,A,,15.84,9.28,NA,8.27,NA,9.28,,8.27,,1.52,26.64,25.63,26.64,25.63,0,090,0.10,0.80,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55862,,Extensive prostate surgery,A,,20.04,11.50,NA,10.21,NA,11.50,,10.21,,1.93,33.47,32.18,33.47,32.18,0,090,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55865,,Extensive prostate surgery,A,,24.57,13.76,NA,12.23,NA,13.76,,12.23,,2.38,40.71,39.18,40.71,39.18,0,090,0.10,0.80,0.10,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55866,,Laparo radical prostatectomy,A,,32.06,17.57,NA,15.90,NA,17.57,,15.90,,3.18,52.81,51.14,52.81,51.14,0,090,0.08,0.83,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55870,,Electroejaculation,A,,2.58,2.50,,2.22,,1.53,,1.34,,0.26,5.34,5.06,4.37,4.18,0,000,0.00,0.00,0.00,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
55873,,Cryoablate prostate,A,,13.60,171.44,,171.44,,10.53,,7.46,,1.36,186.40,186.40,25.49,22.42,0,090,0.08,0.83,0.09,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55875,,Transperi needle place pros,A,,13.46,8.45,NA,7.57,NA,8.45,,7.57,,1.29,23.20,22.32,23.20,22.32,0,090,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55876,,Place rt device/marker pros,A,,1.73,2.26,,1.97,,1.19,,1.04,,0.16,4.15,3.86,3.08,2.93,0,000,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
55899,,Genital surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
55920,,Place needles pelvic for rt,A,,8.31,4.11,NA,4.05,NA,4.11,,4.05,,0.80,13.22,13.16,13.22,13.16,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
55970,,Sex transformation m to f,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
55980,,Sex transformation f to m,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
56405,,I & D of vulva/perineum,A,,1.49,1.49,,1.49,,1.45,,1.47,,0.26,3.24,3.24,3.20,3.22,0,010,0.10,0.80,0.10,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56420,,Drainage of gland abscess,A,,1.44,1.98,,1.87,,1.05,,1.05,,0.24,3.66,3.55,2.73,2.73,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
56440,,Surgery for vulva lesion,A,,2.89,2.06,NA,2.11,NA,2.06,,2.11,,0.49,5.44,5.49,5.44,5.49,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
56441,,Lysis of labial lesion(s),A,,2.02,2.03,,1.92,,1.83,,1.77,,0.29,4.34,4.23,4.14,4.08,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
56442,,Hymenotomy,A,,0.68,0.64,NA,0.63,NA,0.64,,0.63,,0.11,1.43,1.42,1.43,1.42,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
56501,,Destroy vulva lesions sim,A,,1.58,2.02,,1.99,,1.54,,1.56,,0.27,3.87,3.84,3.39,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
56515,,Destroy vulva lesion/s compl,A,,3.08,3.05,,3.09,,2.31,,2.42,,0.50,6.63,6.67,5.89,6.00,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
56605,,Biopsy of vulva/perineum,A,,1.10,1.17,,1.15,,0.52,,0.56,,0.18,2.45,2.43,1.80,1.84,0,000,0.00,0.00,0.00,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56606,,Biopsy of vulva/perineum,A,,0.55,0.48,,0.47,,0.24,,0.26,,0.08,1.11,1.10,0.87,0.89,0,ZZZ,0.00,0.00,0.00,0,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56620,,Partial removal of vulva,A,,7.53,6.03,NA,6.26,NA,6.03,,6.26,,1.27,14.83,15.06,14.83,15.06,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
56625,,Complete removal of vulva,A,,9.68,6.50,NA,6.83,NA,6.50,,6.83,,1.62,17.80,18.13,17.80,18.13,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
56630,,Extensive vulva surgery,A,,14.80,8.79,NA,9.43,NA,8.79,,9.43,,2.56,26.15,26.79,26.15,26.79,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
56631,,Extensive vulva surgery,A,,18.99,10.94,NA,11.73,NA,10.94,,11.73,,3.21,33.14,33.93,33.14,33.93,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56632,,Extensive vulva surgery,A,,21.86,12.95,NA,14.04,NA,12.95,,14.04,,3.70,38.51,39.60,38.51,39.60,0,090,0.12,0.74,0.14,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56633,,Extensive vulva surgery,A,,19.62,11.05,NA,11.91,NA,11.05,,11.91,,3.32,33.99,34.85,33.99,34.85,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56634,,Extensive vulva surgery,A,,20.66,11.77,NA,12.73,NA,11.77,,12.73,,3.50,35.93,36.89,35.93,36.89,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56637,,Extensive vulva surgery,A,,24.75,13.36,NA,14.43,NA,13.36,,14.43,,4.18,42.29,43.36,42.29,43.36,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56640,,Extensive vulva surgery,A,,24.78,12.74,NA,13.65,NA,12.74,,13.65,,4.18,41.70,42.61,41.70,42.61,0,090,0.12,0.74,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
56700,,Partial removal of hymen,A,,2.84,2.24,NA,2.28,NA,2.24,,2.28,,0.48,5.56,5.60,5.56,5.60,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
56740,,Remove vagina gland lesion,A,,4.88,3.12,NA,3.26,NA,3.12,,3.26,,0.83,8.83,8.97,8.83,8.97,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
56800,,Repair of vagina,A,,3.93,2.61,NA,2.66,NA,2.61,,2.66,,0.64,7.18,7.23,7.18,7.23,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
56805,,Repair clitoris,A,,19.88,10.79,NA,11.30,NA,10.79,,11.30,,3.38,34.05,34.56,34.05,34.56,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
56810,,Repair of perineum,A,,4.29,2.74,NA,2.83,NA,2.74,,2.83,,0.69,7.72,7.81,7.72,7.81,0,010,0.10,0.80,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
56820,,Exam of vulva w/scope,A,,1.50,1.51,,1.51,,0.77,,0.82,,0.26,3.27,3.27,2.53,2.58,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
56821,,Exam/biopsy of vulva w/scope,A,,2.05,1.96,,1.94,,1.01,,1.08,,0.34,4.35,4.33,3.40,3.47,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57000,,Exploration of vagina,A,,3.02,2.13,NA,2.16,NA,2.13,,2.16,,0.50,5.65,5.68,5.65,5.68,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57010,,Drainage of pelvic abscess,A,,6.84,4.88,NA,5.05,NA,4.88,,5.05,,1.16,12.88,13.05,12.88,13.05,0,090,0.12,0.74,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57020,,Drainage of pelvic fluid,A,,1.50,1.03,,1.05,,0.67,,0.73,,0.26,2.79,2.81,2.43,2.49,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57022,,I & d vaginal hematoma pp,A,,2.73,1.80,NA,1.88,NA,1.80,,1.88,,0.45,4.98,5.06,4.98,5.06,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57023,,I & d vag hematoma non-ob,A,,5.18,3.20,NA,3.33,NA,3.20,,3.33,,0.87,9.25,9.38,9.25,9.38,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57061,,Destroy vag lesions simple,A,,1.30,1.85,,1.80,,1.38,,1.38,,0.22,3.37,3.32,2.90,2.90,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57065,,Destroy vag lesions complex,A,,2.66,2.57,,2.56,,1.97,,2.02,,0.44,5.67,5.66,5.07,5.12,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57100,,Biopsy of vagina,A,,1.20,1.20,,1.20,,0.55,,0.60,,0.20,2.60,2.60,1.95,2.00,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57105,,Biopsy of vagina,A,,1.74,1.97,,1.92,,1.67,,1.66,,0.29,4.00,3.95,3.70,3.69,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57106,,Remove vagina wall partial,A,,7.50,5.52,NA,5.71,NA,5.52,,5.71,,1.21,14.23,14.42,14.23,14.42,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57107,,Remove vagina tissue part,A,,24.56,12.94,NA,13.86,NA,12.94,,13.86,,4.15,41.65,42.57,41.65,42.57,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57109,,Vaginectomy partial w/nodes,A,,28.40,14.40,NA,15.55,NA,14.40,,15.55,,4.80,47.60,48.75,47.60,48.75,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57110,,Remove vagina wall complete,A,,15.48,8.63,NA,9.08,NA,8.63,,9.08,,2.59,26.70,27.15,26.70,27.15,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57111,,Remove vagina tissue compl,A,,28.40,14.69,NA,15.55,NA,14.69,,15.55,,4.80,47.89,48.75,47.89,48.75,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57112,,Vaginectomy w/nodes compl,A,,30.52,11.96,NA,9.59,NA,11.96,,9.59,,2.42,44.90,42.53,44.90,42.53,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57120,,Closure of vagina,A,,8.28,5.55,NA,5.70,NA,5.55,,5.70,,1.36,15.19,15.34,15.19,15.34,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57130,,Remove vagina lesion,A,,2.46,2.43,,2.38,,1.88,,1.90,,0.41,5.30,5.25,4.75,4.77,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57135,,Remove vagina lesion,A,,2.70,2.55,,2.52,,1.98,,2.02,,0.44,5.69,5.66,5.12,5.16,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57150,,Treat vagina infection,A,,0.55,0.78,,0.69,,0.24,,0.25,,0.08,1.41,1.32,0.87,0.88,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57155,,Insert uteri tandems/ovoids,A,,3.37,5.99,,5.99,,1.66,,1.66,,0.30,9.66,9.66,5.33,5.33,0,000,0.00,0.00,0.00,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
57156,,Ins vag brachytx device,A,,1.87,2.38,,2.38,,0.99,,0.99,,0.16,4.41,4.41,3.02,3.02,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57160,,Insert pessary/other device,A,,0.89,1.24,,1.20,,0.38,,0.41,,0.14,2.27,2.23,1.41,1.44,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57170,,Fitting of diaphragm/cap,A,,0.91,0.87,,0.75,,0.38,,0.41,,0.14,1.92,1.80,1.43,1.46,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57180,,Treat vaginal bleeding,A,,1.63,2.28,,2.19,,1.25,,1.25,,0.27,4.18,4.09,3.15,3.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57200,,Repair of vagina,A,,4.42,3.70,NA,3.76,NA,3.70,,3.76,,0.71,8.83,8.89,8.83,8.89,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57210,,Repair vagina/perineum,A,,5.71,4.24,NA,4.31,NA,4.24,,4.31,,0.91,10.86,10.93,10.86,10.93,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57220,,Revision of urethra,A,,4.85,3.86,NA,3.91,NA,3.86,,3.91,,0.80,9.51,9.56,9.51,9.56,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57230,,Repair of urethral lesion,A,,6.30,4.53,NA,4.52,NA,4.53,,4.52,,1.06,11.89,11.88,11.89,11.88,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57240,,Repair bladder & vagina,A,,11.50,6.66,NA,6.88,NA,6.66,,6.88,,1.63,19.79,20.01,19.79,20.01,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57250,,Repair rectum & vagina,A,,11.50,6.50,NA,7.05,NA,6.50,,7.05,,1.86,19.86,20.41,19.86,20.41,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57260,,Repair of vagina,A,,14.44,7.76,NA,8.39,NA,7.76,,8.39,,2.34,24.54,25.17,24.54,25.17,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57265,,Extensive repair of vagina,A,,15.94,8.53,NA,9.05,NA,8.53,,9.05,,2.57,27.04,27.56,27.04,27.56,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57267,,Insert mesh/pelvic flr addon,A,,4.88,2.13,NA,2.17,NA,2.13,,2.17,,0.72,7.73,7.77,7.73,7.77,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57268,,Repair of bowel bulge,A,,7.57,5.51,NA,5.64,NA,5.51,,5.64,,1.22,14.30,14.43,14.30,14.43,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57270,,Repair of bowel pouch,A,,13.67,7.79,NA,8.18,NA,7.79,,8.18,,2.25,23.71,24.10,23.71,24.10,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57280,,Suspension of vagina,A,,16.72,9.15,NA,9.41,NA,9.15,,9.41,,2.60,28.47,28.73,28.47,28.73,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57282,,Colpopexy extraperitoneal,A,,7.97,5.72,NA,5.77,NA,5.72,,5.77,,1.24,14.93,14.98,14.93,14.98,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57283,,Colpopexy intraperitoneal,A,,11.66,6.97,NA,7.23,NA,6.97,,7.23,,1.92,20.55,20.81,20.55,20.81,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57284,,Repair paravag defect open,A,,14.33,7.98,NA,8.03,NA,7.98,,8.03,,2.16,24.47,24.52,24.47,24.52,0,090,0.08,0.83,0.09,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
57285,,Repair paravag defect vag,A,,11.60,6.75,NA,6.93,NA,6.75,,6.93,,1.80,20.15,20.33,20.15,20.33,0,090,0.08,0.83,0.09,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
57287,,Revise/remove sling repair,A,,11.15,7.82,NA,7.50,NA,7.82,,7.50,,1.47,20.44,20.12,20.44,20.12,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57288,,Repair bladder defect,A,,12.13,7.49,NA,7.15,NA,7.49,,7.15,,1.59,21.21,20.87,21.21,20.87,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57289,,Repair bladder & vagina,A,,12.80,7.69,NA,7.28,NA,7.69,,7.28,,1.24,21.73,21.32,21.73,21.32,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57291,,Construction of vagina,A,,8.64,7.51,NA,9.07,NA,7.51,,9.07,,1.47,17.62,19.18,17.62,19.18,0,090,0.12,0.74,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57292,,Construct vagina with graft,A,,14.01,8.13,NA,8.37,NA,8.13,,8.37,,2.34,24.48,24.72,24.48,24.72,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57295,,Revise vag graft via vagina,A,,7.82,5.33,NA,5.30,NA,5.33,,5.30,,1.20,14.35,14.32,14.35,14.32,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57296,,Revise vag graft open abd,A,,16.56,8.94,NA,9.44,NA,8.94,,9.44,,2.79,28.29,28.79,28.29,28.79,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57300,,Repair rectum-vagina fistula,A,,8.71,6.01,NA,6.48,NA,6.01,,6.48,,1.52,16.24,16.71,16.24,16.71,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57305,,Repair rectum-vagina fistula,A,,15.35,8.75,NA,9.60,NA,8.75,,9.60,,2.97,27.07,27.92,27.07,27.92,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57307,,Fistula repair & colostomy,A,,17.17,9.90,NA,10.99,NA,9.90,,10.99,,3.67,30.74,31.83,30.74,31.83,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57308,,Fistula repair transperine,A,,10.59,6.81,NA,7.40,NA,6.81,,7.40,,1.80,19.20,19.79,19.20,19.79,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57310,,Repair urethrovaginal lesion,A,,7.65,5.48,NA,5.02,NA,5.48,,5.02,,0.73,13.86,13.40,13.86,13.40,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57311,,Repair urethrovaginal lesion,A,,8.91,6.01,NA,5.51,NA,6.01,,5.51,,0.86,15.78,15.28,15.78,15.28,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57320,,Repair bladder-vagina lesion,A,,8.88,6.10,NA,5.76,NA,6.10,,5.76,,1.05,16.03,15.69,16.03,15.69,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57330,,Repair bladder-vagina lesion,A,,13.21,7.72,NA,7.15,NA,7.72,,7.15,,1.28,22.21,21.64,22.21,21.64,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57335,,Repair vagina,A,,20.02,11.27,NA,11.66,NA,11.27,,11.66,,3.39,34.68,35.07,34.68,35.07,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57400,,Dilation of vagina,A,,2.27,1.34,NA,1.36,NA,1.34,,1.36,,0.38,3.99,4.01,3.99,4.01,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57410,,Pelvic examination,A,,1.75,1.14,NA,1.18,NA,1.14,,1.18,,0.29,3.18,3.22,3.18,3.22,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57415,,Remove vaginal foreign body,A,,2.49,1.88,NA,1.89,NA,1.88,,1.89,,0.37,4.74,4.75,4.74,4.75,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57420,,Exam of vagina w/scope,A,,1.60,1.56,,1.56,,0.81,,0.87,,0.26,3.42,3.42,2.67,2.73,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57421,,Exam/biopsy of vag w/scope,A,,2.20,2.04,,2.04,,1.07,,1.15,,0.37,4.61,4.61,3.64,3.72,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57423,,Repair paravag defect lap,A,,16.08,8.63,NA,8.92,NA,8.63,,8.92,,2.72,27.43,27.72,27.43,27.72,0,090,0.08,0.83,0.09,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
57425,,Laparoscopy surg colpopexy,A,,17.03,9.17,NA,9.62,NA,9.17,,9.62,,2.67,28.87,29.32,28.87,29.32,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57426,,Revise prosth vag graft lap,A,,14.30,8.32,NA,8.32,NA,8.32,,8.32,,2.41,25.03,25.03,25.03,25.03,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57452,,Exam of cervix w/scope,A,,1.50,1.47,,1.46,,0.97,,1.02,,0.24,3.21,3.20,2.71,2.76,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57454,,Bx/curett of cervix w/scope,A,,2.33,1.84,,1.86,,1.33,,1.40,,0.38,4.55,4.57,4.04,4.11,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,33.9764,09,0,99,0.00,0.00,0.00
57455,,Biopsy of cervix w/scope,A,,1.99,1.91,,1.91,,0.98,,1.04,,0.33,4.23,4.23,3.30,3.36,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,33.9764,09,0,99,0.00,0.00,0.00
57456,,Endocerv curettage w/scope,A,,1.85,1.84,,1.83,,0.92,,0.98,,0.31,4.00,3.99,3.08,3.14,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,33.9764,09,0,99,0.00,0.00,0.00
57460,,Bx of cervix w/scope leep,A,,2.83,5.30,,4.89,,1.55,,1.63,,0.48,8.61,8.20,4.86,4.94,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,33.9764,09,0,99,0.00,0.00,0.00
57461,,Conz of cervix w/scope leep,A,,3.43,5.67,,5.28,,1.60,,1.71,,0.59,9.69,9.30,5.62,5.73,0,000,0.00,0.00,0.00,3,0,1,0,0,57452,33.9764,09,0,99,0.00,0.00,0.00
57500,,Biopsy of cervix,A,,1.20,2.45,,2.28,,0.84,,0.88,,0.20,3.85,3.68,2.24,2.28,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57505,,Endocervical curettage,A,,1.19,1.62,,1.58,,1.32,,1.32,,0.20,3.01,2.97,2.71,2.71,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57510,,Cauterization of cervix,A,,1.90,1.69,,1.69,,1.22,,1.27,,0.31,3.90,3.90,3.43,3.48,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57511,,Cryocautery of cervix,A,,1.95,2.03,,2.02,,1.64,,1.67,,0.33,4.31,4.30,3.92,3.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57513,,Laser surgery of cervix,A,,1.95,1.98,,1.97,,1.65,,1.67,,0.33,4.26,4.25,3.93,3.95,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57520,,Conization of cervix,A,,4.11,4.27,,4.21,,3.28,,3.33,,0.68,9.06,9.00,8.07,8.12,0,090,0.12,0.74,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57522,,Conization of cervix,A,,3.67,3.52,,3.50,,2.92,,2.97,,0.63,7.82,7.80,7.22,7.27,0,090,0.12,0.74,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57530,,Removal of cervix,A,,5.27,4.07,NA,4.15,NA,4.07,,4.15,,0.87,10.21,10.29,10.21,10.29,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57531,,Removal of cervix radical,A,,29.95,15.82,NA,17.20,NA,15.82,,17.20,,5.06,50.83,52.21,50.83,52.21,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57540,,Removal of residual cervix,A,,13.29,7.62,NA,8.05,NA,7.62,,8.05,,2.23,23.14,23.57,23.14,23.57,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57545,,Remove cervix/repair pelvis,A,,14.10,7.97,NA,8.42,NA,7.97,,8.42,,2.35,24.42,24.87,24.42,24.87,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57550,,Removal of residual cervix,A,,6.34,4.71,NA,4.82,NA,4.71,,4.82,,1.08,12.13,12.24,12.13,12.24,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57555,,Remove cervix/repair vagina,A,,9.94,6.23,NA,6.52,NA,6.23,,6.52,,1.66,17.83,18.12,17.83,18.12,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57556,,Remove cervix repair bowel,A,,9.36,6.03,NA,6.12,NA,6.03,,6.12,,1.46,16.85,16.94,16.85,16.94,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
57558,,D&c of cervical stump,A,,1.72,1.70,,1.69,,1.36,,1.39,,0.29,3.71,3.70,3.37,3.40,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57700,,Revision of cervix,A,,4.35,4.15,NA,4.16,NA,4.15,,4.16,,0.72,9.22,9.23,9.22,9.23,0,090,0.12,0.74,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57720,,Revision of cervix,A,,4.61,3.75,NA,3.81,NA,3.75,,3.81,,0.76,9.12,9.18,9.12,9.18,0,090,0.12,0.74,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
57800,,Dilation of cervical canal,A,,0.77,0.88,,0.88,,0.54,,0.56,,0.12,1.77,1.77,1.43,1.45,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58100,,Biopsy of uterus lining,A,,1.53,1.46,,1.45,,0.82,,0.87,,0.26,3.25,3.24,2.61,2.66,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58110,,Bx done w/colposcopy add-on,A,,0.77,0.54,,0.55,,0.33,,0.36,,0.12,1.43,1.44,1.22,1.25,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58120,,Dilation and curettage,A,,3.59,3.32,,3.43,,2.26,,2.36,,0.61,7.52,7.63,6.46,6.56,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58140,,Myomectomy abdom method,A,,15.79,8.66,NA,9.24,NA,8.66,,9.24,,2.80,27.25,27.83,27.25,27.83,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58145,,Myomectomy vag method,A,,8.91,5.73,NA,5.97,NA,5.73,,5.97,,1.50,16.14,16.38,16.14,16.38,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58146,,Myomectomy abdom complex,A,,20.34,10.61,NA,11.25,NA,10.61,,11.25,,3.44,34.39,35.03,34.39,35.03,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58150,,Total hysterectomy,A,,17.31,9.27,NA,9.93,NA,9.27,,9.93,,2.94,29.52,30.18,29.52,30.18,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58152,,Total hysterectomy,A,,21.86,11.46,NA,12.19,NA,11.46,,12.19,,3.74,37.06,37.79,37.06,37.79,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58180,,Partial hysterectomy,A,,16.60,8.98,NA,9.56,NA,8.98,,9.56,,2.80,28.38,28.96,28.38,28.96,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58200,,Extensive hysterectomy,A,,23.10,11.92,NA,12.86,NA,11.92,,12.86,,3.89,38.91,39.85,38.91,39.85,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58210,,Extensive hysterectomy,A,,30.91,15.82,NA,17.15,NA,15.82,,17.15,,5.27,52.00,53.33,52.00,53.33,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58240,,Removal of pelvis contents,A,,49.33,24.85,NA,26.84,NA,24.85,,26.84,,8.33,82.51,84.50,82.51,84.50,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58260,,Vaginal hysterectomy,A,,14.15,8.05,NA,8.49,NA,8.05,,8.49,,2.38,24.58,25.02,24.58,25.02,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58262,,Vag hyst including t/o,A,,15.94,8.79,NA,9.30,NA,8.79,,9.30,,2.69,27.42,27.93,27.42,27.93,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58263,,Vag hyst w/t/o & vag repair,A,,17.23,9.36,NA,9.90,NA,9.36,,9.90,,2.91,29.50,30.04,29.50,30.04,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58267,,Vag hyst w/urinary repair,A,,18.36,9.90,NA,10.49,NA,9.90,,10.49,,3.12,31.38,31.97,31.38,31.97,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58270,,Vag hyst w/enterocele repair,A,,15.30,8.35,NA,8.82,NA,8.35,,8.82,,2.57,26.22,26.69,26.22,26.69,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58275,,Hysterectomy/revise vagina,A,,17.03,9.32,NA,9.85,NA,9.32,,9.85,,2.90,29.25,29.78,29.25,29.78,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58280,,Hysterectomy/revise vagina,A,,18.33,9.87,NA,10.50,NA,9.87,,10.50,,3.08,31.28,31.91,31.28,31.91,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58285,,Extensive hysterectomy,A,,23.38,11.73,NA,12.52,NA,11.73,,12.52,,3.93,39.04,39.83,39.04,39.83,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58290,,Vag hyst complex,A,,20.27,10.57,NA,11.22,NA,10.57,,11.22,,3.43,34.27,34.92,34.27,34.92,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58291,,Vag hyst incl t/o complex,A,,22.06,11.38,NA,12.05,NA,11.38,,12.05,,3.73,37.17,37.84,37.17,37.84,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58292,,Vag hyst t/o & repair compl,A,,23.35,11.89,NA,12.64,NA,11.89,,12.64,,3.93,39.17,39.92,39.17,39.92,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58293,,Vag hyst w/uro repair compl,A,,24.33,12.27,NA,13.10,NA,12.27,,13.10,,4.11,40.71,41.54,40.71,41.54,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58294,,Vag hyst w/enterocele compl,A,,21.55,11.06,NA,11.81,NA,11.06,,11.81,,3.66,36.27,37.02,36.27,37.02,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58300,,Insert intrauterine device,N,+,1.01,1.04,,0.94,,0.44,,0.44,,0.07,2.12,2.02,1.52,1.52,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
58301,,Remove intrauterine device,A,,1.27,1.35,,1.32,,0.54,,0.59,,0.22,2.84,2.81,2.03,2.08,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58321,,Artificial insemination,A,,0.92,1.23,,1.18,,0.40,,0.42,,0.05,2.20,2.15,1.37,1.39,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58322,,Artificial insemination,A,,1.10,1.28,,1.24,,0.47,,0.51,,0.18,2.56,2.52,1.75,1.79,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58323,,Sperm washing,A,,0.23,0.25,,0.19,,0.10,,0.11,,0.04,0.52,0.46,0.37,0.38,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58340,,Catheter for hysterography,A,,0.88,2.62,,2.33,,0.72,,0.71,,0.12,3.62,3.33,1.72,1.71,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58345,,Reopen fallopian tube,A,,4.70,2.84,NA,2.94,NA,2.84,,2.94,,0.78,8.32,8.42,8.32,8.42,0,010,0.10,0.80,0.10,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58346,,Insert heyman uteri capsule,A,,7.56,4.73,NA,4.70,NA,4.73,,4.70,,0.63,12.92,12.89,12.92,12.89,0,090,0.12,0.74,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58350,,Reopen fallopian tube,A,,1.06,1.63,,1.57,,1.10,,1.09,,0.18,2.87,2.81,2.34,2.33,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58353,,Endometr ablate thermal,A,,3.60,27.59,,23.80,,2.33,,2.40,,0.61,31.80,28.01,6.54,6.61,0,010,0.10,0.80,0.10,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58356,,Endometrial cryoablation,A,,6.41,51.43,,45.11,,2.85,,3.06,,1.08,58.92,52.60,10.34,10.55,0,010,0.10,0.80,0.10,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58400,,Suspension of uterus,A,,7.14,4.89,NA,4.93,NA,4.89,,4.93,,1.08,13.11,13.15,13.11,13.15,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58410,,Suspension of uterus,A,,13.80,7.77,NA,8.22,NA,7.77,,8.22,,2.31,23.88,24.33,23.88,24.33,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58520,,Repair of ruptured uterus,A,,13.48,7.58,NA,8.07,NA,7.58,,8.07,,2.90,23.96,24.45,23.96,24.45,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58540,,Revision of uterus,A,,15.71,8.62,NA,9.17,NA,8.62,,9.17,,2.65,26.98,27.53,26.98,27.53,0,090,0.12,0.74,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58541,,Lsh uterus 250 g or less,A,,14.70,8.39,NA,8.97,NA,8.39,,8.97,,2.46,25.55,26.13,25.55,26.13,0,090,0.12,0.74,0.14,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58542,,Lsh w/t/o ut 250 g or less,A,,16.56,9.18,NA,9.84,NA,9.18,,9.84,,2.80,28.54,29.20,28.54,29.20,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58543,,Lsh uterus above 250 g,A,,16.87,9.30,NA,10.00,NA,9.30,,10.00,,2.86,29.03,29.73,29.03,29.73,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58544,,Lsh w/t/o uterus above 250 g,A,,18.37,9.89,NA,10.68,NA,9.89,,10.68,,3.12,31.38,32.17,31.38,32.17,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58545,,Laparoscopic myomectomy,A,,15.55,8.37,NA,8.89,NA,8.37,,8.89,,2.67,26.59,27.11,26.59,27.11,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58546,,Laparo-myomectomy complex,A,,19.94,10.23,NA,10.88,NA,10.23,,10.88,,3.39,33.56,34.21,33.56,34.21,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58548,,Lap radical hyst,A,,31.63,16.09,NA,17.80,NA,16.09,,17.80,,5.32,53.04,54.75,53.04,54.75,0,090,0.12,0.74,0.14,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58550,,Laparo-asst vag hysterectomy,A,,15.10,8.58,NA,9.05,NA,8.58,,9.05,,2.56,26.24,26.71,26.24,26.71,0,090,0.12,0.74,0.14,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58552,,Laparo-vag hyst incl t/o,A,,16.91,9.33,NA,9.87,NA,9.33,,9.87,,2.87,29.11,29.65,29.11,29.65,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58553,,Laparo-vag hyst complex,A,,20.06,10.30,NA,10.99,NA,10.30,,10.99,,3.40,33.76,34.45,33.76,34.45,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58554,,Laparo-vag hyst w/t/o compl,A,,23.11,12.01,NA,12.84,NA,12.01,,12.84,,3.93,39.05,39.88,39.05,39.88,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58555,,Hysteroscopy dx sep proc,A,,3.33,4.10,,4.95,,1.76,,1.87,,0.56,7.99,8.84,5.65,5.76,0,000,0.00,0.00,0.00,2,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58558,,Hysteroscopy biopsy,A,,4.74,5.06,,6.06,,2.41,,2.55,,0.80,10.60,11.60,7.95,8.09,0,000,0.00,0.00,0.00,3,0,1,2,0,58555,33.9764,09,0,99,0.00,0.00,0.00
58559,,Hysteroscopy lysis,A,,6.16,3.02,NA,3.21,NA,3.02,,3.21,,1.05,10.23,10.42,10.23,10.42,0,000,0.00,0.00,0.00,3,0,1,2,0,58555,33.9764,09,0,99,0.00,0.00,0.00
58560,,Hysteroscopy resect septum,A,,6.99,3.38,NA,3.60,NA,3.38,,3.60,,1.18,11.55,11.77,11.55,11.77,0,000,0.00,0.00,0.00,3,0,2,2,0,58555,33.9764,09,0,99,0.00,0.00,0.00
58561,,Hysteroscopy remove myoma,A,,9.99,4.67,NA,4.99,NA,4.67,,4.99,,1.67,16.33,16.65,16.33,16.65,0,000,0.00,0.00,0.00,3,0,0,2,0,58555,33.9764,09,0,99,0.00,0.00,0.00
58562,,Hysteroscopy remove fb,A,,5.20,5.01,,5.99,,2.58,,2.73,,0.87,11.08,12.06,8.65,8.80,0,000,0.00,0.00,0.00,3,0,1,2,0,58555,33.9764,09,0,99,0.00,0.00,0.00
58563,,Hysteroscopy ablation,A,,6.16,44.84,,39.03,,3.02,,3.21,,1.05,52.05,46.24,10.23,10.42,0,000,0.00,0.00,0.00,3,0,0,2,0,58555,33.9764,09,0,99,0.00,0.00,0.00
58565,,Hysteroscopy sterilization,A,,7.12,48.34,,43.73,,4.58,,4.75,,1.20,56.66,52.05,12.90,13.07,0,090,0.12,0.74,0.14,3,2,1,2,0,58555,33.9764,09,0,99,0.00,0.00,0.00
58570,,Tlh uterus 250 g or less,A,,15.88,8.90,NA,9.55,NA,8.90,,9.55,,2.69,27.47,28.12,27.47,28.12,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58571,,Tlh w/t/o 250 g or less,A,,17.69,9.73,NA,10.56,NA,9.73,,10.56,,3.01,30.43,31.26,30.43,31.26,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58572,,Tlh uterus over 250 g,A,,20.09,10.65,NA,11.55,NA,10.65,,11.55,,3.40,34.14,35.04,34.14,35.04,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58573,,Tlh w/t/o uterus over 250 g,A,,23.11,11.97,NA,13.10,NA,11.97,,13.10,,3.89,38.97,40.10,38.97,40.10,0,090,0.12,0.74,0.14,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
58578,,Laparo proc uterus,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
58579,,Hysteroscope procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
58600,,Division of fallopian tube,A,,5.91,3.90,NA,4.07,NA,3.90,,4.07,,1.01,10.82,10.99,10.82,10.99,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58605,,Division of fallopian tube,A,,5.28,3.62,NA,3.74,NA,3.62,,3.74,,0.88,9.78,9.90,9.78,9.90,0,090,0.12,0.74,0.14,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58611,,Ligate oviduct(s) add-on,A,,1.45,0.62,NA,0.67,NA,0.62,,0.67,,0.24,2.31,2.36,2.31,2.36,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58615,,Occlude fallopian tube(s),A,,3.94,2.71,NA,2.73,NA,2.71,,2.73,,0.67,7.32,7.34,7.32,7.34,0,010,0.10,0.80,0.10,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58660,,Laparoscopy lysis,A,,11.59,6.33,NA,6.73,NA,6.33,,6.73,,2.04,19.96,20.36,19.96,20.36,0,090,0.09,0.84,0.07,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58661,,Laparoscopy remove adnexa,A,,11.35,5.83,NA,6.21,NA,5.83,,6.21,,1.93,19.11,19.49,19.11,19.49,0,010,0.10,0.80,0.10,3,1,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58662,,Laparoscopy excise lesions,A,,12.15,6.72,NA,7.10,NA,6.72,,7.10,,2.07,20.94,21.32,20.94,21.32,0,090,0.09,0.84,0.07,3,0,2,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58670,,Laparoscopy tubal cautery,A,,5.91,3.94,NA,4.09,NA,3.94,,4.09,,1.01,10.86,11.01,10.86,11.01,0,090,0.10,0.80,0.10,3,0,1,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58671,,Laparoscopy tubal block,A,,5.91,3.93,NA,4.08,NA,3.93,,4.08,,1.01,10.85,11.00,10.85,11.00,0,090,0.10,0.80,0.10,3,0,1,2,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58672,,Laparoscopy fimbrioplasty,A,,12.91,6.81,NA,7.23,NA,6.81,,7.23,,2.18,21.90,22.32,21.90,22.32,0,090,0.10,0.80,0.10,3,1,2,0,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58673,,Laparoscopy salpingostomy,A,,14.04,7.43,NA,7.85,NA,7.43,,7.85,,2.35,23.82,24.24,23.82,24.24,0,090,0.10,0.80,0.10,3,1,2,0,0,49320,33.9764,09,0,99,0.00,0.00,0.00
58679,,Laparo proc oviduct-ovary,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
58700,,Removal of fallopian tube,A,,12.95,7.58,NA,8.09,NA,7.58,,8.09,,2.41,22.94,23.45,22.94,23.45,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58720,,Removal of ovary/tube(s),A,,12.16,7.08,NA,7.50,NA,7.08,,7.50,,2.15,21.39,21.81,21.39,21.81,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58740,,Adhesiolysis tube ovary,A,,14.90,8.45,NA,8.90,NA,8.45,,8.90,,2.64,25.99,26.44,25.99,26.44,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58750,,Repair oviduct,A,,15.64,8.56,NA,9.04,NA,8.56,,9.04,,2.64,26.84,27.32,26.84,27.32,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58752,,Revise ovarian tube(s),A,,15.64,8.57,NA,8.81,NA,8.57,,8.81,,1.10,25.31,25.55,25.31,25.55,0,090,0.12,0.74,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58760,,Fimbrioplasty,A,,13.93,7.87,NA,8.24,NA,7.87,,8.24,,2.34,24.14,24.51,24.14,24.51,0,090,0.12,0.74,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58770,,Create new tubal opening,A,,14.77,7.88,NA,8.57,NA,7.88,,8.57,,2.48,25.13,25.82,25.13,25.82,0,090,0.12,0.74,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58800,,Drainage of ovarian cyst(s),A,,4.62,4.12,,4.08,,3.51,,3.55,,0.76,9.50,9.46,8.89,8.93,0,090,0.12,0.74,0.14,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58805,,Drainage of ovarian cyst(s),A,,6.42,4.46,NA,4.52,NA,4.46,,4.52,,1.09,11.97,12.03,11.97,12.03,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58820,,Drain ovary abscess open,A,,4.70,4.19,NA,4.60,NA,4.19,,4.60,,0.78,9.67,10.08,9.67,10.08,0,090,0.12,0.74,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58822,,Drain ovary abscess percut,A,,11.81,7.14,NA,7.36,NA,7.14,,7.36,,2.52,21.47,21.69,21.47,21.69,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58823,,Drain pelvic abscess percut,A,,3.37,23.12,,21.52,,1.39,,1.26,,0.38,26.87,25.27,5.14,5.01,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58825,,Transposition ovary(s),A,,11.78,7.05,NA,7.55,NA,7.05,,7.55,,1.97,20.80,21.30,20.80,21.30,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58900,,Biopsy of ovary(s),A,,6.59,4.95,NA,5.42,NA,4.95,,5.42,,1.40,12.94,13.41,12.94,13.41,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58920,,Partial removal of ovary(s),A,,11.95,6.81,NA,7.22,NA,6.81,,7.22,,2.00,20.76,21.17,20.76,21.17,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58925,,Removal of ovarian cyst(s),A,,12.43,7.25,NA,7.71,NA,7.25,,7.71,,2.23,21.91,22.37,21.91,22.37,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58940,,Removal of ovary(s),A,,8.22,5.47,NA,5.85,NA,5.47,,5.85,,1.54,15.23,15.61,15.23,15.61,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58943,,Removal of ovary(s),A,,19.52,10.39,NA,11.19,NA,10.39,,11.19,,3.52,33.43,34.23,33.43,34.23,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58950,,Resect ovarian malignancy,A,,18.37,10.32,NA,11.08,NA,10.32,,11.08,,3.25,31.94,32.70,31.94,32.70,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58951,,Resect ovarian malignancy,A,,24.26,12.60,NA,13.64,NA,12.60,,13.64,,4.18,41.04,42.08,41.04,42.08,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58952,,Resect ovarian malignancy,A,,27.29,14.29,NA,15.46,NA,14.29,,15.46,,4.74,46.32,47.49,46.32,47.49,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58953,,Tah rad dissect for debulk,A,,34.13,17.30,NA,18.76,NA,17.30,,18.76,,5.88,57.31,58.77,57.31,58.77,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58954,,Tah rad debulk/lymph remove,A,,37.13,18.63,NA,20.19,NA,18.63,,20.19,,6.36,62.12,63.68,62.12,63.68,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58956,,Bso omentectomy w/tah,A,,22.80,12.38,NA,13.29,NA,12.38,,13.29,,3.99,39.17,40.08,39.17,40.08,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58957,,Resect recurrent gyn mal,A,,26.22,13.65,NA,14.99,NA,13.65,,14.99,,4.80,44.67,46.01,44.67,46.01,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58958,,Resect recur gyn mal w/lym,A,,29.22,14.95,NA,16.35,NA,14.95,,16.35,,4.94,49.11,50.51,49.11,50.51,0,090,0.12,0.74,0.14,2,2,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58960,,Exploration of abdomen,A,,15.79,8.92,NA,9.50,NA,8.92,,9.50,,2.76,27.47,28.05,27.47,28.05,0,090,0.12,0.74,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58970,,Retrieval of oocyte,A,,3.52,2.51,,2.56,,1.83,,1.98,,0.26,6.29,6.34,5.61,5.76,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
58974,,Transfer of embryo,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,000,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58976,,Transfer of embryo,A,,3.82,3.03,,2.99,,2.07,,2.07,,0.27,7.12,7.08,6.16,6.16,0,000,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
58999,,Genital surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,,33.9764,09,0,99,0.00,0.00,0.00
59000,,Amniocentesis diagnostic,A,,1.30,2.12,,2.01,,0.76,,0.79,,0.37,3.79,3.68,2.43,2.46,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59001,,Amniocentesis therapeutic,A,,3.00,1.63,NA,1.64,NA,1.63,,1.64,,0.86,5.49,5.50,5.49,5.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59012,,Fetal cord puncture prenatal,A,,3.44,1.69,NA,1.79,NA,1.69,,1.79,,0.99,6.12,6.22,6.12,6.22,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59015,,Chorion biopsy,A,,2.20,1.83,,1.85,,1.15,,1.21,,0.63,4.66,4.68,3.98,4.04,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59020,,Fetal contract stress test,A,,0.66,1.21,,1.22,,1.21,NA,1.22,NA,0.17,2.04,2.05,2.04,2.05,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59020,TC,Fetal contract stress test,A,,0.00,0.93,,0.91,,0.93,NA,0.91,NA,0.01,0.94,0.92,0.94,0.92,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
59020,26,Fetal contract stress test,A,,0.66,0.28,,0.31,,0.28,,0.31,,0.16,1.10,1.13,1.10,1.13,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59025,,Fetal non-stress test,A,,0.53,0.73,,0.75,,0.73,NA,0.75,NA,0.13,1.39,1.41,1.39,1.41,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59025,TC,Fetal non-stress test,A,,0.00,0.50,,0.50,,0.50,NA,0.50,NA,0.01,0.51,0.51,0.51,0.51,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
59025,26,Fetal non-stress test,A,,0.53,0.23,,0.25,,0.23,,0.25,,0.12,0.88,0.90,0.88,0.90,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59030,,Fetal scalp blood sample,A,,1.99,0.82,NA,0.87,NA,0.82,,0.87,,0.12,2.93,2.98,2.93,2.98,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59050,,Fetal monitor w/report,A,,0.89,0.38,NA,0.41,NA,0.38,,0.41,,0.26,1.53,1.56,1.53,1.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59051,,Fetal monitor/interpret only,A,,0.74,0.31,NA,0.34,NA,0.31,,0.34,,0.22,1.27,1.30,1.27,1.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59070,,Transabdom amnioinfus w/us,A,,5.24,5.80,,5.72,,2.64,,2.70,,1.51,12.55,12.47,9.39,9.45,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59072,,Umbilical cord occlud w/us,A,,8.99,4.20,NA,4.34,NA,4.20,,4.34,,2.59,15.78,15.92,15.78,15.92,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59074,,Fetal fluid drainage w/us,A,,5.24,5.56,,5.89,,2.75,,3.00,,1.51,12.31,12.64,9.50,9.75,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59076,,Fetal shunt placement w/us,A,,8.99,4.03,NA,4.34,NA,4.03,,4.34,,2.59,15.61,15.92,15.61,15.92,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59100,,Remove uterus lesion,A,,13.37,7.70,NA,8.18,NA,7.70,,8.18,,3.84,24.91,25.39,24.91,25.39,0,090,0.17,0.60,0.23,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
59120,,Treat ectopic pregnancy,A,,12.67,7.48,NA,7.85,NA,7.48,,7.85,,3.66,23.81,24.18,23.81,24.18,0,090,0.17,0.60,0.23,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
59121,,Treat ectopic pregnancy,A,,12.74,7.43,NA,7.79,NA,7.43,,7.79,,3.67,23.84,24.20,23.84,24.20,0,090,0.17,0.60,0.23,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
59130,,Treat ectopic pregnancy,A,,15.08,8.37,NA,8.88,NA,8.37,,8.88,,1.08,24.53,25.04,24.53,25.04,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59135,,Treat ectopic pregnancy,A,,14.92,8.54,NA,8.62,NA,8.54,,8.62,,1.06,24.52,24.60,24.52,24.60,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59136,,Treat ectopic pregnancy,A,,14.25,7.97,NA,8.43,NA,7.97,,8.43,,4.10,26.32,26.78,26.32,26.78,0,090,0.17,0.60,0.23,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59140,,Treat ectopic pregnancy,A,,5.94,4.26,NA,4.46,NA,4.26,,4.46,,0.41,10.61,10.81,10.61,10.81,0,090,0.17,0.60,0.23,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59150,,Treat ectopic pregnancy,A,,12.29,7.20,NA,7.59,NA,7.20,,7.59,,3.54,23.03,23.42,23.03,23.42,0,090,0.17,0.60,0.23,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59151,,Treat ectopic pregnancy,A,,12.11,6.87,NA,7.22,NA,6.87,,7.22,,3.48,22.46,22.81,22.46,22.81,0,090,0.17,0.60,0.23,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59160,,D & c after delivery,A,,2.76,2.71,,2.55,,1.76,,1.73,,0.78,6.25,6.09,5.30,5.27,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59200,,Insert cervical dilator,A,,0.79,1.16,,1.10,,0.34,,0.37,,0.23,2.18,2.12,1.36,1.39,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59300,,Episiotomy or vaginal repair,A,,2.41,2.64,,2.64,,1.33,,1.44,,0.68,5.73,5.73,4.42,4.53,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59320,,Revision of cervix,A,,2.48,1.40,NA,1.47,NA,1.40,,1.47,,0.69,4.57,4.64,4.57,4.64,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59325,,Revision of cervix,A,,4.06,2.08,NA,2.20,NA,2.08,,2.20,,0.29,6.43,6.55,6.43,6.55,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59350,,Repair of uterus,A,,4.94,2.05,NA,2.29,NA,2.05,,2.29,,1.42,8.41,8.65,8.41,8.65,0,000,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59400,,Obstetrical care,A,,28.69,19.32,NA,20.58,NA,19.32,,20.58,,7.99,56.00,57.26,56.00,57.26,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59409,,Obstetrical care,A,,12.82,5.63,NA,6.00,NA,5.63,,6.00,,3.55,22.00,22.37,22.00,22.37,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59410,,Obstetrical care,A,,16.07,7.37,NA,7.99,NA,7.37,,7.99,,4.45,27.89,28.51,27.89,28.51,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59412,,Antepartum manipulation,A,,1.53,0.87,NA,0.88,NA,0.87,,0.88,,0.44,2.84,2.85,2.84,2.85,0,MMM,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59414,,Deliver placenta,A,,1.44,0.65,NA,0.67,NA,0.65,,0.67,,0.41,2.50,2.52,2.50,2.52,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59425,,Antepartum care only,A,,5.63,5.28,,5.32,,2.42,,2.61,,1.55,12.46,12.50,9.60,9.79,0,MMM,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59426,,Antepartum care only,A,,9.96,9.62,,9.69,,4.28,,4.61,,2.69,22.27,22.34,16.93,17.26,0,MMM,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59430,,Care after delivery,A,,2.20,1.84,,2.26,,0.99,,1.02,,0.60,4.64,5.06,3.79,3.82,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59510,,Cesarean delivery,A,,31.80,21.50,NA,22.58,NA,21.50,,22.58,,9.06,62.36,63.44,62.36,63.44,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59514,,Cesarean delivery only,A,,14.39,6.50,NA,6.74,NA,6.50,,6.74,,4.08,24.97,25.21,24.97,25.21,0,MMM,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
59515,,Cesarean delivery,A,,19.15,9.21,NA,10.02,NA,9.21,,10.02,,5.43,33.79,34.60,33.79,34.60,0,MMM,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59525,,Remove uterus after cesarean,A,,8.53,3.65,NA,3.96,NA,3.65,,3.96,,2.44,14.62,14.93,14.62,14.93,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
59610,,Vbac delivery,A,,30.22,20.09,NA,21.22,NA,20.09,,21.22,,8.70,59.01,60.14,59.01,60.14,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59612,,Vbac delivery only,A,,14.35,6.33,NA,6.67,NA,6.33,,6.67,,4.12,24.80,25.14,24.80,25.14,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59614,,Vbac care after delivery,A,,17.60,7.88,NA,8.62,NA,7.88,,8.62,,5.05,30.53,31.27,30.53,31.27,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59618,,Attempted vbac delivery,A,,32.26,21.98,NA,22.73,NA,21.98,,22.73,,9.28,63.52,64.27,63.52,64.27,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59620,,Attempted vbac delivery only,A,,14.86,6.88,NA,6.90,NA,6.88,,6.90,,4.27,26.01,26.03,26.01,26.03,0,MMM,0.00,0.00,0.00,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59622,,Attempted vbac after care,A,,19.63,9.74,NA,10.27,NA,9.74,,10.27,,5.65,35.02,35.55,35.02,35.55,0,MMM,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59812,,Treatment of miscarriage,A,,4.44,3.76,,3.85,,3.12,,3.24,,1.25,9.45,9.54,8.81,8.93,0,090,0.17,0.60,0.23,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59820,,Care of miscarriage,A,,4.84,5.09,,5.06,,4.38,,4.45,,1.39,11.32,11.29,10.61,10.68,0,090,0.17,0.60,0.23,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59821,,Treatment of miscarriage,A,,5.09,4.87,,4.86,,4.10,,4.19,,1.47,11.43,11.42,10.66,10.75,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59830,,Treat uterus infection,A,,6.59,4.59,NA,4.72,NA,4.59,,4.72,,1.89,13.07,13.20,13.07,13.20,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59840,,Abortion,R,,3.01,2.60,,2.66,,2.37,,2.41,,0.80,6.41,6.47,6.18,6.22,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59841,,Abortion,R,,5.65,4.13,,4.26,,3.51,,3.68,,1.62,11.40,11.53,10.78,10.95,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59850,,Abortion,R,,5.90,3.93,NA,3.94,NA,3.93,,3.94,,0.41,10.24,10.25,10.24,10.25,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59851,,Abortion,R,,5.92,4.32,NA,4.42,NA,4.32,,4.42,,1.69,11.93,12.03,11.93,12.03,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59852,,Abortion,R,,8.23,6.01,NA,5.99,NA,6.01,,5.99,,0.59,14.83,14.81,14.83,14.81,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59855,,Abortion,R,,6.43,4.16,NA,4.31,NA,4.16,,4.31,,1.85,12.44,12.59,12.44,12.59,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59856,,Abortion,R,,7.79,4.61,NA,4.80,NA,4.61,,4.80,,2.23,14.63,14.82,14.63,14.82,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59857,,Abortion,R,,9.33,5.37,NA,5.42,NA,5.37,,5.42,,0.65,15.35,15.40,15.35,15.40,0,090,0.17,0.60,0.23,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59866,,Abortion (mpr),R,,3.99,2.07,NA,2.15,NA,2.07,,2.15,,0.29,6.35,6.43,6.35,6.43,0,000,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
59870,,Evacuate mole of uterus,A,,6.57,5.69,NA,5.71,NA,5.69,,5.71,,1.89,14.15,14.17,14.15,14.17,0,090,0.17,0.60,0.23,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59871,,Remove cerclage suture,A,,2.13,1.28,NA,1.34,NA,1.28,,1.34,,0.61,4.02,4.08,4.02,4.08,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59897,,Fetal invas px w/us,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
59898,,Laparo proc ob care/deliver,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
59899,,Maternity care procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
60000,,Drain thyroid/tongue cyst,A,,1.81,2.73,,2.84,,2.27,,2.36,,0.24,4.78,4.89,4.32,4.41,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
6005F,,Care level rationale doc,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
6010F,,Dysphag test done b/4 eating,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
60100,,Biopsy of thyroid,A,,1.56,1.58,,1.48,,0.65,,0.61,,0.16,3.30,3.20,2.37,2.33,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
6015F,,Dysphag test done b/4 eating,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
6020F,,Npo (nothing-mouth) ordered,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
60200,,Remove thyroid lesion,A,,10.02,7.64,NA,8.22,NA,7.64,,8.22,,1.70,19.36,19.94,19.36,19.94,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60210,,Partial thyroid excision,A,,11.23,7.42,NA,8.10,NA,7.42,,8.10,,2.07,20.72,21.40,20.72,21.40,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60212,,Partial thyroid excision,A,,16.43,10.26,NA,11.36,NA,10.26,,11.36,,3.06,29.75,30.85,29.75,30.85,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60220,,Partial removal of thyroid,A,,12.37,8.10,NA,8.87,NA,8.10,,8.87,,2.15,22.62,23.39,22.62,23.39,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60225,,Partial removal of thyroid,A,,14.79,9.78,NA,10.67,NA,9.78,,10.67,,2.64,27.21,28.10,27.21,28.10,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60240,,Removal of thyroid,A,,16.22,9.39,NA,10.27,NA,9.39,,10.27,,2.95,28.56,29.44,28.56,29.44,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60252,,Removal of thyroid,A,,22.01,12.86,NA,14.08,NA,12.86,,14.08,,3.88,38.75,39.97,38.75,39.97,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60254,,Extensive thyroid surgery,A,,28.42,16.76,NA,18.34,NA,16.76,,18.34,,4.53,49.71,51.29,49.71,51.29,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60260,,Repeat thyroid surgery,A,,18.26,10.85,NA,11.87,NA,10.85,,11.87,,3.13,32.24,33.26,32.24,33.26,0,090,0.09,0.82,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60270,,Removal of thyroid,A,,23.20,13.11,NA,13.98,NA,13.11,,13.98,,4.38,40.69,41.56,40.69,41.56,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60271,,Removal of thyroid,A,,17.62,10.50,NA,11.38,NA,10.50,,11.38,,3.01,31.13,32.01,31.13,32.01,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60280,,Remove thyroid duct lesion,A,,6.16,6.07,NA,6.50,NA,6.07,,6.50,,0.84,13.07,13.50,13.07,13.50,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60281,,Remove thyroid duct lesion,A,,8.82,7.46,NA,8.18,NA,7.46,,8.18,,1.14,17.42,18.14,17.42,18.14,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
6030F,,Max sterile barriers follwd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
60300,,Aspir/inj thyroid cyst,A,,0.97,2.18,,2.17,,0.39,,0.38,,0.11,3.26,3.25,1.47,1.46,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
6040F,,Appro rad ds dvcs techs docd,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
6045F,,Radxps in end rprt4fluro pxd,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
60500,,Explore parathyroid glands,A,,16.78,9.83,NA,10.78,NA,9.83,,10.78,,3.24,29.85,30.80,29.85,30.80,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60502,,Re-explore parathyroids,A,,21.15,12.20,NA,13.36,NA,12.20,,13.36,,4.15,37.50,38.66,37.50,38.66,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60505,,Explore parathyroid glands,A,,23.06,13.56,NA,14.68,NA,13.56,,14.68,,4.33,40.95,42.07,40.95,42.07,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60512,,Autotransplant parathyroid,A,,4.44,1.89,NA,2.09,NA,1.89,,2.09,,0.83,7.16,7.36,7.16,7.36,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60520,,Removal of thymus gland,A,,17.16,9.84,NA,10.49,NA,9.84,,10.49,,3.47,30.47,31.12,30.47,31.12,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60521,,Removal of thymus gland,A,,19.18,10.62,NA,10.37,NA,10.62,,10.37,,4.53,34.33,34.08,34.33,34.08,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60522,,Removal of thymus gland,A,,23.48,12.64,NA,12.47,NA,12.64,,12.47,,5.46,41.58,41.41,41.58,41.41,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60540,,Explore adrenal gland,A,,18.02,10.21,NA,10.18,NA,10.21,,10.18,,3.04,31.27,31.24,31.27,31.24,0,090,0.09,0.82,0.09,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60545,,Explore adrenal gland,A,,20.93,11.30,NA,11.56,NA,11.30,,11.56,,3.69,35.92,36.18,35.92,36.18,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60600,,Remove carotid body lesion,A,,25.09,12.44,NA,12.87,NA,12.44,,12.87,,5.31,42.84,43.27,42.84,43.27,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60605,,Remove carotid body lesion,A,,31.96,16.77,NA,18.71,NA,16.77,,18.71,,4.11,52.84,54.78,52.84,54.78,0,090,0.09,0.82,0.09,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60650,,Laparoscopy adrenalectomy,A,,20.73,10.69,NA,11.09,NA,10.69,,11.09,,3.74,35.16,35.56,35.16,35.56,0,090,0.09,0.84,0.07,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
60659,,Laparo proc endocrine,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
60699,,Endocrine surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
6070F,,Pt asked/cnsld aed effects,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
6080F,,Pt/caregiver queried falls,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
6090F,,Pt/caregiver counsel safety,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
61000,,Remove cranial cavity fluid,A,,1.58,1.46,NA,1.53,NA,1.46,,1.53,,0.14,3.18,3.25,3.18,3.25,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61001,,Remove cranial cavity fluid,A,,1.49,1.36,NA,1.32,NA,1.36,,1.32,,0.53,3.38,3.34,3.38,3.34,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61020,,Remove brain cavity fluid,A,,1.51,1.98,NA,2.08,NA,1.98,,2.08,,0.50,3.99,4.09,3.99,4.09,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61026,,Injection into brain canal,A,,1.69,1.67,NA,1.69,NA,1.67,,1.69,,0.38,3.74,3.76,3.74,3.76,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61050,,Remove brain canal fluid,A,,1.51,1.42,NA,1.37,NA,1.42,,1.37,,0.12,3.05,3.00,3.05,3.00,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61055,,Injection into brain canal,A,,2.10,1.61,NA,1.55,NA,1.61,,1.55,,0.29,4.00,3.94,4.00,3.94,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61070,,Brain canal shunt procedure,A,,0.89,1.36,NA,1.39,NA,1.36,,1.39,,0.20,2.45,2.48,2.45,2.48,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61105,,Twist drill hole,A,,5.45,5.88,NA,6.30,NA,5.88,,6.30,,1.92,13.25,13.67,13.25,13.67,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61107,,Drill skull for implantation,A,,4.99,2.66,NA,2.76,NA,2.66,,2.76,,1.78,9.43,9.53,9.43,9.53,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61108,,Drill skull for drainage,A,,11.64,10.51,NA,11.17,NA,10.51,,11.17,,4.14,26.29,26.95,26.29,26.95,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61120,,Burr hole for puncture,A,,9.60,8.60,NA,9.16,NA,8.60,,9.16,,3.46,21.66,22.22,21.66,22.22,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61140,,Pierce skull for biopsy,A,,17.23,13.48,NA,14.16,NA,13.48,,14.16,,6.11,36.82,37.50,36.82,37.50,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61150,,Pierce skull for drainage,A,,18.90,13.98,NA,14.82,NA,13.98,,14.82,,6.78,39.66,40.50,39.66,40.50,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61151,,Pierce skull for drainage,A,,13.49,10.60,NA,11.33,NA,10.60,,11.33,,4.85,28.94,29.67,28.94,29.67,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61154,,Pierce skull & remove clot,A,,17.07,13.80,NA,14.59,NA,13.80,,14.59,,6.10,36.97,37.76,36.97,37.76,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61156,,Pierce skull for drainage,A,,17.45,12.87,NA,13.44,NA,12.87,,13.44,,6.26,36.58,37.15,36.58,37.15,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61210,,Pierce skull implant device,A,,5.83,3.10,NA,3.22,NA,3.10,,3.22,,2.08,11.01,11.13,11.01,11.13,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61215,,Insert brain-fluid device,A,,5.85,6.59,NA,6.97,NA,6.59,,6.97,,2.07,14.51,14.89,14.51,14.89,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61250,,Pierce skull & explore,A,,11.49,9.51,NA,10.22,NA,9.51,,10.22,,4.12,25.12,25.83,25.12,25.83,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61253,,Pierce skull & explore,A,,13.49,9.56,NA,10.12,NA,9.56,,10.12,,1.71,24.76,25.32,24.76,25.32,0,090,0.11,0.76,0.13,2,2,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61304,,Open skull for exploration,A,,23.41,16.63,NA,17.52,NA,16.63,,17.52,,8.15,48.19,49.08,48.19,49.08,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61305,,Open skull for exploration,A,,28.64,20.15,NA,21.25,NA,20.15,,21.25,,10.28,59.07,60.17,59.07,60.17,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61312,,Open skull for drainage,A,,30.17,20.19,NA,21.27,NA,20.19,,21.27,,10.79,61.15,62.23,61.15,62.23,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61313,,Open skull for drainage,A,,28.09,20.05,NA,21.13,NA,20.05,,21.13,,10.03,58.17,59.25,58.17,59.25,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61314,,Open skull for drainage,A,,25.90,18.43,NA,19.46,NA,18.43,,19.46,,9.27,53.60,54.63,53.60,54.63,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61315,,Open skull for drainage,A,,29.65,20.56,NA,21.55,NA,20.56,,21.55,,10.66,60.87,61.86,60.87,61.86,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61316,,Implt cran bone flap to abdo,A,,1.39,0.73,NA,0.77,NA,0.73,,0.77,,0.49,2.61,2.65,2.61,2.65,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61320,,Open skull for drainage,A,,27.42,18.89,NA,19.72,NA,18.89,,19.72,,9.69,56.00,56.83,56.00,56.83,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61321,,Open skull for drainage,A,,30.53,20.83,NA,22.30,NA,20.83,,22.30,,10.97,62.33,63.80,62.33,63.80,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61322,,Decompressive craniotomy,A,,34.26,22.94,NA,24.55,NA,22.94,,24.55,,12.24,69.44,71.05,69.44,71.05,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61323,,Decompressive lobectomy,A,,35.06,22.69,NA,24.23,NA,22.69,,24.23,,12.45,70.20,71.74,70.20,71.74,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61330,,Decompress eye socket,A,,25.30,17.48,NA,19.33,NA,17.48,,19.33,,9.09,51.87,53.72,51.87,53.72,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61332,,Explore/biopsy eye socket,A,,28.60,18.89,NA,20.61,NA,18.89,,20.61,,10.26,57.75,59.47,57.75,59.47,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61333,,Explore orbit/remove lesion,A,,29.27,20.44,NA,23.18,NA,20.44,,23.18,,10.51,60.22,62.96,60.22,62.96,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61334,,Explore orbit/remove object,A,,19.60,12.81,NA,14.21,NA,12.81,,14.21,,7.02,39.43,40.83,39.43,40.83,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61340,,Subtemporal decompression,A,,20.11,14.92,NA,15.88,NA,14.92,,15.88,,7.23,42.26,43.22,42.26,43.22,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61343,,Incise skull (press relief),A,,31.86,21.47,NA,22.52,NA,21.47,,22.52,,11.35,64.68,65.73,64.68,65.73,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61345,,Relieve cranial pressure,A,,29.23,20.32,NA,21.38,NA,20.32,,21.38,,10.49,60.04,61.10,60.04,61.10,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61440,,Incise skull for surgery,A,,28.66,19.93,NA,21.06,NA,19.93,,21.06,,10.28,58.87,60.00,58.87,60.00,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61450,,Incise skull for surgery,A,,27.69,18.85,NA,19.98,NA,18.85,,19.98,,9.94,56.48,57.61,56.48,57.61,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61458,,Incise skull for brain wound,A,,28.84,20.01,NA,20.96,NA,20.01,,20.96,,10.25,59.10,60.05,59.10,60.05,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61460,,Incise skull for surgery,A,,30.24,20.46,NA,21.94,NA,20.46,,21.94,,10.85,61.55,63.03,61.55,63.03,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
61470,,Incise skull for surgery,A,,27.62,18.91,NA,19.94,NA,18.91,,19.94,,9.91,56.44,57.47,56.44,57.47,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61480,,Incise skull for surgery,A,,28.05,14.71,NA,14.41,NA,14.71,,14.41,,1.97,44.73,44.43,44.73,44.43,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61490,,Incise skull for surgery,A,,27.22,18.80,NA,19.72,NA,18.80,,19.72,,9.79,55.81,56.73,55.81,56.73,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61500,,Removal of skull lesion,A,,19.18,14.35,NA,15.26,NA,14.35,,15.26,,5.78,39.31,40.22,39.31,40.22,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61501,,Remove infected skull bone,A,,16.35,12.78,NA,13.65,NA,12.78,,13.65,,4.67,33.80,34.67,33.80,34.67,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61510,,Removal of brain lesion,A,,30.83,22.26,NA,23.35,NA,22.26,,23.35,,11.01,64.10,65.19,64.10,65.19,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61512,,Remove brain lining lesion,A,,37.14,24.76,NA,25.91,NA,24.76,,25.91,,13.28,75.18,76.33,75.18,76.33,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61514,,Removal of brain abscess,A,,27.23,18.97,NA,19.80,NA,18.97,,19.80,,9.72,55.92,56.75,55.92,56.75,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61516,,Removal of brain lesion,A,,26.58,18.63,NA,19.56,NA,18.63,,19.56,,9.23,54.44,55.37,54.44,55.37,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61517,,Implt brain chemotx add-on,A,,1.38,0.73,NA,0.76,NA,0.73,,0.76,,0.49,2.60,2.63,2.60,2.63,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61518,,Removal of brain lesion,A,,39.89,26.99,NA,28.33,NA,26.99,,28.33,,14.30,81.18,82.52,81.18,82.52,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61519,,Remove brain lining lesion,A,,43.43,28.12,NA,29.48,NA,28.12,,29.48,,15.49,87.04,88.40,87.04,88.40,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61520,,Removal of brain lesion,A,,57.09,35.97,NA,37.72,NA,35.97,,37.72,,17.97,111.03,112.78,111.03,112.78,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
61521,,Removal of brain lesion,A,,46.99,30.05,NA,31.73,NA,30.05,,31.73,,16.86,93.90,95.58,93.90,95.58,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61522,,Removal of brain abscess,A,,31.54,21.59,NA,22.66,NA,21.59,,22.66,,11.32,64.45,65.52,64.45,65.52,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61524,,Removal of brain lesion,A,,29.89,20.51,NA,21.74,NA,20.51,,21.74,,10.74,61.14,62.37,61.14,62.37,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61526,,Removal of brain lesion,A,,54.08,33.50,NA,36.11,NA,33.50,,36.11,,19.41,106.99,109.60,106.99,109.60,0,090,0.11,0.76,0.13,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
61530,,Removal of brain lesion,A,,45.56,28.51,NA,30.47,NA,28.51,,30.47,,16.37,90.44,92.40,90.44,92.40,0,090,0.11,0.76,0.13,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
61531,,Implant brain electrodes,A,,16.41,13.40,NA,14.13,NA,13.40,,14.13,,5.89,35.70,36.43,35.70,36.43,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
61533,,Implant brain electrodes,A,,21.46,15.57,NA,16.43,NA,15.57,,16.43,,7.69,44.72,45.58,44.72,45.58,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61534,,Removal of brain lesion,A,,23.01,17.00,NA,17.91,NA,17.00,,17.91,,8.26,48.27,49.18,48.27,49.18,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61535,,Remove brain electrodes,A,,13.15,11.25,NA,11.88,NA,11.25,,11.88,,4.72,29.12,29.75,29.12,29.75,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61536,,Removal of brain lesion,A,,37.72,24.95,NA,26.11,NA,24.95,,26.11,,13.54,76.21,77.37,76.21,77.37,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61537,,Removal of brain tissue,A,,36.45,22.79,NA,24.52,NA,22.79,,24.52,,13.01,72.25,73.98,72.25,73.98,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61538,,Removal of brain tissue,A,,39.45,24.53,NA,26.53,NA,24.53,,26.53,,14.18,78.16,80.16,78.16,80.16,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61539,,Removal of brain tissue,A,,34.28,22.81,NA,24.19,NA,22.81,,24.19,,12.30,69.39,70.77,69.39,70.77,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61540,,Removal of brain tissue,A,,31.43,21.64,NA,22.70,NA,21.64,,22.70,,11.28,64.35,65.41,64.35,65.41,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61541,,Incision of brain tissue,A,,30.94,21.14,NA,22.33,NA,21.14,,22.33,,11.11,63.19,64.38,63.19,64.38,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61542,,Removal of brain tissue,A,,33.16,20.88,NA,20.39,NA,20.88,,20.39,,11.90,65.94,65.45,65.94,65.45,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61543,,Removal of brain tissue,A,,31.31,21.06,NA,22.54,NA,21.06,,22.54,,11.23,63.60,65.08,63.60,65.08,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61544,,Remove & treat brain lesion,A,,27.36,17.16,NA,19.80,NA,17.16,,19.80,,9.83,54.35,56.99,54.35,56.99,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61545,,Excision of brain tumor,A,,46.43,30.64,NA,32.41,NA,30.64,,32.41,,16.66,93.73,95.50,93.73,95.50,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61546,,Removal of pituitary gland,A,,33.44,22.46,NA,23.72,NA,22.46,,23.72,,11.99,67.89,69.15,67.89,69.15,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61548,,Removal of pituitary gland,A,,23.37,15.91,NA,16.80,NA,15.91,,16.80,,6.67,45.95,46.84,45.95,46.84,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
61550,,Release of skull seams,A,,15.59,10.57,NA,10.51,NA,10.57,,10.51,,1.10,27.26,27.20,27.26,27.20,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61552,,Release of skull seams,A,,20.40,12.76,NA,11.39,NA,12.76,,11.39,,1.46,34.62,33.25,34.62,33.25,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61556,,Incise skull/sutures,A,,24.09,15.64,NA,15.82,NA,15.64,,15.82,,8.66,48.39,48.57,48.39,48.57,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61557,,Incise skull/sutures,A,,23.31,17.77,NA,18.54,NA,17.77,,18.54,,8.37,49.45,50.22,49.45,50.22,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61558,,Excision of skull/sutures,A,,26.50,16.17,NA,14.21,NA,16.17,,14.21,,9.51,52.18,50.22,52.18,50.22,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61559,,Excision of skull/sutures,A,,34.02,24.32,NA,25.34,NA,24.32,,25.34,,2.41,60.75,61.77,60.75,61.77,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61563,,Excision of skull tumor,A,,28.44,19.67,NA,20.66,NA,19.67,,20.66,,10.21,58.32,59.31,58.32,59.31,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61564,,Excision of skull tumor,A,,34.74,23.76,NA,24.90,NA,23.76,,24.90,,12.45,70.95,72.09,70.95,72.09,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61566,,Removal of brain tissue,A,,32.45,22.30,NA,23.27,NA,22.30,,23.27,,11.64,66.39,67.36,66.39,67.36,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61567,,Incision of brain tissue,A,,37.00,25.48,NA,26.52,NA,25.48,,26.52,,13.30,75.78,76.82,75.78,76.82,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61570,,Remove foreign body brain,A,,26.51,18.62,NA,19.86,NA,18.62,,19.86,,9.51,54.64,55.88,54.64,55.88,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61571,,Incise skull for brain wound,A,,28.42,19.95,NA,20.93,NA,19.95,,20.93,,10.19,58.56,59.54,58.56,59.54,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61575,,Skull base/brainstem surgery,A,,36.56,23.50,NA,25.46,NA,23.50,,25.46,,13.12,73.18,75.14,73.18,75.14,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61576,,Skull base/brainstem surgery,A,,55.31,42.09,NA,43.49,NA,42.09,,43.49,,7.10,104.50,105.90,104.50,105.90,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61580,,Craniofacial approach skull,A,,34.51,31.81,NA,34.24,NA,31.81,,34.24,,5.89,72.21,74.64,72.21,74.64,0,090,0.11,0.76,0.13,2,1,1,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61581,,Craniofacial approach skull,A,,39.13,35.43,NA,38.38,NA,35.43,,38.38,,5.04,79.60,82.55,79.60,82.55,0,090,0.11,0.76,0.13,2,1,1,2,2,,33.9764,09,0,99,0.00,0.00,0.00
61582,,Craniofacial approach skull,A,,35.14,39.60,NA,42.42,NA,39.60,,42.42,,12.62,87.36,90.18,87.36,90.18,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61583,,Craniofacial approach skull,A,,38.50,33.29,NA,34.81,NA,33.29,,34.81,,12.94,84.73,86.25,84.73,86.25,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61584,,Orbitocranial approach/skull,A,,37.70,32.92,NA,34.50,NA,32.92,,34.50,,12.70,83.32,84.90,83.32,84.90,0,090,0.11,0.76,0.13,2,1,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61585,,Orbitocranial approach/skull,A,,42.57,35.04,NA,38.65,NA,35.04,,38.65,,15.28,92.89,96.50,92.89,96.50,0,090,0.11,0.76,0.13,2,1,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61586,,Resect nasopharynx skull,A,,27.48,31.16,NA,34.97,NA,31.16,,34.97,,9.87,68.51,72.32,68.51,72.32,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61590,,Infratemporal approach/skull,A,,47.04,35.52,NA,38.39,NA,35.52,,38.39,,8.45,91.01,93.88,91.01,93.88,0,090,0.11,0.76,0.13,2,1,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61591,,Infratemporal approach/skull,A,,47.02,35.53,NA,38.04,NA,35.53,,38.04,,9.60,92.15,94.66,92.15,94.66,0,090,0.11,0.76,0.13,2,1,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61592,,Orbitocranial approach/skull,A,,43.08,35.27,NA,36.78,NA,35.27,,36.78,,14.51,92.86,94.37,92.86,94.37,0,090,0.11,0.76,0.13,2,1,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61595,,Transtemporal approach/skull,A,,33.74,28.83,NA,30.62,NA,28.83,,30.62,,7.15,69.72,71.51,69.72,71.51,0,090,0.11,0.76,0.13,2,1,1,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61596,,Transcochlear approach/skull,A,,39.43,29.50,NA,31.43,NA,29.50,,31.43,,5.06,73.99,75.92,73.99,75.92,0,090,0.11,0.76,0.13,2,1,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61597,,Transcondylar approach/skull,A,,40.82,29.89,NA,31.11,NA,29.89,,31.11,,14.66,85.37,86.59,85.37,86.59,0,090,0.11,0.76,0.13,2,1,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61598,,Transpetrosal approach/skull,A,,36.53,30.82,NA,34.68,NA,30.82,,34.68,,13.11,80.46,84.32,80.46,84.32,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61600,,Resect/excise cranial lesion,A,,30.01,26.70,NA,28.72,NA,26.70,,28.72,,6.22,62.93,64.95,62.93,64.95,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61601,,Resect/excise cranial lesion,A,,31.14,28.27,NA,29.74,NA,28.27,,29.74,,10.17,69.58,71.05,69.58,71.05,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61605,,Resect/excise cranial lesion,A,,32.57,27.47,NA,29.59,NA,27.47,,29.59,,4.95,64.99,67.11,64.99,67.11,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61606,,Resect/excise cranial lesion,A,,42.05,32.50,NA,33.65,NA,32.50,,33.65,,13.68,88.23,89.38,88.23,89.38,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61607,,Resect/excise cranial lesion,A,,40.93,29.85,NA,31.82,NA,29.85,,31.82,,14.69,85.47,87.44,85.47,87.44,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61608,,Resect/excise cranial lesion,A,,45.54,34.28,NA,35.89,NA,34.28,,35.89,,15.38,95.20,96.81,95.20,96.81,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61609,,Transect artery sinus,A,,9.88,4.43,NA,4.33,NA,4.43,,4.33,,3.55,17.86,17.76,17.86,17.76,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61610,,Transect artery sinus,A,,29.63,15.68,NA,16.50,NA,15.68,,16.50,,10.64,55.95,56.77,55.95,56.77,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61611,,Transect artery sinus,A,,7.41,3.55,NA,3.25,NA,3.55,,3.25,,0.52,11.48,11.18,11.48,11.18,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61612,,Transect artery sinus,A,,27.84,12.79,NA,12.20,NA,12.79,,12.20,,1.96,42.59,42.00,42.59,42.00,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61613,,Remove aneurysm sinus,A,,45.03,34.66,NA,36.84,NA,34.66,,36.84,,16.17,95.86,98.04,95.86,98.04,0,090,0.11,0.76,0.13,2,1,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61615,,Resect/excise lesion skull,A,,35.77,28.31,NA,29.44,NA,28.31,,29.44,,4.60,68.68,69.81,68.68,69.81,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61616,,Resect/excise lesion skull,A,,46.74,36.19,NA,38.15,NA,36.19,,38.15,,14.41,97.34,99.30,97.34,99.30,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61618,,Repair dura,A,,18.69,13.80,NA,14.66,NA,13.80,,14.66,,5.76,38.25,39.11,38.25,39.11,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61619,,Repair dura,A,,22.10,15.51,NA,16.55,NA,15.51,,16.55,,6.33,43.94,44.98,43.94,44.98,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
61623,,Endovasc tempory vessel occl,A,,9.95,4.68,NA,4.46,NA,4.68,,4.46,,1.85,16.48,16.26,16.48,16.26,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61624,,Transcath occlusion cns,A,,20.12,9.10,NA,8.75,NA,9.10,,8.75,,3.77,32.99,32.64,32.99,32.64,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61626,,Transcath occlusion non-cns,A,,16.60,7.07,NA,6.42,NA,7.07,,6.42,,2.14,25.81,25.16,25.81,25.16,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61630,,Intracranial angioplasty,R,,22.07,11.59,NA,11.18,NA,11.59,,11.18,,4.18,37.84,37.43,37.84,37.43,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61635,,Intracran angioplsty w/stent,R,,24.28,12.54,NA,12.09,NA,12.54,,12.09,,4.07,40.89,40.44,40.89,40.44,0,XXX,0.00,0.00,0.00,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61640,,Dilate ic vasospasm init,N,+,12.32,5.23,NA,5.40,NA,5.23,,5.40,,0.87,18.42,18.59,18.42,18.59,9,000,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
61641,,Dilate ic vasospasm add-on,N,+,4.33,1.84,NA,1.90,NA,1.84,,1.90,,0.31,6.48,6.54,6.48,6.54,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
61642,,Dilate ic vasospasm add-on,N,+,8.66,3.67,NA,3.79,NA,3.67,,3.79,,0.61,12.94,13.06,12.94,13.06,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
61680,,Intracranial vessel surgery,A,,32.55,22.40,NA,23.42,NA,22.40,,23.42,,11.68,66.63,67.65,66.63,67.65,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61682,,Intracranial vessel surgery,A,,63.41,37.99,NA,39.62,NA,37.99,,39.62,,22.76,124.16,125.79,124.16,125.79,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61684,,Intracranial vessel surgery,A,,41.64,27.01,NA,28.75,NA,27.01,,28.75,,14.94,83.59,85.33,83.59,85.33,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61686,,Intracranial vessel surgery,A,,67.50,41.67,NA,43.58,NA,41.67,,43.58,,24.24,133.41,135.32,133.41,135.32,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61690,,Intracranial vessel surgery,A,,31.34,21.65,NA,22.88,NA,21.65,,22.88,,11.26,64.25,65.48,64.25,65.48,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61692,,Intracranial vessel surgery,A,,54.59,33.97,NA,35.83,NA,33.97,,35.83,,19.60,108.16,110.02,108.16,110.02,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61697,,Brain aneurysm repr complx,A,,63.40,38.60,NA,41.00,NA,38.60,,41.00,,22.52,124.52,126.92,124.52,126.92,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61698,,Brain aneurysm repr complx,A,,69.63,41.53,NA,44.77,NA,41.53,,44.77,,24.99,136.15,139.39,136.15,139.39,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61700,,Brain aneurysm repr simple,A,,50.62,32.61,NA,33.89,NA,32.61,,33.89,,18.06,101.29,102.57,101.29,102.57,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61702,,Inner skull vessel surgery,A,,60.04,36.78,NA,39.43,NA,36.78,,39.43,,21.54,118.36,121.01,118.36,121.01,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61703,,Clamp neck artery,A,,18.80,14.33,NA,15.03,NA,14.33,,15.03,,6.75,39.88,40.58,39.88,40.58,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61705,,Revise circulation to head,A,,38.10,24.49,NA,26.32,NA,24.49,,26.32,,13.68,76.27,78.10,76.27,78.10,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61708,,Revise circulation to head,A,,37.20,20.59,NA,22.49,NA,20.59,,22.49,,3.08,60.87,62.77,60.87,62.77,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61710,,Revise circulation to head,A,,31.29,17.11,NA,16.07,NA,17.11,,16.07,,6.52,54.92,53.88,54.92,53.88,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61711,,Fusion of skull arteries,A,,38.23,24.90,NA,26.32,NA,24.90,,26.32,,13.72,76.85,78.27,76.85,78.27,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61720,,Incise skull/brain surgery,A,,17.62,12.53,NA,14.00,NA,12.53,,14.00,,6.33,36.48,37.95,36.48,37.95,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61735,,Incise skull/brain surgery,A,,22.35,14.10,NA,14.95,NA,14.10,,14.95,,8.02,44.47,45.32,44.47,45.32,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61750,,Incise skull/brain biopsy,A,,19.83,14.39,NA,15.13,NA,14.39,,15.13,,7.06,41.28,42.02,41.28,42.02,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61751,,Brain biopsy w/ct/mr guide,A,,18.79,14.78,NA,15.51,NA,14.78,,15.51,,6.70,40.27,41.00,40.27,41.00,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61760,,Implant brain electrodes,A,,22.39,15.52,NA,16.86,NA,15.52,,16.86,,8.03,45.94,47.28,45.94,47.28,0,090,0.11,0.76,0.13,2,0,1,2,0,,33.9764,09,0,99,0.00,0.00,0.00
61770,,Incise skull for treatment,A,,23.19,15.60,NA,17.10,NA,15.60,,17.10,,8.19,46.98,48.48,46.98,48.48,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61781,,Scan proc cranial intra,A,,3.75,2.13,NA,2.13,NA,2.13,,2.13,,1.25,7.13,7.13,7.13,7.13,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61782,,Scan proc cranial extra,A,,3.18,1.80,NA,1.80,NA,1.80,,1.80,,0.87,5.85,5.85,5.85,5.85,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61783,,Scan proc spinal,A,,3.75,2.13,NA,2.13,NA,2.13,,2.13,,1.25,7.13,7.13,7.13,7.13,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61790,,Treat trigeminal nerve,A,,11.60,9.62,NA,10.40,NA,9.62,,10.40,,4.07,25.29,26.07,25.29,26.07,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61791,,Treat trigeminal tract,A,,15.41,11.88,NA,12.61,NA,11.88,,12.61,,5.20,32.49,33.22,32.49,33.22,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61796,,Srs cranial lesion simple,A,,13.93,9.90,NA,11.36,NA,9.90,,11.36,,4.63,28.46,29.92,28.46,29.92,0,090,0.11,0.76,0.13,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61797,,Srs cran les simple addl,A,,3.48,1.79,NA,1.93,NA,1.79,,1.93,,1.16,6.43,6.57,6.43,6.57,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61798,,Srs cranial lesion complex,A,,19.85,11.56,NA,14.63,NA,11.56,,14.63,,6.60,38.01,41.08,38.01,41.08,0,090,0.11,0.76,0.13,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61799,,Srs cran les complex addl,A,,4.81,2.47,NA,2.66,NA,2.47,,2.66,,1.59,8.87,9.06,8.87,9.06,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61800,,Apply srs headframe add-on,A,,2.25,1.47,NA,1.58,NA,1.47,,1.58,,0.73,4.45,4.56,4.45,4.56,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61850,,Implant neuroelectrodes,A,,13.34,9.14,NA,8.19,NA,9.14,,8.19,,4.80,27.28,26.33,27.28,26.33,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61860,,Implant neuroelectrodes,A,,22.26,15.80,NA,16.58,NA,15.80,,16.58,,7.99,46.05,46.83,46.05,46.83,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61863,,Implant neuroelectrode,A,,20.71,15.92,NA,16.62,NA,15.92,,16.62,,7.40,44.03,44.73,44.03,44.73,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61864,,Implant neuroelectrde addl,A,,4.49,2.41,NA,2.50,NA,2.41,,2.50,,1.61,8.51,8.60,8.51,8.60,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61867,,Implant neuroelectrode,A,,33.03,22.45,NA,23.53,NA,22.45,,23.53,,11.83,67.31,68.39,67.31,68.39,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61868,,Implant neuroelectrde addl,A,,7.91,4.24,NA,4.39,NA,4.24,,4.39,,2.84,14.99,15.14,14.99,15.14,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61870,,Implant neuroelectrodes,A,,16.34,12.60,NA,13.13,NA,12.60,,13.13,,5.87,34.81,35.34,34.81,35.34,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61875,,Implant neuroelectrodes,A,,16.46,12.49,NA,13.20,NA,12.49,,13.20,,1.17,30.12,30.83,30.12,30.83,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61880,,Revise/remove neuroelectrode,A,,6.95,6.92,NA,7.41,NA,6.92,,7.41,,2.46,16.33,16.82,16.33,16.82,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
61885,,Insrt/redo neurostim 1 array,A,,6.05,7.79,NA,7.19,NA,7.79,,7.19,,2.07,15.91,15.31,15.91,15.31,0,090,0.11,0.76,0.13,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61886,,Implant neurostim arrays,A,,9.93,10.83,NA,11.55,NA,10.83,,11.55,,3.52,24.28,25.00,24.28,25.00,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
61888,,Revise/remove neuroreceiver,A,,5.23,4.52,NA,4.66,NA,4.52,,4.66,,1.71,11.46,11.60,11.46,11.60,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62000,,Treat skull fracture,A,,13.93,10.06,NA,11.79,NA,10.06,,11.79,,5.01,29.00,30.73,29.00,30.73,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62005,,Treat skull fracture,A,,17.63,13.08,NA,14.00,NA,13.08,,14.00,,6.33,37.04,37.96,37.04,37.96,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62010,,Treatment of head injury,A,,21.43,15.65,NA,16.65,NA,15.65,,16.65,,7.69,44.77,45.77,44.77,45.77,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62100,,Repair brain fluid leakage,A,,23.53,16.18,NA,17.14,NA,16.18,,17.14,,7.51,47.22,48.18,47.22,48.18,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62115,,Reduction of skull defect,A,,22.91,11.57,NA,12.93,NA,11.57,,12.93,,1.62,36.10,37.46,36.10,37.46,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62116,,Reduction of skull defect,A,,25.02,18.12,NA,19.04,NA,18.12,,19.04,,8.98,52.12,53.04,52.12,53.04,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62117,,Reduction of skull defect,A,,28.35,19.42,NA,20.28,NA,19.42,,20.28,,3.66,51.43,52.29,51.43,52.29,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62120,,Repair skull cavity lesion,A,,24.59,22.72,NA,23.61,NA,22.72,,23.61,,3.17,50.48,51.37,50.48,51.37,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62121,,Incise skull repair,A,,23.03,18.71,NA,19.50,NA,18.71,,19.50,,8.27,50.01,50.80,50.01,50.80,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62140,,Repair of skull defect,A,,14.55,11.23,NA,11.88,NA,11.23,,11.88,,4.75,30.53,31.18,30.53,31.18,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62141,,Repair of skull defect,A,,16.07,12.16,NA,12.80,NA,12.16,,12.80,,5.31,33.54,34.18,33.54,34.18,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62142,,Remove skull plate/flap,A,,11.83,9.98,NA,10.52,NA,9.98,,10.52,,4.08,25.89,26.43,25.89,26.43,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62143,,Replace skull plate/flap,A,,14.15,11.17,NA,11.80,NA,11.17,,11.80,,5.01,30.33,30.96,30.33,30.96,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62145,,Repair of skull & brain,A,,20.09,14.29,NA,14.95,NA,14.29,,14.95,,7.21,41.59,42.25,41.59,42.25,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62146,,Repair of skull with graft,A,,17.28,12.84,NA,13.81,NA,12.84,,13.81,,6.21,36.33,37.30,36.33,37.30,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62147,,Repair of skull with graft,A,,20.67,14.78,NA,15.70,NA,14.78,,15.70,,7.40,42.85,43.77,42.85,43.77,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62148,,Retr bone flap to fix skull,A,,2.00,1.05,NA,1.11,NA,1.05,,1.11,,0.71,3.76,3.82,3.76,3.82,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62160,,Neuroendoscopy add-on,A,,3.00,1.61,NA,1.66,NA,1.61,,1.66,,1.08,5.69,5.74,5.69,5.74,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62161,,Dissect brain w/scope,A,,21.23,15.67,NA,16.48,NA,15.67,,16.48,,7.62,44.52,45.33,44.52,45.33,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62162,,Remove colloid cyst w/scope,A,,26.80,19.27,NA,20.14,NA,19.27,,20.14,,9.61,55.68,56.55,55.68,56.55,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62163,,Neuroendoscopy w/fb removal,A,,16.53,13.44,NA,14.04,NA,13.44,,14.04,,5.92,35.89,36.49,35.89,36.49,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62164,,Remove brain tumor w/scope,A,,29.43,20.93,NA,22.50,NA,20.93,,22.50,,10.57,60.93,62.50,60.93,62.50,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62165,,Remove pituit tumor w/scope,A,,23.23,16.38,NA,17.27,NA,16.38,,17.27,,6.37,45.98,46.87,45.98,46.87,0,090,0.11,0.76,0.13,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62180,,Establish brain cavity shunt,A,,22.58,16.36,NA,17.19,NA,16.36,,17.19,,8.11,47.05,47.88,47.05,47.88,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62190,,Establish brain cavity shunt,A,,12.17,10.35,NA,10.96,NA,10.35,,10.96,,4.37,26.89,27.50,26.89,27.50,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62192,,Establish brain cavity shunt,A,,13.35,10.51,NA,11.14,NA,10.51,,11.14,,4.63,28.49,29.12,28.49,29.12,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62194,,Replace/irrigate catheter,A,,5.78,5.26,NA,6.53,NA,5.26,,6.53,,0.45,11.49,12.76,11.49,12.76,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62200,,Establish brain cavity shunt,A,,19.29,14.18,NA,14.93,NA,14.18,,14.93,,6.93,40.40,41.15,40.40,41.15,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62201,,Brain cavity shunt w/scope,A,,16.04,13.29,NA,14.07,NA,13.29,,14.07,,5.73,35.06,35.84,35.06,35.84,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62220,,Establish brain cavity shunt,A,,14.10,10.79,NA,11.46,NA,10.79,,11.46,,4.83,29.72,30.39,29.72,30.39,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62223,,Establish brain cavity shunt,A,,14.05,11.84,NA,12.44,NA,11.84,,12.44,,4.85,30.74,31.34,30.74,31.34,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62225,,Replace/irrigate catheter,A,,6.19,6.55,NA,7.00,NA,6.55,,7.00,,2.20,14.94,15.39,14.94,15.39,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62230,,Replace/revise brain shunt,A,,11.43,9.17,NA,9.65,NA,9.17,,9.65,,3.97,24.57,25.05,24.57,25.05,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62252,,Csf shunt reprogram,A,,0.74,1.71,,1.42,,1.71,NA,1.42,NA,0.25,2.70,2.41,2.70,2.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62252,TC,Csf shunt reprogram,A,,0.00,1.32,,1.01,,1.32,NA,1.01,NA,0.01,1.33,1.02,1.33,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
62252,26,Csf shunt reprogram,A,,0.74,0.39,,0.41,,0.39,,0.41,,0.24,1.37,1.39,1.37,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62256,,Remove brain cavity shunt,A,,7.38,7.32,NA,7.75,NA,7.32,,7.75,,2.63,17.33,17.76,17.33,17.76,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62258,,Replace brain cavity shunt,A,,15.64,11.82,NA,12.38,NA,11.82,,12.38,,5.43,32.89,33.45,32.89,33.45,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62263,,Epidural lysis mult sessions,A,,6.54,13.80,,15.62,,4.70,,5.75,,0.52,20.86,22.68,11.76,12.81,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62264,,Epidural lysis on single day,A,,4.42,7.37,,8.05,,2.07,,2.54,,0.35,12.14,12.82,6.84,7.31,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62267,,Interdiscal perq aspir dx,A,,3.00,3.96,,3.80,,1.39,,1.37,,0.30,7.26,7.10,4.69,4.67,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62268,,Drain spinal cord cyst,A,,4.73,5.19,,2.03,,2.45,,2.52,,0.45,10.37,7.21,7.63,7.70,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62269,,Needle biopsy spinal cord,A,,5.01,5.59,,1.91,,2.26,,2.30,,0.56,11.16,7.48,7.83,7.87,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62270,,Spinal fluid tap diagnostic,A,,1.37,2.97,,2.85,,0.72,,0.71,,0.23,4.57,4.45,2.32,2.31,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62272,,Drain cerebro spinal fluid,A,,1.35,3.99,,4.06,,0.82,,0.84,,0.33,5.67,5.74,2.50,2.52,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62273,,Inject epidural patch,A,,2.15,2.58,,2.75,,0.93,,1.08,,0.20,4.93,5.10,3.28,3.43,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62280,,Treat spinal cord lesion,A,,2.63,6.39,,6.72,,1.64,,1.92,,0.50,9.52,9.85,4.77,5.05,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62281,,Treat spinal cord lesion,A,,2.66,4.70,,4.02,,1.48,,1.73,,0.27,7.63,6.95,4.41,4.66,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62282,,Treat spinal canal lesion,A,,2.33,6.01,,5.88,,1.49,,1.69,,0.29,8.63,8.50,4.11,4.31,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62284,,Injection for myelogram,A,,1.54,4.57,,4.16,,0.85,,0.80,,0.18,6.29,5.88,2.57,2.52,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62287,,Percutaneous diskectomy,A,,9.03,6.32,NA,6.87,NA,6.32,,6.87,,0.82,16.17,16.72,16.17,16.72,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62290,,Inject for spine disk x-ray,A,,3.00,6.47,,6.63,,1.72,,1.91,,0.30,9.77,9.93,5.02,5.21,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62291,,Inject for spine disk x-ray,A,,2.91,6.04,,6.32,,1.66,,1.88,,0.27,9.22,9.50,4.84,5.06,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62292,,Injection into disk lesion,A,,9.24,6.03,NA,8.47,NA,6.03,,8.47,,0.75,16.02,18.46,16.02,18.46,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62294,,Injection into spinal artery,A,,12.87,6.31,NA,4.61,NA,6.31,,4.61,,1.02,20.20,18.50,20.20,18.50,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62310,,Inject spine c/t,A,,1.91,4.71,,5.13,,0.97,,1.19,,0.16,6.78,7.20,3.04,3.26,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62311,,Inject spine l/s (cd),A,,1.54,4.16,,4.35,,0.84,,0.99,,0.12,5.82,6.01,2.50,2.65,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62318,,Inject spine w/cath c/t,A,,2.04,4.77,,4.96,,0.72,,0.83,,0.16,6.97,7.16,2.92,3.03,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62319,,Inject spine w/cath l/s (cd),A,,1.87,3.53,,2.97,,0.74,,0.86,,0.16,5.56,5.00,2.77,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62350,,Implant spinal canal cath,A,,6.05,4.37,NA,4.93,NA,4.37,,4.93,,1.05,11.47,12.03,11.47,12.03,0,010,0.10,0.80,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62351,,Implant spinal canal cath,A,,11.66,10.06,NA,10.84,NA,10.06,,10.84,,3.39,25.11,25.89,25.11,25.89,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
62355,,Remove spinal canal catheter,A,,4.35,3.58,NA,4.01,NA,3.58,,4.01,,0.73,8.66,9.09,8.66,9.09,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62360,,Insert spine infusion device,A,,4.33,3.65,NA,4.16,NA,3.65,,4.16,,0.87,8.85,9.36,8.85,9.36,0,010,0.10,0.80,0.10,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62361,,Implant spine infusion pump,A,,5.65,4.67,NA,4.93,NA,4.67,,4.93,,1.10,11.42,11.68,11.42,11.68,0,010,0.10,0.80,0.10,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62362,,Implant spine infusion pump,A,,6.10,4.65,NA,5.08,NA,4.65,,5.08,,1.22,11.97,12.40,11.97,12.40,0,010,0.10,0.80,0.10,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
62365,,Remove spine infusion device,A,,4.65,4.01,NA,4.41,NA,4.01,,4.41,,0.88,9.54,9.94,9.54,9.94,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62367,,Analyze spine infusion pump,A,,0.48,0.65,,0.72,,0.19,,0.23,,0.05,1.18,1.25,0.72,0.76,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
62368,,Analyze spine infusion pump,A,,0.75,0.88,,1.00,,0.30,,0.37,,0.07,1.70,1.82,1.12,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63001,,Removal of spinal lamina,A,,17.61,12.91,NA,13.65,NA,12.91,,13.65,,5.69,36.21,36.95,36.21,36.95,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63003,,Removal of spinal lamina,A,,17.74,13.00,NA,13.72,NA,13.00,,13.72,,5.63,36.37,37.09,36.37,37.09,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63005,,Removal of spinal lamina,A,,16.43,13.02,NA,13.66,NA,13.02,,13.66,,5.08,34.53,35.17,34.53,35.17,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63011,,Removal of spinal lamina,A,,15.91,11.88,NA,12.71,NA,11.88,,12.71,,4.01,31.80,32.63,31.80,32.63,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63012,,Removal of spinal lamina,A,,16.85,12.90,NA,13.47,NA,12.90,,13.47,,5.10,34.85,35.42,34.85,35.42,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63015,,Removal of spinal lamina,A,,20.85,15.62,NA,16.41,NA,15.62,,16.41,,7.01,43.48,44.27,43.48,44.27,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63016,,Removal of spinal lamina,A,,22.03,15.67,NA,16.58,NA,15.67,,16.58,,6.78,44.48,45.39,44.48,45.39,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63017,,Removal of spinal lamina,A,,17.33,13.65,NA,14.34,NA,13.65,,14.34,,5.57,36.55,37.24,36.55,37.24,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63020,,Neck spine disk surgery,A,,16.20,12.92,NA,13.56,NA,12.92,,13.56,,5.06,34.18,34.82,34.18,34.82,0,090,0.11,0.76,0.13,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63030,,Low back disk surgery,A,,13.18,11.25,NA,11.84,NA,11.25,,11.84,,3.87,28.30,28.89,28.30,28.89,0,090,0.11,0.76,0.13,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63035,,Spinal disk surgery add-on,A,,3.15,1.73,NA,1.79,NA,1.73,,1.79,,0.88,5.76,5.82,5.76,5.82,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63040,,Laminotomy single cervical,A,,20.31,14.67,NA,15.40,NA,14.67,,15.40,,6.27,41.25,41.98,41.25,41.98,0,090,0.11,0.76,0.13,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63042,,Laminotomy single lumbar,A,,18.76,14.21,NA,14.91,NA,14.21,,14.91,,5.20,38.17,38.87,38.17,38.87,0,090,0.11,0.76,0.13,2,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63043,,Laminotomy addl cervical,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63044,,Laminotomy addl lumbar,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63045,,Removal of spinal lamina,A,,17.95,13.60,NA,14.28,NA,13.60,,14.28,,5.73,37.28,37.96,37.28,37.96,0,090,0.11,0.76,0.13,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63046,,Removal of spinal lamina,A,,17.25,13.11,NA,13.77,NA,13.11,,13.77,,5.14,35.50,36.16,35.50,36.16,0,090,0.11,0.76,0.13,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63047,,Removal of spinal lamina,A,,15.37,12.45,NA,13.04,NA,12.45,,13.04,,4.41,32.23,32.82,32.23,32.82,0,090,0.11,0.76,0.13,2,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63048,,Remove spinal lamina add-on,A,,3.47,1.89,NA,1.97,NA,1.89,,1.97,,1.01,6.37,6.45,6.37,6.45,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63050,,Cervical laminoplasty,A,,22.01,16.20,NA,17.34,NA,16.20,,17.34,,7.91,46.12,47.26,46.12,47.26,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63051,,C-laminoplasty w/graft/plate,A,,25.51,17.68,NA,18.70,NA,17.68,,18.70,,7.24,50.43,51.45,50.43,51.45,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63055,,Decompress spinal cord,A,,23.55,16.67,NA,17.47,NA,16.67,,17.47,,7.66,47.88,48.68,47.88,48.68,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63056,,Decompress spinal cord,A,,21.86,15.46,NA,16.27,NA,15.46,,16.27,,6.19,43.51,44.32,43.51,44.32,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63057,,Decompress spine cord add-on,A,,5.25,2.87,NA,2.99,NA,2.87,,2.99,,1.51,9.63,9.75,9.63,9.75,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63064,,Decompress spinal cord,A,,26.22,17.85,NA,18.85,NA,17.85,,18.85,,7.95,52.02,53.02,52.02,53.02,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63066,,Decompress spine cord add-on,A,,3.26,1.77,NA,1.82,NA,1.77,,1.82,,1.17,6.20,6.25,6.20,6.25,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63075,,Neck spine disk surgery,A,,19.60,14.72,NA,15.34,NA,14.72,,15.34,,6.11,40.43,41.05,40.43,41.05,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63076,,Neck spine disk surgery,A,,4.04,2.20,NA,2.28,NA,2.20,,2.28,,1.25,7.49,7.57,7.49,7.57,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63077,,Spine disk surgery thorax,A,,22.88,15.43,NA,16.23,NA,15.43,,16.23,,5.87,44.18,44.98,44.18,44.98,0,090,0.11,0.76,0.13,2,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63078,,Spine disk surgery thorax,A,,3.28,1.78,NA,1.86,NA,1.78,,1.86,,0.75,5.81,5.89,5.81,5.89,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63081,,Removal of vertebral body,A,,26.10,18.18,NA,19.10,NA,18.18,,19.10,,7.89,52.17,53.09,52.17,53.09,0,090,0.11,0.76,0.13,2,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
63082,,Remove vertebral body add-on,A,,4.36,2.38,NA,2.47,NA,2.38,,2.47,,1.31,8.05,8.14,8.05,8.14,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,,33.9764,09,0,99,0.00,0.00,0.00
63085,,Removal of vertebral body,A,,29.47,18.57,NA,19.44,NA,18.57,,19.44,,7.93,55.97,56.84,55.97,56.84,0,090,0.11,0.76,0.13,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
63086,,Remove vertebral body add-on,A,,3.19,1.67,NA,1.71,NA,1.67,,1.71,,0.87,5.73,5.77,5.73,5.77,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
63087,,Removal of vertebral body,A,,37.53,23.34,NA,24.39,NA,23.34,,24.39,,9.73,70.60,71.65,70.60,71.65,0,090,0.11,0.76,0.13,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
63088,,Remove vertebral body add-on,A,,4.32,2.37,NA,2.47,NA,2.37,,2.47,,1.06,7.75,7.85,7.75,7.85,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
63090,,Removal of vertebral body,A,,30.93,19.88,NA,21.02,NA,19.88,,21.02,,7.20,58.01,59.15,58.01,59.15,0,090,0.11,0.76,0.13,2,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
63091,,Remove vertebral body add-on,A,,3.03,1.62,NA,1.69,NA,1.62,,1.69,,0.68,5.33,5.40,5.33,5.40,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,,33.9764,09,0,99,0.00,0.00,0.00
63101,,Removal of vertebral body,A,,34.10,23.63,NA,24.88,NA,23.63,,24.88,,10.63,68.36,69.61,68.36,69.61,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63102,,Removal of vertebral body,A,,34.10,23.31,NA,24.52,NA,23.31,,24.52,,8.60,66.01,67.22,66.01,67.22,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63103,,Remove vertebral body add-on,A,,4.82,2.66,NA,2.74,NA,2.66,,2.74,,1.29,8.77,8.85,8.77,8.85,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63170,,Incise spinal cord tract(s),A,,22.21,16.18,NA,17.42,NA,16.18,,17.42,,7.98,46.37,47.61,46.37,47.61,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63172,,Drainage of spinal cyst,A,,19.76,14.44,NA,15.26,NA,14.44,,15.26,,7.08,41.28,42.10,41.28,42.10,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63173,,Drainage of spinal cyst,A,,24.31,17.66,NA,18.59,NA,17.66,,18.59,,8.75,50.72,51.65,50.72,51.65,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63180,,Revise spinal cord ligaments,A,,20.53,14.93,NA,16.48,NA,14.93,,16.48,,7.36,42.82,44.37,42.82,44.37,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63182,,Revise spinal cord ligaments,A,,22.82,15.09,NA,17.76,NA,15.09,,17.76,,8.19,46.10,48.77,46.10,48.77,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63185,,Incise spinal column/nerves,A,,16.49,12.41,NA,13.29,NA,12.41,,13.29,,5.92,34.82,35.70,34.82,35.70,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63190,,Incise spinal column/nerves,A,,18.89,14.06,NA,14.84,NA,14.06,,14.84,,4.29,37.24,38.02,37.24,38.02,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63191,,Incise spinal column/nerves,A,,18.92,12.18,NA,15.43,NA,12.18,,15.43,,3.74,34.84,38.09,34.84,38.09,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63194,,Incise spinal column & cord,A,,22.10,15.35,NA,16.08,NA,15.35,,16.08,,2.84,40.29,41.02,40.29,41.02,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63195,,Incise spinal column & cord,A,,21.64,15.47,NA,16.56,NA,15.47,,16.56,,7.77,44.88,45.97,44.88,45.97,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63196,,Incise spinal column & cord,A,,25.27,15.23,NA,13.43,NA,15.23,,13.43,,1.80,42.30,40.50,42.30,40.50,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63197,,Incise spinal column & cord,A,,24.08,17.46,NA,18.46,NA,17.46,,18.46,,8.66,50.20,51.20,50.20,51.20,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63198,,Incise spinal column & cord,A,,29.90,14.78,NA,15.68,NA,14.78,,15.68,,2.12,46.80,47.70,46.80,47.70,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63199,,Incise spinal column & cord,A,,31.47,17.88,NA,16.36,NA,17.88,,16.36,,2.23,51.58,50.06,51.58,50.06,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63200,,Release of spinal cord,A,,21.44,15.63,NA,16.53,NA,15.63,,16.53,,7.58,44.65,45.55,44.65,45.55,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63250,,Revise spinal cord vessels,A,,43.86,27.81,NA,29.53,NA,27.81,,29.53,,15.75,87.42,89.14,87.42,89.14,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63251,,Revise spinal cord vessels,A,,44.64,28.87,NA,30.42,NA,28.87,,30.42,,16.03,89.54,91.09,89.54,91.09,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63252,,Revise spinal cord vessels,A,,44.63,28.81,NA,30.41,NA,28.81,,30.41,,16.03,89.47,91.07,89.47,91.07,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63265,,Excise intraspinal lesion,A,,23.82,17.11,NA,17.97,NA,17.11,,17.97,,8.08,49.01,49.87,49.01,49.87,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63266,,Excise intraspinal lesion,A,,24.68,17.41,NA,18.33,NA,17.41,,18.33,,8.40,50.49,51.41,50.49,51.41,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63267,,Excise intraspinal lesion,A,,19.45,14.64,NA,15.36,NA,14.64,,15.36,,6.26,40.35,41.07,40.35,41.07,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63268,,Excise intraspinal lesion,A,,20.02,15.10,NA,16.25,NA,15.10,,16.25,,7.19,42.31,43.46,42.31,43.46,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63270,,Excise intraspinal lesion,A,,29.80,20.47,NA,21.69,NA,20.47,,21.69,,10.71,60.98,62.20,60.98,62.20,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63271,,Excise intraspinal lesion,A,,29.92,20.44,NA,21.50,NA,20.44,,21.50,,10.57,60.93,61.99,60.93,61.99,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63272,,Excise intraspinal lesion,A,,27.50,19.02,NA,19.95,NA,19.02,,19.95,,9.47,55.99,56.92,55.99,56.92,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63273,,Excise intraspinal lesion,A,,26.47,18.21,NA,19.84,NA,18.21,,19.84,,9.50,54.18,55.81,54.18,55.81,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63275,,Biopsy/excise spinal tumor,A,,25.86,18.08,NA,19.04,NA,18.08,,19.04,,8.82,52.76,53.72,52.76,53.72,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63276,,Biopsy/excise spinal tumor,A,,25.69,18.06,NA,19.02,NA,18.06,,19.02,,8.71,52.46,53.42,52.46,53.42,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63277,,Biopsy/excise spinal tumor,A,,22.39,16.18,NA,17.05,NA,16.18,,17.05,,7.00,45.57,46.44,45.57,46.44,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63278,,Biopsy/excise spinal tumor,A,,22.12,16.24,NA,17.42,NA,16.24,,17.42,,7.95,46.31,47.49,46.31,47.49,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63280,,Biopsy/excise spinal tumor,A,,30.29,21.14,NA,22.05,NA,21.14,,22.05,,10.83,62.26,63.17,62.26,63.17,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63281,,Biopsy/excise spinal tumor,A,,29.99,20.99,NA,22.00,NA,20.99,,22.00,,10.67,61.65,62.66,61.65,62.66,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63282,,Biopsy/excise spinal tumor,A,,28.15,19.97,NA,20.88,NA,19.97,,20.88,,9.95,58.07,58.98,58.07,58.98,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63283,,Biopsy/excise spinal tumor,A,,26.76,19.27,NA,20.46,NA,19.27,,20.46,,9.60,55.63,56.82,55.63,56.82,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63285,,Biopsy/excise spinal tumor,A,,38.05,24.99,NA,26.47,NA,24.99,,26.47,,13.66,76.70,78.18,76.70,78.18,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63286,,Biopsy/excise spinal tumor,A,,37.62,24.95,NA,26.16,NA,24.95,,26.16,,13.20,75.77,76.98,75.77,76.98,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63287,,Biopsy/excise spinal tumor,A,,40.08,26.35,NA,27.88,NA,26.35,,27.88,,14.40,80.83,82.36,80.83,82.36,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63290,,Biopsy/excise spinal tumor,A,,40.82,26.53,NA,27.88,NA,26.53,,27.88,,14.66,82.01,83.36,82.01,83.36,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63295,,Repair of laminectomy defect,A,,5.25,2.73,NA,2.92,NA,2.73,,2.92,,1.88,9.86,10.05,9.86,10.05,0,ZZZ,0.00,0.00,0.00,0,2,2,2,0,,33.9764,09,0,99,0.00,0.00,0.00
63300,,Removal of vertebral body,A,,26.80,18.43,NA,19.39,NA,18.43,,19.39,,8.68,53.91,54.87,53.91,54.87,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63301,,Removal of vertebral body,A,,31.57,20.98,NA,23.14,NA,20.98,,23.14,,11.34,63.89,66.05,63.89,66.05,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63302,,Removal of vertebral body,A,,31.15,20.88,NA,22.90,NA,20.88,,22.90,,11.17,63.20,65.22,63.20,65.22,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63303,,Removal of vertebral body,A,,33.55,21.57,NA,23.78,NA,21.57,,23.78,,12.03,67.15,69.36,67.15,69.36,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63304,,Removal of vertebral body,A,,33.85,22.98,NA,24.41,NA,22.98,,24.41,,12.14,68.97,70.40,68.97,70.40,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63305,,Removal of vertebral body,A,,36.24,23.12,NA,25.65,NA,23.12,,25.65,,13.01,72.37,74.90,72.37,74.90,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63306,,Removal of vertebral body,A,,35.55,19.22,NA,15.84,NA,19.22,,15.84,,12.77,67.54,64.16,67.54,64.16,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63307,,Removal of vertebral body,A,,34.96,22.97,NA,24.65,NA,22.97,,24.65,,12.56,70.49,72.17,70.49,72.17,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63308,,Remove vertebral body add-on,A,,5.24,2.81,NA,2.90,NA,2.81,,2.90,,1.57,9.62,9.71,9.62,9.71,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63600,,Remove spinal cord lesion,A,,15.12,8.18,NA,10.44,NA,8.18,,10.44,,1.58,24.88,27.14,24.88,27.14,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63610,,Stimulation of spinal cord,A,,8.72,15.88,,2.03,,2.32,,2.40,,0.68,25.28,11.43,11.72,11.80,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63615,,Remove lesion of spinal cord,A,,17.32,12.20,NA,13.45,NA,12.20,,13.45,,6.21,35.73,36.98,35.73,36.98,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63620,,Srs spinal lesion,A,,15.60,10.29,NA,12.14,NA,10.29,,12.14,,5.19,31.08,32.93,31.08,32.93,0,090,0.11,0.76,0.13,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63621,,Srs spinal lesion addl,A,,4.00,2.06,NA,2.23,NA,2.06,,2.23,,1.32,7.38,7.55,7.38,7.55,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63650,,Implant neuroelectrodes,A,,7.20,4.37,NA,5.25,NA,4.37,,5.25,,0.64,12.21,13.09,12.21,13.09,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63655,,Implant neuroelectrodes,A,,11.56,10.00,NA,10.70,NA,10.00,,10.70,,3.62,25.18,25.88,25.18,25.88,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63661,,Remove spine eltrd perq aray,A,,5.08,11.80,,11.80,,3.93,,3.93,,0.71,17.59,17.59,9.72,9.72,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63662,,Remove spine eltrd plate,A,,11.00,8.54,NA,8.54,NA,8.54,,8.54,,1.55,21.09,21.09,21.09,21.09,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63663,,Revise spine eltrd perq aray,A,,7.75,16.29,,16.29,,5.27,,5.27,,1.09,25.13,25.13,14.11,14.11,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63664,,Revise spine eltrd plate,A,,11.52,8.80,NA,8.80,NA,8.80,,8.80,,1.61,21.93,21.93,21.93,21.93,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63685,,Insrt/redo spine n generator,A,,6.05,4.52,NA,5.09,NA,4.52,,5.09,,1.10,11.67,12.24,11.67,12.24,0,010,0.10,0.80,0.10,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63688,,Revise/remove neuroreceiver,A,,5.30,4.24,NA,4.73,NA,4.24,,4.73,,1.01,10.55,11.04,10.55,11.04,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
63700,,Repair of spinal herniation,A,,17.47,13.80,NA,14.96,NA,13.80,,14.96,,6.26,37.53,38.69,37.53,38.69,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63702,,Repair of spinal herniation,A,,19.41,15.19,NA,16.04,NA,15.19,,16.04,,6.97,41.57,42.42,41.57,42.42,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63704,,Repair of spinal herniation,A,,22.43,16.88,NA,18.71,NA,16.88,,18.71,,8.04,47.35,49.18,47.35,49.18,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63706,,Repair of spinal herniation,A,,25.35,19.02,NA,20.34,NA,19.02,,20.34,,9.12,53.49,54.81,53.49,54.81,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63707,,Repair spinal fluid leakage,A,,12.65,10.38,NA,11.02,NA,10.38,,11.02,,3.50,26.53,27.17,26.53,27.17,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63709,,Repair spinal fluid leakage,A,,15.65,12.05,NA,12.68,NA,12.05,,12.68,,4.50,32.20,32.83,32.20,32.83,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63710,,Graft repair of spine defect,A,,15.40,12.08,NA,12.72,NA,12.08,,12.72,,4.86,32.34,32.98,32.34,32.98,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63740,,Install spinal shunt,A,,12.63,10.60,NA,10.97,NA,10.60,,10.97,,4.26,27.49,27.86,27.49,27.86,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63741,,Install spinal shunt,A,,9.12,6.67,NA,7.57,NA,6.67,,7.57,,2.19,17.98,18.88,17.98,18.88,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63744,,Revision of spinal shunt,A,,8.94,7.36,NA,8.06,NA,7.36,,8.06,,3.06,19.36,20.06,19.36,20.06,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
63746,,Removal of spinal shunt,A,,7.33,7.17,NA,7.81,NA,7.17,,7.81,,2.63,17.13,17.77,17.13,17.77,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64400,,N block inj trigeminal,A,,1.11,2.03,,2.17,,0.67,,0.78,,0.18,3.32,3.46,1.96,2.07,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64402,,N block inj facial,A,,1.25,1.88,,1.99,,0.71,,0.78,,0.18,3.31,3.42,2.14,2.21,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64405,,N block inj occipital,A,,1.32,1.73,,1.94,,0.76,,0.90,,0.26,3.31,3.52,2.34,2.48,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64408,,N block inj vagus,A,,1.41,2.04,,2.20,,1.10,,1.24,,0.16,3.61,3.77,2.67,2.81,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64410,,N block inj phrenic,A,,1.43,2.60,,2.73,,0.70,,0.75,,0.33,4.36,4.49,2.46,2.51,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64412,,N block inj spinal accessor,A,,1.18,3.01,,3.25,,0.80,,0.92,,0.20,4.39,4.63,2.18,2.30,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64413,,N block inj cervical plexus,A,,1.40,1.89,,2.00,,0.72,,0.83,,0.20,3.49,3.60,2.32,2.43,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64415,,N block inj brachial plexus,A,,1.48,2.01,,1.89,,0.39,,0.36,,0.11,3.60,3.48,1.98,1.95,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64416,,N block cont infuse b plex,A,,1.81,0.44,NA,0.43,NA,0.44,,0.43,,0.14,2.39,2.38,2.39,2.38,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64417,,N block inj axillary,A,,1.44,2.23,,2.24,,0.50,,0.56,,0.11,3.78,3.79,2.05,2.11,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64418,,N block inj suprascapular,A,,1.32,2.59,,2.69,,0.72,,0.83,,0.12,4.03,4.13,2.16,2.27,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64420,,N block inj intercost sng,A,,1.18,2.70,,2.00,,0.66,,0.76,,0.12,4.00,3.30,1.96,2.06,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64421,,N block inj intercost mlt,A,,1.68,3.87,,2.63,,0.82,,0.96,,0.20,5.75,4.51,2.70,2.84,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64425,,N block inj ilio-ing/hypogi,A,,1.75,1.89,,2.07,,0.82,,0.95,,0.20,3.84,4.02,2.77,2.90,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64430,,N block inj pudendal,A,,1.46,2.60,,2.25,,0.84,,0.78,,0.14,4.20,3.85,2.44,2.38,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64435,,N block inj paracervical,A,,1.45,2.46,,2.35,,0.77,,0.79,,0.24,4.15,4.04,2.46,2.48,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64445,,N block inj sciatic sng,A,,1.48,2.29,,2.29,,0.58,,0.54,,0.16,3.93,3.93,2.22,2.18,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64446,,N blk inj sciatic cont inf,A,,1.81,0.48,NA,0.44,NA,0.48,,0.44,,0.14,2.43,2.39,2.43,2.39,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64447,,N block inj fem single,A,,1.50,1.89,,1.89,,0.33,,0.36,,0.11,3.50,3.50,1.94,1.97,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64448,,N block inj fem cont inf,A,,1.63,0.41,NA,0.39,NA,0.41,,0.39,,0.12,2.16,2.14,2.16,2.14,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64449,,N block inj lumbar plexus,A,,1.81,0.52,NA,0.51,NA,0.52,,0.51,,0.14,2.47,2.46,2.47,2.46,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64450,,N block other peripheral,A,,1.27,1.63,,1.72,,0.64,,0.67,,0.11,3.01,3.10,2.02,2.05,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64455,,N block inj plantar digit,A,,0.75,0.61,,0.58,,0.26,,0.24,,0.08,1.44,1.41,1.09,1.07,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64479,,Inj foramen epidural c/t,A,,2.29,5.25,,4.75,,1.30,,1.54,,0.27,7.81,7.31,3.86,4.10,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64480,,Inj foramen epidural add-on,A,,1.20,2.34,,2.36,,0.59,,0.63,,0.18,3.72,3.74,1.97,2.01,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64483,,Inj foramen epidural l/s,A,,1.75,5.17,,4.46,,1.12,,1.27,,0.15,7.07,6.36,3.02,3.17,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64484,,Inj foramen epidural add-on,A,,1.00,2.05,,1.60,,0.48,,0.52,,0.08,3.13,2.68,1.56,1.60,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64490,,Inj paravert f jnt c/t 1 lev,A,,1.82,3.76,,3.76,,1.26,,1.26,,0.20,5.78,5.78,3.28,3.28,0,000,0.00,0.00,0.00,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64491,,Inj paravert f jnt c/t 2 lev,A,,1.16,1.59,,1.59,,0.58,,0.58,,0.11,2.86,2.86,1.85,1.85,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64492,,Inj paravert f jnt c/t 3 lev,A,,1.16,1.62,,1.62,,0.61,,0.61,,0.11,2.89,2.89,1.88,1.88,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64493,,Inj paravert f jnt l/s 1 lev,A,,1.52,3.49,,3.49,,1.10,,1.10,,0.14,5.15,5.15,2.76,2.76,0,000,0.00,0.00,0.00,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64494,,Inj paravert f jnt l/s 2 lev,A,,1.00,1.50,,1.50,,0.49,,0.49,,0.08,2.58,2.58,1.57,1.57,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64495,,Inj paravert f jnt l/s 3 lev,A,,1.00,1.54,,1.54,,0.51,,0.51,,0.08,2.62,2.62,1.59,1.59,0,ZZZ,0.00,0.00,0.00,0,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64505,,N block spenopalatine gangl,A,,1.36,1.42,,1.44,,0.95,,1.01,,0.10,2.88,2.90,2.41,2.47,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64508,,N block carotid sinus s/p,A,,1.12,1.71,,0.50,,0.84,,0.94,,0.24,3.07,1.86,2.20,2.30,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64510,,N block stellate ganglion,A,,1.22,2.65,,2.48,,0.73,,0.90,,0.10,3.97,3.80,2.05,2.22,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64517,,N block inj hypogas plxs,A,,2.20,2.72,,2.98,,1.14,,1.35,,0.18,5.10,5.36,3.52,3.73,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64520,,N block lumbar/thoracic,A,,1.35,4.16,,4.32,,0.84,,1.01,,0.11,5.62,5.78,2.30,2.47,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64530,,N block inj celiac pelus,A,,1.58,3.97,,4.05,,0.94,,1.06,,0.14,5.69,5.77,2.66,2.78,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64550,,Apply neurostimulator,A,,0.18,0.27,,0.29,,0.07,,0.08,,0.01,0.46,0.48,0.26,0.27,0,000,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64553,,Implant neuroelectrodes,A,,2.36,3.32,,3.38,,1.96,,2.00,,0.38,6.06,6.12,4.70,4.74,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64555,,Implant neuroelectrodes,A,,2.32,3.34,,3.00,,1.79,,1.71,,0.26,5.92,5.58,4.37,4.29,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64560,,Implant neuroelectrodes,A,,2.41,4.17,,4.83,,2.19,,2.49,,0.16,6.74,7.40,4.76,5.06,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64561,,Implant neuroelectrodes,A,,7.15,20.79,,14.80,,4.15,,3.86,,0.78,28.72,22.73,12.08,11.79,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64565,,Implant neuroelectrodes,A,,1.81,3.13,,3.30,,1.61,,1.80,,0.24,5.18,5.35,3.66,3.85,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64566,,Neuroeltrd stim post tibial,A,,0.60,3.15,,3.15,,0.23,,0.23,,0.05,3.80,3.80,0.88,0.88,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64568,,Inc for vagus n elect impl,A,,9.00,8.64,NA,8.64,NA,8.64,,8.64,,1.25,18.89,18.89,18.89,18.89,0,090,0.11,0.76,0.13,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64569,,Revise/repl vagus n eltrd,A,,11.00,4.49,NA,4.49,NA,4.49,,4.49,,3.16,18.65,18.65,18.65,18.65,0,090,0.11,0.76,0.13,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
64570,,Remove vagus n eltrd,A,,9.10,4.05,NA,4.05,NA,4.05,,4.05,,3.27,16.42,16.42,16.42,16.42,0,090,0.11,0.76,0.13,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
64575,,Implant neuroelectrodes,A,,4.42,3.57,NA,4.19,NA,3.57,,4.19,,0.44,8.43,9.05,8.43,9.05,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64577,,Implant neuroelectrodes,A,,4.69,3.52,NA,2.74,NA,3.52,,2.74,,1.67,9.88,9.10,9.88,9.10,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64580,,Implant neuroelectrodes,A,,4.19,3.81,NA,3.91,NA,3.81,,3.91,,0.88,8.88,8.98,8.88,8.98,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64581,,Implant neuroelectrodes,A,,12.20,7.02,NA,6.00,NA,7.02,,6.00,,1.58,20.80,19.78,20.80,19.78,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64585,,Revise/remove neuroelectrode,A,,2.11,6.20,,4.73,,2.09,,1.88,,0.27,8.58,7.11,4.47,4.26,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64590,,Insrt/redo pn/gastr stimul,A,,2.45,5.68,,4.73,,2.21,,1.95,,0.29,8.42,7.47,4.95,4.69,0,010,0.10,0.80,0.10,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64595,,Revise/rmv pn/gastr stimul,A,,1.78,6.35,,4.94,,1.91,,1.69,,0.22,8.35,6.94,3.91,3.69,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64600,,Injection treatment of nerve,A,,3.49,8.05,,8.21,,2.45,,2.80,,0.53,12.07,12.23,6.47,6.82,0,010,0.10,0.80,0.10,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64605,,Injection treatment of nerve,A,,5.65,12.95,,15.88,,3.92,,4.82,,0.44,19.04,21.97,10.01,10.91,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64610,,Injection treatment of nerve,A,,7.20,12.07,,12.97,,4.98,,5.24,,2.15,21.42,22.32,14.33,14.59,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64611,,Chemodenerv saliv glands,A,,1.03,1.63,,1.63,,1.35,,1.35,,0.29,2.95,2.95,2.67,2.67,0,010,0.10,0.80,0.10,2,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64612,,Destroy nerve face muscle,A,,2.01,2.38,,2.51,,1.93,,2.18,,0.65,5.04,5.17,4.59,4.84,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64613,,Destroy nerve neck muscle,A,,2.01,2.23,,2.29,,1.68,,1.92,,0.59,4.83,4.89,4.28,4.52,0,010,0.10,0.80,0.10,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64614,,Destroy nerve extrem musc,A,,2.20,2.53,,2.58,,1.85,,2.08,,0.42,5.15,5.20,4.47,4.70,0,010,0.10,0.80,0.10,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64620,,Injection treatment of nerve,A,,2.89,3.85,,3.06,,1.81,,2.12,,0.29,7.03,6.24,4.99,5.30,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64622,,Destr paravertebrl nerve l/s,A,,3.05,6.55,,6.94,,2.07,,2.50,,0.26,9.86,10.25,5.38,5.81,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64623,,Destr paravertebral n add-on,A,,0.99,2.61,,2.76,,0.40,,0.51,,0.08,3.68,3.83,1.47,1.58,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64626,,Destr paravertebrl nerve c/t,A,,3.92,7.47,,8.13,,3.03,,3.65,,0.34,11.73,12.39,7.29,7.91,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64627,,Destr paravertebral n add-on,A,,1.16,3.77,,3.95,,0.47,,0.60,,0.10,5.03,5.21,1.73,1.86,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64630,,Injection treatment of nerve,A,,3.05,3.24,,3.15,,2.14,,2.16,,0.34,6.63,6.54,5.53,5.55,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64632,,N block inj common digit,A,,1.23,1.17,,1.17,,0.74,,0.72,,0.10,2.50,2.50,2.07,2.05,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64640,,Injection treatment of nerve,A,,2.81,3.36,,3.26,,1.90,,1.93,,0.24,6.41,6.31,4.95,4.98,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64650,,Chemodenerv eccrine glands,A,,0.70,1.89,,2.59,,0.37,,0.42,,0.11,2.70,3.40,1.18,1.23,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64653,,Chemodenerv eccrine glands,A,,0.88,2.11,,2.92,,0.44,,0.47,,0.24,3.23,4.04,1.56,1.59,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64680,,Injection treatment of nerve,A,,2.67,6.26,,6.45,,1.83,,2.03,,0.30,9.23,9.42,4.80,5.00,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64681,,Injection treatment of nerve,A,,3.78,6.91,,6.48,,1.78,,1.70,,0.30,10.99,10.56,5.86,5.78,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64702,,Revise finger/toe nerve,A,,6.26,6.77,NA,7.50,NA,6.77,,7.50,,1.06,14.09,14.82,14.09,14.82,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64704,,Revise hand/foot nerve,A,,4.69,4.23,NA,4.32,NA,4.23,,4.32,,0.54,9.46,9.55,9.46,9.55,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64708,,Revise arm/leg nerve,A,,6.36,6.60,NA,7.07,NA,6.60,,7.07,,1.16,14.12,14.59,14.12,14.59,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64712,,Revision of sciatic nerve,A,,8.07,6.69,NA,7.22,NA,6.69,,7.22,,1.33,16.09,16.62,16.09,16.62,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64713,,Revision of arm nerve(s),A,,11.40,8.52,NA,9.01,NA,8.52,,9.01,,2.34,22.26,22.75,22.26,22.75,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64714,,Revise low back nerve(s),A,,10.55,7.42,NA,8.63,NA,7.42,,8.63,,1.71,19.68,20.89,19.68,20.89,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64716,,Revision of cranial nerve,A,,6.99,7.46,NA,7.94,NA,7.46,,7.94,,1.13,15.58,16.06,15.58,16.06,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64718,,Revise ulnar nerve at elbow,A,,7.26,8.26,NA,8.87,NA,8.26,,8.87,,1.48,17.00,17.61,17.00,17.61,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64719,,Revise ulnar nerve at wrist,A,,4.97,5.62,NA,5.96,NA,5.62,,5.96,,0.93,11.52,11.86,11.52,11.86,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64721,,Carpal tunnel surgery,A,,4.97,6.37,,6.71,,6.31,,6.64,,0.98,12.32,12.66,12.26,12.59,0,090,0.11,0.76,0.13,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64722,,Relieve pressure on nerve(s),A,,4.82,4.39,NA,4.80,NA,4.39,,4.80,,0.84,10.05,10.46,10.05,10.46,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64726,,Release foot/toe nerve,A,,4.27,3.45,NA,3.55,NA,3.45,,3.55,,0.39,8.11,8.21,8.11,8.21,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64727,,Internal nerve revision,A,,3.10,1.77,NA,1.89,NA,1.77,,1.89,,0.60,5.47,5.59,5.47,5.59,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64732,,Incision of brow nerve,A,,4.89,5.63,NA,6.30,NA,5.63,,6.30,,1.77,12.29,12.96,12.29,12.96,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64734,,Incision of cheek nerve,A,,5.55,6.15,NA,7.12,NA,6.15,,7.12,,0.71,12.41,13.38,12.41,13.38,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64736,,Incision of chin nerve,A,,5.23,5.56,NA,5.95,NA,5.56,,5.95,,1.88,12.67,13.06,12.67,13.06,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64738,,Incision of jaw nerve,A,,6.36,6.53,NA,7.57,NA,6.53,,7.57,,2.27,15.16,16.20,15.16,16.20,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64740,,Incision of tongue nerve,A,,6.22,6.46,NA,6.98,NA,6.46,,6.98,,0.80,13.48,14.00,13.48,14.00,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64742,,Incision of facial nerve,A,,6.85,6.27,NA,7.07,NA,6.27,,7.07,,0.87,13.99,14.79,13.99,14.79,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64744,,Incise nerve back of head,A,,5.72,5.75,NA,6.76,NA,5.75,,6.76,,2.04,13.51,14.52,13.51,14.52,0,090,0.11,0.76,0.13,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64746,,Incise diaphragm nerve,A,,6.56,4.86,NA,4.76,NA,4.86,,4.76,,1.54,12.96,12.86,12.96,12.86,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64752,,Incision of vagus nerve,A,,7.69,5.65,NA,6.03,NA,5.65,,6.03,,1.81,15.15,15.53,15.15,15.53,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64755,,Incision of stomach nerves,A,,15.05,8.25,NA,9.08,NA,8.25,,9.08,,3.21,26.51,27.34,26.51,27.34,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64760,,Incision of vagus nerve,A,,7.59,5.32,NA,5.99,NA,5.32,,5.99,,1.61,14.52,15.19,14.52,15.19,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64761,,Incision of pelvis nerve,A,,7.04,5.09,NA,5.41,NA,5.09,,5.41,,1.01,13.14,13.46,13.14,13.46,0,090,0.11,0.76,0.13,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64763,,Incise hip/thigh nerve,A,,7.56,6.28,NA,5.88,NA,6.28,,5.88,,1.61,15.45,15.05,15.45,15.05,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64766,,Incise hip/thigh nerve,A,,9.47,6.93,NA,7.05,NA,6.93,,7.05,,0.91,17.31,17.43,17.31,17.43,0,090,0.11,0.76,0.13,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64771,,Sever cranial nerve,A,,8.15,7.32,NA,7.51,NA,7.32,,7.51,,1.05,16.52,16.71,16.52,16.71,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64772,,Incision of spinal nerve,A,,7.84,7.15,NA,7.64,NA,7.15,,7.64,,1.81,16.80,17.29,16.80,17.29,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64774,,Remove skin nerve lesion,A,,5.80,5.25,NA,5.61,NA,5.25,,5.61,,1.05,12.10,12.46,12.10,12.46,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64776,,Remove digit nerve lesion,A,,5.60,4.94,NA,5.27,NA,4.94,,5.27,,0.84,11.38,11.71,11.38,11.71,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64778,,Digit nerve surgery add-on,A,,3.11,1.93,NA,2.24,NA,1.93,,2.24,,0.61,5.65,5.96,5.65,5.96,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64782,,Remove limb nerve lesion,A,,6.86,5.43,NA,5.74,NA,5.43,,5.74,,0.91,13.20,13.51,13.20,13.51,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64783,,Limb nerve surgery add-on,A,,3.71,2.27,NA,2.57,NA,2.27,,2.57,,0.45,6.43,6.73,6.43,6.73,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64784,,Remove nerve lesion,A,,10.62,8.72,NA,9.45,NA,8.72,,9.45,,2.00,21.34,22.07,21.34,22.07,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64786,,Remove sciatic nerve lesion,A,,16.25,12.05,NA,13.01,NA,12.05,,13.01,,3.21,31.51,32.47,31.51,32.47,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64787,,Implant nerve end,A,,4.29,2.25,NA,2.27,NA,2.25,,2.27,,0.68,7.22,7.24,7.22,7.24,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64788,,Remove skin nerve lesion,A,,5.24,5.24,NA,5.65,NA,5.24,,5.65,,1.08,11.56,11.97,11.56,11.97,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64790,,Removal of nerve lesion,A,,12.10,9.51,NA,10.28,NA,9.51,,10.28,,2.75,24.36,25.13,24.36,25.13,0,090,0.11,0.76,0.13,2,0,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64792,,Removal of nerve lesion,A,,15.86,11.73,NA,12.16,NA,11.73,,12.16,,5.69,33.28,33.71,33.28,33.71,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64795,,Biopsy of nerve,A,,3.01,1.99,NA,2.14,NA,1.99,,2.14,,0.82,5.82,5.97,5.82,5.97,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64802,,Remove sympathetic nerves,A,,10.37,6.86,NA,8.81,NA,6.86,,8.81,,0.82,18.05,20.00,18.05,20.00,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64804,,Remove sympathetic nerves,A,,15.91,6.80,NA,6.59,NA,6.80,,6.59,,1.27,23.98,23.77,23.98,23.77,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64809,,Remove sympathetic nerves,A,,14.71,9.05,NA,10.77,NA,9.05,,10.77,,1.17,24.93,26.65,24.93,26.65,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64818,,Remove sympathetic nerves,A,,11.34,6.20,NA,6.74,NA,6.20,,6.74,,2.07,19.61,20.15,19.61,20.15,0,090,0.11,0.76,0.13,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64820,,Remove sympathetic nerves,A,,10.74,9.62,NA,10.47,NA,9.62,,10.47,,1.91,22.27,23.12,22.27,23.12,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64821,,Remove sympathetic nerves,A,,9.33,8.96,NA,9.42,NA,8.96,,9.42,,1.84,20.13,20.59,20.13,20.59,0,090,0.11,0.76,0.13,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64822,,Remove sympathetic nerves,A,,9.33,8.81,NA,9.42,NA,8.81,,9.42,,1.84,19.98,20.59,19.98,20.59,0,090,0.11,0.76,0.13,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64823,,Remove sympathetic nerves,A,,10.94,9.58,NA,10.38,NA,9.58,,10.38,,2.15,22.67,23.47,22.67,23.47,0,090,0.11,0.76,0.13,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64831,,Repair of digit nerve,A,,9.16,9.09,NA,9.76,NA,9.09,,9.76,,1.63,19.88,20.55,19.88,20.55,0,090,0.11,0.76,0.13,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64832,,Repair nerve add-on,A,,5.65,3.43,NA,3.70,NA,3.43,,3.70,,1.01,10.09,10.36,10.09,10.36,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64834,,Repair of hand or foot nerve,A,,10.81,9.07,NA,9.76,NA,9.07,,9.76,,1.85,21.73,22.42,21.73,22.42,0,090,0.11,0.76,0.13,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64835,,Repair of hand or foot nerve,A,,11.73,9.68,NA,10.32,NA,9.68,,10.32,,2.30,23.71,24.35,23.71,24.35,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64836,,Repair of hand or foot nerve,A,,11.73,9.70,NA,10.32,NA,9.70,,10.32,,2.30,23.73,24.35,23.73,24.35,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64837,,Repair nerve add-on,A,,6.25,3.61,NA,3.73,NA,3.61,,3.73,,0.76,10.62,10.74,10.62,10.74,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64840,,Repair of leg nerve,A,,14.02,10.55,NA,11.17,NA,10.55,,11.17,,1.08,25.65,26.27,25.65,26.27,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64856,,Repair/transpose nerve,A,,15.07,11.86,NA,12.74,NA,11.86,,12.74,,2.84,29.77,30.65,29.77,30.65,0,090,0.11,0.76,0.13,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64857,,Repair arm/leg nerve,A,,15.82,12.26,NA,13.11,NA,12.26,,13.11,,2.91,30.99,31.84,30.99,31.84,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64858,,Repair sciatic nerve,A,,17.82,14.44,NA,15.85,NA,14.44,,15.85,,3.51,35.77,37.18,35.77,37.18,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64859,,Nerve surgery,A,,4.25,2.71,NA,3.06,NA,2.71,,3.06,,0.83,7.79,8.14,7.79,8.14,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64861,,Repair of arm nerves,A,,20.89,12.89,NA,12.41,NA,12.89,,12.41,,4.12,37.90,37.42,37.90,37.42,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64862,,Repair of low back nerves,A,,21.09,14.47,NA,16.77,NA,14.47,,16.77,,7.57,43.13,45.43,43.13,45.43,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64864,,Repair of facial nerve,A,,13.41,10.31,NA,11.08,NA,10.31,,11.08,,1.70,25.42,26.19,25.42,26.19,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64865,,Repair of facial nerve,A,,16.09,15.42,NA,16.04,NA,15.42,,16.04,,2.04,33.55,34.17,33.55,34.17,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64866,,Fusion of facial/other nerve,A,,16.83,14.74,NA,14.65,NA,14.74,,14.65,,2.16,33.73,33.64,33.73,33.64,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64868,,Fusion of facial/other nerve,A,,14.90,13.79,NA,14.51,NA,13.79,,14.51,,1.91,30.60,31.32,30.60,31.32,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64870,,Fusion of facial/other nerve,A,,17.08,10.94,NA,12.14,NA,10.94,,12.14,,4.00,32.02,33.22,32.02,33.22,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64872,,Subsequent repair of nerve,A,,1.99,1.16,NA,1.19,NA,1.16,,1.19,,0.26,3.41,3.44,3.41,3.44,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64874,,Repair & revise nerve add-on,A,,2.98,1.83,NA,2.07,NA,1.83,,2.07,,0.37,5.18,5.42,5.18,5.42,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64876,,Repair nerve/shorten bone,A,,3.37,1.73,NA,1.88,NA,1.73,,1.88,,0.65,5.75,5.90,5.75,5.90,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64885,,Nerve graft head or neck,A,,17.60,13.03,NA,13.83,NA,13.03,,13.83,,2.25,32.88,33.68,32.88,33.68,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64886,,Nerve graft head or neck,A,,20.82,15.10,NA,15.77,NA,15.10,,15.77,,2.67,38.59,39.26,38.59,39.26,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64890,,Nerve graft hand or foot,A,,16.24,12.40,NA,13.01,NA,12.40,,13.01,,3.20,31.84,32.45,31.84,32.45,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64891,,Nerve graft hand or foot,A,,17.35,13.80,NA,15.51,NA,13.80,,15.51,,3.43,34.58,36.29,34.58,36.29,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64892,,Nerve graft arm or leg,A,,15.74,12.03,NA,12.71,NA,12.03,,12.71,,3.12,30.89,31.57,30.89,31.57,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64893,,Nerve graft arm or leg,A,,16.87,12.85,NA,14.11,NA,12.85,,14.11,,3.35,33.07,34.33,33.07,34.33,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64895,,Nerve graft hand or foot,A,,20.39,15.47,NA,17.70,NA,15.47,,17.70,,4.01,39.87,42.10,39.87,42.10,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64896,,Nerve graft hand or foot,A,,21.96,15.41,NA,15.88,NA,15.41,,15.88,,7.89,45.26,45.73,45.26,45.73,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64897,,Nerve graft arm or leg,A,,19.38,14.35,NA,15.51,NA,14.35,,15.51,,3.82,37.55,38.71,37.55,38.71,0,090,0.11,0.76,0.13,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64898,,Nerve graft arm or leg,A,,20.97,15.43,NA,16.27,NA,15.43,,16.27,,4.14,40.54,41.38,40.54,41.38,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64901,,Nerve graft add-on,A,,10.20,6.38,NA,7.34,NA,6.38,,7.34,,2.00,18.58,19.54,18.58,19.54,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64902,,Nerve graft add-on,A,,11.81,7.32,NA,8.50,NA,7.32,,8.50,,2.31,21.44,22.62,21.44,22.62,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
64905,,Nerve pedicle transfer,A,,15.11,12.04,NA,12.98,NA,12.04,,12.98,,2.98,30.13,31.07,30.13,31.07,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64907,,Nerve pedicle transfer,A,,20.03,12.38,NA,10.97,NA,12.38,,10.97,,1.42,33.83,32.42,33.83,32.42,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64910,,Nerve repair w/allograft,A,,11.39,10.66,NA,11.45,NA,10.66,,11.45,,1.97,24.02,24.81,24.02,24.81,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64911,,Neurorraphy w/vein autograft,A,,14.39,12.74,NA,14.24,NA,12.74,,14.24,,2.84,29.97,31.47,29.97,31.47,0,090,0.11,0.76,0.13,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
64999,,Nervous system surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
65091,,Revise eye,A,,7.26,9.65,NA,10.39,NA,9.65,,10.39,,1.44,18.35,19.09,18.35,19.09,0,090,0.10,0.70,0.20,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65093,,Revise eye with implant,A,,7.04,9.75,NA,10.39,NA,9.75,,10.39,,1.39,18.18,18.82,18.18,18.82,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65101,,Removal of eye,A,,8.30,11.32,NA,12.21,NA,11.32,,12.21,,1.63,21.25,22.14,21.25,22.14,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65103,,Remove eye/insert implant,A,,8.84,11.63,NA,12.59,NA,11.63,,12.59,,1.74,22.21,23.17,22.21,23.17,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65105,,Remove eye/attach implant,A,,9.93,12.63,NA,13.71,NA,12.63,,13.71,,1.95,24.51,25.59,24.51,25.59,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65110,,Removal of eye,A,,15.70,16.70,NA,18.29,NA,16.70,,18.29,,2.00,34.40,35.99,34.40,35.99,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65112,,Remove eye/revise socket,A,,18.51,19.32,NA,21.16,NA,19.32,,21.16,,2.35,40.18,42.02,40.18,42.02,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65114,,Remove eye/revise socket,A,,19.65,19.94,NA,21.96,NA,19.94,,21.96,,2.52,42.11,44.13,42.11,44.13,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65125,,Revise ocular implant,A,,3.27,8.98,,9.14,,4.45,,4.82,,0.64,12.89,13.05,8.36,8.73,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65130,,Insert ocular implant,A,,8.42,11.00,NA,11.94,NA,11.00,,11.94,,1.65,21.07,22.01,21.07,22.01,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65135,,Insert ocular implant,A,,8.60,11.14,NA,12.07,NA,11.14,,12.07,,1.67,21.41,22.34,21.41,22.34,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65140,,Attach ocular implant,A,,9.46,12.03,NA,13.03,NA,12.03,,13.03,,1.22,22.71,23.71,22.71,23.71,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65150,,Revise ocular implant,A,,6.43,9.02,NA,9.61,NA,9.02,,9.61,,0.45,15.90,16.49,15.90,16.49,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65155,,Reinsert ocular implant,A,,10.10,12.44,NA,13.48,NA,12.44,,13.48,,1.97,24.51,25.55,24.51,25.55,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65175,,Removal of ocular implant,A,,7.40,10.10,NA,10.90,NA,10.10,,10.90,,0.95,18.45,19.25,18.45,19.25,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65205,,Remove foreign body from eye,A,,0.71,0.77,,0.82,,0.45,,0.51,,0.10,1.58,1.63,1.26,1.32,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65210,,Remove foreign body from eye,A,,0.84,1.00,,1.08,,0.58,,0.67,,0.12,1.96,2.04,1.54,1.63,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65220,,Remove foreign body from eye,A,,0.71,0.81,,0.87,,0.40,,0.45,,0.11,1.63,1.69,1.22,1.27,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65222,,Remove foreign body from eye,A,,0.93,1.09,,1.18,,0.62,,0.71,,0.14,2.16,2.25,1.69,1.78,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65235,,Remove foreign body from eye,A,,9.01,9.74,NA,10.91,NA,9.74,,10.91,,1.24,19.99,21.16,19.99,21.16,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65260,,Remove foreign body from eye,A,,12.54,12.85,NA,14.32,NA,12.85,,14.32,,0.88,26.27,27.74,26.27,27.74,0,090,0.10,0.70,0.20,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65265,,Remove foreign body from eye,A,,14.34,14.23,NA,15.91,NA,14.23,,15.91,,3.08,31.65,33.33,31.65,33.33,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65270,,Repair of eye wound,A,,1.95,5.21,,5.30,,1.78,,1.99,,0.27,7.43,7.52,4.00,4.21,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65272,,Repair of eye wound,A,,4.62,8.75,,9.23,,4.66,,5.24,,0.33,13.70,14.18,9.61,10.19,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65273,,Repair of eye wound,A,,5.16,4.95,NA,5.55,NA,4.95,,5.55,,0.37,10.48,11.08,10.48,11.08,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65275,,Repair of eye wound,A,,6.29,8.83,,9.78,,5.84,,6.71,,0.86,15.98,16.93,12.99,13.86,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65280,,Repair of eye wound,A,,9.10,8.59,NA,9.62,NA,8.59,,9.62,,1.80,19.49,20.52,19.49,20.52,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65285,,Repair of eye wound,A,,14.71,12.73,NA,14.44,NA,12.73,,14.44,,2.60,30.04,31.75,30.04,31.75,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65286,,Repair of eye wound,A,,6.63,12.19,,12.80,,6.47,,7.29,,0.90,19.72,20.33,14.00,14.82,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65290,,Repair of eye socket wound,A,,6.53,6.49,NA,7.25,NA,6.49,,7.25,,1.28,14.30,15.06,14.30,15.06,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65400,,Removal of eye lesion,A,,7.50,10.50,,11.41,,8.43,,9.38,,1.03,19.03,19.94,16.96,17.91,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65410,,Biopsy of cornea,A,,1.47,2.35,,2.48,,1.30,,1.46,,0.31,4.13,4.26,3.08,3.24,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65420,,Removal of eye lesion,A,,4.36,9.46,,9.83,,5.64,,6.16,,0.56,14.38,14.75,10.56,11.08,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65426,,Removal of eye lesion,A,,6.05,11.36,,11.95,,6.62,,7.36,,0.83,18.24,18.83,13.50,14.24,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65430,,Corneal smear,A,,1.47,1.58,,1.73,,1.28,,1.44,,0.22,3.27,3.42,2.97,3.13,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65435,,Curette/treat cornea,A,,0.92,1.21,,1.31,,0.94,,1.04,,0.16,2.29,2.39,2.02,2.12,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65436,,Curette/treat cornea,A,,4.82,5.44,,6.02,,5.01,,5.60,,0.84,11.10,11.68,10.67,11.26,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65450,,Treatment of corneal lesion,A,,3.47,5.14,,5.57,,5.04,,5.48,,0.48,9.09,9.52,8.99,9.43,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65600,,Revision of cornea,A,,4.20,6.25,,6.78,,4.86,,5.45,,0.60,11.05,11.58,9.66,10.25,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65710,,Corneal transplant,A,,14.45,14.92,NA,16.63,NA,14.92,,16.63,,1.97,31.34,33.05,31.34,33.05,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65730,,Corneal transplant,A,,16.35,16.21,NA,18.14,NA,16.21,,18.14,,2.23,34.79,36.72,34.79,36.72,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65750,,Corneal transplant,A,,16.90,15.89,NA,17.81,NA,15.89,,17.81,,2.16,34.95,36.87,34.95,36.87,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65755,,Corneal transplant,A,,16.79,15.83,NA,17.74,NA,15.83,,17.74,,2.29,34.91,36.82,34.91,36.82,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65756,,Corneal trnspl endothelial,A,,16.84,14.50,NA,16.51,NA,14.50,,16.51,,1.20,32.54,34.55,32.54,34.55,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65757,,Prep corneal endo allograft,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65760,,Revision of cornea,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
65765,,Revision of cornea,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
65767,,Corneal tissue transplant,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
65770,,Revise cornea with implant,A,,19.74,17.60,NA,19.79,NA,17.60,,19.79,,7.08,44.42,46.61,44.42,46.61,0,090,0.10,0.70,0.20,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65771,,Radial keratotomy,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
65772,,Correction of astigmatism,A,,5.09,6.88,,7.48,,5.66,,6.29,,0.65,12.62,13.22,11.40,12.03,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65775,,Correction of astigmatism,A,,6.91,7.73,NA,8.55,NA,7.73,,8.55,,0.49,15.13,15.95,15.13,15.95,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65778,,Cover eye w/membrane,A,,1.19,35.56,,35.56,,0.84,,0.84,,0.18,36.93,36.93,2.21,2.21,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65779,,Cover eye w/membrane suture,A,,3.92,28.93,,28.93,,4.07,,4.07,,0.56,33.41,33.41,8.55,8.55,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65780,,Ocular reconst transplant,A,,10.73,12.89,NA,14.12,NA,12.89,,14.12,,1.39,25.01,26.24,25.01,26.24,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65781,,Ocular reconst transplant,A,,18.14,17.39,NA,19.36,NA,17.39,,19.36,,1.28,36.81,38.78,36.81,38.78,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65782,,Ocular reconst transplant,A,,15.43,15.23,NA,16.92,NA,15.23,,16.92,,3.06,33.72,35.41,33.72,35.41,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65800,,Drainage of eye,A,,1.91,2.06,,2.24,,1.57,,1.76,,0.27,4.24,4.42,3.75,3.94,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65805,,Drainage of eye,A,,1.91,2.46,,2.63,,1.57,,1.78,,0.34,4.71,4.88,3.82,4.03,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65810,,Drainage of eye,A,,5.82,6.67,NA,7.43,NA,6.67,,7.43,,0.84,13.33,14.09,13.33,14.09,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65815,,Drainage of eye,A,,6.00,11.04,,11.60,,6.62,,7.37,,1.06,18.10,18.66,13.68,14.43,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65820,,Relieve inner eye pressure,A,,8.91,10.99,NA,11.98,NA,10.99,,11.98,,0.63,20.53,21.52,20.53,21.52,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65850,,Incision of eye,A,,11.39,10.94,NA,12.20,NA,10.94,,12.20,,1.99,24.32,25.58,24.32,25.58,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65855,,Laser surgery of eye,A,,3.99,5.05,,5.46,,3.93,,4.37,,0.63,9.67,10.08,8.55,8.99,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65860,,Incise inner eye adhesions,A,,3.59,4.68,,5.04,,3.17,,3.54,,1.32,9.59,9.95,8.08,8.45,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65865,,Incise inner eye adhesions,A,,5.77,6.82,NA,7.44,NA,6.82,,7.44,,0.39,12.98,13.60,12.98,13.60,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65870,,Incise inner eye adhesions,A,,7.39,8.29,NA,9.16,NA,8.29,,9.16,,1.29,16.97,17.84,16.97,17.84,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65875,,Incise inner eye adhesions,A,,7.81,8.89,NA,9.82,NA,8.89,,9.82,,1.08,17.78,18.71,17.78,18.71,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65880,,Incise inner eye adhesions,A,,8.36,9.20,NA,10.20,NA,9.20,,10.20,,0.60,18.16,19.16,18.16,19.16,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65900,,Remove eye lesion,A,,12.51,13.09,NA,14.52,NA,13.09,,14.52,,0.88,26.48,27.91,26.48,27.91,0,090,0.10,0.70,0.20,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
65920,,Remove implant of eye,A,,9.99,10.88,NA,12.09,NA,10.88,,12.09,,1.29,22.16,23.37,22.16,23.37,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
65930,,Remove blood clot from eye,A,,8.39,8.57,NA,9.48,NA,8.57,,9.48,,1.48,18.44,19.35,18.44,19.35,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66020,,Injection treatment of eye,A,,1.64,3.35,,3.49,,1.85,,2.04,,0.11,5.10,5.24,3.60,3.79,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66030,,Injection treatment of eye,A,,1.30,3.15,,3.25,,1.64,,1.80,,0.18,4.63,4.73,3.12,3.28,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66130,,Remove eye lesion,A,,7.83,10.80,,11.53,,7.31,,8.17,,1.66,20.29,21.02,16.80,17.66,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66150,,Glaucoma surgery,A,,10.53,12.63,NA,13.97,NA,12.63,,13.97,,0.73,23.89,25.23,23.89,25.23,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66155,,Glaucoma surgery,A,,10.52,12.62,NA,13.96,NA,12.62,,13.96,,0.73,23.87,25.21,23.87,25.21,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66160,,Glaucoma surgery,A,,12.39,13.75,NA,15.28,NA,13.75,,15.28,,0.87,27.01,28.54,27.01,28.54,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66165,,Glaucoma surgery,A,,10.24,12.45,NA,13.77,NA,12.45,,13.77,,0.72,23.41,24.73,23.41,24.73,0,090,0.10,0.70,0.20,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66170,,Glaucoma surgery,A,,15.02,16.71,NA,18.61,NA,16.71,,18.61,,1.92,33.65,35.55,33.65,35.55,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66172,,Incision of eye,A,,18.86,21.13,NA,23.57,NA,21.13,,23.57,,2.41,42.40,44.84,42.40,44.84,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66174,,Translum dil eye canal,A,,12.85,13.79,NA,13.79,NA,13.79,,13.79,,2.27,28.91,28.91,28.91,28.91,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66175,,Trnslum dil eye canal w/stnt,A,,13.60,14.31,NA,14.31,NA,14.31,,14.31,,4.87,32.78,32.78,32.78,32.78,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66180,,Implant eye shunt,A,,16.30,14.61,NA,16.48,NA,14.61,,16.48,,2.12,33.03,34.90,33.03,34.90,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66185,,Revise eye shunt,A,,9.58,10.24,NA,11.43,NA,10.24,,11.43,,1.67,21.49,22.68,21.49,22.68,0,090,0.10,0.70,0.20,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66220,,Repair eye lesion,A,,9.21,10.31,NA,11.61,NA,10.31,,11.61,,1.27,20.79,22.09,20.79,22.09,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66225,,Repair/graft eye lesion,A,,12.63,12.04,NA,13.54,NA,12.04,,13.54,,2.48,27.15,28.65,27.15,28.65,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66250,,Follow-up surgery of eye,A,,7.10,12.91,,13.58,,7.62,,8.51,,1.40,21.41,22.08,16.12,17.01,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66500,,Incision of iris,A,,3.83,5.57,NA,6.00,NA,5.57,,6.00,,0.27,9.67,10.10,9.67,10.10,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66505,,Incision of iris,A,,4.22,6.08,NA,6.56,NA,6.08,,6.56,,0.30,10.60,11.08,10.60,11.08,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66600,,Remove iris and lesion,A,,10.12,11.79,NA,13.14,NA,11.79,,13.14,,0.76,22.67,24.02,22.67,24.02,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66605,,Removal of iris,A,,14.22,13.73,NA,15.47,NA,13.73,,15.47,,1.02,28.97,30.71,28.97,30.71,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66625,,Removal of iris,A,,5.30,6.09,NA,6.71,NA,6.09,,6.71,,0.72,12.11,12.73,12.11,12.73,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66630,,Removal of iris,A,,7.28,7.78,NA,8.68,NA,7.78,,8.68,,1.22,16.28,17.18,16.28,17.18,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66635,,Removal of iris,A,,7.37,7.84,NA,8.74,NA,7.84,,8.74,,0.52,15.73,16.63,15.73,16.63,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66680,,Repair iris & ciliary body,A,,6.39,7.26,NA,8.07,NA,7.26,,8.07,,1.36,15.01,15.82,15.01,15.82,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66682,,Repair iris & ciliary body,A,,7.33,9.42,NA,10.42,NA,9.42,,10.42,,1.46,18.21,19.21,18.21,19.21,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66700,,Destruction ciliary body,A,,5.14,6.79,,7.41,,5.28,,5.89,,0.49,12.42,13.04,10.91,11.52,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66710,,Ciliary transsleral therapy,A,,5.14,6.56,,7.16,,5.27,,5.89,,1.02,12.72,13.32,11.43,12.05,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66711,,Ciliary endoscopic ablation,A,,7.93,9.05,NA,10.08,NA,9.05,,10.08,,0.56,17.54,18.57,17.54,18.57,0,090,0.10,0.70,0.20,3,1,1,0,0,66710,33.9764,09,0,99,0.00,0.00,0.00
66720,,Destruction ciliary body,A,,5.00,7.46,,8.13,,6.15,,6.77,,0.68,13.14,13.81,11.83,12.45,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66740,,Destruction ciliary body,A,,5.14,6.47,,7.06,,5.30,,5.89,,0.35,11.96,12.55,10.79,11.38,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66761,,Revision of iris,A,,3.00,5.82,,5.22,,4.44,,3.61,,0.45,9.27,8.67,7.89,7.06,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66762,,Revision of iris,A,,5.38,7.22,,7.88,,5.89,,6.56,,0.68,13.28,13.94,11.95,12.62,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66770,,Removal of inner eye lesion,A,,6.13,7.85,,8.60,,6.64,,7.40,,0.42,14.40,15.15,13.19,13.95,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66820,,Incision secondary cataract,A,,4.01,6.51,NA,6.88,NA,6.51,,6.88,,0.67,11.19,11.56,11.19,11.56,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66821,,After cataract laser surgery,A,,3.42,5.31,,5.75,,4.79,,5.23,,0.53,9.26,9.70,8.74,9.18,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66825,,Reposition intraocular lens,A,,9.01,11.18,NA,12.18,NA,11.18,,12.18,,1.17,21.36,22.36,21.36,22.36,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66830,,Removal of lens lesion,A,,9.47,9.42,NA,10.56,NA,9.42,,10.56,,0.67,19.56,20.70,19.56,20.70,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66840,,Removal of lens material,A,,9.18,9.24,NA,10.37,NA,9.24,,10.37,,1.81,20.23,21.36,20.23,21.36,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66850,,Removal of lens material,A,,10.55,10.44,NA,11.71,NA,10.44,,11.71,,1.46,22.45,23.72,22.45,23.72,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66852,,Removal of lens material,A,,11.41,10.98,NA,12.32,NA,10.98,,12.32,,2.00,24.39,25.73,24.39,25.73,0,090,0.10,0.70,0.20,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66920,,Extraction of lens,A,,10.13,9.86,NA,11.06,NA,9.86,,11.06,,0.71,20.70,21.90,20.70,21.90,0,090,0.10,0.70,0.20,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66930,,Extraction of lens,A,,11.61,11.10,NA,12.47,NA,11.10,,12.47,,0.82,23.53,24.90,23.53,24.90,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66940,,Extraction of lens,A,,10.37,10.33,NA,11.58,NA,10.33,,11.58,,1.74,22.44,23.69,22.44,23.69,0,090,0.10,0.70,0.20,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66982,,Cataract surgery complex,A,,15.02,13.01,NA,14.64,NA,13.01,,14.64,,2.33,30.36,31.99,30.36,31.99,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66983,,Cataract surg w/iol 1 stage,A,,10.43,9.25,NA,10.36,NA,9.25,,10.36,,0.83,20.51,21.62,20.51,21.62,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66984,,Cataract surg w/iol 1 stage,A,,10.52,9.68,NA,10.81,NA,9.68,,10.81,,1.65,21.85,22.98,21.85,22.98,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66985,,Insert lens prosthesis,A,,9.98,10.38,NA,11.63,NA,10.38,,11.63,,1.29,21.65,22.90,21.65,22.90,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66986,,Exchange lens prosthesis,A,,12.26,11.94,NA,13.26,NA,11.94,,13.26,,1.57,25.77,27.09,25.77,27.09,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
66990,,Ophthalmic endoscope add-on,A,,1.51,0.91,NA,1.06,NA,0.91,,1.06,,0.10,2.52,2.67,2.52,2.67,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
66999,,Eye surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
67005,,Partial removal of eye fluid,A,,5.89,6.60,NA,7.33,NA,6.60,,7.33,,1.25,13.74,14.47,13.74,14.47,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67010,,Partial removal of eye fluid,A,,7.06,7.30,NA,8.14,NA,7.30,,8.14,,0.98,15.34,16.18,15.34,16.18,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67015,,Release of eye fluid,A,,7.14,8.25,NA,9.08,NA,8.25,,9.08,,0.99,16.38,17.21,16.38,17.21,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67025,,Replace eye fluid,A,,8.11,11.18,,12.09,,8.61,,9.62,,1.44,20.73,21.64,18.16,19.17,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67027,,Implant eye drug system,A,,11.62,10.93,NA,12.26,NA,10.93,,12.26,,2.03,24.58,25.91,24.58,25.91,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67028,,Injection eye drug,A,,1.44,2.14,,1.42,,1.52,,1.37,,0.20,3.78,3.06,3.16,3.01,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67030,,Incise inner eye strands,A,,6.11,7.92,NA,8.73,NA,7.92,,8.73,,0.42,14.45,15.26,14.45,15.26,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67031,,Laser surgery eye strands,A,,4.47,5.83,,6.37,,4.96,,5.52,,0.59,10.89,11.43,10.02,10.58,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67036,,Removal of inner eye fluid,A,,13.32,12.15,NA,13.66,NA,12.15,,13.66,,1.82,27.29,28.80,27.29,28.80,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67039,,Laser treatment of retina,A,,16.74,16.01,NA,17.91,NA,16.01,,17.91,,2.97,35.72,37.62,35.72,37.62,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67040,,Laser treatment of retina,A,,19.61,18.09,NA,20.32,NA,18.09,,20.32,,2.69,40.39,42.62,40.39,42.62,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67041,,Vit for macular pucker,A,,19.25,15.81,NA,18.09,NA,15.81,,18.09,,2.64,37.70,39.98,37.70,39.98,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67042,,Vit for macular hole,A,,22.38,17.66,NA,20.28,NA,17.66,,20.28,,3.09,43.13,45.75,43.13,45.75,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67043,,Vit for membrane dissect,A,,23.24,18.87,NA,21.60,NA,18.87,,21.60,,4.10,46.21,48.94,46.21,48.94,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67101,,Repair detached retina,A,,8.80,11.95,,13.06,,9.03,,10.12,,1.55,22.30,23.41,19.38,20.47,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67105,,Repair detached retina,A,,8.53,10.58,,11.62,,8.52,,9.55,,1.17,20.28,21.32,18.22,19.25,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67107,,Repair detached retina,A,,16.71,15.50,NA,17.47,NA,15.50,,17.47,,2.95,35.16,37.13,35.16,37.13,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67108,,Repair detached retina,A,,22.89,19.69,NA,22.31,NA,19.69,,22.31,,3.14,45.72,48.34,45.72,48.34,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67110,,Repair detached retina,A,,10.25,12.82,,14.00,,10.25,,11.51,,1.31,24.38,25.56,21.81,23.07,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67112,,Rerepair detached retina,A,,18.75,16.40,NA,18.57,NA,16.40,,18.57,,2.57,37.72,39.89,37.72,39.89,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67113,,Repair retinal detach cplx,A,,25.35,20.82,NA,23.82,NA,20.82,,23.82,,3.48,49.65,52.65,49.65,52.65,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67115,,Release encircling material,A,,6.11,7.07,NA,7.86,NA,7.07,,7.86,,0.78,13.96,14.75,13.96,14.75,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67120,,Remove eye implant material,A,,7.10,10.38,,11.18,,7.66,,8.55,,1.40,18.88,19.68,16.16,17.05,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67121,,Remove eye implant material,A,,12.25,11.80,NA,13.28,NA,11.80,,13.28,,2.16,26.21,27.69,26.21,27.69,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67141,,Treatment of retina,A,,6.15,7.71,,8.47,,6.73,,7.51,,1.09,14.95,15.71,13.97,14.75,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67145,,Treatment of retina,A,,6.32,7.64,,8.42,,6.83,,7.63,,0.86,14.82,15.60,14.01,14.81,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67208,,Treatment of retinal lesion,A,,7.65,8.22,,9.14,,7.65,,8.57,,0.53,16.40,17.32,15.83,16.75,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67210,,Treatment of retinal lesion,A,,9.45,8.84,,9.91,,8.21,,9.31,,1.40,19.69,20.76,19.06,20.16,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67218,,Treatment of retinal lesion,A,,20.36,16.41,NA,18.64,NA,16.41,,18.64,,1.46,38.23,40.46,38.23,40.46,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67220,,Treatment of choroid lesion,A,,14.39,13.76,,15.38,,12.39,,14.04,,2.55,30.70,32.32,29.33,30.98,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67221,,Ocular photodynamic ther,R,,3.45,4.34,,4.56,,2.28,,2.61,,0.48,8.27,8.49,6.21,6.54,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67225,,Eye photodynamic ther add-on,A,,0.47,0.33,,0.37,,0.28,,0.33,,0.03,0.83,0.87,0.78,0.83,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67227,,Treatment of retinal lesion,A,,7.53,8.65,,9.55,,7.58,,8.49,,0.53,16.71,17.61,15.64,16.55,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67228,,Treatment of retinal lesion,A,,13.82,17.42,,18.46,,14.18,,15.95,,2.10,33.34,34.38,30.10,31.87,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67229,,Tr retinal les preterm inf,A,,16.30,13.92,NA,15.55,NA,13.92,,15.55,,1.17,31.39,33.02,31.39,33.02,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67250,,Reinforce eye wall,A,,9.61,11.17,NA,12.20,NA,11.17,,12.20,,1.62,22.40,23.43,22.40,23.43,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67255,,Reinforce/graft eye wall,A,,10.17,12.20,NA,13.31,NA,12.20,,13.31,,1.99,24.36,25.47,24.36,25.47,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67299,,Eye surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
67311,,Revise eye muscle,A,,7.77,8.08,NA,9.00,NA,8.08,,9.00,,1.31,17.16,18.08,17.16,18.08,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67312,,Revise two eye muscles,A,,9.66,9.19,NA,10.32,NA,9.19,,10.32,,1.91,20.76,21.89,20.76,21.89,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67314,,Revise eye muscle,A,,8.79,9.01,NA,10.08,NA,9.01,,10.08,,1.48,19.28,20.35,19.28,20.35,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67316,,Revise two eye muscles,A,,10.93,10.25,NA,11.55,NA,10.25,,11.55,,2.15,23.33,24.63,23.33,24.63,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67318,,Revise eye muscle(s),A,,9.12,9.53,NA,10.66,NA,9.53,,10.66,,0.64,19.29,20.42,19.29,20.42,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67320,,Revise eye muscle(s) add-on,A,,5.40,3.17,NA,3.76,NA,3.17,,3.76,,0.38,8.95,9.54,8.95,9.54,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67331,,Eye surgery follow-up add-on,A,,5.13,2.98,NA,3.54,NA,2.98,,3.54,,0.86,8.97,9.53,8.97,9.53,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67332,,Rerevise eye muscles add-on,A,,5.56,3.26,NA,3.89,NA,3.26,,3.89,,0.93,9.75,10.38,9.75,10.38,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67334,,Revise eye muscle w/suture,A,,5.05,2.97,NA,3.54,NA,2.97,,3.54,,0.35,8.37,8.94,8.37,8.94,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67335,,Eye suture during surgery,A,,2.49,1.49,NA,1.73,NA,1.49,,1.73,,0.41,4.39,4.63,4.39,4.63,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67340,,Revise eye muscle add-on,A,,6.00,3.54,NA,4.21,NA,3.54,,4.21,,0.42,9.96,10.63,9.96,10.63,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67343,,Release eye tissue,A,,8.47,8.82,NA,9.84,NA,8.82,,9.84,,1.66,18.95,19.97,18.95,19.97,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67345,,Destroy nerve of eye muscle,A,,3.01,3.21,,3.55,,2.59,,2.92,,0.80,7.02,7.36,6.40,6.73,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67346,,Biopsy eye muscle,A,,2.87,2.47,NA,2.78,NA,2.47,,2.78,,0.61,5.95,6.26,5.95,6.26,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67399,,Eye muscle surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
67400,,Explore/biopsy eye socket,A,,11.20,13.59,NA,14.76,NA,13.59,,14.76,,2.07,26.86,28.03,26.86,28.03,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67405,,Explore/drain eye socket,A,,9.20,11.95,NA,12.89,NA,11.95,,12.89,,1.18,22.33,23.27,22.33,23.27,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67412,,Explore/treat eye socket,A,,10.30,12.47,NA,13.44,NA,12.47,,13.44,,1.86,24.63,25.60,24.63,25.60,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67413,,Explore/treat eye socket,A,,10.24,12.60,NA,13.59,NA,12.60,,13.59,,2.00,24.84,25.83,24.84,25.83,0,090,0.10,0.70,0.20,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67414,,Explr/decompress eye socket,A,,17.94,17.12,NA,19.25,NA,17.12,,19.25,,2.29,37.35,39.48,37.35,39.48,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67415,,Aspiration orbital contents,A,,1.76,1.04,NA,1.24,NA,1.04,,1.24,,0.24,3.04,3.24,3.04,3.24,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67420,,Explore/treat eye socket,A,,21.87,21.29,NA,23.51,NA,21.29,,23.51,,4.31,47.47,49.69,47.47,49.69,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67430,,Explore/treat eye socket,A,,15.29,17.91,NA,19.53,NA,17.91,,19.53,,1.09,34.29,35.91,34.29,35.91,0,090,0.10,0.70,0.20,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67440,,Explore/drain eye socket,A,,14.84,17.26,NA,18.84,NA,17.26,,18.84,,1.91,34.01,35.59,34.01,35.59,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67445,,Explr/decompress eye socket,A,,19.12,18.14,NA,20.21,NA,18.14,,20.21,,3.77,41.03,43.10,41.03,43.10,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67450,,Explore/biopsy eye socket,A,,15.41,17.96,NA,19.61,NA,17.96,,19.61,,1.97,35.34,36.99,35.34,36.99,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67500,,Inject/treat eye socket,A,,1.44,0.83,,0.89,,0.62,,0.70,,0.11,2.38,2.44,2.17,2.25,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67505,,Inject/treat eye socket,A,,1.27,1.08,,1.24,,0.85,,1.04,,0.26,2.61,2.77,2.38,2.57,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67515,,Inject/treat eye socket,A,,1.40,1.13,,1.33,,0.93,,1.13,,0.26,2.79,2.99,2.59,2.79,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67550,,Insert eye socket implant,A,,11.77,13.95,NA,15.18,NA,13.95,,15.18,,2.30,28.02,29.25,28.02,29.25,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67560,,Revise eye socket implant,A,,12.18,14.15,NA,15.50,NA,14.15,,15.50,,1.57,27.90,29.25,27.90,29.25,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67570,,Decompress optic nerve,A,,14.40,16.11,NA,17.39,NA,16.11,,17.39,,5.16,35.67,36.95,35.67,36.95,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67599,,Orbit surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,,33.9764,09,0,99,0.00,0.00,0.00
67700,,Drainage of eyelid abscess,A,,1.40,5.82,,5.84,,1.67,,1.84,,0.23,7.45,7.47,3.30,3.47,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67710,,Incision of eyelid,A,,1.07,5.01,,4.97,,1.51,,1.64,,0.22,6.30,6.26,2.80,2.93,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67715,,Incision of eyelid fold,A,,1.27,5.13,,5.14,,1.63,,1.77,,0.26,6.66,6.67,3.16,3.30,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67800,,Remove eyelid lesion,A,,1.41,1.97,,2.13,,1.35,,1.50,,0.24,3.62,3.78,3.00,3.15,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67801,,Remove eyelid lesions,A,,1.91,2.40,,2.61,,1.65,,1.85,,0.37,4.68,4.89,3.93,4.13,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67805,,Remove eyelid lesions,A,,2.27,3.10,,3.35,,2.12,,2.37,,0.44,5.81,6.06,4.83,5.08,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67808,,Remove eyelid lesion(s),A,,4.60,5.15,NA,5.71,NA,5.15,,5.71,,0.90,10.65,11.21,10.65,11.21,0,090,0.10,0.70,0.20,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67810,,Biopsy of eyelid,A,,1.48,4.56,,4.51,,0.98,,1.08,,0.22,6.26,6.21,2.68,2.78,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67820,,Revise eyelashes,A,,0.71,0.65,,0.70,,0.72,,0.79,,0.11,1.47,1.52,1.54,1.61,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67825,,Revise eyelashes,A,,1.43,2.00,,2.14,,1.80,,1.96,,0.27,3.70,3.84,3.50,3.66,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67830,,Revise eyelashes,A,,1.75,5.44,,5.51,,1.92,,2.12,,0.34,7.53,7.60,4.01,4.21,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67835,,Revise eyelashes,A,,5.70,5.96,NA,6.61,NA,5.96,,6.61,,1.13,12.79,13.44,12.79,13.44,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67840,,Remove eyelid lesion,A,,2.09,5.37,,5.45,,2.13,,2.36,,0.34,7.80,7.88,4.56,4.79,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67850,,Treat eyelid lesion,A,,1.74,4.22,,4.24,,1.99,,2.10,,0.24,6.20,6.22,3.97,4.08,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67875,,Closure of eyelid by suture,A,,1.35,3.28,,3.34,,1.24,,1.38,,0.24,4.87,4.93,2.83,2.97,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67880,,Revision of eyelid,A,,4.60,7.61,,8.09,,5.15,,5.72,,0.82,13.03,13.51,10.57,11.14,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67882,,Revision of eyelid,A,,6.02,8.99,,9.63,,6.49,,7.22,,1.18,16.19,16.83,13.69,14.42,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67900,,Repair brow defect,A,,6.82,10.33,,10.96,,6.76,,7.48,,1.22,18.37,19.00,14.80,15.52,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67901,,Repair eyelid defect,A,,7.59,11.69,,13.29,,7.65,,8.57,,1.50,20.78,22.38,16.74,17.66,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67902,,Repair eyelid defect,A,,9.82,9.20,NA,10.54,NA,9.20,,10.54,,1.93,20.95,22.29,20.95,22.29,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67903,,Repair eyelid defect,A,,6.51,9.57,,9.99,,6.47,,7.09,,1.27,17.35,17.77,14.25,14.87,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67904,,Repair eyelid defect,A,,7.97,11.51,,12.36,,7.80,,8.81,,1.52,21.00,21.85,17.29,18.30,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67906,,Repair eyelid defect,A,,6.93,6.61,NA,7.36,NA,6.61,,7.36,,0.49,14.03,14.78,14.03,14.78,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67908,,Repair eyelid defect,A,,5.30,7.84,,8.41,,6.09,,6.59,,1.05,14.19,14.76,12.44,12.94,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67909,,Revise eyelid defect,A,,5.57,8.77,,9.25,,6.11,,6.69,,1.10,15.44,15.92,12.78,13.36,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67911,,Revise eyelid defect,A,,7.50,7.31,NA,8.29,NA,7.31,,8.29,,1.40,16.21,17.19,16.21,17.19,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67912,,Correction eyelid w/implant,A,,6.36,17.92,,17.97,,6.82,,7.44,,0.93,25.21,25.26,14.11,14.73,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67914,,Repair eyelid defect,A,,3.75,6.67,,6.96,,3.92,,4.33,,0.68,11.10,11.39,8.35,8.76,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67915,,Repair eyelid defect,A,,3.26,6.06,,6.26,,3.51,,3.84,,0.45,9.77,9.97,7.22,7.55,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67916,,Repair eyelid defect,A,,5.48,8.94,,9.43,,6.03,,6.62,,0.95,15.37,15.86,12.46,13.05,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67917,,Repair eyelid defect,A,,6.19,9.49,,10.06,,6.46,,7.13,,1.16,16.84,17.41,13.81,14.48,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67921,,Repair eyelid defect,A,,3.47,6.48,,6.74,,3.73,,4.13,,0.68,10.63,10.89,7.88,8.28,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67922,,Repair eyelid defect,A,,3.14,5.88,,6.07,,3.38,,3.69,,0.42,9.44,9.63,6.94,7.25,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67923,,Repair eyelid defect,A,,6.05,9.12,,9.70,,6.35,,7.02,,1.13,16.30,16.88,13.53,14.20,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67924,,Repair eyelid defect,A,,5.93,9.76,,10.28,,6.01,,6.66,,1.13,16.82,17.34,13.07,13.72,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67930,,Repair eyelid wound,A,,3.65,6.15,,6.45,,2.79,,3.14,,0.71,10.51,10.81,7.15,7.50,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67935,,Repair eyelid wound,A,,6.36,9.55,,10.14,,5.48,,6.11,,1.25,17.16,17.75,13.09,13.72,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67938,,Remove eyelid foreign body,A,,1.38,5.20,,5.23,,1.70,,1.86,,0.22,6.80,6.83,3.30,3.46,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67950,,Revision of eyelid,A,,5.99,9.39,,9.90,,6.40,,7.01,,1.10,16.48,16.99,13.49,14.10,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67961,,Revision of eyelid,A,,5.86,9.56,,10.08,,6.28,,6.90,,1.10,16.52,17.04,13.24,13.86,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67966,,Revision of eyelid,A,,8.97,11.44,,12.45,,8.39,,9.52,,1.70,22.11,23.12,19.06,20.19,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67971,,Reconstruction of eyelid,A,,10.01,9.29,NA,10.35,NA,9.29,,10.35,,1.96,21.26,22.32,21.26,22.32,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67973,,Reconstruction of eyelid,A,,13.13,11.75,NA,13.11,NA,11.75,,13.11,,2.59,27.47,28.83,27.47,28.83,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67974,,Reconstruction of eyelid,A,,13.10,11.70,NA,13.08,NA,11.70,,13.08,,2.59,27.39,28.77,27.39,28.77,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
67975,,Reconstruction of eyelid,A,,9.35,8.91,NA,9.91,NA,8.91,,9.91,,1.84,20.10,21.10,20.10,21.10,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
67999,,Revision of eyelid,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
68020,,Incise/drain eyelid lining,A,,1.42,1.76,,1.91,,1.53,,1.68,,0.20,3.38,3.53,3.15,3.30,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68040,,Treatment of eyelid lesions,A,,0.85,0.88,,0.97,,0.56,,0.65,,0.16,1.89,1.98,1.57,1.66,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68100,,Biopsy of eyelid lining,A,,1.35,3.23,,3.28,,1.26,,1.40,,0.20,4.78,4.83,2.81,2.95,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68110,,Remove eyelid lining lesion,A,,1.82,4.23,,4.36,,2.13,,2.34,,0.35,6.40,6.53,4.30,4.51,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68115,,Remove eyelid lining lesion,A,,2.41,5.97,,6.10,,2.48,,2.75,,0.31,8.69,8.82,5.20,5.47,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68130,,Remove eyelid lining lesion,A,,5.10,9.34,,9.77,,5.86,,6.44,,0.35,14.79,15.22,11.31,11.89,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68135,,Remove eyelid lining lesion,A,,1.89,2.27,,2.48,,2.12,,2.33,,0.26,4.42,4.63,4.27,4.48,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68200,,Treat eyelid by injection,A,,0.49,0.64,,0.69,,0.43,,0.49,,0.08,1.21,1.26,1.00,1.06,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68320,,Revise/graft eyelid lining,A,,6.64,12.70,,13.36,,7.62,,8.46,,1.29,20.63,21.29,15.55,16.39,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68325,,Revise/graft eyelid lining,A,,8.63,8.84,NA,9.87,NA,8.84,,9.87,,1.69,19.16,20.19,19.16,20.19,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68326,,Revise/graft eyelid lining,A,,8.42,8.69,NA,9.71,NA,8.69,,9.71,,1.65,18.76,19.78,18.76,19.78,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68328,,Revise/graft eyelid lining,A,,9.45,9.44,NA,10.52,NA,9.44,,10.52,,1.86,20.75,21.83,20.75,21.83,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68330,,Revise eyelid lining,A,,5.78,10.36,,10.90,,6.42,,7.14,,1.14,17.28,17.82,13.34,14.06,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68335,,Revise/graft eyelid lining,A,,8.46,8.68,NA,9.70,NA,8.68,,9.70,,1.66,18.80,19.82,18.80,19.82,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68340,,Separate eyelid adhesions,A,,4.97,9.58,,10.03,,5.58,,6.21,,0.99,15.54,15.99,11.54,12.17,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68360,,Revise eyelid lining,A,,5.17,8.98,,9.46,,5.70,,6.32,,1.02,15.17,15.65,11.89,12.51,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68362,,Revise eyelid lining,A,,8.61,8.77,NA,9.82,NA,8.77,,9.82,,1.69,19.07,20.12,19.07,20.12,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68371,,Harvest eye tissue alograft,A,,5.09,5.90,NA,6.47,NA,5.90,,6.47,,0.35,11.34,11.91,11.34,11.91,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68399,,Eyelid lining surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
68400,,Incise/drain tear gland,A,,1.74,5.87,,5.94,,1.83,,1.95,,0.34,7.95,8.02,3.91,4.03,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68420,,Incise/drain tear sac,A,,2.35,6.28,,6.40,,2.20,,2.38,,0.30,8.93,9.05,4.85,5.03,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68440,,Incise tear duct opening,A,,0.99,1.82,,1.84,,1.63,,1.76,,0.20,3.01,3.03,2.82,2.95,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68500,,Removal of tear gland,A,,12.77,13.07,NA,14.60,NA,13.07,,14.60,,2.99,28.83,30.36,28.83,30.36,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68505,,Partial removal tear gland,A,,12.69,13.18,NA,14.54,NA,13.18,,14.54,,2.48,28.35,29.71,28.35,29.71,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68510,,Biopsy of tear gland,A,,4.60,7.43,,7.73,,3.18,,3.69,,0.90,12.93,13.23,8.68,9.19,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68520,,Removal of tear sac,A,,8.78,9.48,NA,10.45,NA,9.48,,10.45,,1.14,19.40,20.37,19.40,20.37,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68525,,Biopsy of tear sac,A,,4.42,2.65,NA,3.10,NA,2.65,,3.10,,0.86,7.93,8.38,7.93,8.38,0,000,0.00,0.00,0.00,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68530,,Clearance of tear duct,A,,3.70,7.87,,8.02,,3.19,,3.55,,0.72,12.29,12.44,7.61,7.97,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68540,,Remove tear gland lesion,A,,12.18,12.48,NA,13.89,NA,12.48,,13.89,,1.57,26.23,27.64,26.23,27.64,0,090,0.10,0.70,0.20,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68550,,Remove tear gland lesion,A,,15.16,15.03,NA,16.82,NA,15.03,,16.82,,1.93,32.12,33.91,32.12,33.91,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68700,,Repair tear ducts,A,,7.87,8.14,NA,9.08,NA,8.14,,9.08,,1.54,17.55,18.49,17.55,18.49,0,090,0.10,0.70,0.20,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68705,,Revise tear duct opening,A,,2.11,4.25,,4.38,,2.31,,2.55,,0.41,6.77,6.90,4.83,5.07,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68720,,Create tear sac drain,A,,9.96,10.16,NA,11.27,NA,10.16,,11.27,,1.66,21.78,22.89,21.78,22.89,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68745,,Create tear duct drain,A,,9.90,10.29,NA,11.42,NA,10.29,,11.42,,1.95,22.14,23.27,22.14,23.27,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68750,,Create tear duct drain,A,,10.10,10.80,NA,11.97,NA,10.80,,11.97,,1.97,22.87,24.04,22.87,24.04,0,090,0.10,0.70,0.20,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
68760,,Close tear duct opening,A,,1.78,3.62,,3.74,,2.10,,2.30,,0.34,5.74,5.86,4.22,4.42,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68761,,Close tear duct opening,A,,1.41,2.54,,2.66,,1.76,,1.91,,0.22,4.17,4.29,3.39,3.54,0,010,0.10,0.80,0.10,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68770,,Close tear system fistula,A,,8.29,7.92,NA,9.37,NA,7.92,,9.37,,1.62,17.83,19.28,17.83,19.28,0,090,0.10,0.70,0.20,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68801,,Dilate tear duct opening,A,,1.00,2.34,,2.44,,1.88,,1.99,,0.16,3.50,3.60,3.04,3.15,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68810,,Probe nasolacrimal duct,A,,2.15,4.28,,4.52,,2.89,,3.07,,0.39,6.82,7.06,5.43,5.61,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68811,,Probe nasolacrimal duct,A,,2.45,3.04,NA,3.32,NA,3.04,,3.32,,0.48,5.97,6.25,5.97,6.25,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68815,,Probe nasolacrimal duct,A,,3.30,8.72,,8.97,,3.56,,3.92,,0.59,12.61,12.86,7.45,7.81,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68816,,Probe nl duct w/balloon,A,,3.06,16.27,,17.02,,3.59,,3.98,,0.60,19.93,20.68,7.25,7.64,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68840,,Explore/irrigate tear ducts,A,,1.30,2.08,,2.25,,1.75,,1.95,,0.24,3.62,3.79,3.29,3.49,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68850,,Injection for tear sac x-ray,A,,0.80,0.89,,0.83,,0.74,,0.70,,0.07,1.76,1.70,1.61,1.57,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
68899,,Tear duct system surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
69000,,Drain external ear lesion,A,,1.50,3.65,,3.78,,1.77,,1.89,,0.22,5.37,5.50,3.49,3.61,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69005,,Drain external ear lesion,A,,2.16,3.83,,3.98,,2.21,,2.34,,0.29,6.28,6.43,4.66,4.79,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69020,,Drain outer ear canal lesion,A,,1.53,5.10,,5.22,,2.50,,2.59,,0.20,6.83,6.95,4.23,4.32,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69090,,Pierce earlobes,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
69100,,Biopsy of external ear,A,,0.81,2.11,,2.02,,0.55,,0.59,,0.11,3.03,2.94,1.47,1.51,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69105,,Biopsy of external ear canal,A,,0.85,3.18,,3.24,,0.94,,0.99,,0.10,4.13,4.19,1.89,1.94,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69110,,Remove external ear partial,A,,3.53,9.41,,9.56,,5.64,,5.77,,0.53,13.47,13.62,9.70,9.83,0,090,0.07,0.79,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69120,,Removal of external ear,A,,4.14,7.17,NA,7.49,NA,7.17,,7.49,,0.60,11.91,12.23,11.91,12.23,0,090,0.07,0.79,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69140,,Remove ear canal lesion(s),A,,8.14,16.74,NA,17.26,NA,16.74,,17.26,,1.05,25.93,26.45,25.93,26.45,0,090,0.07,0.79,0.14,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69145,,Remove ear canal lesion(s),A,,2.70,8.50,,8.84,,4.33,,4.54,,0.35,11.55,11.89,7.38,7.59,0,090,0.07,0.79,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69150,,Extensive ear canal surgery,A,,13.61,15.52,NA,16.15,NA,15.52,,16.15,,1.95,31.08,31.71,31.08,31.71,0,090,0.07,0.79,0.14,2,0,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69155,,Extensive ear/neck surgery,A,,23.35,23.53,NA,24.86,NA,23.53,,24.86,,3.01,49.89,51.22,49.89,51.22,0,090,0.07,0.79,0.14,2,0,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69200,,Clear outer ear canal,A,,0.77,2.73,,2.78,,0.81,,0.88,,0.10,3.60,3.65,1.68,1.75,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69205,,Clear outer ear canal,A,,1.21,1.64,NA,1.72,NA,1.64,,1.72,,0.16,3.01,3.09,3.01,3.09,0,010,0.10,0.80,0.10,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69210,,Remove impacted ear wax,A,,0.61,0.79,,0.85,,0.28,,0.32,,0.07,1.47,1.53,0.96,1.00,0,000,0.00,0.00,0.00,2,2,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69220,,Clean out mastoid cavity,A,,0.83,3.12,,3.19,,0.91,,0.96,,0.10,4.05,4.12,1.84,1.89,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69222,,Clean out mastoid cavity,A,,1.45,4.87,,4.97,,2.45,,2.53,,0.18,6.50,6.60,4.08,4.16,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69300,,Revise external ear,R,,6.69,12.17,,13.36,,6.57,,7.06,,0.86,19.72,20.91,14.12,14.61,0,YYY,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69310,,Rebuild outer ear canal,A,,10.97,19.83,NA,20.48,NA,19.83,,20.48,,1.44,32.24,32.89,32.24,32.89,0,090,0.07,0.79,0.14,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69320,,Rebuild outer ear canal,A,,17.18,26.20,NA,27.10,NA,26.20,,27.10,,2.20,45.58,46.48,45.58,46.48,0,090,0.07,0.79,0.14,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69399,,Outer ear surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
69400,,Inflate middle ear canal,A,,0.83,3.34,,3.48,,0.91,,0.96,,0.10,4.27,4.41,1.84,1.89,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69401,,Inflate middle ear canal,A,,0.63,1.79,,1.89,,0.76,,0.80,,0.07,2.49,2.59,1.46,1.50,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69405,,Catheterize middle ear canal,A,,2.68,4.67,,4.90,,2.72,,2.89,,0.34,7.69,7.92,5.74,5.91,0,010,0.10,0.80,0.10,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69420,,Incision of eardrum,A,,1.38,4.09,,4.20,,2.02,,2.12,,0.18,5.65,5.76,3.58,3.68,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69421,,Incision of eardrum,A,,1.78,2.46,NA,2.55,NA,2.46,,2.55,,0.23,4.47,4.56,4.47,4.56,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69424,,Remove ventilating tube,A,,0.85,2.84,,2.89,,0.89,,0.95,,0.10,3.79,3.84,1.84,1.90,0,000,0.00,0.00,0.00,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69433,,Create eardrum opening,A,,1.57,4.10,,4.23,,2.09,,2.20,,0.22,5.89,6.02,3.88,3.99,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69436,,Create eardrum opening,A,,2.01,2.56,NA,2.65,NA,2.56,,2.65,,0.26,4.83,4.92,4.83,4.92,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69440,,Exploration of middle ear,A,,7.71,11.70,NA,12.32,NA,11.70,,12.32,,0.99,20.40,21.02,20.40,21.02,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69450,,Eardrum revision,A,,5.69,9.67,NA,10.16,NA,9.67,,10.16,,0.72,16.08,16.57,16.08,16.57,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69501,,Mastoidectomy,A,,9.21,11.35,NA,12.02,NA,11.35,,12.02,,1.18,21.74,22.41,21.74,22.41,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69502,,Mastoidectomy,A,,12.56,14.66,NA,15.51,NA,14.66,,15.51,,1.69,28.91,29.76,28.91,29.76,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69505,,Remove mastoid structures,A,,13.17,20.91,NA,21.72,NA,20.91,,21.72,,1.70,35.78,36.59,35.78,36.59,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69511,,Extensive mastoid surgery,A,,13.70,21.24,NA,22.03,NA,21.24,,22.03,,1.77,36.71,37.50,36.71,37.50,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69530,,Extensive mastoid surgery,A,,20.38,26.27,NA,27.47,NA,26.27,,27.47,,2.61,49.26,50.46,49.26,50.46,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69535,,Remove part of temporal bone,A,,37.42,37.20,NA,39.37,NA,37.20,,39.37,,5.23,79.85,82.02,79.85,82.02,0,090,0.07,0.79,0.14,2,1,1,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69540,,Remove ear lesion,A,,1.25,4.76,,4.86,,2.38,,2.45,,0.16,6.17,6.27,3.79,3.86,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69550,,Remove ear lesion,A,,11.15,18.36,NA,19.04,NA,18.36,,19.04,,1.44,30.95,31.63,30.95,31.63,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69552,,Remove ear lesion,A,,19.81,24.44,NA,25.62,NA,24.44,,25.62,,2.55,46.80,47.98,46.80,47.98,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69554,,Remove ear lesion,A,,35.97,34.02,NA,36.94,NA,34.02,,36.94,,4.61,74.60,77.52,74.60,77.52,0,090,0.07,0.79,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69601,,Mastoid surgery revision,A,,13.45,15.97,NA,16.90,NA,15.97,,16.90,,1.71,31.13,32.06,31.13,32.06,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69602,,Mastoid surgery revision,A,,13.76,16.86,NA,17.82,NA,16.86,,17.82,,1.77,32.39,33.35,32.39,33.35,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69603,,Mastoid surgery revision,A,,14.20,21.60,NA,22.33,NA,21.60,,22.33,,1.82,37.62,38.35,37.62,38.35,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69604,,Mastoid surgery revision,A,,14.20,17.23,NA,18.08,NA,17.23,,18.08,,1.82,33.25,34.10,33.25,34.10,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69605,,Mastoid surgery revision,A,,18.69,25.40,NA,26.48,NA,25.40,,26.48,,2.40,46.49,47.57,46.49,47.57,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69610,,Repair of eardrum,A,,4.47,6.46,,6.68,,3.71,,3.94,,0.59,11.52,11.74,8.77,9.00,0,010,0.10,0.80,0.10,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69620,,Repair of eardrum,A,,6.03,13.72,,14.07,,7.72,,8.09,,0.76,20.51,20.86,14.51,14.88,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69631,,Repair eardrum structures,A,,10.05,14.87,NA,15.64,NA,14.87,,15.64,,1.29,26.21,26.98,26.21,26.98,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69632,,Rebuild eardrum structures,A,,12.96,17.42,NA,18.34,NA,17.42,,18.34,,1.66,32.04,32.96,32.04,32.96,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69633,,Rebuild eardrum structures,A,,12.31,17.02,NA,17.91,NA,17.02,,17.91,,1.59,30.92,31.81,30.92,31.81,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69635,,Repair eardrum structures,A,,13.51,21.06,NA,21.93,NA,21.06,,21.93,,1.74,36.31,37.18,36.31,37.18,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69636,,Rebuild eardrum structures,A,,15.43,23.64,NA,24.57,NA,23.64,,24.57,,1.97,41.04,41.97,41.04,41.97,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69637,,Rebuild eardrum structures,A,,15.32,23.60,NA,24.54,NA,23.60,,24.54,,2.00,40.92,41.86,40.92,41.86,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69641,,Revise middle ear & mastoid,A,,12.89,16.39,NA,17.27,NA,16.39,,17.27,,1.67,30.95,31.83,30.95,31.83,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69642,,Revise middle ear & mastoid,A,,17.06,20.58,NA,21.72,NA,20.58,,21.72,,2.19,39.83,40.97,39.83,40.97,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69643,,Revise middle ear & mastoid,A,,15.59,18.81,NA,19.87,NA,18.81,,19.87,,2.00,36.40,37.46,36.40,37.46,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69644,,Revise middle ear & mastoid,A,,17.23,24.59,NA,25.55,NA,24.59,,25.55,,2.22,44.04,45.00,44.04,45.00,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69645,,Revise middle ear & mastoid,A,,16.71,24.34,NA,25.32,NA,24.34,,25.32,,2.18,43.23,44.21,43.23,44.21,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69646,,Revise middle ear & mastoid,A,,18.37,25.14,NA,26.24,NA,25.14,,26.24,,2.35,45.86,46.96,45.86,46.96,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69650,,Release middle ear bone,A,,9.80,12.69,NA,13.54,NA,12.69,,13.54,,1.25,23.74,24.59,23.74,24.59,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69660,,Revise middle ear bone,A,,12.03,14.04,NA,14.84,NA,14.04,,14.84,,1.55,27.62,28.42,27.62,28.42,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69661,,Revise middle ear bone,A,,15.92,18.09,NA,19.09,NA,18.09,,19.09,,2.00,36.01,37.01,36.01,37.01,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69662,,Revise middle ear bone,A,,15.60,16.89,NA,17.87,NA,16.89,,17.87,,2.00,34.49,35.47,34.49,35.47,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69666,,Repair middle ear structures,A,,9.89,12.83,NA,13.58,NA,12.83,,13.58,,1.28,24.00,24.75,24.00,24.75,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69667,,Repair middle ear structures,A,,9.90,12.86,NA,13.56,NA,12.86,,13.56,,1.28,24.04,24.74,24.04,24.74,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69670,,Remove mastoid air cells,A,,11.73,14.80,NA,15.66,NA,14.80,,15.66,,1.51,28.04,28.90,28.04,28.90,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69676,,Remove middle ear nerve,A,,9.69,13.79,NA,14.46,NA,13.79,,14.46,,1.24,24.72,25.39,24.72,25.39,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69700,,Close mastoid fistula,A,,8.37,11.05,NA,11.53,NA,11.05,,11.53,,1.08,20.50,20.98,20.50,20.98,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69710,,Implant/replace hearing aid,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
69711,,Remove/repair hearing aid,A,,10.62,13.74,NA,14.42,NA,13.74,,14.42,,1.36,25.72,26.40,25.72,26.40,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69714,,Implant temple bone w/stimul,A,,14.45,15.76,NA,16.69,NA,15.76,,16.69,,1.86,32.07,33.00,32.07,33.00,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69715,,Temple bne implnt w/stimulat,A,,18.96,18.35,NA,19.53,NA,18.35,,19.53,,2.42,39.73,40.91,39.73,40.91,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69717,,Temple bone implant revision,A,,15.43,16.51,NA,17.30,NA,16.51,,17.30,,1.97,33.91,34.70,33.91,34.70,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69718,,Revise temple bone implant,A,,19.21,18.51,NA,19.68,NA,18.51,,19.68,,2.45,40.17,41.34,40.17,41.34,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69720,,Release facial nerve,A,,14.71,18.35,NA,19.37,NA,18.35,,19.37,,1.89,34.95,35.97,34.95,35.97,0,090,0.07,0.79,0.14,2,1,0,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69725,,Release facial nerve,A,,27.64,25.02,NA,26.81,NA,25.02,,26.81,,3.55,56.21,58.00,56.21,58.00,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69740,,Repair facial nerve,A,,16.27,16.53,NA,17.55,NA,16.53,,17.55,,2.08,34.88,35.90,34.88,35.90,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69745,,Repair facial nerve,A,,17.02,17.98,NA,18.98,NA,17.98,,18.98,,2.18,37.18,38.18,37.18,38.18,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69799,,Middle ear surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
69801,,Incise inner ear,A,,2.06,3.61,,3.61,,6.59,,1.57,,0.27,5.94,5.94,8.92,3.90,0,000,0.00,0.00,0.00,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69802,,Incise inner ear,A,,13.50,15.78,NA,16.70,NA,15.78,,16.70,,1.71,30.99,31.91,30.99,31.91,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69805,,Explore inner ear,A,,14.71,14.84,NA,15.84,NA,14.84,,15.84,,1.89,31.44,32.44,31.44,32.44,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69806,,Explore inner ear,A,,12.63,13.92,NA,14.73,NA,13.92,,14.73,,1.63,28.18,28.99,28.18,28.99,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69820,,Establish inner ear window,A,,10.52,13.71,NA,14.36,NA,13.71,,14.36,,1.36,25.59,26.24,25.59,26.24,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69840,,Revise inner ear window,A,,10.44,13.62,NA,12.68,NA,13.62,,12.68,,0.73,24.79,23.85,24.79,23.85,0,090,0.07,0.79,0.14,2,1,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69905,,Remove inner ear,A,,11.26,14.64,NA,15.38,NA,14.64,,15.38,,1.46,27.36,28.10,27.36,28.10,0,090,0.07,0.79,0.14,2,1,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69910,,Remove inner ear & mastoid,A,,13.91,14.71,NA,15.57,NA,14.71,,15.57,,1.80,30.42,31.28,30.42,31.28,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69915,,Incise inner ear nerve,A,,22.77,20.27,NA,21.76,NA,20.27,,21.76,,2.97,46.01,47.50,46.01,47.50,0,090,0.07,0.79,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69930,,Implant cochlear device,A,,17.73,16.73,NA,17.65,NA,16.73,,17.65,,2.27,36.73,37.65,36.73,37.65,0,090,0.07,0.79,0.14,2,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
69949,,Inner ear surgery procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
69950,,Incise inner ear nerve,A,,27.63,25.02,NA,28.74,NA,25.02,,28.74,,3.55,56.20,59.92,56.20,59.92,0,090,0.07,0.79,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69955,,Release facial nerve,A,,29.42,26.04,NA,27.87,NA,26.04,,27.87,,3.78,59.24,61.07,59.24,61.07,0,090,0.07,0.79,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69960,,Release inner ear canal,A,,29.42,24.42,NA,26.28,NA,24.42,,26.28,,3.78,57.62,59.48,57.62,59.48,0,090,0.07,0.79,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69970,,Remove inner ear lesion,A,,32.41,27.67,NA,29.61,NA,27.67,,29.61,,4.16,64.24,66.18,64.24,66.18,0,090,0.07,0.79,0.14,2,1,2,1,0,,33.9764,09,0,99,0.00,0.00,0.00
69979,,Temporal bone surgery,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,,33.9764,09,0,99,0.00,0.00,0.00
69990,,Microsurgery add-on,R,,3.46,1.86,NA,1.93,NA,1.86,,1.93,,1.16,6.48,6.55,6.48,6.55,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70010,,Contrast x-ray of brain,A,,1.19,2.38,,0.80,,2.38,,0.80,,0.22,3.79,2.21,3.79,2.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70015,,Contrast x-ray of brain,A,,1.19,3.09,,3.01,,3.09,NA,3.01,NA,0.08,4.36,4.28,4.36,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,15.13,15.13,0.13
70015,TC,Contrast x-ray of brain,A,,0.00,2.59,,2.56,,2.59,NA,2.56,NA,0.01,2.60,2.57,2.60,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,14.63,14.63,0.06
70015,26,Contrast x-ray of brain,A,,1.19,0.50,,0.45,,0.50,,0.45,,0.07,1.76,1.71,1.76,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70030,,X-ray eye for foreign body,A,,0.17,0.66,,0.63,,0.66,NA,0.63,NA,0.02,0.85,0.82,0.85,0.82,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
70030,TC,X-ray eye for foreign body,A,,0.00,0.59,,0.57,,0.59,NA,0.57,NA,0.01,0.60,0.58,0.60,0.58,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
70030,26,X-ray eye for foreign body,A,,0.17,0.07,,0.06,,0.07,,0.06,,0.01,0.25,0.24,0.25,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
7010F,,Pt info into recall system,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
70100,,X-ray exam of jaw,A,,0.18,0.78,,0.80,,0.78,NA,0.80,NA,0.02,0.98,1.00,0.98,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
70100,TC,X-ray exam of jaw,A,,0.00,0.70,,0.72,,0.70,NA,0.72,NA,0.01,0.71,0.73,0.71,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70100,26,X-ray exam of jaw,A,,0.18,0.08,,0.08,,0.08,,0.08,,0.01,0.27,0.27,0.27,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70110,,X-ray exam of jaw,A,,0.25,0.90,,0.85,,0.90,NA,0.85,NA,0.02,1.17,1.12,1.17,1.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.03
70110,TC,X-ray exam of jaw,A,,0.00,0.80,,0.75,,0.80,NA,0.75,NA,0.01,0.81,0.76,0.81,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70110,26,X-ray exam of jaw,A,,0.25,0.10,,0.10,,0.10,,0.10,,0.01,0.36,0.36,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70120,,X-ray exam of mastoids,A,,0.18,0.84,,0.84,,0.84,NA,0.84,NA,0.02,1.04,1.04,1.04,1.04,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
70120,TC,X-ray exam of mastoids,A,,0.00,0.76,,0.76,,0.76,NA,0.76,NA,0.01,0.77,0.77,0.77,0.77,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70120,26,X-ray exam of mastoids,A,,0.18,0.08,,0.08,,0.08,,0.08,,0.01,0.27,0.27,0.27,0.27,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70130,,X-ray exam of mastoids,A,,0.34,1.30,,1.28,,1.30,NA,1.28,NA,0.02,1.66,1.64,1.66,1.64,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.45,1.45,0.02
70130,TC,X-ray exam of mastoids,A,,0.00,1.16,,1.14,,1.16,NA,1.14,NA,0.01,1.17,1.15,1.17,1.15,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
70130,26,X-ray exam of mastoids,A,,0.34,0.14,,0.14,,0.14,,0.14,,0.01,0.49,0.49,0.49,0.49,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70134,,X-ray exam of middle ear,A,,0.34,1.01,,0.95,,1.01,NA,0.95,NA,0.02,1.37,1.31,1.37,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.35,2.35,0.04
70134,TC,X-ray exam of middle ear,A,,0.00,0.87,,0.82,,0.87,NA,0.82,NA,0.01,0.88,0.83,0.88,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.21,2.21,0.03
70134,26,X-ray exam of middle ear,A,,0.34,0.14,,0.13,,0.14,,0.13,,0.01,0.49,0.48,0.49,0.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70140,,X-ray exam of facial bones,A,,0.19,0.69,,0.66,,0.69,NA,0.66,NA,0.02,0.90,0.87,0.90,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
70140,TC,X-ray exam of facial bones,A,,0.00,0.60,,0.56,,0.60,NA,0.56,NA,0.01,0.61,0.57,0.61,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
70140,26,X-ray exam of facial bones,A,,0.19,0.09,,0.10,,0.09,,0.10,,0.01,0.29,0.30,0.29,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70150,,X-ray exam of facial bones,A,,0.26,0.99,,0.94,,0.99,NA,0.94,NA,0.02,1.27,1.22,1.27,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.42,1.42,0.02
70150,TC,X-ray exam of facial bones,A,,0.00,0.88,,0.83,,0.88,NA,0.83,NA,0.01,0.89,0.84,0.89,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
70150,26,X-ray exam of facial bones,A,,0.26,0.11,,0.11,,0.11,,0.11,,0.01,0.38,0.38,0.38,0.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70160,,X-ray exam of nasal bones,A,,0.17,0.79,,0.76,,0.79,NA,0.76,NA,0.02,0.98,0.95,0.98,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
70160,TC,X-ray exam of nasal bones,A,,0.00,0.72,,0.69,,0.72,NA,0.69,NA,0.01,0.73,0.70,0.73,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70160,26,X-ray exam of nasal bones,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70170,,X-ray exam of tear duct,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.88,6.88,0.04
70170,TC,X-ray exam of tear duct,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.76,6.76,0.01
70170,26,X-ray exam of tear duct,A,,0.30,0.12,,0.11,,0.12,,0.11,,0.03,0.45,0.44,0.45,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70190,,X-ray exam of eye sockets,A,,0.21,0.83,,0.80,,0.83,NA,0.80,NA,0.02,1.06,1.03,1.06,1.03,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.40,1.40,0.03
70190,TC,X-ray exam of eye sockets,A,,0.00,0.74,,0.71,,0.74,NA,0.71,NA,0.01,0.75,0.72,0.75,0.72,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70190,26,X-ray exam of eye sockets,A,,0.21,0.09,,0.09,,0.09,,0.09,,0.01,0.31,0.31,0.31,0.31,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
7020F,,Mammo assess cat in dbase,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
70200,,X-ray exam of eye sockets,A,,0.28,1.01,,0.94,,1.01,NA,0.94,NA,0.02,1.31,1.24,1.31,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.43,1.43,0.02
70200,TC,X-ray exam of eye sockets,A,,0.00,0.89,,0.83,,0.89,NA,0.83,NA,0.01,0.90,0.84,0.90,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
70200,26,X-ray exam of eye sockets,A,,0.28,0.12,,0.11,,0.12,,0.11,,0.01,0.41,0.40,0.41,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70210,,X-ray exam of sinuses,A,,0.17,0.73,,0.71,,0.73,NA,0.71,NA,0.02,0.92,0.90,0.92,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
70210,TC,X-ray exam of sinuses,A,,0.00,0.65,,0.63,,0.65,NA,0.63,NA,0.01,0.66,0.64,0.66,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70210,26,X-ray exam of sinuses,A,,0.17,0.08,,0.08,,0.08,,0.08,,0.01,0.26,0.26,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70220,,X-ray exam of sinuses,A,,0.25,0.88,,0.85,,0.88,NA,0.85,NA,0.02,1.15,1.12,1.15,1.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.03
70220,TC,X-ray exam of sinuses,A,,0.00,0.78,,0.74,,0.78,NA,0.74,NA,0.01,0.79,0.75,0.79,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70220,26,X-ray exam of sinuses,A,,0.25,0.10,,0.11,,0.10,,0.11,,0.01,0.36,0.37,0.36,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70240,,X-ray exam pituitary saddle,A,,0.19,0.67,,0.64,,0.67,NA,0.64,NA,0.02,0.88,0.85,0.88,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
70240,TC,X-ray exam pituitary saddle,A,,0.00,0.59,,0.56,,0.59,NA,0.56,NA,0.01,0.60,0.57,0.60,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
70240,26,X-ray exam pituitary saddle,A,,0.19,0.08,,0.08,,0.08,,0.08,,0.01,0.28,0.28,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
7025F,,Pt infosys alarm 4 nxt mammo,M,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
70250,,X-ray exam of skull,A,,0.24,0.84,,0.81,,0.84,NA,0.81,NA,0.02,1.10,1.07,1.10,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.42,1.42,0.03
70250,TC,X-ray exam of skull,A,,0.00,0.73,,0.70,,0.73,NA,0.70,NA,0.01,0.74,0.71,0.74,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70250,26,X-ray exam of skull,A,,0.24,0.11,,0.11,,0.11,,0.11,,0.01,0.36,0.36,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70260,,X-ray exam of skull,A,,0.34,1.04,,0.99,,1.04,NA,0.99,NA,0.02,1.40,1.35,1.40,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.35,2.35,0.03
70260,TC,X-ray exam of skull,A,,0.00,0.90,,0.84,,0.90,NA,0.84,NA,0.01,0.91,0.85,0.91,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.21,2.21,0.02
70260,26,X-ray exam of skull,A,,0.34,0.14,,0.15,,0.14,,0.15,,0.01,0.49,0.50,0.49,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70300,,X-ray exam of teeth,A,,0.10,0.31,,0.31,,0.31,NA,0.31,NA,0.02,0.43,0.43,0.43,0.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.92,0.92,0.04
70300,TC,X-ray exam of teeth,A,,0.00,0.25,,0.24,,0.25,NA,0.24,NA,0.01,0.26,0.25,0.26,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.86,0.86,0.03
70300,26,X-ray exam of teeth,A,,0.10,0.06,,0.07,,0.06,,0.07,,0.01,0.17,0.18,0.17,0.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70310,,X-ray exam of teeth,A,,0.16,0.93,,0.97,,0.93,NA,0.97,NA,0.02,1.11,1.15,1.11,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.98,0.98,0.02
70310,TC,X-ray exam of teeth,A,,0.00,0.84,,0.86,,0.84,NA,0.86,NA,0.01,0.85,0.87,0.85,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.89,0.89,0.01
70310,26,X-ray exam of teeth,A,,0.16,0.09,,0.11,,0.09,,0.11,,0.01,0.26,0.28,0.26,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70320,,Full mouth x-ray of teeth,A,,0.22,1.25,,1.25,,1.25,NA,1.25,NA,0.02,1.49,1.49,1.49,1.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.00,1.00,0.02
70320,TC,Full mouth x-ray of teeth,A,,0.00,1.14,,1.12,,1.14,NA,1.12,NA,0.01,1.15,1.13,1.15,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.89,0.89,0.01
70320,26,Full mouth x-ray of teeth,A,,0.22,0.11,,0.13,,0.11,,0.13,,0.01,0.34,0.36,0.34,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70328,,X-ray exam of jaw joint,A,,0.18,0.72,,0.69,,0.72,NA,0.69,NA,0.02,0.92,0.89,0.92,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
70328,TC,X-ray exam of jaw joint,A,,0.00,0.64,,0.61,,0.64,NA,0.61,NA,0.01,0.65,0.62,0.65,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
70328,26,X-ray exam of jaw joint,A,,0.18,0.08,,0.08,,0.08,,0.08,,0.01,0.27,0.27,0.27,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70330,,X-ray exam of jaw joints,A,,0.24,1.17,,1.12,,1.17,NA,1.12,NA,0.02,1.43,1.38,1.43,1.38,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,1.42,1.42,0.02
70330,TC,X-ray exam of jaw joints,A,,0.00,1.06,,1.01,,1.06,NA,1.01,NA,0.01,1.07,1.02,1.07,1.02,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
70330,26,X-ray exam of jaw joints,A,,0.24,0.11,,0.11,,0.11,,0.11,,0.01,0.36,0.36,0.36,0.36,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70332,,X-ray exam of jaw joint,A,,0.54,1.95,,1.87,,1.95,NA,1.87,NA,0.04,2.53,2.45,2.53,2.45,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,8.32,8.32,0.08
70332,TC,X-ray exam of jaw joint,A,,0.00,1.68,,1.56,,1.68,NA,1.56,NA,0.01,1.69,1.57,1.69,1.57,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,8.05,8.05,0.05
70332,26,X-ray exam of jaw joint,A,,0.54,0.27,,0.31,,0.27,,0.31,,0.03,0.84,0.88,0.84,0.88,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70336,,Magnetic image jaw joint,A,,1.48,11.75,,8.91,,11.75,NA,8.91,NA,0.09,13.32,10.48,13.32,10.48,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.68,10.68,0.09
70336,TC,Magnetic image jaw joint,A,,0.00,11.15,,8.37,,11.15,NA,8.37,NA,0.01,11.16,8.38,11.16,8.38,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.08,10.08,0.01
70336,26,Magnetic image jaw joint,A,,1.48,0.60,,0.54,,0.60,,0.54,,0.08,2.16,2.10,2.16,2.10,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70350,,X-ray head for orthodontia,A,,0.17,0.44,,0.44,,0.44,NA,0.44,NA,0.02,0.63,0.63,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.05
70350,TC,X-ray head for orthodontia,A,,0.00,0.34,,0.32,,0.34,NA,0.32,NA,0.01,0.35,0.33,0.35,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.29,1.29,0.04
70350,26,X-ray head for orthodontia,A,,0.17,0.10,,0.12,,0.10,,0.12,,0.01,0.28,0.30,0.28,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70355,,Panoramic x-ray of jaws,A,,0.20,0.42,,0.39,,0.42,NA,0.39,NA,0.02,0.64,0.61,0.64,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.97,0.97,0.04
70355,TC,Panoramic x-ray of jaws,A,,0.00,0.32,,0.27,,0.32,NA,0.27,NA,0.01,0.33,0.28,0.33,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.87,0.87,0.03
70355,26,Panoramic x-ray of jaws,A,,0.20,0.10,,0.12,,0.10,,0.12,,0.01,0.31,0.33,0.31,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70360,,X-ray exam of neck,A,,0.17,0.63,,0.60,,0.63,NA,0.60,NA,0.02,0.82,0.79,0.82,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
70360,TC,X-ray exam of neck,A,,0.00,0.56,,0.53,,0.56,NA,0.53,NA,0.01,0.57,0.54,0.57,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
70360,26,X-ray exam of neck,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70370,,Throat x-ray & fluoroscopy,A,,0.32,2.07,,2.14,,2.07,NA,2.14,NA,0.02,2.41,2.48,2.41,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.58,2.58,0.02
70370,TC,Throat x-ray & fluoroscopy,A,,0.00,1.93,,2.00,,1.93,NA,2.00,NA,0.01,1.94,2.01,1.94,2.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.44,2.44,0.01
70370,26,Throat x-ray & fluoroscopy,A,,0.32,0.14,,0.14,,0.14,,0.14,,0.01,0.47,0.47,0.47,0.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70371,,Speech evaluation complex,A,,0.84,1.91,,1.76,,1.91,NA,1.76,NA,0.04,2.79,2.64,2.79,2.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.78,2.78,0.05
70371,TC,Speech evaluation complex,A,,0.00,1.57,,1.41,,1.57,NA,1.41,NA,0.01,1.58,1.42,1.58,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.44,2.44,0.02
70371,26,Speech evaluation complex,A,,0.84,0.34,,0.35,,0.34,,0.35,,0.03,1.21,1.22,1.21,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70373,,Contrast x-ray of larynx,A,,0.44,1.97,,1.92,,1.97,NA,1.92,NA,0.02,2.43,2.38,2.43,2.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.90,6.90,0.05
70373,TC,Contrast x-ray of larynx,A,,0.00,1.80,,1.74,,1.80,NA,1.74,NA,0.01,1.81,1.75,1.81,1.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.73,6.73,0.04
70373,26,Contrast x-ray of larynx,A,,0.44,0.17,,0.18,,0.17,,0.18,,0.01,0.62,0.63,0.62,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70380,,X-ray exam of salivary gland,A,,0.17,0.98,,1.00,,0.98,NA,1.00,NA,0.02,1.17,1.19,1.17,1.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.40,1.40,0.02
70380,TC,X-ray exam of salivary gland,A,,0.00,0.89,,0.89,,0.89,NA,0.89,NA,0.01,0.90,0.90,0.90,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
70380,26,X-ray exam of salivary gland,A,,0.17,0.09,,0.11,,0.09,,0.11,,0.01,0.27,0.29,0.27,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70390,,X-ray exam of salivary duct,A,,0.38,2.59,,2.47,,2.59,NA,2.47,NA,0.04,3.01,2.89,3.01,2.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.90,6.90,0.06
70390,TC,X-ray exam of salivary duct,A,,0.00,2.43,,2.32,,2.43,NA,2.32,NA,0.01,2.44,2.33,2.44,2.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.74,6.74,0.03
70390,26,X-ray exam of salivary duct,A,,0.38,0.16,,0.15,,0.16,,0.15,,0.03,0.57,0.56,0.57,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70450,,Ct head/brain w/o dye,A,,0.85,4.91,,3.84,,4.91,NA,3.84,NA,0.05,5.81,4.74,5.81,4.74,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.04,6.04,0.05
70450,TC,Ct head/brain w/o dye,A,,0.00,4.56,,3.52,,4.56,NA,3.52,NA,0.01,4.57,3.53,4.57,3.53,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.69,5.69,0.01
70450,26,Ct head/brain w/o dye,A,,0.85,0.35,,0.32,,0.35,,0.32,,0.04,1.24,1.21,1.24,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70460,,Ct head/brain w/dye,A,,1.13,6.38,,5.04,,6.38,NA,5.04,NA,0.06,7.57,6.23,7.57,6.23,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.28,9.28,0.06
70460,TC,Ct head/brain w/dye,A,,0.00,5.91,,4.61,,5.91,NA,4.61,NA,0.01,5.92,4.62,5.92,4.62,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
70460,26,Ct head/brain w/dye,A,,1.13,0.47,,0.43,,0.47,,0.43,,0.05,1.65,1.61,1.65,1.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70470,,Ct head/brain w/o & w/dye,A,,1.27,7.81,,6.15,,7.81,NA,6.15,NA,0.08,9.16,7.50,9.16,7.50,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.35,10.35,0.08
70470,TC,Ct head/brain w/o & w/dye,A,,0.00,7.28,,5.67,,7.28,NA,5.67,NA,0.01,7.29,5.68,7.29,5.68,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.82,9.82,0.01
70470,26,Ct head/brain w/o & w/dye,A,,1.27,0.53,,0.48,,0.53,,0.48,,0.07,1.87,1.82,1.87,1.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70480,,Ct orbit/ear/fossa w/o dye,A,,1.28,7.94,,6.63,,7.94,NA,6.63,NA,0.08,9.30,7.99,9.30,7.99,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.23,6.23,0.08
70480,TC,Ct orbit/ear/fossa w/o dye,A,,0.00,7.41,,6.14,,7.41,NA,6.14,NA,0.01,7.42,6.15,7.42,6.15,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
70480,26,Ct orbit/ear/fossa w/o dye,A,,1.28,0.53,,0.49,,0.53,,0.49,,0.07,1.88,1.84,1.88,1.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70481,,Ct orbit/ear/fossa w/dye,A,,1.38,9.33,,7.75,,9.33,NA,7.75,NA,0.09,10.80,9.22,10.80,9.22,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.38,9.38,0.09
70481,TC,Ct orbit/ear/fossa w/dye,A,,0.00,8.76,,7.23,,8.76,NA,7.23,NA,0.01,8.77,7.24,8.77,7.24,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
70481,26,Ct orbit/ear/fossa w/dye,A,,1.38,0.57,,0.52,,0.57,,0.52,,0.08,2.03,1.98,2.03,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70482,,Ct orbit/ear/fossa w/o&w/dye,A,,1.45,10.65,,8.68,,10.65,NA,8.68,NA,0.09,12.19,10.22,12.19,10.22,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.42,10.42,0.09
70482,TC,Ct orbit/ear/fossa w/o&w/dye,A,,0.00,10.06,,8.14,,10.06,NA,8.14,NA,0.01,10.07,8.15,10.07,8.15,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
70482,26,Ct orbit/ear/fossa w/o&w/dye,A,,1.45,0.59,,0.54,,0.59,,0.54,,0.08,2.12,2.07,2.12,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70486,,Ct maxillofacial w/o dye,A,,1.14,6.55,,5.38,,6.55,NA,5.38,NA,0.06,7.75,6.58,7.75,6.58,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.18,6.18,0.06
70486,TC,Ct maxillofacial w/o dye,A,,0.00,6.07,,4.93,,6.07,NA,4.93,NA,0.01,6.08,4.94,6.08,4.94,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
70486,26,Ct maxillofacial w/o dye,A,,1.14,0.48,,0.45,,0.48,,0.45,,0.05,1.67,1.64,1.67,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70487,,Ct maxillofacial w/dye,A,,1.30,7.96,,6.50,,7.96,NA,6.50,NA,0.08,9.34,7.88,9.34,7.88,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.35,9.35,0.08
70487,TC,Ct maxillofacial w/dye,A,,0.00,7.42,,6.01,,7.42,NA,6.01,NA,0.01,7.43,6.02,7.43,6.02,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
70487,26,Ct maxillofacial w/dye,A,,1.30,0.54,,0.49,,0.54,,0.49,,0.07,1.91,1.86,1.91,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70488,,Ct maxillofacial w/o & w/dye,A,,1.42,9.84,,8.00,,9.84,NA,8.00,NA,0.09,11.35,9.51,11.35,9.51,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.41,10.41,0.09
70488,TC,Ct maxillofacial w/o & w/dye,A,,0.00,9.26,,7.47,,9.26,NA,7.47,NA,0.01,9.27,7.48,9.27,7.48,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
70488,26,Ct maxillofacial w/o & w/dye,A,,1.42,0.58,,0.53,,0.58,,0.53,,0.08,2.08,2.03,2.08,2.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70490,,Ct soft tissue neck w/o dye,A,,1.28,6.24,,5.03,,6.24,NA,5.03,NA,0.08,7.60,6.39,7.60,6.39,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.23,6.23,0.08
70490,TC,Ct soft tissue neck w/o dye,A,,0.00,5.71,,4.55,,5.71,NA,4.55,NA,0.01,5.72,4.56,5.72,4.56,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
70490,26,Ct soft tissue neck w/o dye,A,,1.28,0.53,,0.48,,0.53,,0.48,,0.07,1.88,1.83,1.88,1.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70491,,Ct soft tissue neck w/dye,A,,1.38,7.69,,6.25,,7.69,NA,6.25,NA,0.08,9.15,7.71,9.15,7.71,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.38,9.38,0.08
70491,TC,Ct soft tissue neck w/dye,A,,0.00,7.12,,5.72,,7.12,NA,5.72,NA,0.01,7.13,5.73,7.13,5.73,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
70491,26,Ct soft tissue neck w/dye,A,,1.38,0.57,,0.53,,0.57,,0.53,,0.07,2.02,1.98,2.02,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70492,,Ct sft tsue nck w/o & w/dye,A,,1.45,9.51,,7.66,,9.51,NA,7.66,NA,0.09,11.05,9.20,11.05,9.20,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.42,10.42,0.09
70492,TC,Ct sft tsue nck w/o & w/dye,A,,0.00,8.92,,7.12,,8.92,NA,7.12,NA,0.01,8.93,7.13,8.93,7.13,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
70492,26,Ct sft tsue nck w/o & w/dye,A,,1.45,0.59,,0.54,,0.59,,0.54,,0.08,2.12,2.07,2.12,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70496,,Ct angiography head,A,,1.75,15.69,,12.53,,15.69,NA,12.53,NA,0.11,17.55,14.39,17.55,14.39,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.69,10.69,0.11
70496,TC,Ct angiography head,A,,0.00,14.96,,11.88,,14.96,NA,11.88,NA,0.01,14.97,11.89,14.97,11.89,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.96,9.96,0.01
70496,26,Ct angiography head,A,,1.75,0.73,,0.65,,0.73,,0.65,,0.10,2.58,2.50,2.58,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70498,,Ct angiography neck,A,,1.75,15.99,,13.03,,15.99,NA,13.03,NA,0.11,17.85,14.89,17.85,14.89,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.69,10.69,0.11
70498,TC,Ct angiography neck,A,,0.00,15.26,,12.38,,15.26,NA,12.38,NA,0.01,15.27,12.39,15.27,12.39,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.96,9.96,0.01
70498,26,Ct angiography neck,A,,1.75,0.73,,0.65,,0.73,,0.65,,0.10,2.58,2.50,2.58,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70540,,Mri orbit/face/neck w/o dye,A,,1.35,13.33,,10.31,,13.33,NA,10.31,NA,0.09,14.77,11.75,14.77,11.75,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.64,10.64,0.09
70540,TC,Mri orbit/face/neck w/o dye,A,,0.00,12.78,,9.81,,12.78,NA,9.81,NA,0.01,12.79,9.82,12.79,9.82,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
70540,26,Mri orbit/face/neck w/o dye,A,,1.35,0.55,,0.50,,0.55,,0.50,,0.08,1.98,1.93,1.98,1.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70542,,Mri orbit/face/neck w/dye,A,,1.62,14.78,,11.58,,14.78,NA,11.58,NA,0.11,16.51,13.31,16.51,13.31,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.51,13.51,0.11
70542,TC,Mri orbit/face/neck w/dye,A,,0.00,14.12,,10.98,,14.12,NA,10.98,NA,0.01,14.13,10.99,14.13,10.99,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
70542,26,Mri orbit/face/neck w/dye,A,,1.62,0.66,,0.60,,0.66,,0.60,,0.10,2.38,2.32,2.38,2.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70543,,Mri orbt/fac/nck w/o & w/dye,A,,2.15,19.29,,13.89,,19.29,NA,13.89,NA,0.13,21.57,16.17,21.57,16.17,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.57,16.57,0.13
70543,TC,Mri orbt/fac/nck w/o & w/dye,A,,0.00,18.42,,13.10,,18.42,NA,13.10,NA,0.01,18.43,13.11,18.43,13.11,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
70543,26,Mri orbt/fac/nck w/o & w/dye,A,,2.15,0.87,,0.79,,0.87,,0.79,,0.12,3.14,3.06,3.14,3.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70544,,Mr angiography head w/o dye,A,,1.20,14.87,,11.92,,14.87,NA,11.92,NA,0.08,16.15,13.20,16.15,13.20,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.58,10.58,0.08
70544,TC,Mr angiography head w/o dye,A,,0.00,14.38,,11.47,,14.38,NA,11.47,NA,0.01,14.39,11.48,14.39,11.48,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
70544,26,Mr angiography head w/o dye,A,,1.20,0.49,,0.45,,0.49,,0.45,,0.07,1.76,1.72,1.76,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70545,,Mr angiography head w/dye,A,,1.20,14.77,,11.80,,14.77,NA,11.80,NA,0.08,16.05,13.08,16.05,13.08,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.34,13.34,0.08
70545,TC,Mr angiography head w/dye,A,,0.00,14.28,,11.36,,14.28,NA,11.36,NA,0.01,14.29,11.37,14.29,11.37,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
70545,26,Mr angiography head w/dye,A,,1.20,0.49,,0.44,,0.49,,0.44,,0.07,1.76,1.71,1.76,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70546,,Mr angiograph head w/o&w/dye,A,,1.80,23.36,,18.05,,23.36,NA,18.05,NA,0.12,25.28,19.97,25.28,19.97,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.44,16.44,0.12
70546,TC,Mr angiograph head w/o&w/dye,A,,0.00,22.62,,17.38,,22.62,NA,17.38,NA,0.01,22.63,17.39,22.63,17.39,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
70546,26,Mr angiograph head w/o&w/dye,A,,1.80,0.74,,0.67,,0.74,,0.67,,0.11,2.65,2.58,2.65,2.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70547,,Mr angiography neck w/o dye,A,,1.20,14.84,,11.91,,14.84,NA,11.91,NA,0.08,16.12,13.19,16.12,13.19,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.58,10.58,0.08
70547,TC,Mr angiography neck w/o dye,A,,0.00,14.35,,11.46,,14.35,NA,11.46,NA,0.01,14.36,11.47,14.36,11.47,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
70547,26,Mr angiography neck w/o dye,A,,1.20,0.49,,0.45,,0.49,,0.45,,0.07,1.76,1.72,1.76,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70548,,Mr angiography neck w/dye,A,,1.20,15.64,,12.72,,15.64,NA,12.72,NA,0.08,16.92,14.00,16.92,14.00,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.34,13.34,0.08
70548,TC,Mr angiography neck w/dye,A,,0.00,15.15,,12.27,,15.15,NA,12.27,NA,0.01,15.16,12.28,15.16,12.28,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
70548,26,Mr angiography neck w/dye,A,,1.20,0.49,,0.45,,0.49,,0.45,,0.07,1.76,1.72,1.76,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70549,,Mr angiograph neck w/o&w/dye,A,,1.80,23.38,,18.06,,23.38,NA,18.06,NA,0.11,25.29,19.97,25.29,19.97,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.44,16.44,0.11
70549,TC,Mr angiograph neck w/o&w/dye,A,,0.00,22.64,,17.39,,22.64,NA,17.39,NA,0.01,22.65,17.40,22.65,17.40,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
70549,26,Mr angiograph neck w/o&w/dye,A,,1.80,0.74,,0.67,,0.74,,0.67,,0.10,2.64,2.57,2.64,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70551,,Mri brain w/o dye,A,,1.48,13.71,,10.79,,13.71,NA,10.79,NA,0.09,15.28,12.36,15.28,12.36,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.70,10.70,0.09
70551,TC,Mri brain w/o dye,A,,0.00,13.10,,10.24,,13.10,NA,10.24,NA,0.01,13.11,10.25,13.11,10.25,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
70551,26,Mri brain w/o dye,A,,1.48,0.61,,0.55,,0.61,,0.55,,0.08,2.17,2.11,2.17,2.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70552,,Mri brain w/dye,A,,1.78,15.15,,11.92,,15.15,NA,11.92,NA,0.12,17.05,13.82,17.05,13.82,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.59,13.59,0.12
70552,TC,Mri brain w/dye,A,,0.00,14.41,,11.25,,14.41,NA,11.25,NA,0.01,14.42,11.26,14.42,11.26,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
70552,26,Mri brain w/dye,A,,1.78,0.74,,0.67,,0.74,,0.67,,0.11,2.63,2.56,2.63,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70553,,Mri brain w/o & w/dye,A,,2.36,18.91,,13.68,,18.91,NA,13.68,NA,0.15,21.42,16.19,21.42,16.19,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.67,16.67,0.15
70553,TC,Mri brain w/o & w/dye,A,,0.00,17.94,,12.80,,17.94,NA,12.80,NA,0.01,17.95,12.81,17.95,12.81,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
70553,26,Mri brain w/o & w/dye,A,,2.36,0.97,,0.88,,0.97,,0.88,,0.14,3.47,3.38,3.47,3.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70554,,Fmri brain by tech,A,,2.11,14.61,,12.01,,14.61,NA,12.01,NA,0.13,16.85,14.25,16.85,14.25,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,0.00,0.00,0.00
70554,TC,Fmri brain by tech,A,,0.00,13.72,,11.20,,13.72,NA,11.20,NA,0.01,13.73,11.21,13.73,11.21,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,0.00,0.00,0.00
70554,26,Fmri brain by tech,A,,2.11,0.89,,0.81,,0.89,,0.81,,0.12,3.12,3.04,3.12,3.04,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70555,,Fmri brain by phys/psych,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70555,TC,Fmri brain by phys/psych,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
70555,26,Fmri brain by phys/psych,A,,2.54,1.06,,0.92,,1.06,,0.92,,0.24,3.84,3.70,3.84,3.70,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70557,,Mri brain w/o dye,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,11.58,11.58,1.06
70557,TC,Mri brain w/o dye,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,10.08,10.08,0.01
70557,26,Mri brain w/o dye,A,,2.90,1.50,,1.62,,1.50,,1.62,,1.05,5.45,5.57,5.45,5.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70558,,Mri brain w/dye,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,14.18,14.18,0.31
70558,TC,Mri brain w/dye,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,12.85,12.85,0.01
70558,26,Mri brain w/dye,A,,3.20,1.33,,1.20,,1.33,,1.20,,0.30,4.83,4.70,4.83,4.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
70559,,Mri brain w/o & w/dye,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.08,17.08,0.31
70559,TC,Mri brain w/o & w/dye,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,15.70,15.70,0.01
70559,26,Mri brain w/o & w/dye,A,,3.20,1.38,,1.24,,1.38,,1.24,,0.30,4.88,4.74,4.88,4.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71010,,Chest x-ray,A,,0.18,0.50,,0.46,,0.50,NA,0.46,NA,0.02,0.70,0.66,0.70,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.37,1.37,0.04
71010,TC,Chest x-ray,A,,0.00,0.43,,0.39,,0.43,NA,0.39,NA,0.01,0.44,0.40,0.44,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.03
71010,26,Chest x-ray,A,,0.18,0.07,,0.07,,0.07,,0.07,,0.01,0.26,0.26,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71015,,Chest x-ray,A,,0.21,0.66,,0.62,,0.66,NA,0.62,NA,0.02,0.89,0.85,0.89,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
71015,TC,Chest x-ray,A,,0.00,0.58,,0.54,,0.58,NA,0.54,NA,0.01,0.59,0.55,0.59,0.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
71015,26,Chest x-ray,A,,0.21,0.08,,0.08,,0.08,,0.08,,0.01,0.30,0.30,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71020,,Chest x-ray,A,,0.22,0.68,,0.62,,0.68,NA,0.62,NA,0.02,0.92,0.86,0.92,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
71020,TC,Chest x-ray,A,,0.00,0.59,,0.53,,0.59,NA,0.53,NA,0.01,0.60,0.54,0.60,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
71020,26,Chest x-ray,A,,0.22,0.09,,0.09,,0.09,,0.09,,0.01,0.32,0.32,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71021,,Chest x-ray,A,,0.27,0.84,,0.79,,0.84,NA,0.79,NA,0.02,1.13,1.08,1.13,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.42,1.42,0.03
71021,TC,Chest x-ray,A,,0.00,0.73,,0.67,,0.73,NA,0.67,NA,0.01,0.74,0.68,0.74,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
71021,26,Chest x-ray,A,,0.27,0.11,,0.12,,0.11,,0.12,,0.01,0.39,0.40,0.39,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71022,,Chest x-ray,A,,0.31,1.05,,1.00,,1.05,NA,1.00,NA,0.02,1.38,1.33,1.38,1.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.44,1.44,0.02
71022,TC,Chest x-ray,A,,0.00,0.92,,0.87,,0.92,NA,0.87,NA,0.01,0.93,0.88,0.93,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
71022,26,Chest x-ray,A,,0.31,0.13,,0.13,,0.13,,0.13,,0.01,0.45,0.45,0.45,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71023,,Chest x-ray and fluoroscopy,A,,0.38,1.65,,1.60,,1.65,NA,1.60,NA,0.02,2.05,2.00,2.05,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.61,2.61,0.03
71023,TC,Chest x-ray and fluoroscopy,A,,0.00,1.48,,1.45,,1.48,NA,1.45,NA,0.01,1.49,1.46,1.49,1.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.44,2.44,0.02
71023,26,Chest x-ray and fluoroscopy,A,,0.38,0.17,,0.15,,0.17,,0.15,,0.01,0.56,0.54,0.56,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71030,,Chest x-ray,A,,0.31,1.04,,0.96,,1.04,NA,0.96,NA,0.02,1.37,1.29,1.37,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.44,1.44,0.02
71030,TC,Chest x-ray,A,,0.00,0.91,,0.84,,0.91,NA,0.84,NA,0.01,0.92,0.85,0.92,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
71030,26,Chest x-ray,A,,0.31,0.13,,0.12,,0.13,,0.12,,0.01,0.45,0.44,0.45,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71034,,Chest x-ray and fluoroscopy,A,,0.46,2.15,,1.90,,2.15,NA,1.90,NA,0.02,2.63,2.38,2.63,2.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.66,2.66,0.02
71034,TC,Chest x-ray and fluoroscopy,A,,0.00,1.93,,1.72,,1.93,NA,1.72,NA,0.01,1.94,1.73,1.94,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.44,2.44,0.01
71034,26,Chest x-ray and fluoroscopy,A,,0.46,0.22,,0.18,,0.22,,0.18,,0.01,0.69,0.65,0.69,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71035,,Chest x-ray,A,,0.18,0.85,,0.81,,0.85,NA,0.81,NA,0.02,1.05,1.01,1.05,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
71035,TC,Chest x-ray,A,,0.00,0.77,,0.74,,0.77,NA,0.74,NA,0.01,0.78,0.75,0.78,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
71035,26,Chest x-ray,A,,0.18,0.08,,0.07,,0.08,,0.07,,0.01,0.27,0.26,0.27,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71040,,Contrast x-ray of bronchi,A,,0.58,2.26,,2.15,,2.26,NA,2.15,NA,0.02,2.86,2.75,2.86,2.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.96,6.96,0.04
71040,TC,Contrast x-ray of bronchi,A,,0.00,2.03,,1.94,,2.03,NA,1.94,NA,0.01,2.04,1.95,2.04,1.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.73,6.73,0.03
71040,26,Contrast x-ray of bronchi,A,,0.58,0.23,,0.21,,0.23,,0.21,,0.01,0.82,0.80,0.82,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71060,,Contrast x-ray of bronchi,A,,0.74,3.39,,3.22,,3.39,NA,3.22,NA,0.05,4.18,4.01,4.18,4.01,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,7.05,7.05,0.06
71060,TC,Contrast x-ray of bronchi,A,,0.00,3.09,,2.94,,3.09,NA,2.94,NA,0.01,3.10,2.95,3.10,2.95,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,6.75,6.75,0.02
71060,26,Contrast x-ray of bronchi,A,,0.74,0.30,,0.28,,0.30,,0.28,,0.04,1.08,1.06,1.08,1.06,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71090,,X-ray & pacemaker insertion,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71090,TC,X-ray & pacemaker insertion,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
71090,26,X-ray & pacemaker insertion,A,,0.54,0.26,,0.21,,0.26,,0.21,,0.04,0.84,0.79,0.84,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71100,,X-ray exam of ribs,A,,0.22,0.72,,0.68,,0.72,NA,0.68,NA,0.02,0.96,0.92,0.96,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
71100,TC,X-ray exam of ribs,A,,0.00,0.63,,0.59,,0.63,NA,0.59,NA,0.01,0.64,0.60,0.64,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
71100,26,X-ray exam of ribs,A,,0.22,0.09,,0.09,,0.09,,0.09,,0.01,0.32,0.32,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71101,,X-ray exam of ribs/chest,A,,0.27,0.88,,0.84,,0.88,NA,0.84,NA,0.02,1.17,1.13,1.17,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.42,1.42,0.03
71101,TC,X-ray exam of ribs/chest,A,,0.00,0.77,,0.73,,0.77,NA,0.73,NA,0.01,0.78,0.74,0.78,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
71101,26,X-ray exam of ribs/chest,A,,0.27,0.11,,0.11,,0.11,,0.11,,0.01,0.39,0.39,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71110,,X-ray exam of ribs,A,,0.27,0.92,,0.88,,0.92,NA,0.88,NA,0.02,1.21,1.17,1.21,1.17,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,1.42,1.42,0.03
71110,TC,X-ray exam of ribs,A,,0.00,0.81,,0.76,,0.81,NA,0.76,NA,0.01,0.82,0.77,0.82,0.77,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
71110,26,X-ray exam of ribs,A,,0.27,0.11,,0.12,,0.11,,0.12,,0.01,0.39,0.40,0.39,0.40,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71111,,X-ray exam of ribs/chest,A,,0.32,1.22,,1.17,,1.22,NA,1.17,NA,0.02,1.56,1.51,1.56,1.51,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,2.34,2.34,0.03
71111,TC,X-ray exam of ribs/chest,A,,0.00,1.09,,1.04,,1.09,NA,1.04,NA,0.01,1.10,1.05,1.10,1.05,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,2.21,2.21,0.02
71111,26,X-ray exam of ribs/chest,A,,0.32,0.13,,0.13,,0.13,,0.13,,0.01,0.46,0.46,0.46,0.46,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71120,,X-ray exam of breastbone,A,,0.20,0.73,,0.67,,0.73,NA,0.67,NA,0.02,0.95,0.89,0.95,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
71120,TC,X-ray exam of breastbone,A,,0.00,0.65,,0.59,,0.65,NA,0.59,NA,0.01,0.66,0.60,0.66,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
71120,26,X-ray exam of breastbone,A,,0.20,0.08,,0.08,,0.08,,0.08,,0.01,0.29,0.29,0.29,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71130,,X-ray exam of breastbone,A,,0.22,0.87,,0.81,,0.87,NA,0.81,NA,0.02,1.11,1.05,1.11,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.40,1.40,0.03
71130,TC,X-ray exam of breastbone,A,,0.00,0.78,,0.72,,0.78,NA,0.72,NA,0.01,0.79,0.73,0.79,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
71130,26,X-ray exam of breastbone,A,,0.22,0.09,,0.09,,0.09,,0.09,,0.01,0.32,0.32,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71250,,Ct thorax w/o dye,A,,1.00,6.35,,4.94,,6.35,NA,4.94,NA,0.06,7.41,6.00,7.41,6.00,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.15,6.15,0.06
71250,TC,Ct thorax w/o dye,A,,0.00,5.90,,4.57,,5.90,NA,4.57,NA,0.01,5.91,4.58,5.91,4.58,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
71250,26,Ct thorax w/o dye,A,,1.00,0.45,,0.37,,0.45,,0.37,,0.05,1.50,1.42,1.50,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71260,,Ct thorax w/dye,A,,1.24,7.87,,6.21,,7.87,NA,6.21,NA,0.08,9.19,7.53,9.19,7.53,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.33,9.33,0.08
71260,TC,Ct thorax w/dye,A,,0.00,7.35,,5.74,,7.35,NA,5.74,NA,0.01,7.36,5.75,7.36,5.75,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
71260,26,Ct thorax w/dye,A,,1.24,0.52,,0.47,,0.52,,0.47,,0.07,1.83,1.78,1.83,1.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71270,,Ct thorax w/o & w/dye,A,,1.38,9.82,,7.69,,9.82,NA,7.69,NA,0.08,11.28,9.15,11.28,9.15,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.40,10.40,0.08
71270,TC,Ct thorax w/o & w/dye,A,,0.00,9.25,,7.18,,9.25,NA,7.18,NA,0.01,9.26,7.19,9.26,7.19,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
71270,26,Ct thorax w/o & w/dye,A,,1.38,0.57,,0.51,,0.57,,0.51,,0.07,2.02,1.96,2.02,1.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71275,,Ct angiography chest,A,,1.92,12.00,,9.41,,12.00,NA,9.41,NA,0.12,14.04,11.45,14.04,11.45,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.75,10.75,0.12
71275,TC,Ct angiography chest,A,,0.00,11.20,,8.70,,11.20,NA,8.70,NA,0.01,11.21,8.71,11.21,8.71,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.95,9.95,0.01
71275,26,Ct angiography chest,A,,1.92,0.80,,0.71,,0.80,,0.71,,0.11,2.83,2.74,2.83,2.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71550,,Mri chest w/o dye,A,,1.46,15.14,,11.97,,15.14,NA,11.97,NA,0.09,16.69,13.52,16.69,13.52,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.68,10.68,0.09
71550,TC,Mri chest w/o dye,A,,0.00,14.55,,11.43,,14.55,NA,11.43,NA,0.01,14.56,11.44,14.56,11.44,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
71550,26,Mri chest w/o dye,A,,1.46,0.59,,0.54,,0.59,,0.54,,0.08,2.13,2.08,2.13,2.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71551,,Mri chest w/dye,A,,1.73,16.97,,13.53,,16.97,NA,13.53,NA,0.11,18.81,15.37,18.81,15.37,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.55,13.55,0.11
71551,TC,Mri chest w/dye,A,,0.00,16.27,,12.88,,16.27,NA,12.88,NA,0.01,16.28,12.89,16.28,12.89,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
71551,26,Mri chest w/dye,A,,1.73,0.70,,0.65,,0.70,,0.65,,0.10,2.53,2.48,2.53,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71552,,Mri chest w/o & w/dye,A,,2.26,22.39,,16.63,,22.39,NA,16.63,NA,0.13,24.78,19.02,24.78,19.02,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.64,16.64,0.13
71552,TC,Mri chest w/o & w/dye,A,,0.00,21.45,,15.79,,21.45,NA,15.79,NA,0.01,21.46,15.80,21.46,15.80,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
71552,26,Mri chest w/o & w/dye,A,,2.26,0.94,,0.84,,0.94,,0.84,,0.12,3.32,3.22,3.32,3.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
71555,,Mri angio chest w or w/o dye,R,,1.81,14.47,,11.54,,14.47,NA,11.54,NA,0.11,16.39,13.46,16.39,13.46,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.45,16.45,0.11
71555,TC,Mri angio chest w or w/o dye,R,,0.00,13.71,,10.86,,13.71,NA,10.86,NA,0.01,13.72,10.87,13.72,10.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.69,15.69,0.01
71555,26,Mri angio chest w or w/o dye,R,,1.81,0.76,,0.68,,0.76,,0.68,,0.10,2.67,2.59,2.67,2.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72010,,X-ray exam of spine,A,,0.45,1.71,,1.76,,1.71,NA,1.76,NA,0.04,2.20,2.25,2.20,2.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.41,2.41,0.04
72010,TC,X-ray exam of spine,A,,0.00,1.52,,1.55,,1.52,NA,1.55,NA,0.01,1.53,1.56,1.53,1.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.22,2.22,0.01
72010,26,X-ray exam of spine,A,,0.45,0.19,,0.21,,0.19,,0.21,,0.03,0.67,0.69,0.67,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72020,,X-ray exam of spine,A,,0.15,0.54,,0.50,,0.54,NA,0.50,NA,0.02,0.71,0.67,0.71,0.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.37,1.37,0.04
72020,TC,X-ray exam of spine,A,,0.00,0.47,,0.44,,0.47,NA,0.44,NA,0.01,0.48,0.45,0.48,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.03
72020,26,X-ray exam of spine,A,,0.15,0.07,,0.06,,0.07,,0.06,,0.01,0.23,0.22,0.23,0.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72040,,X-ray exam of neck spine,A,,0.22,0.90,,0.89,,0.90,NA,0.89,NA,0.04,1.16,1.15,1.16,1.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.05
72040,TC,X-ray exam of neck spine,A,,0.00,0.80,,0.79,,0.80,NA,0.79,NA,0.01,0.81,0.80,0.81,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
72040,26,X-ray exam of neck spine,A,,0.22,0.10,,0.10,,0.10,,0.10,,0.03,0.35,0.35,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72050,,X-ray exam of neck spine,A,,0.31,1.22,,1.16,,1.22,NA,1.16,NA,0.04,1.57,1.51,1.57,1.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.34,2.34,0.05
72050,TC,X-ray exam of neck spine,A,,0.00,1.09,,1.04,,1.09,NA,1.04,NA,0.01,1.10,1.05,1.10,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.21,2.21,0.02
72050,26,X-ray exam of neck spine,A,,0.31,0.13,,0.12,,0.13,,0.12,,0.03,0.47,0.46,0.47,0.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72052,,X-ray exam of neck spine,A,,0.36,1.59,,1.54,,1.59,NA,1.54,NA,0.04,1.99,1.94,1.99,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.37,2.37,0.05
72052,TC,X-ray exam of neck spine,A,,0.00,1.44,,1.39,,1.44,NA,1.39,NA,0.01,1.45,1.40,1.45,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.22,2.22,0.02
72052,26,X-ray exam of neck spine,A,,0.36,0.15,,0.15,,0.15,,0.15,,0.03,0.54,0.54,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72069,,X-ray exam of trunk spine,A,,0.22,0.85,,0.85,,0.85,NA,0.85,NA,0.04,1.11,1.11,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.05
72069,TC,X-ray exam of trunk spine,A,,0.00,0.75,,0.75,,0.75,NA,0.75,NA,0.01,0.76,0.76,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
72069,26,X-ray exam of trunk spine,A,,0.22,0.10,,0.10,,0.10,,0.10,,0.03,0.35,0.35,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72070,,X-ray exam of thoracic spine,A,,0.22,0.77,,0.72,,0.77,NA,0.72,NA,0.02,1.01,0.96,1.01,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.03
72070,TC,X-ray exam of thoracic spine,A,,0.00,0.67,,0.62,,0.67,NA,0.62,NA,0.01,0.68,0.63,0.68,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
72070,26,X-ray exam of thoracic spine,A,,0.22,0.10,,0.10,,0.10,,0.10,,0.01,0.33,0.33,0.33,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72072,,X-ray exam of thoracic spine,A,,0.22,0.88,,0.81,,0.88,NA,0.81,NA,0.02,1.12,1.05,1.12,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.40,1.40,0.03
72072,TC,X-ray exam of thoracic spine,A,,0.00,0.79,,0.73,,0.79,NA,0.73,NA,0.01,0.80,0.74,0.80,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
72072,26,X-ray exam of thoracic spine,A,,0.22,0.09,,0.08,,0.09,,0.08,,0.01,0.32,0.31,0.32,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72074,,X-ray exam of thoracic spine,A,,0.22,1.08,,1.01,,1.08,NA,1.01,NA,0.02,1.32,1.25,1.32,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.40,1.40,0.02
72074,TC,X-ray exam of thoracic spine,A,,0.00,0.99,,0.92,,0.99,NA,0.92,NA,0.01,1.00,0.93,1.00,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
72074,26,X-ray exam of thoracic spine,A,,0.22,0.09,,0.09,,0.09,,0.09,,0.01,0.32,0.32,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72080,,X-ray exam of trunk spine,A,,0.22,0.83,,0.80,,0.83,NA,0.80,NA,0.04,1.09,1.06,1.09,1.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.05
72080,TC,X-ray exam of trunk spine,A,,0.00,0.73,,0.70,,0.73,NA,0.70,NA,0.01,0.74,0.71,0.74,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
72080,26,X-ray exam of trunk spine,A,,0.22,0.10,,0.10,,0.10,,0.10,,0.03,0.35,0.35,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72090,,X-ray exam of trunk spine,A,,0.28,1.14,,1.14,,1.14,NA,1.14,NA,0.05,1.47,1.47,1.47,1.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.34,2.34,0.06
72090,TC,X-ray exam of trunk spine,A,,0.00,1.01,,1.01,,1.01,NA,1.01,NA,0.01,1.02,1.02,1.02,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.21,2.21,0.02
72090,26,X-ray exam of trunk spine,A,,0.28,0.13,,0.13,,0.13,,0.13,,0.04,0.45,0.45,0.45,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72100,,X-ray exam of lower spine,A,,0.22,0.95,,0.94,,0.95,NA,0.94,NA,0.04,1.21,1.20,1.21,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.05
72100,TC,X-ray exam of lower spine,A,,0.00,0.85,,0.84,,0.85,NA,0.84,NA,0.01,0.86,0.85,0.86,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
72100,26,X-ray exam of lower spine,A,,0.22,0.10,,0.10,,0.10,,0.10,,0.03,0.35,0.35,0.35,0.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72110,,X-ray exam of lower spine,A,,0.31,1.30,,1.25,,1.30,NA,1.25,NA,0.04,1.65,1.60,1.65,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.34,2.34,0.05
72110,TC,X-ray exam of lower spine,A,,0.00,1.17,,1.12,,1.17,NA,1.12,NA,0.01,1.18,1.13,1.18,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.21,2.21,0.02
72110,26,X-ray exam of lower spine,A,,0.31,0.13,,0.13,,0.13,,0.13,,0.03,0.47,0.47,0.47,0.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72114,,X-ray exam of lower spine,A,,0.36,1.80,,1.77,,1.80,NA,1.77,NA,0.05,2.21,2.18,2.21,2.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.38,2.38,0.05
72114,TC,X-ray exam of lower spine,A,,0.00,1.64,,1.61,,1.64,NA,1.61,NA,0.01,1.65,1.62,1.65,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.22,2.22,0.01
72114,26,X-ray exam of lower spine,A,,0.36,0.16,,0.16,,0.16,,0.16,,0.04,0.56,0.56,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72120,,X-ray exam of lower spine,A,,0.22,1.27,,1.28,,1.27,NA,1.28,NA,0.04,1.53,1.54,1.53,1.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.04
72120,TC,X-ray exam of lower spine,A,,0.00,1.17,,1.17,,1.17,NA,1.17,NA,0.01,1.18,1.18,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
72120,26,X-ray exam of lower spine,A,,0.22,0.10,,0.11,,0.10,,0.11,,0.03,0.35,0.36,0.35,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72125,,Ct neck spine w/o dye,A,,1.00,6.39,,4.99,,6.39,NA,4.99,NA,0.06,7.45,6.05,7.45,6.05,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.15,6.15,0.06
72125,TC,Ct neck spine w/o dye,A,,0.00,5.94,,4.62,,5.94,NA,4.62,NA,0.01,5.95,4.63,5.95,4.63,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
72125,26,Ct neck spine w/o dye,A,,1.00,0.45,,0.37,,0.45,,0.37,,0.05,1.50,1.42,1.50,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72126,,Ct neck spine w/dye,A,,1.22,7.87,,6.22,,7.87,NA,6.22,NA,0.08,9.17,7.52,9.17,7.52,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.31,9.31,0.08
72126,TC,Ct neck spine w/dye,A,,0.00,7.37,,5.77,,7.37,NA,5.77,NA,0.01,7.38,5.78,7.38,5.78,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
72126,26,Ct neck spine w/dye,A,,1.22,0.50,,0.45,,0.50,,0.45,,0.07,1.79,1.74,1.79,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72127,,Ct neck spine w/o & w/dye,A,,1.27,9.76,,7.66,,9.76,NA,7.66,NA,0.08,11.11,9.01,11.11,9.01,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.35,10.35,0.08
72127,TC,Ct neck spine w/o & w/dye,A,,0.00,9.24,,7.19,,9.24,NA,7.19,NA,0.01,9.25,7.20,9.25,7.20,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
72127,26,Ct neck spine w/o & w/dye,A,,1.27,0.52,,0.47,,0.52,,0.47,,0.07,1.86,1.81,1.86,1.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72128,,Ct chest spine w/o dye,A,,1.00,6.38,,4.98,,6.38,NA,4.98,NA,0.06,7.44,6.04,7.44,6.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.15,6.15,0.06
72128,TC,Ct chest spine w/o dye,A,,0.00,5.93,,4.61,,5.93,NA,4.61,NA,0.01,5.94,4.62,5.94,4.62,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
72128,26,Ct chest spine w/o dye,A,,1.00,0.45,,0.37,,0.45,,0.37,,0.05,1.50,1.42,1.50,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72129,,Ct chest spine w/dye,A,,1.22,7.89,,6.25,,7.89,NA,6.25,NA,0.08,9.19,7.55,9.19,7.55,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.32,9.32,0.08
72129,TC,Ct chest spine w/dye,A,,0.00,7.38,,5.79,,7.38,NA,5.79,NA,0.01,7.39,5.80,7.39,5.80,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
72129,26,Ct chest spine w/dye,A,,1.22,0.51,,0.46,,0.51,,0.46,,0.07,1.80,1.75,1.80,1.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72130,,Ct chest spine w/o & w/dye,A,,1.27,9.77,,7.66,,9.77,NA,7.66,NA,0.08,11.12,9.01,11.12,9.01,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.35,10.35,0.08
72130,TC,Ct chest spine w/o & w/dye,A,,0.00,9.25,,7.19,,9.25,NA,7.19,NA,0.01,9.26,7.20,9.26,7.20,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
72130,26,Ct chest spine w/o & w/dye,A,,1.27,0.52,,0.47,,0.52,,0.47,,0.07,1.86,1.81,1.86,1.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72131,,Ct lumbar spine w/o dye,A,,1.00,6.36,,4.97,,6.36,NA,4.97,NA,0.06,7.42,6.03,7.42,6.03,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.15,6.15,0.06
72131,TC,Ct lumbar spine w/o dye,A,,0.00,5.91,,4.59,,5.91,NA,4.59,NA,0.01,5.92,4.60,5.92,4.60,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
72131,26,Ct lumbar spine w/o dye,A,,1.00,0.45,,0.38,,0.45,,0.38,,0.05,1.50,1.43,1.50,1.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72132,,Ct lumbar spine w/dye,A,,1.22,7.87,,6.22,,7.87,NA,6.22,NA,0.08,9.17,7.52,9.17,7.52,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.32,9.32,0.08
72132,TC,Ct lumbar spine w/dye,A,,0.00,7.36,,5.77,,7.36,NA,5.77,NA,0.01,7.37,5.78,7.37,5.78,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
72132,26,Ct lumbar spine w/dye,A,,1.22,0.51,,0.45,,0.51,,0.45,,0.07,1.80,1.74,1.80,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72133,,Ct lumbar spine w/o & w/dye,A,,1.27,9.76,,7.65,,9.76,NA,7.65,NA,0.08,11.11,9.00,11.11,9.00,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.35,10.35,0.08
72133,TC,Ct lumbar spine w/o & w/dye,A,,0.00,9.24,,7.18,,9.24,NA,7.18,NA,0.01,9.25,7.19,9.25,7.19,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
72133,26,Ct lumbar spine w/o & w/dye,A,,1.27,0.52,,0.47,,0.52,,0.47,,0.07,1.86,1.81,1.86,1.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72141,,Mri neck spine w/o dye,A,,1.60,12.08,,9.32,,12.08,NA,9.32,NA,0.11,13.79,11.03,13.79,11.03,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.74,10.74,0.11
72141,TC,Mri neck spine w/o dye,A,,0.00,11.42,,8.71,,11.42,NA,8.71,NA,0.01,11.43,8.72,11.43,8.72,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.08,10.08,0.01
72141,26,Mri neck spine w/o dye,A,,1.60,0.66,,0.61,,0.66,,0.61,,0.10,2.36,2.31,2.36,2.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72142,,Mri neck spine w/dye,A,,1.92,15.21,,12.02,,15.21,NA,12.02,NA,0.12,17.25,14.06,17.25,14.06,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.64,13.64,0.12
72142,TC,Mri neck spine w/dye,A,,0.00,14.42,,11.29,,14.42,NA,11.29,NA,0.01,14.43,11.30,14.43,11.30,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
72142,26,Mri neck spine w/dye,A,,1.92,0.79,,0.73,,0.79,,0.73,,0.11,2.82,2.76,2.82,2.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72146,,Mri chest spine w/o dye,A,,1.60,12.28,,9.33,,12.28,NA,9.33,NA,0.11,13.99,11.04,13.99,11.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.74,10.74,0.11
72146,TC,Mri chest spine w/o dye,A,,0.00,11.62,,8.73,,11.62,NA,8.73,NA,0.01,11.63,8.74,11.63,8.74,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.08,10.08,0.01
72146,26,Mri chest spine w/o dye,A,,1.60,0.66,,0.60,,0.66,,0.60,,0.10,2.36,2.30,2.36,2.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72147,,Mri chest spine w/dye,A,,1.92,13.52,,10.48,,13.52,NA,10.48,NA,0.12,15.56,12.52,15.56,12.52,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.65,13.65,0.12
72147,TC,Mri chest spine w/dye,A,,0.00,12.72,,9.75,,12.72,NA,9.75,NA,0.01,12.73,9.76,12.73,9.76,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
72147,26,Mri chest spine w/dye,A,,1.92,0.80,,0.73,,0.80,,0.73,,0.11,2.83,2.76,2.83,2.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72148,,Mri lumbar spine w/o dye,A,,1.48,12.21,,9.26,,12.21,NA,9.26,NA,0.11,13.80,10.85,13.80,10.85,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.69,10.69,0.11
72148,TC,Mri lumbar spine w/o dye,A,,0.00,11.60,,8.70,,11.60,NA,8.70,NA,0.01,11.61,8.71,11.61,8.71,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.08,10.08,0.01
72148,26,Mri lumbar spine w/o dye,A,,1.48,0.61,,0.56,,0.61,,0.56,,0.10,2.19,2.14,2.19,2.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72149,,Mri lumbar spine w/dye,A,,1.78,15.07,,11.81,,15.07,NA,11.81,NA,0.12,16.97,13.71,16.97,13.71,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.59,13.59,0.12
72149,TC,Mri lumbar spine w/dye,A,,0.00,14.33,,11.13,,14.33,NA,11.13,NA,0.01,14.34,11.14,14.34,11.14,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
72149,26,Mri lumbar spine w/dye,A,,1.78,0.74,,0.68,,0.74,,0.68,,0.11,2.63,2.57,2.63,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72156,,Mri neck spine w/o & w/dye,A,,2.57,18.69,,13.48,,18.69,NA,13.48,NA,0.17,21.43,16.22,21.43,16.22,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.76,16.76,0.17
72156,TC,Mri neck spine w/o & w/dye,A,,0.00,17.63,,12.52,,17.63,NA,12.52,NA,0.01,17.64,12.53,17.64,12.53,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
72156,26,Mri neck spine w/o & w/dye,A,,2.57,1.06,,0.96,,1.06,,0.96,,0.16,3.79,3.69,3.79,3.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72157,,Mri chest spine w/o & w/dye,A,,2.57,17.42,,12.37,,17.42,NA,12.37,NA,0.17,20.16,15.11,20.16,15.11,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.76,16.76,0.17
72157,TC,Mri chest spine w/o & w/dye,A,,0.00,16.36,,11.41,,16.36,NA,11.41,NA,0.01,16.37,11.42,16.37,11.42,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
72157,26,Mri chest spine w/o & w/dye,A,,2.57,1.06,,0.96,,1.06,,0.96,,0.16,3.79,3.69,3.79,3.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72158,,Mri lumbar spine w/o & w/dye,A,,2.36,18.56,,13.35,,18.56,NA,13.35,NA,0.17,21.09,15.88,21.09,15.88,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.67,16.67,0.17
72158,TC,Mri lumbar spine w/o & w/dye,A,,0.00,17.59,,12.46,,17.59,NA,12.46,NA,0.01,17.60,12.47,17.60,12.47,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
72158,26,Mri lumbar spine w/o & w/dye,A,,2.36,0.97,,0.89,,0.97,,0.89,,0.16,3.49,3.41,3.49,3.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72159,,Mr angio spine w/o&w/dye,R,,1.80,16.23,,13.63,,16.23,NA,13.63,NA,0.08,18.11,15.51,18.11,15.51,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.48,16.48,0.08
72159,TC,Mr angio spine w/o&w/dye,R,,0.00,15.45,,12.84,,15.45,NA,12.84,NA,0.01,15.46,12.85,15.46,12.85,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,02,0,88,15.70,15.70,0.01
72159,26,Mr angio spine w/o&w/dye,R,,1.80,0.78,,0.79,,0.78,,0.79,,0.07,2.65,2.66,2.65,2.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72170,,X-ray exam of pelvis,A,,0.17,0.60,,0.57,,0.60,NA,0.57,NA,0.04,0.81,0.78,0.81,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.38,1.38,0.06
72170,TC,X-ray exam of pelvis,A,,0.00,0.52,,0.49,,0.52,NA,0.49,NA,0.01,0.53,0.50,0.53,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.03
72170,26,X-ray exam of pelvis,A,,0.17,0.08,,0.08,,0.08,,0.08,,0.03,0.28,0.28,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72190,,X-ray exam of pelvis,A,,0.21,1.00,,0.99,,1.00,NA,0.99,NA,0.04,1.25,1.24,1.25,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.04
72190,TC,X-ray exam of pelvis,A,,0.00,0.90,,0.89,,0.90,NA,0.89,NA,0.01,0.91,0.90,0.91,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
72190,26,X-ray exam of pelvis,A,,0.21,0.10,,0.10,,0.10,,0.10,,0.03,0.34,0.34,0.34,0.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72191,,Ct angiograph pelv w/o&w/dye,A,,1.81,11.52,,8.94,,11.52,NA,8.94,NA,0.13,13.46,10.88,13.46,10.88,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.70,10.70,0.13
72191,TC,Ct angiograph pelv w/o&w/dye,A,,0.00,10.77,,8.27,,10.77,NA,8.27,NA,0.01,10.78,8.28,10.78,8.28,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.95,9.95,0.01
72191,26,Ct angiograph pelv w/o&w/dye,A,,1.81,0.75,,0.67,,0.75,,0.67,,0.12,2.68,2.60,2.68,2.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72192,,Ct pelvis w/o dye,A,,1.09,6.03,,4.69,,6.03,NA,4.69,NA,0.06,7.18,5.84,7.18,5.84,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.15,6.15,0.06
72192,TC,Ct pelvis w/o dye,A,,0.00,5.58,,4.28,,5.58,NA,4.28,NA,0.01,5.59,4.29,5.59,4.29,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
72192,26,Ct pelvis w/o dye,A,,1.09,0.45,,0.41,,0.45,,0.41,,0.05,1.59,1.55,1.59,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72193,,Ct pelvis w/dye,A,,1.16,7.46,,5.87,,7.46,NA,5.87,NA,0.08,8.70,7.11,8.70,7.11,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.29,9.29,0.08
72193,TC,Ct pelvis w/dye,A,,0.00,6.98,,5.44,,6.98,NA,5.44,NA,0.01,6.99,5.45,6.99,5.45,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
72193,26,Ct pelvis w/dye,A,,1.16,0.48,,0.43,,0.48,,0.43,,0.07,1.71,1.66,1.71,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72194,,Ct pelvis w/o & w/dye,A,,1.22,9.84,,7.78,,9.84,NA,7.78,NA,0.08,11.14,9.08,11.14,9.08,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.33,10.33,0.08
72194,TC,Ct pelvis w/o & w/dye,A,,0.00,9.34,,7.33,,9.34,NA,7.33,NA,0.01,9.35,7.34,9.35,7.34,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
72194,26,Ct pelvis w/o & w/dye,A,,1.22,0.50,,0.45,,0.50,,0.45,,0.07,1.79,1.74,1.79,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72195,,Mri pelvis w/o dye,A,,1.46,13.63,,10.67,,13.63,NA,10.67,NA,0.11,15.20,12.24,15.20,12.24,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.69,10.69,0.11
72195,TC,Mri pelvis w/o dye,A,,0.00,13.03,,10.12,,13.03,NA,10.12,NA,0.01,13.04,10.13,13.04,10.13,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
72195,26,Mri pelvis w/o dye,A,,1.46,0.60,,0.55,,0.60,,0.55,,0.10,2.16,2.11,2.16,2.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72196,,Mri pelvis w/dye,A,,1.73,14.99,,11.76,,14.99,NA,11.76,NA,0.11,16.83,13.60,16.83,13.60,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.57,13.57,0.11
72196,TC,Mri pelvis w/dye,A,,0.00,14.27,,11.11,,14.27,NA,11.11,NA,0.01,14.28,11.12,14.28,11.12,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
72196,26,Mri pelvis w/dye,A,,1.73,0.72,,0.65,,0.72,,0.65,,0.10,2.55,2.48,2.55,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72197,,Mri pelvis w/o & w/dye,A,,2.26,19.54,,14.17,,19.54,NA,14.17,NA,0.13,21.93,16.56,21.93,16.56,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.63,16.63,0.13
72197,TC,Mri pelvis w/o & w/dye,A,,0.00,18.61,,13.33,,18.61,NA,13.33,NA,0.01,18.62,13.34,18.62,13.34,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
72197,26,Mri pelvis w/o & w/dye,A,,2.26,0.93,,0.84,,0.93,,0.84,,0.12,3.31,3.22,3.31,3.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72198,,Mr angio pelvis w/o & w/dye,A,,1.80,14.41,,11.52,,14.41,NA,11.52,NA,0.11,16.32,13.43,16.32,13.43,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.43,16.43,0.11
72198,TC,Mr angio pelvis w/o & w/dye,A,,0.00,13.67,,10.86,,13.67,NA,10.86,NA,0.01,13.68,10.87,13.68,10.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.69,15.69,0.01
72198,26,Mr angio pelvis w/o & w/dye,A,,1.80,0.74,,0.66,,0.74,,0.66,,0.10,2.64,2.56,2.64,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72200,,X-ray exam sacroiliac joints,A,,0.17,0.69,,0.65,,0.69,NA,0.65,NA,0.02,0.88,0.84,0.88,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
72200,TC,X-ray exam sacroiliac joints,A,,0.00,0.62,,0.58,,0.62,NA,0.58,NA,0.01,0.63,0.59,0.63,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
72200,26,X-ray exam sacroiliac joints,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72202,,X-ray exam sacroiliac joints,A,,0.19,0.82,,0.76,,0.82,NA,0.76,NA,0.02,1.03,0.97,1.03,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
72202,TC,X-ray exam sacroiliac joints,A,,0.00,0.74,,0.69,,0.74,NA,0.69,NA,0.01,0.75,0.70,0.75,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
72202,26,X-ray exam sacroiliac joints,A,,0.19,0.08,,0.07,,0.08,,0.07,,0.01,0.28,0.27,0.28,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72220,,X-ray exam of tailbone,A,,0.17,0.68,,0.63,,0.68,NA,0.63,NA,0.02,0.87,0.82,0.87,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
72220,TC,X-ray exam of tailbone,A,,0.00,0.61,,0.56,,0.61,NA,0.56,NA,0.01,0.62,0.57,0.62,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
72220,26,X-ray exam of tailbone,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72240,,Contrast x-ray of neck spine,A,,0.91,3.31,,2.73,,3.31,NA,2.73,NA,0.06,4.28,3.70,4.28,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,15.02,15.02,0.10
72240,TC,Contrast x-ray of neck spine,A,,0.00,2.93,,2.38,,2.93,NA,2.38,NA,0.01,2.94,2.39,2.94,2.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,14.64,14.64,0.05
72240,26,Contrast x-ray of neck spine,A,,0.91,0.38,,0.35,,0.38,,0.35,,0.05,1.34,1.31,1.34,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72255,,Contrast x-ray thorax spine,A,,0.91,3.06,,2.65,,3.06,NA,2.65,NA,0.05,4.02,3.61,4.02,3.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,15.00,15.00,0.09
72255,TC,Contrast x-ray thorax spine,A,,0.00,2.69,,2.28,,2.69,NA,2.28,NA,0.01,2.70,2.29,2.70,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,14.63,14.63,0.05
72255,26,Contrast x-ray thorax spine,A,,0.91,0.37,,0.37,,0.37,,0.37,,0.04,1.32,1.32,1.32,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72265,,Contrast x-ray lower spine,A,,0.83,3.20,,2.75,,3.20,NA,2.75,NA,0.05,4.08,3.63,4.08,3.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,14.99,14.99,0.09
72265,TC,Contrast x-ray lower spine,A,,0.00,2.85,,2.42,,2.85,NA,2.42,NA,0.01,2.86,2.43,2.86,2.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,14.64,14.64,0.05
72265,26,Contrast x-ray lower spine,A,,0.83,0.35,,0.33,,0.35,,0.33,,0.04,1.22,1.20,1.22,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72270,,Contrast x-ray spine,A,,1.33,4.94,,4.24,,4.94,NA,4.24,NA,0.08,6.35,5.65,6.35,5.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,15.21,15.21,0.10
72270,TC,Contrast x-ray spine,A,,0.00,4.39,,3.73,,4.39,NA,3.73,NA,0.01,4.40,3.74,4.40,3.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,14.66,14.66,0.03
72270,26,Contrast x-ray spine,A,,1.33,0.55,,0.51,,0.55,,0.51,,0.07,1.95,1.91,1.95,1.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72275,,Epidurography,A,,0.76,2.49,,2.68,,2.49,NA,2.68,NA,0.05,3.30,3.49,3.30,3.49,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
72275,TC,Epidurography,A,,0.00,2.17,,2.30,,2.17,NA,2.30,NA,0.01,2.18,2.31,2.18,2.31,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,03,0,99,0.00,0.00,0.00
72275,26,Epidurography,A,,0.76,0.32,,0.38,,0.32,,0.38,,0.04,1.12,1.18,1.12,1.18,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
72285,,X-ray c/t spine disk,A,,1.16,3.14,,2.26,,3.14,NA,2.26,NA,0.06,4.36,3.48,4.36,3.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,49.54,49.54,0.24
72285,TC,X-ray c/t spine disk,A,,0.00,2.63,,1.66,,2.63,NA,1.66,NA,0.01,2.64,1.67,2.64,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,49.03,49.03,0.19
72285,26,X-ray c/t spine disk,A,,1.16,0.51,,0.60,,0.51,,0.60,,0.05,1.72,1.81,1.72,1.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72291,,Perq verte/sacroplsty fluor,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72291,TC,Perq verte/sacroplsty fluor,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
72291,26,Perq verte/sacroplsty fluor,A,,1.31,0.61,,0.60,,0.61,,0.60,,0.22,2.14,2.13,2.14,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72292,,Perq verte/sacroplsty ct,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72292,TC,Perq verte/sacroplsty ct,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
72292,26,Perq verte/sacroplsty ct,A,,1.38,0.62,,0.58,,0.62,,0.58,,0.20,2.20,2.16,2.20,2.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
72295,,X-ray of lower spine disk,A,,0.83,2.96,,2.12,,2.96,NA,2.12,NA,0.05,3.84,3.00,3.84,3.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,49.40,49.40,0.23
72295,TC,X-ray of lower spine disk,A,,0.00,2.59,,1.70,,2.59,NA,1.70,NA,0.01,2.60,1.71,2.60,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,49.03,49.03,0.19
72295,26,X-ray of lower spine disk,A,,0.83,0.37,,0.42,,0.37,,0.42,,0.04,1.24,1.29,1.24,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73000,,X-ray exam of collar bone,A,,0.16,0.67,,0.66,,0.67,NA,0.66,NA,0.02,0.85,0.84,0.85,0.84,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
73000,TC,X-ray exam of collar bone,A,,0.00,0.60,,0.58,,0.60,NA,0.58,NA,0.01,0.61,0.59,0.61,0.59,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73000,26,X-ray exam of collar bone,A,,0.16,0.07,,0.08,,0.07,,0.08,,0.01,0.24,0.25,0.24,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73010,,X-ray exam of shoulder blade,A,,0.17,0.70,,0.70,,0.70,NA,0.70,NA,0.04,0.91,0.91,0.91,0.91,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.05
73010,TC,X-ray exam of shoulder blade,A,,0.00,0.62,,0.62,,0.62,NA,0.62,NA,0.01,0.63,0.63,0.63,0.63,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73010,26,X-ray exam of shoulder blade,A,,0.17,0.08,,0.08,,0.08,,0.08,,0.03,0.28,0.28,0.28,0.28,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73020,,X-ray exam of shoulder,A,,0.15,0.53,,0.52,,0.53,NA,0.52,NA,0.02,0.70,0.69,0.70,0.69,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.36,1.36,0.04
73020,TC,X-ray exam of shoulder,A,,0.00,0.47,,0.45,,0.47,NA,0.45,NA,0.01,0.48,0.46,0.48,0.46,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.03
73020,26,X-ray exam of shoulder,A,,0.15,0.06,,0.07,,0.06,,0.07,,0.01,0.22,0.23,0.22,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73030,,X-ray exam of shoulder,A,,0.18,0.70,,0.68,,0.70,NA,0.68,NA,0.04,0.92,0.90,0.92,0.90,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.39,1.39,0.05
73030,TC,X-ray exam of shoulder,A,,0.00,0.61,,0.59,,0.61,NA,0.59,NA,0.01,0.62,0.60,0.62,0.60,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73030,26,X-ray exam of shoulder,A,,0.18,0.09,,0.09,,0.09,,0.09,,0.03,0.30,0.30,0.30,0.30,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73040,,Contrast x-ray of shoulder,A,,0.54,2.60,,2.46,,2.60,NA,2.46,NA,0.05,3.19,3.05,3.19,3.05,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,8.29,8.29,0.07
73040,TC,Contrast x-ray of shoulder,A,,0.00,2.37,,2.24,,2.37,NA,2.24,NA,0.01,2.38,2.25,2.38,2.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,8.06,8.06,0.03
73040,26,Contrast x-ray of shoulder,A,,0.54,0.23,,0.22,,0.23,,0.22,,0.04,0.81,0.80,0.81,0.80,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73050,,X-ray exam of shoulders,A,,0.20,0.90,,0.91,,0.90,NA,0.91,NA,0.04,1.14,1.15,1.14,1.15,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,1.41,1.41,0.05
73050,TC,X-ray exam of shoulders,A,,0.00,0.80,,0.81,,0.80,NA,0.81,NA,0.01,0.81,0.82,0.81,0.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73050,26,X-ray exam of shoulders,A,,0.20,0.10,,0.10,,0.10,,0.10,,0.03,0.33,0.33,0.33,0.33,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73060,,X-ray exam of humerus,A,,0.17,0.68,,0.65,,0.68,NA,0.65,NA,0.02,0.87,0.84,0.87,0.84,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
73060,TC,X-ray exam of humerus,A,,0.00,0.60,,0.57,,0.60,NA,0.57,NA,0.01,0.61,0.58,0.61,0.58,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73060,26,X-ray exam of humerus,A,,0.17,0.08,,0.08,,0.08,,0.08,,0.01,0.26,0.26,0.26,0.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73070,,X-ray exam of elbow,A,,0.15,0.67,,0.65,,0.67,NA,0.65,NA,0.02,0.84,0.82,0.84,0.82,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
73070,TC,X-ray exam of elbow,A,,0.00,0.60,,0.58,,0.60,NA,0.58,NA,0.01,0.61,0.59,0.61,0.59,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73070,26,X-ray exam of elbow,A,,0.15,0.07,,0.07,,0.07,,0.07,,0.01,0.23,0.23,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73080,,X-ray exam of elbow,A,,0.17,0.82,,0.77,,0.82,NA,0.77,NA,0.02,1.01,0.96,1.01,0.96,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
73080,TC,X-ray exam of elbow,A,,0.00,0.75,,0.70,,0.75,NA,0.70,NA,0.01,0.76,0.71,0.76,0.71,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73080,26,X-ray exam of elbow,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73085,,Contrast x-ray of elbow,A,,0.54,2.31,,2.21,,2.31,NA,2.21,NA,0.04,2.89,2.79,2.89,2.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,8.30,8.30,0.07
73085,TC,Contrast x-ray of elbow,A,,0.00,2.07,,1.96,,2.07,NA,1.96,NA,0.01,2.08,1.97,2.08,1.97,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,8.06,8.06,0.04
73085,26,Contrast x-ray of elbow,A,,0.54,0.24,,0.25,,0.24,,0.25,,0.03,0.81,0.82,0.81,0.82,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73090,,X-ray exam of forearm,A,,0.16,0.65,,0.62,,0.65,NA,0.62,NA,0.02,0.83,0.80,0.83,0.80,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
73090,TC,X-ray exam of forearm,A,,0.00,0.58,,0.55,,0.58,NA,0.55,NA,0.01,0.59,0.56,0.59,0.56,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73090,26,X-ray exam of forearm,A,,0.16,0.07,,0.07,,0.07,,0.07,,0.01,0.24,0.24,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73092,,X-ray exam of arm infant,A,,0.16,0.73,,0.76,,0.73,NA,0.76,NA,0.02,0.91,0.94,0.91,0.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
73092,TC,X-ray exam of arm infant,A,,0.00,0.66,,0.69,,0.66,NA,0.69,NA,0.01,0.67,0.70,0.67,0.70,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73092,26,X-ray exam of arm infant,A,,0.16,0.07,,0.07,,0.07,,0.07,,0.01,0.24,0.24,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73100,,X-ray exam of wrist,A,,0.16,0.72,,0.73,,0.72,NA,0.73,NA,0.04,0.92,0.93,0.92,0.93,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.39,1.39,0.05
73100,TC,X-ray exam of wrist,A,,0.00,0.64,,0.65,,0.64,NA,0.65,NA,0.01,0.65,0.66,0.65,0.66,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73100,26,X-ray exam of wrist,A,,0.16,0.08,,0.08,,0.08,,0.08,,0.03,0.27,0.27,0.27,0.27,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73110,,X-ray exam of wrist,A,,0.17,0.89,,0.89,,0.89,NA,0.89,NA,0.02,1.08,1.08,1.08,1.08,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.39,1.39,0.03
73110,TC,X-ray exam of wrist,A,,0.00,0.81,,0.81,,0.81,NA,0.81,NA,0.01,0.82,0.82,0.82,0.82,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73110,26,X-ray exam of wrist,A,,0.17,0.08,,0.08,,0.08,,0.08,,0.01,0.26,0.26,0.26,0.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73115,,Contrast x-ray of wrist,A,,0.54,2.64,,2.66,,2.64,NA,2.66,NA,0.05,3.23,3.25,3.23,3.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,8.31,8.31,0.07
73115,TC,Contrast x-ray of wrist,A,,0.00,2.39,,2.41,,2.39,NA,2.41,NA,0.01,2.40,2.42,2.40,2.42,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,8.06,8.06,0.03
73115,26,Contrast x-ray of wrist,A,,0.54,0.25,,0.25,,0.25,,0.25,,0.04,0.83,0.83,0.83,0.83,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73120,,X-ray exam of hand,A,,0.16,0.64,,0.62,,0.64,NA,0.62,NA,0.02,0.82,0.80,0.82,0.80,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
73120,TC,X-ray exam of hand,A,,0.00,0.57,,0.55,,0.57,NA,0.55,NA,0.01,0.58,0.56,0.58,0.56,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73120,26,X-ray exam of hand,A,,0.16,0.07,,0.07,,0.07,,0.07,,0.01,0.24,0.24,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73130,,X-ray exam of hand,A,,0.17,0.76,,0.75,,0.76,NA,0.75,NA,0.02,0.95,0.94,0.95,0.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
73130,TC,X-ray exam of hand,A,,0.00,0.69,,0.67,,0.69,NA,0.67,NA,0.01,0.70,0.68,0.70,0.68,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73130,26,X-ray exam of hand,A,,0.17,0.07,,0.08,,0.07,,0.08,,0.01,0.25,0.26,0.25,0.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73140,,X-ray exam of finger(s),A,,0.13,0.78,,0.81,,0.78,NA,0.81,NA,0.02,0.93,0.96,0.93,0.96,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
73140,TC,X-ray exam of finger(s),A,,0.00,0.72,,0.75,,0.72,NA,0.75,NA,0.01,0.73,0.76,0.73,0.76,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73140,26,X-ray exam of finger(s),A,,0.13,0.06,,0.06,,0.06,,0.06,,0.01,0.20,0.20,0.20,0.20,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73200,,Ct upper extremity w/o dye,A,,1.00,6.17,,4.93,,6.17,NA,4.93,NA,0.08,7.25,6.01,7.25,6.01,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,6.13,6.13,0.08
73200,TC,Ct upper extremity w/o dye,A,,0.00,5.74,,4.56,,5.74,NA,4.56,NA,0.01,5.75,4.57,5.75,4.57,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
73200,26,Ct upper extremity w/o dye,A,,1.00,0.43,,0.37,,0.43,,0.37,,0.07,1.50,1.44,1.50,1.44,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73201,,Ct upper extremity w/dye,A,,1.16,7.61,,6.15,,7.61,NA,6.15,NA,0.08,8.85,7.39,8.85,7.39,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,9.29,9.29,0.08
73201,TC,Ct upper extremity w/dye,A,,0.00,7.13,,5.71,,7.13,NA,5.71,NA,0.01,7.14,5.72,7.14,5.72,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
73201,26,Ct upper extremity w/dye,A,,1.16,0.48,,0.44,,0.48,,0.44,,0.07,1.71,1.67,1.71,1.67,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73202,,Ct uppr extremity w/o&w/dye,A,,1.22,10.02,,8.09,,10.02,NA,8.09,NA,0.08,11.32,9.39,11.32,9.39,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,10.33,10.33,0.08
73202,TC,Ct uppr extremity w/o&w/dye,A,,0.00,9.52,,7.63,,9.52,NA,7.63,NA,0.01,9.53,7.64,9.53,7.64,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
73202,26,Ct uppr extremity w/o&w/dye,A,,1.22,0.50,,0.46,,0.50,,0.46,,0.07,1.79,1.75,1.79,1.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73206,,Ct angio upr extrm w/o&w/dye,A,,1.81,10.93,,8.48,,10.93,NA,8.48,NA,0.09,12.83,10.38,12.83,10.38,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.71,10.71,0.09
73206,TC,Ct angio upr extrm w/o&w/dye,A,,0.00,10.17,,7.81,,10.17,NA,7.81,NA,0.01,10.18,7.82,10.18,7.82,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.95,9.95,0.01
73206,26,Ct angio upr extrm w/o&w/dye,A,,1.81,0.76,,0.67,,0.76,,0.67,,0.08,2.65,2.56,2.65,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73218,,Mri upper extremity w/o dye,A,,1.35,13.86,,10.93,,13.86,NA,10.93,NA,0.08,15.29,12.36,15.29,12.36,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,10.65,10.65,0.08
73218,TC,Mri upper extremity w/o dye,A,,0.00,13.30,,10.40,,13.30,NA,10.40,NA,0.01,13.31,10.41,13.31,10.41,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
73218,26,Mri upper extremity w/o dye,A,,1.35,0.56,,0.53,,0.56,,0.53,,0.07,1.98,1.95,1.98,1.95,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73219,,Mri upper extremity w/dye,A,,1.62,14.82,,11.43,,14.82,NA,11.43,NA,0.11,16.55,13.16,16.55,13.16,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,13.52,13.52,0.11
73219,TC,Mri upper extremity w/dye,A,,0.00,14.15,,10.82,,14.15,NA,10.82,NA,0.01,14.16,10.83,14.16,10.83,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
73219,26,Mri upper extremity w/dye,A,,1.62,0.67,,0.61,,0.67,,0.61,,0.10,2.39,2.33,2.39,2.33,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73220,,Mri uppr extremity w/o&w/dye,A,,2.15,19.58,,14.21,,19.58,NA,14.21,NA,0.13,21.86,16.49,21.86,16.49,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,16.59,16.59,0.13
73220,TC,Mri uppr extremity w/o&w/dye,A,,0.00,18.69,,13.40,,18.69,NA,13.40,NA,0.01,18.70,13.41,18.70,13.41,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
73220,26,Mri uppr extremity w/o&w/dye,A,,2.15,0.89,,0.81,,0.89,,0.81,,0.12,3.16,3.08,3.16,3.08,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73221,,Mri joint upr extrem w/o dye,A,,1.35,12.95,,10.12,,12.95,NA,10.12,NA,0.11,14.41,11.58,14.41,11.58,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,10.66,10.66,0.11
73221,TC,Mri joint upr extrem w/o dye,A,,0.00,12.38,,9.59,,12.38,NA,9.59,NA,0.01,12.39,9.60,12.39,9.60,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
73221,26,Mri joint upr extrem w/o dye,A,,1.35,0.57,,0.53,,0.57,,0.53,,0.10,2.02,1.98,2.02,1.98,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73222,,Mri joint upr extrem w/dye,A,,1.62,13.97,,10.75,,13.97,NA,10.75,NA,0.11,15.70,12.48,15.70,12.48,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,13.52,13.52,0.11
73222,TC,Mri joint upr extrem w/dye,A,,0.00,13.30,,10.14,,13.30,NA,10.14,NA,0.01,13.31,10.15,13.31,10.15,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
73222,26,Mri joint upr extrem w/dye,A,,1.62,0.67,,0.61,,0.67,,0.61,,0.10,2.39,2.33,2.39,2.33,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73223,,Mri joint upr extr w/o&w/dye,A,,2.15,18.47,,13.25,,18.47,NA,13.25,NA,0.13,20.75,15.53,20.75,15.53,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,16.58,16.58,0.13
73223,TC,Mri joint upr extr w/o&w/dye,A,,0.00,17.59,,12.43,,17.59,NA,12.43,NA,0.01,17.60,12.44,17.60,12.44,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
73223,26,Mri joint upr extr w/o&w/dye,A,,2.15,0.88,,0.82,,0.88,,0.82,,0.12,3.15,3.09,3.15,3.09,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73225,,Mr angio upr extr w/o&w/dye,R,,1.73,16.01,,13.60,,16.01,NA,13.60,NA,0.08,17.82,15.41,17.82,15.41,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.44,16.44,0.08
73225,TC,Mr angio upr extr w/o&w/dye,R,,0.00,15.26,,12.84,,15.26,NA,12.84,NA,0.01,15.27,12.85,15.27,12.85,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,02,0,88,15.69,15.69,0.01
73225,26,Mr angio upr extr w/o&w/dye,R,,1.73,0.75,,0.76,,0.75,,0.76,,0.07,2.55,2.56,2.55,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73500,,X-ray exam of hip,A,,0.17,0.59,,0.58,,0.59,NA,0.58,NA,0.04,0.80,0.79,0.80,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.38,1.38,0.06
73500,TC,X-ray exam of hip,A,,0.00,0.51,,0.50,,0.51,NA,0.50,NA,0.01,0.52,0.51,0.52,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.03
73500,26,X-ray exam of hip,A,,0.17,0.08,,0.08,,0.08,,0.08,,0.03,0.28,0.28,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73510,,X-ray exam of hip,A,,0.21,0.90,,0.89,,0.90,NA,0.89,NA,0.04,1.15,1.14,1.15,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.41,1.41,0.05
73510,TC,X-ray exam of hip,A,,0.00,0.80,,0.79,,0.80,NA,0.79,NA,0.01,0.81,0.80,0.81,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73510,26,X-ray exam of hip,A,,0.21,0.10,,0.10,,0.10,,0.10,,0.03,0.34,0.34,0.34,0.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73520,,X-ray exam of hips,A,,0.26,0.91,,0.89,,0.91,NA,0.89,NA,0.04,1.21,1.19,1.21,1.19,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,1.42,1.42,0.05
73520,TC,X-ray exam of hips,A,,0.00,0.80,,0.77,,0.80,NA,0.77,NA,0.01,0.81,0.78,0.81,0.78,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73520,26,X-ray exam of hips,A,,0.26,0.11,,0.12,,0.11,,0.12,,0.03,0.40,0.41,0.40,0.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73525,,Contrast x-ray of hip,A,,0.54,2.38,,2.37,,2.38,NA,2.37,NA,0.05,2.97,2.96,2.97,2.96,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,8.31,8.31,0.08
73525,TC,Contrast x-ray of hip,A,,0.00,2.13,,2.11,,2.13,NA,2.11,NA,0.01,2.14,2.12,2.14,2.12,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,8.06,8.06,0.04
73525,26,Contrast x-ray of hip,A,,0.54,0.25,,0.26,,0.25,,0.26,,0.04,0.83,0.84,0.83,0.84,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73530,,X-ray exam of hip,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73530,TC,X-ray exam of hip,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
73530,26,X-ray exam of hip,A,,0.29,0.12,,0.11,,0.12,,0.11,,0.03,0.44,0.43,0.44,0.43,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73540,,X-ray exam of pelvis & hips,A,,0.20,0.97,,1.03,,0.97,NA,1.03,NA,0.04,1.21,1.27,1.21,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.40,1.40,0.04
73540,TC,X-ray exam of pelvis & hips,A,,0.00,0.88,,0.93,,0.88,NA,0.93,NA,0.01,0.89,0.94,0.89,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
73540,26,X-ray exam of pelvis & hips,A,,0.20,0.09,,0.10,,0.09,,0.10,,0.03,0.32,0.33,0.32,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73542,,X-ray exam sacroiliac joint,A,,0.59,1.81,,1.85,,1.81,NA,1.85,NA,0.04,2.44,2.48,2.44,2.48,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,8.29,8.29,0.08
73542,TC,X-ray exam sacroiliac joint,A,,0.00,1.56,,1.56,,1.56,NA,1.56,NA,0.01,1.57,1.57,1.57,1.57,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,03,0,99,8.04,8.04,0.05
73542,26,X-ray exam sacroiliac joint,A,,0.59,0.25,,0.29,,0.25,,0.29,,0.03,0.87,0.91,0.87,0.91,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
73550,,X-ray exam of thigh,A,,0.17,0.64,,0.62,,0.64,NA,0.62,NA,0.04,0.85,0.83,0.85,0.83,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.05
73550,TC,X-ray exam of thigh,A,,0.00,0.57,,0.54,,0.57,NA,0.54,NA,0.01,0.58,0.55,0.58,0.55,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73550,26,X-ray exam of thigh,A,,0.17,0.07,,0.08,,0.07,,0.08,,0.03,0.27,0.28,0.27,0.28,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73560,,X-ray exam of knee 1 or 2,A,,0.17,0.70,,0.69,,0.70,NA,0.69,NA,0.04,0.91,0.90,0.91,0.90,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.05
73560,TC,X-ray exam of knee 1 or 2,A,,0.00,0.62,,0.61,,0.62,NA,0.61,NA,0.01,0.63,0.62,0.63,0.62,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73560,26,X-ray exam of knee 1 or 2,A,,0.17,0.08,,0.08,,0.08,,0.08,,0.03,0.28,0.28,0.28,0.28,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73562,,X-ray exam of knee 3,A,,0.18,0.87,,0.87,,0.87,NA,0.87,NA,0.04,1.09,1.09,1.09,1.09,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.40,1.40,0.05
73562,TC,X-ray exam of knee 3,A,,0.00,0.78,,0.78,,0.78,NA,0.78,NA,0.01,0.79,0.79,0.79,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73562,26,X-ray exam of knee 3,A,,0.18,0.09,,0.09,,0.09,,0.09,,0.03,0.30,0.30,0.30,0.30,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73564,,X-ray exam knee 4 or more,A,,0.22,0.99,,1.00,,0.99,NA,1.00,NA,0.04,1.25,1.26,1.25,1.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.41,1.41,0.04
73564,TC,X-ray exam knee 4 or more,A,,0.00,0.89,,0.90,,0.89,NA,0.90,NA,0.01,0.90,0.91,0.90,0.91,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.01
73564,26,X-ray exam knee 4 or more,A,,0.22,0.10,,0.10,,0.10,,0.10,,0.03,0.35,0.35,0.35,0.35,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73565,,X-ray exam of knees,A,,0.17,0.80,,0.83,,0.80,NA,0.83,NA,0.04,1.01,1.04,1.01,1.04,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,1.40,1.40,0.05
73565,TC,X-ray exam of knees,A,,0.00,0.71,,0.74,,0.71,NA,0.74,NA,0.01,0.72,0.75,0.72,0.75,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73565,26,X-ray exam of knees,A,,0.17,0.09,,0.09,,0.09,,0.09,,0.03,0.29,0.29,0.29,0.29,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73580,,Contrast x-ray of knee joint,A,,0.54,3.30,,3.42,,3.30,NA,3.42,NA,0.06,3.90,4.02,3.90,4.02,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,8.34,8.34,0.08
73580,TC,Contrast x-ray of knee joint,A,,0.00,3.03,,3.13,,3.03,NA,3.13,NA,0.01,3.04,3.14,3.04,3.14,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,8.07,8.07,0.03
73580,26,Contrast x-ray of knee joint,A,,0.54,0.27,,0.29,,0.27,,0.29,,0.05,0.86,0.88,0.86,0.88,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73590,,X-ray exam of lower leg,A,,0.17,0.63,,0.60,,0.63,NA,0.60,NA,0.02,0.82,0.79,0.82,0.79,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
73590,TC,X-ray exam of lower leg,A,,0.00,0.56,,0.53,,0.56,NA,0.53,NA,0.01,0.57,0.54,0.57,0.54,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73590,26,X-ray exam of lower leg,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73592,,X-ray exam of leg infant,A,,0.16,0.74,,0.79,,0.74,NA,0.79,NA,0.02,0.92,0.97,0.92,0.97,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
73592,TC,X-ray exam of leg infant,A,,0.00,0.67,,0.71,,0.67,NA,0.71,NA,0.01,0.68,0.72,0.68,0.72,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73592,26,X-ray exam of leg infant,A,,0.16,0.07,,0.08,,0.07,,0.08,,0.01,0.24,0.25,0.24,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73600,,X-ray exam of ankle,A,,0.16,0.66,,0.65,,0.66,NA,0.65,NA,0.02,0.84,0.83,0.84,0.83,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
73600,TC,X-ray exam of ankle,A,,0.00,0.59,,0.58,,0.59,NA,0.58,NA,0.01,0.60,0.59,0.60,0.59,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73600,26,X-ray exam of ankle,A,,0.16,0.07,,0.07,,0.07,,0.07,,0.01,0.24,0.24,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73610,,X-ray exam of ankle,A,,0.17,0.77,,0.78,,0.77,NA,0.78,NA,0.02,0.96,0.97,0.96,0.97,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
73610,TC,X-ray exam of ankle,A,,0.00,0.70,,0.70,,0.70,NA,0.70,NA,0.01,0.71,0.71,0.71,0.71,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73610,26,X-ray exam of ankle,A,,0.17,0.07,,0.08,,0.07,,0.08,,0.01,0.25,0.26,0.25,0.26,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73615,,Contrast x-ray of ankle,A,,0.54,2.49,,2.51,,2.49,NA,2.51,NA,0.05,3.08,3.10,3.08,3.10,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,8.31,8.31,0.08
73615,TC,Contrast x-ray of ankle,A,,0.00,2.24,,2.24,,2.24,NA,2.24,NA,0.01,2.25,2.25,2.25,2.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,8.06,8.06,0.04
73615,26,Contrast x-ray of ankle,A,,0.54,0.25,,0.27,,0.25,,0.27,,0.04,0.83,0.85,0.83,0.85,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73620,,X-ray exam of foot,A,,0.16,0.63,,0.63,,0.63,NA,0.63,NA,0.02,0.81,0.81,0.81,0.81,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.36,1.36,0.03
73620,TC,X-ray exam of foot,A,,0.00,0.57,,0.57,,0.57,NA,0.57,NA,0.01,0.58,0.58,0.58,0.58,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73620,26,X-ray exam of foot,A,,0.16,0.06,,0.06,,0.06,,0.06,,0.01,0.23,0.23,0.23,0.23,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73630,,X-ray exam of foot,A,,0.17,0.75,,0.72,,0.75,NA,0.72,NA,0.02,0.94,0.91,0.94,0.91,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
73630,TC,X-ray exam of foot,A,,0.00,0.68,,0.65,,0.68,NA,0.65,NA,0.01,0.69,0.66,0.69,0.66,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73630,26,X-ray exam of foot,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73650,,X-ray exam of heel,A,,0.16,0.65,,0.65,,0.65,NA,0.65,NA,0.02,0.83,0.83,0.83,0.83,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.37,1.37,0.03
73650,TC,X-ray exam of heel,A,,0.00,0.58,,0.58,,0.58,NA,0.58,NA,0.01,0.59,0.59,0.59,0.59,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
73650,26,X-ray exam of heel,A,,0.16,0.07,,0.07,,0.07,,0.07,,0.01,0.24,0.24,0.24,0.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73660,,X-ray exam of toe(s),A,,0.13,0.72,,0.73,,0.72,NA,0.73,NA,0.02,0.87,0.88,0.87,0.88,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,1.36,1.36,0.03
73660,TC,X-ray exam of toe(s),A,,0.00,0.67,,0.67,,0.67,NA,0.67,NA,0.01,0.68,0.68,0.68,0.68,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
73660,26,X-ray exam of toe(s),A,,0.13,0.05,,0.06,,0.05,,0.06,,0.01,0.19,0.20,0.19,0.20,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73700,,Ct lower extremity w/o dye,A,,1.00,6.18,,4.94,,6.18,NA,4.94,NA,0.08,7.26,6.02,7.26,6.02,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,6.13,6.13,0.08
73700,TC,Ct lower extremity w/o dye,A,,0.00,5.75,,4.57,,5.75,NA,4.57,NA,0.01,5.76,4.58,5.76,4.58,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
73700,26,Ct lower extremity w/o dye,A,,1.00,0.43,,0.37,,0.43,,0.37,,0.07,1.50,1.44,1.50,1.44,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73701,,Ct lower extremity w/dye,A,,1.16,7.69,,6.23,,7.69,NA,6.23,NA,0.08,8.93,7.47,8.93,7.47,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,9.29,9.29,0.08
73701,TC,Ct lower extremity w/dye,A,,0.00,7.21,,5.80,,7.21,NA,5.80,NA,0.01,7.22,5.81,7.22,5.81,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
73701,26,Ct lower extremity w/dye,A,,1.16,0.48,,0.43,,0.48,,0.43,,0.07,1.71,1.66,1.71,1.66,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73702,,Ct lwr extremity w/o&w/dye,A,,1.22,10.08,,8.16,,10.08,NA,8.16,NA,0.08,11.38,9.46,11.38,9.46,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,10.34,10.34,0.08
73702,TC,Ct lwr extremity w/o&w/dye,A,,0.00,9.57,,7.70,,9.57,NA,7.70,NA,0.01,9.58,7.71,9.58,7.71,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
73702,26,Ct lwr extremity w/o&w/dye,A,,1.22,0.51,,0.46,,0.51,,0.46,,0.07,1.80,1.75,1.80,1.75,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73706,,Ct angio lwr extr w/o&w/dye,A,,1.90,12.10,,9.53,,12.10,NA,9.53,NA,0.12,14.12,11.55,14.12,11.55,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,10.75,10.75,0.12
73706,TC,Ct angio lwr extr w/o&w/dye,A,,0.00,11.30,,8.82,,11.30,NA,8.82,NA,0.01,11.31,8.83,11.31,8.83,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,9.95,9.95,0.01
73706,26,Ct angio lwr extr w/o&w/dye,A,,1.90,0.80,,0.71,,0.80,,0.71,,0.11,2.81,2.72,2.81,2.72,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73718,,Mri lower extremity w/o dye,A,,1.35,13.54,,10.64,,13.54,NA,10.64,NA,0.09,14.98,12.08,14.98,12.08,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,10.64,10.64,0.09
73718,TC,Mri lower extremity w/o dye,A,,0.00,12.99,,10.13,,12.99,NA,10.13,NA,0.01,13.00,10.14,13.00,10.14,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
73718,26,Mri lower extremity w/o dye,A,,1.35,0.55,,0.51,,0.55,,0.51,,0.08,1.98,1.94,1.98,1.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73719,,Mri lower extremity w/dye,A,,1.62,14.77,,11.55,,14.77,NA,11.55,NA,0.11,16.50,13.28,16.50,13.28,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,13.51,13.51,0.11
73719,TC,Mri lower extremity w/dye,A,,0.00,14.11,,10.95,,14.11,NA,10.95,NA,0.01,14.12,10.96,14.12,10.96,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
73719,26,Mri lower extremity w/dye,A,,1.62,0.66,,0.60,,0.66,,0.60,,0.10,2.38,2.32,2.38,2.32,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73720,,Mri lwr extremity w/o&w/dye,A,,2.15,19.60,,14.26,,19.60,NA,14.26,NA,0.13,21.88,16.54,21.88,16.54,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,16.58,16.58,0.13
73720,TC,Mri lwr extremity w/o&w/dye,A,,0.00,18.72,,13.46,,18.72,NA,13.46,NA,0.01,18.73,13.47,18.73,13.47,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
73720,26,Mri lwr extremity w/o&w/dye,A,,2.15,0.88,,0.80,,0.88,,0.80,,0.12,3.15,3.07,3.15,3.07,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73721,,Mri jnt of lwr extre w/o dye,A,,1.35,13.22,,10.38,,13.22,NA,10.38,NA,0.11,14.68,11.84,14.68,11.84,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,10.65,10.65,0.11
73721,TC,Mri jnt of lwr extre w/o dye,A,,0.00,12.66,,9.85,,12.66,NA,9.85,NA,0.01,12.67,9.86,12.67,9.86,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,01,0,88,10.09,10.09,0.01
73721,26,Mri jnt of lwr extre w/o dye,A,,1.35,0.56,,0.53,,0.56,,0.53,,0.10,2.01,1.98,2.01,1.98,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73722,,Mri joint of lwr extr w/dye,A,,1.62,14.22,,11.08,,14.22,NA,11.08,NA,0.12,15.96,12.82,15.96,12.82,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,13.53,13.53,0.12
73722,TC,Mri joint of lwr extr w/dye,A,,0.00,13.54,,10.46,,13.54,NA,10.46,NA,0.01,13.55,10.47,13.55,10.47,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
73722,26,Mri joint of lwr extr w/dye,A,,1.62,0.68,,0.62,,0.68,,0.62,,0.11,2.41,2.35,2.41,2.35,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73723,,Mri joint lwr extr w/o&w/dye,A,,2.15,18.43,,13.24,,18.43,NA,13.24,NA,0.13,20.71,15.52,20.71,15.52,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,16.58,16.58,0.13
73723,TC,Mri joint lwr extr w/o&w/dye,A,,0.00,17.55,,12.43,,17.55,NA,12.43,NA,0.01,17.56,12.44,17.56,12.44,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
73723,26,Mri joint lwr extr w/o&w/dye,A,,2.15,0.88,,0.81,,0.88,,0.81,,0.12,3.15,3.08,3.15,3.08,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
73725,,Mr ang lwr ext w or w/o dye,R,,1.82,14.43,,11.56,,14.43,NA,11.56,NA,0.11,16.36,13.49,16.36,13.49,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,09,0,88,16.44,16.44,0.11
73725,TC,Mr ang lwr ext w or w/o dye,R,,0.00,13.68,,10.89,,13.68,NA,10.89,NA,0.01,13.69,10.90,13.69,10.90,1,XXX,0.00,0.00,0.00,4,3,0,0,0,,33.9764,02,0,88,15.69,15.69,0.01
73725,26,Mr ang lwr ext w or w/o dye,R,,1.82,0.75,,0.67,,0.75,,0.67,,0.10,2.67,2.59,2.67,2.59,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74000,,X-ray exam of abdomen,A,,0.18,0.54,,0.49,,0.54,NA,0.49,NA,0.02,0.74,0.69,0.74,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.37,1.37,0.04
74000,TC,X-ray exam of abdomen,A,,0.00,0.47,,0.42,,0.47,NA,0.42,NA,0.01,0.48,0.43,0.48,0.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.03
74000,26,X-ray exam of abdomen,A,,0.18,0.07,,0.07,,0.07,,0.07,,0.01,0.26,0.26,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74010,,X-ray exam of abdomen,A,,0.23,0.88,,0.84,,0.88,NA,0.84,NA,0.02,1.13,1.09,1.13,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.40,1.40,0.03
74010,TC,X-ray exam of abdomen,A,,0.00,0.79,,0.75,,0.79,NA,0.75,NA,0.01,0.80,0.76,0.80,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
74010,26,X-ray exam of abdomen,A,,0.23,0.09,,0.09,,0.09,,0.09,,0.01,0.33,0.33,0.33,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74020,,X-ray exam of abdomen,A,,0.27,0.90,,0.85,,0.90,NA,0.85,NA,0.02,1.19,1.14,1.19,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.42,1.42,0.03
74020,TC,X-ray exam of abdomen,A,,0.00,0.79,,0.75,,0.79,NA,0.75,NA,0.01,0.80,0.76,0.80,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
74020,26,X-ray exam of abdomen,A,,0.27,0.11,,0.10,,0.11,,0.10,,0.01,0.39,0.38,0.39,0.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74022,,X-ray exam series abdomen,A,,0.32,1.09,,1.02,,1.09,NA,1.02,NA,0.02,1.43,1.36,1.43,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.34,2.34,0.03
74022,TC,X-ray exam series abdomen,A,,0.00,0.96,,0.90,,0.96,NA,0.90,NA,0.01,0.97,0.91,0.97,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.21,2.21,0.02
74022,26,X-ray exam series abdomen,A,,0.32,0.13,,0.12,,0.13,,0.12,,0.01,0.46,0.45,0.46,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74150,,Ct abdomen w/o dye,A,,1.19,6.03,,4.71,,6.03,NA,4.71,NA,0.08,7.30,5.98,7.30,5.98,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.19,6.19,0.08
74150,TC,Ct abdomen w/o dye,A,,0.00,5.54,,4.27,,5.54,NA,4.27,NA,0.01,5.55,4.28,5.55,4.28,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,5.70,5.70,0.01
74150,26,Ct abdomen w/o dye,A,,1.19,0.49,,0.44,,0.49,,0.44,,0.07,1.75,1.70,1.75,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74160,,Ct abdomen w/dye,A,,1.27,8.52,,6.83,,8.52,NA,6.83,NA,0.08,9.87,8.18,9.87,8.18,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.34,9.34,0.08
74160,TC,Ct abdomen w/dye,A,,0.00,7.99,,6.35,,7.99,NA,6.35,NA,0.01,8.00,6.36,8.00,6.36,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.81,8.81,0.01
74160,26,Ct abdomen w/dye,A,,1.27,0.53,,0.48,,0.53,,0.48,,0.07,1.87,1.82,1.87,1.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74170,,Ct abdomen w/o & w/dye,A,,1.40,11.55,,9.35,,11.55,NA,9.35,NA,0.09,13.04,10.84,13.04,10.84,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.41,10.41,0.09
74170,TC,Ct abdomen w/o & w/dye,A,,0.00,10.97,,8.82,,10.97,NA,8.82,NA,0.01,10.98,8.83,10.98,8.83,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.83,9.83,0.01
74170,26,Ct abdomen w/o & w/dye,A,,1.40,0.58,,0.53,,0.58,,0.53,,0.08,2.06,2.01,2.06,2.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74175,,Ct angio abdom w/o & w/dye,A,,1.90,12.26,,9.56,,12.26,NA,9.56,NA,0.13,14.29,11.59,14.29,11.59,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.75,10.75,0.13
74175,TC,Ct angio abdom w/o & w/dye,A,,0.00,11.47,,8.86,,11.47,NA,8.86,NA,0.01,11.48,8.87,11.48,8.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.96,9.96,0.01
74175,26,Ct angio abdom w/o & w/dye,A,,1.90,0.79,,0.70,,0.79,,0.70,,0.12,2.81,2.72,2.81,2.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74176,,Ct abd & pelvis,A,,1.74,4.52,,4.52,,4.52,NA,4.52,NA,0.11,6.37,6.37,6.37,6.37,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,09,0,88,6.34,6.34,0.11
74176,TC,Ct abd & pelvis,A,,0.00,3.87,,3.87,,3.87,NA,3.87,NA,0.01,3.88,3.88,3.88,3.88,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,01,0,88,5.69,5.69,0.01
74176,26,Ct abd & pelvis,A,,1.74,0.65,,0.65,,0.65,,0.65,,0.10,2.49,2.49,2.49,2.49,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74177,,Ct abd & pelv w/contrast,A,,1.82,8.08,,8.08,,8.08,NA,8.08,NA,0.11,10.01,10.01,10.01,10.01,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,09,0,88,9.50,9.50,0.11
74177,TC,Ct abd & pelv w/contrast,A,,0.00,7.39,,7.39,,7.39,NA,7.39,NA,0.01,7.40,7.40,7.40,7.40,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,02,0,88,8.81,8.81,0.01
74177,26,Ct abd & pelv w/contrast,A,,1.82,0.69,,0.69,,0.69,,0.69,,0.10,2.61,2.61,2.61,2.61,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74178,,Ct abd & pelv 1/> regns,A,,2.01,10.53,,10.53,,10.53,NA,10.53,NA,0.13,12.67,12.67,12.67,12.67,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,09,0,88,10.59,10.59,0.13
74178,TC,Ct abd & pelv 1/> regns,A,,0.00,9.77,,9.77,,9.77,NA,9.77,NA,0.01,9.78,9.78,9.78,9.78,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,02,0,88,9.83,9.83,0.01
74178,26,Ct abd & pelv 1/> regns,A,,2.01,0.76,,0.76,,0.76,,0.76,,0.12,2.89,2.89,2.89,2.89,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74181,,Mri abdomen w/o dye,A,,1.46,12.05,,9.29,,12.05,NA,9.29,NA,0.09,13.60,10.84,13.60,10.84,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.68,10.68,0.09
74181,TC,Mri abdomen w/o dye,A,,0.00,11.45,,8.75,,11.45,NA,8.75,NA,0.01,11.46,8.76,11.46,8.76,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.08,10.08,0.01
74181,26,Mri abdomen w/o dye,A,,1.46,0.60,,0.54,,0.60,,0.54,,0.08,2.14,2.08,2.14,2.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74182,,Mri abdomen w/dye,A,,1.73,16.56,,13.12,,16.56,NA,13.12,NA,0.11,18.40,14.96,18.40,14.96,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,13.56,13.56,0.11
74182,TC,Mri abdomen w/dye,A,,0.00,15.85,,12.48,,15.85,NA,12.48,NA,0.01,15.86,12.49,15.86,12.49,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,12.85,12.85,0.01
74182,26,Mri abdomen w/dye,A,,1.73,0.71,,0.64,,0.71,,0.64,,0.10,2.54,2.47,2.54,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74183,,Mri abdomen w/o & w/dye,A,,2.26,19.57,,14.23,,19.57,NA,14.23,NA,0.13,21.96,16.62,21.96,16.62,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.62,16.62,0.13
74183,TC,Mri abdomen w/o & w/dye,A,,0.00,18.65,,13.39,,18.65,NA,13.39,NA,0.01,18.66,13.40,18.66,13.40,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.70,15.70,0.01
74183,26,Mri abdomen w/o & w/dye,A,,2.26,0.92,,0.84,,0.92,,0.84,,0.12,3.30,3.22,3.30,3.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74185,,Mri angio abdom w orw/o dye,R,,1.80,14.38,,11.51,,14.38,NA,11.51,NA,0.11,16.29,13.42,16.29,13.42,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.43,16.43,0.11
74185,TC,Mri angio abdom w orw/o dye,R,,0.00,13.64,,10.85,,13.64,NA,10.85,NA,0.01,13.65,10.86,13.65,10.86,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,15.69,15.69,0.01
74185,26,Mri angio abdom w orw/o dye,R,,1.80,0.74,,0.66,,0.74,,0.66,,0.10,2.64,2.56,2.64,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74190,,X-ray exam of peritoneum,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.96,6.96,0.05
74190,TC,X-ray exam of peritoneum,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.76,6.76,0.01
74190,26,X-ray exam of peritoneum,A,,0.48,0.20,,0.17,,0.20,,0.17,,0.04,0.72,0.69,0.72,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74210,,Contrst x-ray exam of throat,A,,0.36,1.94,,1.84,,1.94,NA,1.84,NA,0.02,2.32,2.22,2.32,2.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.69,2.69,0.02
74210,TC,Contrst x-ray exam of throat,A,,0.00,1.79,,1.71,,1.79,NA,1.71,NA,0.01,1.80,1.72,1.80,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.54,2.54,0.01
74210,26,Contrst x-ray exam of throat,A,,0.36,0.15,,0.13,,0.15,,0.13,,0.01,0.52,0.50,0.52,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74220,,Contrast x-ray esophagus,A,,0.46,2.17,,2.09,,2.17,NA,2.09,NA,0.04,2.67,2.59,2.67,2.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.73,2.73,0.04
74220,TC,Contrast x-ray esophagus,A,,0.00,1.98,,1.92,,1.98,NA,1.92,NA,0.01,1.99,1.93,1.99,1.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.54,2.54,0.01
74220,26,Contrast x-ray esophagus,A,,0.46,0.19,,0.17,,0.19,,0.17,,0.03,0.68,0.66,0.68,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74230,,Cine/vid x-ray throat/esoph,A,,0.53,2.14,,2.04,,2.14,NA,2.04,NA,0.04,2.71,2.61,2.71,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.76,2.76,0.04
74230,TC,Cine/vid x-ray throat/esoph,A,,0.00,1.92,,1.84,,1.92,NA,1.84,NA,0.01,1.93,1.85,1.93,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.54,2.54,0.01
74230,26,Cine/vid x-ray throat/esoph,A,,0.53,0.22,,0.20,,0.22,,0.20,,0.03,0.78,0.76,0.78,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74235,,Remove esophagus obstruction,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74235,TC,Remove esophagus obstruction,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74235,26,Remove esophagus obstruction,A,,1.19,0.63,,0.66,,0.63,,0.66,,0.10,1.92,1.95,1.92,1.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74240,,X-ray exam upper gi tract,A,,0.69,2.57,,2.52,,2.57,NA,2.52,NA,0.05,3.31,3.26,3.31,3.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.83,2.83,0.05
74240,TC,X-ray exam upper gi tract,A,,0.00,2.28,,2.25,,2.28,NA,2.25,NA,0.01,2.29,2.26,2.29,2.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.54,2.54,0.01
74240,26,X-ray exam upper gi tract,A,,0.69,0.29,,0.27,,0.29,,0.27,,0.04,1.02,1.00,1.02,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74241,,X-ray exam upper gi tract,A,,0.69,2.78,,2.70,,2.78,NA,2.70,NA,0.04,3.51,3.43,3.51,3.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.82,2.82,0.04
74241,TC,X-ray exam upper gi tract,A,,0.00,2.50,,2.44,,2.50,NA,2.44,NA,0.01,2.51,2.45,2.51,2.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.54,2.54,0.01
74241,26,X-ray exam upper gi tract,A,,0.69,0.28,,0.26,,0.28,,0.26,,0.03,1.00,0.98,1.00,0.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74245,,X-ray exam upper gi tract,A,,0.91,4.27,,4.10,,4.27,NA,4.10,NA,0.06,5.24,5.07,5.24,5.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.55,4.55,0.06
74245,TC,X-ray exam upper gi tract,A,,0.00,3.89,,3.76,,3.89,NA,3.76,NA,0.01,3.90,3.77,3.90,3.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,4.17,4.17,0.01
74245,26,X-ray exam upper gi tract,A,,0.91,0.38,,0.34,,0.38,,0.34,,0.05,1.34,1.30,1.34,1.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74246,,Contrst x-ray uppr gi tract,A,,0.69,3.02,,2.91,,3.02,NA,2.91,NA,0.05,3.76,3.65,3.76,3.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.83,2.83,0.05
74246,TC,Contrst x-ray uppr gi tract,A,,0.00,2.73,,2.65,,2.73,NA,2.65,NA,0.01,2.74,2.66,2.74,2.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.54,2.54,0.01
74246,26,Contrst x-ray uppr gi tract,A,,0.69,0.29,,0.26,,0.29,,0.26,,0.04,1.02,0.99,1.02,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74247,,Contrst x-ray uppr gi tract,A,,0.69,3.44,,3.35,,3.44,NA,3.35,NA,0.05,4.18,4.09,4.18,4.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.83,2.83,0.05
74247,TC,Contrst x-ray uppr gi tract,A,,0.00,3.15,,3.09,,3.15,NA,3.09,NA,0.01,3.16,3.10,3.16,3.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.54,2.54,0.01
74247,26,Contrst x-ray uppr gi tract,A,,0.69,0.29,,0.26,,0.29,,0.26,,0.04,1.02,0.99,1.02,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74249,,Contrst x-ray uppr gi tract,A,,0.91,4.68,,4.52,,4.68,NA,4.52,NA,0.06,5.65,5.49,5.65,5.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.55,4.55,0.06
74249,TC,Contrst x-ray uppr gi tract,A,,0.00,4.30,,4.18,,4.30,NA,4.18,NA,0.01,4.31,4.19,4.31,4.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,4.17,4.17,0.01
74249,26,Contrst x-ray uppr gi tract,A,,0.91,0.38,,0.34,,0.38,,0.34,,0.05,1.34,1.30,1.34,1.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74250,,X-ray exam of small bowel,A,,0.47,2.64,,2.59,,2.64,NA,2.59,NA,0.04,3.15,3.10,3.15,3.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.73,2.73,0.04
74250,TC,X-ray exam of small bowel,A,,0.00,2.45,,2.41,,2.45,NA,2.41,NA,0.01,2.46,2.42,2.46,2.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,2.54,2.54,0.01
74250,26,X-ray exam of small bowel,A,,0.47,0.19,,0.18,,0.19,,0.18,,0.03,0.69,0.68,0.69,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74251,,X-ray exam of small bowel,A,,0.69,10.08,,10.56,,10.08,NA,10.56,NA,0.05,10.82,11.30,10.82,11.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.46,4.46,0.04
74251,TC,X-ray exam of small bowel,A,,0.00,9.79,,10.30,,9.79,NA,10.30,NA,0.01,9.80,10.31,9.80,10.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,4.17,4.17,0.00
74251,26,X-ray exam of small bowel,A,,0.69,0.29,,0.26,,0.29,,0.26,,0.04,1.02,0.99,1.02,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74260,,X-ray exam of small bowel,A,,0.50,8.39,,8.72,,8.39,NA,8.72,NA,0.04,8.93,9.26,8.93,9.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.75,2.75,0.03
74260,TC,X-ray exam of small bowel,A,,0.00,8.19,,8.53,,8.19,NA,8.53,NA,0.01,8.20,8.54,8.20,8.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.55,2.55,0.00
74260,26,X-ray exam of small bowel,A,,0.50,0.20,,0.19,,0.20,,0.19,,0.03,0.73,0.72,0.73,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74261,,Ct colonography dx,A,,2.40,12.70,,12.70,,12.70,NA,12.70,NA,0.13,15.23,15.23,15.23,15.23,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,6.60,6.60,0.12
74261,TC,Ct colonography dx,A,,0.00,11.80,,11.80,,11.80,NA,11.80,NA,0.01,11.81,11.81,11.81,11.81,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,5.70,5.70,0.00
74261,26,Ct colonography dx,A,,2.40,0.90,,0.90,,0.90,,0.90,,0.12,3.42,3.42,3.42,3.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74262,,Ct colonography dx w/dye,A,,2.50,14.27,,14.27,,14.27,NA,14.27,NA,0.15,16.92,16.92,16.92,16.92,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,9.76,9.76,0.15
74262,TC,Ct colonography dx w/dye,A,,0.00,13.33,,13.33,,13.33,NA,13.33,NA,0.01,13.34,13.34,13.34,13.34,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,8.82,8.82,0.01
74262,26,Ct colonography dx w/dye,A,,2.50,0.94,,0.94,,0.94,,0.94,,0.14,3.58,3.58,3.58,3.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74263,,Ct colonography screening,N,+,2.28,20.09,,20.09,,20.09,NA,20.09,NA,0.13,22.50,22.50,22.50,22.50,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
74263,TC,Ct colonography screening,N,+,0.00,19.09,,19.09,,19.09,NA,19.09,NA,0.01,19.10,19.10,19.10,19.10,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,02,0,99,0.00,0.00,0.00
74263,26,Ct colonography screening,N,+,2.28,1.00,,1.00,,1.00,,1.00,,0.12,3.40,3.40,3.40,3.40,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
74270,,Contrast x-ray exam of colon,A,,0.69,3.79,,3.73,,3.79,NA,3.73,NA,0.05,4.53,4.47,4.53,4.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.84,2.84,0.05
74270,TC,Contrast x-ray exam of colon,A,,0.00,3.50,,3.47,,3.50,NA,3.47,NA,0.01,3.51,3.48,3.51,3.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.55,2.55,0.01
74270,26,Contrast x-ray exam of colon,A,,0.69,0.29,,0.26,,0.29,,0.26,,0.04,1.02,0.99,1.02,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74280,,Contrast x-ray exam of colon,A,,0.99,5.23,,5.15,,5.23,NA,5.15,NA,0.06,6.28,6.20,6.28,6.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.58,4.58,0.06
74280,TC,Contrast x-ray exam of colon,A,,0.00,4.82,,4.78,,4.82,NA,4.78,NA,0.01,4.83,4.79,4.83,4.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,4.17,4.17,0.01
74280,26,Contrast x-ray exam of colon,A,,0.99,0.41,,0.37,,0.41,,0.37,,0.05,1.45,1.41,1.45,1.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74283,,Contrast x-ray exam of colon,A,,2.02,3.98,,3.75,,3.98,NA,3.75,NA,0.06,6.06,5.83,6.06,5.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.38,3.38,0.06
74283,TC,Contrast x-ray exam of colon,A,,0.00,3.14,,2.97,,3.14,NA,2.97,NA,0.01,3.15,2.98,3.15,2.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.54,2.54,0.01
74283,26,Contrast x-ray exam of colon,A,,2.02,0.84,,0.78,,0.84,,0.78,,0.05,2.91,2.85,2.91,2.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74290,,Contrast x-ray gallbladder,A,,0.32,1.68,,1.66,,1.68,NA,1.66,NA,0.02,2.02,2.00,2.02,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.67,2.67,0.03
74290,TC,Contrast x-ray gallbladder,A,,0.00,1.55,,1.54,,1.55,NA,1.54,NA,0.01,1.56,1.55,1.56,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.54,2.54,0.02
74290,26,Contrast x-ray gallbladder,A,,0.32,0.13,,0.12,,0.13,,0.12,,0.01,0.46,0.45,0.46,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74291,,Contrast x-rays gallbladder,A,,0.20,1.67,,1.76,,1.67,NA,1.76,NA,0.02,1.89,1.98,1.89,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.62,2.62,0.03
74291,TC,Contrast x-rays gallbladder,A,,0.00,1.59,,1.68,,1.59,NA,1.68,NA,0.01,1.60,1.69,1.60,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.54,2.54,0.02
74291,26,Contrast x-rays gallbladder,A,,0.20,0.08,,0.08,,0.08,,0.08,,0.01,0.29,0.29,0.29,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74300,,X-ray bile ducts/pancreas,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74300,TC,X-ray bile ducts/pancreas,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74300,26,X-ray bile ducts/pancreas,A,,0.36,0.15,,0.14,,0.15,,0.14,,0.03,0.54,0.53,0.54,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74301,,X-rays at surgery add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74301,TC,X-rays at surgery add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74301,26,X-rays at surgery add-on,A,,0.21,0.09,,0.08,,0.09,,0.08,,0.03,0.33,0.32,0.33,0.32,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74305,,X-ray bile ducts/pancreas,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.93,6.93,0.05
74305,TC,X-ray bile ducts/pancreas,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.76,6.76,0.01
74305,26,X-ray bile ducts/pancreas,A,,0.42,0.17,,0.15,,0.17,,0.15,,0.04,0.63,0.61,0.63,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74320,,Contrast x-ray of bile ducts,A,,0.54,2.62,,2.25,,2.62,NA,2.25,NA,0.04,3.20,2.83,3.20,2.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.16,12.16,0.08
74320,TC,Contrast x-ray of bile ducts,A,,0.00,2.39,,2.05,,2.39,NA,2.05,NA,0.01,2.40,2.06,2.40,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,11.93,11.93,0.05
74320,26,Contrast x-ray of bile ducts,A,,0.54,0.23,,0.20,,0.23,,0.20,,0.03,0.80,0.77,0.80,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74327,,X-ray bile stone removal,A,,0.70,3.25,,3.16,,3.25,NA,3.16,NA,0.13,4.08,3.99,4.08,3.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74327,TC,X-ray bile stone removal,A,,0.00,2.96,,2.90,,2.96,NA,2.90,NA,0.01,2.97,2.91,2.97,2.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74327,26,X-ray bile stone removal,A,,0.70,0.29,,0.26,,0.29,,0.26,,0.12,1.11,1.08,1.11,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74328,,X-ray bile duct endoscopy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74328,TC,X-ray bile duct endoscopy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74328,26,X-ray bile duct endoscopy,A,,0.70,0.31,,0.29,,0.31,,0.29,,0.05,1.06,1.04,1.06,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74329,,X-ray for pancreas endoscopy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74329,TC,X-ray for pancreas endoscopy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74329,26,X-ray for pancreas endoscopy,A,,0.70,0.31,,0.29,,0.31,,0.29,,0.05,1.06,1.04,1.06,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74330,,X-ray bile/panc endoscopy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74330,TC,X-ray bile/panc endoscopy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74330,26,X-ray bile/panc endoscopy,A,,0.90,0.39,,0.36,,0.39,,0.36,,0.07,1.36,1.33,1.36,1.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74340,,X-ray guide for GI tube,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74340,TC,X-ray guide for GI tube,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74340,26,X-ray guide for GI tube,A,,0.54,0.23,,0.21,,0.23,,0.21,,0.04,0.81,0.79,0.81,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74355,,X-ray guide intestinal tube,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74355,TC,X-ray guide intestinal tube,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74355,26,X-ray guide intestinal tube,A,,0.76,0.33,,0.31,,0.33,,0.31,,0.07,1.16,1.14,1.16,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74360,,X-ray guide gi dilation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74360,TC,X-ray guide gi dilation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74360,26,X-ray guide gi dilation,A,,0.54,0.28,,0.28,,0.28,,0.28,,0.04,0.86,0.86,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74363,,X-ray bile duct dilation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74363,TC,X-ray bile duct dilation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74363,26,X-ray bile duct dilation,A,,0.88,0.37,,0.32,,0.37,,0.32,,0.08,1.33,1.28,1.33,1.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74400,,Contrst x-ray urinary tract,A,,0.49,2.78,,2.64,,2.78,NA,2.64,NA,0.04,3.31,3.17,3.31,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.36,5.36,0.05
74400,TC,Contrst x-ray urinary tract,A,,0.00,2.58,,2.46,,2.58,NA,2.46,NA,0.01,2.59,2.47,2.59,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,5.16,5.16,0.02
74400,26,Contrst x-ray urinary tract,A,,0.49,0.20,,0.18,,0.20,,0.18,,0.03,0.72,0.70,0.72,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74410,,Contrst x-ray urinary tract,A,,0.49,2.88,,2.64,,2.88,NA,2.64,NA,0.04,3.41,3.17,3.41,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.37,5.37,0.05
74410,TC,Contrst x-ray urinary tract,A,,0.00,2.67,,2.46,,2.67,NA,2.46,NA,0.01,2.68,2.47,2.68,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,5.16,5.16,0.02
74410,26,Contrst x-ray urinary tract,A,,0.49,0.21,,0.18,,0.21,,0.18,,0.03,0.73,0.70,0.73,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74415,,Contrst x-ray urinary tract,A,,0.49,3.50,,3.34,,3.50,NA,3.34,NA,0.04,4.03,3.87,4.03,3.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.37,5.37,0.05
74415,TC,Contrst x-ray urinary tract,A,,0.00,3.30,,3.16,,3.30,NA,3.16,NA,0.01,3.31,3.17,3.31,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,5.17,5.17,0.02
74415,26,Contrst x-ray urinary tract,A,,0.49,0.20,,0.18,,0.20,,0.18,,0.03,0.72,0.70,0.72,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74420,,Contrst x-ray urinary tract,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.32,5.32,0.04
74420,TC,Contrst x-ray urinary tract,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,5.17,5.17,0.01
74420,26,Contrst x-ray urinary tract,A,,0.36,0.15,,0.14,,0.15,,0.14,,0.03,0.54,0.53,0.54,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74425,,Contrst x-ray urinary tract,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.32,5.32,0.04
74425,TC,Contrst x-ray urinary tract,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,5.17,5.17,0.01
74425,26,Contrst x-ray urinary tract,A,,0.36,0.15,,0.13,,0.15,,0.13,,0.03,0.54,0.52,0.54,0.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74430,,Contrast x-ray bladder,A,,0.32,1.46,,0.82,,1.46,NA,0.82,NA,0.02,1.80,1.16,1.80,1.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.27,5.27,0.05
74430,TC,Contrast x-ray bladder,A,,0.00,1.33,,0.70,,1.33,NA,0.70,NA,0.01,1.34,0.71,1.34,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,5.14,5.14,0.04
74430,26,Contrast x-ray bladder,A,,0.32,0.13,,0.12,,0.13,,0.12,,0.01,0.46,0.45,0.46,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74440,,X-ray male genital tract,A,,0.38,2.14,,2.02,,2.14,NA,2.02,NA,0.04,2.56,2.44,2.56,2.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.32,5.32,0.06
74440,TC,X-ray male genital tract,A,,0.00,1.98,,1.87,,1.98,NA,1.87,NA,0.01,1.99,1.88,1.99,1.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,5.16,5.16,0.03
74440,26,X-ray male genital tract,A,,0.38,0.16,,0.15,,0.16,,0.15,,0.03,0.57,0.56,0.57,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74445,,X-ray exam of penis,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.67,5.67,0.11
74445,TC,X-ray exam of penis,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,5.17,5.17,0.01
74445,26,X-ray exam of penis,A,,1.14,0.50,,0.45,,0.50,,0.45,,0.10,1.74,1.69,1.74,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74450,,X-ray urethra/bladder,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.31,5.31,0.04
74450,TC,X-ray urethra/bladder,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,5.17,5.17,0.01
74450,26,X-ray urethra/bladder,A,,0.33,0.14,,0.12,,0.14,,0.12,,0.03,0.50,0.48,0.50,0.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74455,,X-ray urethra/bladder,A,,0.33,2.30,,2.10,,2.30,NA,2.10,NA,0.02,2.65,2.45,2.65,2.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.30,5.30,0.03
74455,TC,X-ray urethra/bladder,A,,0.00,2.16,,1.97,,2.16,NA,1.97,NA,0.01,2.17,1.98,2.17,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,5.16,5.16,0.02
74455,26,X-ray urethra/bladder,A,,0.33,0.14,,0.13,,0.14,,0.13,,0.01,0.48,0.47,0.48,0.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74470,,X-ray exam of kidney lesion,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.99,6.99,0.05
74470,TC,X-ray exam of kidney lesion,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.76,6.76,0.01
74470,26,X-ray exam of kidney lesion,A,,0.54,0.23,,0.20,,0.23,,0.20,,0.04,0.81,0.78,0.81,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74475,,X-ray control cath insert,A,,0.54,2.73,,2.23,,2.73,NA,2.23,NA,0.04,3.31,2.81,3.31,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,35.71,35.71,0.17
74475,TC,X-ray control cath insert,A,,0.00,2.50,,2.03,,2.50,NA,2.03,NA,0.01,2.51,2.04,2.51,2.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,35.48,35.48,0.14
74475,26,X-ray control cath insert,A,,0.54,0.23,,0.20,,0.23,,0.20,,0.03,0.80,0.77,0.80,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74480,,X-ray control cath insert,A,,0.54,2.74,,2.23,,2.74,NA,2.23,NA,0.04,3.32,2.81,3.32,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,35.71,35.71,0.17
74480,TC,X-ray control cath insert,A,,0.00,2.51,,2.03,,2.51,NA,2.03,NA,0.01,2.52,2.04,2.52,2.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,35.48,35.48,0.14
74480,26,X-ray control cath insert,A,,0.54,0.23,,0.20,,0.23,,0.20,,0.03,0.80,0.77,0.80,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74485,,X-ray guide gu dilation,A,,0.54,2.69,,2.27,,2.69,NA,2.27,NA,0.04,3.27,2.85,3.27,2.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,35.71,35.71,0.17
74485,TC,X-ray guide gu dilation,A,,0.00,2.46,,2.07,,2.46,NA,2.07,NA,0.01,2.47,2.08,2.47,2.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,35.48,35.48,0.14
74485,26,X-ray guide gu dilation,A,,0.54,0.23,,0.20,,0.23,,0.20,,0.03,0.80,0.77,0.80,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74710,,X-ray measurement of pelvis,A,,0.34,0.81,,0.68,,0.81,NA,0.68,NA,0.02,1.17,1.04,1.17,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.34,2.34,0.04
74710,TC,X-ray measurement of pelvis,A,,0.00,0.67,,0.55,,0.67,NA,0.55,NA,0.01,0.68,0.56,0.68,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.20,2.20,0.03
74710,26,X-ray measurement of pelvis,A,,0.34,0.14,,0.13,,0.14,,0.13,,0.01,0.49,0.48,0.49,0.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74740,,X-ray female genital tract,A,,0.38,1.94,,1.84,,1.94,NA,1.84,NA,0.02,2.34,2.24,2.34,2.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.89,6.89,0.05
74740,TC,X-ray female genital tract,A,,0.00,1.78,,1.69,,1.78,NA,1.69,NA,0.01,1.79,1.70,1.79,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.73,6.73,0.04
74740,26,X-ray female genital tract,A,,0.38,0.16,,0.15,,0.16,,0.15,,0.01,0.55,0.54,0.55,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74742,,X-ray fallopian tube,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74742,TC,X-ray fallopian tube,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
74742,26,X-ray fallopian tube,A,,0.61,0.25,,0.24,,0.25,,0.24,,0.05,0.91,0.90,0.91,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
74775,,X-ray exam of perineum,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.43,5.43,0.06
74775,TC,X-ray exam of perineum,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,5.17,5.17,0.01
74775,26,X-ray exam of perineum,A,,0.62,0.26,,0.23,,0.26,,0.23,,0.05,0.93,0.90,0.93,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75557,,Cardiac mri for morph,A,,2.35,10.76,,8.11,,10.76,NA,8.11,NA,0.11,13.22,10.57,13.22,10.57,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,11.13,11.13,0.11
75557,TC,Cardiac mri for morph,A,,0.00,9.71,,7.22,,9.71,NA,7.22,NA,0.01,9.72,7.23,9.72,7.23,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,10.08,10.08,0.01
75557,26,Cardiac mri for morph,A,,2.35,1.05,,0.89,,1.05,,0.89,,0.10,3.50,3.34,3.50,3.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75559,,Cardiac mri w/stress img,A,,2.95,16.04,,11.64,,16.04,NA,11.64,NA,0.13,19.12,14.72,19.12,14.72,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,11.47,11.47,0.13
75559,TC,Cardiac mri w/stress img,A,,0.00,14.66,,10.52,,14.66,NA,10.52,NA,0.01,14.67,10.53,14.67,10.53,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,10.09,10.09,0.01
75559,26,Cardiac mri w/stress img,A,,2.95,1.38,,1.12,,1.38,,1.12,,0.12,4.45,4.19,4.45,4.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75561,,Cardiac mri for morph w/dye,A,,2.60,15.18,,11.36,,15.18,NA,11.36,NA,0.12,17.90,14.08,17.90,14.08,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,16.86,16.86,0.12
75561,TC,Cardiac mri for morph w/dye,A,,0.00,14.01,,10.37,,14.01,NA,10.37,NA,0.01,14.02,10.38,14.02,10.38,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,15.69,15.69,0.01
75561,26,Cardiac mri for morph w/dye,A,,2.60,1.17,,0.99,,1.17,,0.99,,0.11,3.88,3.70,3.88,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75563,,Card mri w/stress img & dye,A,,3.00,18.67,,13.55,,18.67,NA,13.55,NA,0.12,21.79,16.67,21.79,16.67,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,17.16,17.16,0.12
75563,TC,Card mri w/stress img & dye,A,,0.00,17.21,,12.38,,17.21,NA,12.38,NA,0.01,17.22,12.39,17.22,12.39,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,15.70,15.70,0.01
75563,26,Card mri w/stress img & dye,A,,3.00,1.46,,1.17,,1.46,,1.17,,0.11,4.57,4.28,4.57,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75565,,Card mri veloc flow mapping,A,,0.25,1.92,,1.92,,1.92,NA,1.92,NA,0.02,2.19,2.19,2.19,2.19,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75565,TC,Card mri veloc flow mapping,A,,0.00,1.81,,1.81,,1.81,NA,1.81,NA,0.01,1.82,1.82,1.82,1.82,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
75565,26,Card mri veloc flow mapping,A,,0.25,0.11,,0.11,,0.11,,0.11,,0.01,0.37,0.37,0.37,0.37,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75571,,Ct hrt w/o dye w/ca test,A,,0.58,2.55,,2.55,,2.55,NA,2.55,NA,0.02,3.15,3.15,3.15,3.15,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,1.58,1.58,0.02
75571,TC,Ct hrt w/o dye w/ca test,A,,0.00,2.33,,2.33,,2.33,NA,2.33,NA,0.01,2.34,2.34,2.34,2.34,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,1.36,1.36,0.01
75571,26,Ct hrt w/o dye w/ca test,A,,0.58,0.22,,0.22,,0.22,,0.22,,0.01,0.81,0.81,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75572,,Ct hrt w/3d image,A,,1.75,6.82,,6.82,,6.82,NA,6.82,NA,0.06,8.63,8.63,8.63,8.63,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,8.22,8.22,0.06
75572,TC,Ct hrt w/3d image,A,,0.00,6.15,,6.15,,6.15,NA,6.15,NA,0.01,6.16,6.16,6.16,6.16,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,7.55,7.55,0.01
75572,26,Ct hrt w/3d image,A,,1.75,0.67,,0.67,,0.67,,0.67,,0.05,2.47,2.47,2.47,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75573,,Ct hrt w/3d image congen,A,,2.55,9.10,,9.10,,9.10,NA,9.10,NA,0.09,11.74,11.74,11.74,11.74,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,8.54,8.54,0.09
75573,TC,Ct hrt w/3d image congen,A,,0.00,8.11,,8.11,,8.11,NA,8.11,NA,0.01,8.12,8.12,8.12,8.12,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,7.55,7.55,0.01
75573,26,Ct hrt w/3d image congen,A,,2.55,0.99,,0.99,,0.99,,0.99,,0.08,3.62,3.62,3.62,3.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75574,,Ct angio hrt w/3d image,A,,2.40,10.63,,10.63,,10.63,NA,10.63,NA,0.09,13.12,13.12,13.12,13.12,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,8.47,8.47,0.09
75574,TC,Ct angio hrt w/3d image,A,,0.00,9.71,,9.71,,9.71,NA,9.71,NA,0.01,9.72,9.72,9.72,9.72,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,7.55,7.55,0.01
75574,26,Ct angio hrt w/3d image,A,,2.40,0.92,,0.92,,0.92,,0.92,,0.08,3.40,3.40,3.40,3.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75600,,Contrast x-ray exam of aorta,A,,0.49,7.45,,5.43,,7.45,NA,5.43,NA,0.04,7.98,5.96,7.98,5.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,59.79,59.79,0.11
75600,TC,Contrast x-ray exam of aorta,A,,0.00,7.22,,5.25,,7.22,NA,5.25,NA,0.01,7.23,5.26,7.23,5.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.56,59.56,0.08
75600,26,Contrast x-ray exam of aorta,A,,0.49,0.23,,0.18,,0.23,,0.18,,0.03,0.75,0.70,0.75,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75605,,Contrast x-ray exam of aorta,A,,1.14,5.13,,3.18,,5.13,NA,3.18,NA,0.08,6.35,4.40,6.35,4.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.02,60.02,0.20
75605,TC,Contrast x-ray exam of aorta,A,,0.00,4.63,,2.76,,4.63,NA,2.76,NA,0.01,4.64,2.77,4.64,2.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.52,59.52,0.13
75605,26,Contrast x-ray exam of aorta,A,,1.14,0.50,,0.42,,0.50,,0.42,,0.07,1.71,1.63,1.71,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75625,,Contrast x-ray exam of aorta,A,,1.14,5.11,,3.27,,5.11,NA,3.27,NA,0.11,6.36,4.52,6.36,4.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,59.99,59.99,0.23
75625,TC,Contrast x-ray exam of aorta,A,,0.00,4.64,,2.86,,4.64,NA,2.86,NA,0.01,4.65,2.87,4.65,2.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.52,59.52,0.13
75625,26,Contrast x-ray exam of aorta,A,,1.14,0.47,,0.41,,0.47,,0.41,,0.10,1.71,1.65,1.71,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75630,,X-ray aorta leg arteries,A,,1.79,5.51,,3.51,,5.51,NA,3.51,NA,0.11,7.41,5.41,7.41,5.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.28,60.28,0.23
75630,TC,X-ray aorta leg arteries,A,,0.00,4.75,,2.85,,4.75,NA,2.85,NA,0.01,4.76,2.86,4.76,2.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.52,59.52,0.13
75630,26,X-ray aorta leg arteries,A,,1.79,0.76,,0.66,,0.76,,0.66,,0.10,2.65,2.55,2.65,2.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75635,,Ct angio abdominal arteries,A,,2.40,13.46,,10.15,,13.46,NA,10.15,NA,0.15,16.01,12.70,16.01,12.70,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,10.97,10.97,0.14
75635,TC,Ct angio abdominal arteries,A,,0.00,12.43,,9.26,,12.43,NA,9.26,NA,0.03,12.46,9.29,12.46,9.29,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,02,0,88,9.94,9.94,0.02
75635,26,Ct angio abdominal arteries,A,,2.40,1.03,,0.89,,1.03,,0.89,,0.12,3.55,3.41,3.55,3.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75650,,Artery x-rays head & neck,A,,1.49,5.30,,3.44,,5.30,NA,3.44,NA,0.11,6.90,5.04,6.90,5.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,97.25,97.25,0.31
75650,TC,Artery x-rays head & neck,A,,0.00,4.67,,2.89,,4.67,NA,2.89,NA,0.01,4.68,2.90,4.68,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,96.62,96.62,0.21
75650,26,Artery x-rays head & neck,A,,1.49,0.63,,0.55,,0.63,,0.55,,0.10,2.22,2.14,2.22,2.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75658,,Artery x-rays arm,A,,1.31,5.67,,4.05,,5.67,NA,4.05,NA,0.09,7.07,5.45,7.07,5.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.04,60.04,0.20
75658,TC,Artery x-rays arm,A,,0.00,5.16,,3.59,,5.16,NA,3.59,NA,0.01,5.17,3.60,5.17,3.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.53,59.53,0.12
75658,26,Artery x-rays arm,A,,1.31,0.51,,0.46,,0.51,,0.46,,0.08,1.90,1.85,1.90,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75660,,Artery x-rays head & neck,A,,1.31,5.81,,4.16,,5.81,NA,4.16,NA,0.05,7.17,5.52,7.17,5.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,97.21,97.21,0.22
75660,TC,Artery x-rays head & neck,A,,0.00,5.24,,3.63,,5.24,NA,3.63,NA,0.01,5.25,3.64,5.25,3.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,96.64,96.64,0.18
75660,26,Artery x-rays head & neck,A,,1.31,0.57,,0.53,,0.57,,0.53,,0.04,1.92,1.88,1.92,1.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75662,,Artery x-rays head & neck,A,,1.66,6.77,,5.05,,6.77,NA,5.05,NA,0.10,8.53,6.81,8.53,6.81,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,97.10,97.10,0.55
75662,TC,Artery x-rays head & neck,A,,0.00,6.01,,4.38,,6.01,NA,4.38,NA,0.03,6.04,4.41,6.04,4.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,96.34,96.34,0.48
75662,26,Artery x-rays head & neck,A,,1.66,0.76,,0.67,,0.76,,0.67,,0.07,2.49,2.40,2.49,2.40,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75665,,Artery x-rays head & neck,A,,1.31,6.05,,4.39,,6.05,NA,4.39,NA,0.12,7.48,5.82,7.48,5.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.11,60.11,0.22
75665,TC,Artery x-rays head & neck,A,,0.00,5.48,,3.87,,5.48,NA,3.87,NA,0.01,5.49,3.88,5.49,3.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.54,59.54,0.11
75665,26,Artery x-rays head & neck,A,,1.31,0.57,,0.52,,0.57,,0.52,,0.11,1.99,1.94,1.99,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75671,,Artery x-rays head & neck,A,,1.66,6.93,,5.24,,6.93,NA,5.24,NA,0.13,8.72,7.03,8.72,7.03,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,97.08,97.08,0.57
75671,TC,Artery x-rays head & neck,A,,0.00,6.21,,4.59,,6.21,NA,4.59,NA,0.03,6.24,4.62,6.24,4.62,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,96.36,96.36,0.47
75671,26,Artery x-rays head & neck,A,,1.66,0.72,,0.65,,0.72,,0.65,,0.10,2.48,2.41,2.48,2.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75676,,Artery x-rays neck,A,,1.31,5.75,,4.03,,5.75,NA,4.03,NA,0.12,7.18,5.46,7.18,5.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.09,60.09,0.22
75676,TC,Artery x-rays neck,A,,0.00,5.19,,3.52,,5.19,NA,3.52,NA,0.01,5.20,3.53,5.20,3.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.53,59.53,0.11
75676,26,Artery x-rays neck,A,,1.31,0.56,,0.51,,0.56,,0.51,,0.11,1.98,1.93,1.98,1.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75680,,Artery x-rays neck,A,,1.66,6.36,,4.56,,6.36,NA,4.56,NA,0.11,8.13,6.33,8.13,6.33,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,60.26,60.26,0.21
75680,TC,Artery x-rays neck,A,,0.00,5.64,,3.92,,5.64,NA,3.92,NA,0.01,5.65,3.93,5.65,3.93,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,59.54,59.54,0.11
75680,26,Artery x-rays neck,A,,1.66,0.72,,0.64,,0.72,,0.64,,0.10,2.48,2.40,2.48,2.40,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75685,,Artery x-rays spine,A,,1.31,5.81,,4.12,,5.81,NA,4.12,NA,0.09,7.21,5.52,7.21,5.52,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,60.10,60.10,0.19
75685,TC,Artery x-rays spine,A,,0.00,5.24,,3.60,,5.24,NA,3.60,NA,0.01,5.25,3.61,5.25,3.61,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,03,0,99,59.53,59.53,0.11
75685,26,Artery x-rays spine,A,,1.31,0.57,,0.52,,0.57,,0.52,,0.08,1.96,1.91,1.96,1.91,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75705,,Artery x-rays spine,A,,2.18,6.14,,4.44,,6.14,NA,4.44,NA,0.08,8.40,6.70,8.40,6.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.47,60.47,0.18
75705,TC,Artery x-rays spine,A,,0.00,5.20,,3.59,,5.20,NA,3.59,NA,0.01,5.21,3.60,5.21,3.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.53,59.53,0.11
75705,26,Artery x-rays spine,A,,2.18,0.94,,0.85,,0.94,,0.85,,0.07,3.19,3.10,3.19,3.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75710,,Artery x-rays arm/leg,A,,1.14,5.69,,3.92,,5.69,NA,3.92,NA,0.06,6.89,5.12,6.89,5.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.00,60.00,0.16
75710,TC,Artery x-rays arm/leg,A,,0.00,5.22,,3.50,,5.22,NA,3.50,NA,0.01,5.23,3.51,5.23,3.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.53,59.53,0.11
75710,26,Artery x-rays arm/leg,A,,1.14,0.47,,0.42,,0.47,,0.42,,0.05,1.66,1.61,1.66,1.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75716,,Artery x-rays arms/legs,A,,1.31,6.53,,4.70,,6.53,NA,4.70,NA,0.13,7.97,6.14,7.97,6.14,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,59.89,59.89,0.40
75716,TC,Artery x-rays arms/legs,A,,0.00,5.99,,4.22,,5.99,NA,4.22,NA,0.03,6.02,4.25,6.02,4.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,59.35,59.35,0.30
75716,26,Artery x-rays arms/legs,A,,1.31,0.54,,0.48,,0.54,,0.48,,0.10,1.95,1.89,1.95,1.89,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75722,,Artery x-rays kidney,A,,1.14,5.46,,3.54,,5.46,NA,3.54,NA,0.08,6.68,4.76,6.68,4.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.03,60.03,0.19
75722,TC,Artery x-rays kidney,A,,0.00,4.96,,3.12,,4.96,NA,3.12,NA,0.01,4.97,3.13,4.97,3.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.53,59.53,0.12
75722,26,Artery x-rays kidney,A,,1.14,0.50,,0.42,,0.50,,0.42,,0.07,1.71,1.63,1.71,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75724,,Artery x-rays kidneys,A,,1.49,6.35,,4.21,,6.35,NA,4.21,NA,0.08,7.92,5.78,7.92,5.78,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,60.05,60.05,0.37
75724,TC,Artery x-rays kidneys,A,,0.00,5.63,,3.64,,5.63,NA,3.64,NA,0.03,5.66,3.67,5.66,3.67,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,59.33,59.33,0.32
75724,26,Artery x-rays kidneys,A,,1.49,0.72,,0.57,,0.72,,0.57,,0.05,2.26,2.11,2.26,2.11,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75726,,Artery x-rays abdomen,A,,1.14,5.61,,3.84,,5.61,NA,3.84,NA,0.09,6.84,5.07,6.84,5.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.00,60.00,0.20
75726,TC,Artery x-rays abdomen,A,,0.00,5.14,,3.43,,5.14,NA,3.43,NA,0.01,5.15,3.44,5.15,3.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.53,59.53,0.12
75726,26,Artery x-rays abdomen,A,,1.14,0.47,,0.41,,0.47,,0.41,,0.08,1.69,1.63,1.69,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75731,,Artery x-rays adrenal gland,A,,1.14,5.75,,3.81,,5.75,NA,3.81,NA,0.05,6.94,5.00,6.94,5.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.06,60.06,0.15
75731,TC,Artery x-rays adrenal gland,A,,0.00,5.22,,3.38,,5.22,NA,3.38,NA,0.01,5.23,3.39,5.23,3.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.53,59.53,0.11
75731,26,Artery x-rays adrenal gland,A,,1.14,0.53,,0.43,,0.53,,0.43,,0.04,1.71,1.61,1.71,1.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75733,,Artery x-rays adrenals,A,,1.31,6.61,,4.45,,6.61,NA,4.45,NA,0.07,7.99,5.83,7.99,5.83,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,59.99,59.99,0.34
75733,TC,Artery x-rays adrenals,A,,0.00,5.97,,3.94,,5.97,NA,3.94,NA,0.03,6.00,3.97,6.00,3.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,59.35,59.35,0.30
75733,26,Artery x-rays adrenals,A,,1.31,0.64,,0.51,,0.64,,0.51,,0.04,1.99,1.86,1.99,1.86,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75736,,Artery x-rays pelvis,A,,1.14,5.61,,3.76,,5.61,NA,3.76,NA,0.06,6.81,4.96,6.81,4.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.01,60.01,0.17
75736,TC,Artery x-rays pelvis,A,,0.00,5.13,,3.35,,5.13,NA,3.35,NA,0.01,5.14,3.36,5.14,3.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.53,59.53,0.12
75736,26,Artery x-rays pelvis,A,,1.14,0.48,,0.41,,0.48,,0.41,,0.05,1.67,1.60,1.67,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75741,,Artery x-rays lung,A,,1.31,5.07,,3.26,,5.07,NA,3.26,NA,0.09,6.47,4.66,6.47,4.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.07,60.07,0.21
75741,TC,Artery x-rays lung,A,,0.00,4.52,,2.79,,4.52,NA,2.79,NA,0.01,4.53,2.80,4.53,2.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.52,59.52,0.13
75741,26,Artery x-rays lung,A,,1.31,0.55,,0.47,,0.55,,0.47,,0.08,1.94,1.86,1.94,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75743,,Artery x-rays lungs,A,,1.66,5.47,,3.64,,5.47,NA,3.64,NA,0.11,7.24,5.41,7.24,5.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,60.22,60.22,0.23
75743,TC,Artery x-rays lungs,A,,0.00,4.77,,3.04,,4.77,NA,3.04,NA,0.01,4.78,3.05,4.78,3.05,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,59.52,59.52,0.13
75743,26,Artery x-rays lungs,A,,1.66,0.70,,0.60,,0.70,,0.60,,0.10,2.46,2.36,2.46,2.36,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75746,,Artery x-rays lung,A,,1.14,5.40,,3.62,,5.40,NA,3.62,NA,0.08,6.62,4.84,6.62,4.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.59,21.59,0.11
75746,TC,Artery x-rays lung,A,,0.00,4.92,,3.19,,4.92,NA,3.19,NA,0.01,4.93,3.20,4.93,3.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.11,21.11,0.04
75746,26,Artery x-rays lung,A,,1.14,0.48,,0.43,,0.48,,0.43,,0.07,1.69,1.64,1.69,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75756,,Artery x-rays chest,A,,1.14,5.77,,3.80,,5.77,NA,3.80,NA,0.23,7.14,5.17,7.14,5.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.65,21.65,0.26
75756,TC,Artery x-rays chest,A,,0.00,5.23,,3.39,,5.23,NA,3.39,NA,0.01,5.24,3.40,5.24,3.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.11,21.11,0.04
75756,26,Artery x-rays chest,A,,1.14,0.54,,0.41,,0.54,,0.41,,0.22,1.90,1.77,1.90,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75774,,Artery x-ray each vessel,A,,0.36,4.30,,2.50,,4.30,NA,2.50,NA,0.04,4.70,2.90,4.70,2.90,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75774,TC,Artery x-ray each vessel,A,,0.00,4.15,,2.37,,4.15,NA,2.37,NA,0.01,4.16,2.38,4.16,2.38,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75774,26,Artery x-ray each vessel,A,,0.36,0.15,,0.13,,0.15,,0.13,,0.03,0.54,0.52,0.54,0.52,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75791,,Av dialysis shunt imaging,A,,1.71,7.84,,7.84,,7.84,NA,7.84,NA,0.11,9.66,9.66,9.66,9.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.37,5.37,0.11
75791,TC,Av dialysis shunt imaging,A,,0.00,7.22,,7.22,,7.22,NA,7.22,NA,0.01,7.23,7.23,7.23,7.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,4.75,4.75,0.01
75791,26,Av dialysis shunt imaging,A,,1.71,0.62,,0.62,,0.62,,0.62,,0.10,2.43,2.43,2.43,2.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75801,,Lymph vessel x-ray arm/leg,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.30,12.30,0.19
75801,TC,Lymph vessel x-ray arm/leg,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,11.97,11.97,0.01
75801,26,Lymph vessel x-ray arm/leg,A,,0.81,0.33,,0.35,,0.33,,0.35,,0.18,1.32,1.34,1.32,1.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75803,,Lymph vessel x-ray arms/legs,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,12.46,12.46,0.11
75803,TC,Lymph vessel x-ray arms/legs,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,11.97,11.97,0.01
75803,26,Lymph vessel x-ray arms/legs,A,,1.17,0.49,,0.44,,0.49,,0.44,,0.10,1.76,1.71,1.76,1.71,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75805,,Lymph vessel x-ray trunk,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.31,12.31,0.08
75805,TC,Lymph vessel x-ray trunk,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,11.97,11.97,0.01
75805,26,Lymph vessel x-ray trunk,A,,0.81,0.34,,0.30,,0.34,,0.30,,0.07,1.22,1.18,1.22,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75807,,Lymph vessel x-ray trunk,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,12.47,12.47,0.11
75807,TC,Lymph vessel x-ray trunk,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,11.97,11.97,0.01
75807,26,Lymph vessel x-ray trunk,A,,1.17,0.50,,0.45,,0.50,,0.45,,0.10,1.77,1.72,1.77,1.72,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75809,,Nonvascular shunt x-ray,A,,0.47,2.38,,2.49,,2.38,NA,2.49,NA,0.04,2.89,3.00,2.89,3.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.42,2.42,0.04
75809,TC,Nonvascular shunt x-ray,A,,0.00,2.18,,2.30,,2.18,NA,2.30,NA,0.01,2.19,2.31,2.19,2.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.22,2.22,0.01
75809,26,Nonvascular shunt x-ray,A,,0.47,0.20,,0.19,,0.20,,0.19,,0.03,0.70,0.69,0.70,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75810,,Vein x-ray spleen/liver,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.13,60.13,0.11
75810,TC,Vein x-ray spleen/liver,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.64,59.64,0.01
75810,26,Vein x-ray spleen/liver,A,,1.14,0.49,,0.43,,0.49,,0.43,,0.10,1.73,1.67,1.73,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75820,,Vein x-ray arm/leg,A,,0.70,2.96,,2.88,,2.96,NA,2.88,NA,0.05,3.71,3.63,3.71,3.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.37,21.37,0.12
75820,TC,Vein x-ray arm/leg,A,,0.00,2.66,,2.62,,2.66,NA,2.62,NA,0.01,2.67,2.63,2.67,2.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.07,21.07,0.08
75820,26,Vein x-ray arm/leg,A,,0.70,0.30,,0.26,,0.30,,0.26,,0.04,1.04,1.00,1.04,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75822,,Vein x-ray arms/legs,A,,1.06,3.41,,3.36,,3.41,NA,3.36,NA,0.08,4.55,4.50,4.55,4.50,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,21.51,21.51,0.14
75822,TC,Vein x-ray arms/legs,A,,0.00,2.98,,2.97,,2.98,NA,2.97,NA,0.01,2.99,2.98,2.99,2.98,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,21.08,21.08,0.07
75822,26,Vein x-ray arms/legs,A,,1.06,0.43,,0.39,,0.43,,0.39,,0.07,1.56,1.52,1.56,1.52,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75825,,Vein x-ray trunk,A,,1.14,4.86,,3.10,,4.86,NA,3.10,NA,0.09,6.09,4.33,6.09,4.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,59.96,59.96,0.22
75825,TC,Vein x-ray trunk,A,,0.00,4.41,,2.69,,4.41,NA,2.69,NA,0.01,4.42,2.70,4.42,2.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.51,59.51,0.14
75825,26,Vein x-ray trunk,A,,1.14,0.45,,0.41,,0.45,,0.41,,0.08,1.67,1.63,1.67,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75827,,Vein x-ray chest,A,,1.14,4.94,,3.27,,4.94,NA,3.27,NA,0.08,6.16,4.49,6.16,4.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.55,21.55,0.12
75827,TC,Vein x-ray chest,A,,0.00,4.50,,2.86,,4.50,NA,2.86,NA,0.01,4.51,2.87,4.51,2.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.11,21.11,0.05
75827,26,Vein x-ray chest,A,,1.14,0.44,,0.41,,0.44,,0.41,,0.07,1.65,1.62,1.65,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75831,,Vein x-ray kidney,A,,1.14,4.97,,3.20,,4.97,NA,3.20,NA,0.25,6.36,4.59,6.36,4.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,59.97,59.97,0.37
75831,TC,Vein x-ray kidney,A,,0.00,4.51,,2.80,,4.51,NA,2.80,NA,0.01,4.52,2.81,4.52,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.51,59.51,0.13
75831,26,Vein x-ray kidney,A,,1.14,0.46,,0.40,,0.46,,0.40,,0.24,1.84,1.78,1.84,1.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75833,,Vein x-ray kidneys,A,,1.49,5.56,,3.83,,5.56,NA,3.83,NA,0.09,7.14,5.41,7.14,5.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,60.10,60.10,0.20
75833,TC,Vein x-ray kidneys,A,,0.00,4.99,,3.32,,4.99,NA,3.32,NA,0.01,5.00,3.33,5.00,3.33,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,59.53,59.53,0.12
75833,26,Vein x-ray kidneys,A,,1.49,0.57,,0.51,,0.57,,0.51,,0.08,2.14,2.08,2.14,2.08,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75840,,Vein x-ray adrenal gland,A,,1.14,4.85,,3.05,,4.85,NA,3.05,NA,0.25,6.24,4.44,6.24,4.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,59.94,59.94,0.37
75840,TC,Vein x-ray adrenal gland,A,,0.00,4.42,,2.67,,4.42,NA,2.67,NA,0.01,4.43,2.68,4.43,2.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.51,59.51,0.13
75840,26,Vein x-ray adrenal gland,A,,1.14,0.43,,0.38,,0.43,,0.38,,0.24,1.81,1.76,1.81,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75842,,Vein x-ray adrenal glands,A,,1.49,5.58,,3.80,,5.58,NA,3.80,NA,0.09,7.16,5.38,7.16,5.38,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,60.15,60.15,0.20
75842,TC,Vein x-ray adrenal glands,A,,0.00,4.96,,3.24,,4.96,NA,3.24,NA,0.01,4.97,3.25,4.97,3.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,59.53,59.53,0.12
75842,26,Vein x-ray adrenal glands,A,,1.49,0.62,,0.56,,0.62,,0.56,,0.08,2.19,2.13,2.19,2.13,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75860,,Vein x-ray neck,A,,1.14,5.06,,3.18,,5.06,NA,3.18,NA,0.09,6.29,4.41,6.29,4.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.61,21.61,0.13
75860,TC,Vein x-ray neck,A,,0.00,4.56,,2.76,,4.56,NA,2.76,NA,0.01,4.57,2.77,4.57,2.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.11,21.11,0.05
75860,26,Vein x-ray neck,A,,1.14,0.50,,0.42,,0.50,,0.42,,0.08,1.72,1.64,1.72,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75870,,Vein x-ray skull,A,,1.14,4.99,,3.15,,4.99,NA,3.15,NA,0.08,6.21,4.37,6.21,4.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.58,21.58,0.12
75870,TC,Vein x-ray skull,A,,0.00,4.52,,2.72,,4.52,NA,2.72,NA,0.01,4.53,2.73,4.53,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.11,21.11,0.05
75870,26,Vein x-ray skull,A,,1.14,0.47,,0.43,,0.47,,0.43,,0.07,1.68,1.64,1.68,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75872,,Vein x-ray skull,A,,1.14,7.16,,6.71,,7.16,NA,6.71,NA,0.08,8.38,7.93,8.38,7.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.71,21.71,0.10
75872,TC,Vein x-ray skull,A,,0.00,6.57,,6.08,,6.57,NA,6.08,NA,0.01,6.58,6.09,6.58,6.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.12,21.12,0.03
75872,26,Vein x-ray skull,A,,1.14,0.59,,0.63,,0.59,,0.63,,0.07,1.80,1.84,1.80,1.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75880,,Vein x-ray eye socket,A,,0.70,4.32,,5.52,,4.32,NA,5.52,NA,0.05,5.07,6.27,5.07,6.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.42,21.42,0.09
75880,TC,Vein x-ray eye socket,A,,0.00,4.00,,5.18,,4.00,NA,5.18,NA,0.01,4.01,5.19,4.01,5.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.10,21.10,0.05
75880,26,Vein x-ray eye socket,A,,0.70,0.32,,0.34,,0.32,,0.34,,0.04,1.06,1.08,1.06,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75885,,Vein x-ray liver,A,,1.44,5.11,,3.29,,5.11,NA,3.29,NA,0.09,6.64,4.82,6.64,4.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,60.11,60.11,0.21
75885,TC,Vein x-ray liver,A,,0.00,4.51,,2.77,,4.51,NA,2.77,NA,0.01,4.52,2.78,4.52,2.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.51,59.51,0.13
75885,26,Vein x-ray liver,A,,1.44,0.60,,0.52,,0.60,,0.52,,0.08,2.12,2.04,2.12,2.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75887,,Vein x-ray liver,A,,1.44,5.19,,3.38,,5.19,NA,3.38,NA,0.06,6.69,4.88,6.69,4.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,21.72,21.72,0.10
75887,TC,Vein x-ray liver,A,,0.00,4.58,,2.85,,4.58,NA,2.85,NA,0.01,4.59,2.86,4.59,2.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,21.11,21.11,0.05
75887,26,Vein x-ray liver,A,,1.44,0.61,,0.53,,0.61,,0.53,,0.05,2.10,2.02,2.10,2.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75889,,Vein x-ray liver,A,,1.14,4.98,,3.21,,4.98,NA,3.21,NA,0.08,6.20,4.43,6.20,4.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,59.99,59.99,0.20
75889,TC,Vein x-ray liver,A,,0.00,4.51,,2.80,,4.51,NA,2.80,NA,0.01,4.52,2.81,4.52,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.52,59.52,0.13
75889,26,Vein x-ray liver,A,,1.14,0.47,,0.41,,0.47,,0.41,,0.07,1.68,1.62,1.68,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75891,,Vein x-ray liver,A,,1.14,4.99,,3.21,,4.99,NA,3.21,NA,0.08,6.21,4.43,6.21,4.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,59.99,59.99,0.20
75891,TC,Vein x-ray liver,A,,0.00,4.52,,2.80,,4.52,NA,2.80,NA,0.01,4.53,2.81,4.53,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.52,59.52,0.13
75891,26,Vein x-ray liver,A,,1.14,0.47,,0.41,,0.47,,0.41,,0.07,1.68,1.62,1.68,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75893,,Venous sampling by catheter,A,,0.54,4.70,,2.94,,4.70,NA,2.94,NA,0.02,5.26,3.50,5.26,3.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,59.73,59.73,0.14
75893,TC,Venous sampling by catheter,A,,0.00,4.48,,2.74,,4.48,NA,2.74,NA,0.01,4.49,2.75,4.49,2.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,59.51,59.51,0.13
75893,26,Venous sampling by catheter,A,,0.54,0.22,,0.20,,0.22,,0.20,,0.01,0.77,0.75,0.77,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75894,,X-rays transcath therapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75894,TC,X-rays transcath therapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75894,26,X-rays transcath therapy,A,,1.31,0.54,,0.48,,0.54,,0.48,,0.16,2.01,1.95,2.01,1.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75896,,X-rays transcath therapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75896,TC,X-rays transcath therapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75896,26,X-rays transcath therapy,A,,1.31,0.56,,0.48,,0.56,,0.48,,0.16,2.03,1.95,2.03,1.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75898,,Follow-up angiography,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.93,2.93,0.21
75898,TC,Follow-up angiography,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.22,2.22,0.01
75898,26,Follow-up angiography,A,,1.65,0.71,,0.62,,0.71,,0.62,,0.20,2.56,2.47,2.56,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75900,,Intravascular cath exchange,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75900,TC,Intravascular cath exchange,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75900,26,Intravascular cath exchange,A,,0.49,0.20,,0.17,,0.20,,0.17,,0.05,0.74,0.71,0.74,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75901,,Remove cva device obstruct,A,,0.49,4.41,,4.56,,4.41,NA,4.56,NA,0.04,4.94,5.09,4.94,5.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75901,TC,Remove cva device obstruct,A,,0.00,4.21,,4.38,,4.21,NA,4.38,NA,0.01,4.22,4.39,4.22,4.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75901,26,Remove cva device obstruct,A,,0.49,0.20,,0.18,,0.20,,0.18,,0.03,0.72,0.70,0.72,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75902,,Remove cva lumen obstruct,A,,0.39,1.84,,1.76,,1.84,NA,1.76,NA,0.05,2.28,2.20,2.28,2.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75902,TC,Remove cva lumen obstruct,A,,0.00,1.69,,1.62,,1.69,NA,1.62,NA,0.01,1.70,1.63,1.70,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75902,26,Remove cva lumen obstruct,A,,0.39,0.15,,0.14,,0.15,,0.14,,0.04,0.58,0.57,0.58,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75940,,X-ray placement vein filter,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75940,TC,X-ray placement vein filter,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75940,26,X-ray placement vein filter,A,,0.54,0.21,,0.19,,0.21,,0.19,,0.07,0.82,0.80,0.82,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75945,,Intravascular us,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.65,4.65,0.06
75945,TC,Intravascular us,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,4.49,4.49,0.01
75945,26,Intravascular us,A,,0.40,0.16,,0.14,,0.16,,0.14,,0.05,0.61,0.59,0.61,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75946,,Intravascular us add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75946,TC,Intravascular us add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75946,26,Intravascular us add-on,A,,0.40,0.15,,0.13,,0.15,,0.13,,0.07,0.62,0.60,0.62,0.60,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75952,,Endovasc repair abdom aorta,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75952,TC,Endovasc repair abdom aorta,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75952,26,Endovasc repair abdom aorta,A,,4.49,1.64,,1.54,,1.64,,1.54,,0.86,6.99,6.89,6.99,6.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75953,,Abdom aneurysm endovas rpr,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75953,TC,Abdom aneurysm endovas rpr,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75953,26,Abdom aneurysm endovas rpr,A,,1.36,0.50,,0.47,,0.50,,0.47,,0.27,2.13,2.10,2.13,2.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75954,,Iliac aneurysm endovas rpr,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75954,TC,Iliac aneurysm endovas rpr,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75954,26,Iliac aneurysm endovas rpr,A,,2.25,0.83,,0.79,,0.83,,0.79,,0.41,3.49,3.45,3.49,3.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75956,,Xray endovasc thor ao repr,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75956,TC,Xray endovasc thor ao repr,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75956,26,Xray endovasc thor ao repr,A,,7.00,2.54,,2.34,,2.54,,2.34,,1.44,10.98,10.78,10.98,10.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75957,,Xray endovasc thor ao repr,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75957,TC,Xray endovasc thor ao repr,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75957,26,Xray endovasc thor ao repr,A,,6.00,2.18,,2.02,,2.18,,2.02,,1.21,9.39,9.23,9.39,9.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75958,,Xray place prox ext thor ao,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75958,TC,Xray place prox ext thor ao,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75958,26,Xray place prox ext thor ao,A,,4.00,1.42,,1.33,,1.42,,1.33,,0.82,6.24,6.15,6.24,6.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75959,,Xray place dist ext thor ao,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75959,TC,Xray place dist ext thor ao,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75959,26,Xray place dist ext thor ao,A,,3.50,1.19,,1.05,,1.19,,1.05,,0.83,5.52,5.38,5.52,5.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75960,,Transcath iv stent rs&i,A,,0.82,4.84,,2.69,,4.84,NA,2.69,NA,0.06,5.72,3.57,5.72,3.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75960,TC,Transcath iv stent rs&i,A,,0.00,4.50,,2.39,,4.50,NA,2.39,NA,0.01,4.51,2.40,4.51,2.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75960,26,Transcath iv stent rs&i,A,,0.82,0.34,,0.30,,0.34,,0.30,,0.05,1.21,1.17,1.21,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75961,,Retrieval broken catheter,A,,4.24,6.38,,4.76,,6.38,NA,4.76,NA,0.28,10.90,9.28,10.90,9.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75961,TC,Retrieval broken catheter,A,,0.00,4.65,,3.25,,4.65,NA,3.25,NA,0.01,4.66,3.26,4.66,3.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75961,26,Retrieval broken catheter,A,,4.24,1.73,,1.51,,1.73,,1.51,,0.27,6.24,6.02,6.24,6.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75962,,Repair arterial blockage,A,,0.54,5.69,,3.44,,5.69,NA,3.44,NA,0.04,6.27,4.02,6.27,4.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,111.28,111.28,0.23
75962,TC,Repair arterial blockage,A,,0.00,5.47,,3.25,,5.47,NA,3.25,NA,0.01,5.48,3.26,5.48,3.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,111.06,111.06,0.20
75962,26,Repair arterial blockage,A,,0.54,0.22,,0.19,,0.22,,0.19,,0.03,0.79,0.76,0.79,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75964,,Repair artery blockage each,A,,0.36,3.50,,2.34,,3.50,NA,2.34,NA,0.05,3.91,2.75,3.91,2.75,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75964,TC,Repair artery blockage each,A,,0.00,3.36,,2.21,,3.36,NA,2.21,NA,0.01,3.37,2.22,3.37,2.22,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75964,26,Repair artery blockage each,A,,0.36,0.14,,0.13,,0.14,,0.13,,0.04,0.54,0.53,0.54,0.53,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75966,,Repair arterial blockage,A,,1.31,6.15,,3.70,,6.15,NA,3.70,NA,0.08,7.54,5.09,7.54,5.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,111.64,111.64,0.27
75966,TC,Repair arterial blockage,A,,0.00,5.57,,3.22,,5.57,NA,3.22,NA,0.01,5.58,3.23,5.58,3.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,111.06,111.06,0.20
75966,26,Repair arterial blockage,A,,1.31,0.58,,0.48,,0.58,,0.48,,0.07,1.96,1.86,1.96,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75968,,Repair artery blockage each,A,,0.36,3.45,,2.20,,3.45,NA,2.20,NA,0.02,3.83,2.58,3.83,2.58,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75968,TC,Repair artery blockage each,A,,0.00,3.29,,2.07,,3.29,NA,2.07,NA,0.01,3.30,2.08,3.30,2.08,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75968,26,Repair artery blockage each,A,,0.36,0.16,,0.13,,0.16,,0.13,,0.01,0.53,0.50,0.53,0.50,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75970,,Vascular biopsy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75970,TC,Vascular biopsy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75970,26,Vascular biopsy,A,,0.83,0.35,,0.30,,0.35,,0.30,,0.07,1.25,1.20,1.25,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75978,,Repair venous blockage,A,,0.54,5.70,,3.62,,5.70,NA,3.62,NA,0.04,6.28,4.20,6.28,4.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,74.04,74.04,0.16
75978,TC,Repair venous blockage,A,,0.00,5.49,,3.42,,5.49,NA,3.42,NA,0.01,5.50,3.43,5.50,3.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,73.83,73.83,0.13
75978,26,Repair venous blockage,A,,0.54,0.21,,0.20,,0.21,,0.20,,0.03,0.78,0.77,0.78,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75980,,Contrast xray exam bile duct,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75980,TC,Contrast xray exam bile duct,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75980,26,Contrast xray exam bile duct,A,,1.44,0.60,,0.52,,0.60,,0.52,,0.12,2.16,2.08,2.16,2.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75982,,Contrast xray exam bile duct,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75982,TC,Contrast xray exam bile duct,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75982,26,Contrast xray exam bile duct,A,,1.44,0.60,,0.52,,0.60,,0.52,,0.12,2.16,2.08,2.16,2.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75984,,Xray control catheter change,A,,0.72,2.63,,2.45,,2.63,NA,2.45,NA,0.05,3.40,3.22,3.40,3.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75984,TC,Xray control catheter change,A,,0.00,2.33,,2.19,,2.33,NA,2.19,NA,0.01,2.34,2.20,2.34,2.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75984,26,Xray control catheter change,A,,0.72,0.30,,0.26,,0.30,,0.26,,0.04,1.06,1.02,1.06,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75989,,Abscess drainage under x-ray,A,,1.19,2.76,,2.37,,2.76,NA,2.37,NA,0.06,4.01,3.62,4.01,3.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
75989,TC,Abscess drainage under x-ray,A,,0.00,2.27,,1.93,,2.27,NA,1.93,NA,0.01,2.28,1.94,2.28,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
75989,26,Abscess drainage under x-ray,A,,1.19,0.49,,0.44,,0.49,,0.44,,0.05,1.73,1.68,1.73,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76000,,Fluoroscope examination,A,,0.17,2.10,,1.30,,2.10,NA,1.30,NA,0.02,2.29,1.49,2.29,1.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.52,2.52,0.02
76000,TC,Fluoroscope examination,A,,0.00,2.03,,1.23,,2.03,NA,1.23,NA,0.01,2.04,1.24,2.04,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.45,2.45,0.01
76000,26,Fluoroscope examination,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76001,,Fluoroscope exam extensive,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76001,TC,Fluoroscope exam extensive,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76001,26,Fluoroscope exam extensive,A,,0.67,0.30,,0.30,,0.30,,0.30,,0.08,1.05,1.05,1.05,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76010,,X-ray nose to rectum,A,,0.18,0.62,,0.56,,0.62,NA,0.56,NA,0.02,0.82,0.76,0.82,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.38,1.38,0.03
76010,TC,X-ray nose to rectum,A,,0.00,0.54,,0.49,,0.54,NA,0.49,NA,0.01,0.55,0.50,0.55,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.02
76010,26,X-ray nose to rectum,A,,0.18,0.08,,0.07,,0.08,,0.07,,0.01,0.27,0.26,0.27,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76080,,X-ray exam of fistula,A,,0.54,1.27,,1.15,,1.27,NA,1.15,NA,0.04,1.85,1.73,1.85,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.93,6.93,0.09
76080,TC,X-ray exam of fistula,A,,0.00,1.04,,0.95,,1.04,NA,0.95,NA,0.01,1.05,0.96,1.05,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,6.70,6.70,0.06
76080,26,X-ray exam of fistula,A,,0.54,0.23,,0.20,,0.23,,0.20,,0.03,0.80,0.77,0.80,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76098,,X-ray exam breast specimen,A,,0.16,0.39,,0.33,,0.39,NA,0.33,NA,0.02,0.57,0.51,0.57,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,11.69,11.69,0.37
76098,TC,X-ray exam breast specimen,A,,0.00,0.32,,0.27,,0.32,NA,0.27,NA,0.01,0.33,0.28,0.33,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,11.62,11.62,0.36
76098,26,X-ray exam breast specimen,A,,0.16,0.07,,0.06,,0.07,,0.06,,0.01,0.24,0.23,0.24,0.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76100,,X-ray exam of body section,A,,0.58,2.99,,2.33,,2.99,NA,2.33,NA,0.06,3.63,2.97,3.63,2.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.50,2.50,0.06
76100,TC,X-ray exam of body section,A,,0.00,2.71,,2.02,,2.71,NA,2.02,NA,0.01,2.72,2.03,2.72,2.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.22,2.22,0.01
76100,26,X-ray exam of body section,A,,0.58,0.28,,0.31,,0.28,,0.31,,0.05,0.91,0.94,0.91,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76101,,Complex body section x-ray,A,,0.58,4.55,,3.72,,4.55,NA,3.72,NA,0.09,5.22,4.39,5.22,4.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.08,7.08,0.10
76101,TC,Complex body section x-ray,A,,0.00,4.22,,3.31,,4.22,NA,3.31,NA,0.01,4.23,3.32,4.23,3.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,6.75,6.75,0.02
76101,26,Complex body section x-ray,A,,0.58,0.33,,0.41,,0.33,,0.41,,0.08,0.99,1.07,0.99,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76102,,Complex body section x-rays,A,,0.58,6.32,,5.19,,6.32,NA,5.19,NA,0.11,7.01,5.88,7.01,5.88,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,7.09,7.09,0.11
76102,TC,Complex body section x-rays,A,,0.00,5.99,,4.77,,5.99,NA,4.77,NA,0.01,6.00,4.78,6.00,4.78,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,6.76,6.76,0.01
76102,26,Complex body section x-rays,A,,0.58,0.33,,0.42,,0.33,,0.42,,0.10,1.01,1.10,1.01,1.10,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76120,,Cine/video x-rays,A,,0.38,1.85,,1.73,,1.85,NA,1.73,NA,0.04,2.27,2.15,2.27,2.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.59,2.59,0.04
76120,TC,Cine/video x-rays,A,,0.00,1.70,,1.58,,1.70,NA,1.58,NA,0.01,1.71,1.59,1.71,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,2.44,2.44,0.01
76120,26,Cine/video x-rays,A,,0.38,0.15,,0.15,,0.15,,0.15,,0.03,0.56,0.56,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76125,,Cine/video x-rays add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76125,TC,Cine/video x-rays add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
76125,26,Cine/video x-rays add-on,A,,0.27,0.13,,0.11,,0.13,,0.11,,0.03,0.43,0.41,0.43,0.41,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76140,,X-ray consultation,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
76376,,3d render w/o postprocess,A,,0.20,1.90,,1.45,,1.90,NA,1.45,NA,0.02,2.12,1.67,2.12,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76376,TC,3d render w/o postprocess,A,,0.00,1.81,,1.37,,1.81,NA,1.37,NA,0.01,1.82,1.38,1.82,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
76376,26,3d render w/o postprocess,A,,0.20,0.09,,0.08,,0.09,,0.08,,0.01,0.30,0.29,0.30,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76377,,3d rendering w/postprocess,A,,0.79,1.92,,1.42,,1.92,NA,1.42,NA,0.05,2.76,2.26,2.76,2.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76377,TC,3d rendering w/postprocess,A,,0.00,1.59,,1.12,,1.59,NA,1.12,NA,0.01,1.60,1.13,1.60,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76377,26,3d rendering w/postprocess,A,,0.79,0.33,,0.30,,0.33,,0.30,,0.04,1.16,1.13,1.16,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76380,,CAT scan follow-up study,A,,0.98,4.57,,3.70,,4.57,NA,3.70,NA,0.05,5.60,4.73,5.60,4.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.74,3.74,0.05
76380,TC,CAT scan follow-up study,A,,0.00,4.16,,3.32,,4.16,NA,3.32,NA,0.01,4.17,3.33,4.17,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,3.33,3.33,0.01
76380,26,CAT scan follow-up study,A,,0.98,0.41,,0.38,,0.41,,0.38,,0.04,1.43,1.40,1.43,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76390,,Mr spectroscopy,N,+,1.40,12.50,,11.89,,12.50,NA,11.89,NA,0.06,13.96,13.35,13.96,13.35,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
76390,TC,Mr spectroscopy,N,+,0.00,11.91,,11.28,,11.91,NA,11.28,NA,0.01,11.92,11.29,11.92,11.29,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
76390,26,Mr spectroscopy,N,+,1.40,0.59,,0.61,,0.59,,0.61,,0.05,2.04,2.06,2.04,2.06,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
76496,,Fluoroscopic procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76496,TC,Fluoroscopic procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,2.45,2.45,0.01
76496,26,Fluoroscopic procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76497,,Ct procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
76497,TC,Ct procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,3.33,3.33,0.01
76497,26,Ct procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76498,,Mri procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
76498,TC,Mri procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,10.08,10.08,0.01
76498,26,Mri procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76499,,Radiographic procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76499,TC,Radiographic procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.32,1.32,0.01
76499,26,Radiographic procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76506,,Echo exam of head,A,,0.63,2.89,,2.82,,2.89,NA,2.82,NA,0.05,3.57,3.50,3.57,3.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.09,2.09,0.05
76506,TC,Echo exam of head,A,,0.00,2.63,,2.58,,2.63,NA,2.58,NA,0.01,2.64,2.59,2.64,2.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.83,1.83,0.01
76506,26,Echo exam of head,A,,0.63,0.26,,0.24,,0.26,,0.24,,0.04,0.93,0.91,0.93,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76510,,Ophth us b & quant a,A,,1.55,3.11,,3.24,,3.11,NA,3.24,NA,0.27,4.93,5.06,4.93,5.06,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,6.07,6.07,0.28
76510,TC,Ophth us b & quant a,A,,0.00,2.18,,2.16,,2.18,NA,2.16,NA,0.01,2.19,2.17,2.19,2.17,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,02,0,99,5.14,5.14,0.02
76510,26,Ophth us b & quant a,A,,1.55,0.93,,1.08,,0.93,,1.08,,0.26,2.74,2.89,2.74,2.89,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76511,,Ophth us quant a only,A,,0.94,1.97,,1.94,,1.97,NA,1.94,NA,0.02,2.93,2.90,2.93,2.90,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,3.36,3.36,0.03
76511,TC,Ophth us quant a only,A,,0.00,1.42,,1.30,,1.42,NA,1.30,NA,0.01,1.43,1.31,1.43,1.31,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,02,0,99,2.81,2.81,0.02
76511,26,Ophth us quant a only,A,,0.94,0.55,,0.64,,0.55,,0.64,,0.01,1.50,1.59,1.50,1.59,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76512,,Ophth us b w/non-quant a,A,,0.94,1.73,,1.68,,1.73,NA,1.68,NA,0.05,2.72,2.67,2.72,2.67,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,3.36,3.36,0.06
76512,TC,Ophth us b w/non-quant a,A,,0.00,1.18,,1.05,,1.18,NA,1.05,NA,0.01,1.19,1.06,1.19,1.06,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,02,0,99,2.81,2.81,0.02
76512,26,Ophth us b w/non-quant a,A,,0.94,0.55,,0.63,,0.55,,0.63,,0.04,1.53,1.61,1.53,1.61,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76513,,Echo exam of eye water bath,A,,0.66,1.91,,1.94,,1.91,NA,1.94,NA,0.02,2.59,2.62,2.59,2.62,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,3.15,3.15,0.03
76513,TC,Echo exam of eye water bath,A,,0.00,1.58,,1.57,,1.58,NA,1.57,NA,0.01,1.59,1.58,1.59,1.58,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,02,0,99,2.82,2.82,0.02
76513,26,Echo exam of eye water bath,A,,0.66,0.33,,0.37,,0.33,,0.37,,0.01,1.00,1.04,1.00,1.04,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76514,,Echo exam of eye thickness,A,,0.17,0.22,,0.24,,0.22,NA,0.24,NA,0.02,0.41,0.43,0.41,0.43,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.60,0.60,0.05
76514,TC,Echo exam of eye thickness,A,,0.00,0.12,,0.13,,0.12,NA,0.13,NA,0.01,0.13,0.14,0.13,0.14,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.50,0.50,0.04
76514,26,Echo exam of eye thickness,A,,0.17,0.10,,0.11,,0.10,,0.11,,0.01,0.28,0.29,0.28,0.29,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76516,,Echo exam of eye,A,,0.54,1.56,,1.61,,1.56,NA,1.61,NA,0.02,2.12,2.17,2.12,2.17,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,2.13,2.13,0.02
76516,TC,Echo exam of eye,A,,0.00,1.25,,1.25,,1.25,NA,1.25,NA,0.01,1.26,1.26,1.26,1.26,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76516,26,Echo exam of eye,A,,0.54,0.31,,0.36,,0.31,,0.36,,0.01,0.86,0.91,0.86,0.91,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76519,,Echo exam of eye,A,,0.54,1.72,,1.77,,1.72,NA,1.77,NA,0.04,2.30,2.35,2.30,2.35,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,3.13,3.13,0.05
76519,TC,Echo exam of eye,A,,0.00,1.40,,1.40,,1.40,NA,1.40,NA,0.01,1.41,1.41,1.41,1.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,2.81,2.81,0.02
76519,26,Echo exam of eye,A,,0.54,0.32,,0.37,,0.32,,0.37,,0.03,0.89,0.94,0.89,0.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76529,,Echo exam of eye,A,,0.57,1.56,,1.63,,1.56,NA,1.63,NA,0.04,2.17,2.24,2.17,2.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,2.16,2.16,0.04
76529,TC,Echo exam of eye,A,,0.00,1.22,,1.23,,1.22,NA,1.23,NA,0.01,1.23,1.24,1.23,1.24,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76529,26,Echo exam of eye,A,,0.57,0.34,,0.40,,0.34,,0.40,,0.03,0.94,1.00,0.94,1.00,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76536,,Us exam of head and neck,A,,0.56,2.90,,2.88,,2.90,NA,2.88,NA,0.04,3.50,3.48,3.50,3.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.05,3.05,0.04
76536,TC,Us exam of head and neck,A,,0.00,2.67,,2.66,,2.67,NA,2.66,NA,0.01,2.68,2.67,2.68,2.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.82,2.82,0.01
76536,26,Us exam of head and neck,A,,0.56,0.23,,0.22,,0.23,,0.22,,0.03,0.82,0.81,0.82,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76604,,Us exam chest,A,,0.55,2.01,,1.90,,2.01,NA,1.90,NA,0.04,2.60,2.49,2.60,2.49,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,2.04,2.04,0.04
76604,TC,Us exam chest,A,,0.00,1.79,,1.70,,1.79,NA,1.70,NA,0.01,1.80,1.71,1.80,1.71,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,1.82,1.82,0.01
76604,26,Us exam chest,A,,0.55,0.22,,0.20,,0.22,,0.20,,0.03,0.80,0.78,0.80,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76645,,Us exam breast(s),A,,0.54,2.25,,2.20,,2.25,NA,2.20,NA,0.05,2.84,2.79,2.84,2.79,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,2.04,2.04,0.05
76645,TC,Us exam breast(s),A,,0.00,2.03,,2.00,,2.03,NA,2.00,NA,0.01,2.04,2.01,2.04,2.01,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76645,26,Us exam breast(s),A,,0.54,0.22,,0.20,,0.22,,0.20,,0.04,0.80,0.78,0.80,0.78,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76700,,Us exam abdom complete,A,,0.81,3.30,,3.16,,3.30,NA,3.16,NA,0.05,4.16,4.02,4.16,4.02,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,3.15,3.15,0.05
76700,TC,Us exam abdom complete,A,,0.00,2.97,,2.85,,2.97,NA,2.85,NA,0.01,2.98,2.86,2.98,2.86,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,2.82,2.82,0.01
76700,26,Us exam abdom complete,A,,0.81,0.33,,0.31,,0.33,,0.31,,0.04,1.18,1.16,1.18,1.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76705,,Echo exam of abdomen,A,,0.59,2.53,,2.43,,2.53,NA,2.43,NA,0.04,3.16,3.06,3.16,3.06,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,3.06,3.06,0.04
76705,TC,Echo exam of abdomen,A,,0.00,2.29,,2.21,,2.29,NA,2.21,NA,0.01,2.30,2.22,2.30,2.22,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,2.82,2.82,0.01
76705,26,Echo exam of abdomen,A,,0.59,0.24,,0.22,,0.24,,0.22,,0.03,0.86,0.84,0.86,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76770,,Us exam abdo back wall comp,A,,0.74,3.16,,2.99,,3.16,NA,2.99,NA,0.05,3.95,3.78,3.95,3.78,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,3.12,3.12,0.05
76770,TC,Us exam abdo back wall comp,A,,0.00,2.86,,2.71,,2.86,NA,2.71,NA,0.01,2.87,2.72,2.87,2.72,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,2.82,2.82,0.01
76770,26,Us exam abdo back wall comp,A,,0.74,0.30,,0.28,,0.30,,0.28,,0.04,1.08,1.06,1.08,1.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76775,,Us exam abdo back wall lim,A,,0.58,2.68,,2.45,,2.68,NA,2.45,NA,0.04,3.30,3.07,3.30,3.07,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,3.07,3.07,0.04
76775,TC,Us exam abdo back wall lim,A,,0.00,2.43,,2.23,,2.43,NA,2.23,NA,0.01,2.44,2.24,2.44,2.24,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,2.82,2.82,0.01
76775,26,Us exam abdo back wall lim,A,,0.58,0.25,,0.22,,0.25,,0.22,,0.03,0.86,0.83,0.86,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76776,,Us exam k transpl w/doppler,A,,0.76,3.67,,3.54,,3.67,NA,3.54,NA,0.05,4.48,4.35,4.48,4.35,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,0.00,0.00,0.00
76776,TC,Us exam k transpl w/doppler,A,,0.00,3.36,,3.26,,3.36,NA,3.26,NA,0.01,3.37,3.27,3.37,3.27,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,0.00,0.00,0.00
76776,26,Us exam k transpl w/doppler,A,,0.76,0.31,,0.28,,0.31,,0.28,,0.04,1.11,1.08,1.11,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76800,,Us exam spinal canal,A,,1.13,2.76,,2.91,,2.76,NA,2.91,NA,0.05,3.94,4.09,3.94,4.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.27,3.27,0.05
76800,TC,Us exam spinal canal,A,,0.00,2.31,,2.41,,2.31,NA,2.41,NA,0.01,2.32,2.42,2.32,2.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.82,2.82,0.01
76800,26,Us exam spinal canal,A,,1.13,0.45,,0.50,,0.45,,0.50,,0.04,1.62,1.67,1.62,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76801,,Ob us < 14 wks single fetus,A,,0.99,2.82,,2.62,,2.82,NA,2.62,NA,0.04,3.85,3.65,3.85,3.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,3.24,3.24,0.04
76801,TC,Ob us < 14 wks single fetus,A,,0.00,2.40,,2.21,,2.40,NA,2.21,NA,0.01,2.41,2.22,2.41,2.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.82,2.82,0.01
76801,26,Ob us < 14 wks single fetus,A,,0.99,0.42,,0.41,,0.42,,0.41,,0.03,1.44,1.43,1.44,1.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76802,,Ob us < 14 wks addl fetus,A,,0.83,1.20,,1.08,,1.20,NA,1.08,NA,0.04,2.07,1.95,2.07,1.95,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.16,2.16,0.05
76802,TC,Ob us < 14 wks addl fetus,A,,0.00,0.85,,0.73,,0.85,NA,0.73,NA,0.01,0.86,0.74,0.86,0.74,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.81,1.81,0.02
76802,26,Ob us < 14 wks addl fetus,A,,0.83,0.35,,0.35,,0.35,,0.35,,0.03,1.21,1.21,1.21,1.21,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76805,,Ob us >/= 14 wks sngl fetus,A,,0.99,3.38,,3.23,,3.38,NA,3.23,NA,0.04,4.41,4.26,4.41,4.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.24,3.24,0.04
76805,TC,Ob us >/= 14 wks sngl fetus,A,,0.00,2.96,,2.81,,2.96,NA,2.81,NA,0.01,2.97,2.82,2.97,2.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.82,2.82,0.01
76805,26,Ob us >/= 14 wks sngl fetus,A,,0.99,0.42,,0.42,,0.42,,0.42,,0.03,1.44,1.44,1.44,1.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76810,,Ob us >/= 14 wks addl fetus,A,,0.98,1.87,,1.80,,1.87,NA,1.80,NA,0.04,2.89,2.82,2.89,2.82,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.22,3.22,0.05
76810,TC,Ob us >/= 14 wks addl fetus,A,,0.00,1.46,,1.38,,1.46,NA,1.38,NA,0.01,1.47,1.39,1.47,1.39,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.81,2.81,0.02
76810,26,Ob us >/= 14 wks addl fetus,A,,0.98,0.41,,0.42,,0.41,,0.42,,0.03,1.42,1.43,1.42,1.43,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76811,,Ob us detailed sngl fetus,A,,1.90,3.75,,3.42,,3.75,NA,3.42,NA,0.06,5.71,5.38,5.71,5.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.30,5.30,0.07
76811,TC,Ob us detailed sngl fetus,A,,0.00,2.94,,2.56,,2.94,NA,2.56,NA,0.01,2.95,2.57,2.95,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.49,4.49,0.02
76811,26,Ob us detailed sngl fetus,A,,1.90,0.81,,0.86,,0.81,,0.86,,0.05,2.76,2.81,2.76,2.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76812,,Ob us detailed addl fetus,A,,1.78,4.21,,4.32,,4.21,NA,4.32,NA,0.06,6.05,6.16,6.05,6.16,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.58,2.58,0.06
76812,TC,Ob us detailed addl fetus,A,,0.00,3.46,,3.51,,3.46,NA,3.51,NA,0.01,3.47,3.52,3.47,3.52,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.83,1.83,0.01
76812,26,Ob us detailed addl fetus,A,,1.78,0.75,,0.81,,0.75,,0.81,,0.05,2.58,2.64,2.58,2.64,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76813,,Ob us nuchal meas 1 gest,A,,1.18,2.52,,2.40,,2.52,NA,2.40,NA,0.05,3.75,3.63,3.75,3.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
76813,TC,Ob us nuchal meas 1 gest,A,,0.00,2.03,,1.86,,2.03,NA,1.86,NA,0.01,2.04,1.87,2.04,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
76813,26,Ob us nuchal meas 1 gest,A,,1.18,0.49,,0.54,,0.49,,0.54,,0.04,1.71,1.76,1.71,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76814,,Ob us nuchal meas add-on,A,,0.99,1.36,,1.34,,1.36,NA,1.34,NA,0.04,2.39,2.37,2.39,2.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
76814,TC,Ob us nuchal meas add-on,A,,0.00,0.95,,0.88,,0.95,NA,0.88,NA,0.01,0.96,0.89,0.96,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
76814,26,Ob us nuchal meas add-on,A,,0.99,0.41,,0.46,,0.41,,0.46,,0.03,1.43,1.48,1.43,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76815,,Ob us limited fetus(s),A,,0.65,2.03,,1.92,,2.03,NA,1.92,NA,0.02,2.70,2.59,2.70,2.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.09,2.09,0.02
76815,TC,Ob us limited fetus(s),A,,0.00,1.76,,1.65,,1.76,NA,1.65,NA,0.01,1.77,1.66,1.77,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76815,26,Ob us limited fetus(s),A,,0.65,0.27,,0.27,,0.27,,0.27,,0.01,0.93,0.93,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76816,,Ob us follow-up per fetus,A,,0.85,2.57,,2.55,,2.57,NA,2.55,NA,0.04,3.46,3.44,3.46,3.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.18,2.18,0.04
76816,TC,Ob us follow-up per fetus,A,,0.00,2.21,,2.17,,2.21,NA,2.17,NA,0.01,2.22,2.18,2.22,2.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76816,26,Ob us follow-up per fetus,A,,0.85,0.36,,0.38,,0.36,,0.38,,0.03,1.24,1.26,1.24,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76817,,Transvaginal us obstetric,A,,0.75,2.27,,2.15,,2.27,NA,2.15,NA,0.04,3.06,2.94,3.06,2.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.13,2.13,0.04
76817,TC,Transvaginal us obstetric,A,,0.00,1.96,,1.84,,1.96,NA,1.84,NA,0.01,1.97,1.85,1.97,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76817,26,Transvaginal us obstetric,A,,0.75,0.31,,0.31,,0.31,,0.31,,0.03,1.09,1.09,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76818,,Fetal biophys profile w/nst,A,,1.05,2.53,,2.45,,2.53,NA,2.45,NA,0.04,3.62,3.54,3.62,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.27,3.27,0.04
76818,TC,Fetal biophys profile w/nst,A,,0.00,2.08,,1.97,,2.08,NA,1.97,NA,0.01,2.09,1.98,2.09,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.82,2.82,0.01
76818,26,Fetal biophys profile w/nst,A,,1.05,0.45,,0.48,,0.45,,0.48,,0.03,1.53,1.56,1.53,1.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76819,,Fetal biophys profil w/o nst,A,,0.77,1.91,,1.76,,1.91,NA,1.76,NA,0.04,2.72,2.57,2.72,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.15,3.15,0.05
76819,TC,Fetal biophys profil w/o nst,A,,0.00,1.58,,1.42,,1.58,NA,1.42,NA,0.01,1.59,1.43,1.59,1.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.82,2.82,0.02
76819,26,Fetal biophys profil w/o nst,A,,0.77,0.33,,0.34,,0.33,,0.34,,0.03,1.13,1.14,1.13,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76820,,Umbilical artery echo,A,,0.50,0.86,,0.66,,0.86,NA,0.66,NA,0.02,1.38,1.18,1.38,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.01,2.01,0.04
76820,TC,Umbilical artery echo,A,,0.00,0.65,,0.43,,0.65,NA,0.43,NA,0.01,0.66,0.44,0.66,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.80,1.80,0.03
76820,26,Umbilical artery echo,A,,0.50,0.21,,0.23,,0.21,,0.23,,0.01,0.72,0.74,0.72,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76821,,Middle cerebral artery echo,A,,0.70,2.14,,2.02,,2.14,NA,2.02,NA,0.04,2.88,2.76,2.88,2.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.12,2.12,0.04
76821,TC,Middle cerebral artery echo,A,,0.00,1.84,,1.70,,1.84,NA,1.70,NA,0.01,1.85,1.71,1.85,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76821,26,Middle cerebral artery echo,A,,0.70,0.30,,0.32,,0.30,,0.32,,0.03,1.03,1.05,1.03,1.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76825,,Echo exam of fetal heart,A,,1.67,4.70,,4.64,,4.70,NA,4.64,NA,0.05,6.42,6.36,6.42,6.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.20,17.20,0.08
76825,TC,Echo exam of fetal heart,A,,0.00,4.00,,3.91,,4.00,NA,3.91,NA,0.01,4.01,3.92,4.01,3.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,16.50,16.50,0.04
76825,26,Echo exam of fetal heart,A,,1.67,0.70,,0.73,,0.70,,0.73,,0.04,2.41,2.44,2.41,2.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76826,,Echo exam of fetal heart,A,,0.83,2.83,,2.90,,2.83,NA,2.90,NA,0.04,3.70,3.77,3.70,3.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.14,12.14,0.08
76826,TC,Echo exam of fetal heart,A,,0.00,2.49,,2.54,,2.49,NA,2.54,NA,0.01,2.50,2.55,2.50,2.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,11.80,11.80,0.05
76826,26,Echo exam of fetal heart,A,,0.83,0.34,,0.36,,0.34,,0.36,,0.03,1.20,1.22,1.20,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76827,,Echo exam of fetal heart,A,,0.58,1.36,,1.17,,1.36,NA,1.17,NA,0.02,1.96,1.77,1.96,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.06,2.06,0.03
76827,TC,Echo exam of fetal heart,A,,0.00,1.12,,0.92,,1.12,NA,0.92,NA,0.01,1.13,0.93,1.13,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.82,1.82,0.02
76827,26,Echo exam of fetal heart,A,,0.58,0.24,,0.25,,0.24,,0.25,,0.01,0.83,0.84,0.83,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76828,,Echo exam of fetal heart,A,,0.56,0.86,,0.73,,0.86,NA,0.73,NA,0.02,1.44,1.31,1.44,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.04,2.04,0.04
76828,TC,Echo exam of fetal heart,A,,0.00,0.62,,0.48,,0.62,NA,0.48,NA,0.01,0.63,0.49,0.63,0.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.80,1.80,0.03
76828,26,Echo exam of fetal heart,A,,0.56,0.24,,0.25,,0.24,,0.25,,0.01,0.81,0.82,0.81,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76830,,Transvaginal us non-ob,A,,0.69,2.97,,2.88,,2.97,NA,2.88,NA,0.04,3.70,3.61,3.70,3.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.11,3.11,0.04
76830,TC,Transvaginal us non-ob,A,,0.00,2.68,,2.60,,2.68,NA,2.60,NA,0.01,2.69,2.61,2.69,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.82,2.82,0.01
76830,26,Transvaginal us non-ob,A,,0.69,0.29,,0.28,,0.29,,0.28,,0.03,1.01,1.00,1.01,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76831,,Echo exam uterus,A,,0.72,2.95,,2.89,,2.95,NA,2.89,NA,0.04,3.71,3.65,3.71,3.65,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,4.79,4.79,0.05
76831,TC,Echo exam uterus,A,,0.00,2.65,,2.57,,2.65,NA,2.57,NA,0.01,2.66,2.58,2.66,2.58,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,03,0,88,4.49,4.49,0.02
76831,26,Echo exam uterus,A,,0.72,0.30,,0.32,,0.30,,0.32,,0.03,1.05,1.07,1.05,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76856,,Us exam pelvic complete,A,,0.69,2.96,,2.85,,2.96,NA,2.85,NA,0.04,3.69,3.58,3.69,3.58,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,3.11,3.11,0.04
76856,TC,Us exam pelvic complete,A,,0.00,2.67,,2.58,,2.67,NA,2.58,NA,0.01,2.68,2.59,2.68,2.59,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,2.82,2.82,0.01
76856,26,Us exam pelvic complete,A,,0.69,0.29,,0.27,,0.29,,0.27,,0.03,1.01,0.99,1.01,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76857,,Us exam pelvic limited,A,,0.38,2.58,,2.33,,2.58,NA,2.33,NA,0.04,3.00,2.75,3.00,2.75,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,1.99,1.99,0.04
76857,TC,Us exam pelvic limited,A,,0.00,2.41,,2.18,,2.41,NA,2.18,NA,0.01,2.42,2.19,2.42,2.19,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,1.82,1.82,0.01
76857,26,Us exam pelvic limited,A,,0.38,0.17,,0.15,,0.17,,0.15,,0.03,0.58,0.56,0.58,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76870,,Us exam scrotum,A,,0.64,2.98,,2.85,,2.98,NA,2.85,NA,0.05,3.67,3.54,3.67,3.54,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,09,0,88,3.09,3.09,0.05
76870,TC,Us exam scrotum,A,,0.00,2.71,,2.61,,2.71,NA,2.61,NA,0.01,2.72,2.62,2.72,2.62,1,XXX,0.00,0.00,0.00,4,0,0,0,0,,33.9764,01,0,88,2.82,2.82,0.01
76870,26,Us exam scrotum,A,,0.64,0.27,,0.24,,0.27,,0.24,,0.04,0.95,0.92,0.95,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76872,,Us transrectal,A,,0.69,3.42,,3.04,,3.42,NA,3.04,NA,0.05,4.16,3.78,4.16,3.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.13,3.13,0.05
76872,TC,Us transrectal,A,,0.00,3.11,,2.77,,3.11,NA,2.77,NA,0.01,3.12,2.78,3.12,2.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.82,2.82,0.01
76872,26,Us transrectal,A,,0.69,0.31,,0.27,,0.31,,0.27,,0.04,1.04,1.00,1.04,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76873,,Echograp trans r pros study,A,,1.55,3.63,,3.39,,3.63,NA,3.39,NA,0.09,5.27,5.03,5.27,5.03,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,3.49,3.49,0.09
76873,TC,Echograp trans r pros study,A,,0.00,2.96,,2.74,,2.96,NA,2.74,NA,0.01,2.97,2.75,2.97,2.75,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,02,0,99,2.82,2.82,0.01
76873,26,Echograp trans r pros study,A,,1.55,0.67,,0.65,,0.67,,0.65,,0.08,2.30,2.28,2.30,2.28,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
76881,,Us xtr non-vasc complete,A,,0.59,2.75,,2.75,,2.75,NA,2.75,NA,0.05,3.39,3.39,3.39,3.39,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,3.04,3.04,0.05
76881,TC,Us xtr non-vasc complete,A,,0.00,2.53,,2.53,,2.53,NA,2.53,NA,0.01,2.54,2.54,2.54,2.54,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,01,0,99,2.82,2.82,0.01
76881,26,Us xtr non-vasc complete,A,,0.59,0.22,,0.22,,0.22,,0.22,,0.04,0.85,0.85,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76882,,Us xtr non-vasc lmtd,A,,0.41,0.44,,0.44,,0.44,NA,0.44,NA,0.04,0.89,0.89,0.89,0.89,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,1.92,1.92,0.09
76882,TC,Us xtr non-vasc lmtd,A,,0.00,0.29,,0.29,,0.29,NA,0.29,NA,0.01,0.30,0.30,0.30,0.30,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,01,0,99,1.77,1.77,0.06
76882,26,Us xtr non-vasc lmtd,A,,0.41,0.15,,0.15,,0.15,,0.15,,0.03,0.59,0.59,0.59,0.59,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76885,,Us exam infant hips dynamic,A,,0.74,3.51,,3.49,,3.51,NA,3.49,NA,0.05,4.30,4.28,4.30,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.14,2.14,0.05
76885,TC,Us exam infant hips dynamic,A,,0.00,3.20,,3.20,,3.20,NA,3.20,NA,0.01,3.21,3.21,3.21,3.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.83,1.83,0.01
76885,26,Us exam infant hips dynamic,A,,0.74,0.31,,0.29,,0.31,,0.29,,0.04,1.09,1.07,1.09,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76886,,Us exam infant hips static,A,,0.62,2.77,,3.03,,2.77,NA,3.03,NA,0.02,3.41,3.67,3.41,3.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.10,2.10,0.02
76886,TC,Us exam infant hips static,A,,0.00,2.49,,2.73,,2.49,NA,2.73,NA,0.01,2.50,2.74,2.50,2.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76886,26,Us exam infant hips static,A,,0.62,0.28,,0.30,,0.28,,0.30,,0.01,0.91,0.93,0.91,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76930,,Echo guide cardiocentesis,A,,0.67,1.99,,1.63,,1.99,NA,1.63,NA,0.02,2.68,2.32,2.68,2.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76930,TC,Echo guide cardiocentesis,A,,0.00,1.67,,1.37,,1.67,NA,1.37,NA,0.01,1.68,1.38,1.68,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76930,26,Echo guide cardiocentesis,A,,0.67,0.32,,0.26,,0.32,,0.26,,0.01,1.00,0.94,1.00,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76932,,Echo guide for heart biopsy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76932,TC,Echo guide for heart biopsy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76932,26,Echo guide for heart biopsy,A,,0.67,0.33,,0.26,,0.33,,0.26,,0.04,1.04,0.97,1.04,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76936,,Echo guide for artery repair,A,,1.99,6.95,,6.26,,6.95,NA,6.26,NA,0.24,9.18,8.49,9.18,8.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.93,3.93,0.24
76936,TC,Echo guide for artery repair,A,,0.00,6.15,,5.55,,6.15,NA,5.55,NA,0.01,6.16,5.56,6.16,5.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,3.13,3.13,0.01
76936,26,Echo guide for artery repair,A,,1.99,0.80,,0.71,,0.80,,0.71,,0.23,3.02,2.93,3.02,2.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76937,,Us guide vascular access,A,,0.30,0.69,,0.67,,0.69,NA,0.67,NA,0.04,1.03,1.01,1.03,1.01,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76937,TC,Us guide vascular access,A,,0.00,0.57,,0.56,,0.57,NA,0.56,NA,0.01,0.58,0.57,0.58,0.57,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76937,26,Us guide vascular access,A,,0.30,0.12,,0.11,,0.12,,0.11,,0.03,0.45,0.44,0.45,0.44,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76940,,Us guide tissue ablation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76940,TC,Us guide tissue ablation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76940,26,Us guide tissue ablation,A,,2.00,0.82,,0.79,,0.82,,0.79,,0.29,3.11,3.08,3.11,3.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76941,,Echo guide for transfusion,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76941,TC,Echo guide for transfusion,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76941,26,Echo guide for transfusion,A,,1.34,0.58,,0.62,,0.58,,0.62,,0.11,2.03,2.07,2.03,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76942,,Echo guide for biopsy,A,,0.67,5.11,,4.96,,5.11,NA,4.96,NA,0.05,5.83,5.68,5.83,5.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76942,TC,Echo guide for biopsy,A,,0.00,4.83,,4.70,,4.83,NA,4.70,NA,0.01,4.84,4.71,4.84,4.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76942,26,Echo guide for biopsy,A,,0.67,0.28,,0.26,,0.28,,0.26,,0.04,0.99,0.97,0.99,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76945,,Echo guide villus sampling,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76945,TC,Echo guide villus sampling,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76945,26,Echo guide villus sampling,A,,0.67,0.29,,0.31,,0.29,,0.31,,0.04,1.00,1.02,1.00,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76946,,Echo guide for amniocentesis,A,,0.38,0.72,,0.52,,0.72,NA,0.52,NA,0.02,1.12,0.92,1.12,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76946,TC,Echo guide for amniocentesis,A,,0.00,0.56,,0.35,,0.56,NA,0.35,NA,0.01,0.57,0.36,0.57,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76946,26,Echo guide for amniocentesis,A,,0.38,0.16,,0.17,,0.16,,0.17,,0.01,0.55,0.56,0.55,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76948,,Echo guide ova aspiration,A,,0.38,0.72,,0.53,,0.72,NA,0.53,NA,0.04,1.14,0.95,1.14,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76948,TC,Echo guide ova aspiration,A,,0.00,0.56,,0.36,,0.56,NA,0.36,NA,0.01,0.57,0.37,0.57,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76948,26,Echo guide ova aspiration,A,,0.38,0.16,,0.17,,0.16,,0.17,,0.03,0.57,0.58,0.57,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76950,,Echo guidance radiotherapy,A,,0.58,1.42,,1.27,,1.42,NA,1.27,NA,0.04,2.04,1.89,2.04,1.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76950,TC,Echo guidance radiotherapy,A,,0.00,1.17,,1.02,,1.17,NA,1.02,NA,0.01,1.18,1.03,1.18,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
76950,26,Echo guidance radiotherapy,A,,0.58,0.25,,0.25,,0.25,,0.25,,0.03,0.86,0.86,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76965,,Echo guidance radiotherapy,A,,1.34,2.06,,1.18,,2.06,NA,1.18,NA,0.09,3.49,2.61,3.49,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76965,TC,Echo guidance radiotherapy,A,,0.00,1.47,,0.63,,1.47,NA,0.63,NA,0.01,1.48,0.64,1.48,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76965,26,Echo guidance radiotherapy,A,,1.34,0.59,,0.55,,0.59,,0.55,,0.08,2.01,1.97,2.01,1.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76970,,Ultrasound exam follow-up,A,,0.40,2.39,,2.56,,2.39,NA,2.56,NA,0.05,2.84,3.01,2.84,3.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.98,1.98,0.05
76970,TC,Ultrasound exam follow-up,A,,0.00,2.23,,2.39,,2.23,NA,2.39,NA,0.01,2.24,2.40,2.24,2.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.82,1.82,0.01
76970,26,Ultrasound exam follow-up,A,,0.40,0.16,,0.17,,0.16,,0.17,,0.04,0.60,0.61,0.60,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76975,,GI endoscopic ultrasound,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.88,4.88,0.09
76975,TC,GI endoscopic ultrasound,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,4.49,4.49,0.01
76975,26,GI endoscopic ultrasound,A,,0.81,0.39,,0.40,,0.39,,0.40,,0.08,1.28,1.29,1.28,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76977,,Us bone density measure,A,,0.05,0.24,,0.14,,0.24,NA,0.14,NA,0.02,0.31,0.21,0.31,0.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.32,1.32,0.07
76977,TC,Us bone density measure,A,,0.00,0.22,,0.12,,0.22,NA,0.12,NA,0.01,0.23,0.13,0.23,0.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.30,1.30,0.06
76977,26,Us bone density measure,A,,0.05,0.02,,0.02,,0.02,,0.02,,0.01,0.08,0.08,0.08,0.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76998,,Us guide intraop,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76998,TC,Us guide intraop,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
76998,26,Us guide intraop,A,,1.20,0.47,,0.47,,0.47,,0.47,,0.26,1.93,1.93,1.93,1.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76999,,Echo examination procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76999,TC,Echo examination procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
76999,26,Echo examination procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77001,,Fluoroguide for vein device,A,,0.38,2.96,,2.99,,2.96,NA,2.99,NA,0.04,3.38,3.41,3.38,3.41,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77001,TC,Fluoroguide for vein device,A,,0.00,2.80,,2.85,,2.80,NA,2.85,NA,0.01,2.81,2.86,2.81,2.86,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,0.00,0.00,0.00
77001,26,Fluoroguide for vein device,A,,0.38,0.16,,0.14,,0.16,,0.14,,0.03,0.57,0.55,0.57,0.55,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77002,,Needle localization by xray,A,,0.54,1.65,,1.65,,1.65,NA,1.65,NA,0.04,2.23,2.23,2.23,2.23,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77002,TC,Needle localization by xray,A,,0.00,1.41,,1.40,,1.41,NA,1.40,NA,0.01,1.42,1.41,1.42,1.41,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,0.00,0.00,0.00
77002,26,Needle localization by xray,A,,0.54,0.24,,0.25,,0.24,,0.25,,0.03,0.81,0.82,0.81,0.82,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77003,,Fluoroguide for spine inject,A,,0.60,1.20,,1.24,,1.20,NA,1.24,NA,0.04,1.84,1.88,1.84,1.88,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
77003,TC,Fluoroguide for spine inject,A,,0.00,0.96,,0.95,,0.96,NA,0.95,NA,0.01,0.97,0.96,0.97,0.96,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,03,0,99,0.00,0.00,0.00
77003,26,Fluoroguide for spine inject,A,,0.60,0.24,,0.29,,0.24,,0.29,,0.03,0.87,0.92,0.87,0.92,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
77011,,Ct scan for localization,A,,1.21,12.98,,5.36,,12.98,NA,5.36,NA,0.05,14.24,6.62,14.24,6.62,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77011,TC,Ct scan for localization,A,,0.00,12.44,,4.82,,12.44,NA,4.82,NA,0.01,12.45,4.83,12.45,4.83,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,0.00,0.00,0.00
77011,26,Ct scan for localization,A,,1.21,0.54,,0.54,,0.54,,0.54,,0.04,1.79,1.79,1.79,1.79,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77012,,Ct scan for needle biopsy,A,,1.16,3.61,,2.46,,3.61,NA,2.46,NA,0.05,4.82,3.67,4.82,3.67,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77012,TC,Ct scan for needle biopsy,A,,0.00,3.13,,2.03,,3.13,NA,2.03,NA,0.01,3.14,2.04,3.14,2.04,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,0.00,0.00,0.00
77012,26,Ct scan for needle biopsy,A,,1.16,0.48,,0.43,,0.48,,0.43,,0.04,1.68,1.63,1.68,1.63,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77013,,Ct guide for tissue ablation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77013,TC,Ct guide for tissue ablation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77013,26,Ct guide for tissue ablation,A,,3.99,1.65,,1.45,,1.65,,1.45,,0.37,6.01,5.81,6.01,5.81,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77014,,Ct scan for therapy guide,A,,0.85,4.75,,4.51,,4.75,NA,4.51,NA,0.05,5.65,5.41,5.65,5.41,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77014,TC,Ct scan for therapy guide,A,,0.00,4.39,,4.14,,4.39,NA,4.14,NA,0.01,4.40,4.15,4.40,4.15,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,02,0,99,0.00,0.00,0.00
77014,26,Ct scan for therapy guide,A,,0.85,0.36,,0.37,,0.36,,0.37,,0.04,1.25,1.26,1.25,1.26,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77021,,Mr guidance for needle place,A,,1.50,11.16,,9.78,,11.16,NA,9.78,NA,0.13,12.79,11.41,12.79,11.41,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77021,TC,Mr guidance for needle place,A,,0.00,10.54,,9.22,,10.54,NA,9.22,NA,0.01,10.55,9.23,10.55,9.23,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,0.00,0.00,0.00
77021,26,Mr guidance for needle place,A,,1.50,0.62,,0.56,,0.62,,0.56,,0.12,2.24,2.18,2.24,2.18,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77022,,Mri for tissue ablation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77022,TC,Mri for tissue ablation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77022,26,Mri for tissue ablation,A,,4.24,1.73,,1.64,,1.73,,1.64,,0.38,6.35,6.26,6.35,6.26,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77031,,Stereotact guide for brst bx,A,,1.59,3.04,,2.02,,3.04,NA,2.02,NA,0.13,4.76,3.74,4.76,3.74,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77031,TC,Stereotact guide for brst bx,A,,0.00,2.39,,1.41,,2.39,NA,1.41,NA,0.01,2.40,1.42,2.40,1.42,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,0.00,0.00,0.00
77031,26,Stereotact guide for brst bx,A,,1.59,0.65,,0.61,,0.65,,0.61,,0.12,2.36,2.32,2.36,2.32,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77032,,Guidance for needle breast,A,,0.56,1.05,,0.87,,1.05,NA,0.87,NA,0.04,1.65,1.47,1.65,1.47,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77032,TC,Guidance for needle breast,A,,0.00,0.82,,0.66,,0.82,NA,0.66,NA,0.01,0.83,0.67,0.83,0.67,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,0.00,0.00,0.00
77032,26,Guidance for needle breast,A,,0.56,0.23,,0.21,,0.23,,0.21,,0.03,0.82,0.80,0.82,0.80,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77051,,Computer dx mammogram add-on,A,,0.06,0.26,,0.20,,0.26,NA,0.20,NA,0.02,0.34,0.28,0.34,0.28,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77051,TC,Computer dx mammogram add-on,A,,0.00,0.24,,0.18,,0.24,NA,0.18,NA,0.01,0.25,0.19,0.25,0.19,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77051,26,Computer dx mammogram add-on,A,,0.06,0.02,,0.02,,0.02,,0.02,,0.01,0.09,0.09,0.09,0.09,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77052,,Comp screen mammogram add-on,A,,0.06,0.26,,0.20,,0.26,NA,0.20,NA,0.02,0.34,0.28,0.34,0.28,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77052,TC,Comp screen mammogram add-on,A,,0.00,0.24,,0.18,,0.24,NA,0.18,NA,0.01,0.25,0.19,0.25,0.19,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77052,26,Comp screen mammogram add-on,A,,0.06,0.02,,0.02,,0.02,,0.02,,0.01,0.09,0.09,0.09,0.09,1,ZZZ,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77053,,X-ray of mammary duct,A,,0.36,1.62,,1.26,,1.62,NA,1.26,NA,0.02,2.00,1.64,2.00,1.64,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,6.87,6.87,0.06
77053,TC,X-ray of mammary duct,A,,0.00,1.47,,1.13,,1.47,NA,1.13,NA,0.01,1.48,1.14,1.48,1.14,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,6.72,6.72,0.05
77053,26,X-ray of mammary duct,A,,0.36,0.15,,0.13,,0.15,,0.13,,0.01,0.52,0.50,0.52,0.50,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77054,,X-ray of mammary ducts,A,,0.45,2.22,,1.74,,2.22,NA,1.74,NA,0.04,2.71,2.23,2.71,2.23,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,6.93,6.93,0.06
77054,TC,X-ray of mammary ducts,A,,0.00,2.03,,1.57,,2.03,NA,1.57,NA,0.01,2.04,1.58,2.04,1.58,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,03,0,99,6.74,6.74,0.03
77054,26,X-ray of mammary ducts,A,,0.45,0.19,,0.17,,0.19,,0.17,,0.03,0.67,0.65,0.67,0.65,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77055,,Mammogram one breast,A,,0.70,1.80,,1.70,,1.80,NA,1.70,NA,0.05,2.55,2.45,2.55,2.45,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77055,TC,Mammogram one breast,A,,0.00,1.51,,1.44,,1.51,NA,1.44,NA,0.01,1.52,1.45,1.52,1.45,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77055,26,Mammogram one breast,A,,0.70,0.29,,0.26,,0.29,,0.26,,0.04,1.03,1.00,1.03,1.00,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77056,,Mammogram both breasts,A,,0.87,2.33,,2.22,,2.33,NA,2.22,NA,0.06,3.26,3.15,3.26,3.15,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77056,TC,Mammogram both breasts,A,,0.00,1.97,,1.89,,1.97,NA,1.89,NA,0.01,1.98,1.90,1.98,1.90,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77056,26,Mammogram both breasts,A,,0.87,0.36,,0.33,,0.36,,0.33,,0.05,1.28,1.25,1.28,1.25,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77057,,Mammogram screening,A,,0.70,1.64,,1.50,,1.64,NA,1.50,NA,0.05,2.39,2.25,2.39,2.25,1,XXX,0.00,0.00,0.00,0,2,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77057,TC,Mammogram screening,A,,0.00,1.35,,1.24,,1.35,NA,1.24,NA,0.01,1.36,1.25,1.36,1.25,1,XXX,0.00,0.00,0.00,0,2,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77057,26,Mammogram screening,A,,0.70,0.29,,0.26,,0.29,,0.26,,0.04,1.03,1.00,1.03,1.00,1,XXX,0.00,0.00,0.00,0,2,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77058,,Mri one breast,A,,1.63,20.59,,16.03,,20.59,NA,16.03,NA,0.11,22.33,17.77,22.33,17.77,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,09,0,88,16.37,16.37,0.11
77058,TC,Mri one breast,A,,0.00,19.92,,15.43,,19.92,NA,15.43,NA,0.01,19.93,15.44,19.93,15.44,1,XXX,0.00,0.00,0.00,4,0,9,0,0,,33.9764,02,0,88,15.70,15.70,0.01
77058,26,Mri one breast,A,,1.63,0.67,,0.60,,0.67,,0.60,,0.10,2.40,2.33,2.40,2.33,1,XXX,0.00,0.00,0.00,0,0,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77059,,Mri both breasts,A,,1.63,21.43,,15.93,,21.43,NA,15.93,NA,0.11,23.17,17.67,23.17,17.67,1,XXX,0.00,0.00,0.00,4,2,9,0,0,,33.9764,09,0,88,16.37,16.37,0.11
77059,TC,Mri both breasts,A,,0.00,20.76,,15.33,,20.76,NA,15.33,NA,0.01,20.77,15.34,20.77,15.34,1,XXX,0.00,0.00,0.00,4,2,9,0,0,,33.9764,02,0,88,15.70,15.70,0.01
77059,26,Mri both breasts,A,,1.63,0.67,,0.60,,0.67,,0.60,,0.10,2.40,2.33,2.40,2.33,1,XXX,0.00,0.00,0.00,0,2,9,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77071,,X-ray stress view,A,,0.41,0.90,,1.03,,0.90,,1.03,,0.07,1.38,1.51,1.38,1.51,2,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
77072,,X-rays for bone age,A,,0.19,0.49,,0.46,,0.49,NA,0.46,NA,0.02,0.70,0.67,0.70,0.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.37,1.37,0.04
77072,TC,X-rays for bone age,A,,0.00,0.41,,0.38,,0.41,NA,0.38,NA,0.01,0.42,0.39,0.42,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.29,1.29,0.03
77072,26,X-rays for bone age,A,,0.19,0.08,,0.08,,0.08,,0.08,,0.01,0.28,0.28,0.28,0.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77073,,X-rays bone length studies,A,,0.27,0.84,,0.81,,0.84,NA,0.81,NA,0.05,1.16,1.13,1.16,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.44,1.44,0.06
77073,TC,X-rays bone length studies,A,,0.00,0.71,,0.67,,0.71,NA,0.67,NA,0.01,0.72,0.68,0.72,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
77073,26,X-rays bone length studies,A,,0.27,0.13,,0.14,,0.13,,0.14,,0.04,0.44,0.45,0.44,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77074,,X-rays bone survey limited,A,,0.45,1.58,,1.48,,1.58,NA,1.48,NA,0.04,2.07,1.97,2.07,1.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.41,2.41,0.05
77074,TC,X-rays bone survey limited,A,,0.00,1.39,,1.31,,1.39,NA,1.31,NA,0.01,1.40,1.32,1.40,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.22,2.22,0.02
77074,26,X-rays bone survey limited,A,,0.45,0.19,,0.17,,0.19,,0.17,,0.03,0.67,0.65,0.67,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77075,,X-rays bone survey complete,A,,0.54,2.46,,2.35,,2.46,NA,2.35,NA,0.04,3.04,2.93,3.04,2.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.44,2.44,0.04
77075,TC,X-rays bone survey complete,A,,0.00,2.24,,2.15,,2.24,NA,2.15,NA,0.01,2.25,2.16,2.25,2.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.22,2.22,0.01
77075,26,X-rays bone survey complete,A,,0.54,0.22,,0.20,,0.22,,0.20,,0.03,0.79,0.77,0.79,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77076,,X-rays bone survey infant,A,,0.70,2.22,,2.25,,2.22,NA,2.25,NA,0.05,2.97,3.00,2.97,3.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.49,2.49,0.05
77076,TC,X-rays bone survey infant,A,,0.00,1.95,,1.98,,1.95,NA,1.98,NA,0.01,1.96,1.99,1.96,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.22,2.22,0.01
77076,26,X-rays bone survey infant,A,,0.70,0.27,,0.27,,0.27,,0.27,,0.04,1.01,1.01,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77077,,Joint survey single view,A,,0.31,0.89,,0.82,,0.89,NA,0.82,NA,0.05,1.25,1.18,1.25,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,1.45,1.45,0.06
77077,TC,Joint survey single view,A,,0.00,0.75,,0.67,,0.75,NA,0.67,NA,0.01,0.76,0.68,0.76,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.31,1.31,0.02
77077,26,Joint survey single view,A,,0.31,0.14,,0.15,,0.14,,0.15,,0.04,0.49,0.50,0.49,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77078,,Ct bone density axial,A,,0.25,4.38,,3.54,,4.38,NA,3.54,NA,0.02,4.65,3.81,4.65,3.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.17,2.17,0.01
77078,TC,Ct bone density axial,A,,0.00,4.28,,3.44,,4.28,NA,3.44,NA,0.01,4.29,3.45,4.29,3.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.07,2.07,0.00
77078,26,Ct bone density axial,A,,0.25,0.10,,0.10,,0.10,,0.10,,0.01,0.36,0.36,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77079,,Ct bone density peripheral,A,,0.22,1.26,,0.92,,1.26,NA,0.92,NA,0.02,1.50,1.16,1.50,1.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,3.40,3.40,0.04
77079,TC,Ct bone density peripheral,A,,0.00,1.17,,0.82,,1.17,NA,0.82,NA,0.01,1.18,0.83,1.18,0.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,3.31,3.31,0.03
77079,26,Ct bone density peripheral,A,,0.22,0.09,,0.10,,0.09,,0.10,,0.01,0.32,0.33,0.32,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77080,,Dxa bone density axial,A,,0.23,2.50,,2.50,,2.50,NA,2.50,NA,0.14,2.87,2.87,2.87,2.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77080,TC,Dxa bone density axial,A,,0.00,2.42,,2.42,,2.42,NA,2.42,NA,0.13,2.55,2.55,2.55,2.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
77080,26,Dxa bone density axial,A,,0.23,0.08,,0.08,,0.08,,0.08,,0.01,0.32,0.32,0.32,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77081,,Dxa bone density/peripheral,A,,0.22,0.61,,0.61,,0.61,NA,0.61,NA,0.02,0.85,0.85,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.99,0.99,0.03
77081,TC,Dxa bone density/peripheral,A,,0.00,0.55,,0.55,,0.55,NA,0.55,NA,0.01,0.56,0.56,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.93,0.93,0.02
77081,26,Dxa bone density/peripheral,A,,0.22,0.06,,0.06,,0.06,,0.06,,0.01,0.29,0.29,0.29,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77082,,Dxa bone density vert fx,A,,0.13,0.64,,0.64,,0.64,NA,0.64,NA,0.05,0.82,0.82,0.82,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77082,TC,Dxa bone density vert fx,A,,0.00,0.59,,0.59,,0.59,NA,0.59,NA,0.04,0.63,0.63,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
77082,26,Dxa bone density vert fx,A,,0.13,0.05,,0.05,,0.05,,0.05,,0.01,0.19,0.19,0.19,0.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77083,,Radiographic absorptiometry,A,,0.20,0.52,,0.47,,0.52,NA,0.47,NA,0.02,0.74,0.69,0.74,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.26,2.26,0.06
77083,TC,Radiographic absorptiometry,A,,0.00,0.44,,0.38,,0.44,NA,0.38,NA,0.01,0.45,0.39,0.45,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.18,2.18,0.05
77083,26,Radiographic absorptiometry,A,,0.20,0.08,,0.09,,0.08,,0.09,,0.01,0.29,0.30,0.29,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77084,,Magnetic image bone marrow,A,,1.60,13.88,,10.98,,13.88,NA,10.98,NA,0.11,15.59,12.69,15.59,12.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,10.76,10.76,0.11
77084,TC,Magnetic image bone marrow,A,,0.00,13.21,,10.38,,13.21,NA,10.38,NA,0.01,13.22,10.39,13.22,10.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,10.09,10.09,0.01
77084,26,Magnetic image bone marrow,A,,1.60,0.67,,0.60,,0.67,,0.60,,0.10,2.37,2.30,2.37,2.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77261,,Radiation therapy planning,A,,1.39,0.64,,0.66,,0.64,,0.66,,0.10,2.13,2.15,2.13,2.15,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77262,,Radiation therapy planning,A,,2.11,0.92,,0.93,,0.92,,0.93,,0.18,3.21,3.22,3.21,3.22,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77263,,Radiation therapy planning,A,,3.14,1.36,,1.38,,1.36,,1.38,,0.26,4.76,4.78,4.76,4.78,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77280,,Set radiation therapy field,A,,0.70,4.82,,4.53,,4.82,NA,4.53,NA,0.04,5.56,5.27,5.56,5.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77280,TC,Set radiation therapy field,A,,0.00,4.52,,4.22,,4.52,NA,4.22,NA,0.01,4.53,4.23,4.53,4.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77280,26,Set radiation therapy field,A,,0.70,0.30,,0.31,,0.30,,0.31,,0.03,1.03,1.04,1.03,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77285,,Set radiation therapy field,A,,1.05,8.64,,8.23,,8.64,NA,8.23,NA,0.06,9.75,9.34,9.75,9.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77285,TC,Set radiation therapy field,A,,0.00,8.19,,7.77,,8.19,NA,7.77,NA,0.01,8.20,7.78,8.20,7.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77285,26,Set radiation therapy field,A,,1.05,0.45,,0.46,,0.45,,0.46,,0.05,1.55,1.56,1.55,1.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77290,,Set radiation therapy field,A,,1.56,13.96,,13.68,,13.96,NA,13.68,NA,0.08,15.60,15.32,15.60,15.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77290,TC,Set radiation therapy field,A,,0.00,13.29,,12.99,,13.29,NA,12.99,NA,0.01,13.30,13.00,13.30,13.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77290,26,Set radiation therapy field,A,,1.56,0.67,,0.69,,0.67,,0.69,,0.07,2.30,2.32,2.30,2.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77295,,Set radiation therapy field,A,,4.56,11.78,,7.92,,11.78,NA,7.92,NA,0.28,16.62,12.76,16.62,12.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77295,TC,Set radiation therapy field,A,,0.00,9.83,,5.91,,9.83,NA,5.91,NA,0.04,9.87,5.95,9.87,5.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77295,26,Set radiation therapy field,A,,4.56,1.95,,2.01,,1.95,,2.01,,0.24,6.75,6.81,6.75,6.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77299,,Radiation therapy planning,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77299,TC,Radiation therapy planning,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77299,26,Radiation therapy planning,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77300,,Radiation therapy dose plan,A,,0.62,1.40,,1.25,,1.40,NA,1.25,NA,0.04,2.06,1.91,2.06,1.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77300,TC,Radiation therapy dose plan,A,,0.00,1.13,,0.98,,1.13,NA,0.98,NA,0.01,1.14,0.99,1.14,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77300,26,Radiation therapy dose plan,A,,0.62,0.27,,0.27,,0.27,,0.27,,0.03,0.92,0.92,0.92,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77301,,Radiotherapy dose plan imrt,A,,7.99,52.84,,44.85,,52.84,NA,44.85,NA,0.63,61.46,53.47,61.46,53.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77301,TC,Radiotherapy dose plan imrt,A,,0.00,49.42,,41.34,,49.42,NA,41.34,NA,0.22,49.64,41.56,49.64,41.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77301,26,Radiotherapy dose plan imrt,A,,7.99,3.42,,3.51,,3.42,,3.51,,0.41,11.82,11.91,11.82,11.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77305,,Teletx isodose plan simple,A,,0.70,1.22,,0.98,,1.22,NA,0.98,NA,0.04,1.96,1.72,1.96,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77305,TC,Teletx isodose plan simple,A,,0.00,0.92,,0.67,,0.92,NA,0.67,NA,0.01,0.93,0.68,0.93,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77305,26,Teletx isodose plan simple,A,,0.70,0.30,,0.31,,0.30,,0.31,,0.03,1.03,1.04,1.03,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77310,,Teletx isodose plan intermed,A,,1.05,1.66,,1.37,,1.66,NA,1.37,NA,0.06,2.77,2.48,2.77,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77310,TC,Teletx isodose plan intermed,A,,0.00,1.21,,0.91,,1.21,NA,0.91,NA,0.01,1.22,0.92,1.22,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77310,26,Teletx isodose plan intermed,A,,1.05,0.45,,0.46,,0.45,,0.46,,0.05,1.55,1.56,1.55,1.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77315,,Teletx isodose plan complex,A,,1.56,2.56,,2.26,,2.56,NA,2.26,NA,0.08,4.20,3.90,4.20,3.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77315,TC,Teletx isodose plan complex,A,,0.00,1.89,,1.57,,1.89,NA,1.57,NA,0.01,1.90,1.58,1.90,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77315,26,Teletx isodose plan complex,A,,1.56,0.67,,0.69,,0.67,,0.69,,0.07,2.30,2.32,2.30,2.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77321,,Special teletx port plan,A,,0.95,2.15,,1.62,,2.15,NA,1.62,NA,0.05,3.15,2.62,3.15,2.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77321,TC,Special teletx port plan,A,,0.00,1.75,,1.20,,1.75,NA,1.20,NA,0.01,1.76,1.21,1.76,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77321,26,Special teletx port plan,A,,0.95,0.40,,0.42,,0.40,,0.42,,0.04,1.39,1.41,1.39,1.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77326,,Brachytx isodose calc simp,A,,0.93,3.27,,3.08,,3.27,NA,3.08,NA,0.07,4.27,4.08,4.27,4.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77326,TC,Brachytx isodose calc simp,A,,0.00,2.88,,2.67,,2.88,NA,2.67,NA,0.03,2.91,2.70,2.91,2.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77326,26,Brachytx isodose calc simp,A,,0.93,0.39,,0.41,,0.39,,0.41,,0.04,1.36,1.38,1.36,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77327,,Brachytx isodose calc interm,A,,1.39,4.56,,4.23,,4.56,NA,4.23,NA,0.10,6.05,5.72,6.05,5.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77327,TC,Brachytx isodose calc interm,A,,0.00,3.97,,3.62,,3.97,NA,3.62,NA,0.03,4.00,3.65,4.00,3.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77327,26,Brachytx isodose calc interm,A,,1.39,0.59,,0.61,,0.59,,0.61,,0.07,2.05,2.07,2.05,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77328,,Brachytx isodose plan compl,A,,2.09,5.94,,5.44,,5.94,NA,5.44,NA,0.14,8.17,7.67,8.17,7.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77328,TC,Brachytx isodose plan compl,A,,0.00,5.05,,4.52,,5.05,NA,4.52,NA,0.04,5.09,4.56,5.09,4.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77328,26,Brachytx isodose plan compl,A,,2.09,0.89,,0.92,,0.89,,0.92,,0.10,3.08,3.11,3.08,3.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77331,,Special radiation dosimetry,A,,0.87,0.94,,0.90,,0.94,NA,0.90,NA,0.05,1.86,1.82,1.86,1.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77331,TC,Special radiation dosimetry,A,,0.00,0.56,,0.52,,0.56,NA,0.52,NA,0.01,0.57,0.53,0.57,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77331,26,Special radiation dosimetry,A,,0.87,0.38,,0.38,,0.38,,0.38,,0.04,1.29,1.29,1.29,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77332,,Radiation treatment aid(s),A,,0.54,1.74,,1.62,,1.74,NA,1.62,NA,0.04,2.32,2.20,2.32,2.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77332,TC,Radiation treatment aid(s),A,,0.00,1.51,,1.38,,1.51,NA,1.38,NA,0.01,1.52,1.39,1.52,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77332,26,Radiation treatment aid(s),A,,0.54,0.23,,0.24,,0.23,,0.24,,0.03,0.80,0.81,0.80,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77333,,Radiation treatment aid(s),A,,0.84,0.87,,0.61,,0.87,NA,0.61,NA,0.05,1.76,1.50,1.76,1.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77333,TC,Radiation treatment aid(s),A,,0.00,0.51,,0.24,,0.51,NA,0.24,NA,0.01,0.52,0.25,0.52,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77333,26,Radiation treatment aid(s),A,,0.84,0.36,,0.37,,0.36,,0.37,,0.04,1.24,1.25,1.24,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77334,,Radiation treatment aid(s),A,,1.24,3.22,,2.87,,3.22,NA,2.87,NA,0.06,4.52,4.17,4.52,4.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77334,TC,Radiation treatment aid(s),A,,0.00,2.69,,2.32,,2.69,NA,2.32,NA,0.01,2.70,2.33,2.70,2.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77334,26,Radiation treatment aid(s),A,,1.24,0.53,,0.55,,0.53,,0.55,,0.05,1.82,1.84,1.82,1.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77336,,Radiation physics consult,A,,0.00,1.53,,1.13,,1.53,NA,1.13,NA,0.01,1.54,1.14,1.54,1.14,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77338,,Design mlc device for imrt,A,,4.29,9.55,,9.55,,9.55,NA,9.55,NA,0.27,14.11,14.11,14.11,14.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77338,TC,Design mlc device for imrt,A,,0.00,7.66,,7.66,,7.66,NA,7.66,NA,0.04,7.70,7.70,7.70,7.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
77338,26,Design mlc device for imrt,A,,4.29,1.89,,1.89,,1.89,,1.89,,0.23,6.41,6.41,6.41,6.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77370,,Radiation physics consult,A,,0.00,3.39,,3.01,,3.39,NA,3.01,NA,0.04,3.43,3.05,3.43,3.05,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77371,,Srs multisource,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77372,,Srs linear based,A,,0.00,25.02,,22.83,,25.02,NA,22.83,NA,0.05,25.07,22.88,25.07,22.88,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77373,,Sbrt delivery,A,,0.00,46.74,,42.95,,46.74,NA,42.95,NA,0.07,46.81,43.02,46.81,43.02,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77399,,External radiation dosimetry,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77399,TC,External radiation dosimetry,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77399,26,External radiation dosimetry,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77401,,Radiation treatment delivery,A,,0.00,0.74,,0.53,,0.74,NA,0.53,NA,0.01,0.75,0.54,0.75,0.54,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77402,,Radiation treatment delivery,A,,0.00,5.18,,5.86,,5.18,NA,5.86,NA,0.01,5.19,5.87,5.19,5.87,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77403,,Radiation treatment delivery,A,,0.00,3.85,,3.79,,3.85,NA,3.79,NA,0.01,3.86,3.80,3.86,3.80,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77404,,Radiation treatment delivery,A,,0.00,4.28,,4.24,,4.28,NA,4.24,NA,0.01,4.29,4.25,4.29,4.25,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77406,,Radiation treatment delivery,A,,0.00,4.32,,4.28,,4.32,NA,4.28,NA,0.01,4.33,4.29,4.33,4.29,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77407,,Radiation treatment delivery,A,,0.00,7.51,,7.96,,7.51,NA,7.96,NA,0.01,7.52,7.97,7.52,7.97,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77408,,Radiation treatment delivery,A,,0.00,5.24,,5.21,,5.24,NA,5.21,NA,0.01,5.25,5.22,5.25,5.22,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77409,,Radiation treatment delivery,A,,0.00,5.83,,5.84,,5.83,NA,5.84,NA,0.01,5.84,5.85,5.84,5.85,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77411,,Radiation treatment delivery,A,,0.00,5.80,,5.81,,5.80,NA,5.81,NA,0.01,5.81,5.82,5.81,5.82,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77412,,Radiation treatment delivery,A,,0.00,6.84,,6.86,,6.84,NA,6.86,NA,0.01,6.85,6.87,6.85,6.87,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77413,,Radiation treatment delivery,A,,0.00,6.89,,6.90,,6.89,NA,6.90,NA,0.01,6.90,6.91,6.90,6.91,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77414,,Radiation treatment delivery,A,,0.00,7.71,,7.78,,7.71,NA,7.78,NA,0.01,7.72,7.79,7.72,7.79,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77416,,Radiation treatment delivery,A,,0.00,7.75,,7.83,,7.75,NA,7.83,NA,0.01,7.76,7.84,7.76,7.84,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77417,,Radiology port film(s),A,,0.00,0.43,,0.36,,0.43,NA,0.36,NA,0.01,0.44,0.37,0.44,0.37,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
77418,,Radiation tx delivery imrt,A,,0.00,15.29,,13.27,,15.29,NA,13.27,NA,0.01,15.30,13.28,15.30,13.28,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77421,,Stereoscopic x-ray guidance,A,,0.39,2.83,,2.44,,2.83,NA,2.44,NA,0.02,3.24,2.85,3.24,2.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77421,TC,Stereoscopic x-ray guidance,A,,0.00,2.66,,2.27,,2.66,NA,2.27,NA,0.01,2.67,2.28,2.67,2.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
77421,26,Stereoscopic x-ray guidance,A,,0.39,0.17,,0.17,,0.17,,0.17,,0.01,0.57,0.57,0.57,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77422,,Neutron beam tx simple,A,,0.00,5.85,,5.30,,5.85,NA,5.30,NA,0.01,5.86,5.31,5.86,5.31,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77423,,Neutron beam tx complex,A,,0.00,7.44,,7.49,,7.44,NA,7.49,NA,0.01,7.45,7.50,7.45,7.50,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77427,,Radiation tx management x5,A,,3.37,1.67,,1.69,,1.67,,1.69,,0.27,5.31,5.33,5.31,5.33,2,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
77431,,Radiation therapy management,A,,1.81,0.96,,0.98,,0.96,,0.98,,0.14,2.91,2.93,2.91,2.93,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77432,,Stereotactic radiation trmt,A,,7.92,3.46,,3.51,,3.46,,3.51,,0.65,12.03,12.08,12.03,12.08,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77435,,Sbrt management,A,,13.00,5.85,,5.87,,5.87,,5.87,,1.08,19.93,19.95,19.95,19.95,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77470,,Special radiation treatment,A,,2.09,3.75,,2.15,,3.75,NA,2.15,NA,0.11,5.95,4.35,5.95,4.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77470,TC,Special radiation treatment,A,,0.00,2.85,,1.23,,2.85,NA,1.23,NA,0.01,2.86,1.24,2.86,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77470,26,Special radiation treatment,A,,2.09,0.90,,0.92,,0.90,,0.92,,0.10,3.09,3.11,3.09,3.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77499,,Radiation therapy management,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77499,TC,Radiation therapy management,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77499,26,Radiation therapy management,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77520,,Proton trmt simple w/o comp,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77522,,Proton trmt simple w/comp,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77523,,Proton trmt intermediate,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77525,,Proton treatment complex,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77600,,Hyperthermia treatment,R,,1.56,10.34,,10.37,,10.34,NA,10.37,NA,0.10,12.00,12.03,12.00,12.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77600,TC,Hyperthermia treatment,R,,0.00,9.67,,9.68,,9.67,NA,9.68,NA,0.03,9.70,9.71,9.70,9.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77600,26,Hyperthermia treatment,R,,1.56,0.67,,0.69,,0.67,,0.69,,0.07,2.30,2.32,2.30,2.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77605,,Hyperthermia treatment,R,,2.09,24.92,,30.32,,24.92,NA,30.32,NA,0.41,27.42,32.82,27.42,32.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77605,TC,Hyperthermia treatment,R,,0.00,24.10,,29.41,,24.10,NA,29.41,NA,0.03,24.13,29.44,24.13,29.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77605,26,Hyperthermia treatment,R,,2.09,0.82,,0.91,,0.82,,0.91,,0.38,3.29,3.38,3.29,3.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77610,,Hyperthermia treatment,R,,1.56,23.31,,27.81,,23.31,NA,27.81,NA,0.10,24.97,29.47,24.97,29.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77610,TC,Hyperthermia treatment,R,,0.00,22.68,,27.13,,22.68,NA,27.13,NA,0.03,22.71,27.16,22.71,27.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77610,26,Hyperthermia treatment,R,,1.56,0.63,,0.68,,0.63,,0.68,,0.07,2.26,2.31,2.26,2.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77615,,Hyperthermia treatment,R,,2.09,26.37,,26.22,,26.37,NA,26.22,NA,0.17,28.63,28.48,28.63,28.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77615,TC,Hyperthermia treatment,R,,0.00,25.48,,25.29,,25.48,NA,25.29,NA,0.07,25.55,25.36,25.55,25.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77615,26,Hyperthermia treatment,R,,2.09,0.89,,0.93,,0.89,,0.93,,0.10,3.08,3.12,3.08,3.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77620,,Hyperthermia treatment,R,,1.56,12.52,,14.18,,12.52,NA,14.18,NA,0.08,14.16,15.82,14.16,15.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77620,TC,Hyperthermia treatment,R,,0.00,11.90,,13.50,,11.90,NA,13.50,NA,0.04,11.94,13.54,11.94,13.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77620,26,Hyperthermia treatment,R,,1.56,0.62,,0.68,,0.62,,0.68,,0.04,2.22,2.28,2.22,2.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77750,,Infuse radioactive materials,A,,5.00,5.09,,5.10,,5.09,NA,5.10,NA,0.29,10.38,10.39,10.38,10.39,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77750,TC,Infuse radioactive materials,A,,0.00,2.96,,2.91,,2.96,NA,2.91,NA,0.03,2.99,2.94,2.99,2.94,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77750,26,Infuse radioactive materials,A,,5.00,2.13,,2.19,,2.13,,2.19,,0.26,7.39,7.45,7.39,7.45,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77761,,Apply intrcav radiat simple,A,,3.85,6.75,,6.65,,6.75,NA,6.65,NA,0.24,10.84,10.74,10.84,10.74,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77761,TC,Apply intrcav radiat simple,A,,0.00,5.14,,4.98,,5.14,NA,4.98,NA,0.04,5.18,5.02,5.18,5.02,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77761,26,Apply intrcav radiat simple,A,,3.85,1.61,,1.67,,1.61,,1.67,,0.20,5.66,5.72,5.66,5.72,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77762,,Apply intrcav radiat interm,A,,5.76,8.46,,8.25,,8.46,NA,8.25,NA,0.35,14.57,14.36,14.57,14.36,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77762,TC,Apply intrcav radiat interm,A,,0.00,6.01,,5.74,,6.01,NA,5.74,NA,0.05,6.06,5.79,6.06,5.79,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77762,26,Apply intrcav radiat interm,A,,5.76,2.45,,2.51,,2.45,,2.51,,0.30,8.51,8.57,8.51,8.57,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77763,,Apply intrcav radiat compl,A,,8.66,11.45,,11.22,,11.45,NA,11.22,NA,0.51,20.62,20.39,20.62,20.39,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77763,TC,Apply intrcav radiat compl,A,,0.00,7.77,,7.45,,7.77,NA,7.45,NA,0.07,7.84,7.52,7.84,7.52,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77763,26,Apply intrcav radiat compl,A,,8.66,3.68,,3.77,,3.68,,3.77,,0.44,12.78,12.87,12.78,12.87,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77776,,Apply interstit radiat simpl,A,,4.70,7.36,,7.08,,7.36,NA,7.08,NA,0.36,12.42,12.14,12.42,12.14,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77776,TC,Apply interstit radiat simpl,A,,0.00,5.36,,5.00,,5.36,NA,5.00,NA,0.05,5.41,5.05,5.41,5.05,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77776,26,Apply interstit radiat simpl,A,,4.70,2.00,,2.08,,2.00,,2.08,,0.31,7.01,7.09,7.01,7.09,1,090,0.00,0.00,0.00,0,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
77777,,Apply interstit radiat inter,A,,7.52,9.15,,8.74,,9.15,NA,8.74,NA,0.54,17.21,16.80,17.21,16.80,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77777,TC,Apply interstit radiat inter,A,,0.00,5.86,,5.43,,5.86,NA,5.43,NA,0.05,5.91,5.48,5.91,5.48,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77777,26,Apply interstit radiat inter,A,,7.52,3.29,,3.31,,3.29,,3.31,,0.49,11.30,11.32,11.30,11.32,1,090,0.00,0.00,0.00,0,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
77778,,Apply interstit radiat compl,A,,11.32,12.78,,12.47,,12.78,NA,12.47,NA,0.68,24.78,24.47,24.78,24.47,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77778,TC,Apply interstit radiat compl,A,,0.00,7.97,,7.56,,7.97,NA,7.56,NA,0.08,8.05,7.64,8.05,7.64,1,090,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77778,26,Apply interstit radiat compl,A,,11.32,4.81,,4.91,,4.81,,4.91,,0.60,16.73,16.83,16.73,16.83,1,090,0.00,0.00,0.00,0,0,0,2,0,,33.9764,09,0,99,0.00,0.00,0.00
77785,,Hdr brachytx 1 channel,A,,1.42,4.95,,5.55,,4.95,NA,5.55,NA,0.10,6.47,7.07,6.47,7.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77785,TC,Hdr brachytx 1 channel,A,,0.00,4.34,,4.93,,4.34,NA,4.93,NA,0.03,4.37,4.96,4.37,4.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77785,26,Hdr brachytx 1 channel,A,,1.42,0.61,,0.62,,0.61,,0.62,,0.07,2.10,2.11,2.10,2.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77786,,Hdr brachytx 2-12 channel,A,,3.25,13.35,,12.34,,13.35,NA,12.34,NA,0.21,16.81,15.80,16.81,15.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77786,TC,Hdr brachytx 2-12 channel,A,,0.00,12.00,,10.91,,12.00,NA,10.91,NA,0.05,12.05,10.96,12.05,10.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77786,26,Hdr brachytx 2-12 channel,A,,3.25,1.35,,1.43,,1.35,,1.43,,0.16,4.76,4.84,4.76,4.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77787,,Hdr brachytx over 12 chan,A,,4.89,21.58,,21.83,,21.58,NA,21.83,NA,0.34,26.81,27.06,26.81,27.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77787,TC,Hdr brachytx over 12 chan,A,,0.00,19.45,,19.67,,19.45,NA,19.67,NA,0.08,19.53,19.75,19.53,19.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77787,26,Hdr brachytx over 12 chan,A,,4.89,2.13,,2.16,,2.13,,2.16,,0.26,7.28,7.31,7.28,7.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77789,,Apply surface radiation,A,,1.14,2.07,,2.10,,2.07,NA,2.10,NA,0.06,3.27,3.30,3.27,3.30,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77789,TC,Apply surface radiation,A,,0.00,1.57,,1.58,,1.57,NA,1.58,NA,0.01,1.58,1.59,1.58,1.59,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77789,26,Apply surface radiation,A,,1.14,0.50,,0.52,,0.50,,0.52,,0.05,1.69,1.71,1.69,1.71,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77790,,Radiation handling,A,,1.05,1.58,,1.58,,1.58,NA,1.58,NA,0.05,2.68,2.68,2.68,2.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77790,TC,Radiation handling,A,,0.00,1.13,,1.12,,1.13,NA,1.12,NA,0.01,1.14,1.13,1.14,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77790,26,Radiation handling,A,,1.05,0.45,,0.46,,0.45,,0.46,,0.04,1.54,1.55,1.54,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77799,,Radium/radioisotope therapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77799,TC,Radium/radioisotope therapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
77799,26,Radium/radioisotope therapy,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78000,,Thyroid single uptake,A,,0.19,1.91,,1.79,,1.91,NA,1.79,NA,0.02,2.12,2.00,2.12,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78000,TC,Thyroid single uptake,A,,0.00,1.83,,1.73,,1.83,NA,1.73,NA,0.01,1.84,1.74,1.84,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78000,26,Thyroid single uptake,A,,0.19,0.08,,0.06,,0.08,,0.06,,0.01,0.28,0.26,0.28,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78001,,Thyroid multiple uptakes,A,,0.26,2.42,,2.31,,2.42,NA,2.31,NA,0.04,2.72,2.61,2.72,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78001,TC,Thyroid multiple uptakes,A,,0.00,2.31,,2.22,,2.31,NA,2.22,NA,0.03,2.34,2.25,2.34,2.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78001,26,Thyroid multiple uptakes,A,,0.26,0.11,,0.09,,0.11,,0.09,,0.01,0.38,0.36,0.38,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78003,,Thyroid suppress/stimul,A,,0.33,2.01,,1.93,,2.01,NA,1.93,NA,0.02,2.36,2.28,2.36,2.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78003,TC,Thyroid suppress/stimul,A,,0.00,1.87,,1.81,,1.87,NA,1.81,NA,0.01,1.88,1.82,1.88,1.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78003,26,Thyroid suppress/stimul,A,,0.33,0.14,,0.12,,0.14,,0.12,,0.01,0.48,0.46,0.48,0.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78006,,Thyroid imaging with uptake,A,,0.49,6.39,,6.30,,6.39,NA,6.30,NA,0.06,6.94,6.85,6.94,6.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.63,6.63,0.06
78006,TC,Thyroid imaging with uptake,A,,0.00,6.19,,6.13,,6.19,NA,6.13,NA,0.03,6.22,6.16,6.22,6.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,6.43,6.43,0.03
78006,26,Thyroid imaging with uptake,A,,0.49,0.20,,0.17,,0.20,,0.17,,0.03,0.72,0.69,0.72,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78007,,Thyroid image mult uptakes,A,,0.50,5.19,,6.69,,5.19,NA,6.69,NA,0.06,5.75,7.25,5.75,7.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.62,6.62,0.07
78007,TC,Thyroid image mult uptakes,A,,0.00,4.99,,6.51,,4.99,NA,6.51,NA,0.03,5.02,6.54,5.02,6.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,6.42,6.42,0.04
78007,26,Thyroid image mult uptakes,A,,0.50,0.20,,0.18,,0.20,,0.18,,0.03,0.73,0.71,0.73,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78010,,Thyroid imaging,A,,0.39,4.36,,4.32,,4.36,NA,4.32,NA,0.04,4.79,4.75,4.79,4.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.03,4.03,0.04
78010,TC,Thyroid imaging,A,,0.00,4.21,,4.18,,4.21,NA,4.18,NA,0.03,4.24,4.21,4.24,4.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,3.88,3.88,0.03
78010,26,Thyroid imaging,A,,0.39,0.15,,0.14,,0.15,,0.14,,0.01,0.55,0.54,0.55,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78011,,Thyroid imaging with flow,A,,0.45,4.78,,4.54,,4.78,NA,4.54,NA,0.06,5.29,5.05,5.29,5.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.07,4.07,0.06
78011,TC,Thyroid imaging with flow,A,,0.00,4.59,,4.37,,4.59,NA,4.37,NA,0.03,4.62,4.40,4.62,4.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,3.88,3.88,0.03
78011,26,Thyroid imaging with flow,A,,0.45,0.19,,0.17,,0.19,,0.17,,0.03,0.67,0.65,0.67,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78015,,Thyroid met imaging,A,,0.67,5.60,,5.41,,5.60,NA,5.41,NA,0.07,6.34,6.15,6.34,6.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.75,8.75,0.09
78015,TC,Thyroid met imaging,A,,0.00,5.34,,5.19,,5.34,NA,5.19,NA,0.03,5.37,5.22,5.37,5.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.49,8.49,0.05
78015,26,Thyroid met imaging,A,,0.67,0.26,,0.22,,0.26,,0.22,,0.04,0.97,0.93,0.97,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78016,,Thyroid met imaging/studies,A,,0.82,8.09,,7.11,,8.09,NA,7.11,NA,0.06,8.97,7.99,8.97,7.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.77,8.77,0.06
78016,TC,Thyroid met imaging/studies,A,,0.00,7.83,,6.97,,7.83,NA,6.97,NA,0.03,7.86,7.00,7.86,7.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.51,8.51,0.03
78016,26,Thyroid met imaging/studies,A,,0.82,0.26,,0.14,,0.26,,0.14,,0.03,1.11,0.99,1.11,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78018,,Thyroid met imaging body,A,,0.86,8.45,,7.89,,8.45,NA,7.89,NA,0.07,9.38,8.82,9.38,8.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.84,8.84,0.07
78018,TC,Thyroid met imaging body,A,,0.00,8.12,,7.61,,8.12,NA,7.61,NA,0.03,8.15,7.64,8.15,7.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.51,8.51,0.03
78018,26,Thyroid met imaging body,A,,0.86,0.33,,0.28,,0.33,,0.28,,0.04,1.23,1.18,1.23,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78020,,Thyroid met uptake,A,,0.60,1.90,,1.66,,1.90,NA,1.66,NA,0.04,2.54,2.30,2.54,2.30,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78020,TC,Thyroid met uptake,A,,0.00,1.68,,1.49,,1.68,NA,1.49,NA,0.01,1.69,1.50,1.69,1.50,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78020,26,Thyroid met uptake,A,,0.60,0.22,,0.17,,0.22,,0.17,,0.03,0.85,0.80,0.85,0.80,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78070,,Parathyroid nuclear imaging,A,,0.82,3.99,,3.39,,3.99,NA,3.39,NA,0.07,4.88,4.28,4.88,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.74,6.74,0.09
78070,TC,Parathyroid nuclear imaging,A,,0.00,3.66,,3.11,,3.66,NA,3.11,NA,0.03,3.69,3.14,3.69,3.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,6.41,6.41,0.05
78070,26,Parathyroid nuclear imaging,A,,0.82,0.33,,0.28,,0.33,,0.28,,0.04,1.19,1.14,1.19,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78075,,Adrenal nuclear imaging,A,,0.74,11.72,,11.16,,11.72,NA,11.16,NA,0.08,12.54,11.98,12.54,11.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,24.48,24.48,0.12
78075,TC,Adrenal nuclear imaging,A,,0.00,11.44,,10.93,,11.44,NA,10.93,NA,0.04,11.48,10.97,11.48,10.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,24.20,24.20,0.08
78075,26,Adrenal nuclear imaging,A,,0.74,0.28,,0.23,,0.28,,0.23,,0.04,1.06,1.01,1.06,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78099,,Endocrine nuclear procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78099,TC,Endocrine nuclear procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78099,26,Endocrine nuclear procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78102,,Bone marrow imaging ltd,A,,0.55,4.29,,4.06,,4.29,NA,4.06,NA,0.06,4.90,4.67,4.90,4.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.72,7.72,0.09
78102,TC,Bone marrow imaging ltd,A,,0.00,4.08,,3.89,,4.08,NA,3.89,NA,0.03,4.11,3.92,4.11,3.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.51,7.51,0.06
78102,26,Bone marrow imaging ltd,A,,0.55,0.21,,0.17,,0.21,,0.17,,0.03,0.79,0.75,0.79,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78103,,Bone marrow imaging mult,A,,0.75,5.64,,5.24,,5.64,NA,5.24,NA,0.07,6.46,6.06,6.46,6.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.80,7.80,0.08
78103,TC,Bone marrow imaging mult,A,,0.00,5.36,,5.02,,5.36,NA,5.02,NA,0.03,5.39,5.05,5.39,5.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.52,7.52,0.04
78103,26,Bone marrow imaging mult,A,,0.75,0.28,,0.22,,0.28,,0.22,,0.04,1.07,1.01,1.07,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78104,,Bone marrow imaging body,A,,0.80,6.47,,5.95,,6.47,NA,5.95,NA,0.07,7.34,6.82,7.34,6.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.84,7.84,0.08
78104,TC,Bone marrow imaging body,A,,0.00,6.16,,5.70,,6.16,NA,5.70,NA,0.03,6.19,5.73,6.19,5.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.53,7.53,0.04
78104,26,Bone marrow imaging body,A,,0.80,0.31,,0.25,,0.31,,0.25,,0.04,1.15,1.09,1.15,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78110,,Plasma volume single,A,,0.19,2.21,,2.17,,2.21,NA,2.17,NA,0.04,2.44,2.40,2.44,2.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78110,TC,Plasma volume single,A,,0.00,2.13,,2.10,,2.13,NA,2.10,NA,0.03,2.16,2.13,2.16,2.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78110,26,Plasma volume single,A,,0.19,0.08,,0.07,,0.08,,0.07,,0.01,0.28,0.27,0.28,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78111,,Plasma volume multiple,A,,0.22,2.32,,1.80,,2.32,NA,1.80,NA,0.04,2.58,2.06,2.58,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78111,TC,Plasma volume multiple,A,,0.00,2.24,,1.76,,2.24,NA,1.76,NA,0.03,2.27,1.79,2.27,1.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78111,26,Plasma volume multiple,A,,0.22,0.08,,0.04,,0.08,,0.04,,0.01,0.31,0.27,0.31,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78120,,Red cell mass single,A,,0.23,2.32,,2.13,,2.32,NA,2.13,NA,0.04,2.59,2.40,2.59,2.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78120,TC,Red cell mass single,A,,0.00,2.22,,2.04,,2.22,NA,2.04,NA,0.03,2.25,2.07,2.25,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78120,26,Red cell mass single,A,,0.23,0.10,,0.09,,0.10,,0.09,,0.01,0.34,0.33,0.34,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78121,,Red cell mass multiple,A,,0.32,2.61,,2.24,,2.61,NA,2.24,NA,0.04,2.97,2.60,2.97,2.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78121,TC,Red cell mass multiple,A,,0.00,2.48,,2.12,,2.48,NA,2.12,NA,0.03,2.51,2.15,2.51,2.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78121,26,Red cell mass multiple,A,,0.32,0.13,,0.12,,0.13,,0.12,,0.01,0.46,0.45,0.46,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78122,,Blood volume,A,,0.45,2.82,,2.08,,2.82,NA,2.08,NA,0.04,3.31,2.57,3.31,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78122,TC,Blood volume,A,,0.00,2.65,,1.95,,2.65,NA,1.95,NA,0.03,2.68,1.98,2.68,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78122,26,Blood volume,A,,0.45,0.17,,0.13,,0.17,,0.13,,0.01,0.63,0.59,0.63,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78130,,Red cell survival study,A,,0.61,3.88,,3.57,,3.88,NA,3.57,NA,0.08,4.57,4.26,4.57,4.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78130,TC,Red cell survival study,A,,0.00,3.62,,3.34,,3.62,NA,3.34,NA,0.04,3.66,3.38,3.66,3.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78130,26,Red cell survival study,A,,0.61,0.26,,0.23,,0.26,,0.23,,0.04,0.91,0.88,0.91,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78135,,Red cell survival kinetics,A,,0.64,9.40,,9.25,,9.40,NA,9.25,NA,0.07,10.11,9.96,10.11,9.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.54,12.54,0.08
78135,TC,Red cell survival kinetics,A,,0.00,9.13,,9.00,,9.13,NA,9.00,NA,0.03,9.16,9.03,9.16,9.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,12.27,12.27,0.04
78135,26,Red cell survival kinetics,A,,0.64,0.27,,0.25,,0.27,,0.25,,0.04,0.95,0.93,0.95,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78140,,Red cell sequestration,A,,0.61,3.42,,2.89,,3.42,NA,2.89,NA,0.07,4.10,3.57,4.10,3.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.45,12.45,0.16
78140,TC,Red cell sequestration,A,,0.00,3.17,,2.67,,3.17,NA,2.67,NA,0.03,3.20,2.70,3.20,2.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,12.20,12.20,0.12
78140,26,Red cell sequestration,A,,0.61,0.25,,0.22,,0.25,,0.22,,0.04,0.90,0.87,0.90,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78185,,Spleen imaging,A,,0.40,5.48,,5.39,,5.48,NA,5.39,NA,0.04,5.92,5.83,5.92,5.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.69,7.69,0.05
78185,TC,Spleen imaging,A,,0.00,5.31,,5.24,,5.31,NA,5.24,NA,0.03,5.34,5.27,5.34,5.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.52,7.52,0.04
78185,26,Spleen imaging,A,,0.40,0.17,,0.15,,0.17,,0.15,,0.01,0.58,0.56,0.58,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78190,,Platelet survival kinetics,A,,1.09,9.98,,9.52,,9.98,NA,9.52,NA,0.07,11.14,10.68,11.14,10.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.54,5.54,0.06
78190,TC,Platelet survival kinetics,A,,0.00,9.54,,9.09,,9.54,NA,9.09,NA,0.03,9.57,9.12,9.57,9.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.10,5.10,0.02
78190,26,Platelet survival kinetics,A,,1.09,0.44,,0.43,,0.44,,0.43,,0.04,1.57,1.56,1.57,1.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78191,,Platelet survival,A,,0.61,4.53,,3.59,,4.53,NA,3.59,NA,0.08,5.22,4.28,5.22,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78191,TC,Platelet survival,A,,0.00,4.28,,3.36,,4.28,NA,3.36,NA,0.04,4.32,3.40,4.32,3.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78191,26,Platelet survival,A,,0.61,0.25,,0.23,,0.25,,0.23,,0.04,0.90,0.88,0.90,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78195,,Lymph system imaging,A,,1.20,9.08,,8.83,,9.08,NA,8.83,NA,0.10,10.38,10.13,10.38,10.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.02,8.02,0.10
78195,TC,Lymph system imaging,A,,0.00,8.60,,8.42,,8.60,NA,8.42,NA,0.03,8.63,8.45,8.63,8.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.54,7.54,0.03
78195,26,Lymph system imaging,A,,1.20,0.48,,0.41,,0.48,,0.41,,0.07,1.75,1.68,1.75,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78199,,Blood/lymph nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78199,TC,Blood/lymph nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78199,26,Blood/lymph nuclear exam,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78201,,Liver imaging,A,,0.44,4.96,,4.90,,4.96,NA,4.90,NA,0.07,5.47,5.41,5.47,5.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.91,7.91,0.09
78201,TC,Liver imaging,A,,0.00,4.80,,4.75,,4.80,NA,4.75,NA,0.03,4.83,4.78,4.83,4.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.75,7.75,0.05
78201,26,Liver imaging,A,,0.44,0.16,,0.15,,0.16,,0.15,,0.04,0.64,0.63,0.64,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78202,,Liver imaging with flow,A,,0.51,5.41,,5.02,,5.41,NA,5.02,NA,0.04,5.96,5.57,5.96,5.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.94,7.94,0.05
78202,TC,Liver imaging with flow,A,,0.00,5.23,,4.88,,5.23,NA,4.88,NA,0.03,5.26,4.91,5.26,4.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.76,7.76,0.04
78202,26,Liver imaging with flow,A,,0.51,0.18,,0.14,,0.18,,0.14,,0.01,0.70,0.66,0.70,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78205,,Liver imaging (3D),A,,0.71,5.92,,5.16,,5.92,NA,5.16,NA,0.07,6.70,5.94,6.70,5.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.04,8.04,0.08
78205,TC,Liver imaging (3D),A,,0.00,5.64,,4.93,,5.64,NA,4.93,NA,0.03,5.67,4.96,5.67,4.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.76,7.76,0.04
78205,26,Liver imaging (3D),A,,0.71,0.28,,0.23,,0.28,,0.23,,0.04,1.03,0.98,1.03,0.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78206,,Liver image (3d) with flow,A,,0.96,9.21,,8.68,,9.21,NA,8.68,NA,0.07,10.24,9.71,10.24,9.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.16,8.16,0.07
78206,TC,Liver image (3d) with flow,A,,0.00,8.83,,8.36,,8.83,NA,8.36,NA,0.03,8.86,8.39,8.86,8.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.78,7.78,0.03
78206,26,Liver image (3d) with flow,A,,0.96,0.38,,0.32,,0.38,,0.32,,0.04,1.38,1.32,1.38,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78215,,Liver and spleen imaging,A,,0.49,5.11,,4.86,,5.11,NA,4.86,NA,0.06,5.66,5.41,5.66,5.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.96,7.96,0.08
78215,TC,Liver and spleen imaging,A,,0.00,4.91,,4.69,,4.91,NA,4.69,NA,0.03,4.94,4.72,4.94,4.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.76,7.76,0.05
78215,26,Liver and spleen imaging,A,,0.49,0.20,,0.17,,0.20,,0.17,,0.03,0.72,0.69,0.72,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78216,,Liver & spleen image/flow,A,,0.57,3.22,,2.72,,3.22,NA,2.72,NA,0.06,3.85,3.35,3.85,3.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.95,7.95,0.11
78216,TC,Liver & spleen image/flow,A,,0.00,3.00,,2.53,,3.00,NA,2.53,NA,0.03,3.03,2.56,3.03,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.73,7.73,0.08
78216,26,Liver & spleen image/flow,A,,0.57,0.22,,0.19,,0.22,,0.19,,0.03,0.82,0.79,0.82,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78220,,Liver function study,A,,0.49,3.49,,3.00,,3.49,NA,3.00,NA,0.04,4.02,3.53,4.02,3.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.92,7.92,0.08
78220,TC,Liver function study,A,,0.00,3.30,,2.83,,3.30,NA,2.83,NA,0.03,3.33,2.86,3.33,2.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.73,7.73,0.07
78220,26,Liver function study,A,,0.49,0.19,,0.17,,0.19,,0.17,,0.01,0.69,0.67,0.69,0.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78223,,Hepatobiliary imaging,A,,0.84,8.83,,8.70,,8.83,NA,8.70,NA,0.07,9.74,9.61,9.74,9.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.12,8.12,0.07
78223,TC,Hepatobiliary imaging,A,,0.00,8.49,,8.40,,8.49,NA,8.40,NA,0.03,8.52,8.43,8.52,8.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.78,7.78,0.03
78223,26,Hepatobiliary imaging,A,,0.84,0.34,,0.30,,0.34,,0.30,,0.04,1.22,1.18,1.22,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78230,,Salivary gland imaging,A,,0.45,4.38,,4.27,,4.38,NA,4.27,NA,0.06,4.89,4.78,4.89,4.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.17,7.17,0.08
78230,TC,Salivary gland imaging,A,,0.00,4.20,,4.10,,4.20,NA,4.10,NA,0.03,4.23,4.13,4.23,4.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,6.99,6.99,0.05
78230,26,Salivary gland imaging,A,,0.45,0.18,,0.17,,0.18,,0.17,,0.03,0.66,0.65,0.66,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78231,,Serial salivary imaging,A,,0.52,3.23,,2.85,,3.23,NA,2.85,NA,0.04,3.79,3.41,3.79,3.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.18,7.18,0.08
78231,TC,Serial salivary imaging,A,,0.00,3.02,,2.66,,3.02,NA,2.66,NA,0.03,3.05,2.69,3.05,2.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,6.97,6.97,0.07
78231,26,Serial salivary imaging,A,,0.52,0.21,,0.19,,0.21,,0.19,,0.01,0.74,0.72,0.74,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78232,,Salivary gland function exam,A,,0.47,2.93,,2.13,,2.93,NA,2.13,NA,0.06,3.46,2.66,3.46,2.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.12,7.12,0.11
78232,TC,Salivary gland function exam,A,,0.00,2.78,,2.05,,2.78,NA,2.05,NA,0.03,2.81,2.08,2.81,2.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,6.97,6.97,0.08
78232,26,Salivary gland function exam,A,,0.47,0.15,,0.08,,0.15,,0.08,,0.03,0.65,0.58,0.65,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78258,,Esophageal motility study,A,,0.74,5.92,,5.67,,5.92,NA,5.67,NA,0.06,6.72,6.47,6.72,6.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.32,7.32,0.07
78258,TC,Esophageal motility study,A,,0.00,5.61,,5.41,,5.61,NA,5.41,NA,0.03,5.64,5.44,5.64,5.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.01,7.01,0.04
78258,26,Esophageal motility study,A,,0.74,0.31,,0.26,,0.31,,0.26,,0.03,1.08,1.03,1.08,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78261,,Gastric mucosa imaging,A,,0.69,6.60,,6.28,,6.60,NA,6.28,NA,0.07,7.36,7.04,7.36,7.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.30,7.30,0.07
78261,TC,Gastric mucosa imaging,A,,0.00,6.31,,6.02,,6.31,NA,6.02,NA,0.03,6.34,6.05,6.34,6.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.01,7.01,0.03
78261,26,Gastric mucosa imaging,A,,0.69,0.29,,0.26,,0.29,,0.26,,0.04,1.02,0.99,1.02,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78262,,Gastroesophageal reflux exam,A,,0.68,6.49,,6.17,,6.49,NA,6.17,NA,0.04,7.21,6.89,7.21,6.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.28,7.28,0.04
78262,TC,Gastroesophageal reflux exam,A,,0.00,6.22,,5.93,,6.22,NA,5.93,NA,0.03,6.25,5.96,6.25,5.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.01,7.01,0.03
78262,26,Gastroesophageal reflux exam,A,,0.68,0.27,,0.24,,0.27,,0.24,,0.01,0.96,0.93,0.96,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78264,,Gastric emptying study,A,,0.78,7.56,,7.25,,7.56,NA,7.25,NA,0.07,8.41,8.10,8.41,8.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.32,7.32,0.07
78264,TC,Gastric emptying study,A,,0.00,7.25,,6.98,,7.25,NA,6.98,NA,0.03,7.28,7.01,7.28,7.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.01,7.01,0.03
78264,26,Gastric emptying study,A,,0.78,0.31,,0.27,,0.31,,0.27,,0.04,1.13,1.09,1.13,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78267,,Breath tst attain/anal c-14,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
78268,,Breath test analysis c-14,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
78270,,Vit B-12 absorption exam,A,,0.20,2.17,,2.07,,2.17,NA,2.07,NA,0.02,2.39,2.29,2.39,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78270,TC,Vit B-12 absorption exam,A,,0.00,2.09,,1.99,,2.09,NA,1.99,NA,0.01,2.10,2.00,2.10,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78270,26,Vit B-12 absorption exam,A,,0.20,0.08,,0.08,,0.08,,0.08,,0.01,0.29,0.29,0.29,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78271,,Vit b-12 absrp exam int fac,A,,0.20,2.30,,2.29,,2.30,NA,2.29,NA,0.02,2.52,2.51,2.52,2.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78271,TC,Vit b-12 absrp exam int fac,A,,0.00,2.22,,2.20,,2.22,NA,2.20,NA,0.01,2.23,2.21,2.23,2.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78271,26,Vit b-12 absrp exam int fac,A,,0.20,0.08,,0.09,,0.08,,0.09,,0.01,0.29,0.30,0.29,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78272,,Vit b-12 absorp combined,A,,0.27,2.37,,2.19,,2.37,NA,2.19,NA,0.04,2.68,2.50,2.68,2.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78272,TC,Vit b-12 absorp combined,A,,0.00,2.27,,2.09,,2.27,NA,2.09,NA,0.03,2.30,2.12,2.30,2.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78272,26,Vit b-12 absorp combined,A,,0.27,0.10,,0.10,,0.10,,0.10,,0.01,0.38,0.38,0.38,0.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78278,,Acute GI blood loss imaging,A,,0.99,9.10,,8.75,,9.10,NA,8.75,NA,0.08,10.17,9.82,10.17,9.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.42,7.42,0.07
78278,TC,Acute GI blood loss imaging,A,,0.00,8.70,,8.40,,8.70,NA,8.40,NA,0.03,8.73,8.43,8.73,8.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.02,7.02,0.02
78278,26,Acute GI blood loss imaging,A,,0.99,0.40,,0.35,,0.40,,0.35,,0.05,1.44,1.39,1.44,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78282,,GI protein loss exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.19,7.19,0.04
78282,TC,GI protein loss exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.03,7.03,0.01
78282,26,GI protein loss exam,A,,0.38,0.16,,0.14,,0.16,,0.14,,0.03,0.57,0.55,0.57,0.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78290,,Meckels divert exam,A,,0.68,8.71,,8.66,,8.71,NA,8.66,NA,0.07,9.46,9.41,9.46,9.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.30,7.30,0.07
78290,TC,Meckels divert exam,A,,0.00,8.43,,8.42,,8.43,NA,8.42,NA,0.03,8.46,8.45,8.46,8.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.02,7.02,0.03
78290,26,Meckels divert exam,A,,0.68,0.28,,0.24,,0.28,,0.24,,0.04,1.00,0.96,1.00,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78291,,Leveen/shunt patency exam,A,,0.88,6.48,,6.27,,6.48,NA,6.27,NA,0.08,7.44,7.23,7.44,7.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.36,7.36,0.08
78291,TC,Leveen/shunt patency exam,A,,0.00,6.13,,5.97,,6.13,NA,5.97,NA,0.03,6.16,6.00,6.16,6.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.01,7.01,0.03
78291,26,Leveen/shunt patency exam,A,,0.88,0.35,,0.30,,0.35,,0.30,,0.05,1.28,1.23,1.28,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78299,,GI nuclear procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78299,TC,GI nuclear procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78299,26,GI nuclear procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78300,,Bone imaging limited area,A,,0.62,4.51,,4.35,,4.51,NA,4.35,NA,0.06,5.19,5.03,5.19,5.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.41,7.41,0.08
78300,TC,Bone imaging limited area,A,,0.00,4.25,,4.12,,4.25,NA,4.12,NA,0.03,4.28,4.15,4.28,4.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.15,7.15,0.05
78300,26,Bone imaging limited area,A,,0.62,0.26,,0.23,,0.26,,0.23,,0.03,0.91,0.88,0.91,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78305,,Bone imaging multiple areas,A,,0.83,5.95,,5.71,,5.95,NA,5.71,NA,0.07,6.85,6.61,6.85,6.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.49,7.49,0.08
78305,TC,Bone imaging multiple areas,A,,0.00,5.62,,5.41,,5.62,NA,5.41,NA,0.03,5.65,5.44,5.65,5.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.16,7.16,0.04
78305,26,Bone imaging multiple areas,A,,0.83,0.33,,0.30,,0.33,,0.30,,0.04,1.20,1.17,1.20,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78306,,Bone imaging whole body,A,,0.86,6.53,,6.12,,6.53,NA,6.12,NA,0.07,7.46,7.05,7.46,7.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.52,7.52,0.07
78306,TC,Bone imaging whole body,A,,0.00,6.18,,5.82,,6.18,NA,5.82,NA,0.03,6.21,5.85,6.21,5.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.17,7.17,0.03
78306,26,Bone imaging whole body,A,,0.86,0.35,,0.30,,0.35,,0.30,,0.04,1.25,1.20,1.25,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78315,,Bone imaging 3 phase,A,,1.02,9.06,,8.70,,9.06,NA,8.70,NA,0.08,10.16,9.80,10.16,9.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.59,7.59,0.07
78315,TC,Bone imaging 3 phase,A,,0.00,8.65,,8.35,,8.65,NA,8.35,NA,0.03,8.68,8.38,8.68,8.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.18,7.18,0.02
78315,26,Bone imaging 3 phase,A,,1.02,0.41,,0.35,,0.41,,0.35,,0.05,1.48,1.42,1.48,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78320,,Bone imaging (3D),A,,1.04,6.07,,5.30,,6.07,NA,5.30,NA,0.08,7.19,6.42,7.19,6.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.57,7.57,0.09
78320,TC,Bone imaging (3D),A,,0.00,5.66,,4.96,,5.66,NA,4.96,NA,0.03,5.69,4.99,5.69,4.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.16,7.16,0.04
78320,26,Bone imaging (3D),A,,1.04,0.41,,0.34,,0.41,,0.34,,0.05,1.50,1.43,1.50,1.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78350,,Bone mineral single photon,N,+,0.22,0.73,,0.68,,0.73,NA,0.68,NA,0.02,0.97,0.92,0.97,0.92,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
78350,TC,Bone mineral single photon,N,+,0.00,0.64,,0.58,,0.64,NA,0.58,NA,0.01,0.65,0.59,0.65,0.59,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
78350,26,Bone mineral single photon,N,+,0.22,0.09,,0.10,,0.09,,0.10,,0.01,0.32,0.33,0.32,0.33,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
78351,,Bone mineral dual photon,N,+,0.30,0.13,,0.13,,0.13,,0.13,,0.01,0.44,0.44,0.44,0.44,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
78399,,Musculoskeletal nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78399,TC,Musculoskeletal nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78399,26,Musculoskeletal nuclear exam,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78414,,Non-imaging heart function,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78414,TC,Non-imaging heart function,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78414,26,Non-imaging heart function,A,,0.45,0.18,,0.20,,0.18,,0.20,,0.03,0.66,0.68,0.66,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78428,,Cardiac shunt imaging,A,,0.78,4.87,,4.37,,4.87,NA,4.37,NA,0.06,5.71,5.21,5.71,5.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.87,8.87,0.09
78428,TC,Cardiac shunt imaging,A,,0.00,4.52,,4.09,,4.52,NA,4.09,NA,0.03,4.55,4.12,4.55,4.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.52,8.52,0.06
78428,26,Cardiac shunt imaging,A,,0.78,0.35,,0.28,,0.35,,0.28,,0.03,1.16,1.09,1.16,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78445,,Vascular flow imaging,A,,0.49,4.51,,4.29,,4.51,NA,4.29,NA,0.04,5.04,4.82,5.04,4.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.05,6.05,0.05
78445,TC,Vascular flow imaging,A,,0.00,4.32,,4.14,,4.32,NA,4.14,NA,0.03,4.35,4.17,4.35,4.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.86,5.86,0.04
78445,26,Vascular flow imaging,A,,0.49,0.19,,0.15,,0.19,,0.15,,0.01,0.69,0.65,0.69,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78451,,Ht muscle image spect sing,A,,1.38,8.58,,8.58,,8.58,NA,8.58,NA,0.08,10.04,10.04,10.04,10.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,22.79,22.79,0.13
78451,TC,Ht muscle image spect sing,A,,0.00,8.07,,8.07,,8.07,NA,8.07,NA,0.03,8.10,8.10,8.10,8.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,22.28,22.28,0.08
78451,26,Ht muscle image spect sing,A,,1.38,0.51,,0.51,,0.51,,0.51,,0.05,1.94,1.94,1.94,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78452,,Ht muscle image spect mult,A,,1.62,12.35,,12.35,,12.35,NA,12.35,NA,0.09,14.06,14.06,14.06,14.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,22.91,22.91,0.13
78452,TC,Ht muscle image spect mult,A,,0.00,11.73,,11.73,,11.73,NA,11.73,NA,0.04,11.77,11.77,11.77,11.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,22.29,22.29,0.08
78452,26,Ht muscle image spect mult,A,,1.62,0.62,,0.62,,0.62,,0.62,,0.05,2.29,2.29,2.29,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78453,,Ht muscle image planar sing,A,,1.00,7.55,,7.55,,7.55,NA,7.55,NA,0.08,8.63,8.63,8.63,8.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,22.64,22.64,0.14
78453,TC,Ht muscle image planar sing,A,,0.00,7.18,,7.18,,7.18,NA,7.18,NA,0.03,7.21,7.21,7.21,7.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,22.27,22.27,0.09
78453,26,Ht muscle image planar sing,A,,1.00,0.37,,0.37,,0.37,,0.37,,0.05,1.42,1.42,1.42,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78454,,Ht musc image planar mult,A,,1.34,11.03,,11.03,,11.03,NA,11.03,NA,0.09,12.46,12.46,12.46,12.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,22.78,22.78,0.13
78454,TC,Ht musc image planar mult,A,,0.00,10.53,,10.53,,10.53,NA,10.53,NA,0.04,10.57,10.57,10.57,10.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,22.28,22.28,0.08
78454,26,Ht musc image planar mult,A,,1.34,0.50,,0.50,,0.50,,0.50,,0.05,1.89,1.89,1.89,1.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78456,,Acute venous thrombus image,A,,1.00,9.36,,8.75,,9.36,NA,8.75,NA,0.06,10.42,9.81,10.42,9.81,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,6.35,6.35,0.05
78456,TC,Acute venous thrombus image,A,,0.00,8.89,,8.38,,8.89,NA,8.38,NA,0.03,8.92,8.41,8.92,8.41,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,5.88,5.88,0.02
78456,26,Acute venous thrombus image,A,,1.00,0.47,,0.37,,0.47,,0.37,,0.03,1.50,1.40,1.50,1.40,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
78457,,Venous thrombosis imaging,A,,0.77,4.91,,4.67,,4.91,NA,4.67,NA,0.07,5.75,5.51,5.75,5.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.17,6.17,0.08
78457,TC,Venous thrombosis imaging,A,,0.00,4.60,,4.40,,4.60,NA,4.40,NA,0.03,4.63,4.43,4.63,4.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.86,5.86,0.04
78457,26,Venous thrombosis imaging,A,,0.77,0.31,,0.27,,0.31,,0.27,,0.04,1.12,1.08,1.12,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78458,,Ven thrombosis images bilat,A,,0.90,4.80,,4.07,,4.80,NA,4.07,NA,0.08,5.78,5.05,5.78,5.05,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,6.17,6.17,0.09
78458,TC,Ven thrombosis images bilat,A,,0.00,4.49,,3.86,,4.49,NA,3.86,NA,0.03,4.52,3.89,4.52,3.89,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,5.86,5.86,0.04
78458,26,Ven thrombosis images bilat,A,,0.90,0.31,,0.21,,0.31,,0.21,,0.05,1.26,1.16,1.26,1.16,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78459,,Heart muscle imaging (PET),C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,33.20,33.20,0.11
78459,TC,Heart muscle imaging (PET),C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,32.58,32.58,0.01
78459,26,Heart muscle imaging (PET),A,,1.50,0.62,,0.45,,0.62,,0.45,,0.10,2.22,2.05,2.22,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78466,,Heart infarct image,A,,0.69,4.57,,4.17,,4.57,NA,4.17,NA,0.06,5.32,4.92,5.32,4.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.83,8.83,0.09
78466,TC,Heart infarct image,A,,0.00,4.26,,3.91,,4.26,NA,3.91,NA,0.03,4.29,3.94,4.29,3.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.52,8.52,0.06
78466,26,Heart infarct image,A,,0.69,0.31,,0.26,,0.31,,0.26,,0.03,1.03,0.98,1.03,0.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78468,,Heart infarct image (ef),A,,0.80,5.59,,4.85,,5.59,NA,4.85,NA,0.06,6.45,5.71,6.45,5.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.91,8.91,0.08
78468,TC,Heart infarct image (ef),A,,0.00,5.21,,4.54,,5.21,NA,4.54,NA,0.03,5.24,4.57,5.24,4.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.53,8.53,0.05
78468,26,Heart infarct image (ef),A,,0.80,0.38,,0.31,,0.38,,0.31,,0.03,1.21,1.14,1.21,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78469,,Heart infarct image (3D),A,,0.92,6.61,,6.07,,6.61,NA,6.07,NA,0.06,7.59,7.05,7.59,7.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.98,8.98,0.07
78469,TC,Heart infarct image (3D),A,,0.00,6.16,,5.67,,6.16,NA,5.67,NA,0.03,6.19,5.70,6.19,5.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.53,8.53,0.04
78469,26,Heart infarct image (3D),A,,0.92,0.45,,0.40,,0.45,,0.40,,0.03,1.40,1.35,1.40,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78472,,Gated heart planar single,A,,0.98,6.37,,5.54,,6.37,NA,5.54,NA,0.07,7.42,6.59,7.42,6.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.96,8.96,0.08
78472,TC,Gated heart planar single,A,,0.00,5.94,,5.19,,5.94,NA,5.19,NA,0.03,5.97,5.22,5.97,5.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.53,8.53,0.04
78472,26,Gated heart planar single,A,,0.98,0.43,,0.35,,0.43,,0.35,,0.04,1.45,1.37,1.45,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78473,,Gated heart multiple,A,,1.47,8.25,,6.86,,8.25,NA,6.86,NA,0.08,9.80,8.41,9.80,8.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.21,9.21,0.08
78473,TC,Gated heart multiple,A,,0.00,7.58,,6.31,,7.58,NA,6.31,NA,0.03,7.61,6.34,7.61,6.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.54,8.54,0.03
78473,26,Gated heart multiple,A,,1.47,0.67,,0.55,,0.67,,0.55,,0.05,2.19,2.07,2.19,2.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78481,,Heart first pass single,A,,0.98,5.17,,4.20,,5.17,NA,4.20,NA,0.04,6.19,5.22,6.19,5.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.04,9.04,0.05
78481,TC,Heart first pass single,A,,0.00,4.69,,3.82,,4.69,NA,3.82,NA,0.01,4.70,3.83,4.70,3.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.56,8.56,0.02
78481,26,Heart first pass single,A,,0.98,0.48,,0.38,,0.48,,0.38,,0.03,1.49,1.39,1.49,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78483,,Heart first pass multiple,A,,1.47,7.04,,5.53,,7.04,NA,5.53,NA,0.08,8.59,7.08,8.59,7.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.27,9.27,0.09
78483,TC,Heart first pass multiple,A,,0.00,6.31,,4.96,,6.31,NA,4.96,NA,0.03,6.34,4.99,6.34,4.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.54,8.54,0.04
78483,26,Heart first pass multiple,A,,1.47,0.73,,0.57,,0.73,,0.57,,0.05,2.25,2.09,2.25,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78491,,Heart image (pet) single,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,33.23,33.23,0.11
78491,TC,Heart image (pet) single,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,32.58,32.58,0.01
78491,26,Heart image (pet) single,A,,1.50,0.65,,0.49,,0.65,,0.49,,0.10,2.25,2.09,2.25,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78492,,Heart image (pet) multiple,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,33.44,33.44,0.13
78492,TC,Heart image (pet) multiple,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,32.58,32.58,0.01
78492,26,Heart image (pet) multiple,A,,1.87,0.86,,0.65,,0.86,,0.65,,0.12,2.85,2.64,2.85,2.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78494,,Heart image spect,A,,1.19,6.64,,5.56,,6.64,NA,5.56,NA,0.07,7.90,6.82,7.90,6.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.08,9.08,0.08
78494,TC,Heart image spect,A,,0.00,6.09,,5.09,,6.09,NA,5.09,NA,0.03,6.12,5.12,6.12,5.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.53,8.53,0.04
78494,26,Heart image spect,A,,1.19,0.55,,0.47,,0.55,,0.47,,0.04,1.78,1.70,1.78,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78496,,Heart first pass add-on,A,,0.50,1.86,,0.74,,1.86,NA,0.74,NA,0.02,2.38,1.26,2.38,1.26,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78496,TC,Heart first pass add-on,A,,0.00,1.63,,0.55,,1.63,NA,0.55,NA,0.01,1.64,0.56,1.64,0.56,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78496,26,Heart first pass add-on,A,,0.50,0.23,,0.19,,0.23,,0.19,,0.01,0.74,0.70,0.74,0.70,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78499,,Cardiovascular nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78499,TC,Cardiovascular nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78499,26,Cardiovascular nuclear exam,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78580,,Lung perfusion imaging,A,,0.74,5.46,,5.12,,5.46,NA,5.12,NA,0.06,6.26,5.92,6.26,5.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.06,6.06,0.06
78580,TC,Lung perfusion imaging,A,,0.00,5.16,,4.87,,5.16,NA,4.87,NA,0.03,5.19,4.90,5.19,4.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.76,5.76,0.03
78580,26,Lung perfusion imaging,A,,0.74,0.30,,0.25,,0.30,,0.25,,0.03,1.07,1.02,1.07,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78584,,Lung V/Q image single breath,A,,0.99,3.43,,3.01,,3.43,NA,3.01,NA,0.08,4.50,4.08,4.50,4.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.73,9.73,0.14
78584,TC,Lung V/Q image single breath,A,,0.00,3.02,,2.65,,3.02,NA,2.65,NA,0.03,3.05,2.68,3.05,2.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.32,9.32,0.09
78584,26,Lung V/Q image single breath,A,,0.99,0.41,,0.36,,0.41,,0.36,,0.05,1.45,1.40,1.45,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78585,,Lung V/Q imaging,A,,1.09,9.23,,8.75,,9.23,NA,8.75,NA,0.08,10.40,9.92,10.40,9.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.82,9.82,0.08
78585,TC,Lung V/Q imaging,A,,0.00,8.79,,8.37,,8.79,NA,8.37,NA,0.03,8.82,8.40,8.82,8.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.38,9.38,0.03
78585,26,Lung V/Q imaging,A,,1.09,0.44,,0.38,,0.44,,0.38,,0.05,1.58,1.52,1.58,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78586,,Aerosol lung image single,A,,0.40,4.46,,4.31,,4.46,NA,4.31,NA,0.04,4.90,4.75,4.90,4.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.91,5.91,0.05
78586,TC,Aerosol lung image single,A,,0.00,4.30,,4.16,,4.30,NA,4.16,NA,0.03,4.33,4.19,4.33,4.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.75,5.75,0.04
78586,26,Aerosol lung image single,A,,0.40,0.16,,0.15,,0.16,,0.15,,0.01,0.57,0.56,0.57,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78587,,Aerosol lung image multiple,A,,0.49,5.59,,5.33,,5.59,NA,5.33,NA,0.06,6.14,5.88,6.14,5.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.95,5.95,0.06
78587,TC,Aerosol lung image multiple,A,,0.00,5.40,,5.17,,5.40,NA,5.17,NA,0.03,5.43,5.20,5.43,5.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.76,5.76,0.03
78587,26,Aerosol lung image multiple,A,,0.49,0.19,,0.16,,0.19,,0.16,,0.03,0.71,0.68,0.71,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78588,,Perfusion lung image,A,,1.09,8.91,,8.82,,8.91,NA,8.82,NA,0.08,10.08,9.99,10.08,9.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.82,9.82,0.08
78588,TC,Perfusion lung image,A,,0.00,8.47,,8.44,,8.47,NA,8.44,NA,0.03,8.50,8.47,8.50,8.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.38,9.38,0.03
78588,26,Perfusion lung image,A,,1.09,0.44,,0.38,,0.44,,0.38,,0.05,1.58,1.52,1.58,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78591,,Vent image 1 breath 1 proj,A,,0.40,4.52,,4.34,,4.52,NA,4.34,NA,0.04,4.96,4.78,4.96,4.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.92,5.92,0.05
78591,TC,Vent image 1 breath 1 proj,A,,0.00,4.35,,4.19,,4.35,NA,4.19,NA,0.03,4.38,4.22,4.38,4.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.75,5.75,0.04
78591,26,Vent image 1 breath 1 proj,A,,0.40,0.17,,0.15,,0.17,,0.15,,0.01,0.58,0.56,0.58,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78593,,Vent image 1 proj gas,A,,0.49,5.22,,4.94,,5.22,NA,4.94,NA,0.06,5.77,5.49,5.77,5.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.96,5.96,0.06
78593,TC,Vent image 1 proj gas,A,,0.00,5.02,,4.77,,5.02,NA,4.77,NA,0.03,5.05,4.80,5.05,4.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.76,5.76,0.03
78593,26,Vent image 1 proj gas,A,,0.49,0.20,,0.17,,0.20,,0.17,,0.03,0.72,0.69,0.72,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78594,,Vent image mult proj gas,A,,0.53,5.79,,5.14,,5.79,NA,5.14,NA,0.06,6.38,5.73,6.38,5.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.96,5.96,0.06
78594,TC,Vent image mult proj gas,A,,0.00,5.59,,4.98,,5.59,NA,4.98,NA,0.03,5.62,5.01,5.62,5.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,5.76,5.76,0.03
78594,26,Vent image mult proj gas,A,,0.53,0.20,,0.16,,0.20,,0.16,,0.03,0.76,0.72,0.76,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78596,,Lung differential function,A,,1.27,9.63,,8.99,,9.63,NA,8.99,NA,0.07,10.97,10.33,10.97,10.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.87,9.87,0.07
78596,TC,Lung differential function,A,,0.00,9.15,,8.56,,9.15,NA,8.56,NA,0.03,9.18,8.59,9.18,8.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.39,9.39,0.03
78596,26,Lung differential function,A,,1.27,0.48,,0.43,,0.48,,0.43,,0.04,1.79,1.74,1.79,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78599,,Respiratory nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78599,TC,Respiratory nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78599,26,Respiratory nuclear exam,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78600,,Brain image < 4 views,A,,0.44,4.81,,4.57,,4.81,NA,4.57,NA,0.04,5.29,5.05,5.29,5.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.21,7.21,0.06
78600,TC,Brain image < 4 views,A,,0.00,4.62,,4.41,,4.62,NA,4.41,NA,0.03,4.65,4.44,4.65,4.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.02,7.02,0.05
78600,26,Brain image < 4 views,A,,0.44,0.19,,0.16,,0.19,,0.16,,0.01,0.64,0.61,0.64,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78601,,Brain image w/flow < 4 views,A,,0.51,5.71,,5.42,,5.71,NA,5.42,NA,0.06,6.28,5.99,6.28,5.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.65,17.65,0.13
78601,TC,Brain image w/flow < 4 views,A,,0.00,5.51,,5.24,,5.51,NA,5.24,NA,0.03,5.54,5.27,5.54,5.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,17.45,17.45,0.10
78601,26,Brain image w/flow < 4 views,A,,0.51,0.20,,0.18,,0.20,,0.18,,0.03,0.74,0.72,0.74,0.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78605,,Brain image 4+ views,A,,0.53,5.22,,4.89,,5.22,NA,4.89,NA,0.06,5.81,5.48,5.81,5.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.26,7.26,0.07
78605,TC,Brain image 4+ views,A,,0.00,4.99,,4.69,,4.99,NA,4.69,NA,0.03,5.02,4.72,5.02,4.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.03,7.03,0.04
78605,26,Brain image 4+ views,A,,0.53,0.23,,0.20,,0.23,,0.20,,0.03,0.79,0.76,0.79,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78606,,Brain image w/flow 4 + views,A,,0.64,8.85,,8.71,,8.85,NA,8.71,NA,0.04,9.53,9.39,9.53,9.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.75,17.75,0.07
78606,TC,Brain image w/flow 4 + views,A,,0.00,8.59,,8.48,,8.59,NA,8.48,NA,0.03,8.62,8.51,8.62,8.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,17.49,17.49,0.06
78606,26,Brain image w/flow 4 + views,A,,0.64,0.26,,0.23,,0.26,,0.23,,0.01,0.91,0.88,0.91,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78607,,Brain imaging (3D),A,,1.23,9.37,,8.66,,9.37,NA,8.66,NA,0.08,10.68,9.97,10.68,9.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.96,17.96,0.11
78607,TC,Brain imaging (3D),A,,0.00,8.90,,8.27,,8.90,NA,8.27,NA,0.03,8.93,8.30,8.93,8.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,17.49,17.49,0.06
78607,26,Brain imaging (3D),A,,1.23,0.47,,0.39,,0.47,,0.39,,0.05,1.75,1.67,1.75,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78608,,Brain imaging (PET),C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,31.24,31.24,0.12
78608,TC,Brain imaging (PET),C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,30.66,30.66,0.01
78608,26,Brain imaging (PET),A,,1.50,0.58,,0.48,,0.58,,0.48,,0.11,2.19,2.09,2.19,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78609,,Brain imaging (PET),N,+,1.50,0.63,,0.66,,0.63,NA,0.66,NA,0.10,2.23,2.26,2.23,2.26,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
78609,TC,Brain imaging (PET),N,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
78609,26,Brain imaging (PET),N,+,1.50,0.63,,0.66,,0.63,,0.66,,0.10,2.23,2.26,2.23,2.26,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
78610,,Brain flow imaging only,A,,0.30,4.88,,4.47,,4.88,NA,4.47,NA,0.04,5.22,4.81,5.22,4.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.16,7.16,0.05
78610,TC,Brain flow imaging only,A,,0.00,4.75,,4.36,,4.75,NA,4.36,NA,0.03,4.78,4.39,4.78,4.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.03,7.03,0.04
78610,26,Brain flow imaging only,A,,0.30,0.13,,0.11,,0.13,,0.11,,0.01,0.44,0.42,0.44,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78630,,Cerebrospinal fluid scan,A,,0.68,9.16,,8.83,,9.16,NA,8.83,NA,0.06,9.90,9.57,9.90,9.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.77,17.77,0.09
78630,TC,Cerebrospinal fluid scan,A,,0.00,8.88,,8.59,,8.88,NA,8.59,NA,0.03,8.91,8.62,8.91,8.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,17.49,17.49,0.06
78630,26,Cerebrospinal fluid scan,A,,0.68,0.28,,0.24,,0.28,,0.24,,0.03,0.99,0.95,0.99,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78635,,CSF ventriculography,A,,0.61,8.79,,8.84,,8.79,NA,8.84,NA,0.04,9.44,9.49,9.44,9.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.75,17.75,0.07
78635,TC,CSF ventriculography,A,,0.00,8.53,,8.61,,8.53,NA,8.61,NA,0.03,8.56,8.64,8.56,8.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,17.49,17.49,0.06
78635,26,CSF ventriculography,A,,0.61,0.26,,0.23,,0.26,,0.23,,0.01,0.88,0.85,0.88,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78645,,CSF shunt evaluation,A,,0.57,8.68,,8.49,,8.68,NA,8.49,NA,0.06,9.31,9.12,9.31,9.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.28,7.28,0.06
78645,TC,CSF shunt evaluation,A,,0.00,8.45,,8.30,,8.45,NA,8.30,NA,0.03,8.48,8.33,8.48,8.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.05,7.05,0.03
78645,26,CSF shunt evaluation,A,,0.57,0.23,,0.19,,0.23,,0.19,,0.03,0.83,0.79,0.83,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78647,,Cerebrospinal fluid scan,A,,0.90,9.25,,8.76,,9.25,NA,8.76,NA,0.08,10.23,9.74,10.23,9.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.83,17.83,0.11
78647,TC,Cerebrospinal fluid scan,A,,0.00,8.91,,8.47,,8.91,NA,8.47,NA,0.03,8.94,8.50,8.94,8.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,17.49,17.49,0.06
78647,26,Cerebrospinal fluid scan,A,,0.90,0.34,,0.29,,0.34,,0.29,,0.05,1.29,1.24,1.29,1.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78650,,CSF leakage imaging,A,,0.61,9.02,,8.69,,9.02,NA,8.69,NA,0.07,9.70,9.37,9.70,9.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.73,17.73,0.10
78650,TC,CSF leakage imaging,A,,0.00,8.78,,8.49,,8.78,NA,8.49,NA,0.03,8.81,8.52,8.81,8.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,17.49,17.49,0.06
78650,26,CSF leakage imaging,A,,0.61,0.24,,0.20,,0.24,,0.20,,0.04,0.89,0.85,0.89,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78660,,Nuclear exam of tear flow,A,,0.53,4.62,,4.63,,4.62,NA,4.63,NA,0.06,5.21,5.22,5.21,5.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,7.25,7.25,0.08
78660,TC,Nuclear exam of tear flow,A,,0.00,4.39,,4.41,,4.39,NA,4.41,NA,0.03,4.42,4.44,4.42,4.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,7.02,7.02,0.05
78660,26,Nuclear exam of tear flow,A,,0.53,0.23,,0.22,,0.23,,0.22,,0.03,0.79,0.78,0.79,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78699,,Nervous system nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78699,TC,Nervous system nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78699,26,Nervous system nuclear exam,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78700,,Kidney imaging morphol,A,,0.45,4.68,,4.39,,4.68,NA,4.39,NA,0.06,5.19,4.90,5.19,4.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.59,9.59,0.09
78700,TC,Kidney imaging morphol,A,,0.00,4.49,,4.23,,4.49,NA,4.23,NA,0.03,4.52,4.26,4.52,4.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.40,9.40,0.06
78700,26,Kidney imaging morphol,A,,0.45,0.19,,0.16,,0.19,,0.16,,0.03,0.67,0.64,0.67,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78701,,Kidney imaging with flow,A,,0.49,5.72,,5.42,,5.72,NA,5.42,NA,0.06,6.27,5.97,6.27,5.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.61,9.61,0.08
78701,TC,Kidney imaging with flow,A,,0.00,5.52,,5.25,,5.52,NA,5.25,NA,0.03,5.55,5.28,5.55,5.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.41,9.41,0.05
78701,26,Kidney imaging with flow,A,,0.49,0.20,,0.17,,0.20,,0.17,,0.03,0.72,0.69,0.72,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78707,,K flow/funct image w/o drug,A,,0.96,5.97,,5.45,,5.97,NA,5.45,NA,0.07,7.00,6.48,7.00,6.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.79,9.79,0.09
78707,TC,K flow/funct image w/o drug,A,,0.00,5.59,,5.13,,5.59,NA,5.13,NA,0.03,5.62,5.16,5.62,5.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.41,9.41,0.05
78707,26,K flow/funct image w/o drug,A,,0.96,0.38,,0.32,,0.38,,0.32,,0.04,1.38,1.32,1.38,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78708,,K flow/funct image w/drug,A,,1.21,4.03,,3.35,,4.03,NA,3.35,NA,0.08,5.32,4.64,5.32,4.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.87,9.87,0.13
78708,TC,K flow/funct image w/drug,A,,0.00,3.54,,2.94,,3.54,NA,2.94,NA,0.03,3.57,2.97,3.57,2.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.38,9.38,0.08
78708,26,K flow/funct image w/drug,A,,1.21,0.49,,0.41,,0.49,,0.41,,0.05,1.75,1.67,1.75,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78709,,K flow/funct image multiple,A,,1.41,9.28,,8.92,,9.28,NA,8.92,NA,0.10,10.79,10.43,10.79,10.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.99,9.99,0.10
78709,TC,K flow/funct image multiple,A,,0.00,8.72,,8.44,,8.72,NA,8.44,NA,0.03,8.75,8.47,8.75,8.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.43,9.43,0.03
78709,26,K flow/funct image multiple,A,,1.41,0.56,,0.48,,0.56,,0.48,,0.07,2.04,1.96,2.04,1.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78710,,Kidney imaging (3D),A,,0.66,5.85,,5.03,,5.85,NA,5.03,NA,0.04,6.55,5.73,6.55,5.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.66,9.66,0.06
78710,TC,Kidney imaging (3D),A,,0.00,5.60,,4.83,,5.60,NA,4.83,NA,0.03,5.63,4.86,5.63,4.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.41,9.41,0.05
78710,26,Kidney imaging (3D),A,,0.66,0.25,,0.20,,0.25,,0.20,,0.01,0.92,0.87,0.92,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78725,,Kidney function study,A,,0.38,2.60,,2.48,,2.60,NA,2.48,NA,0.04,3.02,2.90,3.02,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78725,TC,Kidney function study,A,,0.00,2.45,,2.34,,2.45,NA,2.34,NA,0.03,2.48,2.37,2.48,2.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
78725,26,Kidney function study,A,,0.38,0.15,,0.14,,0.15,,0.14,,0.01,0.54,0.53,0.54,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78730,,Urinary bladder retention,A,,0.15,2.03,,1.80,,2.03,NA,1.80,NA,0.02,2.20,1.97,2.20,1.97,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.03,3.03,0.03
78730,TC,Urinary bladder retention,A,,0.00,1.95,,1.74,,1.95,NA,1.74,NA,0.01,1.96,1.75,1.96,1.75,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.95,2.95,0.02
78730,26,Urinary bladder retention,A,,0.15,0.08,,0.06,,0.08,,0.06,,0.01,0.24,0.22,0.24,0.22,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78740,,Ureteral reflux study,A,,0.57,5.89,,5.84,,5.89,NA,5.84,NA,0.06,6.52,6.47,6.52,6.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.66,9.66,0.08
78740,TC,Ureteral reflux study,A,,0.00,5.64,,5.62,,5.64,NA,5.62,NA,0.03,5.67,5.65,5.67,5.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.41,9.41,0.05
78740,26,Ureteral reflux study,A,,0.57,0.25,,0.22,,0.25,,0.22,,0.03,0.85,0.82,0.85,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78761,,Testicular imaging w/flow,A,,0.71,5.48,,5.24,,5.48,NA,5.24,NA,0.07,6.26,6.02,6.26,6.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,9.71,9.71,0.09
78761,TC,Testicular imaging w/flow,A,,0.00,5.18,,4.97,,5.18,NA,4.97,NA,0.03,5.21,5.00,5.21,5.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,9.41,9.41,0.05
78761,26,Testicular imaging w/flow,A,,0.71,0.30,,0.27,,0.30,,0.27,,0.04,1.05,1.02,1.05,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78799,,Genitourinary nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78799,TC,Genitourinary nuclear exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78799,26,Genitourinary nuclear exam,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78800,,Tumor imaging limited area,A,,0.66,4.78,,4.51,,4.78,NA,4.51,NA,0.07,5.51,5.24,5.51,5.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,8.74,8.74,0.10
78800,TC,Tumor imaging limited area,A,,0.00,4.52,,4.27,,4.52,NA,4.27,NA,0.03,4.55,4.30,4.55,4.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,8.48,8.48,0.06
78800,26,Tumor imaging limited area,A,,0.66,0.26,,0.24,,0.26,,0.24,,0.04,0.96,0.94,0.96,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78801,,Tumor imaging mult areas,A,,0.79,6.58,,6.27,,6.58,NA,6.27,NA,0.07,7.44,7.13,7.44,7.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,14.23,14.23,0.11
78801,TC,Tumor imaging mult areas,A,,0.00,6.26,,5.98,,6.26,NA,5.98,NA,0.03,6.29,6.01,6.29,6.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,13.91,13.91,0.07
78801,26,Tumor imaging mult areas,A,,0.79,0.32,,0.29,,0.32,,0.29,,0.04,1.15,1.12,1.15,1.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78802,,Tumor imaging whole body,A,,0.86,8.69,,8.12,,8.69,NA,8.12,NA,0.07,9.62,9.05,9.62,9.05,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,14.27,14.27,0.09
78802,TC,Tumor imaging whole body,A,,0.00,8.35,,7.84,,8.35,NA,7.84,NA,0.03,8.38,7.87,8.38,7.87,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,01,0,99,13.93,13.93,0.05
78802,26,Tumor imaging whole body,A,,0.86,0.34,,0.28,,0.34,,0.28,,0.04,1.24,1.18,1.24,1.18,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78803,,Tumor imaging (3D),A,,1.09,9.17,,8.34,,9.17,NA,8.34,NA,0.08,10.34,9.51,10.34,9.51,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,14.35,14.35,0.10
78803,TC,Tumor imaging (3D),A,,0.00,8.75,,8.01,,8.75,NA,8.01,NA,0.03,8.78,8.04,8.78,8.04,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,01,0,99,13.93,13.93,0.05
78803,26,Tumor imaging (3D),A,,1.09,0.42,,0.33,,0.42,,0.33,,0.05,1.56,1.47,1.56,1.47,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78804,,Tumor imaging whole body,A,,1.07,15.92,,14.79,,15.92,NA,14.79,NA,0.10,17.09,15.96,17.09,15.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,24.63,24.63,0.13
78804,TC,Tumor imaging whole body,A,,0.00,15.50,,14.44,,15.50,NA,14.44,NA,0.05,15.55,14.49,15.55,14.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,24.21,24.21,0.08
78804,26,Tumor imaging whole body,A,,1.07,0.42,,0.35,,0.42,,0.35,,0.05,1.54,1.47,1.54,1.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78805,,Abscess imaging ltd area,A,,0.73,4.63,,4.29,,4.63,NA,4.29,NA,0.07,5.43,5.09,5.43,5.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,14.17,14.17,0.14
78805,TC,Abscess imaging ltd area,A,,0.00,4.34,,4.04,,4.34,NA,4.04,NA,0.03,4.37,4.07,4.37,4.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,13.88,13.88,0.10
78805,26,Abscess imaging ltd area,A,,0.73,0.29,,0.25,,0.29,,0.25,,0.04,1.06,1.02,1.06,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78806,,Abscess imaging whole body,A,,0.86,9.03,,8.35,,9.03,NA,8.35,NA,0.07,9.96,9.28,9.96,9.28,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,14.27,14.27,0.09
78806,TC,Abscess imaging whole body,A,,0.00,8.69,,8.07,,8.69,NA,8.07,NA,0.03,8.72,8.10,8.72,8.10,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,01,0,99,13.93,13.93,0.05
78806,26,Abscess imaging whole body,A,,0.86,0.34,,0.28,,0.34,,0.28,,0.04,1.24,1.18,1.24,1.18,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78807,,Nuclear localization/abscess,A,,1.09,9.16,,8.33,,9.16,NA,8.33,NA,0.07,10.32,9.49,10.32,9.49,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,14.34,14.34,0.09
78807,TC,Nuclear localization/abscess,A,,0.00,8.75,,8.01,,8.75,NA,8.01,NA,0.03,8.78,8.04,8.78,8.04,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,01,0,99,13.93,13.93,0.05
78807,26,Nuclear localization/abscess,A,,1.09,0.41,,0.32,,0.41,,0.32,,0.04,1.54,1.45,1.54,1.45,1,XXX,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78808,,Iv inj ra drug dx study,A,,0.18,1.06,,0.89,,1.06,NA,0.89,NA,0.03,1.27,1.10,1.27,1.10,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78811,,Pet image ltd area,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,31.29,31.29,0.19
78811,TC,Pet image ltd area,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,30.66,30.66,0.01
78811,26,Pet image ltd area,A,,1.54,0.63,,0.54,,0.63,,0.54,,0.18,2.35,2.26,2.35,2.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78812,,Pet image skull-thigh,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,31.44,31.44,0.17
78812,TC,Pet image skull-thigh,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,30.66,30.66,0.01
78812,26,Pet image skull-thigh,A,,1.93,0.78,,0.66,,0.78,,0.66,,0.16,2.87,2.75,2.87,2.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78813,,Pet image full body,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,31.48,31.48,0.19
78813,TC,Pet image full body,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,30.66,30.66,0.01
78813,26,Pet image full body,A,,2.00,0.82,,0.72,,0.82,,0.72,,0.18,3.00,2.90,3.00,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78814,,Pet image w/ct lmtd,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,31.53,31.53,0.21
78814,TC,Pet image w/ct lmtd,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,30.66,30.66,0.01
78814,26,Pet image w/ct lmtd,A,,2.20,0.87,,0.73,,0.87,,0.73,,0.20,3.27,3.13,3.27,3.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78815,,Pet image w/ct skull-thigh,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,31.64,31.64,0.23
78815,TC,Pet image w/ct skull-thigh,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,30.66,30.66,0.01
78815,26,Pet image w/ct skull-thigh,A,,2.44,0.98,,0.83,,0.98,,0.83,,0.22,3.64,3.49,3.64,3.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78816,,Pet image w/ct full body,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,31.64,31.64,0.23
78816,TC,Pet image w/ct full body,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,30.66,30.66,0.01
78816,26,Pet image w/ct full body,A,,2.50,0.98,,0.80,,0.98,,0.80,,0.22,3.70,3.52,3.70,3.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78999,,Nuclear diagnostic exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78999,TC,Nuclear diagnostic exam,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
78999,26,Nuclear diagnostic exam,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79005,,Nuclear rx oral admin,A,,1.80,2.32,,1.91,,2.32,NA,1.91,NA,0.08,4.20,3.79,4.20,3.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79005,TC,Nuclear rx oral admin,A,,0.00,1.60,,1.26,,1.60,NA,1.26,NA,0.01,1.61,1.27,1.61,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79005,26,Nuclear rx oral admin,A,,1.80,0.72,,0.65,,0.72,,0.65,,0.07,2.59,2.52,2.59,2.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79101,,Nuclear rx iv admin,A,,1.96,2.71,,2.24,,2.71,NA,2.24,NA,0.08,4.75,4.28,4.75,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79101,TC,Nuclear rx iv admin,A,,0.00,1.74,,1.34,,1.74,NA,1.34,NA,0.01,1.75,1.35,1.75,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79101,26,Nuclear rx iv admin,A,,1.96,0.97,,0.90,,0.97,,0.90,,0.07,3.00,2.93,3.00,2.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79200,,Nuclear rx intracav admin,A,,1.99,2.82,,2.43,,2.82,NA,2.43,NA,0.12,4.93,4.54,4.93,4.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79200,TC,Nuclear rx intracav admin,A,,0.00,1.98,,1.67,,1.98,NA,1.67,NA,0.01,1.99,1.68,1.99,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79200,26,Nuclear rx intracav admin,A,,1.99,0.84,,0.76,,0.84,,0.76,,0.11,2.94,2.86,2.94,2.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79300,,Nuclr rx interstit colloid,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79300,TC,Nuclr rx interstit colloid,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79300,26,Nuclr rx interstit colloid,A,,1.60,0.66,,0.61,,0.66,,0.61,,0.14,2.40,2.35,2.40,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79403,,Hematopoietic nuclear tx,A,,2.25,3.61,,2.87,,3.61,NA,2.87,NA,0.14,6.00,5.26,6.00,5.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79403,TC,Hematopoietic nuclear tx,A,,0.00,2.68,,2.07,,2.68,NA,2.07,NA,0.03,2.71,2.10,2.71,2.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79403,26,Hematopoietic nuclear tx,A,,2.25,0.93,,0.80,,0.93,,0.80,,0.11,3.29,3.16,3.29,3.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79440,,Nuclear rx intra-articular,A,,1.99,2.58,,2.38,,2.58,NA,2.38,NA,0.06,4.63,4.43,4.63,4.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79440,TC,Nuclear rx intra-articular,A,,0.00,1.66,,1.46,,1.66,NA,1.46,NA,0.01,1.67,1.47,1.67,1.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79440,26,Nuclear rx intra-articular,A,,1.99,0.92,,0.92,,0.92,,0.92,,0.05,2.96,2.96,2.96,2.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79445,,Nuclear rx intra-arterial,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79445,TC,Nuclear rx intra-arterial,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79445,26,Nuclear rx intra-arterial,A,,2.40,0.94,,0.76,,0.94,,0.76,,0.20,3.54,3.36,3.54,3.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79999,,Nuclear medicine therapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79999,TC,Nuclear medicine therapy,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
79999,26,Nuclear medicine therapy,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
80047,,Metabolic panel ionized ca,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80048,,Metabolic panel total ca,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80050,,General health panel,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80051,,Electrolyte panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80053,,Comprehen metabolic panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80055,,Obstetric panel,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80061,,Lipid panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80069,,Renal function panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80074,,Acute hepatitis panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80076,,Hepatic function panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80100,,Drug screen qualitate/multi,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80101,,Drug screen single,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80102,,Drug confirmation,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80103,,Drug analysis tissue prep,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80104,,Drug scrn 1+ class nonchromo,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80150,,Assay of amikacin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80152,,Assay of amitriptyline,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80154,,Assay of benzodiazepines,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80156,,Assay carbamazepine total,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80157,,Assay carbamazepine free,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80158,,Assay of cyclosporine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80160,,Assay of desipramine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80162,,Assay of digoxin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80164,,Assay dipropylacetic acid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80166,,Assay of doxepin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80168,,Assay of ethosuximide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80170,,Assay of gentamicin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80172,,Assay of gold,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80173,,Assay of haloperidol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80174,,Assay of imipramine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80176,,Assay of lidocaine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80178,,Assay of lithium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80182,,Assay of nortriptyline,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80184,,Assay of phenobarbital,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80185,,Assay of phenytoin total,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80186,,Assay of phenytoin free,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80188,,Assay of primidone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80190,,Assay of procainamide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80192,,Assay of procainamide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80194,,Assay of quinidine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80195,,Assay of sirolimus,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80196,,Assay of salicylate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80197,,Assay of tacrolimus,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80198,,Assay of theophylline,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80200,,Assay of tobramycin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80201,,Assay of topiramate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80202,,Assay of vancomycin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80299,,Quantitative assay drug,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80400,,Acth stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80402,,Acth stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80406,,Acth stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80408,,Aldosterone suppression eval,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80410,,Calcitonin stimul panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80412,,CRH stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80414,,Testosterone response,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80415,,Estradiol response panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80416,,Renin stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80417,,Renin stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80418,,Pituitary evaluation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80420,,Dexamethasone panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80422,,Glucagon tolerance panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80424,,Glucagon tolerance panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80426,,Gonadotropin hormone panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80428,,Growth hormone panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80430,,Growth hormone panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80432,,Insulin suppression panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80434,,Insulin tolerance panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80435,,Insulin tolerance panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80436,,Metyrapone panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80438,,TRH stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80439,,TRH stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80440,,TRH stimulation panel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
80500,,Lab pathology consultation,A,,0.37,0.21,,0.18,,0.14,,0.12,,0.03,0.61,0.58,0.54,0.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
80502,,Lab pathology consultation,A,,1.33,0.48,,0.46,,0.43,,0.41,,0.07,1.88,1.86,1.83,1.81,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
81000,,Urinalysis nonauto w/scope,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81001,,Urinalysis auto w/scope,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81002,,Urinalysis nonauto w/o scope,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81003,,Urinalysis auto w/o scope,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81005,,Urinalysis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81007,,Urine screen for bacteria,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81015,,Microscopic exam of urine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81020,,Urinalysis glass test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81025,,Urine pregnancy test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81050,,Urinalysis volume measure,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
81099,,Urinalysis test procedure,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82000,,Assay of blood acetaldehyde,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82003,,Assay of acetaminophen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82009,,Test for acetone/ketones,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82010,,Acetone assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82013,,Acetylcholinesterase assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82016,,Acylcarnitines qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82017,,Acylcarnitines quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82024,,Assay of acth,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82030,,Assay of adp & amp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82040,,Assay of serum albumin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82042,,Assay of urine albumin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82043,,Microalbumin quantitative,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82044,,Microalbumin semiquant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82045,,Albumin ischemia modified,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82055,,Assay of ethanol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82075,,Assay of breath ethanol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82085,,Assay of aldolase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82088,,Assay of aldosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82101,,Assay of urine alkaloids,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82103,,Alpha-1-antitrypsin total,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82104,,Alpha-1-antitrypsin pheno,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82105,,Alpha-fetoprotein serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82106,,Alpha-fetoprotein amniotic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82107,,Alpha-fetoprotein l3,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82108,,Assay of aluminum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82120,,Amines vaginal fluid qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82127,,Amino acid single qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82128,,Amino acids mult qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82131,,Amino acids single quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82135,,Assay aminolevulinic acid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82136,,Amino acids quant 2-5,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82139,,Amino acids quan 6 or more,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82140,,Assay of ammonia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82143,,Amniotic fluid scan,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82145,,Assay of amphetamines,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82150,,Assay of amylase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82154,,Androstanediol glucuronide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82157,,Assay of androstenedione,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82160,,Assay of androsterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82163,,Assay of angiotensin II,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82164,,Angiotensin I enzyme test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82172,,Assay of apolipoprotein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82175,,Assay of arsenic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82180,,Assay of ascorbic acid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82190,,Atomic absorption,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82205,,Assay of barbiturates,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82232,,Assay of beta-2 protein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82239,,Bile acids total,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82240,,Bile acids cholylglycine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82247,,Bilirubin total,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82248,,Bilirubin direct,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82252,,Fecal bilirubin test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82261,,Assay of biotinidase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82270,,Occult blood feces,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82271,,Occult blood other sources,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82272,,Occult bld feces 1-3 tests,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82274,,Assay test for blood fecal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82286,,Assay of bradykinin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82300,,Assay of cadmium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82306,,Vitamin d 25 hydroxy,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82308,,Assay of calcitonin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82310,,Assay of calcium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82330,,Assay of calcium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82331,,Calcium infusion test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82340,,Assay of calcium in urine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82355,,Calculus analysis qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82360,,Calculus assay quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82365,,Calculus spectroscopy,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82370,,X-ray assay calculus,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82373,,Assay c-d transfer measure,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82374,,Assay blood carbon dioxide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82375,,Assay carboxyhb quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82376,,Assay carboxyhb qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82378,,Carcinoembryonic antigen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82379,,Assay of carnitine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82380,,Assay of carotene,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82382,,Assay urine catecholamines,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82383,,Assay blood catecholamines,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82384,,Assay three catecholamines,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82387,,Assay of cathepsin-d,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82390,,Assay of ceruloplasmin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82397,,Chemiluminescent assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82415,,Assay of chloramphenicol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82435,,Assay of blood chloride,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82436,,Assay of urine chloride,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82438,,Assay other fluid chlorides,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82441,,Test for chlorohydrocarbons,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82465,,Assay bld/serum cholesterol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82480,,Assay serum cholinesterase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82482,,Assay rbc cholinesterase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82485,,Assay chondroitin sulfate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82486,,Gas/liquid chromatography,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82487,,Paper chromatography,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82488,,Paper chromatography,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82489,,Thin layer chromatography,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82491,,Chromotography quant sing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82492,,Chromotography quant mult,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82495,,Assay of chromium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82507,,Assay of citrate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82520,,Assay of cocaine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82523,,Collagen crosslinks,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82525,,Assay of copper,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82528,,Assay of corticosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82530,,Cortisol free,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82533,,Total cortisol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82540,,Assay of creatine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82541,,Column chromotography qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82542,,Column chromotography quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82543,,Column chromotograph/isotope,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82544,,Column chromotograph/isotope,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82550,,Assay of ck (cpk),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82552,,Assay of cpk in blood,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82553,,Creatine mb fraction,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82554,,Creatine isoforms,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82565,,Assay of creatinine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82570,,Assay of urine creatinine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82575,,Creatinine clearance test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82585,,Assay of cryofibrinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82595,,Assay of cryoglobulin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82600,,Assay of cyanide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82607,,Vitamin B-12,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82608,,B-12 binding capacity,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82610,,Cystatin c,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82615,,Test for urine cystines,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82626,,Dehydroepiandrosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82627,,Dehydroepiandrosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82633,,Desoxycorticosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82634,,Deoxycortisol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82638,,Assay of dibucaine number,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82646,,Assay of dihydrocodeinone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82649,,Assay of dihydromorphinone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82651,,Assay of dihydrotestosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82652,,Vit d 1 25-dihydroxy,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82654,,Assay of dimethadione,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82656,,Pancreatic elastase fecal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82657,,Enzyme cell activity,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82658,,Enzyme cell activity ra,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82664,,Electrophoretic test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82666,,Assay of epiandrosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82668,,Assay of erythropoietin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82670,,Assay of estradiol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82671,,Assay of estrogens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82672,,Assay of estrogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82677,,Assay of estriol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82679,,Assay of estrone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82690,,Assay of ethchlorvynol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82693,,Assay of ethylene glycol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82696,,Assay of etiocholanolone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82705,,Fats/lipids feces qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82710,,Fats/lipids feces quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82715,,Assay of fecal fat,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82725,,Assay of blood fatty acids,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82726,,Long chain fatty acids,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82728,,Assay of ferritin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82731,,Assay of fetal fibronectin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82735,,Assay of fluoride,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82742,,Assay of flurazepam,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82746,,Blood folic acid serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82747,,Assay of folic acid rbc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82757,,Assay of semen fructose,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82759,,Assay of rbc galactokinase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82760,,Assay of galactose,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82775,,Assay galactose transferase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82776,,Galactose transferase test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82784,,Assay iga/igd/igg/igm each,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82785,,Assay of ige,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82787,,Igg 1 2 3 or 4 each,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82800,,Blood pH,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82803,,Blood gases any combination,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82805,,Blood gases w/o2 saturation,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82810,,Blood gases o2 sat only,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82820,,Hemoglobin-oxygen affinity,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82930,,Gastric analy w/ph ea spec,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82938,,Gastrin test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82941,,Assay of gastrin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82943,,Assay of glucagon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82945,,Glucose other fluid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82946,,Glucagon tolerance test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82947,,Assay glucose blood quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82948,,Reagent strip/blood glucose,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82950,,Glucose test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82951,,Glucose tolerance test (GTT),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82952,,GTT-added samples,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82953,,Glucose-tolbutamide test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82955,,Assay of g6pd enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82960,,Test for G6PD enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82962,,Glucose blood test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82963,,Assay of glucosidase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82965,,Assay of gdh enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82975,,Assay of glutamine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82977,,Assay of GGT,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82978,,Assay of glutathione,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82979,,Assay rbc glutathione,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82980,,Assay of glutethimide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
82985,,Glycated protein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83001,,Gonadotropin (FSH),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83002,,Gonadotropin (LH),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83003,,Assay growth hormone (hgh),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83008,,Assay of guanosine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83009,,H pylori (c-13) blood,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83010,,Assay of haptoglobin quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83012,,Assay of haptoglobins,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83013,,H pylori (c-13) breath,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83014,,H pylori drug admin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83015,,Heavy metal screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83018,,Quantitative screen metals,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83020,,Hemoglobin electrophoresis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83020,26,Hemoglobin electrophoresis,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.03,0.57,0.58,0.57,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
83021,,Hemoglobin chromotography,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83026,,Hemoglobin copper sulfate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83030,,Fetal hemoglobin chemical,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83033,,Fetal hemoglobin assay qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83036,,Glycosylated hemoglobin test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83037,,Glycosylated hb home device,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83045,,Blood methemoglobin test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83050,,Blood methemoglobin assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83051,,Assay of plasma hemoglobin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83055,,Blood sulfhemoglobin test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83060,,Blood sulfhemoglobin assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83065,,Assay of hemoglobin heat,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83068,,Hemoglobin stability screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83069,,Assay of urine hemoglobin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83070,,Assay of hemosiderin qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83071,,Assay of hemosiderin quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83080,,Assay of b hexosaminidase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83088,,Assay of histamine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83090,,Assay of homocystine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83150,,Assay of for hva,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83491,,Assay of corticosteroids,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83497,,Assay of 5-hiaa,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83498,,Assay of progesterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83499,,Assay of progesterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83500,,Assay free hydroxyproline,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83505,,Assay total hydroxyproline,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83516,,Immunoassay nonantibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83518,,Immunoassay dipstick,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83519,,Ria nonantibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83520,,Immunoassay quant nos nonab,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83525,,Assay of insulin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83527,,Assay of insulin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83528,,Assay of intrinsic factor,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83540,,Assay of iron,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83550,,Iron binding test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83570,,Assay of idh enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83582,,Assay of ketogenic steroids,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83586,,Assay 17- ketosteroids,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83593,,Fractionation ketosteroids,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83605,,Assay of lactic acid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83615,,Lactate (LD) (LDH) enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83625,,Assay of ldh enzymes,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83630,,Lactoferrin fecal (qual),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83631,,Lactoferrin fecal (quant),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83632,,Placental lactogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83633,,Test urine for lactose,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83634,,Assay of urine for lactose,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83655,,Assay of lead,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83661,,L/s ratio fetal lung,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83662,,Foam stability fetal lung,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83663,,Fluoro polarize fetal lung,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83664,,Lamellar bdy fetal lung,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83670,,Assay of lap enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83690,,Assay of lipase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83695,,Assay of lipoprotein(a),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83698,,Assay lipoprotein pla2,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83700,,Lipopro bld electrophoretic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83701,,Lipoprotein bld hr fraction,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83704,,Lipoprotein bld by nmr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83718,,Assay of lipoprotein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83719,,Assay of blood lipoprotein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83721,,Assay of blood lipoprotein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83727,,Assay of lrh hormone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83735,,Assay of magnesium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83775,,Assay of md enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83785,,Assay of manganese,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83788,,Mass spectrometry qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83789,,Mass spectrometry quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83805,,Assay of meprobamate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83825,,Assay of mercury,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83835,,Assay of metanephrines,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83840,,Assay of methadone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83857,,Assay of methemalbumin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83858,,Assay of methsuximide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83861,,Microfluid analy tears,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83864,,Mucopolysaccharides,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83866,,Mucopolysaccharides screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83872,,Assay synovial fluid mucin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83873,,Assay of csf protein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83874,,Assay of myoglobin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83876,,Assay myeloperoxidase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83880,,Natriuretic peptide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83883,,Assay nephelometry not spec,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83885,,Assay of nickel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83887,,Assay of nicotine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83890,,Molecule isolate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83891,,Molecule isolate nucleic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83892,,Molecular diagnostics,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83893,,Molecule dot/slot/blot,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83894,,Molecule gel electrophor,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83896,,Molecular diagnostics,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83897,,Molecule nucleic transfer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83898,,Molecule nucleic ampli each,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83900,,Molecule nucleic ampli 2 seq,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83901,,Molecule nucleic ampli addon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83902,,Molecular diagnostics,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83903,,Molecule mutation scan,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83904,,Molecule mutation identify,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83905,,Molecule mutation identify,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83906,,Molecule mutation identify,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83907,,Lyse cells for nucleic ext,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83908,,Nucleic acid signal ampli,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83909,,Nucleic acid high resolute,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83912,,Genetic examination,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83912,26,Genetic examination,A,,0.37,0.14,,0.15,,0.14,,0.15,,0.03,0.54,0.55,0.54,0.55,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
83913,,Molecular rna stabilization,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83914,,Mutation ident ola/sbce/aspe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83915,,Assay of nucleotidase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83916,,Oligoclonal bands,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83918,,Organic acids total quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83919,,Organic acids qual each,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83921,,Organic acid single quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83925,,Assay of opiates,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83930,,Assay of blood osmolality,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83935,,Assay of urine osmolality,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83937,,Assay of osteocalcin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83945,,Assay of oxalate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83950,,Oncoprotein her-2/neu,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83951,,Oncoprotein dcp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83970,,Assay of parathormone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83986,,Assay ph body fluid nos,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83987,,Exhaled breath condensate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83992,,Assay for phencyclidine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
83993,,Assay for calprotectin fecal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84022,,Assay of phenothiazine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84030,,Assay of blood pku,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84035,,Assay of phenylketones,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84060,,Assay acid phosphatase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84061,,Phosphatase forensic exam,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84066,,Assay prostate phosphatase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84075,,Assay alkaline phosphatase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84078,,Assay alkaline phosphatase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84080,,Assay alkaline phosphatases,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84081,,Amniotic fluid enzyme test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84085,,Assay of rbc pg6d enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84087,,Assay phosphohexose enzymes,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84100,,Assay of phosphorus,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84105,,Assay of urine phosphorus,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84106,,Test for porphobilinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84110,,Assay of porphobilinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84112,,Placenta alpha micro ig c/v,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84119,,Test urine for porphyrins,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84120,,Assay of urine porphyrins,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84126,,Assay of feces porphyrins,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84127,,Assay of feces porphyrins,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84132,,Assay of serum potassium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84133,,Assay of urine potassium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84134,,Assay of prealbumin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84135,,Assay of pregnanediol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84138,,Assay of pregnanetriol,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84140,,Assay of pregnenolone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84143,,Assay of 17-hydroxypregneno,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84144,,Assay of progesterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84145,,Procalcitonin (pct),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84146,,Assay of prolactin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84150,,Assay of prostaglandin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84152,,Assay of psa complexed,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84153,,Assay of psa total,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84154,,Assay of psa free,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84155,,Assay of protein serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84156,,Assay of protein urine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84157,,Assay of protein other,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84160,,Assay of protein any source,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84163,,Pappa serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84165,,Protein e-phoresis serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84165,26,Protein e-phoresis serum,A,,0.37,0.16,,0.18,,0.16,,0.18,,0.03,0.56,0.58,0.56,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
84166,,Protein e-phoresis/urine/csf,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84166,26,Protein e-phoresis/urine/csf,A,,0.37,0.16,,0.18,,0.16,,0.18,,0.03,0.56,0.58,0.56,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
84181,,Western blot test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84181,26,Western blot test,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.03,0.57,0.58,0.57,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
84182,,Protein western blot test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84182,26,Protein western blot test,A,,0.37,0.16,,0.17,,0.16,,0.17,,0.03,0.56,0.57,0.56,0.57,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
84202,,Assay RBC protoporphyrin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84203,,Test RBC protoporphyrin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84206,,Assay of proinsulin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84207,,Assay of vitamin b-6,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84210,,Assay of pyruvate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84220,,Assay of pyruvate kinase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84228,,Assay of quinine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84233,,Assay of estrogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84234,,Assay of progesterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84235,,Assay of endocrine hormone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84238,,Assay nonendocrine receptor,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84244,,Assay of renin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84252,,Assay of vitamin b-2,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84255,,Assay of selenium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84260,,Assay of serotonin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84270,,Assay of sex hormone globul,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84275,,Assay of sialic acid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84285,,Assay of silica,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84295,,Assay of serum sodium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84300,,Assay of urine sodium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84302,,Assay of sweat sodium,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84305,,Assay of somatomedin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84307,,Assay of somatostatin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84311,,Spectrophotometry,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84315,,Body fluid specific gravity,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84375,,Chromatogram assay sugars,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84376,,Sugars single qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84377,,Sugars multiple qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84378,,Sugars single quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84379,,Sugars multiple quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84392,,Assay of urine sulfate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84402,,Assay of testosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84403,,Assay of total testosterone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84425,,Assay of vitamin b-1,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84430,,Assay of thiocyanate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84431,,Thromboxane urine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84432,,Assay of thyroglobulin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84436,,Assay of total thyroxine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84437,,Assay of neonatal thyroxine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84439,,Assay of free thyroxine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84442,,Assay of thyroid activity,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84443,,Assay thyroid stim hormone,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84445,,Assay of tsi,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84446,,Assay of vitamin e,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84449,,Assay of transcortin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84450,,Transferase (AST) (SGOT),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84460,,Alanine amino (ALT) (SGPT),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84466,,Assay of transferrin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84478,,Assay of triglycerides,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84479,,Assay of thyroid (t3 or t4),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84480,,Assay triiodothyronine (t3),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84481,,Free assay (FT-3),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84482,,T3 reverse,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84484,,Assay of troponin quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84485,,Assay duodenal fluid trypsin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84488,,Test feces for trypsin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84490,,Assay of feces for trypsin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84510,,Assay of tyrosine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84512,,Assay of troponin qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84520,,Assay of urea nitrogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84525,,Urea nitrogen semi-quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84540,,Assay of urine/urea-n,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84545,,Urea-N clearance test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84550,,Assay of blood/uric acid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84560,,Assay of urine/uric acid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84577,,Assay of feces/urobilinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84578,,Test urine urobilinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84580,,Assay of urine urobilinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84583,,Assay of urine urobilinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84585,,Assay of urine vma,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84586,,Assay of vip,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84588,,Assay of vasopressin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84590,,Assay of vitamin a,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84591,,Assay of nos vitamin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84597,,Assay of vitamin k,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84600,,Assay of volatiles,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84620,,Xylose tolerance test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84630,,Assay of zinc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84681,,Assay of c-peptide,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84702,,Chorionic gonadotropin test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84703,,Chorionic gonadotropin assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84704,,Hcg free betachain test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84830,,Ovulation tests,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
84999,,Clinical chemistry test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85002,,Bleeding time test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85004,,Automated diff wbc count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85007,,Bl smear w/diff wbc count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85008,,Bl smear w/o diff wbc count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85009,,Manual diff wbc count b-coat,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85013,,Spun microhematocrit,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85014,,Hematocrit,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85018,,Hemoglobin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85025,,Complete cbc w/auto diff wbc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85027,,Complete cbc automated,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85032,,Manual cell count each,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85041,,Automated rbc count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85044,,Manual reticulocyte count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85045,,Automated reticulocyte count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85046,,Reticyte/hgb concentrate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85048,,Automated leukocyte count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85049,,Automated platelet count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85055,,Reticulated platelet assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85060,,Blood smear interpretation,A,,0.45,0.20,,0.22,,0.20,,0.22,,0.03,0.68,0.70,0.68,0.70,8,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
85097,,Bone marrow interpretation,A,,0.94,1.53,,1.36,,0.39,,0.39,,0.05,2.52,2.35,1.38,1.38,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
85130,,Chromogenic substrate assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85170,,Blood clot retraction,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85175,,Blood clot lysis time,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85210,,Blood clot factor II test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85220,,Blood clot factor V test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85230,,Blood clot factor VII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85240,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85244,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85245,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85246,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85247,,Blood clot factor VIII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85250,,Blood clot factor IX test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85260,,Blood clot factor X test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85270,,Blood clot factor XI test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85280,,Blood clot factor XII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85290,,Blood clot factor XIII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85291,,Blood clot factor XIII test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85292,,Blood clot factor assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85293,,Blood clot factor assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85300,,Antithrombin III test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85301,,Antithrombin III test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85302,,Blood clot inhibitor antigen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85303,,Blood clot inhibitor test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85305,,Blood clot inhibitor assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85306,,Blood clot inhibitor test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85307,,Assay activated protein c,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85335,,Factor inhibitor test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85337,,Thrombomodulin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85345,,Coagulation time,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85347,,Coagulation time,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85348,,Coagulation time,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85360,,Euglobulin lysis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85362,,Fibrin degradation products,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85366,,Fibrinogen test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85370,,Fibrinogen test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85378,,Fibrin degrade semiquant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85379,,Fibrin degradation quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85380,,Fibrin degradation vte,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85384,,Fibrinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85385,,Fibrinogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85390,,Fibrinolysins screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85390,26,Fibrinolysins screen,A,,0.37,0.18,,0.19,,0.18,,0.19,,0.03,0.58,0.59,0.58,0.59,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
85396,,Clotting assay whole blood,A,,0.37,0.16,NA,0.17,NA,0.16,,0.17,,0.03,0.56,0.57,0.56,0.57,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
85397,,Clotting funct activity,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85400,,Fibrinolytic plasmin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85410,,Fibrinolytic antiplasmin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85415,,Fibrinolytic plasminogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85420,,Fibrinolytic plasminogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85421,,Fibrinolytic plasminogen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85441,,Heinz bodies direct,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85445,,Heinz bodies induced,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85460,,Hemoglobin fetal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85461,,Hemoglobin fetal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85475,,Hemolysin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85520,,Heparin assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85525,,Heparin neutralization,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85530,,Heparin-protamine tolerance,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85536,,Iron stain peripheral blood,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85540,,Wbc alkaline phosphatase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85547,,RBC mechanical fragility,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85549,,Muramidase,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85555,,RBC osmotic fragility,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85557,,RBC osmotic fragility,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85576,,Blood platelet aggregation,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85576,26,Blood platelet aggregation,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.03,0.57,0.58,0.57,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
85597,,Phospholipid pltlt neutraliz,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85598,,Hexagnal phosph pltlt neutrl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85610,,Prothrombin time,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85611,,Prothrombin test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85612,,Viper venom prothrombin time,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85613,,Russell viper venom diluted,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85635,,Reptilase test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85651,,Rbc sed rate nonautomated,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85652,,Rbc sed rate automated,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85660,,RBC sickle cell test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85670,,Thrombin time plasma,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85675,,Thrombin time titer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85705,,Thromboplastin inhibition,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85730,,Thromboplastin time partial,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85732,,Thromboplastin time partial,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85810,,Blood viscosity examination,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
85999,,Hematology procedure,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86000,,Agglutinins febrile,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86001,,Allergen specific igg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86003,,Allergen specific IgE,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86005,,Allergen specific IgE,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86021,,WBC antibody identification,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86022,,Platelet antibodies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86023,,Immunoglobulin assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86038,,Antinuclear antibodies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86039,,Antinuclear antibodies (ANA),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86060,,Antistreptolysin o titer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86063,,Antistreptolysin o screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86077,,Physician blood bank service,A,,0.94,0.51,,0.55,,0.42,,0.46,,0.05,1.50,1.54,1.41,1.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86078,,Physician blood bank service,A,,0.94,0.52,,0.55,,0.43,,0.46,,0.05,1.51,1.54,1.42,1.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86079,,Physician blood bank service,A,,0.94,0.52,,0.54,,0.43,,0.45,,0.05,1.51,1.53,1.42,1.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86140,,C-reactive protein,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86141,,C-reactive protein hs,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86146,,Glycoprotein antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86147,,Cardiolipin antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86148,,Phospholipid antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86155,,Chemotaxis assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86156,,Cold agglutinin screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86157,,Cold agglutinin titer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86160,,Complement antigen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86161,,Complement/function activity,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86162,,Complement total (ch50),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86171,,Complement fixation each,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86185,,Counterimmunoelectrophoresis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86200,,Ccp antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86215,,Deoxyribonuclease antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86225,,DNA antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86226,,Dna antibody single strand,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86235,,Nuclear antigen antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86243,,Fc receptor,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86255,,Fluorescent antibody screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86255,26,Fluorescent antibody screen,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.03,0.57,0.58,0.57,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86256,,Fluorescent antibody titer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86256,26,Fluorescent antibody titer,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.01,0.55,0.56,0.55,0.56,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86277,,Growth hormone antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86280,,Hemagglutination inhibition,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86294,,Immunoassay tumor qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86300,,Immunoassay tumor ca 15-3,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86301,,Immunoassay tumor ca 19-9,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86304,,Immunoassay tumor ca 125,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86305,,Human epididymis protein 4,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86308,,Heterophile antibodies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86309,,Heterophile antibodies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86310,,Heterophile antibodies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86316,,Immunoassay tumor other,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86317,,Immunoassay infectious agent,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86318,,Immunoassay infectious agent,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86320,,Serum immunoelectrophoresis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86320,26,Serum immunoelectrophoresis,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.01,0.55,0.56,0.55,0.56,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86325,,Other immunoelectrophoresis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86325,26,Other immunoelectrophoresis,A,,0.37,0.16,,0.18,,0.16,,0.18,,0.01,0.54,0.56,0.54,0.56,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86327,,Immunoelectrophoresis assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86327,26,Immunoelectrophoresis assay,A,,0.42,0.20,,0.21,,0.20,,0.21,,0.03,0.65,0.66,0.65,0.66,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86329,,Immunodiffusion,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86331,,Immunodiffusion ouchterlony,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86332,,Immune complex assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86334,,Immunofix e-phoresis serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86334,26,Immunofix e-phoresis serum,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.03,0.57,0.58,0.57,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86335,,Immunfix e-phorsis/urine/csf,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86335,26,Immunfix e-phorsis/urine/csf,A,,0.37,0.16,,0.18,,0.16,,0.18,,0.03,0.56,0.58,0.56,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86336,,Inhibin A,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86337,,Insulin antibodies,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86340,,Intrinsic factor antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86341,,Islet cell antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86343,,Leukocyte histamine release,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86344,,Leukocyte phagocytosis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86352,,Cell function assay w/stim,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86353,,Lymphocyte transformation,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86355,,B cells total count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86356,,Mononuclear cell antigen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86357,,Nk cells total count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86359,,T cells total count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86360,,T cell absolute count/ratio,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86361,,T cell absolute count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86367,,Stem cells total count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86376,,Microsomal antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86378,,Migration inhibitory factor,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86382,,Neutralization test viral,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86384,,Nitroblue tetrazolium dye,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86403,,Particle agglutination test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86406,,Particle agglutination test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86430,,Rheumatoid factor test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86431,,Rheumatoid factor quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86480,,Tb test cell immun measure,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86481,,Tb ag response t-cell susp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86485,,Skin test candida,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86486,,Skin test nos antigen,A,,0.00,0.14,,0.13,,0.14,NA,0.13,NA,0.01,0.15,0.14,0.15,0.14,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86490,,Coccidioidomycosis skin test,A,,0.00,0.19,,0.17,,0.19,NA,0.17,NA,0.01,0.20,0.18,0.20,0.18,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86510,,Histoplasmosis skin test,A,,0.00,0.18,,0.16,,0.18,NA,0.16,NA,0.01,0.19,0.17,0.19,0.17,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86580,,TB intradermal test,A,,0.00,0.21,,0.20,,0.21,NA,0.20,NA,0.01,0.22,0.21,0.22,0.21,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
86590,,Streptokinase antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86592,,Syphilis test non-trep qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86593,,Syphilis test non-trep quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86602,,Antinomyces antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86603,,Adenovirus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86606,,Aspergillus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86609,,Bacterium antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86611,,Bartonella antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86612,,Blastomyces antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86615,,Bordetella antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86617,,Lyme disease antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86618,,Lyme disease antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86619,,Borrelia antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86622,,Brucella antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86625,,Campylobacter antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86628,,Candida antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86631,,Chlamydia antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86632,,Chlamydia igm antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86635,,Coccidioides antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86638,,Q fever antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86641,,Cryptococcus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86644,,CMV antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86645,,Cmv antibody igm,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86648,,Diphtheria antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86651,,Encephalitis antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86652,,Encephalitis antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86653,,Encephalitis antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86654,,Encephalitis antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86658,,Enterovirus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86663,,Epstein-barr antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86664,,Epstein-barr antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86665,,Epstein-barr antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86666,,Ehrlichia antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86668,,Francisella tularensis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86671,,Fungus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86674,,Giardia lamblia antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86677,,Helicobacter pylori,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86682,,Helminth antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86684,,Hemophilus influenza,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86687,,Htlv-i antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86688,,Htlv-ii antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86689,,HTLV/HIV confirmatory test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86692,,Hepatitis delta agent,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86694,,Herpes simplex test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86695,,Herpes simplex test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86696,,Herpes simplex type 2,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86698,,Histoplasma,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86701,,HIV-1,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86702,,HIV-2,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86703,,Hiv-1/hiv-2 single assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86704,,Hep b core antibody total,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86705,,Hep b core antibody igm,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86706,,Hep b surface antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86707,,Hep be antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86708,,Hep a antibody total,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86709,,Hep a antibody igm,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86710,,Influenza virus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86713,,Legionella antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86717,,Leishmania antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86720,,Leptospira antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86723,,Listeria monocytogenes ab,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86727,,Lymph choriomeningitis ab,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86729,,Lympho venereum antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86732,,Mucormycosis antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86735,,Mumps antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86738,,Mycoplasma antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86741,,Neisseria meningitidis,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86744,,Nocardia antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86747,,Parvovirus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86750,,Malaria antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86753,,Protozoa antibody nos,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86756,,Respiratory virus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86757,,Rickettsia antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86759,,Rotavirus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86762,,Rubella antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86765,,Rubeola antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86768,,Salmonella antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86771,,Shigella antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86774,,Tetanus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86777,,Toxoplasma antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86778,,Toxoplasma antibody igm,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86780,,Treponema pallidum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86784,,Trichinella antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86787,,Varicella-zoster antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86788,,West nile virus ab igm,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86789,,West nile virus antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86790,,Virus antibody nos,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86793,,Yersinia antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86800,,Thyroglobulin antibody,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86803,,Hepatitis c ab test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86804,,Hep c ab test confirm,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86805,,Lymphocytotoxicity assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86806,,Lymphocytotoxicity assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86807,,Cytotoxic antibody screening,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86808,,Cytotoxic antibody screening,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86812,,Hla typing a b or c,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86813,,Hla typing a b or c,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86816,,Hla typing dr/dq,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86817,,Hla typing dr/dq,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86821,,Lymphocyte culture mixed,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86822,,Lymphocyte culture primed,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86825,,Hla x-math non-cytotoxic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86826,,Hla x-match noncytotoxc addl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86849,,Immunology procedure,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86850,,RBC antibody screen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86860,,RBC antibody elution,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86870,,RBC antibody identification,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86880,,Coombs test direct,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86885,,Coombs test indirect qual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86886,,Coombs test indirect titer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86890,,Autologous blood process,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86891,,Autologous blood op salvage,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86900,,Blood typing abo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86901,,Blood typing rh (d),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86902,,Blood type antigen donor ea,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86904,,Blood typing patient serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86905,,Blood typing rbc antigens,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86906,,Blood typing rh phenotype,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86910,,Blood typing paternity test,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86911,,Blood typing antigen system,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86920,,Compatibility test spin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86921,,Compatibility test incubate,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86922,,Compatibility test antiglob,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86923,,Compatibility test electric,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86927,,Plasma fresh frozen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86930,,Frozen blood prep,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86931,,Frozen blood thaw,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86932,,Frozen blood freeze/thaw,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86940,,Hemolysins/agglutinins auto,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86941,,Hemolysins/agglutinins,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86945,,Blood product/irradiation,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86950,,Leukacyte transfusion,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86960,,Vol reduction of blood/prod,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86965,,Pooling blood platelets,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86970,,RBC pretreatment,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86971,,RBC pretreatment,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86972,,RBC pretreatment,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86975,,Rbc pretreatment serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86976,,Rbc pretreatment serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86977,,Rbc pretreatment serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86978,,Rbc pretreatment serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86985,,Split blood or products,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
86999,,Transfusion procedure,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87001,,Small animal inoculation,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87003,,Small animal inoculation,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87015,,Specimen concentration,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87040,,Blood culture for bacteria,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87045,,Feces culture bacteria,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87046,,Stool cultr bacteria each,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87070,,Culture bacteria other,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87071,,Culture bacteri aerobic othr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87073,,Culture bacteria anaerobic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87075,,Cultr bacteria except blood,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87076,,Culture anaerobe ident each,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87077,,Culture aerobic identify,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87081,,Culture screen only,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87084,,Culture of specimen by kit,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87086,,Urine culture/colony count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87088,,Urine bacteria culture,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87101,,Skin fungi culture,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87102,,Fungus isolation culture,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87103,,Blood fungus culture,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87106,,Fungi identification yeast,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87107,,Fungi identification mold,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87109,,Mycoplasma,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87110,,Chlamydia culture,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87116,,Mycobacteria culture,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87118,,Mycobacteric identification,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87140,,Culture type immunofluoresc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87143,,Culture typing glc/hplc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87147,,Culture type immunologic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87149,,Dna/rna direct probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87150,,Dna/rna amplified probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87152,,Culture type pulse field gel,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87153,,Dna/rna sequencing,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87158,,Culture typing added method,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87164,,Dark field examination,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87164,26,Dark field examination,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.03,0.57,0.58,0.57,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
87166,,Dark field examination,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87168,,Macroscopic exam arthropod,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87169,,Macroscopic exam parasite,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87172,,Pinworm exam,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87176,,Tissue homogenization cultr,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87177,,Ova and parasites smears,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87181,,Microbe susceptible diffuse,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87184,,Microbe susceptible disk,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87185,,Microbe susceptible enzyme,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87186,,Microbe susceptible mic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87187,,Microbe susceptible mlc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87188,,Microbe suscept macrobroth,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87190,,Microbe suscept mycobacteri,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87197,,Bactericidal level serum,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87205,,Smear gram stain,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87206,,Smear fluorescent/acid stai,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87207,,Smear special stain,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87207,26,Smear special stain,A,,0.37,0.17,,0.19,,0.17,,0.19,,0.03,0.57,0.59,0.57,0.59,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
87209,,Smear complex stain,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87210,,Smear wet mount saline/ink,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87220,,Tissue exam for fungi,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87230,,Assay toxin or antitoxin,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87250,,Virus inoculate eggs/animal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87252,,Virus inoculation tissue,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87253,,Virus inoculate tissue addl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87254,,Virus inoculation shell via,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87255,,Genet virus isolate hsv,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87260,,Adenovirus ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87265,,Pertussis ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87267,,Enterovirus antibody dfa,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87269,,Giardia ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87270,,Chlamydia trachomatis ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87271,,Cytomegalovirus dfa,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87272,,Cryptosporidium ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87273,,Herpes simplex 2 ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87274,,Herpes simplex 1 ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87275,,Influenza b ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87276,,Influenza a ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87277,,Legionella micdadei ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87278,,Legion pneumophilia ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87279,,Parainfluenza ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87280,,Respiratory syncytial ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87281,,Pneumocystis carinii ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87283,,Rubeola ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87285,,Treponema pallidum ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87290,,Varicella zoster ag if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87299,,Antibody detection nos if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87300,,Ag detection polyval if,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87301,,Adenovirus ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87305,,Aspergillus ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87320,,Chylmd trach ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87324,,Clostridium ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87327,,Cryptococcus neoform ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87328,,Cryptosporidium ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87329,,Giardia ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87332,,Cytomegalovirus ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87335,,E coli 0157 ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87336,,Entamoeb hist dispr ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87337,,Entamoeb hist group ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87338,,Hpylori stool eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87339,,H pylori ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87340,,Hepatitis b surface ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87341,,Hepatitis b surface ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87350,,Hepatitis be ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87380,,Hepatitis delta ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87385,,Histoplasma capsul ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87390,,Hiv-1 ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87391,,Hiv-2 ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87400,,Influenza a/b ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87420,,Resp syncytial ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87425,,Rotavirus ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87427,,Shiga-like toxin ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87430,,Strep a ag eia,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87449,,Ag detect nos eia mult,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87450,,Ag detect nos eia single,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87451,,Ag detect polyval eia mult,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87470,,Bartonella dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87471,,Bartonella dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87472,,Bartonella dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87475,,Lyme dis dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87476,,Lyme dis dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87477,,Lyme dis dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87480,,Candida dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87481,,Candida dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87482,,Candida dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87485,,Chylmd pneum dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87486,,Chylmd pneum dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87487,,Chylmd pneum dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87490,,Chylmd trach dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87491,,Chylmd trach dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87492,,Chylmd trach dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87493,,C diff amplified probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87495,,Cytomeg dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87496,,Cytomeg dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87497,,Cytomeg dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87498,,Enterovirus dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87500,,Vanomycin dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87501,,Influenza dna amp prob 1+,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87502,,Influenza dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87503,,Influenza dna amp prob addl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87510,,Gardner vag dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87511,,Gardner vag dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87512,,Gardner vag dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87515,,Hepatitis b dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87516,,Hepatitis b dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87517,,Hepatitis b dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87520,,Hepatitis c rna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87521,,Hepatitis c rna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87522,,Hepatitis c rna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87525,,Hepatitis g dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87526,,Hepatitis g dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87527,,Hepatitis g dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87528,,Hsv dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87529,,Hsv dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87530,,Hsv dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87531,,Hhv-6 dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87532,,Hhv-6 dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87533,,Hhv-6 dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87534,,Hiv-1 dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87535,,Hiv-1 dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87536,,Hiv-1 dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87537,,Hiv-2 dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87538,,Hiv-2 dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87539,,Hiv-2 dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87540,,Legion pneumo dna dir prob,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87541,,Legion pneumo dna amp prob,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87542,,Legion pneumo dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87550,,Mycobacteria dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87551,,Mycobacteria dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87552,,Mycobacteria dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87555,,M.tuberculo dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87556,,M.tuberculo dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87557,,M.tuberculo dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87560,,M.avium-intra dna dir prob,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87561,,M.avium-intra dna amp prob,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87562,,M.avium-intra dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87580,,M.pneumon dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87581,,M.pneumon dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87582,,M.pneumon dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87590,,N.gonorrhoeae dna dir prob,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87591,,N.gonorrhoeae dna amp prob,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87592,,N.gonorrhoeae dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87620,,Hpv dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87621,,Hpv dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87622,,Hpv dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87640,,Staph a dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87641,,Mr-staph dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87650,,Strep a dna dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87651,,Strep a dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87652,,Strep a dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87653,,Strep b dna amp probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87660,,Trichomonas vagin dir probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87797,,Detect agent nos dna dir,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87798,,Detect agent nos dna amp,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87799,,Detect agent nos dna quant,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87800,,Detect agnt mult dna direc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87801,,Detect agnt mult dna ampli,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87802,,Strep b assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87803,,Clostridium toxin a w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87804,,Influenza assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87807,,Rsv assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87808,,Trichomonas assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87809,,Adenovirus assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87810,,Chylmd trach assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87850,,N. gonorrhoeae assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87880,,Strep a assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87899,,Agent nos assay w/optic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87900,,Phenotype infect agent drug,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87901,,Genotype dna hiv reverse t,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87902,,Genotype dna hepatitis c,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87903,,Phenotype dna hiv w/culture,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87904,,Phenotype dna hiv w/clt add,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87905,,Sialidase enzyme assay,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87906,,Genotype dna hiv reverse t,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
87999,,Microbiology procedure,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88000,,Autopsy (necropsy) gross,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88005,,Autopsy (necropsy) gross,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88007,,Autopsy (necropsy) gross,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88012,,Autopsy (necropsy) gross,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88014,,Autopsy (necropsy) gross,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88016,,Autopsy (necropsy) gross,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88020,,Autopsy (necropsy) complete,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88025,,Autopsy (necropsy) complete,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88027,,Autopsy (necropsy) complete,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88028,,Autopsy (necropsy) complete,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88029,,Autopsy (necropsy) complete,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88036,,Limited autopsy,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88037,,Limited autopsy,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88040,,Forensic autopsy (necropsy),N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88045,,Coroners autopsy (necropsy),N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88099,,Necropsy (autopsy) procedure,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88104,,Cytopath fl nongyn smears,A,,0.56,1.34,,1.36,,1.34,NA,1.36,NA,0.02,1.92,1.94,1.92,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88104,TC,Cytopath fl nongyn smears,A,,0.00,1.10,,1.11,,1.10,NA,1.11,NA,0.01,1.11,1.12,1.11,1.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88104,26,Cytopath fl nongyn smears,A,,0.56,0.24,,0.25,,0.24,,0.25,,0.01,0.81,0.82,0.81,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88106,,Cytopath fl nongyn filter,A,,0.56,1.77,,1.74,,1.77,NA,1.74,NA,0.02,2.35,2.32,2.35,2.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88106,TC,Cytopath fl nongyn filter,A,,0.00,1.54,,1.49,,1.54,NA,1.49,NA,0.01,1.55,1.50,1.55,1.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88106,26,Cytopath fl nongyn filter,A,,0.56,0.23,,0.25,,0.23,,0.25,,0.01,0.80,0.82,0.80,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88107,,Cytopath fl nongyn sm/fltr,A,,0.76,2.15,,2.07,,2.15,NA,2.07,NA,0.04,2.95,2.87,2.95,2.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88107,TC,Cytopath fl nongyn sm/fltr,A,,0.00,1.82,,1.73,,1.82,NA,1.73,NA,0.01,1.83,1.74,1.83,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88107,26,Cytopath fl nongyn sm/fltr,A,,0.76,0.33,,0.34,,0.33,,0.34,,0.03,1.12,1.13,1.12,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88108,,Cytopath concentrate tech,A,,0.56,1.64,,1.58,,1.64,NA,1.58,NA,0.02,2.22,2.16,2.22,2.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88108,TC,Cytopath concentrate tech,A,,0.00,1.41,,1.34,,1.41,NA,1.34,NA,0.01,1.42,1.35,1.42,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88108,26,Cytopath concentrate tech,A,,0.56,0.23,,0.24,,0.23,,0.24,,0.01,0.80,0.81,0.80,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88112,,Cytopath cell enhance tech,A,,1.18,1.79,,1.67,,1.79,NA,1.67,NA,0.05,3.02,2.90,3.02,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88112,TC,Cytopath cell enhance tech,A,,0.00,1.35,,1.21,,1.35,NA,1.21,NA,0.01,1.36,1.22,1.36,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88112,26,Cytopath cell enhance tech,A,,1.18,0.44,,0.46,,0.44,,0.46,,0.04,1.66,1.68,1.66,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88120,,Cytp urne 3-5 probes ea spec,A,,1.20,12.17,,12.17,,12.17,NA,12.17,NA,0.06,13.43,13.43,13.43,13.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88120,TC,Cytp urne 3-5 probes ea spec,A,,0.00,11.86,,11.86,,11.86,NA,11.86,NA,0.03,11.89,11.89,11.89,11.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88120,26,Cytp urne 3-5 probes ea spec,A,,1.20,0.31,,0.31,,0.31,,0.31,,0.03,1.54,1.54,1.54,1.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88121,,Cytp urine 3-5 probes cmptr,A,,1.00,10.30,,10.30,,10.30,NA,10.30,NA,0.04,11.34,11.34,11.34,11.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88121,TC,Cytp urine 3-5 probes cmptr,A,,0.00,9.96,,9.96,,9.96,NA,9.96,NA,0.01,9.97,9.97,9.97,9.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88121,26,Cytp urine 3-5 probes cmptr,A,,1.00,0.34,,0.34,,0.34,,0.34,,0.03,1.37,1.37,1.37,1.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88125,,Forensic cytopathology,A,,0.26,0.37,,0.35,,0.37,NA,0.35,NA,0.02,0.65,0.63,0.65,0.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88125,TC,Forensic cytopathology,A,,0.00,0.25,,0.23,,0.25,NA,0.23,NA,0.01,0.26,0.24,0.26,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88125,26,Forensic cytopathology,A,,0.26,0.12,,0.12,,0.12,,0.12,,0.01,0.39,0.39,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88130,,Sex chromatin identification,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88140,,Sex chromatin identification,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88141,,Cytopath c/v interpret,A,,0.42,0.40,,0.42,,0.40,,0.42,,0.03,0.85,0.87,0.85,0.87,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88142,,Cytopath c/v thin layer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88143,,Cytopath c/v thin layer redo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88147,,Cytopath c/v automated,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88148,,Cytopath c/v auto rescreen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88150,,Cytopath c/v manual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88152,,Cytopath c/v auto redo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88153,,Cytopath c/v redo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88154,,Cytopath c/v select,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88155,,Cytopath c/v index add-on,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88160,,Cytopath smear other source,A,,0.50,1.08,,1.08,,1.08,NA,1.08,NA,0.02,1.60,1.60,1.60,1.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88160,TC,Cytopath smear other source,A,,0.00,0.87,,0.86,,0.87,NA,0.86,NA,0.01,0.88,0.87,0.88,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88160,26,Cytopath smear other source,A,,0.50,0.21,,0.22,,0.21,,0.22,,0.01,0.72,0.73,0.72,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88161,,Cytopath smear other source,A,,0.50,1.08,,1.00,,1.08,NA,1.00,NA,0.02,1.60,1.52,1.60,1.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88161,TC,Cytopath smear other source,A,,0.00,0.89,,0.81,,0.89,NA,0.81,NA,0.01,0.90,0.82,0.90,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88161,26,Cytopath smear other source,A,,0.50,0.19,,0.19,,0.19,,0.19,,0.01,0.70,0.70,0.70,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88162,,Cytopath smear other source,A,,0.76,1.50,,1.38,,1.50,NA,1.38,NA,0.04,2.30,2.18,2.30,2.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88162,TC,Cytopath smear other source,A,,0.00,1.20,,1.09,,1.20,NA,1.09,NA,0.01,1.21,1.10,1.21,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88162,26,Cytopath smear other source,A,,0.76,0.30,,0.29,,0.30,,0.29,,0.03,1.09,1.08,1.09,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88164,,Cytopath tbs c/v manual,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88165,,Cytopath tbs c/v redo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88166,,Cytopath tbs c/v auto redo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88167,,Cytopath tbs c/v select,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88172,,Cytp dx eval fna 1st ea site,A,,0.60,0.87,,0.74,,0.87,NA,0.74,NA,0.02,1.49,1.36,1.49,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88172,TC,Cytp dx eval fna 1st ea site,A,,0.00,0.60,,0.46,,0.60,NA,0.46,NA,0.01,0.61,0.47,0.61,0.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88172,26,Cytp dx eval fna 1st ea site,A,,0.60,0.27,,0.28,,0.27,,0.28,,0.01,0.88,0.89,0.88,0.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88173,,Cytopath eval fna report,A,,1.39,2.61,,2.54,,2.61,NA,2.54,NA,0.05,4.05,3.98,4.05,3.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88173,TC,Cytopath eval fna report,A,,0.00,2.03,,1.94,,2.03,NA,1.94,NA,0.01,2.04,1.95,2.04,1.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88173,26,Cytopath eval fna report,A,,1.39,0.58,,0.60,,0.58,,0.60,,0.04,2.01,2.03,2.01,2.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88174,,Cytopath c/v auto in fluid,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88175,,Cytopath c/v auto fluid redo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88177,,Cytp fna eval ea addl,A,,0.42,0.38,,0.38,,0.38,NA,0.38,NA,0.02,0.82,0.82,0.82,0.82,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88177,TC,Cytp fna eval ea addl,A,,0.00,0.18,,0.18,,0.18,NA,0.18,NA,0.01,0.19,0.19,0.19,0.19,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88177,26,Cytp fna eval ea addl,A,,0.42,0.20,,0.20,,0.20,,0.20,,0.01,0.63,0.63,0.63,0.63,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88182,,Cell marker study,A,,0.77,2.23,,2.06,,2.23,NA,2.06,NA,0.06,3.06,2.89,3.06,2.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88182,TC,Cell marker study,A,,0.00,2.01,,1.85,,2.01,NA,1.85,NA,0.03,2.04,1.88,2.04,1.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88182,26,Cell marker study,A,,0.77,0.22,,0.21,,0.22,,0.21,,0.03,1.02,1.01,1.02,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88184,,Flowcytometry/ tc 1 marker,A,,0.00,2.46,,2.29,,2.46,NA,2.29,NA,0.01,2.47,2.30,2.47,2.30,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88185,,Flowcytometry/tc add-on,A,,0.00,1.47,,1.39,,1.47,NA,1.39,NA,0.01,1.48,1.40,1.48,1.40,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88187,,Flowcytometry/read 2-8,A,,1.36,0.55,,0.59,,0.55,,0.59,,0.08,1.99,2.03,1.99,2.03,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88188,,Flowcytometry/read 9-15,A,,1.69,0.68,,0.76,,0.68,,0.76,,0.10,2.47,2.55,2.47,2.55,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88189,,Flowcytometry/read 16 & >,A,,2.23,0.69,,0.70,,0.69,,0.70,,0.12,3.04,3.05,3.04,3.05,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88199,,Cytopathology procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88199,TC,Cytopathology procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88199,26,Cytopathology procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88230,,Tissue culture lymphocyte,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88233,,Tissue culture skin/biopsy,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88235,,Tissue culture placenta,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88237,,Tissue culture bone marrow,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88239,,Tissue culture tumor,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88240,,Cell cryopreserve/storage,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88241,,Frozen cell preparation,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88245,,Chromosome analysis 20-25,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88248,,Chromosome analysis 50-100,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88249,,Chromosome analysis 100,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88261,,Chromosome analysis 5,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88262,,Chromosome analysis 15-20,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88263,,Chromosome analysis 45,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88264,,Chromosome analysis 20-25,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88267,,Chromosome analys placenta,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88269,,Chromosome analys amniotic,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88271,,Cytogenetics dna probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88272,,Cytogenetics 3-5,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88273,,Cytogenetics 10-30,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88274,,Cytogenetics 25-99,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88275,,Cytogenetics 100-300,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88280,,Chromosome karyotype study,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88283,,Chromosome banding study,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88285,,Chromosome count additional,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88289,,Chromosome study additional,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88291,,Cyto/molecular report,A,,0.52,0.31,,0.31,,0.31,,0.31,,0.03,0.86,0.86,0.86,0.86,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88299,,Cytogenetic study,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88300,,Surgical path gross,A,,0.08,0.69,,0.71,,0.69,NA,0.71,NA,0.02,0.79,0.81,0.79,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88300,TC,Surgical path gross,A,,0.00,0.65,,0.67,,0.65,NA,0.67,NA,0.01,0.66,0.68,0.66,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88300,26,Surgical path gross,A,,0.08,0.04,,0.04,,0.04,,0.04,,0.01,0.13,0.13,0.13,0.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88302,,Tissue exam by pathologist,A,,0.13,1.42,,1.40,,1.42,NA,1.40,NA,0.02,1.57,1.55,1.57,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88302,TC,Tissue exam by pathologist,A,,0.00,1.37,,1.34,,1.37,NA,1.34,NA,0.01,1.38,1.35,1.38,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88302,26,Tissue exam by pathologist,A,,0.13,0.05,,0.06,,0.05,,0.06,,0.01,0.19,0.20,0.19,0.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88304,,Tissue exam by pathologist,A,,0.22,1.60,,1.44,,1.60,NA,1.44,NA,0.02,1.84,1.68,1.84,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88304,TC,Tissue exam by pathologist,A,,0.00,1.51,,1.34,,1.51,NA,1.34,NA,0.01,1.52,1.35,1.52,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88304,26,Tissue exam by pathologist,A,,0.22,0.09,,0.10,,0.09,,0.10,,0.01,0.32,0.33,0.32,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88305,,Tissue exam by pathologist,A,,0.75,2.35,,2.18,,2.35,NA,2.18,NA,0.02,3.12,2.95,3.12,2.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88305,TC,Tissue exam by pathologist,A,,0.00,2.04,,1.86,,2.04,NA,1.86,NA,0.01,2.05,1.87,2.05,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88305,26,Tissue exam by pathologist,A,,0.75,0.31,,0.32,,0.31,,0.32,,0.01,1.07,1.08,1.07,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88307,,Tissue exam by pathologist,A,,1.59,5.02,,5.07,,5.02,NA,5.07,NA,0.05,6.66,6.71,6.66,6.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88307,TC,Tissue exam by pathologist,A,,0.00,4.31,,4.32,,4.31,NA,4.32,NA,0.01,4.32,4.33,4.32,4.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88307,26,Tissue exam by pathologist,A,,1.59,0.71,,0.75,,0.71,,0.75,,0.04,2.34,2.38,2.34,2.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88309,,Tissue exam by pathologist,A,,2.80,7.18,,7.35,,7.18,NA,7.35,NA,0.11,10.09,10.26,10.09,10.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88309,TC,Tissue exam by pathologist,A,,0.00,5.97,,6.02,,5.97,NA,6.02,NA,0.03,6.00,6.05,6.00,6.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88309,26,Tissue exam by pathologist,A,,2.80,1.21,,1.33,,1.21,,1.33,,0.08,4.09,4.21,4.09,4.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88311,,Decalcify tissue,A,,0.24,0.29,,0.30,,0.29,NA,0.30,NA,0.02,0.55,0.56,0.55,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88311,TC,Decalcify tissue,A,,0.00,0.19,,0.19,,0.19,NA,0.19,NA,0.01,0.20,0.20,0.20,0.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88311,26,Decalcify tissue,A,,0.24,0.10,,0.11,,0.10,,0.11,,0.01,0.35,0.36,0.35,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88312,,Special stains group 1,A,,0.54,2.58,,2.52,,2.58,NA,2.52,NA,0.02,3.14,3.08,3.14,3.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88312,TC,Special stains group 1,A,,0.00,2.36,,2.30,,2.36,NA,2.30,NA,0.01,2.37,2.31,2.37,2.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88312,26,Special stains group 1,A,,0.54,0.22,,0.22,,0.22,,0.22,,0.01,0.77,0.77,0.77,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88313,,Special stains group 2,A,,0.24,2.03,,1.95,,2.03,NA,1.95,NA,0.02,2.29,2.21,2.29,2.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88313,TC,Special stains group 2,A,,0.00,1.94,,1.86,,1.94,NA,1.86,NA,0.01,1.95,1.87,1.95,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88313,26,Special stains group 2,A,,0.24,0.09,,0.09,,0.09,,0.09,,0.01,0.34,0.34,0.34,0.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88314,,Histochemical stains add-on,A,,0.45,2.18,,1.99,,2.18,NA,1.99,NA,0.02,2.65,2.46,2.65,2.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88314,TC,Histochemical stains add-on,A,,0.00,1.98,,1.78,,1.98,NA,1.78,NA,0.01,1.99,1.79,1.99,1.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88314,26,Histochemical stains add-on,A,,0.45,0.20,,0.21,,0.20,,0.21,,0.01,0.66,0.67,0.66,0.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88318,,Chemical histochemistry,A,,0.42,2.99,,3.18,,2.99,NA,3.18,NA,0.02,3.43,3.62,3.43,3.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88318,TC,Chemical histochemistry,A,,0.00,2.81,,2.99,,2.81,NA,2.99,NA,0.01,2.82,3.00,2.82,3.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88318,26,Chemical histochemistry,A,,0.42,0.18,,0.19,,0.18,,0.19,,0.01,0.61,0.62,0.61,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88319,,Enzyme histochemistry,A,,0.53,3.74,,3.56,,3.74,NA,3.56,NA,0.04,4.31,4.13,4.31,4.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88319,TC,Enzyme histochemistry,A,,0.00,3.52,,3.32,,3.52,NA,3.32,NA,0.01,3.53,3.33,3.53,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88319,26,Enzyme histochemistry,A,,0.53,0.22,,0.24,,0.22,,0.24,,0.03,0.78,0.80,0.78,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88321,,Microslide consultation,A,,1.63,0.94,,0.96,,0.66,,0.71,,0.10,2.67,2.69,2.39,2.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88323,,Microslide consultation,A,,1.83,2.32,,2.17,,2.32,NA,2.17,NA,0.05,4.20,4.05,4.20,4.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88323,TC,Microslide consultation,A,,0.00,1.72,,1.57,,1.72,NA,1.57,NA,0.01,1.73,1.58,1.73,1.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88323,26,Microslide consultation,A,,1.83,0.60,,0.60,,0.60,,0.60,,0.04,2.47,2.47,2.47,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88325,,Comprehensive review of data,A,,2.50,3.25,,3.28,,1.14,,1.27,,0.12,5.87,5.90,3.76,3.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88329,,Path consult introp,A,,0.67,0.82,,0.84,,0.30,,0.32,,0.04,1.53,1.55,1.01,1.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88331,,Path consult intraop 1 bloc,A,,1.19,1.48,,1.52,,1.48,NA,1.52,NA,0.02,2.69,2.73,2.69,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88331,TC,Path consult intraop 1 bloc,A,,0.00,0.93,,0.93,,0.93,NA,0.93,NA,0.01,0.94,0.94,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88331,26,Path consult intraop 1 bloc,A,,1.19,0.55,,0.59,,0.55,,0.59,,0.01,1.75,1.79,1.75,1.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88332,,Path consult intraop addl,A,,0.59,0.58,,0.59,,0.58,NA,0.59,NA,0.02,1.19,1.20,1.19,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88332,TC,Path consult intraop addl,A,,0.00,0.32,,0.31,,0.32,NA,0.31,NA,0.01,0.33,0.32,0.33,0.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88332,26,Path consult intraop addl,A,,0.59,0.26,,0.28,,0.26,,0.28,,0.01,0.86,0.88,0.86,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88333,,Intraop cyto path consult 1,A,,1.20,1.55,,1.59,,1.55,NA,1.59,NA,0.05,2.80,2.84,2.80,2.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88333,TC,Intraop cyto path consult 1,A,,0.00,1.02,,1.03,,1.02,NA,1.03,NA,0.01,1.03,1.04,1.03,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88333,26,Intraop cyto path consult 1,A,,1.20,0.53,,0.56,,0.53,,0.56,,0.04,1.77,1.80,1.77,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88334,,Intraop cyto path consult 2,A,,0.73,0.96,,1.00,,0.96,NA,1.00,NA,0.04,1.73,1.77,1.73,1.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88334,TC,Intraop cyto path consult 2,A,,0.00,0.64,,0.65,,0.64,NA,0.65,NA,0.01,0.65,0.66,0.65,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88334,26,Intraop cyto path consult 2,A,,0.73,0.32,,0.35,,0.32,,0.35,,0.03,1.08,1.11,1.08,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88342,,Immunohistochemistry,A,,0.85,2.17,,2.11,,2.17,NA,2.11,NA,0.04,3.06,3.00,3.06,3.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88342,TC,Immunohistochemistry,A,,0.00,1.84,,1.77,,1.84,NA,1.77,NA,0.01,1.85,1.78,1.85,1.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88342,26,Immunohistochemistry,A,,0.85,0.33,,0.34,,0.33,,0.34,,0.03,1.21,1.22,1.21,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88346,,Immunofluorescent study,A,,0.86,2.12,,2.02,,2.12,NA,2.02,NA,0.02,3.00,2.90,3.00,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88346,TC,Immunofluorescent study,A,,0.00,1.78,,1.67,,1.78,NA,1.67,NA,0.01,1.79,1.68,1.79,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88346,26,Immunofluorescent study,A,,0.86,0.34,,0.35,,0.34,,0.35,,0.01,1.21,1.22,1.21,1.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88347,,Immunofluorescent study,A,,0.86,1.39,,1.27,,1.39,NA,1.27,NA,0.02,2.27,2.15,2.27,2.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88347,TC,Immunofluorescent study,A,,0.00,1.14,,1.03,,1.14,NA,1.03,NA,0.01,1.15,1.04,1.15,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88347,26,Immunofluorescent study,A,,0.86,0.25,,0.24,,0.25,,0.24,,0.01,1.12,1.11,1.12,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88348,,Electron microscopy,A,,1.51,18.41,,17.88,,18.41,NA,17.88,NA,0.12,20.04,19.51,20.04,19.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88348,TC,Electron microscopy,A,,0.00,17.81,,17.27,,17.81,NA,17.27,NA,0.08,17.89,17.35,17.89,17.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88348,26,Electron microscopy,A,,1.51,0.60,,0.61,,0.60,,0.61,,0.04,2.15,2.16,2.15,2.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88349,,Scanning electron microscopy,A,,0.76,9.74,,10.52,,9.74,NA,10.52,NA,0.07,10.57,11.35,10.57,11.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88349,TC,Scanning electron microscopy,A,,0.00,9.39,,10.14,,9.39,NA,10.14,NA,0.04,9.43,10.18,9.43,10.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88349,26,Scanning electron microscopy,A,,0.76,0.35,,0.38,,0.35,,0.38,,0.03,1.14,1.17,1.14,1.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88355,,Analysis skeletal muscle,A,,1.85,4.38,,3.22,,4.38,NA,3.22,NA,0.06,6.29,5.13,6.29,5.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88355,TC,Analysis skeletal muscle,A,,0.00,3.82,,2.68,,3.82,NA,2.68,NA,0.01,3.83,2.69,3.83,2.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88355,26,Analysis skeletal muscle,A,,1.85,0.56,,0.54,,0.56,,0.54,,0.05,2.46,2.44,2.46,2.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88356,,Analysis nerve,A,,3.02,5.13,,4.49,,5.13,NA,4.49,NA,0.18,8.33,7.69,8.33,7.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88356,TC,Analysis nerve,A,,0.00,4.43,,3.92,,4.43,NA,3.92,NA,0.04,4.47,3.96,4.47,3.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88356,26,Analysis nerve,A,,3.02,0.70,,0.57,,0.70,,0.57,,0.14,3.86,3.73,3.86,3.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88358,,Analysis tumor,A,,0.95,1.21,,1.16,,1.21,NA,1.16,NA,0.04,2.20,2.15,2.20,2.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88358,TC,Analysis tumor,A,,0.00,0.95,,0.91,,0.95,NA,0.91,NA,0.01,0.96,0.92,0.96,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88358,26,Analysis tumor,A,,0.95,0.26,,0.25,,0.26,,0.25,,0.03,1.24,1.23,1.24,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88360,,Tumor immunohistochem/manual,A,,1.10,2.49,,2.40,,2.49,NA,2.40,NA,0.04,3.63,3.54,3.63,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88360,TC,Tumor immunohistochem/manual,A,,0.00,2.08,,1.98,,2.08,NA,1.98,NA,0.01,2.09,1.99,2.09,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88360,26,Tumor immunohistochem/manual,A,,1.10,0.41,,0.42,,0.41,,0.42,,0.03,1.54,1.55,1.54,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88361,,Tumor immunohistochem/comput,A,,1.18,3.23,,3.01,,3.23,NA,3.01,NA,0.05,4.46,4.24,4.46,4.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88361,TC,Tumor immunohistochem/comput,A,,0.00,2.81,,2.57,,2.81,NA,2.57,NA,0.01,2.82,2.58,2.82,2.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88361,26,Tumor immunohistochem/comput,A,,1.18,0.42,,0.44,,0.42,,0.44,,0.04,1.64,1.66,1.64,1.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88362,,Nerve teasing preparations,A,,2.17,6.00,,6.03,,6.00,NA,6.03,NA,0.14,8.31,8.34,8.31,8.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88362,TC,Nerve teasing preparations,A,,0.00,5.12,,5.10,,5.12,NA,5.10,NA,0.04,5.16,5.14,5.16,5.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88362,26,Nerve teasing preparations,A,,2.17,0.88,,0.93,,0.88,,0.93,,0.10,3.15,3.20,3.15,3.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88363,,Xm archive tissue molec anal,A,,0.37,0.72,,0.72,,0.10,,0.10,,0.03,1.12,1.12,0.50,0.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88365,,Insitu hybridization (fish),A,,1.20,3.63,,3.56,,3.63,NA,3.56,NA,0.04,4.87,4.80,4.87,4.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88365,TC,Insitu hybridization (fish),A,,0.00,3.18,,3.09,,3.18,NA,3.09,NA,0.01,3.19,3.10,3.19,3.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88365,26,Insitu hybridization (fish),A,,1.20,0.45,,0.47,,0.45,,0.47,,0.03,1.68,1.70,1.68,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88367,,Insitu hybridization auto,A,,1.30,6.18,,6.06,,6.18,NA,6.06,NA,0.06,7.54,7.42,7.54,7.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88367,TC,Insitu hybridization auto,A,,0.00,5.74,,5.61,,5.74,NA,5.61,NA,0.01,5.75,5.62,5.75,5.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88367,26,Insitu hybridization auto,A,,1.30,0.44,,0.45,,0.44,,0.45,,0.05,1.79,1.80,1.79,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88368,,Insitu hybridization manual,A,,1.40,5.02,,4.81,,5.02,NA,4.81,NA,0.05,6.47,6.26,6.47,6.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88368,TC,Insitu hybridization manual,A,,0.00,4.63,,4.45,,4.63,NA,4.45,NA,0.01,4.64,4.46,4.64,4.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88368,26,Insitu hybridization manual,A,,1.40,0.39,,0.36,,0.39,,0.36,,0.04,1.83,1.80,1.83,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88371,,Protein western blot tissue,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88371,26,Protein western blot tissue,A,,0.37,0.16,,0.18,,0.16,,0.18,,0.03,0.56,0.58,0.56,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88372,,Protein analysis w/probe,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88372,26,Protein analysis w/probe,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.03,0.57,0.58,0.57,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88380,,Microdissection laser,A,,1.56,3.54,,2.60,,3.54,NA,2.60,NA,0.05,5.15,4.21,5.15,4.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88380,TC,Microdissection laser,A,,0.00,3.01,,2.15,,3.01,NA,2.15,NA,0.01,3.02,2.16,3.02,2.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88380,26,Microdissection laser,A,,1.56,0.53,,0.45,,0.53,,0.45,,0.04,2.13,2.05,2.13,2.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88381,,Microdissection manual,A,,1.18,4.20,,2.80,,4.20,NA,2.80,NA,0.04,5.42,4.02,5.42,4.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88381,TC,Microdissection manual,A,,0.00,3.84,,2.55,,3.84,NA,2.55,NA,0.01,3.85,2.56,3.85,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88381,26,Microdissection manual,A,,1.18,0.36,,0.25,,0.36,,0.25,,0.03,1.57,1.46,1.57,1.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88384,,Eval molecular probes 11-50,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88384,TC,Eval molecular probes 11-50,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88384,26,Eval molecular probes 11-50,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88385,,Eval molecul probes 51-250,A,,1.50,15.33,,15.08,,15.33,NA,15.08,NA,0.07,16.90,16.65,16.90,16.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88385,TC,Eval molecul probes 51-250,A,,0.00,14.94,,14.71,,14.94,NA,14.71,NA,0.03,14.97,14.74,14.97,14.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88385,26,Eval molecul probes 51-250,A,,1.50,0.39,,0.37,,0.39,,0.37,,0.04,1.93,1.91,1.93,1.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88386,,Eval molecul probes 251-500,A,,1.88,16.89,,13.86,,16.89,NA,13.86,NA,0.08,18.85,15.82,18.85,15.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88386,TC,Eval molecul probes 251-500,A,,0.00,16.28,,13.51,,16.28,NA,13.51,NA,0.03,16.31,13.54,16.31,13.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88386,26,Eval molecul probes 251-500,A,,1.88,0.61,,0.35,,0.61,,0.35,,0.05,2.54,2.28,2.54,2.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88387,,Tiss exam molecular study,A,,0.62,0.55,,0.55,,0.55,NA,0.55,NA,0.02,1.19,1.19,1.19,1.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88387,TC,Tiss exam molecular study,A,,0.00,0.25,,0.25,,0.25,NA,0.25,NA,0.01,0.26,0.26,0.26,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88387,26,Tiss exam molecular study,A,,0.62,0.30,,0.30,,0.30,,0.30,,0.01,0.93,0.93,0.93,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88388,,Tiss ex molecul study add-on,A,,0.45,0.22,,0.22,,0.22,NA,0.22,NA,0.02,0.69,0.69,0.69,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88388,TC,Tiss ex molecul study add-on,A,,0.00,0.12,,0.12,,0.12,NA,0.12,NA,0.01,0.13,0.13,0.13,0.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88388,26,Tiss ex molecul study add-on,A,,0.45,0.10,,0.10,,0.10,,0.10,,0.01,0.56,0.56,0.56,0.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88399,,Surgical pathology procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88399,TC,Surgical pathology procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88399,26,Surgical pathology procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
88720,,Bilirubin total transcut,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88738,,Hgb quant transcutaneous,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88740,,Transcutaneous carboxyhb,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88741,,Transcutaneous methb,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
88749,,In vivo lab service,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89049,,Chct for mal hyperthermia,A,,1.40,6.00,,5.80,,0.45,,0.40,,0.10,7.50,7.30,1.95,1.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
89050,,Body fluid cell count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89051,,Body fluid cell count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89055,,Leukocyte assessment fecal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89060,,Exam synovial fluid crystals,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89060,26,Exam synovial fluid crystals,A,,0.37,0.17,,0.18,,0.17,,0.18,,0.03,0.57,0.58,0.57,0.58,6,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
89125,,Specimen fat stain,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89160,,Exam feces for meat fibers,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89190,,Nasal smear for eosinophils,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89220,,Sputum specimen collection,A,,0.00,0.46,,0.44,,0.46,NA,0.44,NA,0.01,0.47,0.45,0.47,0.45,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
89230,,Collect sweat for test,A,,0.00,0.08,,0.06,,0.08,NA,0.06,NA,0.01,0.09,0.07,0.09,0.07,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
89240,,Pathology lab procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
89250,,Cultr oocyte/embryo <4 days,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89251,,Cultr oocyte/embryo <4 days,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89253,,Embryo hatching,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89254,,Oocyte identification,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89255,,Prepare embryo for transfer,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89257,,Sperm identification,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89258,,Cryopreservation embryo(s),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89259,,Cryopreservation sperm,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89260,,Sperm isolation simple,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89261,,Sperm isolation complex,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89264,,Identify sperm tissue,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89268,,Insemination of oocytes,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89272,,Extended culture of oocytes,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89280,,Assist oocyte fertilization,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89281,,Assist oocyte fertilization,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89290,,Biopsy oocyte polar body,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89291,,Biopsy oocyte polar body,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89300,,Semen analysis w/huhner,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89310,,Semen analysis w/count,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89320,,Semen anal vol/count/mot,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89321,,Semen anal sperm detection,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89322,,Semen anal strict criteria,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89325,,Sperm antibody test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89329,,Sperm evaluation test,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89330,,Evaluation cervical mucus,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89331,,Retrograde ejaculation anal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89335,,Cryopreserve testicular tiss,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89342,,Storage/year embryo(s),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89343,,Storage/year sperm/semen,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89344,,Storage/year reprod tissue,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89346,,Storage/year oocyte(s),X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89352,,Thawing cryopresrved embryo,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89353,,Thawing cryopresrved sperm,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89354,,Thaw cryoprsvrd reprod tiss,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89356,,Thawing cryopresrved oocyte,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
89398,,Unlisted reprod med lab proc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90281,,Human ig im,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90283,,Human ig iv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90284,,Human ig sc,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90287,,Botulinum antitoxin,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90288,,Botulism ig iv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90291,,Cmv ig iv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90296,,Diphtheria antitoxin,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90371,,Hep b ig im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90375,,Rabies ig im/sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90376,,Rabies ig heat treated,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90378,,Rsv mab im 50mg,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90384,,Rh ig full-dose im,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90385,,Rh ig minidose im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90386,,Rh ig iv,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90389,,Tetanus ig im,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90393,,Vaccina ig im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90396,,Varicella-zoster ig im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90399,,Immune globulin,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90460,,Imadm any route 1st vac/tox,A,,0.17,0.50,,0.50,,0.50,NA,0.50,NA,0.01,0.68,0.68,0.68,0.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90461,,Inadm any route addl vac/tox,A,,0.15,0.18,,0.20,,0.18,NA,0.20,NA,0.01,0.34,0.36,0.34,0.36,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90470,,Immune admin H1N1 im/nasal,D,,0.20,0.39,,0.39,,0.39,NA,0.39,NA,0.01,0.60,0.60,0.60,0.60,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90471,,Immunization admin,A,,0.17,0.50,,0.50,,0.50,NA,0.50,NA,0.01,0.68,0.68,0.68,0.68,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90472,,Immunization admin each add,A,,0.15,0.18,,0.20,,0.18,NA,0.20,NA,0.01,0.34,0.36,0.34,0.36,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90473,,Immune admin oral/nasal,R,,0.17,0.50,,0.50,,0.50,NA,0.50,NA,0.01,0.68,0.68,0.68,0.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90474,,Immune admin oral/nasal addl,R,,0.15,0.18,,0.20,,0.18,NA,0.20,NA,0.01,0.34,0.36,0.34,0.36,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90476,,Adenovirus vaccine type 4,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90477,,Adenovirus vaccine type 7,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90581,,Anthrax vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90585,,Bcg vaccine percut,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90586,,Bcg vaccine intravesical,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90632,,Hep a vaccine adult im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90633,,Hep a vacc ped/adol 2 dose,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90634,,Hep a vacc ped/adol 3 dose,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90636,,Hep a/hep b vacc adult im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90644,,Meningoccl hib vac 4 dose im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90645,,Hib vaccine hboc im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90646,,Hib vaccine prp-d im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90647,,Hib vaccine prp-omp im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90648,,Hib vaccine prp-t im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90649,,Hpv vaccine 4 valent im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90650,,Hpv vaccine 2 valent im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90654,,"Flu vaccine no preserv, ID",X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90655,,Flu vaccine no preserv 6-35m,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90656,,Flu vaccine no preserv 3 & >,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90657,,Flu vaccine 3 yrs im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90658,,Flu vaccine 3 yrs & > im,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90660,,Flu vaccine nasal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90661,,Flu vacc cell cult prsv free,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90662,,Flu vacc prsv free inc antig,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90663,,Flu vacc pandemic H1N1,D,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90664,,Flu vacc pandemic intranasal,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90665,,Lyme disease vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90666,,Flu vac pandem prsrv free im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90667,,Flu vac pandemic adjuvant im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90668,,Flu vac pandemic splt im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90669,,Pneumococcal vacc 7 val im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90670,,Pneumococcal vacc 13 val im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90675,,Rabies vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90676,,Rabies vaccine id,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90680,,Rotovirus vacc 3 dose oral,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90681,,Rotavirus vacc 2 dose oral,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90690,,Typhoid vaccine oral,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90691,,Typhoid vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90692,,Typhoid vaccine h-p sc/id,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90693,,Typhoid vaccine akd sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90696,,Dtap-ipv vacc 4-6 yr im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90698,,Dtap-hib-ip vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90700,,Dtap vaccine < 7 yrs im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90701,,Dtp vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90702,,Dt vaccine < 7 im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90703,,Tetanus vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90704,,Mumps vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90705,,Measles vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90706,,Rubella vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90707,,Mmr vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90708,,Measles-rubella vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90710,,Mmrv vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90712,,Oral poliovirus vaccine,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90713,,Poliovirus ipv sc/im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90714,,Td vaccine no prsrv >/= 7 im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90715,,Tdap vaccine >7 im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90716,,Chicken pox vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90717,,Yellow fever vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90718,,Td vaccine > 7 im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90719,,Diphtheria vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90720,,Dtp/hib vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90721,,Dtap/hib vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90723,,Dtap-hep b-ipv vaccine im,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90725,,Cholera vaccine injectable,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90727,,Plague vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90732,,Pneumococcal vaccine,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90733,,Meningococcal vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90734,,Meningococcal vaccine im,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90735,,Encephalitis vaccine sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90736,,Zoster vacc sc,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90738,,Inactivated je vacc im,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90740,,Hepb vacc ill pat 3 dose im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90743,,Hep b vacc adol 2 dose im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90744,,Hepb vacc ped/adol 3 dose im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90746,,Hep b vaccine adult im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90747,,Hepb vacc ill pat 4 dose im,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90748,,Hep b/hib vaccine im,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90749,,Vaccine toxoid,E,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90801,,Psy dx interview,A,,2.80,1.62,,1.55,,0.72,,0.60,,0.11,4.53,4.46,3.63,3.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90802,,Intac psy dx interview,A,,3.01,1.79,,1.82,,0.84,,0.78,,0.12,4.92,4.95,3.97,3.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90804,,Psytx office 20-30 min,A,,1.21,0.61,,0.56,,0.25,,0.18,,0.04,1.86,1.81,1.50,1.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90805,,Psytx off 20-30 min w/e&m,A,,1.37,0.70,,0.70,,0.32,,0.28,,0.05,2.12,2.12,1.74,1.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90806,,Psytx off 45-50 min,A,,1.86,0.57,,0.46,,0.37,,0.25,,0.07,2.50,2.39,2.30,2.18,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90807,,Psytx off 45-50 min w/e&m,A,,2.02,0.84,,0.83,,0.47,,0.41,,0.08,2.94,2.93,2.57,2.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90808,,Psytx office 75-80 min,A,,2.79,0.79,,0.63,,0.59,,0.43,,0.10,3.68,3.52,3.48,3.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90809,,Psytx off 75-80 w/e&m,A,,2.95,1.06,,1.02,,0.71,,0.64,,0.12,4.13,4.09,3.78,3.71,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90810,,Intac psytx off 20-30 min,A,,1.32,0.55,,0.47,,0.27,,0.21,,0.05,1.92,1.84,1.64,1.58,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90811,,Intac psytx 20-30 w/e&m,A,,1.48,0.84,,0.86,,0.36,,0.32,,0.07,2.39,2.41,1.91,1.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90812,,Intac psytx off 45-50 min,A,,1.97,0.70,,0.57,,0.39,,0.26,,0.07,2.74,2.61,2.43,2.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90813,,Intac psytx 45-50 min w/e&m,A,,2.13,0.98,,0.97,,0.50,,0.43,,0.08,3.19,3.18,2.71,2.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90814,,Intac psytx off 75-80 min,A,,2.90,0.94,,0.73,,0.62,,0.38,,0.11,3.95,3.74,3.63,3.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90815,,Intac psytx 75-80 w/e&m,A,,3.06,1.29,,1.35,,0.81,,0.82,,0.14,4.49,4.55,4.01,4.02,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90816,,Psytx hosp 20-30 min,A,,1.25,0.26,,0.26,,0.35,,0.26,,0.04,1.55,1.55,1.64,1.55,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90817,,Psytx hosp 20-30 min w/e&m,A,,1.41,0.41,,0.41,,0.44,,0.41,,0.05,1.87,1.87,1.90,1.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90818,,Psytx hosp 45-50 min,A,,1.89,0.34,,0.34,,0.48,,0.34,,0.07,2.30,2.30,2.44,2.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90819,,Psytx hosp 45-50 min w/e&m,A,,2.05,0.55,,0.55,,0.59,,0.55,,0.08,2.68,2.68,2.72,2.68,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90821,,Psytx hosp 75-80 min,A,,2.83,0.48,,0.48,,0.67,,0.48,,0.10,3.41,3.41,3.60,3.41,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90822,,Psytx hosp 75-80 min w/e&m,A,,2.99,0.74,,0.74,,0.81,,0.74,,0.12,3.85,3.85,3.92,3.85,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90823,,Intac psytx hosp 20-30 min,A,,1.36,0.29,,0.29,,0.37,,0.29,,0.04,1.69,1.69,1.77,1.69,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90824,,Intac psytx hsp 20-30 w/e&m,A,,1.52,0.43,,0.43,,0.47,,0.43,,0.07,2.02,2.02,2.06,2.02,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90826,,Intac psytx hosp 45-50 min,A,,2.01,0.38,,0.38,,0.51,,0.38,,0.07,2.46,2.46,2.59,2.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90827,,Intac psytx hsp 45-50 w/e&m,A,,2.16,0.56,,0.56,,0.61,,0.56,,0.08,2.80,2.80,2.85,2.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90828,,Intac psytx hosp 75-80 min,A,,2.94,0.51,,0.51,,0.71,,0.51,,0.10,3.55,3.55,3.75,3.55,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90829,,Intac psytx hsp 75-80 w/e&m,A,,3.10,0.75,,0.75,,0.83,,0.75,,0.12,3.97,3.97,4.05,3.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,2,99,0.00,0.00,0.00
90845,,Psychoanalysis,A,,1.79,0.48,,0.43,,0.41,,0.35,,0.07,2.34,2.29,2.27,2.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90846,,Family psytx w/o patient,R,,1.83,0.58,,0.49,,0.50,,0.40,,0.07,2.48,2.39,2.40,2.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90847,,Family psytx w/patient,R,,2.21,0.80,,0.70,,0.56,,0.43,,0.08,3.09,2.99,2.85,2.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90849,,Multiple family group psytx,R,,0.59,0.38,,0.38,,0.25,,0.22,,0.03,1.00,1.00,0.87,0.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90853,,Group psychotherapy,A,,0.59,0.32,,0.32,,0.25,,0.25,,0.03,0.94,0.94,0.87,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90857,,Intac group psytx,A,,0.63,0.42,,0.44,,0.28,,0.30,,0.03,1.08,1.10,0.94,0.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90862,,Medication management,A,,0.95,0.71,,0.73,,0.33,,0.32,,0.04,1.70,1.72,1.32,1.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90865,,Narcosynthesis,A,,2.84,1.69,,1.76,,0.79,,0.70,,0.11,4.64,4.71,3.74,3.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90867,,Tcranial magn stim tx plan,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90868,,Tcranial magn stim tx deli,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90870,,Electroconvulsive therapy,A,,2.50,2.30,,2.32,,0.56,,0.57,,0.11,4.91,4.93,3.17,3.18,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90875,,Psychophysiological therapy,N,+,1.20,0.86,,0.83,,0.52,,0.53,,0.08,2.14,2.11,1.80,1.81,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90876,,Psychophysiological therapy,N,+,1.90,1.15,,1.12,,0.82,,0.83,,0.12,3.17,3.14,2.84,2.85,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90880,,Hypnotherapy,A,,2.19,0.69,,0.52,,0.47,,0.36,,0.08,2.96,2.79,2.74,2.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90882,,Environmental manipulation,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90885,,Psy evaluation of records,B,+,0.97,0.42,,0.43,,0.42,,0.43,,0.07,1.46,1.47,1.46,1.47,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90887,,Consultation with family,B,+,1.48,0.98,,0.98,,0.64,,0.65,,0.10,2.56,2.56,2.22,2.23,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90889,,Preparation of report,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90899,,Psychiatric service/therapy,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90901,,Biofeedback train any meth,A,,0.41,0.66,,0.70,,0.17,,0.19,,0.01,1.08,1.12,0.59,0.61,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90911,,Biofeedback peri/uro/rectal,A,,0.89,1.61,,1.47,,0.38,,0.37,,0.07,2.57,2.43,1.34,1.33,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90935,,Hemodialysis one evaluation,A,,1.48,0.64,NA,0.57,NA,0.64,,0.57,,0.08,2.20,2.13,2.20,2.13,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90937,,Hemodialysis repeated eval,A,,2.11,0.92,NA,0.82,NA,0.92,,0.82,,0.11,3.14,3.04,3.14,3.04,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90940,,Hemodialysis access study,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90945,,Dialysis one evaluation,A,,1.56,0.79,NA,0.86,NA,0.79,,0.86,,0.08,2.43,2.50,2.43,2.50,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90947,,Dialysis repeated eval,A,,2.52,1.01,NA,0.97,NA,1.01,,0.97,,0.15,3.68,3.64,3.68,3.64,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90951,,Esrd serv 4 visits p mo <2,A,,18.46,8.64,,8.00,,8.64,,8.00,,1.02,28.12,27.48,28.12,27.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90952,,Esrd serv 2-3 vsts p mo <2,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90953,,Esrd serv 1 visit p mo <2,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90954,,Esrd serv 4 vsts p mo 2-11,A,,15.98,6.71,,6.92,,6.71,,6.92,,0.90,23.59,23.80,23.59,23.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90955,,Esrd srv 2-3 vsts p mo 2-11,A,,8.79,4.05,,4.07,,4.05,,4.07,,0.49,13.33,13.35,13.33,13.35,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90956,,Esrd srv 1 visit p mo 2-11,A,,5.95,2.86,,2.97,,2.86,,2.97,,0.34,9.15,9.26,9.15,9.26,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90957,,Esrd srv 4 vsts p mo 12-19,A,,12.52,5.63,,5.60,,5.63,,5.60,,0.72,18.87,18.84,18.87,18.84,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90958,,Esrd srv 2-3 vsts p mo 12-19,A,,8.34,3.96,,3.97,,3.96,,3.97,,0.48,12.78,12.79,12.78,12.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90959,,Esrd serv 1 vst p mo 12-19,A,,5.50,2.70,,2.83,,2.70,,2.83,,0.31,8.51,8.64,8.51,8.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90960,,Esrd srv 4 visits p mo 20+,A,,5.18,2.90,,2.79,,2.90,,2.79,,0.31,8.39,8.28,8.39,8.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90961,,Esrd srv 2-3 vsts p mo 20+,A,,4.26,2.38,,2.44,,2.38,,2.44,,0.26,6.90,6.96,6.90,6.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90962,,Esrd serv 1 visit p mo 20+,A,,3.15,1.81,,2.01,,1.81,,2.01,,0.20,5.16,5.36,5.16,5.36,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90963,,Esrd home pt serv p mo <2,A,,10.56,4.91,,4.76,,4.91,,4.76,,0.60,16.07,15.92,16.07,15.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90964,,Esrd home pt serv p mo 2-11,A,,9.14,3.99,,4.21,,3.99,,4.21,,0.52,13.65,13.87,13.65,13.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90965,,Esrd home pt serv p mo 12-19,A,,8.69,3.83,,4.04,,3.83,,4.04,,0.49,13.01,13.22,13.01,13.22,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90966,,Esrd home pt serv p mo 20+,A,,4.26,2.34,,2.43,,2.34,,2.43,,0.26,6.86,6.95,6.86,6.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90967,,Esrd home pt serv p day <2,A,,0.35,0.19,,0.16,,0.19,,0.16,,0.01,0.55,0.52,0.55,0.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90968,,Esrd home pt srv p day 2-11,A,,0.30,0.14,,0.14,,0.14,,0.14,,0.01,0.45,0.45,0.45,0.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90969,,Esrd home pt srv p day 12-19,A,,0.29,0.14,,0.14,,0.14,,0.14,,0.01,0.44,0.44,0.44,0.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90970,,Esrd home pt serv p day 20+,A,,0.14,0.08,,0.08,,0.08,,0.08,,0.01,0.23,0.23,0.23,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90989,,Dialysis training complete,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90993,,Dialysis training incompl,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
90997,,Hemoperfusion,A,,1.84,0.68,NA,0.68,NA,0.68,,0.68,,0.10,2.62,2.62,2.62,2.62,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
90999,,Dialysis procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91010,,Esophagus motility study,A,,1.28,4.16,,3.72,,4.16,NA,3.72,NA,0.08,5.52,5.08,5.52,5.08,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91010,TC,Esophagus motility study,A,,0.00,3.48,,3.03,,3.48,NA,3.03,NA,0.01,3.49,3.04,3.49,3.04,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91010,26,Esophagus motility study,A,,1.28,0.68,,0.69,,0.68,,0.69,,0.07,2.03,2.04,2.03,2.04,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91013,,Esophgl motil w/stim/perfus,A,,0.18,0.48,,0.48,,0.48,NA,0.48,NA,0.02,0.68,0.68,0.68,0.68,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91013,TC,Esophgl motil w/stim/perfus,A,,0.00,0.38,,0.38,,0.38,NA,0.38,NA,0.01,0.39,0.39,0.39,0.39,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91013,26,Esophgl motil w/stim/perfus,A,,0.18,0.10,,0.10,,0.10,,0.10,,0.01,0.29,0.29,0.29,0.29,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91020,,Gastric motility studies,A,,1.44,5.46,,5.22,,5.46,NA,5.22,NA,0.08,6.98,6.74,6.98,6.74,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91020,TC,Gastric motility studies,A,,0.00,4.70,,4.44,,4.70,NA,4.44,NA,0.01,4.71,4.45,4.71,4.45,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91020,26,Gastric motility studies,A,,1.44,0.76,,0.78,,0.76,,0.78,,0.07,2.27,2.29,2.27,2.29,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91022,,Duodenal motility study,A,,1.44,3.89,,3.45,,3.89,NA,3.45,NA,0.06,5.39,4.95,5.39,4.95,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91022,TC,Duodenal motility study,A,,0.00,3.08,,2.65,,3.08,NA,2.65,NA,0.01,3.09,2.66,3.09,2.66,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91022,26,Duodenal motility study,A,,1.44,0.81,,0.80,,0.81,,0.80,,0.05,2.30,2.29,2.30,2.29,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91030,,Acid perfusion of esophagus,A,,0.91,3.19,,3.01,,3.19,NA,3.01,NA,0.05,4.15,3.97,4.15,3.97,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91030,TC,Acid perfusion of esophagus,A,,0.00,2.68,,2.50,,2.68,NA,2.50,NA,0.01,2.69,2.51,2.69,2.51,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91030,26,Acid perfusion of esophagus,A,,0.91,0.51,,0.51,,0.51,,0.51,,0.04,1.46,1.46,1.46,1.46,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91034,,Gastroesophageal reflux test,A,,0.97,4.80,,4.37,,4.80,NA,4.37,NA,0.05,5.82,5.39,5.82,5.39,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91034,TC,Gastroesophageal reflux test,A,,0.00,4.29,,3.85,,4.29,NA,3.85,NA,0.01,4.30,3.86,4.30,3.86,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91034,26,Gastroesophageal reflux test,A,,0.97,0.51,,0.52,,0.51,,0.52,,0.04,1.52,1.53,1.52,1.53,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91035,,G-esoph reflx tst w/electrod,A,,1.59,12.65,,11.97,,12.65,NA,11.97,NA,0.08,14.32,13.64,14.32,13.64,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91035,TC,G-esoph reflx tst w/electrod,A,,0.00,11.80,,11.11,,11.80,NA,11.11,NA,0.01,11.81,11.12,11.81,11.12,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91035,26,G-esoph reflx tst w/electrod,A,,1.59,0.85,,0.86,,0.85,,0.86,,0.07,2.51,2.52,2.51,2.52,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91037,,Esoph imped function test,A,,0.97,3.77,,3.58,,3.77,NA,3.58,NA,0.08,4.82,4.63,4.82,4.63,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91037,TC,Esoph imped function test,A,,0.00,3.24,,3.06,,3.24,NA,3.06,NA,0.01,3.25,3.07,3.25,3.07,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91037,26,Esoph imped function test,A,,0.97,0.53,,0.52,,0.53,,0.52,,0.07,1.57,1.56,1.57,1.56,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91038,,Esoph imped funct test > 1h,A,,1.10,7.64,,11.95,,7.64,NA,11.95,NA,0.06,8.80,13.11,8.80,13.11,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91038,TC,Esoph imped funct test > 1h,A,,0.00,7.04,,11.35,,7.04,NA,11.35,NA,0.01,7.05,11.36,7.05,11.36,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91038,26,Esoph imped funct test > 1h,A,,1.10,0.60,,0.60,,0.60,,0.60,,0.05,1.75,1.75,1.75,1.75,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91040,,Esoph balloon distension tst,A,,0.97,9.08,,7.06,,9.08,NA,7.06,NA,0.04,10.09,8.07,10.09,8.07,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91040,TC,Esoph balloon distension tst,A,,0.00,8.61,,6.68,,8.61,NA,6.68,NA,0.01,8.62,6.69,8.62,6.69,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91040,26,Esoph balloon distension tst,A,,0.97,0.47,,0.38,,0.47,,0.38,,0.03,1.47,1.38,1.47,1.38,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91065,,Breath hydrogen test,A,,0.20,2.12,,2.35,,2.12,NA,2.35,NA,0.02,2.34,2.57,2.34,2.57,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91065,TC,Breath hydrogen test,A,,0.00,2.02,,2.24,,2.02,NA,2.24,NA,0.01,2.03,2.25,2.03,2.25,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91065,26,Breath hydrogen test,A,,0.20,0.10,,0.11,,0.10,,0.11,,0.01,0.31,0.32,0.31,0.32,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91110,,Gi tract capsule endoscopy,A,,3.64,23.27,,21.52,,23.27,NA,21.52,NA,0.17,27.08,25.33,27.08,25.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91110,TC,Gi tract capsule endoscopy,A,,0.00,21.27,,19.51,,21.27,NA,19.51,NA,0.01,21.28,19.52,21.28,19.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91110,26,Gi tract capsule endoscopy,A,,3.64,2.00,,2.01,,2.00,,2.01,,0.16,5.80,5.81,5.80,5.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91111,,Esophageal capsule endoscopy,A,,1.00,20.63,,19.37,,20.63,NA,19.37,NA,0.05,21.68,20.42,21.68,20.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91111,TC,Esophageal capsule endoscopy,A,,0.00,20.07,,18.82,,20.07,NA,18.82,NA,0.01,20.08,18.83,20.08,18.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91111,26,Esophageal capsule endoscopy,A,,1.00,0.56,,0.55,,0.56,,0.55,,0.04,1.60,1.59,1.60,1.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91117,,Colon motility 6 hr study,A,,2.45,1.36,,1.36,,1.63,,1.63,,0.38,4.19,4.19,4.46,4.46,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91120,,Rectal sensation test,A,,0.97,10.27,,9.06,,10.27,NA,9.06,NA,0.09,11.33,10.12,11.33,10.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91120,TC,Rectal sensation test,A,,0.00,9.85,,8.62,,9.85,NA,8.62,NA,0.01,9.86,8.63,9.86,8.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91120,26,Rectal sensation test,A,,0.97,0.42,,0.44,,0.42,,0.44,,0.08,1.47,1.49,1.47,1.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91122,,Anal pressure record,A,,1.77,4.85,,4.43,,4.85,NA,4.43,NA,0.11,6.73,6.31,6.73,6.31,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91122,TC,Anal pressure record,A,,0.00,4.08,,3.65,,4.08,NA,3.65,NA,0.01,4.09,3.66,4.09,3.66,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
91122,26,Anal pressure record,A,,1.77,0.77,,0.78,,0.77,,0.78,,0.10,2.64,2.65,2.64,2.65,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91132,,Electrogastrography,A,,0.52,3.60,,3.59,,3.60,NA,3.59,NA,0.04,4.16,4.15,4.16,4.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91132,TC,Electrogastrography,A,,0.00,3.32,,3.32,,3.32,NA,3.32,NA,0.01,3.33,3.33,3.33,3.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
91132,26,Electrogastrography,A,,0.52,0.28,,0.27,,0.28,,0.27,,0.03,0.83,0.82,0.83,0.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91133,,Electrogastrography w/test,A,,0.66,4.37,,4.37,,4.37,NA,4.37,NA,0.05,5.08,5.08,5.08,5.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91133,TC,Electrogastrography w/test,A,,0.00,4.00,,4.00,,4.00,NA,4.00,NA,0.01,4.01,4.01,4.01,4.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
91133,26,Electrogastrography w/test,A,,0.66,0.37,,0.37,,0.37,,0.37,,0.04,1.07,1.07,1.07,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91299,,Gastroenterology procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91299,TC,Gastroenterology procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
91299,26,Gastroenterology procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92002,,Eye exam new patient,A,,0.88,1.27,,1.36,,0.43,,0.49,,0.07,2.22,2.31,1.38,1.44,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92004,,Eye exam new patient,A,,1.82,2.18,,2.36,,0.91,,1.05,,0.12,4.12,4.30,2.85,2.99,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92012,,Eye exam established pat,A,,0.92,1.36,,1.47,,0.50,,0.60,,0.07,2.35,2.46,1.49,1.59,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92014,,Eye exam & treatment,A,,1.42,1.89,,2.06,,0.75,,0.89,,0.10,3.41,3.58,2.27,2.41,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92015,,Refraction,N,+,0.38,0.38,,0.18,,0.16,,0.17,,0.03,0.79,0.59,0.57,0.58,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92018,,New eye exam & treatment,A,,2.50,1.42,NA,1.65,NA,1.42,,1.65,,0.16,4.08,4.31,4.08,4.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92019,,Eye exam & treatment,A,,1.31,0.59,NA,0.67,NA,0.59,,0.67,,0.07,1.97,2.05,1.97,2.05,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92020,,Special eye evaluation,A,,0.37,0.37,,0.40,,0.21,,0.24,,0.03,0.77,0.80,0.61,0.64,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92025,,Corneal topography,A,,0.35,0.66,,0.71,,0.66,NA,0.71,NA,0.02,1.03,1.08,1.03,1.08,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92025,TC,Corneal topography,A,,0.00,0.46,,0.48,,0.46,NA,0.48,NA,0.01,0.47,0.49,0.47,0.49,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92025,26,Corneal topography,A,,0.35,0.20,,0.23,,0.20,,0.23,,0.01,0.56,0.59,0.56,0.59,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92060,,Special eye evaluation,A,,0.69,1.05,,1.13,,1.05,NA,1.13,NA,0.04,1.78,1.86,1.78,1.86,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92060,TC,Special eye evaluation,A,,0.00,0.67,,0.70,,0.67,NA,0.70,NA,0.01,0.68,0.71,0.68,0.71,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92060,26,Special eye evaluation,A,,0.69,0.38,,0.43,,0.38,,0.43,,0.03,1.10,1.15,1.10,1.15,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92065,,Orthoptic/pleoptic training,A,,0.37,1.04,,1.13,,1.04,NA,1.13,NA,0.02,1.43,1.52,1.43,1.52,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92065,TC,Orthoptic/pleoptic training,A,,0.00,0.90,,0.98,,0.90,NA,0.98,NA,0.01,0.91,0.99,0.91,0.99,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92065,26,Orthoptic/pleoptic training,A,,0.37,0.14,,0.15,,0.14,,0.15,,0.01,0.52,0.53,0.52,0.53,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92070,,Fitting of contact lens,A,,0.70,1.23,,1.29,,0.37,,0.43,,0.04,1.97,2.03,1.11,1.17,0,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92081,,Visual field examination(s),A,,0.30,1.09,,1.02,,1.09,NA,1.02,NA,0.04,1.43,1.36,1.43,1.36,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92081,TC,Visual field examination(s),A,,0.00,0.93,,0.85,,0.93,NA,0.85,NA,0.01,0.94,0.86,0.94,0.86,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92081,26,Visual field examination(s),A,,0.30,0.16,,0.17,,0.16,,0.17,,0.03,0.49,0.50,0.49,0.50,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92082,,Visual field examination(s),A,,0.40,1.54,,1.50,,1.54,NA,1.50,NA,0.05,1.99,1.95,1.99,1.95,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92082,TC,Visual field examination(s),A,,0.00,1.33,,1.27,,1.33,NA,1.27,NA,0.01,1.34,1.28,1.34,1.28,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92082,26,Visual field examination(s),A,,0.40,0.21,,0.23,,0.21,,0.23,,0.04,0.65,0.67,0.65,0.67,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92083,,Visual field examination(s),A,,0.50,1.94,,2.05,,1.94,NA,2.05,NA,0.04,2.48,2.59,2.48,2.59,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92083,TC,Visual field examination(s),A,,0.00,1.66,,1.73,,1.66,NA,1.73,NA,0.01,1.67,1.74,1.67,1.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92083,26,Visual field examination(s),A,,0.50,0.28,,0.32,,0.28,,0.32,,0.03,0.81,0.85,0.81,0.85,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92100,,Serial tonometry exam(s),A,,0.92,1.70,,1.81,,0.47,,0.55,,0.05,2.67,2.78,1.44,1.52,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92120,,Tonography & eye evaluation,A,,0.81,1.32,,1.40,,0.41,,0.47,,0.05,2.18,2.26,1.27,1.33,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92130,,Water provocation tonography,A,,0.81,1.57,,1.66,,0.45,,0.51,,0.04,2.42,2.51,1.30,1.36,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92132,,Cmptr ophth dx img ant segmt,A,,0.35,0.68,,0.68,,0.68,NA,0.68,NA,0.04,1.07,1.07,1.07,1.07,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,1.44,1.44,0.06
92132,TC,Cmptr ophth dx img ant segmt,A,,0.00,0.44,,0.44,,0.44,NA,0.44,NA,0.01,0.45,0.45,0.45,0.45,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.20,1.20,0.03
92132,26,Cmptr ophth dx img ant segmt,A,,0.35,0.24,,0.24,,0.24,,0.24,,0.03,0.62,0.62,0.62,0.62,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92133,,Cmptr ophth img optic nerve,A,,0.50,0.77,,0.77,,0.77,NA,0.77,NA,0.04,1.31,1.31,1.31,1.31,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,1.53,1.53,0.06
92133,TC,Cmptr ophth img optic nerve,A,,0.00,0.44,,0.44,,0.44,NA,0.44,NA,0.01,0.45,0.45,0.45,0.45,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.20,1.20,0.03
92133,26,Cmptr ophth img optic nerve,A,,0.50,0.33,,0.33,,0.33,,0.33,,0.03,0.86,0.86,0.86,0.86,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92134,,Cptr ophth dx img post segmt,A,,0.50,0.77,,0.77,,0.77,NA,0.77,NA,0.04,1.31,1.31,1.31,1.31,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,1.53,1.53,0.06
92134,TC,Cptr ophth dx img post segmt,A,,0.00,0.44,,0.44,,0.44,NA,0.44,NA,0.01,0.45,0.45,0.45,0.45,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.20,1.20,0.03
92134,26,Cptr ophth dx img post segmt,A,,0.50,0.33,,0.33,,0.33,,0.33,,0.03,0.86,0.86,0.86,0.86,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92136,,Ophthalmic biometry,A,,0.54,1.88,,1.95,,1.88,NA,1.95,NA,0.02,2.44,2.51,2.44,2.51,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92136,TC,Ophthalmic biometry,A,,0.00,1.56,,1.57,,1.56,NA,1.57,NA,0.01,1.57,1.58,1.57,1.58,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92136,26,Ophthalmic biometry,A,,0.54,0.32,,0.38,,0.32,,0.38,,0.01,0.87,0.93,0.87,0.93,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92140,,Glaucoma provocative tests,A,,0.50,1.20,,1.26,,0.24,,0.28,,0.03,1.73,1.79,0.77,0.81,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92225,,Special eye exam initial,A,,0.38,0.34,,0.39,,0.21,,0.24,,0.03,0.75,0.80,0.62,0.65,0,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92226,,Special eye exam subsequent,A,,0.33,0.33,,0.38,,0.19,,0.22,,0.01,0.67,0.72,0.53,0.56,0,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92227,,Remote dx retinal imaging,A,,0.00,0.33,,0.33,,0.33,NA,0.33,NA,0.01,0.34,0.34,0.34,0.34,9,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.53,0.53,0.02
92228,,Remote retinal imaging mgmt,A,,0.30,0.56,,0.56,,0.56,NA,0.56,NA,0.02,0.88,0.88,0.88,0.88,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.73,0.73,0.02
92228,TC,Remote retinal imaging mgmt,A,,0.00,0.36,,0.36,,0.36,NA,0.36,NA,0.01,0.37,0.37,0.37,0.37,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.53,0.53,0.01
92228,26,Remote retinal imaging mgmt,A,,0.30,0.20,,0.20,,0.20,,0.20,,0.01,0.51,0.51,0.51,0.51,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92230,,Eye exam with photos,A,,0.60,1.05,,1.01,,0.31,,0.36,,0.04,1.69,1.65,0.95,1.00,0,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92235,,Eye exam with photos,A,,0.81,2.99,,3.09,,2.99,NA,3.09,NA,0.04,3.84,3.94,3.84,3.94,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,5.15,5.15,0.05
92235,TC,Eye exam with photos,A,,0.00,2.50,,2.52,,2.50,NA,2.52,NA,0.01,2.51,2.53,2.51,2.53,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,02,0,99,4.66,4.66,0.02
92235,26,Eye exam with photos,A,,0.81,0.49,,0.57,,0.49,,0.57,,0.03,1.33,1.41,1.33,1.41,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92240,,Icg angiography,A,,1.10,5.87,,5.85,,5.87,NA,5.85,NA,0.04,7.01,6.99,7.01,6.99,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,5.33,5.33,0.04
92240,TC,Icg angiography,A,,0.00,5.21,,5.08,,5.21,NA,5.08,NA,0.01,5.22,5.09,5.22,5.09,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,02,0,99,4.67,4.67,0.01
92240,26,Icg angiography,A,,1.10,0.66,,0.77,,0.66,,0.77,,0.03,1.79,1.90,1.79,1.90,1,XXX,0.00,0.00,0.00,0,3,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92250,,Eye exam with photos,A,,0.44,1.70,,1.73,,1.70,NA,1.73,NA,0.02,2.16,2.19,2.16,2.19,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,2.18,2.18,0.02
92250,TC,Eye exam with photos,A,,0.00,1.47,,1.47,,1.47,NA,1.47,NA,0.01,1.48,1.48,1.48,1.48,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.95,1.95,0.01
92250,26,Eye exam with photos,A,,0.44,0.23,,0.26,,0.23,,0.26,,0.01,0.68,0.71,0.68,0.71,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92260,,Ophthalmoscopy/dynamometry,A,,0.20,0.31,,0.33,,0.11,,0.13,,0.01,0.52,0.54,0.32,0.34,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92265,,Eye muscle evaluation,A,,0.81,1.47,,1.58,,1.47,NA,1.58,NA,0.02,2.30,2.41,2.30,2.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92265,TC,Eye muscle evaluation,A,,0.00,1.03,,1.02,,1.03,NA,1.02,NA,0.01,1.04,1.03,1.04,1.03,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
92265,26,Eye muscle evaluation,A,,0.81,0.44,,0.56,,0.44,,0.56,,0.01,1.26,1.38,1.26,1.38,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92270,,Electro-oculography,A,,0.81,1.72,,1.73,,1.72,NA,1.73,NA,0.04,2.57,2.58,2.57,2.58,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92270,TC,Electro-oculography,A,,0.00,1.36,,1.34,,1.36,NA,1.34,NA,0.01,1.37,1.35,1.37,1.35,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92270,26,Electro-oculography,A,,0.81,0.36,,0.39,,0.36,,0.39,,0.03,1.20,1.23,1.20,1.23,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92275,,Electroretinography,A,,1.01,3.11,,3.38,,3.11,NA,3.38,NA,0.05,4.17,4.44,4.17,4.44,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92275,TC,Electroretinography,A,,0.00,2.52,,2.69,,2.52,NA,2.69,NA,0.01,2.53,2.70,2.53,2.70,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92275,26,Electroretinography,A,,1.01,0.59,,0.69,,0.59,,0.69,,0.04,1.64,1.74,1.64,1.74,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92283,,Color vision examination,A,,0.17,1.24,,1.31,,1.24,NA,1.31,NA,0.02,1.43,1.50,1.43,1.50,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92283,TC,Color vision examination,A,,0.00,1.16,,1.22,,1.16,NA,1.22,NA,0.01,1.17,1.23,1.17,1.23,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92283,26,Color vision examination,A,,0.17,0.08,,0.09,,0.08,,0.09,,0.01,0.26,0.27,0.26,0.27,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92284,,Dark adaptation eye exam,A,,0.24,1.48,,1.40,,1.48,NA,1.40,NA,0.02,1.74,1.66,1.74,1.66,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92284,TC,Dark adaptation eye exam,A,,0.00,1.38,,1.29,,1.38,NA,1.29,NA,0.01,1.39,1.30,1.39,1.30,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
92284,26,Dark adaptation eye exam,A,,0.24,0.10,,0.11,,0.10,,0.11,,0.01,0.35,0.36,0.35,0.36,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92285,,Eye photography,A,,0.05,0.75,,0.49,,0.75,NA,0.49,NA,0.02,0.82,0.56,0.82,0.56,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,2.00,2.00,0.04
92285,TC,Eye photography,A,,0.00,0.69,,0.46,,0.69,NA,0.46,NA,0.01,0.70,0.47,0.70,0.47,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,1.94,1.94,0.03
92285,26,Eye photography,A,,0.05,0.06,,0.03,,0.06,,0.03,,0.01,0.12,0.09,0.12,0.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92286,,Internal eye photography,A,,0.66,2.81,,2.80,,2.81,NA,2.80,NA,0.02,3.49,3.48,3.49,3.48,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,5.02,5.02,0.03
92286,TC,Internal eye photography,A,,0.00,2.45,,2.38,,2.45,NA,2.38,NA,0.01,2.46,2.39,2.46,2.39,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,4.66,4.66,0.02
92286,26,Internal eye photography,A,,0.66,0.36,,0.42,,0.36,,0.42,,0.01,1.03,1.09,1.03,1.09,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92287,,Internal eye photography,A,,0.81,2.57,,2.66,,0.47,,0.56,,0.04,3.42,3.51,1.32,1.41,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92310,,Contact lens fitting,N,+,1.17,1.50,,1.49,,0.51,,0.51,,0.08,2.75,2.74,1.76,1.76,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92311,,Contact lens fitting,A,,1.08,1.67,,1.81,,0.49,,0.56,,0.08,2.83,2.97,1.65,1.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92312,,Contact lens fitting,A,,1.26,1.90,,2.10,,0.57,,0.64,,0.05,3.21,3.41,1.88,1.95,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92313,,Contact lens fitting,A,,0.92,1.81,,1.99,,0.49,,0.58,,0.05,2.78,2.96,1.46,1.55,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92314,,Prescription of contact lens,N,+,0.69,1.50,,1.51,,0.30,,0.30,,0.04,2.23,2.24,1.03,1.03,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92315,,Prescription of contact lens,A,,0.45,1.57,,1.69,,0.19,,0.22,,0.04,2.06,2.18,0.68,0.71,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92316,,Prescription of contact lens,A,,0.68,2.04,,2.31,,0.39,,0.48,,0.04,2.76,3.03,1.11,1.20,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92317,,Prescription of contact lens,A,,0.45,1.59,,1.67,,0.17,,0.18,,0.01,2.05,2.13,0.63,0.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92325,,Modification of contact lens,A,,0.00,0.98,,1.07,,0.98,NA,1.07,NA,0.01,0.99,1.08,0.99,1.08,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92326,,Replacement of contact lens,A,,0.00,1.04,,0.92,,1.04,NA,0.92,NA,0.01,1.05,0.93,1.05,0.93,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92340,,Fitting of spectacles,N,+,0.37,0.64,,0.60,,0.16,,0.16,,0.03,1.04,1.00,0.56,0.56,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92341,,Fitting of spectacles,N,+,0.47,0.69,,0.65,,0.20,,0.21,,0.03,1.19,1.15,0.70,0.71,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92342,,Fitting of spectacles,N,+,0.53,0.72,,0.67,,0.23,,0.23,,0.04,1.29,1.24,0.80,0.80,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92352,,Special spectacles fitting,B,+,0.37,0.78,,0.75,,0.16,,0.16,,0.03,1.18,1.15,0.56,0.56,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92353,,Special spectacles fitting,B,+,0.50,0.83,,0.81,,0.21,,0.22,,0.03,1.36,1.34,0.74,0.75,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92354,,Special spectacles fitting,B,+,0.00,1.66,,0.35,,1.66,NA,0.35,NA,0.01,1.67,0.36,1.67,0.36,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92355,,Special spectacles fitting,B,+,0.00,1.16,,0.55,,1.16,NA,0.55,NA,0.01,1.17,0.56,1.17,0.56,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92358,,Eye prosthesis service,B,+,0.00,0.41,,0.29,,0.41,NA,0.29,NA,0.01,0.42,0.30,0.42,0.30,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92370,,Repair & adjust spectacles,N,+,0.32,0.56,,0.53,,0.14,,0.14,,0.03,0.91,0.88,0.49,0.49,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92371,,Repair & adjust spectacles,B,+,0.00,0.37,,0.30,,0.37,NA,0.30,NA,0.01,0.38,0.31,0.38,0.31,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92499,,Eye service or procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92499,TC,Eye service or procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92499,26,Eye service or procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92502,,Ear and throat examination,A,,1.51,1.27,NA,1.36,NA,1.27,,1.36,,0.07,2.85,2.94,2.85,2.94,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92504,,Ear microscopy examination,A,,0.18,0.70,,0.70,,0.10,,0.10,,0.01,0.89,0.89,0.29,0.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92506,,Speech/hearing evaluation,A,,0.86,4.01,,4.10,,4.01,NA,4.10,NA,0.05,4.92,5.01,4.92,5.01,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92507,,Speech/hearing therapy,A,,1.30,1.05,,0.69,,1.05,NA,0.69,NA,0.07,2.42,2.06,2.42,2.06,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92508,,Speech/hearing therapy,A,,0.33,0.45,,0.24,,0.45,NA,0.24,NA,0.01,0.79,0.58,0.79,0.58,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92511,,Nasopharyngoscopy,A,,0.84,3.83,,3.82,,0.90,,0.94,,0.04,4.71,4.70,1.78,1.82,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92512,,Nasal function studies,A,,0.55,1.23,,1.22,,0.27,,0.30,,0.03,1.81,1.80,0.85,0.88,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92516,,Facial nerve function test,A,,0.43,1.54,,1.60,,0.23,,0.24,,0.03,2.00,2.06,0.69,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92520,,Laryngeal function studies,A,,0.75,1.20,,1.37,,0.42,,0.48,,0.04,1.99,2.16,1.21,1.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92526,,Oral function therapy,A,,1.34,1.36,,0.77,,1.36,NA,0.77,NA,0.07,2.77,2.18,2.77,2.18,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92531,,Spontaneous nystagmus study,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92532,,Positional nystagmus test,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92533,,Caloric vestibular test,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92534,,Optokinetic nystagmus test,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92540,,Basic vestibular evaluation,A,,1.50,1.31,,1.31,,1.31,NA,1.31,NA,0.05,2.86,2.86,2.86,2.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92540,TC,Basic vestibular evaluation,A,,0.00,0.54,,0.54,,0.54,NA,0.54,NA,0.01,0.55,0.55,0.55,0.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92540,26,Basic vestibular evaluation,A,,1.50,0.77,,0.77,,0.77,,0.77,,0.04,2.31,2.31,2.31,2.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92541,,Spontaneous nystagmus test,A,,0.40,0.92,,0.45,,0.92,NA,0.45,NA,0.02,1.34,0.87,1.34,0.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92541,TC,Spontaneous nystagmus test,A,,0.00,0.73,,0.25,,0.73,NA,0.25,NA,0.01,0.74,0.26,0.74,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92541,26,Spontaneous nystagmus test,A,,0.40,0.19,,0.20,,0.19,,0.20,,0.01,0.60,0.61,0.60,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92542,,Positional nystagmus test,A,,0.33,0.98,,0.42,,0.98,NA,0.42,NA,0.02,1.33,0.77,1.33,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92542,TC,Positional nystagmus test,A,,0.00,0.82,,0.25,,0.82,NA,0.25,NA,0.01,0.83,0.26,0.83,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92542,26,Positional nystagmus test,A,,0.33,0.16,,0.17,,0.16,,0.17,,0.01,0.50,0.51,0.50,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92543,,Caloric vestibular test,A,,0.10,0.54,,0.30,,0.54,NA,0.30,NA,0.02,0.66,0.42,0.66,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92543,TC,Caloric vestibular test,A,,0.00,0.49,,0.25,,0.49,NA,0.25,NA,0.01,0.50,0.26,0.50,0.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92543,26,Caloric vestibular test,A,,0.10,0.05,,0.05,,0.05,,0.05,,0.01,0.16,0.16,0.16,0.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92544,,Optokinetic nystagmus test,A,,0.26,0.81,,0.37,,0.81,NA,0.37,NA,0.02,1.09,0.65,1.09,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92544,TC,Optokinetic nystagmus test,A,,0.00,0.69,,0.24,,0.69,NA,0.24,NA,0.01,0.70,0.25,0.70,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92544,26,Optokinetic nystagmus test,A,,0.26,0.12,,0.13,,0.12,,0.13,,0.01,0.39,0.40,0.39,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92545,,Oscillating tracking test,A,,0.23,0.77,,0.35,,0.77,NA,0.35,NA,0.02,1.02,0.60,1.02,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92545,TC,Oscillating tracking test,A,,0.00,0.66,,0.23,,0.66,NA,0.23,NA,0.01,0.67,0.24,0.67,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92545,26,Oscillating tracking test,A,,0.23,0.11,,0.12,,0.11,,0.12,,0.01,0.35,0.36,0.35,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92546,,Sinusoidal rotational test,A,,0.29,2.46,,2.59,,2.46,NA,2.59,NA,0.02,2.77,2.90,2.77,2.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92546,TC,Sinusoidal rotational test,A,,0.00,2.33,,2.45,,2.33,NA,2.45,NA,0.01,2.34,2.46,2.34,2.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92546,26,Sinusoidal rotational test,A,,0.29,0.13,,0.14,,0.13,,0.14,,0.01,0.43,0.44,0.43,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92547,,Supplemental electrical test,A,,0.00,0.14,,0.15,,0.14,,0.15,,0.01,0.15,0.16,0.15,0.16,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92548,,Posturography,A,,0.50,2.49,,2.65,,2.49,NA,2.65,NA,0.02,3.01,3.17,3.01,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92548,TC,Posturography,A,,0.00,2.25,,2.39,,2.25,NA,2.39,NA,0.01,2.26,2.40,2.26,2.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92548,26,Posturography,A,,0.50,0.24,,0.26,,0.24,,0.26,,0.01,0.75,0.77,0.75,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92550,,Tympanometry & reflex thresh,A,,0.35,0.25,,0.25,,0.25,NA,0.25,NA,0.01,0.61,0.61,0.61,0.61,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92551,,Pure tone hearing test air,N,+,0.00,0.33,,0.31,,0.33,NA,0.31,NA,0.01,0.34,0.32,0.34,0.32,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92552,,Pure tone audiometry air,A,,0.00,0.74,,0.81,,0.74,NA,0.81,NA,0.01,0.75,0.82,0.75,0.82,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92553,,Audiometry air & bone,A,,0.00,0.94,,0.98,,0.94,NA,0.98,NA,0.01,0.95,0.99,0.95,0.99,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92555,,Speech threshold audiometry,A,,0.00,0.54,,0.58,,0.54,NA,0.58,NA,0.01,0.55,0.59,0.55,0.59,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92556,,Speech audiometry complete,A,,0.00,0.84,,0.92,,0.84,NA,0.92,NA,0.01,0.85,0.93,0.85,0.93,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92557,,Comprehensive hearing test,A,,0.60,0.56,,0.46,,0.44,,0.33,,0.03,1.19,1.09,1.07,0.96,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92559,,Group audiometric testing,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92560,,Bekesy audiometry screen,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92561,,Bekesy audiometry diagnosis,A,,0.00,0.95,,1.03,,0.95,NA,1.03,NA,0.01,0.96,1.04,0.96,1.04,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92562,,Loudness balance test,A,,0.00,0.92,,1.12,,0.92,NA,1.12,NA,0.01,0.93,1.13,0.93,1.13,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92563,,Tone decay hearing test,A,,0.00,0.72,,0.80,,0.72,NA,0.80,NA,0.01,0.73,0.81,0.73,0.81,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92564,,Sisi hearing test,A,,0.00,0.65,,0.69,,0.65,NA,0.69,NA,0.01,0.66,0.70,0.66,0.70,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92565,,Stenger test pure tone,A,,0.00,0.37,,0.37,,0.37,NA,0.37,NA,0.01,0.38,0.38,0.38,0.38,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92567,,Tympanometry,A,,0.20,0.24,,0.20,,0.16,,0.11,,0.01,0.45,0.41,0.37,0.32,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92568,,Acoustic refl threshold tst,A,,0.29,0.19,,0.16,,0.18,,0.16,,0.01,0.49,0.46,0.48,0.46,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92570,,Acoustic immitance testing,A,,0.55,0.36,,0.36,,0.30,,0.30,,0.03,0.94,0.94,0.88,0.88,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92571,,Filtered speech hearing test,A,,0.00,0.58,,0.65,,0.58,NA,0.65,NA,0.01,0.59,0.66,0.59,0.66,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92572,,Staggered spondaic word test,A,,0.00,0.92,,1.27,,0.92,NA,1.27,NA,0.01,0.93,1.28,0.93,1.28,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92575,,Sensorineural acuity test,A,,0.00,1.44,,1.73,,1.44,NA,1.73,NA,0.01,1.45,1.74,1.45,1.74,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92576,,Synthetic sentence test,A,,0.00,0.77,,0.89,,0.77,NA,0.89,NA,0.01,0.78,0.90,0.78,0.90,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92577,,Stenger test speech,A,,0.00,0.47,,0.44,,0.47,NA,0.44,NA,0.01,0.48,0.45,0.48,0.45,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92579,,Visual audiometry (vra),A,,0.70,0.55,,0.56,,0.43,,0.41,,0.03,1.28,1.29,1.16,1.14,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92582,,Conditioning play audiometry,A,,0.00,1.50,,1.69,,1.50,NA,1.69,NA,0.01,1.51,1.70,1.51,1.70,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92583,,Select picture audiometry,A,,0.00,1.04,,1.06,,1.04,NA,1.06,NA,0.01,1.05,1.07,1.05,1.07,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92584,,Electrocochleography,A,,0.00,1.95,,1.88,,1.95,NA,1.88,NA,0.01,1.96,1.89,1.96,1.89,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92585,,Auditor evoke potent compre,A,,0.50,2.81,,3.06,,2.81,NA,3.06,NA,0.02,3.33,3.58,3.33,3.58,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92585,TC,Auditor evoke potent compre,A,,0.00,2.57,,2.79,,2.57,NA,2.79,NA,0.01,2.58,2.80,2.58,2.80,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92585,26,Auditor evoke potent compre,A,,0.50,0.24,,0.27,,0.24,,0.27,,0.01,0.75,0.78,0.75,0.78,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92586,,Auditor evoke potent limit,A,,0.00,2.06,,2.20,,2.06,NA,2.20,NA,0.01,2.07,2.21,2.07,2.21,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92587,,Evoked auditory test,A,,0.13,0.94,,0.87,,0.94,NA,0.87,NA,0.02,1.09,1.02,1.09,1.02,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92587,TC,Evoked auditory test,A,,0.00,0.87,,0.80,,0.87,NA,0.80,NA,0.01,0.88,0.81,0.88,0.81,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92587,26,Evoked auditory test,A,,0.13,0.07,,0.07,,0.07,,0.07,,0.01,0.21,0.21,0.21,0.21,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92588,,Evoked auditory test,A,,0.36,1.57,,1.62,,1.57,NA,1.62,NA,0.02,1.95,2.00,1.95,2.00,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92588,TC,Evoked auditory test,A,,0.00,1.39,,1.42,,1.39,NA,1.42,NA,0.01,1.40,1.43,1.40,1.43,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92588,26,Evoked auditory test,A,,0.36,0.18,,0.20,,0.18,,0.20,,0.01,0.55,0.57,0.55,0.57,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92590,,Hearing aid exam one ear,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92591,,Hearing aid exam both ears,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92592,,Hearing aid check one ear,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92593,,Hearing aid check both ears,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92594,,Electro hearng aid test one,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92595,,Electro hearng aid tst both,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92596,,Ear protector evaluation,A,,0.00,1.16,,1.23,,1.16,NA,1.23,NA,0.01,1.17,1.24,1.17,1.24,3,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92597,,Oral speech device eval,A,,1.26,1.55,,0.80,,1.55,NA,0.80,NA,0.07,2.88,2.13,2.88,2.13,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92601,,Cochlear implt f/up exam < 7,A,,2.30,1.88,,1.51,,1.40,,1.01,,0.11,4.29,3.92,3.81,3.42,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92602,,Reprogram cochlear implt < 7,A,,1.30,1.28,,1.02,,0.86,,0.57,,0.07,2.65,2.39,2.23,1.94,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92603,,Cochlear implt f/up exam 7 >,A,,2.25,1.83,,1.86,,1.30,,1.22,,0.11,4.19,4.22,3.66,3.58,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92604,,Reprogram cochlear implt 7 >,A,,1.25,1.18,,1.21,,0.75,,0.67,,0.05,2.48,2.51,2.05,1.97,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92605,,Eval for nonspeech device rx,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92606,,Non-speech device service,B,+,1.40,0.93,,0.93,,0.61,,0.61,,0.07,2.40,2.40,2.08,2.08,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92607,,Ex for speech device rx 1hr,A,,1.85,3.24,,1.49,,3.24,NA,1.49,NA,0.10,5.19,3.44,5.19,3.44,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92608,,Ex for speech device rx addl,A,,0.70,0.80,,0.67,,0.80,NA,0.67,NA,0.04,1.54,1.41,1.54,1.41,7,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92609,,Use of speech device service,A,,1.50,1.84,,1.03,,1.84,NA,1.03,NA,0.07,3.41,2.60,3.41,2.60,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92610,,Evaluate swallowing function,A,,1.30,1.72,,0.92,,0.67,,0.67,,0.07,3.09,2.29,2.04,2.04,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92611,,Motion fluoroscopy/swallow,A,,1.34,1.92,,1.09,,1.92,NA,1.09,NA,0.08,3.34,2.51,3.34,2.51,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92612,,Endoscopy swallow tst (fees),A,,1.27,3.57,,3.60,,0.66,,0.71,,0.07,4.91,4.94,2.00,2.05,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92613,,Endoscopy swallow tst (fees),A,,0.71,0.38,,0.39,,0.37,,0.39,,0.04,1.13,1.14,1.12,1.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92614,,Laryngoscopic sensory test,A,,1.27,3.03,,3.09,,0.67,,0.73,,0.07,4.37,4.43,2.01,2.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92615,,Eval laryngoscopy sense tst,A,,0.63,0.34,,0.37,,0.34,,0.37,,0.03,1.00,1.03,1.00,1.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92616,,Fees w/laryngeal sense test,A,,1.88,3.94,,3.96,,0.97,,1.04,,0.10,5.92,5.94,2.95,3.02,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92617,,Interprt fees/laryngeal test,A,,0.79,0.41,,0.44,,0.41,,0.44,,0.04,1.24,1.27,1.24,1.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92620,,Auditory function 60 min,A,,1.50,0.86,,1.16,,0.71,,0.88,,0.07,2.43,2.73,2.28,2.45,9,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92621,,Auditory function + 15 min,A,,0.35,0.20,,0.28,,0.15,,0.18,,0.01,0.56,0.64,0.51,0.54,9,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92625,,Tinnitus assessment,A,,1.15,0.66,,0.83,,0.55,,0.62,,0.05,1.86,2.03,1.75,1.82,9,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92626,,Eval aud rehab status,A,,1.40,1.00,,1.11,,0.81,,0.74,,0.07,2.47,2.58,2.28,2.21,9,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92627,,Eval aud status rehab add-on,A,,0.33,0.26,,0.29,,0.20,,0.17,,0.01,0.60,0.63,0.54,0.51,9,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
92630,,Aud rehab pre-ling hear loss,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92633,,Aud rehab postling hear loss,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92640,,Aud brainstem implt programg,A,,1.76,0.78,,1.22,,0.62,,0.90,,0.37,2.91,3.35,2.75,3.03,9,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,05,0,99,0.00,0.00,0.00
92700,,Ent procedure/service,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92950,,Heart/lung resuscitation cpr,A,,3.79,4.18,,4.18,,1.05,,1.07,,0.30,8.27,8.27,5.14,5.16,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92953,,Temporary external pacing,A,,0.23,0.09,NA,0.07,NA,0.09,,0.07,,0.01,0.33,0.31,0.33,0.31,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92960,,Cardioversion electric ext,A,,2.25,4.70,,3.63,,1.40,,1.13,,0.14,7.09,6.02,3.79,3.52,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92961,,Cardioversion electric int,A,,4.59,2.47,NA,2.03,NA,2.47,,2.03,,0.44,7.50,7.06,7.50,7.06,0,000,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
92970,,Cardioassist internal,A,,3.51,1.52,NA,1.36,NA,1.52,,1.36,,0.24,5.27,5.11,5.27,5.11,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92971,,Cardioassist external,A,,1.77,1.04,NA,0.82,NA,1.04,,0.82,,0.11,2.92,2.70,2.92,2.70,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92973,,Percut coronary thrombectomy,A,,3.28,1.64,NA,1.28,NA,1.64,,1.28,,0.71,5.63,5.27,5.63,5.27,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92974,,Cath place cardio brachytx,A,,3.00,1.51,NA,1.17,NA,1.51,,1.17,,0.65,5.16,4.82,5.16,4.82,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92975,,Dissolve clot heart vessel,A,,7.24,3.62,NA,2.87,NA,3.62,,2.87,,1.58,12.44,11.69,12.44,11.69,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92977,,Dissolve clot heart vessel,A,,0.00,2.69,,1.43,,2.69,NA,1.43,NA,0.03,2.72,1.46,2.72,1.46,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92978,,Intravasc us heart add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92978,TC,Intravasc us heart add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
92978,26,Intravasc us heart add-on,A,,1.80,0.90,,0.70,,0.90,,0.70,,0.12,2.82,2.62,2.82,2.62,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92979,,Intravasc us heart add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92979,TC,Intravasc us heart add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
92979,26,Intravasc us heart add-on,A,,1.44,0.72,,0.56,,0.72,,0.56,,0.10,2.26,2.10,2.26,2.10,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92980,,Insert intracoronary stent,A,,14.82,7.64,NA,5.96,NA,7.64,,5.96,,3.24,25.70,24.02,25.70,24.02,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92981,,Insert intracoronary stent,A,,4.16,2.08,NA,1.62,NA,2.08,,1.62,,0.90,7.14,6.68,7.14,6.68,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92982,,Coronary artery dilation,A,,10.96,5.70,NA,4.46,NA,5.70,,4.46,,2.38,19.04,17.80,19.04,17.80,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92984,,Coronary artery dilation,A,,2.97,1.48,NA,1.16,NA,1.48,,1.16,,0.64,5.09,4.77,5.09,4.77,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92986,,Revision of aortic valve,A,,22.85,14.58,NA,11.68,NA,14.58,,11.68,,4.98,42.41,39.51,42.41,39.51,0,090,0.09,0.84,0.07,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92987,,Revision of mitral valve,A,,23.63,15.00,NA,11.91,NA,15.00,,11.91,,5.14,43.77,40.68,43.77,40.68,0,090,0.09,0.84,0.07,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92990,,Revision of pulmonary valve,A,,18.27,11.80,NA,9.72,NA,11.80,,9.72,,3.99,34.06,31.98,34.06,31.98,0,090,0.09,0.84,0.07,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92992,,Revision of heart chamber,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92993,,Revision of heart chamber,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,090,0.09,0.84,0.07,2,0,2,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92995,,Coronary atherectomy,A,,12.07,6.27,NA,4.89,NA,6.27,,4.89,,2.63,20.97,19.59,20.97,19.59,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92996,,Coronary atherectomy add-on,A,,3.26,1.64,NA,1.28,NA,1.64,,1.28,,0.71,5.61,5.25,5.61,5.25,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92997,,Pul art balloon repr percut,A,,11.98,5.61,NA,4.81,NA,5.61,,4.81,,2.61,20.20,19.40,20.20,19.40,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
92998,,Pul art balloon repr percut,A,,5.99,2.86,NA,2.32,NA,2.86,,2.32,,1.31,10.16,9.62,10.16,9.62,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93000,,Electrocardiogram complete,A,,0.17,0.39,,0.32,,0.39,NA,0.32,NA,0.02,0.58,0.51,0.58,0.51,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93005,,Electrocardiogram tracing,A,,0.00,0.31,,0.25,,0.31,NA,0.25,NA,0.01,0.32,0.26,0.32,0.26,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93010,,Electrocardiogram report,A,,0.17,0.08,,0.07,,0.08,,0.07,,0.01,0.26,0.25,0.26,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93015,,Cardiovascular stress test,A,,0.75,1.94,,1.58,,1.94,NA,1.58,NA,0.03,2.72,2.36,2.72,2.36,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93016,,Cardiovascular stress test,A,,0.45,0.22,,0.18,,0.22,,0.18,,0.01,0.68,0.64,0.68,0.64,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93017,,Cardiovascular stress test,A,,0.00,1.58,,1.28,,1.58,NA,1.28,NA,0.01,1.59,1.29,1.59,1.29,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93018,,Cardiovascular stress test,A,,0.30,0.14,,0.12,,0.14,,0.12,,0.01,0.45,0.43,0.45,0.43,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93024,,Cardiac drug stress test,A,,1.17,2.22,,1.90,,2.22,NA,1.90,NA,0.05,3.44,3.12,3.44,3.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93024,TC,Cardiac drug stress test,A,,0.00,1.66,,1.44,,1.66,NA,1.44,NA,0.01,1.67,1.45,1.67,1.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93024,26,Cardiac drug stress test,A,,1.17,0.56,,0.46,,0.56,,0.46,,0.04,1.77,1.67,1.77,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93025,,Microvolt t-wave assess,A,,0.75,4.89,,3.68,,4.89,NA,3.68,NA,0.04,5.68,4.47,5.68,4.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93025,TC,Microvolt t-wave assess,A,,0.00,4.52,,3.38,,4.52,NA,3.38,NA,0.01,4.53,3.39,4.53,3.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93025,26,Microvolt t-wave assess,A,,0.75,0.37,,0.30,,0.37,,0.30,,0.03,1.15,1.08,1.15,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93040,,Rhythm ECG with report,A,,0.15,0.22,,0.19,,0.22,NA,0.19,NA,0.02,0.39,0.36,0.39,0.36,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93041,,Rhythm ecg tracing,A,,0.00,0.16,,0.14,,0.16,NA,0.14,NA,0.01,0.17,0.15,0.17,0.15,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93042,,Rhythm ecg report,A,,0.15,0.06,,0.05,,0.06,,0.05,,0.01,0.22,0.21,0.22,0.21,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93224,,Ecg monit/reprt up to 48 hrs,A,,0.52,2.53,,1.98,,2.53,NA,1.98,NA,0.03,3.08,2.53,3.08,2.53,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93225,,Ecg monit/reprt up to 48 hrs,A,,0.00,0.91,,0.72,,0.91,NA,0.72,NA,0.01,0.92,0.73,0.92,0.73,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93226,,Ecg monit/reprt up to 48 hrs,A,,0.00,1.35,,1.02,,1.35,NA,1.02,NA,0.01,1.36,1.03,1.36,1.03,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93227,,Ecg monit/reprt up to 48 hrs,A,,0.52,0.27,,0.24,,0.27,,0.24,,0.01,0.80,0.77,0.80,0.77,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93228,,Remote 30 day ecg rev/report,A,,0.52,0.21,,0.21,,0.21,,0.21,,0.03,0.76,0.76,0.76,0.76,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93229,,Remote 30 day ecg tech supp,A,,0.00,20.04,,20.04,,20.04,NA,20.04,NA,0.01,20.05,20.05,20.05,20.05,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93268,,ECG record/review,A,,0.52,6.83,,5.67,,6.83,NA,5.67,NA,0.03,7.38,6.22,7.38,6.22,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93270,,Remote 30 day ecg rev/report,A,,0.00,0.44,,0.24,,0.44,NA,0.24,NA,0.01,0.45,0.25,0.45,0.25,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93271,,Ecg/monitoring and analysis,A,,0.00,6.16,,5.23,,6.16,NA,5.23,NA,0.01,6.17,5.24,6.17,5.24,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93272,,Ecg/review interpret only,A,,0.52,0.23,,0.20,,0.23,,0.20,,0.01,0.76,0.73,0.76,0.73,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93278,,ECG/signal-averaged,A,,0.25,0.76,,0.61,,0.76,NA,0.61,NA,0.02,1.03,0.88,1.03,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93278,TC,ECG/signal-averaged,A,,0.00,0.65,,0.50,,0.65,NA,0.50,NA,0.01,0.66,0.51,0.66,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93278,26,ECG/signal-averaged,A,,0.25,0.11,,0.11,,0.11,,0.11,,0.01,0.37,0.37,0.37,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93279,,Pm device progr eval sngl,A,,0.65,0.86,,0.71,,0.86,NA,0.71,NA,0.04,1.55,1.40,1.55,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93279,TC,Pm device progr eval sngl,A,,0.00,0.53,,0.45,,0.53,NA,0.45,NA,0.01,0.54,0.46,0.54,0.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93279,26,Pm device progr eval sngl,A,,0.65,0.33,,0.26,,0.33,,0.26,,0.03,1.01,0.94,1.01,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93280,,Pm device progr eval dual,A,,0.77,1.02,,0.80,,1.02,NA,0.80,NA,0.04,1.83,1.61,1.83,1.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93280,TC,Pm device progr eval dual,A,,0.00,0.62,,0.50,,0.62,NA,0.50,NA,0.01,0.63,0.51,0.63,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93280,26,Pm device progr eval dual,A,,0.77,0.40,,0.30,,0.40,,0.30,,0.03,1.20,1.10,1.20,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93281,,Pm device progr eval multi,A,,0.90,1.19,,0.94,,1.19,NA,0.94,NA,0.04,2.13,1.88,2.13,1.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93281,TC,Pm device progr eval multi,A,,0.00,0.72,,0.59,,0.72,NA,0.59,NA,0.01,0.73,0.60,0.73,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93281,26,Pm device progr eval multi,A,,0.90,0.47,,0.35,,0.47,,0.35,,0.03,1.40,1.28,1.40,1.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93282,,Icd device prog eval 1 sngl,A,,0.85,1.07,,0.85,,1.07,NA,0.85,NA,0.04,1.96,1.74,1.96,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93282,TC,Icd device prog eval 1 sngl,A,,0.00,0.64,,0.52,,0.64,NA,0.52,NA,0.01,0.65,0.53,0.65,0.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93282,26,Icd device prog eval 1 sngl,A,,0.85,0.43,,0.33,,0.43,,0.33,,0.03,1.31,1.21,1.31,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93283,,Icd device progr eval dual,A,,1.15,1.31,,1.05,,1.31,NA,1.05,NA,0.05,2.51,2.25,2.51,2.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93283,TC,Icd device progr eval dual,A,,0.00,0.74,,0.60,,0.74,NA,0.60,NA,0.01,0.75,0.61,0.75,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93283,26,Icd device progr eval dual,A,,1.15,0.57,,0.45,,0.57,,0.45,,0.04,1.76,1.64,1.76,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93284,,Icd device progr eval mult,A,,1.25,1.49,,1.17,,1.49,NA,1.17,NA,0.05,2.79,2.47,2.79,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93284,TC,Icd device progr eval mult,A,,0.00,0.84,,0.68,,0.84,NA,0.68,NA,0.01,0.85,0.69,0.85,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93284,26,Icd device progr eval mult,A,,1.25,0.65,,0.49,,0.65,,0.49,,0.04,1.94,1.78,1.94,1.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93285,,Ilr device eval progr,A,,0.52,0.76,,0.60,,0.76,NA,0.60,NA,0.02,1.30,1.14,1.30,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93285,TC,Ilr device eval progr,A,,0.00,0.49,,0.40,,0.49,NA,0.40,NA,0.01,0.50,0.41,0.50,0.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93285,26,Ilr device eval progr,A,,0.52,0.27,,0.20,,0.27,,0.20,,0.01,0.80,0.73,0.80,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93286,,Pre-op pm device eval,A,,0.30,0.46,,0.41,,0.46,NA,0.41,NA,0.02,0.78,0.73,0.78,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93286,TC,Pre-op pm device eval,A,,0.00,0.34,,0.29,,0.34,NA,0.29,NA,0.01,0.35,0.30,0.35,0.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93286,26,Pre-op pm device eval,A,,0.30,0.12,,0.12,,0.12,,0.12,,0.01,0.43,0.43,0.43,0.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93287,,Pre-op icd device eval,A,,0.45,0.55,,0.50,,0.55,NA,0.50,NA,0.02,1.02,0.97,1.02,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93287,TC,Pre-op icd device eval,A,,0.00,0.37,,0.32,,0.37,NA,0.32,NA,0.01,0.38,0.33,0.38,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93287,26,Pre-op icd device eval,A,,0.45,0.18,,0.18,,0.18,,0.18,,0.01,0.64,0.64,0.64,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93288,,Pm device eval in person,A,,0.43,0.72,,0.58,,0.72,NA,0.58,NA,0.02,1.17,1.03,1.17,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93288,TC,Pm device eval in person,A,,0.00,0.50,,0.41,,0.50,NA,0.41,NA,0.01,0.51,0.42,0.51,0.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93288,26,Pm device eval in person,A,,0.43,0.22,,0.17,,0.22,,0.17,,0.01,0.66,0.61,0.66,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93289,,Icd device interrogate,A,,0.92,1.05,,0.86,,1.05,NA,0.86,NA,0.04,2.01,1.82,2.01,1.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93289,TC,Icd device interrogate,A,,0.00,0.62,,0.50,,0.62,NA,0.50,NA,0.01,0.63,0.51,0.63,0.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93289,26,Icd device interrogate,A,,0.92,0.43,,0.36,,0.43,,0.36,,0.03,1.38,1.31,1.38,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93290,,Icm device eval,A,,0.43,0.45,,0.41,,0.45,NA,0.41,NA,0.02,0.90,0.86,0.90,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93290,TC,Icm device eval,A,,0.00,0.28,,0.24,,0.28,NA,0.24,NA,0.01,0.29,0.25,0.29,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93290,26,Icm device eval,A,,0.43,0.17,,0.17,,0.17,,0.17,,0.01,0.61,0.61,0.61,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93291,,Ilr device interrogate,A,,0.43,0.67,,0.54,,0.67,NA,0.54,NA,0.02,1.12,0.99,1.12,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93291,TC,Ilr device interrogate,A,,0.00,0.45,,0.37,,0.45,NA,0.37,NA,0.01,0.46,0.38,0.46,0.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93291,26,Ilr device interrogate,A,,0.43,0.22,,0.17,,0.22,,0.17,,0.01,0.66,0.61,0.66,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93292,,Wcd device interrogate,A,,0.43,0.56,,0.45,,0.56,NA,0.45,NA,0.02,1.01,0.90,1.01,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93292,TC,Wcd device interrogate,A,,0.00,0.34,,0.28,,0.34,NA,0.28,NA,0.01,0.35,0.29,0.35,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93292,26,Wcd device interrogate,A,,0.43,0.22,,0.17,,0.22,,0.17,,0.01,0.66,0.61,0.66,0.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93293,,Pm phone r-strip device eval,A,,0.32,1.31,,1.14,,1.31,NA,1.14,NA,0.02,1.65,1.48,1.65,1.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93293,TC,Pm phone r-strip device eval,A,,0.00,1.17,,1.02,,1.17,NA,1.02,NA,0.01,1.18,1.03,1.18,1.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93293,26,Pm phone r-strip device eval,A,,0.32,0.14,,0.12,,0.14,,0.12,,0.01,0.47,0.45,0.47,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93294,,Pm device interrogate remote,A,,0.65,0.33,,0.25,,0.33,,0.25,,0.04,1.02,0.94,1.02,0.94,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93295,,Icd device interrogat remote,A,,1.29,0.64,,0.50,,0.64,,0.50,,0.08,2.01,1.87,2.01,1.87,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93296,,Pm/icd remote tech serv,A,,0.00,0.95,,0.69,,0.95,NA,0.69,NA,0.01,0.96,0.70,0.96,0.70,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93297,,Icm device interrogat remote,A,,0.52,0.21,,0.20,,0.21,,0.20,,0.03,0.76,0.75,0.76,0.75,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93298,,Ilr device interrogat remote,A,,0.52,0.27,,0.20,,0.27,,0.20,,0.03,0.82,0.75,0.82,0.75,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93299,,Icm/ilr remote tech serv,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93303,,Echo transthoracic,A,,1.30,4.84,,4.23,,4.84,NA,4.23,NA,0.05,6.19,5.58,6.19,5.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.12,17.12,0.08
93303,TC,Echo transthoracic,A,,0.00,4.23,,3.70,,4.23,NA,3.70,NA,0.01,4.24,3.71,4.24,3.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,16.51,16.51,0.04
93303,26,Echo transthoracic,A,,1.30,0.61,,0.53,,0.61,,0.53,,0.04,1.95,1.87,1.95,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93304,,Echo transthoracic,A,,0.75,3.16,,2.86,,3.16,NA,2.86,NA,0.04,3.95,3.65,3.95,3.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.14,12.14,0.07
93304,TC,Echo transthoracic,A,,0.00,2.82,,2.56,,2.82,NA,2.56,NA,0.01,2.83,2.57,2.83,2.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,11.80,11.80,0.04
93304,26,Echo transthoracic,A,,0.75,0.34,,0.30,,0.34,,0.30,,0.03,1.12,1.08,1.12,1.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93306,,Tte w/doppler complete,A,,1.30,5.50,,4.01,,5.50,NA,4.01,NA,0.05,6.85,5.36,6.85,5.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.47,12.47,0.06
93306,TC,Tte w/doppler complete,A,,0.00,4.85,,3.49,,4.85,NA,3.49,NA,0.01,4.86,3.50,4.86,3.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,11.82,11.82,0.02
93306,26,Tte w/doppler complete,A,,1.30,0.65,,0.52,,0.65,,0.52,,0.04,1.99,1.86,1.99,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93307,,Tte w/o doppler complete,A,,0.92,3.40,,2.27,,3.40,NA,2.27,NA,0.04,4.36,3.23,4.36,3.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.25,12.25,0.07
93307,TC,Tte w/o doppler complete,A,,0.00,2.95,,1.89,,2.95,NA,1.89,NA,0.01,2.96,1.90,2.96,1.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,11.80,11.80,0.04
93307,26,Tte w/o doppler complete,A,,0.92,0.45,,0.38,,0.45,,0.38,,0.03,1.40,1.33,1.40,1.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93308,,Tte f-up or lmtd,A,,0.53,2.55,,2.16,,2.55,NA,2.16,NA,0.02,3.10,2.71,3.10,2.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,6.48,6.48,0.04
93308,TC,Tte f-up or lmtd,A,,0.00,2.29,,1.95,,2.29,NA,1.95,NA,0.01,2.30,1.96,2.30,1.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,6.22,6.22,0.03
93308,26,Tte f-up or lmtd,A,,0.53,0.26,,0.21,,0.26,,0.21,,0.01,0.80,0.75,0.80,0.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93312,,Echo transesophageal,A,,2.20,7.23,,6.57,,7.23,NA,6.57,NA,0.10,9.53,8.87,9.53,8.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.44,17.44,0.15
93312,TC,Echo transesophageal,A,,0.00,6.26,,5.78,,6.26,NA,5.78,NA,0.03,6.29,5.81,6.29,5.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,16.47,16.47,0.08
93312,26,Echo transesophageal,A,,2.20,0.97,,0.79,,0.97,,0.79,,0.07,3.24,3.06,3.24,3.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93313,,Echo transesophageal,A,,0.95,0.20,NA,0.23,NA,0.20,,0.23,,0.07,1.22,1.25,1.22,1.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93314,,Echo transesophageal,A,,1.25,7.08,,6.59,,7.08,NA,6.59,NA,0.07,8.40,7.91,8.40,7.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93314,TC,Echo transesophageal,A,,0.00,6.52,,6.12,,6.52,NA,6.12,NA,0.03,6.55,6.15,6.55,6.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93314,26,Echo transesophageal,A,,1.25,0.56,,0.47,,0.56,,0.47,,0.04,1.85,1.76,1.85,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93315,,Echo transesophageal,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.82,17.82,0.24
93315,TC,Echo transesophageal,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,16.54,16.54,0.01
93315,26,Echo transesophageal,A,,2.78,1.28,,1.04,,1.28,,1.04,,0.23,4.29,4.05,4.29,4.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93316,,Echo transesophageal,A,,0.95,0.30,NA,0.28,NA,0.30,,0.28,,0.07,1.32,1.30,1.32,1.30,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93317,,Echo transesophageal,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93317,TC,Echo transesophageal,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93317,26,Echo transesophageal,A,,1.83,0.73,,0.67,,0.73,,0.67,,0.23,2.79,2.73,2.79,2.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93318,,Echo transesophageal intraop,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,17.41,17.41,0.32
93318,TC,Echo transesophageal intraop,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,16.54,16.54,0.01
93318,26,Echo transesophageal intraop,A,,2.20,0.87,,0.77,,0.87,,0.77,,0.31,3.38,3.28,3.38,3.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93320,,Doppler echo exam heart,A,,0.38,1.44,,0.88,,1.44,NA,0.88,NA,0.02,1.84,1.28,1.84,1.28,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93320,TC,Doppler echo exam heart,A,,0.00,1.26,,0.73,,1.26,NA,0.73,NA,0.01,1.27,0.74,1.27,0.74,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93320,26,Doppler echo exam heart,A,,0.38,0.18,,0.15,,0.18,,0.15,,0.01,0.57,0.54,0.57,0.54,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93321,,Doppler echo exam heart,A,,0.15,0.69,,0.51,,0.69,NA,0.51,NA,0.02,0.86,0.68,0.86,0.68,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93321,TC,Doppler echo exam heart,A,,0.00,0.62,,0.45,,0.62,NA,0.45,NA,0.01,0.63,0.46,0.63,0.46,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93321,26,Doppler echo exam heart,A,,0.15,0.07,,0.06,,0.07,,0.06,,0.01,0.23,0.22,0.23,0.22,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93325,,Doppler color flow add-on,A,,0.07,0.96,,0.47,,0.96,NA,0.47,NA,0.02,1.05,0.56,1.05,0.56,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93325,TC,Doppler color flow add-on,A,,0.00,0.93,,0.44,,0.93,NA,0.44,NA,0.01,0.94,0.45,0.94,0.45,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93325,26,Doppler color flow add-on,A,,0.07,0.03,,0.03,,0.03,,0.03,,0.01,0.11,0.11,0.11,0.11,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93350,,Stress tte only,A,,1.46,4.67,,4.18,,4.67,NA,4.18,NA,0.06,6.19,5.70,6.19,5.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,12.54,12.54,0.08
93350,TC,Stress tte only,A,,0.00,3.94,,3.60,,3.94,NA,3.60,NA,0.01,3.95,3.61,3.95,3.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,11.81,11.81,0.03
93350,26,Stress tte only,A,,1.46,0.73,,0.58,,0.73,,0.58,,0.05,2.24,2.09,2.24,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93351,,Stress tte complete,A,,1.75,5.46,,4.74,,5.46,NA,4.74,NA,0.08,7.29,6.57,7.29,6.57,1,XXX,0.00,0.00,0.00,0,0,9,9,9,,33.9764,09,0,99,17.34,17.34,0.16
93351,TC,Stress tte complete,A,,0.00,4.56,,4.05,,4.56,NA,4.05,NA,0.03,4.59,4.08,4.59,4.08,1,XXX,0.00,0.00,0.00,0,0,9,9,9,,33.9764,02,0,99,16.44,16.44,0.11
93351,26,Stress tte complete,A,,1.75,0.90,,0.69,,0.90,,0.69,,0.05,2.70,2.49,2.70,2.49,1,XXX,0.00,0.00,0.00,0,0,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
93352,,Admin ecg contrast agent,A,,0.19,0.87,,0.71,,0.87,NA,0.71,NA,0.01,1.07,0.91,1.07,0.91,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93451,,Right heart cath,A,,2.72,19.13,,19.13,,19.13,NA,19.13,NA,0.62,22.47,22.47,22.47,22.47,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93451,TC,Right heart cath,A,,0.00,18.07,,18.07,,18.07,NA,18.07,NA,0.03,18.10,18.10,18.10,18.10,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93451,26,Right heart cath,A,,2.72,1.06,,1.06,,1.06,,1.06,,0.59,4.37,4.37,4.37,4.37,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93452,,Left hrt cath w/ventrclgrphy,A,,4.75,19.11,,19.11,,19.11,NA,19.11,NA,1.09,24.95,24.95,24.95,24.95,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93452,TC,Left hrt cath w/ventrclgrphy,A,,0.00,17.26,,17.26,,17.26,NA,17.26,NA,0.03,17.29,17.29,17.29,17.29,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93452,26,Left hrt cath w/ventrclgrphy,A,,4.75,1.85,,1.85,,1.85,,1.85,,1.06,7.66,7.66,7.66,7.66,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93453,,R&l hrt cath w/ventriclgrphy,A,,6.24,25.00,,25.00,,25.00,NA,25.00,NA,1.41,32.65,32.65,32.65,32.65,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93453,TC,R&l hrt cath w/ventriclgrphy,A,,0.00,22.57,,22.57,,22.57,NA,22.57,NA,0.04,22.61,22.61,22.61,22.61,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93453,26,R&l hrt cath w/ventriclgrphy,A,,6.24,2.43,,2.43,,2.43,,2.43,,1.37,10.04,10.04,10.04,10.04,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93454,,Coronary artery angio s&i,A,,4.79,19.85,,19.85,,19.85,NA,19.85,NA,1.09,25.73,25.73,25.73,25.73,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93454,TC,Coronary artery angio s&i,A,,0.00,17.98,,17.98,,17.98,NA,17.98,NA,0.03,18.01,18.01,18.01,18.01,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93454,26,Coronary artery angio s&i,A,,4.79,1.87,,1.87,,1.87,,1.87,,1.06,7.72,7.72,7.72,7.72,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93455,,Coronary art/grft angio s&i,A,,5.54,23.23,,23.23,,23.23,NA,23.23,NA,1.25,30.02,30.02,30.02,30.02,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93455,TC,Coronary art/grft angio s&i,A,,0.00,21.07,,21.07,,21.07,NA,21.07,NA,0.04,21.11,21.11,21.11,21.11,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93455,26,Coronary art/grft angio s&i,A,,5.54,2.16,,2.16,,2.16,,2.16,,1.21,8.91,8.91,8.91,8.91,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93456,,R hrt coronary artery angio,A,,6.15,24.68,,24.68,,24.68,NA,24.68,NA,1.37,32.20,32.20,32.20,32.20,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93456,TC,R hrt coronary artery angio,A,,0.00,22.28,,22.28,,22.28,NA,22.28,NA,0.04,22.32,22.32,22.32,22.32,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93456,26,R hrt coronary artery angio,A,,6.15,2.40,,2.40,,2.40,,2.40,,1.33,9.88,9.88,9.88,9.88,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93457,,R hrt art/grft angio,A,,6.89,28.06,,28.06,,28.06,NA,28.06,NA,1.54,36.49,36.49,36.49,36.49,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93457,TC,R hrt art/grft angio,A,,0.00,25.37,,25.37,,25.37,NA,25.37,NA,0.04,25.41,25.41,25.41,25.41,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93457,26,R hrt art/grft angio,A,,6.89,2.69,,2.69,,2.69,,2.69,,1.50,11.08,11.08,11.08,11.08,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93458,,L hrt artery/ventricle angio,A,,5.85,23.87,,23.87,,23.87,NA,23.87,NA,1.33,31.05,31.05,31.05,31.05,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93458,TC,L hrt artery/ventricle angio,A,,0.00,21.59,,21.59,,21.59,NA,21.59,NA,0.04,21.63,21.63,21.63,21.63,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93458,26,L hrt artery/ventricle angio,A,,5.85,2.28,,2.28,,2.28,,2.28,,1.29,9.42,9.42,9.42,9.42,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93459,,L hrt art/grft angio,A,,6.60,26.22,,26.22,,26.22,NA,26.22,NA,1.47,34.29,34.29,34.29,34.29,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93459,TC,L hrt art/grft angio,A,,0.00,23.65,,23.65,,23.65,NA,23.65,NA,0.04,23.69,23.69,23.69,23.69,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93459,26,L hrt art/grft angio,A,,6.60,2.57,,2.57,,2.57,,2.57,,1.43,10.60,10.60,10.60,10.60,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93460,,R&l hrt art/ventricle angio,A,,7.35,27.72,,27.72,,27.72,NA,27.72,NA,1.63,36.70,36.70,36.70,36.70,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93460,TC,R&l hrt art/ventricle angio,A,,0.00,24.85,,24.85,,24.85,NA,24.85,NA,0.04,24.89,24.89,24.89,24.89,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93460,26,R&l hrt art/ventricle angio,A,,7.35,2.87,,2.87,,2.87,,2.87,,1.59,11.81,11.81,11.81,11.81,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93461,,R&l hrt art/ventricle angio,A,,8.10,32.13,,32.13,,32.13,NA,32.13,NA,1.82,42.05,42.05,42.05,42.05,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93461,TC,R&l hrt art/ventricle angio,A,,0.00,28.97,,28.97,,28.97,NA,28.97,NA,0.05,29.02,29.02,29.02,29.02,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93461,26,R&l hrt art/ventricle angio,A,,8.10,3.16,,3.16,,3.16,,3.16,,1.77,13.03,13.03,13.03,13.03,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93462,,L hrt cath trnsptl puncture,A,,3.73,1.47,,1.47,,1.47,,1.47,,0.80,6.00,6.00,6.00,6.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93463,,Drug admin & hemodynmic meas,A,,2.00,0.79,,0.79,,0.79,,0.79,,0.39,3.18,3.18,3.18,3.18,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93464,,Exercise w/hemodynamic meas,A,,1.80,5.26,,5.26,,5.26,NA,5.26,NA,0.36,7.42,7.42,7.42,7.42,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93464,TC,Exercise w/hemodynamic meas,A,,0.00,4.61,,4.61,,4.61,NA,4.61,NA,0.01,4.62,4.62,4.62,4.62,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93464,26,Exercise w/hemodynamic meas,A,,1.80,0.65,,0.65,,0.65,,0.65,,0.35,2.80,2.80,2.80,2.80,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93503,,Insert/place heart catheter,A,,2.91,0.73,NA,0.73,NA,0.73,,0.73,,0.27,3.91,3.91,3.91,3.91,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93505,,Biopsy of heart lining,A,,4.37,18.38,,17.36,,18.38,NA,17.36,NA,0.86,23.61,22.59,23.61,22.59,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93505,TC,Biopsy of heart lining,A,,0.00,16.22,,15.65,,16.22,NA,15.65,NA,0.03,16.25,15.68,16.25,15.68,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93505,26,Biopsy of heart lining,A,,4.37,2.16,,1.71,,2.16,,1.71,,0.83,7.36,6.91,7.36,6.91,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93530,,Rt heart cath congenital,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93530,TC,Rt heart cath congenital,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93530,26,Rt heart cath congenital,A,,4.22,2.05,,1.67,,2.05,,1.67,,0.91,7.18,6.80,7.18,6.80,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93531,,R & l heart cath congenital,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93531,TC,R & l heart cath congenital,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93531,26,R & l heart cath congenital,A,,8.34,3.96,,3.29,,3.96,,3.29,,1.82,14.12,13.45,14.12,13.45,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93532,,R & l heart cath congenital,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93532,TC,R & l heart cath congenital,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93532,26,R & l heart cath congenital,A,,9.99,4.62,,3.88,,4.62,,3.88,,2.18,16.79,16.05,16.79,16.05,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93533,,R & l heart cath congenital,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93533,TC,R & l heart cath congenital,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93533,26,R & l heart cath congenital,A,,6.69,3.12,,2.59,,3.12,,2.59,,1.47,11.28,10.75,11.28,10.75,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93561,,Cardiac output measurement,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93561,TC,Cardiac output measurement,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93561,26,Cardiac output measurement,A,,0.50,0.19,,0.20,,0.19,,0.20,,0.04,0.73,0.74,0.73,0.74,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93562,,Cardiac output measurement,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93562,TC,Cardiac output measurement,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93562,26,Cardiac output measurement,A,,0.16,0.05,,0.06,,0.05,,0.06,,0.01,0.22,0.23,0.22,0.23,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93563,,Inject congenital card cath,A,,1.11,0.44,,0.44,,0.44,,0.44,,0.10,1.65,1.65,1.65,1.65,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93564,,Inject hrt congntl art/grft,A,,1.13,0.44,,0.44,,0.44,,0.44,,0.11,1.68,1.68,1.68,1.68,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93565,,Inject l ventr/atrial angio,A,,0.86,0.33,,0.33,,0.33,,0.33,,0.08,1.27,1.27,1.27,1.27,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93566,,Inject r ventr/atrial angio,A,,0.86,4.04,,4.04,,0.33,,0.33,,0.08,4.98,4.98,1.27,1.27,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93567,,Inject suprvlv aortography,A,,0.97,3.06,,3.06,,0.38,,0.38,,0.08,4.11,4.11,1.43,1.43,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93568,,Inject pulm art hrt cath,A,,0.88,3.54,,3.54,,0.34,,0.34,,0.08,4.50,4.50,1.30,1.30,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93571,,Heart flow reserve measure,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93571,TC,Heart flow reserve measure,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93571,26,Heart flow reserve measure,A,,1.80,0.89,,0.70,,0.89,,0.70,,0.11,2.80,2.61,2.80,2.61,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93572,,Heart flow reserve measure,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93572,TC,Heart flow reserve measure,C,,0.00,0.00,NA,0.00,NA,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93572,26,Heart flow reserve measure,A,,1.44,0.69,,0.56,,0.69,,0.56,,0.11,2.24,2.11,2.24,2.11,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93580,,Transcath closure of asd,A,,17.97,9.19,NA,7.38,NA,9.19,,7.38,,3.92,31.08,29.27,31.08,29.27,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93581,,Transcath closure of vsd,A,,24.39,11.53,NA,9.79,NA,11.53,,9.79,,5.32,41.24,39.50,41.24,39.50,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93600,,Bundle of His recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93600,TC,Bundle of His recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93600,26,Bundle of His recording,A,,2.12,1.04,,0.83,,1.04,,0.83,,0.45,3.61,3.40,3.61,3.40,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93602,,Intra-atrial recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93602,TC,Intra-atrial recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93602,26,Intra-atrial recording,A,,2.12,1.03,,0.82,,1.03,,0.82,,0.45,3.60,3.39,3.60,3.39,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93603,,Right ventricular recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93603,TC,Right ventricular recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93603,26,Right ventricular recording,A,,2.12,1.03,,0.82,,1.03,,0.82,,0.45,3.60,3.39,3.60,3.39,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93609,,Map tachycardia add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93609,TC,Map tachycardia add-on,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93609,26,Map tachycardia add-on,A,,4.99,2.47,,1.95,,2.47,,1.95,,1.09,8.55,8.03,8.55,8.03,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93610,,Intra-atrial pacing,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93610,TC,Intra-atrial pacing,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93610,26,Intra-atrial pacing,A,,3.02,1.45,,1.17,,1.45,,1.17,,0.65,5.12,4.84,5.12,4.84,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93612,,Intraventricular pacing,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93612,TC,Intraventricular pacing,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93612,26,Intraventricular pacing,A,,3.02,1.43,,1.16,,1.43,,1.16,,0.65,5.10,4.83,5.10,4.83,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93613,,Electrophys map 3d add-on,A,,6.99,3.48,NA,2.73,NA,3.48,,2.73,,1.52,11.99,11.24,11.99,11.24,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93615,,Esophageal recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93615,TC,Esophageal recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93615,26,Esophageal recording,A,,0.99,0.48,,0.39,,0.48,,0.39,,0.05,1.52,1.43,1.52,1.43,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93616,,Esophageal recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93616,TC,Esophageal recording,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93616,26,Esophageal recording,A,,1.49,0.39,,0.35,,0.39,,0.35,,0.11,1.99,1.95,1.99,1.95,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93618,,Heart rhythm pacing,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93618,TC,Heart rhythm pacing,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93618,26,Heart rhythm pacing,A,,4.25,2.13,,1.65,,2.13,,1.65,,0.91,7.29,6.81,7.29,6.81,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93619,,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93619,TC,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93619,26,Electrophysiology evaluation,A,,7.31,3.70,,2.85,,3.70,,2.85,,1.59,12.60,11.75,12.60,11.75,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93620,,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93620,TC,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93620,26,Electrophysiology evaluation,A,,11.57,5.79,,4.52,,5.79,,4.52,,2.52,19.88,18.61,19.88,18.61,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93621,,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93621,TC,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93621,26,Electrophysiology evaluation,A,,2.10,1.04,,0.82,,1.04,,0.82,,0.45,3.59,3.37,3.59,3.37,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93622,,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93622,TC,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93622,26,Electrophysiology evaluation,A,,3.10,1.51,,1.21,,1.51,,1.21,,0.67,5.28,4.98,5.28,4.98,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93623,,Stimulation pacing heart,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93623,TC,Stimulation pacing heart,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93623,26,Stimulation pacing heart,A,,2.85,1.41,,1.11,,1.41,,1.11,,0.63,4.89,4.59,4.89,4.59,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93624,,Electrophysiologic study,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93624,TC,Electrophysiologic study,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93624,26,Electrophysiologic study,A,,4.80,2.43,,1.86,,2.43,NA,1.86,NA,1.05,8.28,7.71,8.28,7.71,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93631,,Heart pacing mapping,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93631,TC,Heart pacing mapping,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93631,26,Heart pacing mapping,A,,7.59,3.07,,2.76,,3.07,,2.76,,1.81,12.47,12.16,12.47,12.16,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93640,,Evaluation heart device,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93640,TC,Evaluation heart device,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93640,26,Evaluation heart device,A,,3.51,1.74,,1.38,,1.74,,1.38,,0.76,6.01,5.65,6.01,5.65,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93641,,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93641,TC,Electrophysiology evaluation,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93641,26,Electrophysiology evaluation,A,,5.92,2.94,,2.31,,2.94,,2.31,,1.29,10.15,9.52,10.15,9.52,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93642,,Electrophysiology evaluation,A,,4.88,7.50,,5.69,,7.50,NA,5.69,NA,0.21,12.59,10.78,12.59,10.78,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93642,TC,Electrophysiology evaluation,A,,0.00,5.02,,3.78,,5.02,NA,3.78,NA,0.03,5.05,3.81,5.05,3.81,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93642,26,Electrophysiology evaluation,A,,4.88,2.48,,1.91,,2.48,,1.91,,0.18,7.54,6.97,7.54,6.97,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93650,,Ablate heart dysrhythm focus,A,,10.49,5.51,NA,4.37,NA,5.51,,4.37,,2.27,18.27,17.13,18.27,17.13,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93651,,Ablate heart dysrhythm focus,A,,16.23,8.05,NA,6.34,NA,8.05,,6.34,,3.54,27.82,26.11,27.82,26.11,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93652,,Ablate heart dysrhythm focus,A,,17.65,8.78,NA,6.92,NA,8.78,,6.92,,3.85,30.28,28.42,30.28,28.42,0,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93660,,Tilt table evaluation,A,,1.89,2.87,,2.36,,2.87,NA,2.36,NA,0.08,4.84,4.33,4.84,4.33,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93660,TC,Tilt table evaluation,A,,0.00,1.93,,1.61,,1.93,NA,1.61,NA,0.01,1.94,1.62,1.94,1.62,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93660,26,Tilt table evaluation,A,,1.89,0.94,,0.75,,0.94,,0.75,,0.07,2.90,2.71,2.90,2.71,1,000,0.00,0.00,0.00,2,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93662,,Intracardiac ecg (ice),C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93662,TC,Intracardiac ecg (ice),C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93662,26,Intracardiac ecg (ice),A,,2.80,1.38,,1.09,,1.38,,1.09,,0.20,4.38,4.09,4.38,4.09,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93668,,Peripheral vascular rehab,N,+,0.00,0.54,,0.51,,0.54,NA,0.51,NA,0.01,0.55,0.52,0.55,0.52,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
93701,,Bioimpedance cv analysis,A,,0.00,0.78,,0.65,,0.78,NA,0.65,NA,0.01,0.79,0.66,0.79,0.66,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93720,,Total body plethysmography,A,,0.17,1.25,,1.22,,1.25,NA,1.22,NA,0.02,1.44,1.41,1.44,1.41,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93721,,Plethysmography tracing,A,,0.00,1.19,,1.16,,1.19,NA,1.16,NA,0.01,1.20,1.17,1.20,1.17,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93722,,Plethysmography report,A,,0.17,0.06,,0.06,,0.06,,0.06,,0.01,0.24,0.24,0.24,0.24,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93724,,Analyze pacemaker system,A,,4.88,3.77,,2.66,,3.77,NA,2.66,NA,0.19,8.84,7.73,8.84,7.73,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93724,TC,Analyze pacemaker system,A,,0.00,1.35,,0.72,,1.35,NA,0.72,NA,0.01,1.36,0.73,1.36,0.73,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
93724,26,Analyze pacemaker system,A,,4.88,2.42,,1.94,,2.42,,1.94,,0.18,7.48,7.00,7.48,7.00,1,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93740,,Temperature gradient studies,B,+,0.16,0.07,,0.07,,0.07,,0.07,,0.03,0.26,0.26,0.26,0.26,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
93745,,Set-up cardiovert-defibrill,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93745,TC,Set-up cardiovert-defibrill,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
93745,26,Set-up cardiovert-defibrill,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93750,,Interrogation vad in person,A,,0.92,0.54,,0.54,,0.34,,0.34,,0.05,1.51,1.51,1.31,1.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93770,,Measure venous pressure,B,+,0.16,0.07,,0.07,,0.07,,0.07,,0.03,0.26,0.26,0.26,0.26,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
93784,,Ambulatory BP monitoring,A,,0.38,1.42,,1.12,,1.42,NA,1.12,NA,0.03,1.83,1.53,1.83,1.53,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93786,,Ambulatory BP recording,A,,0.00,0.91,,0.82,,0.91,NA,0.82,NA,0.01,0.92,0.83,0.92,0.83,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93788,,Ambulatory BP analysis,A,,0.00,0.34,,0.14,,0.34,NA,0.14,NA,0.01,0.35,0.15,0.35,0.15,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93790,,Review/report BP recording,A,,0.38,0.17,,0.16,,0.17,,0.16,,0.01,0.56,0.55,0.56,0.55,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93797,,Cardiac rehab,A,,0.18,0.34,,0.30,,0.09,,0.08,,0.01,0.53,0.49,0.28,0.27,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93798,,Cardiac rehab/monitor,A,,0.28,0.46,,0.40,,0.14,,0.12,,0.01,0.75,0.69,0.43,0.41,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93799,,Cardiovascular procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93799,TC,Cardiovascular procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93799,26,Cardiovascular procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93875,,Extracranial study,A,,0.22,2.87,,2.73,,2.87,NA,2.73,NA,0.02,3.11,2.97,3.11,2.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93875,TC,Extracranial study,A,,0.00,2.78,,2.64,,2.78,NA,2.64,NA,0.01,2.79,2.65,2.79,2.65,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93875,26,Extracranial study,A,,0.22,0.09,,0.09,,0.09,,0.09,,0.01,0.32,0.32,0.32,0.32,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93880,,Extracranial study,A,,0.60,6.72,,6.23,,6.72,NA,6.23,NA,0.05,7.37,6.88,7.37,6.88,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,4.75,4.75,0.05
93880,TC,Extracranial study,A,,0.00,6.47,,6.00,,6.47,NA,6.00,NA,0.01,6.48,6.01,6.48,6.01,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,4.50,4.50,0.01
93880,26,Extracranial study,A,,0.60,0.25,,0.23,,0.25,,0.23,,0.04,0.89,0.87,0.89,0.87,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93882,,Extracranial study,A,,0.40,4.65,,4.56,,4.65,NA,4.56,NA,0.06,5.11,5.02,5.11,5.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.64,4.64,0.06
93882,TC,Extracranial study,A,,0.00,4.50,,4.41,,4.50,NA,4.41,NA,0.01,4.51,4.42,4.51,4.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.49,4.49,0.01
93882,26,Extracranial study,A,,0.40,0.15,,0.15,,0.15,,0.15,,0.05,0.60,0.60,0.60,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93886,,Intracranial study,A,,0.94,8.76,,9.10,,8.76,NA,9.10,NA,0.05,9.75,10.09,9.75,10.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.90,4.90,0.05
93886,TC,Intracranial study,A,,0.00,8.36,,8.68,,8.36,NA,8.68,NA,0.01,8.37,8.69,8.37,8.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.50,4.50,0.01
93886,26,Intracranial study,A,,0.94,0.40,,0.42,,0.40,,0.42,,0.04,1.38,1.40,1.38,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93888,,Intracranial study,A,,0.62,5.54,,5.36,,5.54,NA,5.36,NA,0.05,6.21,6.03,6.21,6.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.09,2.09,0.04
93888,TC,Intracranial study,A,,0.00,5.28,,5.10,,5.28,NA,5.10,NA,0.01,5.29,5.11,5.29,5.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,1.83,1.83,0.00
93888,26,Intracranial study,A,,0.62,0.26,,0.26,,0.26,,0.26,,0.04,0.92,0.92,0.92,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93890,,Tcd vasoreactivity study,A,,1.00,6.92,,6.74,,6.92,NA,6.74,NA,0.05,7.97,7.79,7.97,7.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.24,3.24,0.04
93890,TC,Tcd vasoreactivity study,A,,0.00,6.51,,6.32,,6.51,NA,6.32,NA,0.01,6.52,6.33,6.52,6.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.83,2.83,0.00
93890,26,Tcd vasoreactivity study,A,,1.00,0.41,,0.42,,0.41,,0.42,,0.04,1.45,1.46,1.45,1.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93892,,Tcd emboli detect w/o inj,A,,1.15,8.19,,8.61,,8.19,NA,8.61,NA,0.06,9.40,9.82,9.40,9.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.31,3.31,0.05
93892,TC,Tcd emboli detect w/o inj,A,,0.00,7.71,,8.10,,7.71,NA,8.10,NA,0.01,7.72,8.11,7.72,8.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.83,2.83,0.00
93892,26,Tcd emboli detect w/o inj,A,,1.15,0.48,,0.51,,0.48,,0.51,,0.05,1.68,1.71,1.68,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93893,,Tcd emboli detect w/inj,A,,1.15,8.61,,9.45,,8.61,NA,9.45,NA,0.06,9.82,10.66,9.82,10.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.32,3.32,0.05
93893,TC,Tcd emboli detect w/inj,A,,0.00,8.12,,8.93,,8.12,NA,8.93,NA,0.01,8.13,8.94,8.13,8.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.83,2.83,0.00
93893,26,Tcd emboli detect w/inj,A,,1.15,0.49,,0.52,,0.49,,0.52,,0.05,1.69,1.72,1.69,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93922,,Upr/l xtremity art 2 levels,A,,0.25,2.98,,2.38,,2.98,NA,2.38,NA,0.02,3.25,2.65,3.25,2.65,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93922,TC,Upr/l xtremity art 2 levels,A,,0.00,2.88,,2.28,,2.88,NA,2.28,NA,0.01,2.89,2.29,2.89,2.29,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93922,26,Upr/l xtremity art 2 levels,A,,0.25,0.10,,0.10,,0.10,,0.10,,0.01,0.36,0.36,0.36,0.36,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93923,,Upr/lxtr art stdy 3+ lvls,A,,0.45,4.53,,3.63,,4.53,NA,3.63,NA,0.05,5.03,4.13,5.03,4.13,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93923,TC,Upr/lxtr art stdy 3+ lvls,A,,0.00,4.35,,3.46,,4.35,NA,3.46,NA,0.01,4.36,3.47,4.36,3.47,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93923,26,Upr/lxtr art stdy 3+ lvls,A,,0.45,0.18,,0.17,,0.18,,0.17,,0.04,0.67,0.66,0.67,0.66,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93924,,Lwr xtr vasc stdy bilat,A,,0.50,5.73,,4.70,,5.73,NA,4.70,NA,0.05,6.28,5.25,6.28,5.25,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93924,TC,Lwr xtr vasc stdy bilat,A,,0.00,5.53,,4.51,,5.53,NA,4.51,NA,0.01,5.54,4.52,5.54,4.52,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93924,26,Lwr xtr vasc stdy bilat,A,,0.50,0.20,,0.19,,0.20,,0.19,,0.04,0.74,0.73,0.74,0.73,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93925,,Lower extremity study,A,,0.58,8.67,,8.08,,8.67,NA,8.08,NA,0.07,9.32,8.73,9.32,8.73,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,4.72,4.72,0.06
93925,TC,Lower extremity study,A,,0.00,8.44,,7.86,,8.44,NA,7.86,NA,0.03,8.47,7.89,8.47,7.89,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,4.49,4.49,0.02
93925,26,Lower extremity study,A,,0.58,0.23,,0.22,,0.23,,0.22,,0.04,0.85,0.84,0.85,0.84,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93926,,Lower extremity study,A,,0.39,5.61,,5.34,,5.61,NA,5.34,NA,0.06,6.06,5.79,6.06,5.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.98,2.98,0.06
93926,TC,Lower extremity study,A,,0.00,5.46,,5.20,,5.46,NA,5.20,NA,0.01,5.47,5.21,5.47,5.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.83,2.83,0.01
93926,26,Lower extremity study,A,,0.39,0.15,,0.14,,0.15,,0.14,,0.05,0.59,0.58,0.59,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93930,,Upper extremity study,A,,0.46,6.83,,6.46,,6.83,NA,6.46,NA,0.05,7.34,6.97,7.34,6.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,4.68,4.68,0.05
93930,TC,Upper extremity study,A,,0.00,6.65,,6.29,,6.65,NA,6.29,NA,0.01,6.66,6.30,6.66,6.30,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,4.50,4.50,0.01
93930,26,Upper extremity study,A,,0.46,0.18,,0.17,,0.18,,0.17,,0.04,0.68,0.67,0.68,0.67,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93931,,Upper extremity study,A,,0.31,4.56,,4.29,,4.56,NA,4.29,NA,0.04,4.91,4.64,4.91,4.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.95,2.95,0.04
93931,TC,Upper extremity study,A,,0.00,4.44,,4.18,,4.44,NA,4.18,NA,0.01,4.45,4.19,4.45,4.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.83,2.83,0.01
93931,26,Upper extremity study,A,,0.31,0.12,,0.11,,0.12,,0.11,,0.03,0.46,0.45,0.46,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93965,,Extremity study,A,,0.35,3.34,,3.11,,3.34,NA,3.11,NA,0.04,3.73,3.50,3.73,3.50,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93965,TC,Extremity study,A,,0.00,3.20,,2.98,,3.20,NA,2.98,NA,0.01,3.21,2.99,3.21,2.99,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
93965,26,Extremity study,A,,0.35,0.14,,0.13,,0.14,,0.13,,0.03,0.52,0.51,0.52,0.51,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93970,,Extremity study,A,,0.68,6.84,,6.46,,6.84,NA,6.46,NA,0.08,7.60,7.22,7.60,7.22,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,4.77,4.77,0.08
93970,TC,Extremity study,A,,0.00,6.57,,6.21,,6.57,NA,6.21,NA,0.01,6.58,6.22,6.58,6.22,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,01,0,99,4.50,4.50,0.01
93970,26,Extremity study,A,,0.68,0.27,,0.25,,0.27,,0.25,,0.07,1.02,1.00,1.02,1.00,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93971,,Extremity study,A,,0.45,4.49,,4.21,,4.49,NA,4.21,NA,0.05,4.99,4.71,4.99,4.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.01,3.01,0.05
93971,TC,Extremity study,A,,0.00,4.31,,4.04,,4.31,NA,4.04,NA,0.01,4.32,4.05,4.32,4.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.83,2.83,0.01
93971,26,Extremity study,A,,0.45,0.18,,0.17,,0.18,,0.17,,0.04,0.67,0.66,0.67,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93975,,Vascular study,A,,1.80,9.22,,8.52,,9.22,NA,8.52,NA,0.17,11.19,10.49,11.19,10.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.22,5.22,0.16
93975,TC,Vascular study,A,,0.00,8.49,,7.85,,8.49,NA,7.85,NA,0.03,8.52,7.88,8.52,7.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.49,4.49,0.02
93975,26,Vascular study,A,,1.80,0.73,,0.67,,0.73,,0.67,,0.14,2.67,2.61,2.67,2.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93976,,Vascular study,A,,1.21,5.11,,4.72,,5.11,NA,4.72,NA,0.09,6.41,6.02,6.41,6.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.99,4.99,0.09
93976,TC,Vascular study,A,,0.00,4.61,,4.27,,4.61,NA,4.27,NA,0.01,4.62,4.28,4.62,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.49,4.49,0.01
93976,26,Vascular study,A,,1.21,0.50,,0.45,,0.50,,0.45,,0.08,1.79,1.74,1.79,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93978,,Vascular study,A,,0.65,6.42,,6.06,,6.42,NA,6.06,NA,0.08,7.15,6.79,7.15,6.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.76,4.76,0.08
93978,TC,Vascular study,A,,0.00,6.16,,5.82,,6.16,NA,5.82,NA,0.01,6.17,5.83,6.17,5.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.50,4.50,0.01
93978,26,Vascular study,A,,0.65,0.26,,0.24,,0.26,,0.24,,0.07,0.98,0.96,0.98,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93979,,Vascular study,A,,0.44,4.46,,4.21,,4.46,NA,4.21,NA,0.05,4.95,4.70,4.95,4.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,3.00,3.00,0.05
93979,TC,Vascular study,A,,0.00,4.29,,4.05,,4.29,NA,4.05,NA,0.01,4.30,4.06,4.30,4.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.83,2.83,0.01
93979,26,Vascular study,A,,0.44,0.17,,0.16,,0.17,,0.16,,0.04,0.65,0.64,0.65,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93980,,Penile vascular study,A,,1.25,3.86,,3.51,,3.86,NA,3.51,NA,0.08,5.19,4.84,5.19,4.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,5.03,5.03,0.08
93980,TC,Penile vascular study,A,,0.00,3.32,,3.02,,3.32,NA,3.02,NA,0.01,3.33,3.03,3.33,3.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.49,4.49,0.01
93980,26,Penile vascular study,A,,1.25,0.54,,0.49,,0.54,,0.49,,0.07,1.86,1.81,1.86,1.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93981,,Penile vascular study,A,,0.44,3.07,,2.69,,3.07,NA,2.69,NA,0.04,3.55,3.17,3.55,3.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,4.67,4.67,0.05
93981,TC,Penile vascular study,A,,0.00,2.89,,2.52,,2.89,NA,2.52,NA,0.01,2.90,2.53,2.90,2.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,4.49,4.49,0.02
93981,26,Penile vascular study,A,,0.44,0.18,,0.17,,0.18,,0.17,,0.03,0.65,0.64,0.65,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93982,,Aneurysm pressure sens study,R,,0.30,0.92,,0.87,,0.92,NA,0.87,NA,0.05,1.27,1.22,1.27,1.22,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
93990,,Doppler flow testing,A,,0.25,5.90,,5.87,,5.90,NA,5.87,NA,0.05,6.20,6.17,6.20,6.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,2.92,2.92,0.04
93990,TC,Doppler flow testing,A,,0.00,5.81,,5.78,,5.81,NA,5.78,NA,0.01,5.82,5.79,5.82,5.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,2.83,2.83,0.00
93990,26,Doppler flow testing,A,,0.25,0.09,,0.09,,0.09,,0.09,,0.04,0.38,0.38,0.38,0.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94002,,Vent mgmt inpat init day,A,,1.99,0.52,NA,0.60,NA,0.52,,0.60,,0.16,2.67,2.75,2.67,2.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94003,,Vent mgmt inpat subq day,A,,1.37,0.45,NA,0.49,NA,0.45,,0.49,,0.10,1.92,1.96,1.92,1.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94004,,Vent mgmt nf per day,A,,1.00,0.33,NA,0.36,NA,0.33,,0.36,,0.07,1.40,1.43,1.40,1.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94005,,Home vent mgmt supervision,B,+,1.50,1.09,,1.09,,1.09,NA,1.09,NA,0.10,2.69,2.69,2.69,2.69,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
94010,,Breathing capacity test,A,,0.17,0.85,,0.83,,0.85,NA,0.83,NA,0.02,1.04,1.02,1.04,1.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94010,TC,Breathing capacity test,A,,0.00,0.78,,0.76,,0.78,NA,0.76,NA,0.01,0.79,0.77,0.79,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94010,26,Breathing capacity test,A,,0.17,0.07,,0.07,,0.07,,0.07,,0.01,0.25,0.25,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94011,,Spirometry up to 2 yrs old,A,,2.00,0.77,NA,0.77,NA,0.77,,0.77,,0.14,2.91,2.91,2.91,2.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94012,,Spirmtry w/brnchdil inf-2 yr,A,,3.10,1.16,NA,1.16,NA,1.16,,1.16,,0.23,4.49,4.49,4.49,4.49,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94013,,Meas lung vol thru 2 yrs,A,,0.66,0.22,NA,0.22,NA,0.22,,0.22,,0.04,0.92,0.92,0.92,0.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94014,,Patient recorded spirometry,A,,0.52,0.90,,0.83,,0.90,NA,0.83,NA,0.02,1.44,1.37,1.44,1.37,4,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94015,,Patient recorded spirometry,A,,0.00,0.71,,0.64,,0.71,NA,0.64,NA,0.01,0.72,0.65,0.72,0.65,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94016,,Review patient spirometry,A,,0.52,0.19,,0.19,,0.19,,0.19,,0.01,0.72,0.72,0.72,0.72,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94060,,Evaluation of wheezing,A,,0.31,1.46,,1.43,,1.46,NA,1.43,NA,0.02,1.79,1.76,1.79,1.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94060,TC,Evaluation of wheezing,A,,0.00,1.35,,1.31,,1.35,NA,1.31,NA,0.01,1.36,1.32,1.36,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94060,26,Evaluation of wheezing,A,,0.31,0.11,,0.12,,0.11,,0.12,,0.01,0.43,0.44,0.43,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94070,,Evaluation of wheezing,A,,0.60,1.12,,1.10,,1.12,NA,1.10,NA,0.04,1.76,1.74,1.76,1.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94070,TC,Evaluation of wheezing,A,,0.00,0.91,,0.87,,0.91,NA,0.87,NA,0.01,0.92,0.88,0.92,0.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94070,26,Evaluation of wheezing,A,,0.60,0.21,,0.23,,0.21,,0.23,,0.03,0.84,0.86,0.84,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94150,,Vital capacity test,B,+,0.07,0.62,,0.61,,0.62,NA,0.61,NA,0.02,0.71,0.70,0.71,0.70,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
94150,TC,Vital capacity test,B,+,0.00,0.59,,0.58,,0.59,NA,0.58,NA,0.01,0.60,0.59,0.60,0.59,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,01,0,99,0.00,0.00,0.00
94150,26,Vital capacity test,B,+,0.07,0.03,,0.03,,0.03,,0.03,,0.01,0.11,0.11,0.11,0.11,1,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
94200,,Lung function test (MBC/MVV),A,,0.11,0.58,,0.57,,0.58,NA,0.57,NA,0.02,0.71,0.70,0.71,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94200,TC,Lung function test (MBC/MVV),A,,0.00,0.54,,0.53,,0.54,NA,0.53,NA,0.01,0.55,0.54,0.55,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94200,26,Lung function test (MBC/MVV),A,,0.11,0.04,,0.04,,0.04,,0.04,,0.01,0.16,0.16,0.16,0.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94240,,Residual lung capacity,A,,0.26,0.90,,0.86,,0.90,NA,0.86,NA,0.02,1.18,1.14,1.18,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94240,TC,Residual lung capacity,A,,0.00,0.81,,0.77,,0.81,NA,0.77,NA,0.01,0.82,0.78,0.82,0.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94240,26,Residual lung capacity,A,,0.26,0.09,,0.09,,0.09,,0.09,,0.01,0.36,0.36,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94250,,Expired gas collection,A,,0.11,0.62,,0.57,,0.62,NA,0.57,NA,0.02,0.75,0.70,0.75,0.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94250,TC,Expired gas collection,A,,0.00,0.58,,0.53,,0.58,NA,0.53,NA,0.01,0.59,0.54,0.59,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94250,26,Expired gas collection,A,,0.11,0.04,,0.04,,0.04,,0.04,,0.01,0.16,0.16,0.16,0.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94260,,Thoracic gas volume,A,,0.13,0.81,,0.78,,0.81,NA,0.78,NA,0.02,0.96,0.93,0.96,0.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94260,TC,Thoracic gas volume,A,,0.00,0.77,,0.73,,0.77,NA,0.73,NA,0.01,0.78,0.74,0.78,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94260,26,Thoracic gas volume,A,,0.13,0.04,,0.05,,0.04,,0.05,,0.01,0.18,0.19,0.18,0.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94350,,Lung nitrogen washout curve,A,,0.26,0.74,,0.69,,0.74,NA,0.69,NA,0.02,1.02,0.97,1.02,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94350,TC,Lung nitrogen washout curve,A,,0.00,0.65,,0.59,,0.65,NA,0.59,NA,0.01,0.66,0.60,0.66,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94350,26,Lung nitrogen washout curve,A,,0.26,0.09,,0.10,,0.09,,0.10,,0.01,0.36,0.37,0.36,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94360,,Measure airflow resistance,A,,0.26,1.03,,0.99,,1.03,NA,0.99,NA,0.02,1.31,1.27,1.31,1.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94360,TC,Measure airflow resistance,A,,0.00,0.94,,0.90,,0.94,NA,0.90,NA,0.01,0.95,0.91,0.95,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94360,26,Measure airflow resistance,A,,0.26,0.09,,0.09,,0.09,,0.09,,0.01,0.36,0.36,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94370,,Breath airway closing volume,A,,0.26,0.73,,0.69,,0.73,NA,0.69,NA,0.02,1.01,0.97,1.01,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94370,TC,Breath airway closing volume,A,,0.00,0.64,,0.59,,0.64,NA,0.59,NA,0.01,0.65,0.60,0.65,0.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94370,26,Breath airway closing volume,A,,0.26,0.09,,0.10,,0.09,,0.10,,0.01,0.36,0.37,0.36,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94375,,Respiratory flow volume loop,A,,0.31,0.80,,0.78,,0.80,NA,0.78,NA,0.02,1.13,1.11,1.13,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94375,TC,Respiratory flow volume loop,A,,0.00,0.69,,0.66,,0.69,NA,0.66,NA,0.01,0.70,0.67,0.70,0.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94375,26,Respiratory flow volume loop,A,,0.31,0.11,,0.12,,0.11,,0.12,,0.01,0.43,0.44,0.43,0.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94400,,CO2 breathing response curve,A,,0.40,1.16,,1.13,,1.16,NA,1.13,NA,0.02,1.58,1.55,1.58,1.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94400,TC,CO2 breathing response curve,A,,0.00,1.02,,0.99,,1.02,NA,0.99,NA,0.01,1.03,1.00,1.03,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94400,26,CO2 breathing response curve,A,,0.40,0.14,,0.14,,0.14,,0.14,,0.01,0.55,0.55,0.55,0.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94450,,Hypoxia response curve,A,,0.40,1.32,,1.47,,1.32,NA,1.47,NA,0.02,1.74,1.89,1.74,1.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94450,TC,Hypoxia response curve,A,,0.00,1.17,,1.30,,1.17,NA,1.30,NA,0.01,1.18,1.31,1.18,1.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94450,26,Hypoxia response curve,A,,0.40,0.15,,0.17,,0.15,,0.17,,0.01,0.56,0.58,0.56,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94452,,Hast w/report,A,,0.31,1.36,,1.29,,1.36,NA,1.29,NA,0.02,1.69,1.62,1.69,1.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94452,TC,Hast w/report,A,,0.00,1.26,,1.18,,1.26,NA,1.18,NA,0.01,1.27,1.19,1.27,1.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94452,26,Hast w/report,A,,0.31,0.10,,0.11,,0.10,,0.11,,0.01,0.42,0.43,0.42,0.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94453,,Hast w/oxygen titrate,A,,0.40,1.87,,1.77,,1.87,NA,1.77,NA,0.02,2.29,2.19,2.29,2.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94453,TC,Hast w/oxygen titrate,A,,0.00,1.73,,1.63,,1.73,NA,1.63,NA,0.01,1.74,1.64,1.74,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94453,26,Hast w/oxygen titrate,A,,0.40,0.14,,0.14,,0.14,,0.14,,0.01,0.55,0.55,0.55,0.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94610,,Surfactant admin thru tube,A,,1.16,0.51,,0.56,,0.51,,0.56,,0.07,1.74,1.79,1.74,1.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94620,,Pulmonary stress test/simple,A,,0.64,1.19,,0.88,,1.19,NA,0.88,NA,0.04,1.87,1.56,1.87,1.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94620,TC,Pulmonary stress test/simple,A,,0.00,0.96,,0.65,,0.96,NA,0.65,NA,0.01,0.97,0.66,0.97,0.66,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94620,26,Pulmonary stress test/simple,A,,0.64,0.23,,0.23,,0.23,,0.23,,0.03,0.90,0.90,0.90,0.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94621,,Pulm stress test/complex,A,,1.42,3.31,,3.11,,3.31,NA,3.11,NA,0.06,4.79,4.59,4.79,4.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94621,TC,Pulm stress test/complex,A,,0.00,2.76,,2.58,,2.76,NA,2.58,NA,0.01,2.77,2.59,2.77,2.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94621,26,Pulm stress test/complex,A,,1.42,0.55,,0.53,,0.55,,0.53,,0.05,2.02,2.00,2.02,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94640,,Airway inhalation treatment,A,,0.00,0.46,,0.49,,0.46,NA,0.49,NA,0.01,0.47,0.50,0.47,0.50,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94642,,Aerosol inhalation treatment,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94644,,Cbt 1st hour,A,,0.00,1.17,,1.21,,1.17,NA,1.21,NA,0.01,1.18,1.22,1.18,1.22,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94645,,Cbt each addl hour,A,,0.00,0.42,,0.40,,0.42,NA,0.40,NA,0.01,0.43,0.41,0.43,0.41,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94660,,Pos airway pressure cpap,A,,0.76,0.94,,0.96,,0.27,,0.30,,0.05,1.75,1.77,1.08,1.11,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94662,,Neg press ventilation cnp,A,,0.76,0.25,NA,0.26,NA,0.25,,0.26,,0.05,1.06,1.07,1.06,1.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94664,,Evaluate pt use of inhaler,A,,0.00,0.46,,0.47,,0.46,NA,0.47,NA,0.01,0.47,0.48,0.47,0.48,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94667,,Chest wall manipulation,A,,0.00,0.65,,0.67,,0.65,NA,0.67,NA,0.01,0.66,0.68,0.66,0.68,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94668,,Chest wall manipulation,A,,0.00,0.63,,0.64,,0.63,NA,0.64,NA,0.01,0.64,0.65,0.64,0.65,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94680,,Exhaled air analysis o2,A,,0.26,1.45,,1.35,,1.45,NA,1.35,NA,0.02,1.73,1.63,1.73,1.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94680,TC,Exhaled air analysis o2,A,,0.00,1.35,,1.24,,1.35,NA,1.24,NA,0.01,1.36,1.25,1.36,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94680,26,Exhaled air analysis o2,A,,0.26,0.10,,0.11,,0.10,,0.11,,0.01,0.37,0.38,0.37,0.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94681,,Exhaled air analysis o2/co2,A,,0.20,1.46,,1.20,,1.46,NA,1.20,NA,0.02,1.68,1.42,1.68,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94681,TC,Exhaled air analysis o2/co2,A,,0.00,1.39,,1.12,,1.39,NA,1.12,NA,0.01,1.40,1.13,1.40,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
94681,26,Exhaled air analysis o2/co2,A,,0.20,0.07,,0.08,,0.07,,0.08,,0.01,0.28,0.29,0.28,0.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94690,,Exhaled air analysis,A,,0.07,1.43,,1.31,,1.43,NA,1.31,NA,0.02,1.52,1.40,1.52,1.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94690,TC,Exhaled air analysis,A,,0.00,1.40,,1.28,,1.40,NA,1.28,NA,0.01,1.41,1.29,1.41,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94690,26,Exhaled air analysis,A,,0.07,0.03,,0.03,,0.03,,0.03,,0.01,0.11,0.11,0.11,0.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94720,,Monoxide diffusing capacity,A,,0.26,1.26,,1.18,,1.26,NA,1.18,NA,0.02,1.54,1.46,1.54,1.46,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94720,TC,Monoxide diffusing capacity,A,,0.00,1.17,,1.09,,1.17,NA,1.09,NA,0.01,1.18,1.10,1.18,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94720,26,Monoxide diffusing capacity,A,,0.26,0.09,,0.09,,0.09,,0.09,,0.01,0.36,0.36,0.36,0.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94725,,Membrane diffusion capacity,A,,0.26,1.48,,1.16,,1.48,NA,1.16,NA,0.02,1.76,1.44,1.76,1.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94725,TC,Membrane diffusion capacity,A,,0.00,1.38,,1.06,,1.38,NA,1.06,NA,0.01,1.39,1.07,1.39,1.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94725,26,Membrane diffusion capacity,A,,0.26,0.10,,0.10,,0.10,,0.10,,0.01,0.37,0.37,0.37,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94750,,Pulmonary compliance study,A,,0.23,2.04,,2.04,,2.04,NA,2.04,NA,0.02,2.29,2.29,2.29,2.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94750,TC,Pulmonary compliance study,A,,0.00,1.96,,1.95,,1.96,NA,1.95,NA,0.01,1.97,1.96,1.97,1.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94750,26,Pulmonary compliance study,A,,0.23,0.08,,0.09,,0.08,,0.09,,0.01,0.32,0.33,0.32,0.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94760,,Measure blood oxygen level,T,,0.00,0.07,,0.08,,0.07,NA,0.08,NA,0.01,0.08,0.09,0.08,0.09,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94761,,Measure blood oxygen level,T,,0.00,0.12,,0.12,,0.12,NA,0.12,NA,0.01,0.13,0.13,0.13,0.13,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94762,,Measure blood oxygen level,A,,0.00,0.58,,0.29,,0.58,NA,0.29,NA,0.01,0.59,0.30,0.59,0.30,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94770,,Exhaled carbon dioxide test,A,,0.15,0.50,,0.07,,0.50,,0.07,,0.03,0.68,0.25,0.68,0.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94772,,Breath recording infant,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94772,TC,Breath recording infant,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
94772,26,Breath recording infant,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94774,,Ped home apnea rec compl,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,4,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94775,,Ped home apnea rec hk-up,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94776,,Ped home apnea rec downld,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,3,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94777,,Ped home apnea rec report,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,2,YYY,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94799,,Pulmonary service/procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94799,TC,Pulmonary service/procedure,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
94799,26,Pulmonary service/procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95004,,Percut allergy skin tests,A,,0.01,0.17,,0.17,,0.17,NA,0.17,NA,0.01,0.19,0.19,0.19,0.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95010,,Percut allergy titrate test,A,,0.15,0.38,,0.38,,0.38,NA,0.38,NA,0.01,0.54,0.54,0.54,0.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95012,,Exhaled nitric oxide meas,A,,0.00,0.60,,0.55,,0.60,NA,0.55,NA,0.01,0.61,0.56,0.61,0.56,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95015,,Id allergy titrate-drug/bug,A,,0.15,0.26,,0.29,,0.07,,0.07,,0.01,0.42,0.45,0.23,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95024,,Id allergy test drug/bug,A,,0.01,0.20,,0.19,,0.20,NA,0.19,NA,0.01,0.22,0.21,0.22,0.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95027,,Id allergy titrate-airborne,A,,0.01,0.12,,0.11,,0.12,NA,0.11,NA,0.01,0.14,0.13,0.14,0.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95028,,Id allergy test-delayed type,A,,0.00,0.36,,0.37,,0.36,NA,0.37,NA,0.01,0.37,0.38,0.37,0.38,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95044,,Allergy patch tests,A,,0.00,0.17,,0.15,,0.17,NA,0.15,NA,0.01,0.18,0.16,0.18,0.16,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95052,,Photo patch test,A,,0.00,0.20,,0.17,,0.20,NA,0.17,NA,0.01,0.21,0.18,0.21,0.18,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95056,,Photosensitivity tests,A,,0.00,1.19,,1.23,,1.19,NA,1.23,NA,0.01,1.20,1.24,1.20,1.24,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95060,,Eye allergy tests,A,,0.00,0.83,,0.90,,0.83,,0.90,,0.01,0.84,0.91,0.84,0.91,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95065,,Nose allergy test,A,,0.00,0.71,,0.72,,0.71,,0.72,,0.01,0.72,0.73,0.72,0.73,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95070,,Bronchial allergy tests,A,,0.00,1.11,,0.80,,1.11,NA,0.80,NA,0.01,1.12,0.81,1.12,0.81,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95071,,Bronchial allergy tests,A,,0.00,1.49,,1.23,,1.49,NA,1.23,NA,0.01,1.50,1.24,1.50,1.24,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95075,,Ingestion challenge test,A,,0.95,0.90,,0.90,,0.42,,0.44,,0.04,1.89,1.89,1.41,1.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95115,,Immunotherapy one injection,A,,0.00,0.29,,0.26,,0.29,NA,0.26,NA,0.01,0.30,0.27,0.30,0.27,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95117,,Immunotherapy injections,A,,0.00,0.36,,0.31,,0.36,NA,0.31,NA,0.01,0.37,0.32,0.37,0.32,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95120,,Immunotherapy one injection,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
95125,,Immunotherapy many antigens,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
95130,,Immunotherapy insect venom,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
95131,,Immunotherapy insect venoms,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
95132,,Immunotherapy insect venoms,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
95133,,Immunotherapy insect venoms,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
95134,,Immunotherapy insect venoms,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
95144,,Antigen therapy services,A,,0.06,0.30,,0.30,,0.03,,0.03,,0.01,0.37,0.37,0.10,0.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95145,,Antigen therapy services,A,,0.06,0.49,,0.55,,0.03,,0.03,,0.01,0.56,0.62,0.10,0.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95146,,Antigen therapy services,A,,0.06,0.91,,1.06,,0.03,,0.03,,0.01,0.98,1.13,0.10,0.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95147,,Antigen therapy services,A,,0.06,0.85,,0.95,,0.03,,0.03,,0.01,0.92,1.02,0.10,0.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95148,,Antigen therapy services,A,,0.06,1.26,,1.45,,0.03,,0.03,,0.01,1.33,1.52,0.10,0.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95149,,Antigen therapy services,A,,0.06,1.70,,1.97,,0.03,,0.03,,0.01,1.77,2.04,0.10,0.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95165,,Antigen therapy services,A,,0.06,0.30,,0.30,,0.03,,0.03,,0.01,0.37,0.37,0.10,0.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95170,,Antigen therapy services,A,,0.06,0.22,,0.21,,0.03,,0.03,,0.01,0.29,0.28,0.10,0.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95180,,Rapid desensitization,A,,2.01,2.07,,1.94,,1.02,,0.99,,0.07,4.15,4.02,3.10,3.07,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95199,,Allergy immunology services,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95250,,Glucose monitoring cont,A,,0.00,4.35,,4.35,,4.35,NA,4.35,NA,0.01,4.36,4.36,4.36,4.36,3,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95251,,Gluc monitor cont phys i&r,A,,0.85,0.34,,0.39,,0.34,,0.39,,0.04,1.23,1.28,1.23,1.28,2,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95800,,Slp stdy unattended,A,,1.05,4.95,,4.95,,4.95,NA,4.95,NA,0.05,6.05,6.05,6.05,6.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95800,TC,Slp stdy unattended,A,,0.00,4.33,,4.33,,4.33,NA,4.33,NA,0.01,4.34,4.34,4.34,4.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95800,26,Slp stdy unattended,A,,1.05,0.62,,0.62,,0.62,,0.62,,0.04,1.71,1.71,1.71,1.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95801,,Slp stdy unatnd w/anal,A,,1.00,1.80,,1.80,,1.80,NA,1.80,NA,0.05,2.85,2.85,2.85,2.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95801,TC,Slp stdy unatnd w/anal,A,,0.00,1.33,,1.33,,1.33,NA,1.33,NA,0.01,1.34,1.34,1.34,1.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95801,26,Slp stdy unatnd w/anal,A,,1.00,0.47,,0.47,,0.47,,0.47,,0.04,1.51,1.51,1.51,1.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95803,,Actigraphy testing,A,,0.90,3.83,,3.83,,3.83,NA,3.83,NA,0.05,4.78,4.78,4.78,4.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95803,TC,Actigraphy testing,A,,0.00,3.39,,3.39,,3.39,NA,3.39,NA,0.01,3.40,3.40,3.40,3.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95803,26,Actigraphy testing,A,,0.90,0.44,,0.44,,0.44,,0.44,,0.04,1.38,1.38,1.38,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95805,,Multiple sleep latency test,A,,1.20,10.80,,10.13,,10.80,NA,10.13,NA,0.08,12.08,11.41,12.08,11.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95805,TC,Multiple sleep latency test,A,,0.00,10.22,,9.65,,10.22,NA,9.65,NA,0.04,10.26,9.69,10.26,9.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95805,26,Multiple sleep latency test,A,,1.20,0.58,,0.48,,0.58,,0.48,,0.04,1.82,1.72,1.82,1.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95806,,Sleep study unatt&resp efft,A,,1.25,4.03,,3.49,,4.03,NA,3.49,NA,0.08,5.36,4.82,5.36,4.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95806,TC,Sleep study unatt&resp efft,A,,0.00,3.48,,3.00,,3.48,NA,3.00,NA,0.03,3.51,3.03,3.51,3.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95806,26,Sleep study unatt&resp efft,A,,1.25,0.55,,0.49,,0.55,,0.49,,0.05,1.85,1.79,1.85,1.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95807,,Sleep study attended,A,,1.28,12.40,,10.76,,12.40,NA,10.76,NA,0.15,13.83,12.19,13.83,12.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95807,TC,Sleep study attended,A,,0.00,11.87,,10.29,,11.87,NA,10.29,NA,0.10,11.97,10.39,11.97,10.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95807,26,Sleep study attended,A,,1.28,0.53,,0.47,,0.53,,0.47,,0.05,1.86,1.80,1.86,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95808,,Polysomnography 1-3,A,,1.74,17.21,,16.46,,17.21,NA,16.46,NA,0.17,19.12,18.37,19.12,18.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95808,TC,Polysomnography 1-3,A,,0.00,16.37,,15.73,,16.37,NA,15.73,NA,0.10,16.47,15.83,16.47,15.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95808,26,Polysomnography 1-3,A,,1.74,0.84,,0.73,,0.84,,0.73,,0.07,2.65,2.54,2.65,2.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95810,,Polysomnography 4 or more,A,,2.50,17.72,,14.54,,17.72,NA,14.54,NA,0.21,20.43,17.25,20.43,17.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95810,TC,Polysomnography 4 or more,A,,0.00,16.63,,13.58,,16.63,NA,13.58,NA,0.11,16.74,13.69,16.74,13.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95810,26,Polysomnography 4 or more,A,,2.50,1.09,,0.96,,1.09,,0.96,,0.10,3.69,3.56,3.69,3.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95811,,Polysomnography w/cpap,A,,2.60,19.22,,15.27,,19.22,NA,15.27,NA,0.23,22.05,18.10,22.05,18.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95811,TC,Polysomnography w/cpap,A,,0.00,18.07,,14.28,,18.07,NA,14.28,NA,0.12,18.19,14.40,18.19,14.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95811,26,Polysomnography w/cpap,A,,2.60,1.15,,0.99,,1.15,,0.99,,0.11,3.86,3.70,3.86,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95812,,Eeg 41-60 minutes,A,,1.08,8.12,,9.75,,8.12,NA,9.75,NA,0.07,9.27,10.90,9.27,10.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95812,TC,Eeg 41-60 minutes,A,,0.00,7.65,,9.23,,7.65,NA,9.23,NA,0.03,7.68,9.26,7.68,9.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95812,26,Eeg 41-60 minutes,A,,1.08,0.47,,0.52,,0.47,,0.52,,0.04,1.59,1.64,1.59,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95813,,Eeg over 1 hour,A,,1.73,8.61,,9.75,,8.61,NA,9.75,NA,0.11,10.45,11.59,10.45,11.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95813,TC,Eeg over 1 hour,A,,0.00,7.87,,8.95,,7.87,NA,8.95,NA,0.04,7.91,8.99,7.91,8.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95813,26,Eeg over 1 hour,A,,1.73,0.74,,0.80,,0.74,,0.80,,0.07,2.54,2.60,2.54,2.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95816,,Eeg awake and drowsy,A,,1.08,7.43,,8.99,,7.43,NA,8.99,NA,0.08,8.59,10.15,8.59,10.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95816,TC,Eeg awake and drowsy,A,,0.00,6.95,,8.47,,6.95,NA,8.47,NA,0.03,6.98,8.50,6.98,8.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95816,26,Eeg awake and drowsy,A,,1.08,0.48,,0.52,,0.48,,0.52,,0.05,1.61,1.65,1.61,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95819,,Eeg awake and asleep,A,,1.08,8.43,,10.45,,8.43,NA,10.45,NA,0.07,9.58,11.60,9.58,11.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95819,TC,Eeg awake and asleep,A,,0.00,7.95,,9.93,,7.95,NA,9.93,NA,0.03,7.98,9.96,7.98,9.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95819,26,Eeg awake and asleep,A,,1.08,0.48,,0.52,,0.48,,0.52,,0.04,1.60,1.64,1.60,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95822,,Eeg coma or sleep only,A,,1.08,7.81,,9.27,,7.81,NA,9.27,NA,0.07,8.96,10.42,8.96,10.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95822,TC,Eeg coma or sleep only,A,,0.00,7.33,,8.75,,7.33,NA,8.75,NA,0.03,7.36,8.78,7.36,8.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95822,26,Eeg coma or sleep only,A,,1.08,0.48,,0.52,,0.48,,0.52,,0.04,1.60,1.64,1.60,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95824,,Eeg cerebral death only,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95824,TC,Eeg cerebral death only,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95824,26,Eeg cerebral death only,A,,0.74,0.32,,0.35,,0.32,,0.35,,0.05,1.11,1.14,1.11,1.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95827,,Eeg all night recording,A,,1.08,15.25,,19.27,,15.25,NA,19.27,NA,0.13,16.46,20.48,16.46,20.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95827,TC,Eeg all night recording,A,,0.00,14.78,,18.75,,14.78,NA,18.75,NA,0.08,14.86,18.83,14.86,18.83,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95827,26,Eeg all night recording,A,,1.08,0.47,,0.52,,0.47,,0.52,,0.05,1.60,1.65,1.60,1.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95829,,Surgery electrocorticogram,A,,6.20,37.55,,42.49,,37.55,NA,42.49,NA,0.21,43.96,48.90,43.96,48.90,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95829,TC,Surgery electrocorticogram,A,,0.00,34.81,,39.49,,34.81,NA,39.49,NA,0.05,34.86,39.54,34.86,39.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95829,26,Surgery electrocorticogram,A,,6.20,2.74,,3.00,,2.74,,3.00,,0.16,9.10,9.36,9.10,9.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95830,,Insert electrodes for EEG,A,,1.70,3.77,,3.85,,0.70,,0.74,,0.14,5.61,5.69,2.54,2.58,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95831,,Limb muscle testing manual,A,,0.28,0.54,,0.57,,0.13,,0.14,,0.03,0.85,0.88,0.44,0.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95832,,Hand muscle testing manual,A,,0.29,0.50,,0.57,,0.14,,0.17,,0.03,0.82,0.89,0.46,0.49,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95833,,Body muscle testing manual,A,,0.47,0.60,,0.61,,0.18,,0.16,,0.01,1.08,1.09,0.66,0.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95834,,Body muscle testing manual,A,,0.60,0.73,,0.81,,0.24,,0.26,,0.03,1.36,1.44,0.87,0.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95851,,Range of motion measurements,A,,0.16,0.34,,0.34,,0.06,,0.06,,0.01,0.51,0.51,0.23,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95852,,Range of motion measurements,A,,0.11,0.31,,0.34,,0.05,,0.05,,0.01,0.43,0.46,0.17,0.17,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95857,,Cholinesterase challenge,A,,0.53,0.81,,0.92,,0.27,,0.30,,0.04,1.38,1.49,0.84,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95860,,Muscle test one limb,A,,0.96,1.66,,1.84,,1.66,NA,1.84,NA,0.04,2.66,2.84,2.66,2.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95860,TC,Muscle test one limb,A,,0.00,1.19,,1.34,,1.19,NA,1.34,NA,0.01,1.20,1.35,1.20,1.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95860,26,Muscle test one limb,A,,0.96,0.47,,0.50,,0.47,,0.50,,0.03,1.46,1.49,1.46,1.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95861,,Muscle test 2 limbs,A,,1.54,2.26,,2.58,,2.26,NA,2.58,NA,0.06,3.86,4.18,3.86,4.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95861,TC,Muscle test 2 limbs,A,,0.00,1.52,,1.79,,1.52,NA,1.79,NA,0.01,1.53,1.80,1.53,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95861,26,Muscle test 2 limbs,A,,1.54,0.74,,0.79,,0.74,,0.79,,0.05,2.33,2.38,2.33,2.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95863,,Muscle test 3 limbs,A,,1.87,2.71,,3.16,,2.71,NA,3.16,NA,0.08,4.66,5.11,4.66,5.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95863,TC,Muscle test 3 limbs,A,,0.00,1.85,,2.22,,1.85,NA,2.22,NA,0.01,1.86,2.23,1.86,2.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95863,26,Muscle test 3 limbs,A,,1.87,0.86,,0.94,,0.86,,0.94,,0.07,2.80,2.88,2.80,2.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95864,,Muscle test 4 limbs,A,,1.99,3.05,,3.34,,3.05,NA,3.34,NA,0.08,5.12,5.41,5.12,5.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95864,TC,Muscle test 4 limbs,A,,0.00,2.12,,2.34,,2.12,NA,2.34,NA,0.01,2.13,2.35,2.13,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95864,26,Muscle test 4 limbs,A,,1.99,0.93,,1.00,,0.93,,1.00,,0.07,2.99,3.06,2.99,3.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95865,,Muscle test larynx,A,,1.57,1.90,,2.06,,1.90,NA,2.06,NA,0.05,3.52,3.68,3.52,3.68,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95865,TC,Muscle test larynx,A,,0.00,1.12,,1.22,,1.12,NA,1.22,NA,0.01,1.13,1.23,1.13,1.23,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95865,26,Muscle test larynx,A,,1.57,0.78,,0.84,,0.78,,0.84,,0.04,2.39,2.45,2.39,2.45,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95866,,Muscle test hemidiaphragm,A,,1.25,1.74,,2.01,,1.74,NA,2.01,NA,0.06,3.05,3.32,3.05,3.32,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95866,TC,Muscle test hemidiaphragm,A,,0.00,1.16,,1.41,,1.16,NA,1.41,NA,0.01,1.17,1.42,1.17,1.42,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95866,26,Muscle test hemidiaphragm,A,,1.25,0.58,,0.60,,0.58,,0.60,,0.05,1.88,1.90,1.88,1.90,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95867,,Muscle test cran nerv unilat,A,,0.79,1.53,,1.73,,1.53,NA,1.73,NA,0.04,2.36,2.56,2.36,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95867,TC,Muscle test cran nerv unilat,A,,0.00,1.15,,1.32,,1.15,NA,1.32,NA,0.01,1.16,1.33,1.16,1.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95867,26,Muscle test cran nerv unilat,A,,0.79,0.38,,0.41,,0.38,,0.41,,0.03,1.20,1.23,1.20,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95868,,Muscle test cran nerve bilat,A,,1.18,1.97,,2.25,,1.97,NA,2.25,NA,0.05,3.20,3.48,3.20,3.48,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95868,TC,Muscle test cran nerve bilat,A,,0.00,1.42,,1.65,,1.42,NA,1.65,NA,0.01,1.43,1.66,1.43,1.66,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95868,26,Muscle test cran nerve bilat,A,,1.18,0.55,,0.60,,0.55,,0.60,,0.04,1.77,1.82,1.77,1.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95869,,Muscle test thor paraspinal,A,,0.37,1.33,,1.62,,1.33,NA,1.62,NA,0.02,1.72,2.01,1.72,2.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95869,TC,Muscle test thor paraspinal,A,,0.00,1.15,,1.43,,1.15,NA,1.43,NA,0.01,1.16,1.44,1.16,1.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95869,26,Muscle test thor paraspinal,A,,0.37,0.18,,0.19,,0.18,,0.19,,0.01,0.56,0.57,0.56,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95870,,Muscle test nonparaspinal,A,,0.37,1.29,,1.60,,1.29,NA,1.60,NA,0.02,1.68,1.99,1.68,1.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95870,TC,Muscle test nonparaspinal,A,,0.00,1.12,,1.41,,1.12,NA,1.41,NA,0.01,1.13,1.42,1.13,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,6A,0,99,0.00,0.00,0.00
95870,26,Muscle test nonparaspinal,A,,0.37,0.17,,0.19,,0.17,,0.19,,0.01,0.55,0.57,0.55,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95872,,Muscle test one fiber,A,,2.88,2.23,,2.58,,2.23,NA,2.58,NA,0.12,5.23,5.58,5.23,5.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95872,TC,Muscle test one fiber,A,,0.00,1.02,,1.20,,1.02,NA,1.20,NA,0.01,1.03,1.21,1.03,1.21,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,66,0,99,0.00,0.00,0.00
95872,26,Muscle test one fiber,A,,2.88,1.21,,1.38,,1.21,,1.38,,0.11,4.20,4.37,4.20,4.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95873,,Guide nerv destr elec stim,A,,0.37,1.32,,1.60,,1.32,NA,1.60,NA,0.02,1.71,1.99,1.71,1.99,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95873,TC,Guide nerv destr elec stim,A,,0.00,1.12,,1.39,,1.12,NA,1.39,NA,0.01,1.13,1.40,1.13,1.40,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95873,26,Guide nerv destr elec stim,A,,0.37,0.20,,0.21,,0.20,,0.21,,0.01,0.58,0.59,0.58,0.59,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95874,,Guide nerv destr needle emg,A,,0.37,1.24,,1.53,,1.24,NA,1.53,NA,0.02,1.63,1.92,1.63,1.92,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95874,TC,Guide nerv destr needle emg,A,,0.00,1.06,,1.33,,1.06,NA,1.33,NA,0.01,1.07,1.34,1.07,1.34,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95874,26,Guide nerv destr needle emg,A,,0.37,0.18,,0.20,,0.18,,0.20,,0.01,0.56,0.58,0.56,0.58,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95875,,Limb exercise test,A,,1.10,1.93,,2.21,,1.93,NA,2.21,NA,0.06,3.09,3.37,3.09,3.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95875,TC,Limb exercise test,A,,0.00,1.44,,1.68,,1.44,NA,1.68,NA,0.01,1.45,1.69,1.45,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95875,26,Limb exercise test,A,,1.10,0.49,,0.53,,0.49,,0.53,,0.05,1.64,1.68,1.64,1.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95900,,Motor nerve conduction test,A,,0.42,1.33,,1.44,,1.33,NA,1.44,NA,0.02,1.77,1.88,1.77,1.88,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95900,TC,Motor nerve conduction test,A,,0.00,1.13,,1.22,,1.13,NA,1.22,NA,0.01,1.14,1.23,1.14,1.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,7A,0,99,0.00,0.00,0.00
95900,26,Motor nerve conduction test,A,,0.42,0.20,,0.22,,0.20,,0.22,,0.01,0.63,0.65,0.63,0.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95903,,Motor nerve conduction test,A,,0.60,1.41,,1.54,,1.41,NA,1.54,NA,0.04,2.05,2.18,2.05,2.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95903,TC,Motor nerve conduction test,A,,0.00,1.14,,1.25,,1.14,NA,1.25,NA,0.01,1.15,1.26,1.15,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,7A,0,99,0.00,0.00,0.00
95903,26,Motor nerve conduction test,A,,0.60,0.27,,0.29,,0.27,,0.29,,0.03,0.90,0.92,0.90,0.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95904,,Sense nerve conduction test,A,,0.34,1.20,,1.28,,1.20,NA,1.28,NA,0.02,1.56,1.64,1.56,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95904,TC,Sense nerve conduction test,A,,0.00,1.04,,1.11,,1.04,NA,1.11,NA,0.01,1.05,1.12,1.05,1.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,7A,0,99,0.00,0.00,0.00
95904,26,Sense nerve conduction test,A,,0.34,0.16,,0.17,,0.16,,0.17,,0.01,0.51,0.52,0.51,0.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95905,,Motor/sens nrve conduct test,A,,0.05,2.41,,2.41,,2.41,NA,2.41,NA,0.02,2.48,2.48,2.48,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95905,TC,Motor/sens nrve conduct test,A,,0.00,2.38,,2.38,,2.38,NA,2.38,NA,0.01,2.39,2.39,2.39,2.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95905,26,Motor/sens nrve conduct test,A,,0.05,0.03,,0.03,,0.03,,0.03,,0.01,0.09,0.09,0.09,0.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95920,,Intraop nerve test add-on,A,,2.11,2.46,,2.69,,2.46,NA,2.69,NA,0.09,4.66,4.89,4.66,4.89,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95920,TC,Intraop nerve test add-on,A,,0.00,1.51,,1.66,,1.51,NA,1.66,NA,0.01,1.52,1.67,1.52,1.67,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95920,26,Intraop nerve test add-on,A,,2.11,0.95,,1.03,,0.95,,1.03,,0.08,3.14,3.22,3.14,3.22,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95921,,Autonomic nerv function test,A,,0.90,1.41,,1.53,,1.41,NA,1.53,NA,0.04,2.35,2.47,2.35,2.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95921,TC,Autonomic nerv function test,A,,0.00,1.03,,1.12,,1.03,NA,1.12,NA,0.01,1.04,1.13,1.04,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95921,26,Autonomic nerv function test,A,,0.90,0.38,,0.41,,0.38,,0.41,,0.03,1.31,1.34,1.31,1.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95922,,Autonomic nerv function test,A,,0.96,1.90,,2.09,,1.90,NA,2.09,NA,0.04,2.90,3.09,2.90,3.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95922,TC,Autonomic nerv function test,A,,0.00,1.49,,1.66,,1.49,NA,1.66,NA,0.01,1.50,1.67,1.50,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95922,26,Autonomic nerv function test,A,,0.96,0.41,,0.43,,0.41,,0.43,,0.03,1.40,1.42,1.40,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95923,,Autonomic nerv function test,A,,0.90,3.31,,3.92,,3.31,NA,3.92,NA,0.05,4.26,4.87,4.26,4.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95923,TC,Autonomic nerv function test,A,,0.00,2.91,,3.48,,2.91,NA,3.48,NA,0.01,2.92,3.49,2.92,3.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95923,26,Autonomic nerv function test,A,,0.90,0.40,,0.44,,0.40,,0.44,,0.04,1.34,1.38,1.34,1.38,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95925,,Somatosensory testing,A,,0.54,4.05,,4.92,,4.05,NA,4.92,NA,0.02,4.61,5.48,4.61,5.48,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95925,TC,Somatosensory testing,A,,0.00,3.81,,4.66,,3.81,NA,4.66,NA,0.01,3.82,4.67,3.82,4.67,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,21,0,99,0.00,0.00,0.00
95925,26,Somatosensory testing,A,,0.54,0.24,,0.26,,0.24,,0.26,,0.01,0.79,0.81,0.79,0.81,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95926,,Somatosensory testing,A,,0.54,3.89,,4.65,,3.89,NA,4.65,NA,0.04,4.47,5.23,4.47,5.23,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95926,TC,Somatosensory testing,A,,0.00,3.65,,4.40,,3.65,NA,4.40,NA,0.01,3.66,4.41,3.66,4.41,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,21,0,99,0.00,0.00,0.00
95926,26,Somatosensory testing,A,,0.54,0.24,,0.25,,0.24,,0.25,,0.03,0.81,0.82,0.81,0.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95927,,Somatosensory testing,A,,0.54,3.63,,4.05,,3.63,NA,4.05,NA,0.02,4.19,4.61,4.19,4.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95927,TC,Somatosensory testing,A,,0.00,3.38,,3.79,,3.38,NA,3.79,NA,0.01,3.39,3.80,3.39,3.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,21,0,99,0.00,0.00,0.00
95927,26,Somatosensory testing,A,,0.54,0.25,,0.26,,0.25,,0.26,,0.01,0.80,0.81,0.80,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95928,,C motor evoked uppr limbs,A,,1.50,5.28,,6.22,,5.28,NA,6.22,NA,0.10,6.88,7.82,6.88,7.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95928,TC,C motor evoked uppr limbs,A,,0.00,4.62,,5.49,,4.62,NA,5.49,NA,0.03,4.65,5.52,4.65,5.52,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,21,0,99,0.00,0.00,0.00
95928,26,C motor evoked uppr limbs,A,,1.50,0.66,,0.73,,0.66,,0.73,,0.07,2.23,2.30,2.23,2.30,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95929,,C motor evoked lwr limbs,A,,1.50,5.69,,6.67,,5.69,NA,6.67,NA,0.10,7.29,8.27,7.29,8.27,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95929,TC,C motor evoked lwr limbs,A,,0.00,5.02,,5.94,,5.02,NA,5.94,NA,0.03,5.05,5.97,5.05,5.97,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,21,0,99,0.00,0.00,0.00
95929,26,C motor evoked lwr limbs,A,,1.50,0.67,,0.73,,0.67,,0.73,,0.07,2.24,2.30,2.24,2.30,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95930,,Visual evoked potential test,A,,0.35,3.55,,4.08,,3.55,NA,4.08,NA,0.02,3.92,4.45,3.92,4.45,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95930,TC,Visual evoked potential test,A,,0.00,3.39,,3.90,,3.39,NA,3.90,NA,0.01,3.40,3.91,3.40,3.91,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95930,26,Visual evoked potential test,A,,0.35,0.16,,0.18,,0.16,,0.18,,0.01,0.52,0.54,0.52,0.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95933,,Blink reflex test,A,,0.59,1.55,,1.78,,1.55,NA,1.78,NA,0.04,2.18,2.41,2.18,2.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95933,TC,Blink reflex test,A,,0.00,1.28,,1.49,,1.28,NA,1.49,NA,0.01,1.29,1.50,1.29,1.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,7A,0,99,0.00,0.00,0.00
95933,26,Blink reflex test,A,,0.59,0.27,,0.29,,0.27,,0.29,,0.03,0.89,0.91,0.89,0.91,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95934,,H-reflex test,A,,0.51,1.12,,1.30,,1.12,NA,1.30,NA,0.02,1.65,1.83,1.65,1.83,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95934,TC,H-reflex test,A,,0.00,0.88,,1.05,,0.88,NA,1.05,NA,0.01,0.89,1.06,0.89,1.06,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95934,26,H-reflex test,A,,0.51,0.24,,0.25,,0.24,,0.25,,0.01,0.76,0.77,0.76,0.77,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95936,,H-reflex test,A,,0.55,0.79,,0.90,,0.79,NA,0.90,NA,0.02,1.36,1.47,1.36,1.47,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95936,TC,H-reflex test,A,,0.00,0.54,,0.63,,0.54,NA,0.63,NA,0.01,0.55,0.64,0.55,0.64,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95936,26,H-reflex test,A,,0.55,0.25,,0.27,,0.25,,0.27,,0.01,0.81,0.83,0.81,0.83,1,XXX,0.00,0.00,0.00,0,1,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95937,,Neuromuscular junction test,A,,0.65,1.20,,1.39,,1.20,NA,1.39,NA,0.05,1.90,2.09,1.90,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95937,TC,Neuromuscular junction test,A,,0.00,0.91,,1.08,,0.91,NA,1.08,NA,0.01,0.92,1.09,0.92,1.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95937,26,Neuromuscular junction test,A,,0.65,0.29,,0.31,,0.29,,0.31,,0.04,0.98,1.00,0.98,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95950,,Ambulatory eeg monitoring,A,,1.51,6.35,,7.11,,6.35,NA,7.11,NA,0.10,7.96,8.72,7.96,8.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95950,TC,Ambulatory eeg monitoring,A,,0.00,5.69,,6.38,,5.69,NA,6.38,NA,0.03,5.72,6.41,5.72,6.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95950,26,Ambulatory eeg monitoring,A,,1.51,0.66,,0.73,,0.66,,0.73,,0.07,2.24,2.31,2.24,2.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95951,,EEG monitoring/videorecord,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95951,TC,EEG monitoring/videorecord,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95951,26,EEG monitoring/videorecord,A,,5.99,2.65,,2.90,,2.65,,2.90,,0.48,9.12,9.37,9.12,9.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95953,,EEG monitoring/computer,A,,3.08,8.89,,9.01,,8.89,NA,9.01,NA,0.18,12.15,12.27,12.15,12.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95953,TC,EEG monitoring/computer,A,,0.00,7.50,,7.52,,7.50,NA,7.52,NA,0.03,7.53,7.55,7.53,7.55,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95953,26,EEG monitoring/computer,A,,3.08,1.39,,1.49,,1.39,,1.49,,0.15,4.62,4.72,4.62,4.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95954,,EEG monitoring/giving drugs,A,,2.45,6.53,,7.96,,6.53,NA,7.96,NA,0.15,9.13,10.56,9.13,10.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95954,TC,EEG monitoring/giving drugs,A,,0.00,5.74,,7.08,,5.74,NA,7.08,NA,0.04,5.78,7.12,5.78,7.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95954,26,EEG monitoring/giving drugs,A,,2.45,0.79,,0.88,,0.79,,0.88,,0.11,3.35,3.44,3.35,3.44,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95955,,EEG during surgery,A,,1.01,3.88,,4.61,,3.88,NA,4.61,NA,0.05,4.94,5.67,4.94,5.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95955,TC,EEG during surgery,A,,0.00,3.45,,4.13,,3.45,NA,4.13,NA,0.01,3.46,4.14,3.46,4.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,02,0,99,0.00,0.00,0.00
95955,26,EEG during surgery,A,,1.01,0.43,,0.48,,0.43,,0.48,,0.04,1.48,1.53,1.48,1.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95956,,Eeg monitor technol attended,A,,3.61,25.78,,32.06,,25.78,NA,32.06,NA,0.32,29.71,35.99,29.71,35.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95956,TC,Eeg monitor technol attended,A,,0.00,24.33,,30.41,,24.33,NA,30.41,NA,0.16,24.49,30.57,24.49,30.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95956,26,Eeg monitor technol attended,A,,3.61,1.45,,1.65,,1.45,,1.65,,0.16,5.22,5.42,5.22,5.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95957,,EEG digital analysis,A,,1.98,7.88,,9.70,,7.88,NA,9.70,NA,0.11,9.97,11.79,9.97,11.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95957,TC,EEG digital analysis,A,,0.00,7.01,,8.76,,7.01,NA,8.76,NA,0.01,7.02,8.77,7.02,8.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,01,0,99,0.00,0.00,0.00
95957,26,EEG digital analysis,A,,1.98,0.87,,0.94,,0.87,,0.94,,0.10,2.95,3.02,2.95,3.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95958,,EEG monitoring/function test,A,,4.24,8.85,,10.43,,8.85,NA,10.43,NA,0.26,13.35,14.93,13.35,14.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95958,TC,EEG monitoring/function test,A,,0.00,7.01,,8.47,,7.01,NA,8.47,NA,0.04,7.05,8.51,7.05,8.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95958,26,EEG monitoring/function test,A,,4.24,1.84,,1.96,,1.84,,1.96,,0.22,6.30,6.42,6.30,6.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95961,,Electrode stimulation brain,A,,2.97,4.27,,4.97,,4.27,NA,4.97,NA,0.15,7.39,8.09,7.39,8.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95961,TC,Electrode stimulation brain,A,,0.00,2.91,,3.50,,2.91,NA,3.50,NA,0.01,2.92,3.51,2.92,3.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95961,26,Electrode stimulation brain,A,,2.97,1.36,,1.47,,1.36,,1.47,,0.14,4.47,4.58,4.47,4.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95962,,Electrode stim brain add-on,A,,3.21,3.29,,3.76,,3.29,NA,3.76,NA,0.15,6.65,7.12,6.65,7.12,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95962,TC,Electrode stim brain add-on,A,,0.00,1.86,,2.19,,1.86,NA,2.19,NA,0.01,1.87,2.20,1.87,2.20,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
95962,26,Electrode stim brain add-on,A,,3.21,1.43,,1.57,,1.43,,1.57,,0.14,4.78,4.92,4.78,4.92,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95965,,Meg spontaneous,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95965,TC,Meg spontaneous,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95965,26,Meg spontaneous,A,,7.99,3.69,,3.88,,3.69,,3.88,,0.64,12.32,12.51,12.32,12.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95966,,Meg evoked single,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95966,TC,Meg evoked single,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95966,26,Meg evoked single,A,,3.99,1.85,,1.94,,1.85,,1.94,,0.31,6.15,6.24,6.15,6.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95967,,Meg evoked each addl,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95967,TC,Meg evoked each addl,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95967,26,Meg evoked each addl,A,,3.49,1.56,,1.69,,1.56,,1.69,,0.29,5.34,5.47,5.34,5.47,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95970,,Analyze neurostim no prog,A,,0.45,1.24,,1.40,,0.19,,0.21,,0.04,1.73,1.89,0.68,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95971,,Analyze neurostim simple,A,,0.78,0.85,,0.82,,0.33,,0.34,,0.07,1.70,1.67,1.18,1.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95972,,Analyze neurostim complex,A,,1.50,1.49,,1.55,,0.64,,0.70,,0.14,3.13,3.19,2.28,2.34,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95973,,Analyze neurostim complex,A,,0.92,0.76,,0.86,,0.39,,0.46,,0.08,1.76,1.86,1.39,1.46,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95974,,Cranial neurostim complex,A,,3.00,2.18,,2.49,,1.28,,1.41,,0.26,5.44,5.75,4.54,4.67,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95975,,Cranial neurostim complex,A,,1.70,1.12,,1.28,,0.75,,0.82,,0.12,2.94,3.10,2.57,2.64,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95978,,Analyze neurostim brain/1h,A,,3.50,2.71,,3.10,,1.56,,1.72,,0.38,6.59,6.98,5.44,5.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95979,,Analyz neurostim brain addon,A,,1.64,1.10,,1.24,,0.73,,0.81,,0.14,2.88,3.02,2.51,2.59,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95980,,Io anal gast n-stim init,A,,0.80,0.37,NA,0.44,NA,0.37,,0.44,,0.16,1.33,1.40,1.33,1.40,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95981,,Io anal gast n-stim subsq,A,,0.30,0.57,,0.60,,0.17,,0.20,,0.03,0.90,0.93,0.50,0.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95982,,Io ga n-stim subsq w/reprog,A,,0.65,0.70,,0.80,,0.30,,0.36,,0.05,1.40,1.50,1.00,1.06,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95990,,Spin/brain pump refil & main,A,,0.00,2.19,,2.47,,2.19,NA,2.47,NA,0.03,2.22,2.50,2.22,2.50,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95991,,Spin/brain pump refil & main,A,,0.77,2.28,,2.63,,0.29,,0.36,,0.05,3.10,3.45,1.11,1.18,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95992,,Canalith repositioning proc,A,,0.75,0.45,,0.46,,0.32,,0.33,,0.05,1.25,1.26,1.12,1.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
95999,,Neurological procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96000,,Motion analysis video/3d,A,,1.80,0.77,NA,0.93,NA,0.77,,0.93,,0.11,2.68,2.84,2.68,2.84,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96001,,Motion test w/ft press meas,A,,2.15,0.68,NA,0.65,NA,0.68,,0.65,,0.12,2.95,2.92,2.95,2.92,7,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96002,,Dynamic surface emg,A,,0.41,0.18,NA,0.20,NA,0.18,,0.20,,0.03,0.62,0.64,0.62,0.64,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96003,,Dynamic fine wire emg,A,,0.37,0.15,NA,0.18,NA,0.15,,0.18,,0.03,0.55,0.58,0.55,0.58,0,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96004,,Phys review of motion tests,A,,2.14,1.00,,1.03,,1.00,,1.03,,0.14,3.28,3.31,3.28,3.31,2,XXX,0.00,0.00,0.00,0,2,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96020,,Functional brain mapping,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96020,TC,Functional brain mapping,C,,0.00,0.00,,0.00,,0.00,NA,0.00,NA,0.00,0.00,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,03,0,99,0.00,0.00,0.00
96020,26,Functional brain mapping,A,,3.43,1.45,,1.28,,1.45,,1.28,,0.31,5.19,5.02,5.19,5.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96040,,Genetic counseling 30 min,B,+,0.00,1.29,,1.23,,1.29,NA,1.23,NA,0.03,1.32,1.26,1.32,1.26,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
96101,,Psycho testing by psych/phys,A,,1.86,0.51,,0.48,,0.40,,0.28,,0.07,2.44,2.41,2.33,2.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96102,,Psycho testing by technician,A,,0.50,1.43,,1.73,,0.16,,0.17,,0.03,1.96,2.26,0.69,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96103,,Psycho testing admin by comp,A,,0.51,1.11,,1.30,,0.18,,0.19,,0.03,1.65,1.84,0.72,0.73,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96105,,Assessment of aphasia,A,,1.75,1.35,,0.84,,1.35,NA,0.84,NA,0.04,3.14,2.63,3.14,2.63,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96110,,Developmental test lim,A,,0.00,0.23,,0.24,,0.23,NA,0.24,NA,0.01,0.24,0.25,0.24,0.25,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96111,,Developmental test extend,A,,2.60,0.93,,0.84,,0.79,,0.67,,0.16,3.69,3.60,3.55,3.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96116,,Neurobehavioral status exam,A,,1.86,0.72,,0.70,,0.56,,0.55,,0.10,2.68,2.66,2.52,2.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96118,,Neuropsych tst by psych/phys,A,,1.86,0.93,,0.69,,0.38,,0.26,,0.07,2.86,2.62,2.31,2.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96119,,Neuropsych testing by tec,A,,0.55,1.51,,1.39,,0.12,,0.09,,0.01,2.07,1.95,0.68,0.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96120,,Neuropsych tst admin w/comp,A,,0.51,1.88,,2.07,,0.17,,0.18,,0.03,2.42,2.61,0.71,0.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,04,0,99,0.00,0.00,0.00
96125,,Cognitive test by hc pro,A,,1.70,0.99,,1.04,,0.99,NA,1.04,NA,0.07,2.76,2.81,2.76,2.81,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96150,,Assess hlth/behave init,A,,0.50,0.11,,0.07,,0.10,,0.07,,0.01,0.62,0.58,0.61,0.58,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96151,,Assess hlth/behave subseq,A,,0.48,0.11,,0.08,,0.10,,0.07,,0.01,0.60,0.57,0.59,0.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96152,,Intervene hlth/behave indiv,A,,0.46,0.10,,0.07,,0.09,,0.06,,0.01,0.57,0.54,0.56,0.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96153,,Intervene hlth/behave group,A,,0.10,0.03,,0.02,,0.02,,0.02,,0.01,0.14,0.13,0.13,0.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96154,,Interv hlth/behav fam w/pt,A,,0.45,0.10,,0.07,,0.09,,0.06,,0.01,0.56,0.53,0.55,0.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96155,,Interv hlth/behav fam no pt,N,+,0.44,0.20,,0.19,,0.19,,0.19,,0.03,0.67,0.66,0.66,0.66,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
96360,,Hydration iv infusion init,A,,0.17,1.48,,1.33,,1.48,NA,1.33,NA,0.03,1.68,1.53,1.68,1.53,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96361,,Hydrate iv infusion add-on,A,,0.09,0.35,,0.31,,0.35,NA,0.31,NA,0.01,0.45,0.41,0.45,0.41,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96365,,Ther/proph/diag iv inf init,A,,0.21,1.85,,1.71,,1.85,NA,1.71,NA,0.03,2.09,1.95,2.09,1.95,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96366,,Ther/proph/diag iv inf addon,A,,0.18,0.45,,0.42,,0.45,NA,0.42,NA,0.01,0.64,0.61,0.64,0.61,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96367,,Tx/proph/dg addl seq iv inf,A,,0.19,0.77,,0.65,,0.77,NA,0.65,NA,0.01,0.97,0.85,0.97,0.85,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96368,,Ther/diag concurrent inf,A,,0.17,0.39,,0.35,,0.39,NA,0.35,NA,0.01,0.57,0.53,0.57,0.53,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96369,,Sc ther infusion up to 1 hr,A,,0.21,4.79,,4.82,,4.79,NA,4.82,NA,0.03,5.03,5.06,5.03,5.06,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96370,,Sc ther infusion addl hr,A,,0.18,0.26,,0.26,,0.26,NA,0.26,NA,0.01,0.45,0.45,0.45,0.45,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96371,,Sc ther infusion reset pump,A,,0.00,2.35,,2.25,,2.35,NA,2.25,NA,0.01,2.36,2.26,2.36,2.26,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96372,,Ther/proph/diag inj sc/im,A,,0.17,0.50,,0.50,,0.50,NA,0.50,NA,0.01,0.68,0.68,0.68,0.68,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96373,,Ther/proph/diag inj ia,A,,0.17,0.38,,0.38,,0.38,NA,0.38,NA,0.01,0.56,0.56,0.56,0.56,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96374,,Ther/proph/diag inj iv push,A,,0.18,1.43,,1.29,,1.43,NA,1.29,NA,0.03,1.64,1.50,1.64,1.50,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96375,,Tx/pro/dx inj new drug addon,A,,0.10,0.56,,0.48,,0.56,NA,0.48,NA,0.01,0.67,0.59,0.67,0.59,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96376,,Tx/pro/dx inj same drug adon,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
96379,,Ther/prop/diag inj/inf proc,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96401,,Chemo anti-neopl sq/im,A,,0.21,1.89,,1.76,,1.89,NA,1.76,NA,0.04,2.14,2.01,2.14,2.01,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96402,,Chemo hormon antineopl sq/im,A,,0.19,0.83,,0.67,,0.83,NA,0.67,NA,0.01,1.03,0.87,1.03,0.87,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96405,,Chemo intralesional up to 7,A,,0.52,1.98,,1.78,,0.34,,0.37,,0.03,2.53,2.33,0.89,0.92,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96406,,Chemo intralesional over 7,A,,0.80,2.64,,2.35,,0.45,,0.50,,0.04,3.48,3.19,1.29,1.34,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96409,,Chemo iv push sngl drug,A,,0.24,3.03,,2.64,,3.03,NA,2.64,NA,0.05,3.32,2.93,3.32,2.93,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96411,,Chemo iv push addl drug,A,,0.20,1.63,,1.42,,1.63,NA,1.42,NA,0.03,1.86,1.65,1.86,1.65,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96413,,Chemo iv infusion 1 hr,A,,0.28,3.98,,3.42,,3.98,NA,3.42,NA,0.05,4.31,3.75,4.31,3.75,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96415,,Chemo iv infusion addl hr,A,,0.19,0.72,,0.62,,0.72,NA,0.62,NA,0.01,0.92,0.82,0.92,0.82,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96416,,Chemo prolong infuse w/pump,A,,0.21,4.47,,3.85,,4.47,NA,3.85,NA,0.07,4.75,4.13,4.75,4.13,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96417,,Chemo iv infus each addl seq,A,,0.21,1.89,,1.63,,1.89,NA,1.63,NA,0.03,2.13,1.87,2.13,1.87,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96420,,Chemo ia push tecnique,A,,0.17,2.96,,2.57,,2.96,NA,2.57,NA,0.08,3.21,2.82,3.21,2.82,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96422,,Chemo ia infusion up to 1 hr,A,,0.17,4.91,,4.25,,4.91,NA,4.25,NA,0.08,5.16,4.50,5.16,4.50,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96423,,Chemo ia infuse each addl hr,A,,0.17,2.14,,1.89,,2.14,NA,1.89,NA,0.04,2.35,2.10,2.35,2.10,5,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96425,,Chemotherapy infusion method,A,,0.17,5.02,,4.55,,5.02,NA,4.55,NA,0.10,5.29,4.82,5.29,4.82,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96440,,Chemotherapy intracavitary,A,,2.37,18.54,,19.85,,1.45,,1.51,,0.54,21.45,22.76,4.36,4.42,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96446,,Chemotx admn prtl cavity,A,,0.37,4.77,,4.77,,0.19,,0.19,,0.07,5.21,5.21,0.63,0.63,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96450,,Chemotherapy into cns,A,,1.53,4.21,,3.37,,0.88,,0.75,,0.11,5.85,5.01,2.52,2.39,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96521,,Refill/maint portable pump,A,,0.21,3.66,,3.35,,3.66,NA,3.35,NA,0.05,3.92,3.61,3.92,3.61,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96522,,Refill/maint pump/resvr syst,A,,0.21,3.01,,2.70,,3.01,NA,2.70,NA,0.05,3.27,2.96,3.27,2.96,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96523,,Irrig drug delivery device,T,,0.04,0.70,,0.61,,0.70,NA,0.61,NA,0.01,0.75,0.66,0.75,0.66,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96542,,Chemotherapy injection,A,,0.75,2.95,,2.37,,0.50,,0.45,,0.04,3.74,3.16,1.29,1.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96549,,Chemotherapy unspecified,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96567,,Photodynamic tx skin,A,,0.00,3.84,,3.76,,3.84,NA,3.76,NA,0.01,3.85,3.77,3.85,3.77,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96570,,Photodynmc tx 30 min add-on,A,,1.10,0.47,,0.44,,0.47,,0.44,,0.18,1.75,1.72,1.75,1.72,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96571,,Photodynamic tx addl 15 min,A,,0.55,0.21,,0.19,,0.21,,0.19,,0.04,0.80,0.78,0.80,0.78,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96900,,Ultraviolet light therapy,A,,0.00,0.60,,0.57,,0.60,NA,0.57,NA,0.01,0.61,0.58,0.61,0.58,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96902,,Trichogram,B,+,0.41,0.20,,0.20,,0.18,,0.18,,0.03,0.64,0.64,0.62,0.62,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
96904,,Whole body photography,R,,0.00,1.99,,1.82,,1.99,NA,1.82,NA,0.01,2.00,1.83,2.00,1.83,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96910,,Photochemotherapy with UV-B,A,,0.00,2.03,,1.98,,2.03,NA,1.98,NA,0.01,2.04,1.99,2.04,1.99,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96912,,Photochemotherapy with UV-A,A,,0.00,2.61,,2.55,,2.61,NA,2.55,NA,0.01,2.62,2.56,2.62,2.56,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96913,,Photochemotherapy uv-a or b,A,,0.00,3.63,,3.59,,3.63,NA,3.59,NA,0.01,3.64,3.60,3.64,3.60,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96920,,Laser tx skin < 250 sq cm,A,,1.15,3.91,,3.81,,0.79,,0.85,,0.04,5.10,5.00,1.98,2.04,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96921,,Laser tx skin 250-500 sq cm,A,,1.17,3.90,,3.94,,0.76,,0.85,,0.04,5.11,5.15,1.97,2.06,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96922,,Laser tx skin > 500 sq cm,A,,2.10,5.17,,5.07,,1.38,,1.55,,0.08,7.35,7.25,3.56,3.73,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
96999,,Dermatological procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97001,,Pt evaluation,A,,1.20,0.88,,0.92,,0.88,NA,0.92,NA,0.05,2.13,2.17,2.13,2.17,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97002,,Pt re-evaluation,A,,0.60,0.55,,0.58,,0.55,NA,0.58,NA,0.03,1.18,1.21,1.18,1.21,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97003,,Ot evaluation,A,,1.20,1.10,,1.23,,1.10,NA,1.23,NA,0.05,2.35,2.48,2.35,2.48,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97004,,Ot re-evaluation,A,,0.60,0.80,,0.89,,0.80,NA,0.89,NA,0.03,1.43,1.52,1.43,1.52,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97005,,Athletic train eval,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
97006,,Athletic train reeval,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
97010,,Hot or cold packs therapy,B,+,0.06,0.09,,0.10,,0.09,NA,0.10,NA,0.01,0.16,0.17,0.16,0.17,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
97012,,Mechanical traction therapy,A,,0.25,0.19,,0.20,,0.19,NA,0.20,NA,0.01,0.45,0.46,0.45,0.46,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97014,,Electric stimulation therapy,I,+,0.18,0.24,,0.26,,0.24,NA,0.26,NA,0.01,0.43,0.45,0.43,0.45,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
97016,,Vasopneumatic device therapy,A,,0.18,0.32,,0.35,,0.32,NA,0.35,NA,0.01,0.51,0.54,0.51,0.54,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97018,,Paraffin bath therapy,A,,0.06,0.21,,0.23,,0.21,NA,0.23,NA,0.01,0.28,0.30,0.28,0.30,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97022,,Whirlpool therapy,A,,0.17,0.42,,0.47,,0.42,NA,0.47,NA,0.01,0.60,0.65,0.60,0.65,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97024,,Diathermy eg microwave,A,,0.06,0.11,,0.12,,0.11,NA,0.12,NA,0.01,0.18,0.19,0.18,0.19,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97026,,Infrared therapy,R,,0.06,0.09,,0.10,,0.09,NA,0.10,NA,0.01,0.16,0.17,0.16,0.17,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97028,,Ultraviolet therapy,A,,0.08,0.11,,0.12,,0.11,NA,0.12,NA,0.01,0.20,0.21,0.20,0.21,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97032,,Electrical stimulation,A,,0.25,0.26,,0.28,,0.26,NA,0.28,NA,0.01,0.52,0.54,0.52,0.54,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97033,,Electric current therapy,A,,0.26,0.56,,0.63,,0.56,NA,0.63,NA,0.01,0.83,0.90,0.83,0.90,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97034,,Contrast bath therapy,A,,0.21,0.26,,0.29,,0.26,NA,0.29,NA,0.01,0.48,0.51,0.48,0.51,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97035,,Ultrasound therapy,A,,0.21,0.13,,0.14,,0.13,NA,0.14,NA,0.01,0.35,0.36,0.35,0.36,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97036,,Hydrotherapy,A,,0.28,0.57,,0.63,,0.57,NA,0.63,NA,0.01,0.86,0.92,0.86,0.92,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97039,,Physical therapy treatment,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97110,,Therapeutic exercises,A,,0.45,0.41,,0.45,,0.41,NA,0.45,NA,0.01,0.87,0.91,0.87,0.91,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97112,,Neuromuscular reeducation,A,,0.45,0.45,,0.49,,0.45,NA,0.49,NA,0.01,0.91,0.95,0.91,0.95,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97113,,Aquatic therapy/exercises,A,,0.44,0.69,,0.76,,0.69,NA,0.76,NA,0.01,1.14,1.21,1.14,1.21,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97116,,Gait training therapy,A,,0.40,0.36,,0.39,,0.36,NA,0.39,NA,0.01,0.77,0.80,0.77,0.80,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97124,,Massage therapy,A,,0.35,0.35,,0.38,,0.35,NA,0.38,NA,0.01,0.71,0.74,0.71,0.74,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97139,,Physical medicine procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97140,,Manual therapy,A,,0.43,0.38,,0.41,,0.38,NA,0.41,NA,0.01,0.82,0.85,0.82,0.85,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97150,,Group therapeutic procedures,A,,0.27,0.28,,0.31,,0.28,NA,0.31,NA,0.01,0.56,0.59,0.56,0.59,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97530,,Therapeutic activities,A,,0.44,0.50,,0.54,,0.50,NA,0.54,NA,0.01,0.95,0.99,0.95,0.99,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97532,,Cognitive skills development,A,,0.44,0.29,,0.31,,0.29,NA,0.31,NA,0.01,0.74,0.76,0.74,0.76,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97533,,Sensory integration,A,,0.44,0.36,,0.38,,0.36,NA,0.38,NA,0.01,0.81,0.83,0.81,0.83,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97535,,Self care mngment training,A,,0.45,0.49,,0.53,,0.49,NA,0.53,NA,0.01,0.95,0.99,0.95,0.99,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97537,,Community/work reintegration,A,,0.45,0.37,,0.40,,0.37,NA,0.40,NA,0.01,0.83,0.86,0.83,0.86,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97542,,Wheelchair mngment training,A,,0.45,0.38,,0.41,,0.38,NA,0.41,NA,0.01,0.84,0.87,0.84,0.87,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97545,,Work hardening,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97546,,Work hardening add-on,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,7,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97597,,Rmvl devital tis 20 cm/<,A,,0.51,1.56,,1.56,,0.15,,0.15,,0.05,2.12,2.12,0.71,0.71,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97598,,Rmvl devital tis addl 20 cm<,A,,0.24,0.44,,0.44,,0.07,,0.07,,0.03,0.71,0.71,0.34,0.34,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97602,,Wound(s) care non-selective,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
97605,,Neg press wound tx < 50 cm,A,,0.55,0.53,,0.57,,0.17,,0.16,,0.08,1.16,1.20,0.80,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97606,,Neg press wound tx > 50 cm,A,,0.60,0.54,,0.59,,0.18,,0.17,,0.10,1.24,1.29,0.88,0.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97750,,Physical performance test,A,,0.45,0.44,,0.47,,0.44,NA,0.47,NA,0.03,0.92,0.95,0.92,0.95,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97755,,Assistive technology assess,A,,0.62,0.36,,0.39,,0.36,NA,0.39,NA,0.03,1.01,1.04,1.01,1.04,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97760,,Orthotic mgmt and training,A,,0.45,0.55,,0.60,,0.55,NA,0.60,NA,0.03,1.03,1.08,1.03,1.08,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97761,,Prosthetic training,A,,0.45,0.43,,0.46,,0.43,NA,0.46,NA,0.03,0.91,0.94,0.91,0.94,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97762,,C/o for orthotic/prosth use,A,,0.25,0.93,,1.05,,0.93,NA,1.05,NA,0.01,1.19,1.31,1.19,1.31,7,XXX,0.00,0.00,0.00,5,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97799,,Physical medicine procedure,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,7,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97802,,Medical nutrition indiv in,A,,0.53,0.38,,0.42,,0.32,,0.36,,0.03,0.94,0.98,0.88,0.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97803,,Med nutrition indiv subseq,A,,0.45,0.34,,0.37,,0.28,,0.31,,0.03,0.82,0.85,0.76,0.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97804,,Medical nutrition group,A,,0.25,0.15,,0.18,,0.15,,0.17,,0.01,0.41,0.44,0.41,0.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
97810,,Acupunct w/o stimul 15 min,N,+,0.60,0.41,,0.41,,0.26,,0.26,,0.04,1.05,1.05,0.90,0.90,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
97811,,Acupunct w/o stimul addl 15m,N,+,0.50,0.27,,0.27,,0.21,,0.22,,0.03,0.80,0.80,0.74,0.75,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
97813,,Acupunct w/stimul 15 min,N,+,0.65,0.44,,0.43,,0.28,,0.28,,0.04,1.13,1.12,0.97,0.97,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
97814,,Acupunct w/stimul addl 15m,N,+,0.55,0.32,,0.32,,0.24,,0.24,,0.04,0.91,0.91,0.83,0.83,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
98925,,Osteopathic manipulation,A,,0.45,0.41,,0.44,,0.18,,0.20,,0.03,0.89,0.92,0.66,0.68,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
98926,,Osteopathic manipulation,A,,0.65,0.51,,0.56,,0.26,,0.28,,0.03,1.19,1.24,0.94,0.96,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
98927,,Osteopathic manipulation,A,,0.87,0.64,,0.71,,0.33,,0.35,,0.04,1.55,1.62,1.24,1.26,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
98928,,Osteopathic manipulation,A,,1.03,0.73,,0.79,,0.38,,0.41,,0.05,1.81,1.87,1.46,1.49,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
98929,,Osteopathic manipulation,A,,1.19,0.83,,0.92,,0.45,,0.48,,0.07,2.09,2.18,1.71,1.74,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
98940,,Chiropractic manipulation,A,,0.45,0.29,,0.30,,0.15,,0.16,,0.01,0.75,0.76,0.61,0.62,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,3,99,0.00,0.00,0.00
98941,,Chiropractic manipulation,A,,0.65,0.36,,0.39,,0.23,,0.23,,0.03,1.04,1.07,0.91,0.91,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,3,99,0.00,0.00,0.00
98942,,Chiropractic manipulation,A,,0.87,0.44,,0.47,,0.30,,0.31,,0.03,1.34,1.37,1.20,1.21,0,000,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,3,99,0.00,0.00,0.00
98943,,Chiropractic manipulation,N,+,0.40,0.28,,0.28,,0.17,,0.18,,0.03,0.71,0.71,0.60,0.61,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
98960,,Self-mgmt educ & train 1 pt,B,+,0.00,0.76,,0.73,,0.76,NA,0.73,NA,0.01,0.77,0.74,0.77,0.74,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
98961,,Self-mgmt educ/train 2-4 pt,B,+,0.00,0.36,,0.35,,0.36,NA,0.35,NA,0.01,0.37,0.36,0.37,0.36,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
98962,,Self-mgmt educ/train 5-8 pt,B,+,0.00,0.27,,0.25,,0.27,NA,0.25,NA,0.01,0.28,0.26,0.28,0.26,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
98966,,Hc pro phone call 5-10 min,N,+,0.25,0.15,,0.15,,0.10,,0.11,,0.01,0.41,0.41,0.36,0.37,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
98967,,Hc pro phone call 11-20 min,N,+,0.50,0.25,,0.26,,0.21,,0.22,,0.03,0.78,0.79,0.74,0.75,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
98968,,Hc pro phone call 21-30 min,N,+,0.75,0.35,,0.36,,0.32,,0.33,,0.05,1.15,1.16,1.12,1.13,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
98969,,Online service by hc pro,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99000,,Specimen handling,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99001,,Specimen handling,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99002,,Device handling,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99024,,Postop follow-up visit,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99026,,In-hospital on call service,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99027,,Out-of-hosp on call service,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99050,,Medical services after hrs,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99051,,Med serv eve/wkend/holiday,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99053,,Med serv 10pm-8am 24 hr fac,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99056,,Med service out of office,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99058,,Office emergency care,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99060,,Out of office emerg med serv,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99070,,Special supplies,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99071,,Patient education materials,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99075,,Medical testimony,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99078,,Group health education,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99080,,Special reports or forms,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99082,,Unusual physician travel,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99090,,Computer data analysis,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99091,,Collect/review data from pt,B,+,1.10,0.47,,0.48,,0.47,NA,0.48,NA,0.07,1.64,1.65,1.64,1.65,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99100,,Special anesthesia service,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99116,,Anesthesia with hypothermia,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99135,,Special anesthesia procedure,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99140,,Emergency anesthesia,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99143,,Mod cs by same phys < 5 yrs,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99144,,Mod cs by same phys 5 yrs +,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99145,,Mod cs by same phys add-on,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99148,,Mod cs diff phys < 5 yrs,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99149,,Mod cs diff phys 5 yrs +,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99150,,Mod cs diff phys add-on,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99170,,Anogenital exam child,A,,1.75,2.38,,2.18,,0.91,,0.86,,0.12,4.25,4.05,2.78,2.73,0,000,0.00,0.00,0.00,2,0,1,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99172,,Ocular function screen,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99173,,Visual acuity screen,N,+,0.00,0.07,,0.07,,0.07,NA,0.07,NA,0.01,0.08,0.08,0.08,0.08,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99174,,Ocular photoscreening,N,+,0.00,0.81,,0.78,,0.81,NA,0.78,NA,0.01,0.82,0.79,0.82,0.79,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99175,,Induction of vomiting,A,,0.00,0.71,,0.66,,0.71,NA,0.66,NA,0.01,0.72,0.67,0.72,0.67,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99183,,Hyperbaric oxygen therapy,A,,2.34,3.52,,3.67,,0.89,,0.99,,0.26,6.12,6.27,3.49,3.59,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99190,,Special pump services,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99191,,Special pump services,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99192,,Special pump services,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99195,,Phlebotomy,A,,0.00,2.49,,2.61,,2.49,NA,2.61,NA,0.05,2.54,2.66,2.54,2.66,5,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99199,,Special service/proc/report,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99201,,Office/outpatient visit new,A,,0.48,0.69,,0.73,,0.24,,0.26,,0.04,1.21,1.25,0.76,0.78,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99202,,Office/outpatient visit new,A,,0.93,1.09,,1.16,,0.44,,0.49,,0.07,2.09,2.16,1.44,1.49,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99203,,Office/outpatient visit new,A,,1.42,1.47,,1.57,,0.64,,0.72,,0.14,3.03,3.13,2.20,2.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99204,,Office/outpatient visit new,A,,2.43,2.00,,2.14,,1.06,,1.20,,0.23,4.66,4.80,3.72,3.86,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99205,,Office/outpatient visit new,A,,3.17,2.36,,2.51,,1.34,,1.49,,0.27,5.80,5.95,4.78,4.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99211,,Office/outpatient visit est,A,,0.18,0.39,,0.37,,0.08,,0.08,,0.01,0.58,0.56,0.27,0.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99212,,Office/outpatient visit est,A,,0.48,0.70,,0.72,,0.22,,0.24,,0.04,1.22,1.24,0.74,0.76,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99213,,Office/outpatient visit est,A,,0.97,0.99,,1.05,,0.41,,0.47,,0.07,2.03,2.09,1.45,1.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99214,,Office/outpatient visit est,A,,1.50,1.41,,1.48,,0.63,,0.71,,0.10,3.01,3.08,2.23,2.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99215,,Office/outpatient visit est,A,,2.11,1.80,,1.90,,0.90,,1.00,,0.14,4.05,4.15,3.15,3.25,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99217,,Observation care discharge,A,,1.28,0.68,NA,0.73,NA,0.68,,0.73,,0.08,2.04,2.09,2.04,2.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99218,,Initial observation care,A,,1.28,0.53,NA,0.58,NA,0.53,,0.58,,0.08,1.89,1.94,1.89,1.94,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99219,,Initial observation care,A,,2.14,0.88,NA,0.98,NA,0.88,,0.98,,0.14,3.16,3.26,3.16,3.26,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99220,,Initial observation care,A,,2.99,1.23,NA,1.34,NA,1.23,,1.34,,0.20,4.42,4.53,4.42,4.53,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99221,,Initial hospital care,A,,1.92,0.76,NA,0.86,NA,0.76,,0.86,,0.18,2.86,2.96,2.86,2.96,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99222,,Initial hospital care,A,,2.61,1.06,NA,1.20,NA,1.06,,1.20,,0.22,3.89,4.03,3.89,4.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99223,,Initial hospital care,A,,3.86,1.56,NA,1.77,NA,1.56,,1.77,,0.29,5.71,5.92,5.71,5.92,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99224,,Subsequent observation care,A,,0.54,0.24,NA,0.24,NA,0.24,,0.24,,0.04,0.82,0.82,0.82,0.82,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99225,,Subsequent observation care,A,,0.96,0.44,NA,0.44,NA,0.44,,0.44,,0.05,1.45,1.45,1.45,1.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99226,,Subsequent observation care,A,,1.44,0.65,NA,0.65,NA,0.65,,0.65,,0.08,2.17,2.17,2.17,2.17,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99231,,Subsequent hospital care,A,,0.76,0.32,NA,0.34,NA,0.32,,0.34,,0.05,1.13,1.15,1.13,1.15,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99232,,Subsequent hospital care,A,,1.39,0.57,NA,0.63,NA,0.57,,0.63,,0.08,2.04,2.10,2.04,2.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99233,,Subsequent hospital care,A,,2.00,0.81,NA,0.90,NA,0.81,,0.90,,0.12,2.93,3.02,2.93,3.02,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99234,,Observ/hosp same date,A,,2.56,1.09,NA,1.16,NA,1.09,,1.16,,0.22,3.87,3.94,3.87,3.94,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99235,,Observ/hosp same date,A,,3.41,1.43,NA,1.55,NA,1.43,,1.55,,0.23,5.07,5.19,5.07,5.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99236,,Observ/hosp same date,A,,4.26,1.75,NA,1.89,NA,1.75,,1.89,,0.29,6.30,6.44,6.30,6.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99238,,Hospital discharge day,A,,1.28,0.68,NA,0.74,NA,0.68,,0.74,,0.07,2.03,2.09,2.03,2.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99239,,Hospital discharge day,A,,1.90,0.97,NA,1.09,NA,0.97,,1.09,,0.11,2.98,3.10,2.98,3.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99241,,Office consultation,I,+,0.64,0.66,,0.66,,0.24,,0.24,,0.07,1.37,1.37,0.95,0.95,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99242,,Office consultation,I,+,1.34,1.10,,1.10,,0.51,,0.51,,0.14,2.58,2.58,1.99,1.99,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99243,,Office consultation,I,+,1.88,1.46,,1.46,,0.71,,0.71,,0.18,3.52,3.52,2.77,2.77,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99244,,Office consultation,I,+,3.02,1.96,,1.96,,1.14,,1.14,,0.22,5.20,5.20,4.38,4.38,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99245,,Office consultation,I,+,3.77,2.30,,2.30,,1.38,,1.38,,0.29,6.36,6.36,5.44,5.44,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99251,,Inpatient consultation,I,+,1.00,0.32,NA,0.32,NA,0.32,,0.32,,0.07,1.39,1.39,1.39,1.39,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99252,,Inpatient consultation,I,+,1.50,0.52,NA,0.52,NA,0.52,,0.52,,0.12,2.14,2.14,2.14,2.14,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99253,,Inpatient consultation,I,+,2.27,0.84,NA,0.84,NA,0.84,,0.84,,0.15,3.26,3.26,3.26,3.26,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99254,,Inpatient consultation,I,+,3.29,1.23,NA,1.23,NA,1.23,,1.23,,0.18,4.70,4.70,4.70,4.70,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99255,,Inpatient consultation,I,+,4.00,1.44,NA,1.44,NA,1.44,,1.44,,0.24,5.68,5.68,5.68,5.68,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99281,,Emergency dept visit,A,,0.45,0.13,NA,0.14,NA,0.13,,0.14,,0.03,0.61,0.62,0.61,0.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99282,,Emergency dept visit,A,,0.88,0.24,NA,0.27,NA,0.24,,0.27,,0.07,1.19,1.22,1.19,1.22,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99283,,Emergency dept visit,A,,1.34,0.36,NA,0.39,NA,0.36,,0.39,,0.10,1.80,1.83,1.80,1.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99284,,Emergency dept visit,A,,2.56,0.62,NA,0.67,NA,0.62,,0.67,,0.22,3.40,3.45,3.40,3.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99285,,Emergency dept visit,A,,3.80,0.88,NA,0.91,NA,0.88,,0.91,,0.30,4.98,5.01,4.98,5.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99288,,Direct advanced life support,B,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99291,,Critical care first hour,A,,4.50,2.94,,3.02,,1.55,,1.67,,0.34,7.78,7.86,6.39,6.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99292,,Critical care addl 30 min,A,,2.25,1.07,,1.12,,0.78,,0.84,,0.18,3.50,3.55,3.21,3.27,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99304,,Nursing facility care init,A,,1.64,0.81,,0.94,,0.81,,0.94,,0.14,2.59,2.72,2.59,2.72,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99305,,Nursing facility care init,A,,2.35,1.09,,1.27,,1.09,,1.27,,0.20,3.64,3.82,3.64,3.82,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99306,,Nursing facility care init,A,,3.06,1.34,,1.58,,1.34,,1.58,,0.23,4.63,4.87,4.63,4.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99307,,Nursing fac care subseq,A,,0.76,0.44,,0.49,,0.44,,0.49,,0.04,1.24,1.29,1.24,1.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99308,,Nursing fac care subseq,A,,1.16,0.68,,0.76,,0.68,,0.76,,0.07,1.91,1.99,1.91,1.99,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99309,,Nursing fac care subseq,A,,1.55,0.88,,0.99,,0.88,,0.99,,0.08,2.51,2.62,2.51,2.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99310,,Nursing fac care subseq,A,,2.35,1.23,,1.41,,1.23,,1.41,,0.14,3.72,3.90,3.72,3.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99315,,Nursing fac discharge day,A,,1.13,0.61,,0.69,,0.61,,0.69,,0.07,1.81,1.89,1.81,1.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99316,,Nursing fac discharge day,A,,1.50,0.77,,0.87,,0.77,,0.87,,0.08,2.35,2.45,2.35,2.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99318,,Annual nursing fac assessmnt,A,,1.71,0.84,,0.98,,0.84,,0.98,,0.10,2.65,2.79,2.65,2.79,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99324,,Domicil/r-home visit new pat,A,,1.01,0.54,,0.54,,0.54,NA,0.54,NA,0.07,1.62,1.62,1.62,1.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99325,,Domicil/r-home visit new pat,A,,1.52,0.72,,0.72,,0.72,NA,0.72,NA,0.10,2.34,2.34,2.34,2.34,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99326,,Domicil/r-home visit new pat,A,,2.63,1.18,,1.31,,1.18,NA,1.31,NA,0.16,3.97,4.10,3.97,4.10,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99327,,Domicil/r-home visit new pat,A,,3.46,1.54,,1.74,,1.54,NA,1.74,NA,0.22,5.22,5.42,5.22,5.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99328,,Domicil/r-home visit new pat,A,,4.09,1.77,,1.99,,1.77,NA,1.99,NA,0.24,6.10,6.32,6.10,6.32,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99334,,Domicil/r-home visit est pat,A,,1.07,0.58,,0.62,,0.58,NA,0.62,NA,0.07,1.72,1.76,1.72,1.76,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99335,,Domicil/r-home visit est pat,A,,1.72,0.84,,0.94,,0.84,NA,0.94,NA,0.10,2.66,2.76,2.66,2.76,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99336,,Domicil/r-home visit est pat,A,,2.46,1.15,,1.31,,1.15,NA,1.31,NA,0.14,3.75,3.91,3.75,3.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99337,,Domicil/r-home visit est pat,A,,3.58,1.59,,1.83,,1.59,NA,1.83,NA,0.23,5.40,5.64,5.40,5.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99339,,Domicil/r-home care supervis,B,+,1.25,0.91,,0.91,,0.91,NA,0.91,NA,0.08,2.24,2.24,2.24,2.24,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99340,,Domicil/r-home care supervis,B,+,1.80,1.22,,1.22,,1.22,NA,1.22,NA,0.12,3.14,3.14,3.14,3.14,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99341,,Home visit new patient,A,,1.01,0.53,,0.52,,0.53,NA,0.52,NA,0.07,1.61,1.60,1.61,1.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99342,,Home visit new patient,A,,1.52,0.71,,0.70,,0.71,NA,0.70,NA,0.11,2.34,2.33,2.34,2.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99343,,Home visit new patient,A,,2.53,1.11,,1.15,,1.11,NA,1.15,NA,0.18,3.82,3.86,3.82,3.86,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99344,,Home visit new patient,A,,3.38,1.53,,1.74,,1.53,NA,1.74,NA,0.22,5.13,5.34,5.13,5.34,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99345,,Home visit new patient,A,,4.09,1.81,,2.05,,1.81,NA,2.05,NA,0.26,6.16,6.40,6.16,6.40,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99347,,Home visit est patient,A,,1.00,0.53,,0.55,,0.53,NA,0.55,NA,0.07,1.60,1.62,1.60,1.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99348,,Home visit est patient,A,,1.56,0.76,,0.80,,0.76,NA,0.80,NA,0.10,2.42,2.46,2.42,2.46,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99349,,Home visit est patient,A,,2.33,1.11,,1.26,,1.11,NA,1.26,NA,0.14,3.58,3.73,3.58,3.73,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99350,,Home visit est patient,A,,3.28,1.49,,1.69,,1.49,NA,1.69,NA,0.22,4.99,5.19,4.99,5.19,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99354,,Prolonged service office,A,,1.77,0.93,,1.00,,0.75,,0.81,,0.11,2.81,2.88,2.63,2.69,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99355,,Prolonged service office,A,,1.77,0.90,,0.96,,0.72,,0.78,,0.11,2.78,2.84,2.60,2.66,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99356,,Prolonged service inpatient,A,,1.71,0.75,NA,0.85,NA,0.75,,0.85,,0.11,2.57,2.67,2.57,2.67,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99357,,Prolonged service inpatient,A,,1.71,0.76,NA,0.85,NA,0.76,,0.85,,0.11,2.58,2.67,2.58,2.67,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99358,,Prolong service w/o contact,B,+,2.10,0.93,,0.96,,0.93,,0.96,,0.14,3.17,3.20,3.17,3.20,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99359,,Prolong serv w/o contact add,B,+,1.00,0.46,,0.47,,0.46,,0.47,,0.07,1.53,1.54,1.53,1.54,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99360,,Physician standby services,X,+,1.20,0.51,NA,0.53,NA,0.51,,0.53,,0.08,1.79,1.81,1.79,1.81,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99363,,Anticoag mgmt init,B,+,1.65,1.89,,1.86,,0.70,,0.72,,0.11,3.65,3.62,2.46,2.48,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99364,,Anticoag mgmt subseq,B,+,0.63,0.57,,0.57,,0.27,,0.28,,0.04,1.24,1.24,0.94,0.95,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99366,,Team conf w/pat by hc pro,B,+,0.82,0.37,,0.38,,0.35,,0.36,,0.05,1.24,1.25,1.22,1.23,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99367,,Team conf w/o pat by phys,B,+,1.10,0.47,NA,0.48,NA,0.47,,0.48,,0.07,1.64,1.65,1.64,1.65,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99368,,Team conf w/o pat by hc pro,B,+,0.72,0.30,NA,0.32,NA,0.30,,0.32,,0.04,1.06,1.08,1.06,1.08,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99374,,Home health care supervision,B,+,1.10,0.85,,0.85,,0.47,,0.48,,0.07,2.02,2.02,1.64,1.65,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99375,,Home health care supervision,I,+,1.73,1.28,,1.19,,0.88,,0.76,,0.11,3.12,3.03,2.72,2.60,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99377,,Hospice care supervision,B,+,1.10,0.85,,0.85,,0.47,,0.48,,0.07,2.02,2.02,1.64,1.65,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99378,,Hospice care supervision,I,+,1.73,1.34,,1.19,,0.94,,0.76,,0.11,3.18,3.03,2.78,2.60,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99379,,Nursing fac care supervision,B,+,1.10,0.85,,0.85,,0.47,,0.48,,0.07,2.02,2.02,1.64,1.65,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99380,,Nursing fac care supervision,B,+,1.73,1.19,,1.19,,0.75,,0.76,,0.11,3.03,3.03,2.59,2.60,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99381,,Init pm e/m new pat inf,N,+,1.19,1.49,,1.42,,0.51,,0.52,,0.08,2.76,2.69,1.78,1.79,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99382,,Init pm e/m new pat 1-4 yrs,N,+,1.36,1.55,,1.49,,0.59,,0.60,,0.08,2.99,2.93,2.03,2.04,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99383,,Prev visit new age 5-11,N,+,1.36,1.54,,1.48,,0.59,,0.60,,0.08,2.98,2.92,2.03,2.04,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99384,,Prev visit new age 12-17,N,+,1.53,1.61,,1.56,,0.66,,0.67,,0.10,3.24,3.19,2.29,2.30,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99385,,Prev visit new age 18-39,N,+,1.53,1.61,,1.56,,0.66,,0.67,,0.10,3.24,3.19,2.29,2.30,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99386,,Prev visit new age 40-64,N,+,1.88,1.77,,1.71,,0.81,,0.82,,0.12,3.77,3.71,2.81,2.82,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99387,,Init pm e/m new pat 65+ yrs,N,+,2.06,1.96,,1.90,,0.89,,0.90,,0.14,4.16,4.10,3.09,3.10,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99391,,Per pm reeval est pat inf,N,+,1.02,1.24,,1.22,,0.44,,0.45,,0.07,2.33,2.31,1.53,1.54,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99392,,Prev visit est age 1-4,N,+,1.19,1.32,,1.30,,0.51,,0.52,,0.08,2.59,2.57,1.78,1.79,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99393,,Prev visit est age 5-11,N,+,1.19,1.31,,1.29,,0.51,,0.52,,0.08,2.58,2.56,1.78,1.79,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99394,,Prev visit est age 12-17,N,+,1.36,1.38,,1.36,,0.59,,0.60,,0.08,2.82,2.80,2.03,2.04,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99395,,Prev visit est age 18-39,N,+,1.36,1.39,,1.37,,0.59,,0.60,,0.08,2.83,2.81,2.03,2.04,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99396,,Prev visit est age 40-64,N,+,1.53,1.46,,1.44,,0.66,,0.67,,0.10,3.09,3.07,2.29,2.30,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99397,,Per pm reeval est pat 65+ yr,N,+,1.71,1.66,,1.64,,0.74,,0.75,,0.11,3.48,3.46,2.56,2.57,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99401,,Preventive counseling indiv,N,+,0.48,0.55,,0.52,,0.21,,0.21,,0.03,1.06,1.03,0.72,0.72,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99402,,Preventive counseling indiv,N,+,0.98,0.78,,0.74,,0.42,,0.43,,0.07,1.83,1.79,1.47,1.48,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99403,,Preventive counseling indiv,N,+,1.46,0.99,,0.95,,0.63,,0.64,,0.10,2.55,2.51,2.19,2.20,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99404,,Preventive counseling indiv,N,+,1.95,1.21,,1.17,,0.84,,0.85,,0.12,3.28,3.24,2.91,2.92,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99406,,Behav chng smoking 3-10 min,A,,0.24,0.15,,0.16,,0.10,,0.10,,0.01,0.40,0.41,0.35,0.35,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99407,,Behav chng smoking > 10 min,A,,0.50,0.25,,0.27,,0.20,,0.22,,0.03,0.78,0.80,0.73,0.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99408,,Audit/dast 15-30 min,N,+,0.65,0.33,,0.34,,0.28,,0.28,,0.04,1.02,1.03,0.97,0.97,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99409,,Audit/dast over 30 min,N,+,1.30,0.60,,0.62,,0.55,,0.57,,0.08,1.98,2.00,1.93,1.95,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99411,,Preventive counseling group,N,+,0.15,0.30,,0.30,,0.06,,0.07,,0.01,0.46,0.46,0.22,0.23,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99412,,Preventive counseling group,N,+,0.25,0.34,,0.34,,0.11,,0.11,,0.01,0.60,0.60,0.37,0.37,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99420,,Health risk assessment test,N,+,0.00,0.29,,0.28,,0.29,NA,0.28,NA,0.01,0.30,0.29,0.30,0.29,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99429,,Unlisted preventive service,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99441,,Phone e/m by phys 5-10 min,N,+,0.25,0.15,,0.15,,0.10,,0.11,,0.01,0.41,0.41,0.36,0.37,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99442,,Phone e/m by phys 11-20 min,N,+,0.50,0.25,,0.26,,0.21,,0.22,,0.03,0.78,0.79,0.74,0.75,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99443,,Phone e/m by phys 21-30 min,N,+,0.75,0.35,,0.36,,0.32,,0.33,,0.05,1.15,1.16,1.12,1.13,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99444,,Online e/m by phys,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99450,,Basic life disability exam,N,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99455,,Work related disability exam,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99456,,Disability examination,R,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99460,,Init nb em per day hosp,A,,1.17,0.48,NA,0.55,NA,0.48,,0.55,,0.05,1.70,1.77,1.70,1.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99461,,Init nb em per day non-fac,A,,1.26,1.34,,1.44,,0.53,,0.55,,0.08,2.68,2.78,1.87,1.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99462,,Sbsq nb em per day hosp,A,,0.62,0.26,NA,0.29,NA,0.26,,0.29,,0.04,0.92,0.95,0.92,0.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99463,,Same day nb discharge,A,,1.50,0.75,NA,0.86,NA,0.75,,0.86,,0.08,2.33,2.44,2.33,2.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99464,,Attendance at delivery,A,,1.50,0.54,NA,0.59,NA,0.54,,0.59,,0.07,2.11,2.16,2.11,2.16,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99465,,Nb resuscitation,A,,2.93,0.93,NA,0.68,NA,0.93,,0.68,,0.22,4.08,3.83,4.08,3.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99466,,Ped crit care transport,A,,4.79,1.98,NA,2.23,NA,1.98,,2.23,,1.02,7.79,8.04,7.79,8.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99467,,Ped crit care transport addl,A,,2.40,0.95,NA,1.05,NA,0.95,,1.05,,0.14,3.49,3.59,3.49,3.59,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99468,,Neonate crit care initial,A,,18.46,6.47,NA,7.38,NA,6.47,,7.38,,1.52,26.45,27.36,26.45,27.36,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99469,,Neonate crit care subsq,A,,7.99,3.11,NA,3.50,NA,3.11,,3.50,,0.42,11.52,11.91,11.52,11.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99471,,Ped critical care initial,A,,15.98,5.94,NA,6.39,NA,5.94,,6.39,,0.87,22.79,23.24,22.79,23.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99472,,Ped critical care subsq,A,,7.99,3.00,NA,3.28,NA,3.00,,3.28,,0.48,11.47,11.75,11.47,11.75,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99475,,Ped crit care age 2-5 init,A,,11.25,4.00,,4.51,,4.00,,4.51,,0.86,16.11,16.62,16.11,16.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99476,,Ped crit care age 2-5 subsq,A,,6.75,2.49,,2.89,,2.49,,2.89,,0.52,9.76,10.16,9.76,10.16,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99477,,Init day hosp neonate care,A,,7.00,2.79,NA,3.07,NA,2.79,,3.07,,0.38,10.17,10.45,10.17,10.45,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99478,,Ic lbw inf < 1500 gm subsq,A,,2.75,1.11,NA,1.10,NA,1.11,,1.10,,0.18,4.04,4.03,4.04,4.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99479,,Ic lbw inf 1500-2500 g subsq,A,,2.50,1.05,NA,1.22,NA,1.05,,1.22,,0.16,3.71,3.88,3.71,3.88,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99480,,Ic inf pbw 2501-5000 g subsq,A,,2.40,0.90,NA,0.96,NA,0.90,,0.96,,0.16,3.46,3.52,3.46,3.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99499,,Unlisted e&m service,C,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,,33.9764,09,0,99,0.00,0.00,0.00
99500,,Home visit prenatal,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99501,,Home visit postnatal,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99502,,Home visit nb care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99503,,Home visit resp therapy,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99504,,Home visit mech ventilator,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99505,,Home visit stoma care,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99506,,Home visit im injection,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99507,,Home visit cath maintain,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99509,,Home visit day life activity,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99510,,Home visit sing/m/fam couns,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99511,,Home visit fecal/enema mgmt,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99512,,Home visit for hemodialysis,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99600,,Home visit nos,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99601,,Home infusion/visit 2 hrs,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99602,,Home infusion each addtl hr,I,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99605,,Mtms by pharm np 15 min,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99606,,Mtms by pharm est 15 min,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
99607,,Mtms by pharm addl 15 min,X,,0.00,0.00,,0.00,,0.00,,0.00,,0.00,0.00,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,,33.9764,09,0,99,0.00,0.00,0.00
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,